Application

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. PTO Form 1478 (Rev 09/2006)

OMB No. 0651-0009 (Exp 02/28/2021)

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Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. PTO Form 1478 (Rev 09/2006)

OMB No. 0651-0009 (Exp 02/28/2021)

Trademark/Service Mark Application, Principal Register

Serial Number: 88375459

Filing Date: 04/08/2019

To the Commissioner for Trademarks:

MARK: SIMUFORM (Standard Characters, see mark)
The literal element of the mark consists of SIMUFORM.
The mark consists of standard characters, without claim to any particular font style, size, or color.

The applicant, Medtronic, Inc, a corporation of Minnesota, having an address of
      IP LEGAL
      15 Hampshire Street
      Mansfield, Massachusetts 02048
      United States
      508-261-8137(phone)
      XXXX (not authorized)

requests registration of the trademark/service mark identified above in the United States Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15 U.S.C. Section 1051 et seq.), as amended, for the following:

       International Class 010:  Surgical and medical apparatus and instruments for use in cardiac surgery namely, annuloplasty rings and bands
Intent to Use: The applicant has a bona fide intention, and is entitled, to use the mark in commerce on or in connection with the identified goods/services.


The applicant's current Attorney Information:
      Michelle Shen
      IP LEGAL
      15 Hampshire Street
      Mansfield, Massachusetts 02048
      United States
      508-261-8137(phone)
      jennifer.m.venckus@medtronic.com (authorized)
The attorney docket/reference number is CSH.

The applicant's current Correspondence Information:

Michelle Shen

IP LEGAL       15 Hampshire Street

Mansfield, Massachusetts 02048

508-261-8137(phone)

jennifer.m.venckus@medtronic.com (authorized)

A fee payment in the amount of $400 has been submitted with the application, representing payment for 1 class(es).

Declaration

	Basis: If the applicant is filing the application based on use in commerce under 15 U.S.C. § 1051(a): The signatory believes that the applicant is the owner of the trademark/service mark sought to be registered; The mark is in use in commerce on or in connection with the goods/services in the application; The specimen(s) shows the mark as used on or in connection with the goods/services in the application; and To the best of the signatory's knowledge and belief, the facts recited in the application are accurate. And/Or If the applicant is filing the application based on an intent to use the mark in commerce under 15 U.S.C. § 1051(b), § 1126(d), and/or § 1126(e): The signatory believes that the applicant is entitled to use the mark in commerce; The applicant has a bona fide intention to use the mark in commerce on or in connection with the goods/services in the application; and To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.
	To the best of the signatory's knowledge and belief, no other persons, except, if applicable, concurrent users, have the right to use the mark in commerce, either in the identical form or in such near resemblance as to be likely, when used on or in connection with the goods/services of such other persons, to cause confusion or mistake, or to deceive.
	To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the allegations and other factual contentions made above have evidentiary support.
	The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of the application or submission or any registration resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on information and belief are believed to be true.

Declaration Signature

Signature: /Michelle Shen/   Date: 04/05/2019
Signatory's Name: Michelle Shen
Signatory's Position: Attorney of Record, NY State Bar Member
Payment Sale Number: 88375459
Payment Accounting Date: 04/08/2019

Serial Number: 88375459
Internet Transmission Date: Mon Apr 08 11:21:07 EDT 2019
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XXX-201904081121073
41200-88375459-620cc8c853e227d608edfd71b
be30c425fa7634f5aab417ab0bdd36a3545fa2ea
5-DA-10619-20190405115828582119