PTO Form 1583 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 10/31/2008)
`
`Combined Declaration of Use and Incontestability Under Sections 8 & 15
`
`Input Field
`
`REGISTRATION NUMBER
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`OWNER SECTION (proposed)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`ATTORNEY SECTION
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`The table below presents the data as entered.
`
`Entered
`
`2216996
`
`01/12/1999
`
`75298180
`
`MAYO ONE
`
`Mayo Foundation
`
`200 First Street S.W.
`
`Rochester
`
`MN
`
`55905
`
`US
`
`Mayo Foundation for Medical Education and Research (by assignment,
`Reel 1900, Frame 965)
`
`200 First Street S.W.
`
`Rochester
`
`MN
`
`55905
`
`US
`
`Travis L. Bachman
`
`DORSEY & WHITNEY LLP
`
`Suite 1500
`
`50 South Sixth Street
`
`Minneapolis
`
`MN
`
`55402-1498
`
`USA
`
`(612) 340-2656
`
`(612) 340-8856
`
`ip.docket@dorsey.com
`
`

`

`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`DOCKET NUMBERS
`
`OTHER APPOINTED ATTORNEY(S)
`
`Yes
`
`13,753
`
`David N. Fronek, Stuart R. Hemphill, Elizabeth C. Buckingham, Jamie
`Nafziger, Michael J. Kroll, Paul Mussell, and Daniel P. Sink
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`KEEP EXISTING GOODS AND/OR SERVICES
`
`042
`
`YES
`
`SPECIMEN FILE NAME(S)
`
`SPECIMEN DESCRIPTION
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY NAME
`
`SIGNATORY DATE
`
`SIGNATORY POSITION
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`\\TICRS\EXPORT11\IMAGEOUT 11\752\981\75298180\xml1\
`8150002.JPG
`
`image of a page from Registrant's website advertising the services
`
`1
`
`1
`
`300
`
`300
`
`/daniel s goldman/
`
`Daniel S. Goldman
`
`01/05/2005
`
`Legal Counsel
`
`Wed Jan 05 14:14:20 EST 2005
`
`USPTO/S08N15-XXXXXXXXXX-2
`0050105141420891038-22169
`96-2001329e27d19df4e5c6a1
`1704779664139-DA-1289-200
`50105122438922188
`
`

`

`PTO Form 1583 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 10/31/2008)
`
`Combined Declaration of Use and Incontestability Under Sections 8 & 15
`To the Commissioner for Trademarks:
`
`REGISTRATION NUMBER: 2216996
`REGISTRATION DATE: 01/12/1999
`
`MARK:  MAYO ONE
`
`The owner, Mayo Foundation for Medical Education and Research (by assignment, Reel 1900, Frame 965), residing at 200 First Street S.W.,
`Rochester, MN US 55905, is using the mark in commerce on or in connection with the goods and /or services as follows:
`
`For International Class 042, the owner is using or is using through a related company or licensee the mark in commerce on or in connection with
`all goods and/or services listed in the existing registration.
`
`The owner is submitting one specimen for each class showing the mark as used in commerce on or in connection with any item in the class of
`listed goods and/or services , consisting of a(n) image of a page from Registrant's website advertising the services.
`Specimen-1
`
`The registrant hereby appoints Travis L. Bachman and David N. Fronek, Stuart R. Hemphill, Elizabeth C. Buckingham, Jamie Nafziger, Michael
`J. Kroll, Paul Mussell, and Daniel P. Sink of  DORSEY & WHITNEY LLP, Suite 1500, 50 South Sixth Street, Minneapolis, MN USA
`55402-1498 to submit this Combined Declaration of Use and Incontestability Under Sections 8 & 15 on behalf of the registrant. The attorney
`docket/reference number is 13,753.
`
`A fee payment in the amount of $300 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee,
`if necessary.
`
`Declaration
`
`The owner is using or is using through a related company or licensee the mark in commerce on or in connection with the goods/services
`identified above, as evidenced by the attached specimen(s) showing the mark as used in commerce. The mark has been in continuous use in
`commerce for five consecutive years after the date of registration, or the date of publication under Section 12(c), and is still in use in commerce
`on or in connection with all goods and/or services as identified above. There has been no final decision adverse to the owner's claim of
`ownership of such mark for such goods and/or services, or to the owner's right to register the same or to keep the same on the register; and there
`is no proceeding involving said rights pending and not disposed of either in the Patent and Trademark Office or in the courts.
`
`The undersigned being hereby warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C.
`Section 1001, and that such willful false statements and the like may jeopardize the validity of this document, declares that he/she is properly
`authorized to execute this document on behalf of the Owner; and all statements made of his/her own knowledge are true and that all statements
`made on information and belief are believed to be true.
`
`Signature: /daniel s goldman/      Date: 01/05/2005
`Signatory's Name: Daniel S. Goldman
`Signatory's Position: Legal Counsel
`
`Mailing Address:
`   DORSEY & WHITNEY LLP
`   Suite 1500
`   50 South Sixth Street
`   Minneapolis, MN 55402-1498
`
`RAM Sale Number: 1289
`RAM Accounting Date: 01/05/2005
`
`Serial Number: 75298180
`
`

`

`Internet Transmission Date: Wed Jan 05 14:14:20 EST 2005
`TEAS Stamp: USPTO/S08N15-XXXXXXXXXX-2005010514142089
`1038-2216996-2001329e27d19df4e5c6a117047
`79664139-DA-1289-20050105122438922188
`
`

`

`{w M.151: Modicnl 'I‘mnspcrl
`
`.-‘r him .1!sdfcrrf
`
`Tr'orisprir'r Maya one=
`
`Mayo Cine. an emergency medical helicopter service. provides high -Ievel critical care
`Home
`m and rapid transportation. A helicopter can be in flight within minutes of the dispatch call.
`W 24 hours a day. everyday.
`
`W Mayo Cine files within a abomile radius of bases at Mayo Clinic ll't Rochester. lvlinn.
`Iransncii
`and at Luther Hospitalnpart of Mayo Health System—rib Eau Claire. 1li'tl'is. Separated by
`Haydon
`95 miles. the bye bases allow lvlayo One to serve much of southern Minnesota. westerr
`HEW];
`WiECCI‘lSiI‘l and l'lfll’thEl'l'l IGWE. MDI‘E than 1.303 flights are made 3 year.
`
`Emmi'm'm‘
`
`:i
`
`I :I
`
`:1 I I I:
`
`Because of the quick response time. rapid transport and advanced care available.
`thousands of lives have been saved since lvlayo Cne began service in 1984. While
`trauma and motor vehicle crashes that require helicopter transport capture headlines.
`most Mayo Cine patients are moved from a rural hospital to a regional medical center
`for high-level medical care. Mayo Cine transports patients between medical centers.
`regardless of the referring or receiving location. Patients at the scene of a trauma or
`crash are transported to the nearest appropriate facility.
`
`About onevthird of lvlayo Cine transports are trauma patients. onevhalf are cardiac
`patients. about 5 percent are neonatal and the rest have various medical conditions.
`
`Mayo Clinic medical expertise
`
`Flight team: lvlayc fine is staffed by at least twp medical professionals. Mayo Cine—
`Ftcchester is staffed by two critical care nurses. In Eau Claire lvla o One is staffed b a
`critical—care nurse and a criticalcare paramedic. Neonatal
`and pediatric specialty teams from Saint Marys Hospital in
`
`'
`
`5——
`
`Ftochester are available when needed.
`
`The in-fllght team is supported by specialists at Mayo
`Clinic in Rochester and at Luther Hospital—part of Mayo
`Health System-4n Eau Claire. who are available for
`
`or" —_
`
`.h. tI'L .
`'——.___ _
`“fl, _-
`"-
`-.
`- ' '
`
`_
`
`
`
`

`

`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number:
`
`2216996
`
`RAM
`
`Serial Number:
`
`75298180
`
`HIIHHIIIHW H\lW\|\|H\||H|H\||\H||\
`
`RAM Accounting Date: 20050105
`
`Total Fees:
`
`$300
`
`Transaction
`
`§8 affidavit
`§15 affidavit
`
`Transaction
`Date
`
`Fee per
`Class
`
`Total
`Number
`of Classes m
`
`20050105
`20050105
`
`$100
`$200
`
`$100
`$200
`
`Note: Process in accordance With Post Registration Standard Operating Procedure (SOP)
`
`20050105
`
`Physical Location: 900 - FILE REPOSITORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM-FLG-IN-TICRS): False
`
`Transaction Date:
`
`