PTO Form 1963 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 07/31/2018)
`
`Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of
`Registration of a Mark under Sections 8 & 9
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`REGISTRATION NUMBER
`
`2815561
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`ATTORNEY SECTION (current)
`
`02/17/2004
`
`76415897
`
`MAYO CLINIC (stylized and/or with design)
`
`NAME
`
`FIRM NAME
`
`Kari B. Frank
`
`DORSEY & WHITNEY LLP
`
`INTERNAL ADDRESS
`
`Suite 1500
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`50 South Sixth Street
`
`MINNEAPOLIS
`
`Minnesota
`
`55402-1498
`
`United States
`
`(612) 492-6863
`
`(612) 340-8856
`
`ip.docket@dorsey.com
`
`AUTHORIZED TO COMMUNICATE VIA
`E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`20,855
`
`ATTORNEY SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`Wesley D. Anderson
`
`DORSEY & WHITNEY LLP
`
`INTERNAL ADDRESS
`
`Suite 1500
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`50 South Sixth Street
`
`MINNEAPOLIS
`
`Minnesota
`
`55402-1498
`
`United States
`
`(612) 492-6081
`
`(612) 340-8827
`
`

`

`EMAIL
`
`ip.docket@dorsey.com
`
`AUTHORIZED TO COMMUNICATE VIA
`E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`T017555.US.01
`
`OTHER APPOINTED ATTORNEY
`
`Stuart R. Hemphill, Elizabeth C. Buckingham, Jamie N. Nafziger, Jeffrey R. Cadwell,
`Mark D. Wagner, and Matthew C. Mlsna
`
`CORRESPONDENCE SECTION (current)
`
`NAME
`
`FIRM NAME
`
`Kari B. Frank
`
`DORSEY & WHITNEY LLP
`
`INTERNAL ADDRESS
`
`Suite 1500
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`50 South Sixth Street
`
`MINNEAPOLIS
`
`Minnesota
`
`55402-1498
`
`United States
`
`(612) 492-6863
`
`(612) 340-8856
`
`ip.docket@dorsey.com
`
`AUTHORIZED TO COMMUNICATE VIA
`E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`20,855
`
`CORRESPONDENCE SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`Wesley D. Anderson
`
`DORSEY & WHITNEY LLP
`
`INTERNAL ADDRESS
`
`Suite 1500
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`50 South Sixth Street
`
`MINNEAPOLIS
`
`Minnesota
`
`55402-1498
`
`United States
`
`(612) 492-6081
`
`(612) 340-8827
`
`ip.docket@dorsey.com
`
`AUTHORIZED TO COMMUNICATE VIA
`E-MAIL
`
`Yes
`
`DOCKET/REFERENCE NUMBER
`
`T017555.US.01
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`041
`
`Educational Services, Namely, Providing Courses of Instruction in Medicine, Dentistry,
`Pharmacology, Nursing and Health Care Through a Graduate Medical School, Medical
`School and School of Health-Related Sciences, Providing Continuing Medical
`
`

`

`GOODS OR SERVICES
`
`       SPECIMEN FILE NAME(S)
`
`Education and Seminars for Professionals in the Fields of Medicine, Dentistry,
`Pharmacology, Nursing and Health Care, Conducting Seminars and Workshops for
`Volunteers, Patients and Their Families in the Fields of Health Care and Wellness, and
`Distributing Course Materials in Connection Therewith
`
`       ORIGINAL PDF FILE
`
`SPN0-1701121251-160822134_._T017555.US.01_Specimen_of_Use_for_Renewal.pdf
`
`       CONVERTED PDF FILE(S)
`       (1 page)
`
`\\TICRS\EXPORT16\IMAGEOUT16\764\158\76415897\xml1\S890002.JPG
`
`SPECIMEN DESCRIPTION
`
`image of Registrant's brochure advertising the services in connection with the mark
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`Mayo Foundation for Medical Education and Research
`
`200 First Street Southwest
`
`Rochester
`
`Minnesota
`
`55905
`
`United States
`
`LEGAL ENTITY SECTION (current)
`
`TYPE
`
`NON-PROFIT CORPORATION
`
`STATE/COUNTRY WHERE LEGALLY
`ORGANIZED
`
`Minnesota
`
`LEGAL ENTITY SECTION (proposed)
`
`TYPE
`
`non-profit corporation
`
`STATE/COUNTRY WHERE LEGALLY
`ORGANIZED
`
`Minnesota
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL FEE PAID
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`DATE SIGNED
`
`1
`
`1
`
`500
`
`500
`
`/daniel s goldman/
`
`Daniel S. Goldman
`
`Assistant Secretary
`
`02/05/2014
`
`SIGNATORY'S PHONE NUMBER
`
`XXXXXXXXXX
`
`PAYMENT METHOD
`
`DA
`
`SUBMIT DATE
`
`Thu Feb 06 10:17:11 EST 2014
`
`FILING INFORMATION
`
`TEAS STAMP
`
`USPTO/S08N09-XXX.XXX.X.XX
`X-20140206101711434485-28
`15561-5009f43c934fd59756a
`98ee34878252dbc69f048f962
`
`

`

`aal 645b7f83998b953-DA-673
`3-20140205160822134802
`
`aa1645b7f83998b953-DA-673
`3-20140205160822134802
`
`

`

`PTO Form 1963 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 07/31/2018)
`
`Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under
`Sections 8 & 9
`
`To the Commissioner for Trademarks:
`
`REGISTRATION NUMBER: 2815561
`REGISTRATION DATE: 02/17/2004
`
`MARK: (Stylized and/or with Design, MAYO CLINIC)
`
`The owner, Mayo Foundation for Medical Education and Research, non-profit corporation legally organized under the laws of Minnesota, having
`an address of
`      200 First Street Southwest
`      Rochester, Minnesota 55905
`      United States
`is filing a Combined Declaration of Use and/or Excusable Nonuse/Application for Renewal of Registration of a Mark under Sections 8 & 9.
`
`For International Class 041, the mark is in use in commerce on or in connection with all goods/services, or to indicate membership in the
`collective membership organization, listed in the existing registration for this specific class: Educational Services, Namely, Providing Courses of
`Instruction in Medicine, Dentistry, Pharmacology, Nursing and Health Care Through a Graduate Medical School, Medical School and School of
`Health-Related Sciences, Providing Continuing Medical Education and Seminars for Professionals in the Fields of Medicine, Dentistry,
`Pharmacology, Nursing and Health Care, Conducting Seminars and Workshops for Volunteers, Patients and Their Families in the Fields of
`Health Care and Wellness, and Distributing Course Materials in Connection Therewith ; or, the owner is making the listed excusable nonuse
`claim.
`
`The owner is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in this class,
`consisting of a(n) image of Registrant's brochure advertising the services in connection with the mark.
`
`Original PDF file:
`SPN0-1701121251-160822134_._T017555.US.01_Specimen_of_Use_for_Renewal.pdf
`Converted PDF file(s) (1 page)
`Specimen File1
`The registrant's current Attorney Information: Kari B. Frank of  DORSEY & WHITNEY LLP
`      Suite 1500
`      50 South Sixth Street
`      MINNEAPOLIS, Minnesota (MN) 55402-1498
`      United States
`The docket/reference number is 20,855.
`
`The registrant's proposed Attorney Information: Wesley D. Anderson of  DORSEY & WHITNEY LLP
`      Suite 1500
`      50 South Sixth Street
`      MINNEAPOLIS, Minnesota (MN) 55402-1498
`      United States
`The docket/reference number is T017555.US.01.
`The Other Appointed Attorney(s): Stuart R. Hemphill, Elizabeth C. Buckingham, Jamie N. Nafziger, Jeffrey R. Cadwell, Mark D. Wagner, and
`Matthew C. Mlsna.
`
`The phone number is (612) 492-6081.
`
`The fax number is (612) 340-8827.
`
`The email address is ip.docket@dorsey.com.
`The registrant's current Correspondence Information: Kari B. Frank of  DORSEY & WHITNEY LLP
`      Suite 1500
`      50 South Sixth Street
`      MINNEAPOLIS, Minnesota (MN) 55402-1498
`
`

`

`      United States
`The docket/reference number is 20,855.
`
`The registrant's proposed Correspondence Information: Wesley D. Anderson of  DORSEY & WHITNEY LLP
`      Suite 1500
`      50 South Sixth Street
`      MINNEAPOLIS, Minnesota (MN) 55402-1498
`      United States
`The docket/reference number is T017555.US.01.
`
`The phone number is (612) 492-6081.
`
`The fax number is (612) 340-8827.
`
`The email address is ip.docket@dorsey.com.
`
`A fee payment in the amount of $500 will be submitted with the form, representing payment for 1 class(es), plus any additional grace period fee,
`if necessary.
`
`Declaration
`
`Section 8: Declaration of Use and/or Excusable Nonuse in Commerce
`Unless the owner has specifically claimed excusable nonuse, the mark is in use in commerce on or in connection with the goods and/or services
`identified above, as evidenced by the attached specimen(s) showing the mark as used in commerce.
`
`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.
`
`Section 9: Application for Renewal
`The registrant requests that the registration be renewed for the goods/services/collective organization identified above.
`
`Signature: /daniel s goldman/      Date: 02/05/2014
`Signatory's Name: Daniel S. Goldman
`Signatory's Position: Assistant Secretary
`Signatory's Phone Number: XXXXXXXXXX
`
`Mailing Address (current):
`   DORSEY & WHITNEY LLP
`   50 South Sixth Street
`   MINNEAPOLIS, Minnesota 55402-1498
`
`Mailing Address (proposed):
`   DORSEY & WHITNEY LLP
`   50 South Sixth Street
`   MINNEAPOLIS, Minnesota 55402-1498
`
`Serial Number: 76415897
`Internet Transmission Date: Thu Feb 06 10:17:11 EST 2014
`TEAS Stamp: USPTO/S08N09-XXX.XXX.X.XXX-2014020610171
`1434485-2815561-5009f43c934fd59756a98ee3
`4878252dbc69f048f962aa1645b7f83998b953-D
`A-6733-20140205160822134802
`
`

`

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`

`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number?
`
`2815561
`
`RAM Sale Number: 2815561
`
`Serial Number:
`
`76415897
`
`l
`
`RAM Accounting Date: 20140206
`
`Total Fees:
`
`$500
`
`Note: Process in accordance with Post Registration Standard Operating Procedure (SOP)
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Number of
`Classes Paid
`
`§8 affidavit
`Application for Renewal (§9)
`
`20140206
`20140206
`
`$100
`$400
`
`Physical Location: 900 - FILE REPOSITORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM—FLG—IN—TICRS): True
`
`Transaction Date:
`
`20140206
`
`