PTO Form 1581 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`SOU Extension Request
`(15 U.S.C. Section 1051(d))
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`SERIAL NUMBER
`
`77832919
`
`LAW OFFICE ASSIGNED
`
`LAW OFFICE 104
`
`MARK SECTION
`
`OWNER SECTION (no change)
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`GOODS AND/OR SERVICES SECTION
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`INTERNATIONAL CLASS
`
`005
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`CURRENT IDENTIFICATION
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`GOODS OR SERVICES
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`EXTENSION SECTION
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`EXTENSION NUMBER
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`ALLOWANCE MAIL DATE
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`STATEMENT OF USE
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`PAYMENT SECTION
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`NUMBER OF CLASSES
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`SUBTOTAL AMOUNT
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`TOTAL AMOUNT
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`SIGNATURE SECTION
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`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)ORIGINAL PDF FILE
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)CONVERTED PDF FILE(S)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(1 page)
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`SIGNATORY'S NAME
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`SIGNATORY'S POSITION
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`FILING INFORMATION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`Diagnostic agents, preparations and substances for medical purposes;
`diagnostic scanning agents for medical use, namely, diagnostic scanning
`agents for in vivo use; radiopharmaceutical diagnostic preparations for
`medical use; radiopharmaceutical diagnostic preparations for use in the
`diagnosis of neurodegenerative amyloid diseases
`
`KEEP ALL LISTED
`
`1
`
`12/21/2010
`
`NO
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`1
`
`150
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`150
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`hw_6320917811-201326453_._AMYVID_eot_1_signed.pdf
`
`\\TICRS\EXPORT11\IMAGEOUT11\778\329\77832919\xml2\ESU0002.JPG
`
`Alan P. Carpenter Jr.
`
`Vice President, Business Development, Legal and Regulatory Affairs
`
`Mon Jun 20 20:19:02 EDT 2011
`
`USPTO/ESU-XX.XXX.XXX.XX-2
`0110620201902179713-77832
`919-48019807981834598e7fe
`2d9b8cb87e8a2f-DA-6328-20
`110620201326453520
`
`
`
`
`
`
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`PTO Form 1581 (Rev 9/2005)
`
`OMB No. 0651-0054 (Exp. 09/30/2011)
`
`To the Commissioner for Trademarks:
`
`MARK:(cid:160)AMYVID
`SERIAL NUMBER:(cid:160)77832919
`
`SOU Extension Request
`(15 U.S.C. Section 1051(d))
`
`The applicant, Avid Radiopharmaceuticals, Inc., having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)3711 Market Street, 7th floor
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Philadelphia, Pennsylvania 19104
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`requests a six-month extension of time to file the Statement of Use under 37 C.F.R. Section 2.89 in this application. (cid:160)(cid:160) The Notice of Allowance
`mailing date was 12/21/2010.
`
`For International Class 005:
`Current identification: Diagnostic agents, preparations and substances for medical purposes; diagnostic scanning agents for medical use, namely,
`diagnostic scanning agents for in vivo use; radiopharmaceutical diagnostic preparations for medical use; radiopharmaceutical diagnostic
`preparations for use in the diagnosis of neurodegenerative amyloid diseases
`
`The applicant has a continued bona fide intention to use or use through the applicant's related company or licensee the mark in commerce on or in
`connection with all of the goods and/or services listed in the Notice of Allowance or as subsequently modified for this specific class.
`
`This is the first extension request.
`
`A fee payment in the amount of $150 will be submitted with the form, representing payment for 1 class.
`
`Declaration
`
`Original PDF file:
`hw_6320917811-201326453_._AMYVID_eot_1_signed.pdf
`Converted PDF file(s) (1 page)
`Signature File1
`
`Signatory's Name: Alan P. Carpenter Jr.
`Signatory's Position: Vice President, Business Development, Legal and Regulatory Affairs
`
`RAM Sale Number: 6328
`RAM Accounting Date: 06/21/2011
`
`Serial Number: 77832919
`Internet Transmission Date: Mon Jun 20 20:19:02 EDT 2011
`TEAS Stamp: USPTO/ESU-XX.XXX.XXX.XX-2011062020190217
`9713-77832919-48019807981834598e7fe2d9b8
`cb87e8a2f-DA-6328-20110620201326453520
`
`
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`Page 2 of 3
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`Declaration
`
`The undersigned, being hereby warned that willful false statements and the like so made are punishable by fine or
`imprisonment, or both, under 18 U.S.C. Section 1001, and that such willfiil false statements may jeopardize the
`validity of the form or any resulting registration, declares that he/she is properly authorized to execute this form on
`behalf of the applicant; he/she believes the applicant to be the owner of the trademark/service mark sought to be
`registered; and that all statements made of his/her own knowledge are true; and that all statements made on
`information and belief are believed to be true.
`
`NOTE TO APPLICANT: When filed as part of the electronic form (i.e., scanned and attached as an image file),
`the signature page must include both the signature information and the boilerplate declaration language. Do not
`include the entire application, but do ensure that the boilerplate declaration language actually appears; a signature
`by itselfwill not be acceptable. If, due to browser limitations, the boilerplate declaration language appears on a
`previous page when printed, you must "merge" the declaration and signature block onto a single page prior to
`signing, so that the one complete page can be scanned to create an acceptable image file. It is recommended that
`you copy-and-paste the entire text form into another document, manipulate the spacing there to move the
`declaration and signature section to a separate page, and then print this new version of the text form to send to the
`signatory.
`
`6/6/201 1
`
`Signature Section:
`
`Signature: @_
`Signatory's Name: Alan P. carpenter r.
`Signatory's Position: Vice President, Business Development, Legal and Regulatory Affairs
`
`Date Signed:
`
`/7’ ’fw “MU
`
`http://cteas.uspto.gov/esu/xslt.service?xsl=hsign
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