`
`OMB No. 0651-0055 (Exp 07/31/2018)
`
`Combined Declaration of Use and Incontestability under Sections 8 & 15
`
`The table below presents the data as entered.
`
`Entered
`
`Input Field
`
`REGISTRATION NUMBER
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`ATTORNEY SECTION (current)
`
`3208556
`
`02/13/2007
`
`78858783
`
`GHOST
`
`NAME
`
`FIRM NAME
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`Bruce J. Bowman
`
`BOWMAN & ASSOCIATES
`
`1016 3RD AVE SW STE 205
`
`CARMEL
`
`Indiana
`
`46032-7607
`
`United States
`
`317 571-9301
`
`317 571-9302
`
`bowmanassociates@sbcglobal.net
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`ATTORNEY SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`Bruce J. Bowman
`
`BOWMAN & ASSOCIATES
`
`Suite 106
`
`1016 3RD AVE SW
`
`CARMEL
`
`Indiana
`
`46032-7607
`
`United States
`
`317 571-9301
`
`317 571-9302
`
`bowmanassociates@sbcglobal.net
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`DOCKET/REFERENCE NUMBER
`
`Yes
`
`LSP019
`
`
`
`CORRESPONDENCE SECTION (current)
`
`NAME
`
`FIRM NAME
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`BRUCE J. BOWMAN
`
`BOWMAN & ASSOCIATES
`
`1016 3RD AVE SW STE 205
`
`CARMEL
`
`Indiana
`
`46032-7607
`
`United States
`
`317 571-9301
`
`317 571-9302
`
`bowmanassociates@sbcglobal.net
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`CORRESPONDENCE SECTION (proposed)
`
`NAME
`
`FIRM NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`DOCKET/REFERENCE NUMBER
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`GOODS OR SERVICES
`
`SPECIMEN FILE NAME(S)
`
`SPECIMEN DESCRIPTION
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`BRUCE J. BOWMAN
`
`BOWMAN & ASSOCIATES
`
`Suite 106
`
`1016 3RD AVE SW
`
`CARMEL
`
`Indiana
`
`46032-7607
`
`United States
`
`317 571-9301
`
`317 571-9302
`
`bowmanassociates@sbcglobal.net
`
`Yes
`
`LSP019
`
`010
`
`Implants consisting of artificial materials, namely, orthopedic devices for
`the spine, spinal body replacement devices, intravertebral body replacement
`devices, spinal interbody devices
`
`\\TICRS\EXPORT11\IMAGEOUT 11\788\587\78858783\xml1\
`8150002.JPG
`
`digital photo of packaged goods with a label thereon
`
`Life Spine, LLC
`
`Suite 370
`
`Hoffman Estates
`
`Illinois
`
`
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`OWNER SECTION (proposed)
`
`NAME
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`LEGAL ENTITY SECTION (current)
`
`TYPE
`
`STATE/COUNTRY OF INCORPORATION
`
`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
`
`SIGNATORY'S PHONE NUMBER
`
`PAYMENT METHOD
`
`SUBMIT DATE
`
`TEAS STAMP
`
`60195
`
`United States
`
`847 884-6117
`
`847 884-6118
`
`Life Spine, Inc.
`
`Suite 1535
`
`2401 West Hassell Road
`
`Hoffman Estates
`
`Illinois
`
`60169
`
`United States
`
`847 884-6117
`
`847 884-6118
`
`corporation
`
`Delaware
`
`1
`
`1
`
`300
`
`300
`
`/bjb/
`
`Bruce J. Bowman
`
`Attorney of record, Indiana bar member
`
`03/09/2012
`
`317 571-9301
`
`CC
`
`FILING INFORMATION
`
`Fri Mar 09 15:53:05 EST 2012
`
`USPTO/S08N15-XX.XXX.XX.XX
`-20120309155305615265-320
`8556-49063ce06249963849a7
`e350fa8abdb2-CC-2793-2012
`0309154531563194
`
`
`
`PTO Form 1583 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 07/31/2018)
`
`Combined Declaration of Use and Incontestability under Sections 8 & 15
`To the Commissioner for Trademarks:
`
`REGISTRATION NUMBER:(cid:160)3208556
`REGISTRATION DATE:(cid:160)02/13/2007
`
`MARK: GHOST
`
`The owner, Life Spine, Inc., a corporation of Delaware, having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 1535
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)2401 West Hassell Road
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Hoffman Estates, Illinois 60169
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`is filing a Combined Declaration of Use and Incontestability under Sections 8 & 15.
`
`For International Class 010, the mark is in use in commerce on or in connection with all of the goods/all of the services, or to indicate
`membership in the collective membership organization, listed in the existing registration for this specific class: Implants consisting of artificial
`materials, namely, orthopedic devices for the spine, spinal body replacement devices, intravertebral body replacement devices, spinal interbody
`devices; and the mark has been continuously used in commerce for five (5) 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/all services, or to indicate membership in the
`collective membership organization, listed in the existing registration for this class. Also, no final decision adverse to the owner's claim of
`ownership of such mark for those goods/services, or to indicate membership in the collective membership organization, exists, or to the owner's
`right to register the same or to keep the same on the register; and, no proceeding involving said rights pending and not disposed of in either the
`U.S. Patent and Trademark Office or the courts exists.
`
`The owner is submitting one(or more) specimen(s) for this class showing the mark as used in commerce on or in connection with any item in this
`class, consisting of a(n) digital photo of packaged goods with a label thereon.
`Specimen File1
`The registrant's current Attorney Information: Bruce J. Bowman of (cid:160)BOWMAN & ASSOCIATES
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)1016 3RD AVE SW STE 205
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)CARMEL, Indiana (IN) 46032-7607
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The registrant's proposed Attorney Information: Bruce J. Bowman of (cid:160)BOWMAN & ASSOCIATES
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 106
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)1016 3RD AVE SW
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)CARMEL, Indiana (IN) 46032-7607
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`The docket/reference number is LSP019.
`
`The phone number is 317 571-9301.
`
`The fax number is 317 571-9302.
`
`The email address is bowmanassociates@sbcglobal.net.
`The registrant's current Correspondence Information: BRUCE J. BOWMAN of (cid:160)BOWMAN & ASSOCIATES
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)1016 3RD AVE SW STE 205
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)CARMEL, Indiana (IN) 46032-7607
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The registrant's proposed Correspondence Information: BRUCE J. BOWMAN of (cid:160)BOWMAN & ASSOCIATES
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 106
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)1016 3RD AVE SW
`
`
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)CARMEL, Indiana (IN) 46032-7607
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`The docket/reference number is LSP019.
`
`The phone number is 317 571-9301.
`
`The fax number is 317 571-9302.
`
`The email address is bowmanassociates@sbcglobal.net.
`
`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 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 mark has been in continuous use in commerce for five (5) consecutive years after the date of
`registration, or the date of publication under Section 12(c), and is still in use in commerce. There has been no final decision adverse to the
`owner's claim of ownership of such mark, 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 U.S. 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: /bjb/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date: 03/09/2012
`Signatory's Name: Bruce J. Bowman
`Signatory's Position: Attorney of record, Indiana bar member
`Signatory's Phone Number: 317 571-9301
`
`Mailing Address (current):
`(cid:160)(cid:160)(cid:160)BOWMAN & ASSOCIATES
`(cid:160)(cid:160)(cid:160)1016 3RD AVE SW STE 205
`(cid:160)(cid:160)(cid:160)CARMEL, Indiana 46032-7607
`
`Mailing Address (proposed):
`(cid:160)(cid:160)(cid:160)BOWMAN & ASSOCIATES
`(cid:160)(cid:160)(cid:160)1016 3RD AVE SW
`(cid:160)(cid:160)(cid:160)CARMEL, Indiana 46032-7607
`
`Serial Number: 78858783
`Internet Transmission Date: Fri Mar 09 15:53:05 EST 2012
`TEAS Stamp: USPTO/S08N15-XX.XXX.XX.XX-20120309155305
`615265-3208556-49063ce06249963849a7e350f
`a8abdb2-CC-2793-20120309154531563194
`
`
`
`
`
`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number?
`
`3203556
`
`Serial Number:
`
`78858783
`
`RAM Sale Number: 2793
`
`RAM Accounting Date: 20120312
`
`Total Fees:
`
`$300
`
`Note: Process in accordance with Post Registration Standard Operating Procedure (SOP)
`
`Transaction
`
`§8 affidavit
`§15 affidavit
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Number of
`Classes Paid
`
`20120309
`20120309
`
`$100
`$200
`
`Physical Location: 900 - FILE REPOSITORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM—FLG—IN—TICRS): True
`
`Transaction Date:
`
`20120309
`
`

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