PTO Form 1478 (Rev 9/2006) |
OMB No. 0651-0009 (Exp 12/31/2011) |
Trademark/Service Mark Application, Principal Register
TEAS Plus Application
Serial Number: 77967725 |
Filing Date: 03/24/2010 |
NOTE: Data fields with the * are mandatory under TEAS Plus. The wording "(if applicable)" appears where the field is only mandatory under the facts of the particular
application.
The table below presents the data as entered.
Input Field
|
Entered
|
TEAS Plus |
YES |
MARK INFORMATION |
*MARK |
Qualis |
*STANDARD CHARACTERS |
YES |
USPTO-GENERATED IMAGE |
YES |
LITERAL ELEMENT |
Qualis |
*MARK STATEMENT |
The mark consists of standard characters, without claim to any particular font, style, size, or color. |
REGISTER |
Principal |
APPLICANT INFORMATION |
*OWNER OF MARK |
Qualis Management, LLC |
*STREET |
3801 Sunset Avenue |
*CITY |
Rocky Mount |
*STATE
(Required for U.S. applicants) |
North Carolina |
*COUNTRY |
United States |
*ZIP/POSTAL CODE
(Required for U.S. applicants only) |
27804 |
LEGAL ENTITY INFORMATION |
*TYPE |
LIMITED LIABILITY COMPANY |
* STATE/COUNTRY WHERE LEGALLY ORGANIZED |
North Carolina |
GOODS AND/OR SERVICES AND BASIS INFORMATION |
*INTERNATIONAL CLASS |
035 |
IDENTIFICATION |
Accounting for third parties; Administration of patient reimbursement programs; Administration, billing and reconciliation of accounts on
behalf of others; Arranging of managed care contractual services in the fields of diagnostic imaging, home health care, durable medical equipment, specialty pharmacy, and diagnostic lab services;
Billing; Business invoicing services; Business management and consultation in the field of health care; Business management and consulting services for the health care industry, namely,
customer service, accounting services, and marketing services; Business management and consulting services for the health care industry, namely, customer service, accounting services, and web-based
advertising and marketing services; Business management and consulting services for the health care industry, namely, providing industry expertise and supplier partnerships; Health care cost
containment; Invoicing; Invoicing services; Invoicing services in the field of health care; Medical billing outsourcing services; Medical billing support services; Medical claims management
services, namely, electronic re-pricing of physician, hospital, and ancillary medical care provider transactions via the global information network; Medical claims management services, namely,
receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; Medical cost management; Vendor management services for
healthcare facilities |
*FILING BASIS |
SECTION 1(a) |
FIRST USE ANYWHERE DATE |
At least as early as 03/24/2006 |
FIRST USE IN COMMERCE DATE |
At least as early as 03/24/2006 |
SPECIMEN FILE NAME(S) |
JPG FILE(S) |
\\TICRS\EXPORT9\IMAGEOUT9 \779\677\77967725\xml1\FT K0005.JPG |
ORIGINAL PDF FILE |
spec-63162199210-171309908_._Brochure_Cover.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT9\IMAGEOUT9\779\677\77967725\xml1\FTK0003.JPG |
ORIGINAL PDF FILE |
spec-63162199210-171309908_._Inside_Cover.pdf |
CONVERTED PDF FILE(S)
(1 page) |
\\TICRS\EXPORT9\IMAGEOUT9\779\677\77967725\xml1\FTK0004.JPG |
SPECIMEN DESCRIPTION |
Marketing brochure pages 1, 2, and 3 |
ADDITIONAL STATEMENTS INFORMATION |
*TRANSLATION
(if applicable) |
|
*TRANSLITERATION
(if applicable) |
|
*CLAIMED PRIOR REGISTRATION
(if applicable) |
|
*CONSENT (NAME/LIKENESS)
(if applicable) |
|
*CONCURRENT USE CLAIM
(if applicable) |
|
ATTORNEY INFORMATION |
NAME |
DeLeon Parker, Jr. |
ATTORNEY DOCKET NUMBER |
10-121 |
FIRM NAME |
The Parker Law Office, PLLC |
STREET |
880 Country Club Road |
CITY |
Rocky Mount |
STATE |
North Carolina |
COUNTRY |
United States |
ZIP/POSTAL CODE |
27803 |
PHONE |
252-937-2255 |
EMAIL ADDRESS |
parkerd@parkerlawpllc.com |
AUTHORIZED TO COMMUNICATE VIA EMAIL |
Yes |
CORRESPONDENCE INFORMATION |
*NAME |
DeLeon Parker, Jr. |
FIRM NAME |
The Parker Law Office, PLLC |
*STREET |
880 Country Club Road |
*CITY |
Rocky Mount |
*STATE
(Required for U.S. applicants) |
North Carolina |
*COUNTRY |
United States |
*ZIP/POSTAL CODE |
27804 |
PHONE |
252-937-2255 |
*EMAIL ADDRESS |
parkerd@parkerlawpllc.com |
*AUTHORIZED TO COMMUNICATE VIA EMAIL |
Yes |
FEE INFORMATION |
NUMBER OF CLASSES |
1 |
FEE PER CLASS |
275 |
*TOTAL FEE PAID |
275 |
SIGNATURE INFORMATION |
* SIGNATURE |
/DeLeon Parker, Jr./ |
* SIGNATORY'S NAME |
DeLeon Parker, Jr. |
* SIGNATORY'S POSITION |
Attorney of record, North Carolina Bar Member |
* DATE SIGNED |
03/24/2010 |
PTO Form 1478 (Rev 9/2006) |
OMB No. 0651-0009 (Exp 12/31/2011) |
Trademark/Service Mark Application, Principal Register
TEAS Plus Application
Serial Number: 77967725 |
Filing Date: 03/24/2010 |
To the Commissioner for Trademarks:
MARK: Qualis (Standard Characters, see
mark)
The literal element of the mark consists of Qualis.
The mark consists of standard characters, without claim to any particular font, style, size, or color.
The applicant, Qualis Management, LLC, a limited liability company legally organized under the laws of North Carolina, having an address of
3801 Sunset Avenue
Rocky Mount, North Carolina 27804
United States
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:
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 035: Accounting for third parties; Administration of patient reimbursement programs; Administration, billing and reconciliation of
accounts on behalf of others; Arranging of managed care contractual services in the fields of diagnostic imaging, home health care, durable medical equipment, specialty pharmacy, and diagnostic lab
services; Billing; Business invoicing services; Business management and consultation in the field of health care; Business management and consulting services for the health care industry, namely,
customer service, accounting services, and marketing services; Business management and consulting services for the health care industry, namely, customer service, accounting services, and web-based
advertising and marketing services; Business management and consulting services for the health care industry, namely, providing industry expertise and supplier partnerships; Health care cost
containment; Invoicing; Invoicing services; Invoicing services in the field of health care; Medical billing outsourcing services; Medical billing support services; Medical claims management services,
namely, electronic re-pricing of physician, hospital, and ancillary medical care provider transactions via the global information network; Medical claims management services, namely, receiving, data
entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; Medical cost management; Vendor management services for healthcare
facilities
In International Class 035, the mark was first used at least as early as 03/24/2006, and first used in commerce at least as early as 03/24/2006, and is now in use in such commerce. The applicant is
submitting one specimen(s) 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) Marketing brochure pages 1, 2, and
3.
JPG file(s):
Specimen File1
Original PDF file:
spec-63162199210-171309908_._Brochure_Cover.pdf
Converted PDF file(s) (1 page)
Specimen File1
Original PDF file:
spec-63162199210-171309908_._Inside_Cover.pdf
Converted PDF file(s) (1 page)
Specimen File1
The applicant's current Attorney Information:
DeLeon Parker, Jr. of The Parker Law Office, PLLC
880 Country Club Road
Rocky Mount, North Carolina 27803
United States
The attorney docket/reference number is 10-121.
The docket/reference number is 10-121.
The applicant's current Correspondence Information: |
DeLeon Parker, Jr. |
The Parker Law Office, PLLC |
880 Country Club Road |
Rocky Mount, North Carolina 27804 |
252-937-2255(phone) |
parkerd@parkerlawpllc.com (authorized) |
A fee payment in the amount of $275 has been submitted with the application, representing payment for 1 class(es).
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 willful false
statements, and the like, may jeopardize the validity of the application or any resulting registration, declares that he/she is properly authorized to execute this application on behalf of the
applicant; he/she believes the applicant to be the owner of the trademark/service mark sought to be registered, or, if the application is being filed under 15 U.S.C. Section 1051(b), he/she believes
applicant to be entitled to use such mark in commerce; to the best of his/her knowledge and belief no other person, firm, corporation, or association has the right to use the mark in commerce, either
in the identical form thereof or in such near resemblance thereto as to be likely, when used on or in connection with the goods/services of such other person, to cause confusion, or to cause mistake,
or to deceive; 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.
Signature: /DeLeon Parker, Jr./ Date Signed: 03/24/2010
Signatory's Name: DeLeon Parker, Jr.
Signatory's Position: Attorney of record, North Carolina Bar Member
RAM Sale Number: 4953
RAM Accounting Date: 03/25/2010
Serial Number: 77967725
Internet Transmission Date: Wed Mar 24 18:18:13 EDT 2010
TEAS Stamp: USPTO/FTK-XX.XXX.XXX.XXX-201003241818133
49869-77967725-460c2a568b8c7a4ba266e537a
25676df-CC-4953-20100324171309908225