| PTO Form 1478 (Rev 9/2006) |
| OMB No. 0651-0009 (Exp 12/31/2014) |
Trademark/Service Mark Application, Principal Register
| Serial Number: 86069496 |
| Filing Date: 09/19/2013 |
The table below presents the data as entered.
Input Field
|
Entered
|
| SERIAL NUMBER |
86069496 |
| MARK INFORMATION |
| *MARK |
\\TICRS\EXPORT16\IMAGEOUT 16\860\694\86069496\xml1\ APP0002.JPG |
| SPECIAL FORM |
YES |
| USPTO-GENERATED IMAGE |
NO |
| LITERAL ELEMENT |
AGNES |
| COLOR MARK |
NO |
*DESCRIPTION OF THE MARK
(and Color Location, if applicable) |
The mark consists of an image of a woman's pregnant body. Beneath the design is the word "AGNES". |
| PIXEL COUNT ACCEPTABLE |
YES |
| PIXEL COUNT |
640 x 480 |
| REGISTER |
Principal |
| APPLICANT INFORMATION |
| *OWNER OF MARK |
Del Boca, Adrian, M.D., P.A. |
| *STREET |
8940 North Kendall Drive, #804E |
| *CITY |
Miami |
*STATE
(Required for U.S. applicants) |
Florida |
| *COUNTRY |
United States |
*ZIP/POSTAL CODE
(Required for U.S. applicants only) |
33176 |
| LEGAL ENTITY INFORMATION |
| TYPE |
individual |
| COUNTRY OF CITIZENSHIP |
United States |
| GOODS AND/OR SERVICES AND BASIS INFORMATION |
| INTERNATIONAL CLASS |
009 |
| *IDENTIFICATION |
computer software for automating the clinical and administrative functions of physician offices |
| FILING BASIS |
SECTION 1(b) |
| ATTORNEY INFORMATION |
| NAME |
Lori J. Strasius |
| STREET |
14780 SW 84th Ct. |
| CITY |
Palmetto Bay |
| STATE |
Florida |
| COUNTRY |
United States |
| ZIP/POSTAL CODE |
33158 |
| EMAIL ADDRESS |
Lstrasius@aol.com |
| AUTHORIZED TO COMMUNICATE VIA EMAIL |
Yes |
| CORRESPONDENCE INFORMATION |
| NAME |
Lori J. Strasius |
| STREET |
14780 SW 84th Ct. |
| CITY |
Palmetto Bay |
| STATE |
Florida |
| COUNTRY |
United States |
| ZIP/POSTAL CODE |
33158 |
| EMAIL ADDRESS |
Lstrasius@aol.com |
| AUTHORIZED TO COMMUNICATE VIA EMAIL |
Yes |
| FEE INFORMATION |
| NUMBER OF CLASSES |
1 |
| FEE PER CLASS |
325 |
| *TOTAL FEE DUE |
325 |
| *TOTAL FEE PAID |
325 |
| SIGNATURE INFORMATION |
| SIGNATURE |
/Lori J. Strasius/ |
| SIGNATORY'S NAME |
Lori J. Strasius |
| SIGNATORY'S POSITION |
Attorney of record |
| DATE SIGNED |
09/19/2013 |
| PTO Form 1478 (Rev 9/2006) |
| OMB No. 0651-0009 (Exp 12/31/2014) |
Trademark/Service Mark Application, Principal Register
| Serial Number: 86069496 |
| Filing Date: 09/19/2013 |
To the Commissioner for Trademarks:
MARK: AGNES (stylized and/or with design, see
mark)
The literal element of the mark consists of AGNES.
The applicant is not claiming color as a feature of the mark. The mark consists of an image of a woman's pregnant body. Beneath the design is the word "AGNES".
The applicant, Adrian, M.D., P.A. Del Boca, a citizen of United States, having an address of
8940 North Kendall Drive, #804E
Miami, Florida 33176
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:
International Class 009: computer software for automating the clinical and administrative functions of physician offices
Intent to Use: The applicant has a bona fide intention to use or use through the applicant's related company or licensee the mark in commerce on or in connection with the identified goods and/or
services. (15 U.S.C. Section 1051(b)).
The applicant's current Attorney Information:
Lori J. Strasius
14780 SW 84th Ct.
Palmetto Bay, Florida 33158
United States
| The applicant's current Correspondence Information: |
| Lori J. Strasius |
| 14780 SW 84th Ct. |
| Palmetto Bay, Florida 33158 |
| Lstrasius@aol.com (authorized) |
A fee payment in the amount of $325 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.
Declaration Signature
Signature: /Lori J. Strasius/ Date: 09/19/2013
Signatory's Name: Lori J. Strasius
Signatory's Position: Attorney of record
RAM Sale Number: 86069496
RAM Accounting Date: 09/20/2013
Serial Number: 86069496
Internet Transmission Date: Thu Sep 19 16:09:54 EDT 2013
TEAS Stamp: USPTO/BAS-XXX.XX.XXX.XXX-201309191609540
17077-86069496-5002aead83e872f5223e4599b
c9231b38784cc5469a42ce87485dfd7cf72dba2-
CC-3140-20130919154633139272
