TEAS Plus New Application

Serial-number

87089362

Filing-date

20160630

Source-form

ftk

Esignature-type

ESIGN-ON

Signature-type

D

Signature-entry-number

1

Signature-name

/Elizabeth Whitaker/

Signatory-date

20160630

Signatory-name

Elizabeth G. Whitaker, MD, FACS

Signatory-position

Owner

Phone

6783926808

Fee-code

7007

Number-of-classes

1

Number-of-classes-paid

1

Subtotal-amount

225

Action-code

create

Version

new

Boilerplate-type

SIGNATURE.APPLICATION

Boilerplate-description

TEAS FTK Declaration

Boilerplate-text

The signatory believes that: if the applicant is filing the application under 15 U.S.C. § 1051(a), the applicant is the owner of the trademark/service mark sought to be registered; the applicant is using the mark in commerce on or in connection with the goods/services in the application; the specimen(s) shows the mark as used on or in connection with the goods/services in the application; and/or if the applicant filed an application under 15 U.S.C. § 1051(b), § 1126(d), and/or § 1126(e), the applicant has a bona fide intention, and is entitled, to use the mark in commerce on or in connection with the goods/services in the application. The signatory believes that to the best of the signatory's knowledge and belief, no other persons, except, if applicable, concurrent users, have the right to use the mark in commerce, either in the identical form or in such near resemblance as to be likely, when used on or in connection with the goods/services of such other persons, to cause confusion or mistake, or to deceive. The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of the application or any registration resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on information and belief are believed to be true.

Boilerplate-type

MARK

Boilerplate-description

Statement for Mark

Boilerplate-text

The mark is presented in standard character format without claim to any particular font style, size or color.

Boilerplate-type

GOODSSERVICES.APP.1A

Boilerplate-description

Section 1a Statement

Boilerplate-text

Use in Commerce: The applicant is using the mark in commerce on or in connection with the identified goods/services. The applicant attaches, or will later submit, one specimen as a JPG/PDF image file showing the mark as used in commerce on or in connection with any item in the class of listed goods/services, regardless of whether the mark itself is in the standard character format or is a stylized or design mark. The specimen image file may be in color, and the image must be in color if color is being claimed as a feature of the mark.

Boilerplate-type

E-MAIL AUTHORIZED

Boilerplate-description

TEAS RF e-mail authorization

Boilerplate-text

I authorize the USPTO to send e-mail correspondence concerning the application to the applicant or applicant's attorney at the e-mail address provided above. I understand that a valid e-mail address must be maintained and that the applicant or the applicant's attorney must file the relevant subsequent application-related submissions via the Trademark Electronic Application System (TEAS). Failure to do so will result in an additional processing fee of $50 per international class of goods and/or services.