Trademark/Service Mark Application, Principal Register
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1478 (Rev 09/2006)
OMB No. 0651-0009 (Exp 02/28/2018)
Trademark/Service Mark Application, Principal Register
The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Rajiv D. Pandya
*STREET
1035 Southcrest Drive, Suite 100
*CITY
Stockbridge
*STATE
(Required for U.S. applicants)
Georgia
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
30281
LEGAL ENTITY INFORMATION
TYPE
individual
COUNTRY OF CITIZENSHIP
United States
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
044
*IDENTIFICATION
an acronym for elements of a work flow methodology encompassing a checklist of requirements for establishing a successful business method for
a healthcare system Vision Infrastructure Clinical excellence Technology Outcomes Reproducibility You
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
David L. King
STREET
5131 NE County Road 340
CITY
High Springs
STATE
Florida
COUNTRY
United States
ZIP/POSTAL CODE
32643
FAX
386-454-7206
EMAIL ADDRESS
davidlkingsr@windstream.net
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
CORRESPONDENCE INFORMATION
NAME
David L. King
STREET
5131 NE County Road 340
CITY
High Springs
STATE
Florida
COUNTRY
United States
ZIP/POSTAL CODE
32643
PHONE
386-454-7206
FAX
386-454-7206
*EMAIL ADDRESS
davidlkingsr@windstream.net
*AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
FEE INFORMATION
APPLICATION FILING OPTION
TEAS RF
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEE DUE
275
*TOTAL FEE PAID
275
SIGNATURE INFORMATION
SIGNATURE
/david l king/
SIGNATORY'S NAME
David L. King
SIGNATORY'S POSITION
Attorney of Record, Ohio bar member
SIGNATORY'S PHONE NUMBER
386-454-7206
DATE SIGNED
11/21/2017
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTO Form 1478 (Rev 09/2006)
OMB No. 0651-0009 (Exp 02/28/2018)
Trademark/Service Mark Application, Principal Register
Serial Number:87693582
Filing Date:11/21/2017
To the Commissioner for Trademarks:
MARK: VICTORY (Standard Characters, see mark)
The literal element of the mark consists of VICTORY.
The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Rajiv D. Pandya, a citizen of United States, having an address of
1035 Southcrest Drive, Suite 100
Stockbridge, Georgia 30281
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 044: an acronym for elements of a work flow methodology encompassing a checklist of requirements for establishing a successful business
method for a healthcare system Vision Infrastructure Clinical excellence Technology Outcomes Reproducibility You
Intent to Use: The applicant has a bona fide intention, and is entitled, to use the mark in commerce on or in connection with the identified goods/services.
The applicant's current Attorney Information:
David L. King 5131 NE County Road 340
High Springs, Florida 32643
United States
386-454-7206(fax)
davidlkingsr@windstream.net (authorized)
The applicant's current Correspondence Information:
David L. King
5131 NE County Road 340
High Springs, Florida 32643
386-454-7206(phone)
386-454-7206(fax)
davidlkingsr@windstream.net (authorized) E-mail Authorization: I authorize the USPTO to send e-mail correspondence concerning the application to the applicant, the applicant's attorney, or the applicant's domestic representative at
the e-mail address provided in this application. 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 the loss of TEAS Reduced Fee status and a requirement to submit an additional
processing fee of $125 per international class of goods/services.
A fee payment in the amount of $275 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /david l king/ Date: 11/21/2017
Signatory's Name: David L. King
Signatory's Position: Attorney of Record, Ohio bar member
Payment Sale Number: 87693582
Payment Accounting Date: 11/22/2017
Serial Number: 87693582
Internet Transmission Date: Tue Nov 21 16:15:58 EST 2017
TEAS Stamp: USPTO/BAS-XX.XX.XX.XXX-20171121161558644
225-87693582-510c4947be837d244fe9cde2d9f
a50df1a714f9de0762a46e6a36922395de171-CC
-3620-20171121155537366404