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 02/28/2021)
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
Eli Lilly and Company
*STREET
Lilly Corporate Center
*CITY
Indianapolis
*STATE
(Required for U.S. applicants)
Indiana
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
46285
PHONE
317-651-1346
FAX
317 276 1919
EMAIL ADDRESS
XXXX
WEBSITE ADDRESS
www.lilly.com
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY OF INCORPORATION
Indiana
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
005
*IDENTIFICATION
Insulin pen modules, namely, insulin injectors sold filled with insulin, utilizing wireless technology
FILING BASIS
SECTION 1(b)
INTERNATIONAL CLASS
009
*IDENTIFICATION
Computer software application for management of diabetes-related data; downloadable cloud computing software for use in managing diabetes
FILING BASIS
SECTION 1(b)
INTERNATIONAL CLASS
010
*IDENTIFICATION
Dose detection modules attachable to insulin pens for transmission of data utilizing wireless technology
FILING BASIS
SECTION 1(b)
INTERNATIONAL CLASS
044
*IDENTIFICATION
Medical information services in the field of diabetes
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Bruce W. Longbottom
FIRM NAME
Eli Lilly and Company
STREET
Lilly Corporate Center
CITY
Indianapolis
STATE
Indiana
COUNTRY
United States
ZIP/POSTAL CODE
46285
PHONE
317-651-1346
FAX
317 276 1919
EMAIL ADDRESS
trademarks@lilly.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
OTHER APPOINTED ATTORNEY
John R. Rudolph, Douglas K. Norman, Steven P. Caltrider, Gilbert T. Voy
CORRESPONDENCE INFORMATION
NAME
Bruce W. Longbottom
FIRM NAME
Eli Lilly and Company
STREET
Lilly Corporate Center
CITY
Indianapolis
STATE
Indiana
COUNTRY
United States
ZIP/POSTAL CODE
46285
PHONE
317-651-1346
FAX
317 276 1919
*EMAIL ADDRESS
trademarks@lilly.com
*AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
FEE INFORMATION
APPLICATION FILING OPTION
TEAS RF
NUMBER OF CLASSES
4
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEE DUE
1100
*TOTAL FEE PAID
1100
SIGNATURE INFORMATION
SIGNATURE
/blongbottom/
SIGNATORY'S NAME
Bruce W. Longbottom
SIGNATORY'S POSITION
Assistant General Counsel
SIGNATORY'S PHONE NUMBER
317-651-1346
DATE SIGNED
06/21/2018
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 02/28/2021)
Trademark/Service Mark Application, Principal Register
Serial Number:88009248
Filing Date:06/21/2018
To the Commissioner for Trademarks:
MARK: IMPRINT (Standard Characters, see mark)
The literal element of the mark consists of IMPRINT.
The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Eli Lilly and Company, a corporation of Indiana, having an address of
Lilly Corporate Center
Indianapolis, Indiana 46285
United States
317-651-1346(phone)
317 276 1919(fax)
XXXX (not authorized)
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 005: Insulin pen modules, namely, insulin injectors sold filled with insulin, utilizing wireless technology
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.
International Class 009: Computer software application for management of diabetes-related data; downloadable cloud computing software for use in managing
diabetes
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.
International Class 010: Dose detection modules attachable to insulin pens for transmission of data utilizing wireless technology
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.
International Class 044: Medical information services in the field of diabetes
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.
For informational purposes only, applicant's website address is: www.lilly.com
The applicant's current Attorney Information:
Bruce W. Longbottom and John R. Rudolph, Douglas K. Norman, Steven P. Caltrider, Gilbert T. Voy of Eli Lilly and Company Lilly
Corporate Center
Indianapolis, Indiana 46285
United States
317-651-1346(phone)
317 276 1919(fax)
trademarks@lilly.com (authorized)
The applicant's current Correspondence Information:
Bruce W. Longbottom
Eli Lilly and Company
Lilly Corporate Center
Indianapolis, Indiana 46285
317-651-1346(phone)
317 276 1919(fax)
trademarks@lilly.com (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 $1100 has been submitted with the application, representing payment for 4 class(es).
Declaration
Declaration Signature
Signature: /blongbottom/ Date: 06/21/2018
Signatory's Name: Bruce W. Longbottom
Signatory's Position: Assistant General Counsel
Payment Sale Number: 88009248
Payment Accounting Date: 06/21/2018
Serial Number: 88009248
Internet Transmission Date: Thu Jun 21 11:39:52 EDT 2018
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XX-2018062111395200
5813-88009248-610e9c4ba9e94a31e3d2c8557e
6be7ce0db3eeb79d1d38393e6c17c5c62a3f2-DA
-14940-20180621112553307360