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
TEAS Plus Application
Serial Number:88052482
Filing Date:07/25/2018
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.
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
The mark consists of a design of a tree with a moon behind the tree and a pathway in the center of the tree to the left of the stylized terms INLAND
NORTHWEST BEHAVIORAL HEALTH.
PIXEL COUNT ACCEPTABLE
YES
PIXEL COUNT
734 x 253
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
UHS of Delaware, Inc.
*STREET
367 South Gulph Road
*CITY
King Of Prussia
*STATE
(Required for U.S. applicants)
Pennsylvania
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
19406-0958
LEGAL ENTITY INFORMATION
*TYPE
CORPORATION
* STATE/COUNTRY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
044
*IDENTIFICATION
Behavioral health services; Providing a web site featuring information in the field of mental health and wellness
*FILING BASIS
SECTION 1(b)
ADDITIONAL STATEMENTS SECTION
*TRANSLATION
(if applicable)
*TRANSLITERATION
(if applicable)
*CLAIMED PRIOR REGISTRATION
(if applicable)
*CONSENT (NAME/LIKENESS)
(if applicable)
*CONCURRENT USE CLAIM
(if applicable)
ATTORNEY INFORMATION
NAME
Thomas F. Bergert
ATTORNEY DOCKET NUMBER
053160.1082
FIRM NAME
Williams Mullen
STREET
321 East Main Street, Suite 400
CITY
Charlottesville
STATE
Virginia
COUNTRY
United States
ZIP/POSTAL CODE
22902-3200
PHONE
434-951-5700
FAX
434-817-0977
EMAIL ADDRESS
tbergert@williamsmullen.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
OTHER APPOINTED ATTORNEY
Craig L. Mytelka, Robert C. Van Arnam, M. Bruce Harper, Amy G. Marino, Joshua B. Brady, Richard T. Matthews, F. Michael Sajovec, Andrew R.
Shores, Christel E. Harlacher, Alexandra M. Gabriel, Dirk D. Lasater, Janet M. Smith, Jacquelyn D. Knapp
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
TEAS Plus Application
Serial Number:88052482
Filing Date:07/25/2018
To the Commissioner for Trademarks:
MARK: INLAND NORTHWEST BEHAVIORAL HEALTH (stylized and/or with design, see mark)
The mark in your application is INLAND NORTHWEST BEHAVIORAL HEALTH.
The applicant is not claiming color as a feature of the mark. The mark consists of a design of a tree with a moon behind the tree and a pathway in the center of the tree to the left of the stylized
terms INLAND NORTHWEST BEHAVIORAL HEALTH.
The applicant, UHS of Delaware, Inc., a corporation of Delaware, having an address of
367 South Gulph Road
King Of Prussia, Pennsylvania 19406-0958
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 044: Behavioral health services; Providing a web site featuring information in the field of mental health and wellness
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. (15 U.S.C. Section 1051(b)).
The applicant's current Attorney Information:
Thomas F. Bergert and Craig L. Mytelka, Robert C. Van Arnam, M. Bruce Harper, Amy G. Marino, Joshua B. Brady, Richard T. Matthews, F. Michael Sajovec, Andrew R.
Shores, Christel E. Harlacher, Alexandra M. Gabriel, Dirk D. Lasater, Janet M. Smith, Jacquelyn D. Knapp of Williams Mullen 321 East Main Street, Suite 400
Charlottesville, Virginia 22902-3200
United States
434-951-5700(phone)
434-817-0977(fax)
tbergert@williamsmullen.com (authorized)
The attorney docket/reference number is 053160.1082.
The applicant's current Correspondence Information:
Thomas F. Bergert
Williams Mullen
321 East Main Street, Suite 400
Charlottesville, Virginia 22902-3200
434-951-5700(phone)
434-817-0977(fax)
tbergert@williamsmullen.com;charlacher@williamsmullen.com; ip@williamsmullen.com (authorized) E-mail Authorization: I authorize the USPTO to send e-mail correspondence concerning the application to the applicant or 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 Plus 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 $225 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Charles D. Smouse/ Date: 07/25/2018
Signatory's Name: Charles D. Smouse
Signatory's Position: Associate General Counsel
Signatory's Phone Number: 610-382-3385
Payment Sale Number: 88052482
Payment Accounting Date: 07/26/2018
Serial Number: 88052482
Internet Transmission Date: Wed Jul 25 16:40:57 EDT 2018
TEAS Stamp: USPTO/FTK-XXX.XX.XX.XXX-2018072516405746
0331-88052482-610c1619eca692d642e8746a3b
5f291f68896d296e6af91e8b304539ac4c942b4e
-CC-3227-20180724160514157861