| 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) |
| Serial Number: 88064222 |
| Filing Date: 08/03/2018 |
|
|
|
| TEAS Plus | YES |
|---|---|
| MARK INFORMATION | |
| *MARK | PEG |
| *STANDARD CHARACTERS | YES |
| USPTO-GENERATED IMAGE | YES |
| LITERAL ELEMENT | PEG |
| *MARK STATEMENT | 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 | 010 |
| *IDENTIFICATION | Surgical devices and instruments |
| *FILING BASIS | SECTION 1(b) |
| ADDITIONAL STATEMENTS INFORMATION | |
| *TRANSLATION
(if applicable) | |
| *TRANSLITERATION
(if applicable) | |
| *CLAIMED PRIOR REGISTRATION
(if applicable) | |
| *CONSENT (NAME/LIKENESS)
(if applicable) | |
| *CONCURRENT USE CLAIM
(if applicable) | |
| ATTORNEY 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 |
| CORRESPONDENCE INFORMATION | |
| *NAME | David L. King |
| *STREET | 5131 NE County Road 340 |
| *CITY | High Springs |
| *STATE
(Required for U.S. addresses) | 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 Plus |
| NUMBER OF CLASSES | 1 |
| FEE PER CLASS | 225 |
| *TOTAL FEE PAID | 225 |
| 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 | 08/03/2018 |
| 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) |
| Serial Number: 88064222 |
| Filing Date: 08/03/2018 |
| 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 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. |