Association for Responsible Alternatives to Workers' Compensation
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
Association for Responsible Alternatives to Workers' Compensation
*STREET
11130 Sunrise Valley Rd., Suite 350
*CITY
Reston
*STATE
(Required for U.S. applicants)
Virginia
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
20191
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
036
*IDENTIFICATION
Insurance services, namely, underwriting, issuance, and administration of services that support compensation alternatives to workers'
compensation for injured workers
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Dustin Mauck
STREET
1700 Pacific Ave, Suite 2610
CITY
Dallas
STATE
Texas
COUNTRY
United States
ZIP/POSTAL CODE
75201
PHONE
214-414-3816
FAX
2144143814
EMAIL ADDRESS
dustin@regitzmauck.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
No
CORRESPONDENCE INFORMATION
NAME
Dustin Mauck
STREET
1700 Pacific Ave, Suite 2610
CITY
Dallas
STATE
Texas
COUNTRY
United States
ZIP/POSTAL CODE
75201
PHONE
214-414-3816
FAX
2144143814
*EMAIL ADDRESS
dustin@regitzmauck.com
*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
/Dustin Mauck/
SIGNATORY'S NAME
Dustin Mauck
SIGNATORY'S POSITION
Attorney of Record, Texas bar member
SIGNATORY'S PHONE NUMBER
214-414-3816
DATE SIGNED
08/24/2018
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:88091209
Filing Date:08/24/2018
To the Commissioner for Trademarks:
MARK: QCARE (Standard Characters, see mark)
The literal element of the mark consists of QCARE.
The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Association for Responsible Alternatives to Workers' Compensation, a corporation of Delaware, having an address of
11130 Sunrise Valley Rd., Suite 350
Reston, Virginia 20191
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 036: Insurance services, namely, underwriting, issuance, and administration of services that support compensation alternatives to
workers' compensation for injured workers
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:
Dustin Mauck 1700 Pacific Ave, Suite 2610
Dallas, Texas 75201
United States
214-414-3816(phone)
2144143814(fax)
dustin@regitzmauck.com (not authorized)
The applicant's current Correspondence Information:
Dustin Mauck
1700 Pacific Ave, Suite 2610
Dallas, Texas 75201
214-414-3816(phone)
2144143814(fax)
dustin@regitzmauck.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 $275 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Dustin Mauck/ Date: 08/24/2018
Signatory's Name: Dustin Mauck
Signatory's Position: Attorney of Record, Texas bar member
Payment Sale Number: 88091209
Payment Accounting Date: 08/24/2018
Serial Number: 88091209
Internet Transmission Date: Fri Aug 24 09:25:58 EDT 2018
TEAS Stamp: USPTO/BAS-XX.XX.XX.XX-201808240925581969
59-88091209-610d740252985f10f95732eedc86
1e623d296e7872bbbfa1bb725cbbb470705425-C
C-11879-20180824091637070868