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
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
The mark consists of a triangle shape surrounded by lines of different lengths to form a circular firework appearance, centered above the word
baqsimi.
PIXEL COUNT ACCEPTABLE
YES
PIXEL COUNT
792 x 612
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
044
*IDENTIFICATION
Medical information services in the field of diabetes related hypoglycemia, including low blood sugar, diabetes insulin shock, and insulin
reaction
FILING BASIS
SECTION 1(b)
ADDITIONAL STATEMENTS SECTION
MISCELLANEOUS STATEMENT
The literal element baqsimi is a coined, non-dictionary word with no English translation.
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
1
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEE DUE
275
*TOTAL FEE PAID
275
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
09/20/2018
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:88125097
Filing Date:09/20/2018
To the Commissioner for Trademarks:
MARK: baqsimi (stylized and/or with design, see mark)
The literal element of the mark consists of baqsimi.
The applicant is not claiming color as a feature of the mark. The mark consists of a triangle shape surrounded by lines of different lengths to form a circular firework appearance, centered above the
word baqsimi.
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 044: Medical information services in the field of diabetes related hypoglycemia, including low blood sugar, diabetes insulin shock, and
insulin reaction
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.
Miscellaneous Statement
The literal element baqsimi is a coined, non-dictionary word with no English translation.
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 $275 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /blongbottom/ Date: 09/20/2018
Signatory's Name: Bruce W. Longbottom
Signatory's Position: Assistant General Counsel
Payment Sale Number: 88125097
Payment Accounting Date: 09/20/2018
Serial Number: 88125097
Internet Transmission Date: Thu Sep 20 12:59:53 EDT 2018
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XX-2018092012595345
1643-88125097-6109c2d4cc52aa1ce426dbd5e4
d19ce4b55a30c759282fad3962528d92ba859cd-
DA-13297-20180920120758057394