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 1553 (Rev 09/2005)
OMB No. 0651-0054 (Exp 12/31/2020)

Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))


The table below presents the data as entered.

Input Field
Entered
SERIAL NUMBER88170423
LAW OFFICE ASSIGNEDLAW OFFICE 113
EXTENSION OF USENO
MARK SECTION
MARK https://tmng-al.uspto.gov/resting2/api/img/88170423/large
LITERAL ELEMENT MYSURGPRO
STANDARD CHARACTERS YES
USPTO-GENERATED IMAGE YES
MARK STATEMENT The mark consists of standard characters, without claim to any particular font style, size or color.
OWNER SECTION
NAME Implantable Provider Group, Inc.
INTERNAL ADDRESS Suite 500
STREET 2300 Lakeview Parkway
CITY Alpharetta
STATE Georgia
ZIP/POSTAL CODE 30009
COUNTRY United States
ATTORNEY SECTION (current)
NAMECharles G. Zug
ATTORNEY BAR MEMBERSHIP NUMBER NOT SPECIFIED
YEAR OF ADMISSION NOT SPECIFIED
U.S. STATE/ COMMONWEALTH/ TERRITORY NOT SPECIFIED
FIRM NAMENELSON MULLINS RILEY & SCARBOROUGH LLP
INTERNAL ADDRESS23RD FLOOR, IP DEPARTMENT
STREET301 S. COLLEGE ST.
CITYCHARLOTTE
STATENorth Carolina
POSTAL CODE28202
COUNTRYUnited States
PHONE803-799-2000
FAX803-255-9831
EMAILip@nelsonmullins.com
AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
DOCKET/REFERENCE NUMBER039178/09009
ATTORNEY SECTION (proposed)
NAMECharles G. Zug
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAMENELSON MULLINS RILEY & SCARBOROUGH LLP
INTERNAL ADDRESS17th Floor
STREET1320 Main Street
CITYColumbia
STATESouth Carolina
POSTAL CODE29201
COUNTRYUnited States
PHONE803-799-2000
FAX803-255-9831
EMAILip@nelsonmullins.com
AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
DOCKET/REFERENCE NUMBER039178/09009
OTHER APPOINTED ATTORNEYMark C. Dukes, Craig N. Killen, John C. McElwaine, Lloyd G. Farr, Christopher D. Casavale, Robert H. McWilliams, Jr., Susan S. Jackson, Lauren G. Hunstad
CORRESPONDENCE SECTION (current)
NAMECHARLES G. ZUG
FIRM NAMENELSON MULLINS RILEY & SCARBOROUGH LLP
INTERNAL ADDRESS23RD FLOOR, IP DEPARTMENT
STREET301 S. COLLEGE ST.
CITYCHARLOTTE
STATENorth Carolina
POSTAL CODE28202
COUNTRYUnited States
PHONE803-799-2000
FAX803-255-9831
EMAILip@nelsonmullins.com
AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
DOCKET/REFERENCE NUMBER039178/09009
CORRESPONDENCE SECTION (proposed)
NAMECHARLES G. ZUG
FIRM NAMENELSON MULLINS RILEY & SCARBOROUGH LLP
INTERNAL ADDRESSSuite 2300, IP Department
STREET301 S. College Street
CITYCHARLOTTE
STATENorth Carolina
POSTAL CODE28202
COUNTRYUnited States
PHONE803-799-2000
FAX803-255-9831
EMAILip@nelsonmullins.com; geordie.zug@nelsonmullins.com
AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
DOCKET/REFERENCE NUMBER039178/09009
GOODS AND/OR SERVICES SECTION
INTERNATIONAL CLASS 042
CURRENT IDENTIFICATION Providing online, non-downloadable software to initiate, process, track and trend cases involving implantable medical devices, biologics or other medical supplies, for providing case status and management information, for referral, benefit and authorization information, for providing manufacturer and health plan lookup information, for purchase order and payment management, for accessing patient medical record and implant procedure information, for medical provider administration, for performance data tracking, trending, reporting and management, for communicating with medical device case managers, and for providing implant registry and implant recall information
GOODS OR SERVICES KEEP ALL LISTED
FIRST USE ANYWHERE DATE11/12/2019
FIRST USE IN COMMERCE DATE11/12/2019
SPECIMEN FILE NAME(S)
       ORIGINAL PDF FILESPN0-661942666-20191113135353804035_._MYSURGPRO_-_specimen.pdf
       CONVERTED PDF FILE(S)
       (1 page)
\\TICRS\EXPORT17\IMAGEOUT17\881\704\88170423\xml8\SOU0002.JPG
SPECIMEN DESCRIPTIONscreenshot of online sign-in page for accessing the online, non-downloadable software that applicant is providing
REQUEST TO DIVIDE NO
PAYMENT SECTION
NUMBER OF CLASSES IN USE 1
SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] 100
TOTAL AMOUNT100
SIGNATURE SECTION
DECLARATION SIGNATURE/Vincent Coppola/
SIGNATORY'S NAME Vincent Coppola
SIGNATORY'S POSITION President & CEO
DATE SIGNED 11/13/2019
FILING INFORMATION
SUBMIT DATE Wed Nov 13 16:24:39 EST 2019
TEAS STAMP USPTO/SOU-XX.XXX.XX.XX-20
191113162439411924-881704
23-7004f1e84e4ef8e685ed7d
694c7c730fcbafa7ccc52aa26
8a17261dc35e6bbfc1-DA-243
85507-2019111313535380403
5



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 1553 (Rev 09/2005)
OMB No. 0651-0054 (Exp 12/31/2020)


Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))

To the Commissioner for Trademarks:
MARK: MYSURGPRO(Standard Characters, see https://tmng-al.uspto.gov/resting2/api/img/88170423/large)
SERIAL NUMBER: 88170423



The applicant, Implantable Provider Group, Inc., having an address of
      Suite 500
      2300 Lakeview Parkway
      Alpharetta, Georgia 30009
      United States
is submitting the following allegation of use information:

For International Class 042:
Current identification: Providing online, non-downloadable software to initiate, process, track and trend cases involving implantable medical devices, biologics or other medical supplies, for providing case status and management information, for referral, benefit and authorization information, for providing manufacturer and health plan lookup information, for purchase order and payment management, for accessing patient medical record and implant procedure information, for medical provider administration, for performance data tracking, trending, reporting and management, for communicating with medical device case managers, and for providing implant registry and implant recall information

The mark is in use in commerce on or in connection with all of the goods/services, or to indicate membership in the collective organization listed in the application or Notice of Allowance or as subsequently modified for this specific class.

The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 11/12/2019, and first used in commerce at least as early as 11/12/2019, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n) screenshot of online sign-in page for accessing the online, non-downloadable software that applicant is providing.

Original PDF file:
SPN0-661942666-20191113135353804035_._MYSURGPRO_-_specimen.pdf
Converted PDF file(s) (1 page)
Specimen File1


The applicant is not filing a Request to Divide with this Allegation of Use form.


The applicant's current attorney information: Charles G. Zug. Charles G. Zug of NELSON MULLINS RILEY & SCARBOROUGH LLP, is located at

      23RD FLOOR, IP DEPARTMENT
      301 S. COLLEGE ST.
      CHARLOTTE, North Carolina 28202
      United States
The docket/reference number is 039178/09009.

The phone number is 803-799-2000.

The fax number is 803-255-9831.

The email address is ip@nelsonmullins.com

The applicants proposed attorney information: Charles G. Zug. Other appointed attorneys are Mark C. Dukes, Craig N. Killen, John C. McElwaine, Lloyd G. Farr, Christopher D. Casavale, Robert H. McWilliams, Jr., Susan S. Jackson, Lauren G. Hunstad. Charles G. Zug of NELSON MULLINS RILEY & SCARBOROUGH LLP, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at

      17th Floor
      1320 Main Street
      Columbia, South Carolina 29201
      United States
The docket/reference number is 039178/09009.

The phone number is 803-799-2000.

The fax number is 803-255-9831.

The email address is ip@nelsonmullins.com

Charles G. Zug submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest court of a U.S. state, the District of Columbia, or any U.S. Commonwealth or territory.


The applicant's current correspondence information: CHARLES G. ZUG. CHARLES G. ZUG of NELSON MULLINS RILEY & SCARBOROUGH LLP, is located at

      23RD FLOOR, IP DEPARTMENT
      301 S. COLLEGE ST.
      CHARLOTTE, North Carolina 28202
      United States
The docket/reference number is 039178/09009.

The phone number is 803-799-2000.

The fax number is 803-255-9831.

The email address is ip@nelsonmullins.com

The applicants proposed correspondence information: CHARLES G. ZUG. CHARLES G. ZUG of NELSON MULLINS RILEY & SCARBOROUGH LLP, is located at

      Suite 2300, IP Department
      301 S. College Street
      CHARLOTTE, North Carolina 28202
      United States
The docket/reference number is 039178/09009.

The phone number is 803-799-2000.

The fax number is 803-255-9831.

The email address is ip@nelsonmullins.com; geordie.zug@nelsonmullins.com

A fee payment in the amount of $100 will be submitted with the form, representing payment for the allegation of use for 1 class.


Declaration


The signatory believes that the applicant is the owner of the mark sought to be registered.
For a trademark or service mark application, the mark is in use in commerce on or in connection with all the goods/services in the application or notice of allowance, or as subsequently modified.
For a collective trademark, collective service mark, collective membership mark application, the applicant is exercising legitimate control over the use of the mark in commerce by members on or in connection with all the goods/services/collective membership organization in the application or notice of allowance, or as subsequently modified.
For a certification mark application, the applicant is exercising legitimate control over the use of the mark in commerce by authorized users on or in connection with the all goods/services in the application or notice of allowance, or as subsequently modified, and the applicant is not engaged in the production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification program or of the goods/services that meet the certification standards of the applicant.
The specimen(s) shows the mark as used on or in connection with the goods/services/collective membership organization in commerce.
To the best of the signatory's knowledge and belief, no other persons, except, if applicable, authorized users, members, and/or concurrent users, have the right to use the mark in commerce, either in the identical form or in such near resemblance as to be likely, when used on or in connection with the goods/services/collective membership organization of such other persons, to cause confusion or mistake, or to deceive.
To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the allegations and other factual contentions made above have evidentiary support.
The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of the application or submission or any registration resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on information and belief are believed to be true.



Signature: /Vincent Coppola/      Date Signed: 11/13/2019
Signatory's Name: Vincent Coppola
Signatory's Position: President & CEO

Mailing Address:
   NELSON MULLINS RILEY & SCARBOROUGH LLP
   17th Floor
   1320 Main Street
   Columbia, South Carolina 29201

RAM Sale Number: 88170423
RAM Accounting Date: 11/13/2019

Serial Number: 88170423
Internet Transmission Date: Wed Nov 13 16:24:39 EST 2019
TEAS Stamp: USPTO/SOU-XX.XXX.XX.XX-20191113162439411
924-88170423-7004f1e84e4ef8e685ed7d694c7
c730fcbafa7ccc52aa268a17261dc35e6bbfc1-D
A-24385507-20191113135353804035