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
screen shot showing mark and description of its functionality
ATTORNEY INFORMATION
NAME
Nina Yablok
FIRM NAME
Law Office of Nina Yablok
STREET
PO Box 703
CITY
Nemo
STATE
Texas
COUNTRY
United States
ZIP/POSTAL CODE
76070
PHONE
408-489-5579
EMAIL ADDRESS
nina@yablok.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
CORRESPONDENCE INFORMATION
NAME
Nina Yablok
FIRM NAME
Law Office of Nina Yablok
STREET
PO Box 703
CITY
Nemo
STATE
Texas
COUNTRY
United States
ZIP/POSTAL CODE
76070
PHONE
408-489-5579
*EMAIL ADDRESS
nina@yablok.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
//ninayablok16//
SIGNATORY'S NAME
Nina Yablok
SIGNATORY'S POSITION
attorney of record Cal Bar 78658
SIGNATORY'S PHONE NUMBER
408-489-5579
DATE SIGNED
10/31/2018
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:88177142
Filing Date:10/31/2018
To the Commissioner for Trademarks:
MARK: Captivate (Standard Characters, see mark)
The literal element of the mark consists of Captivate.
The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, ClinCapture, Inc., a corporation of Delaware, having an address of
1428 Bush St.
San Francisco, California 94109
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 042: Software as a Service (SaaS) in the field of medical trial data compilation including electronic data capture and analysis
In International Class 042, the mark was first used by the applicant or the applicant's related company or licensee or predecessor in interest at least as early as 01/05/2017, and first used in
commerce at least as early as 02/23/2017, and is now in use in such commerce. The applicant is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any
item in the class of listed goods/services, consisting of a(n) screen shot showing mark and description of its functionality.
The applicant's current Attorney Information:
Nina Yablok of Law Office of Nina Yablok PO Box 703
Nemo, Texas 76070
United States
408-489-5579(phone)
nina@yablok.com (authorized)
The applicant's current Correspondence Information:
Nina Yablok
Law Office of Nina Yablok
PO Box 703
Nemo, Texas 76070
408-489-5579(phone)
nina@yablok.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: //ninayablok16// Date: 10/31/2018
Signatory's Name: Nina Yablok
Signatory's Position: attorney of record Cal Bar 78658
Payment Sale Number: 88177142
Payment Accounting Date: 11/01/2018
Serial Number: 88177142
Internet Transmission Date: Wed Oct 31 21:11:16 EDT 2018
TEAS Stamp: USPTO/BAS-XXX.XXX.XX.XX-2018103121111647
0963-88177142-610322c2e4ab6f58936cd5fa98
a519f2d618c6a6add4439a46facd98463bcb812c
-CC-6377-20181031210642172624