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
TEAS Plus Application
Serial Number:88273306
Filing Date:01/23/2019
NOTE: Data fields with the * are mandatory under TEAS Plus. The wording "(if applicable)" appears where the field is only mandatory under the facts of the particular
application.
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
TEAS Plus Application
Serial Number:88273306
Filing Date:01/23/2019
To the Commissioner for Trademarks:
MARK: Jarvik 15mm VAS (Ventricular Assist System) (Standard Characters, see mark)
The mark in your application is Jarvik 15mm VAS (Ventricular Assist System).
The applicant, Jarvik, Robert K., DBA Jarvik Heart, Inc., a corporation of New York, having an address of
333 W. 52nd Street
New York, New York 10019
United States
212-397-3911(phone)
XXXX
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:
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 010: Surgical devices and instruments
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. (15 U.S.C. Section 1051(b)).
For informational purposes only, applicant's website address is: www.jarvikheart.com
The applicant's current Correspondence Information:
Jarvik, Robert K.
Jarvik Heart, Inc.
333 W. 52nd Street
New York, New York 10019
212-397-3911(phone)
mmccartin@jarvikheart.com;phinchliffe@jarvikheart.com (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.
A fee payment in the amount of $225 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Michael T. McCartin/ Date: 01/23/2019
Signatory's Name: Michael T. McCartin
Signatory's Position: VP-Marketing & Sales, Jarvik Heart, Inc.
Signatory's Phone Number: 212-397-3911 x21
Payment Sale Number: 88273306
Payment Accounting Date: 01/24/2019
Serial Number: 88273306
Internet Transmission Date: Wed Jan 23 16:17:46 EST 2019
TEAS Stamp: USPTO/FTK-XX.XX.XXX.X-201901231617465654
80-88273306-62043f06cd283b973caa7a647e62
7e7e32a62c80a29e9a448b346e4ce4a3b4b516-C
C-2954-20190123155723474455