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
Axonics Modulation Technologies, Inc.
*STREET
26 Technology Drive
*CITY
Irvine
*STATE
(Required for U.S. applicants)
California
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
92618
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
010
*IDENTIFICATION
Nerve stimulator apparatus, namely, an external implantable pulse generator and internal implantable neurological lead for neurostimulation,
as well as a charging system comprised primarily of a battery charger, patient remote control and physician programmer in the nature of communication software and control software that allows for
direct communication between the patient and the system and/or the clinician and the system in order to configure or regulate the stimulation parameters for the implanted portion of the system, all
sold together as a unit along with related system components comprised of surgical instrumentation, batteries, device display monitors, device display microprocessors, battery chargers and software
for operating and programming the nerve stimulator apparat
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Thomas J. Speiss, III
ATTORNEY DOCKET NUMBER
102951-TBD
FIRM NAME
STRADLING YOCCA CARLSON & RAUTH, P.C.
STREET
100 WILSHIRE BLVD., 4TH FLOOR
CITY
SANTA MONICA
STATE
California
COUNTRY
United States
ZIP/POSTAL CODE
90401
PHONE
424-214-7042
FAX
424.645.0770
EMAIL ADDRESS
ip@sycr.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
CORRESPONDENCE INFORMATION
NAME
Thomas J. Speiss, III
FIRM NAME
STRADLING YOCCA CARLSON & RAUTH, P.C.
STREET
100 WILSHIRE BLVD., 4TH FLOOR
CITY
SANTA MONICA
STATE
California
COUNTRY
United States
ZIP/POSTAL CODE
90401
PHONE
424-214-7042
FAX
424.645.0770
*EMAIL ADDRESS
ip@sycr.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
/Thomas J. Speiss, III/
SIGNATORY'S NAME
Thomas J. Speiss, III
SIGNATORY'S POSITION
Atty of Record, CA Bar member
SIGNATORY'S PHONE NUMBER
424-214-7042
DATE SIGNED
03/04/2019
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:88324536
Filing Date:03/04/2019
To the Commissioner for Trademarks:
MARK: AXONICS SACRAL NEUROMODULATION SYSTEM (Standard Characters, see mark)
The literal element of the mark consists of AXONICS SACRAL NEUROMODULATION SYSTEM.
The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Axonics Modulation Technologies, Inc., a corporation of Delaware, having an address of
26 Technology Drive
Irvine, California 92618
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 010: Nerve stimulator apparatus, namely, an external implantable pulse generator and internal implantable neurological lead for
neurostimulation, as well as a charging system comprised primarily of a battery charger, patient remote control and physician programmer in the nature of communication software and control software
that allows for direct communication between the patient and the system and/or the clinician and the system in order to configure or regulate the stimulation parameters for the implanted portion of
the system, all sold together as a unit along with related system components comprised of surgical instrumentation, batteries, device display monitors, device display microprocessors, battery
chargers and software for operating and programming the nerve stimulator apparat
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:
Thomas J. Speiss, III of STRADLING YOCCA CARLSON & RAUTH, P.C. 100 WILSHIRE BLVD., 4TH FLOOR
SANTA MONICA, California 90401
United States
424-214-7042(phone)
424.645.0770(fax)
ip@sycr.com (authorized)
The attorney docket/reference number is 102951-TBD.
The applicant's current Correspondence Information:
Thomas J. Speiss, III
STRADLING YOCCA CARLSON & RAUTH, P.C.
100 WILSHIRE BLVD., 4TH FLOOR
SANTA MONICA, California 90401
424-214-7042(phone)
424.645.0770(fax)
ip@sycr.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: /Thomas J. Speiss, III/ Date: 03/04/2019
Signatory's Name: Thomas J. Speiss, III
Signatory's Position: Atty of Record, CA Bar member
Payment Sale Number: 88324536
Payment Accounting Date: 03/05/2019
Serial Number: 88324536
Internet Transmission Date: Mon Mar 04 15:21:27 EST 2019
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XX-2019030415212731
6264-88324536-620663fd75c5aebbeb4ae754a8
382e42e16f8b21c4aec1a5098bbbeb2c9d2ff65-
DA-1972-20190304151715332558