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:88497481
Filing Date:07/02/2019
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.
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
The mark consists of three evergreen trees, with the trees to the left and right being smaller than and slightly overlapped by a darker center tree,
with a curved line beneath the trees; centered below that are the words "BELMONT PINES" and beneath that is the word "HOSPITAL".
PIXEL COUNT ACCEPTABLE
YES
PIXEL COUNT
500 x 250
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
UHS of Delaware, Inc.
*STREET
367 S. Gulph Road
*CITY
King of Prussia
*STATE
(Required for U.S. applicants)
Pennsylvania
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
19406
PHONE
610-382-4504
EMAIL ADDRESS
charles.smouse@uhsinc.com
LEGAL ENTITY INFORMATION
*TYPE
CORPORATION
* STATE/COUNTRY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
044
*IDENTIFICATION
Behavioral health services in the nature of children and adolescent psychiatric services; Hospital services
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:88497481
Filing Date:07/02/2019
To the Commissioner for Trademarks:
MARK: BELMONT PINES HOSPITAL (stylized and/or with design, see mark)
The mark in your application is BELMONT PINES HOSPITAL.
The mark consists of three evergreen trees, with the trees to the left and right being smaller than and slightly overlapped by a darker center tree, with a curved line beneath the trees; centered
below that are the words "BELMONT PINES" and beneath that is the word "HOSPITAL".
The applicant, UHS of Delaware, Inc., a corporation of Delaware, having an address of
367 S. Gulph Road
King of Prussia, Pennsylvania 19406
United States
610-382-4504(phone)
charles.smouse@uhsinc.com (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:
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 044: Behavioral health services in the nature of children and adolescent psychiatric services; Hospital services
Use in Commerce: The applicant is using the mark in commerce on or in connection with the identified goods/services. The applicant attaches, or will later submit, one specimen as a JPG/PDF image file
showing the mark as used in commerce on or in connection with any item in the class of listed goods/services, regardless of whether the mark itself is in the standard character format or is a
stylized or design mark. The specimen image file may be in color, and the image must be in color if color is being claimed as a feature of the mark.
In International Class 044, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least as early as 06/18/2019, and first used in commerce
at least as early as 06/18/2019, 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) webpage. Specimen File1
The applicant's current Attorney Information:
Charles Smouse of UHS of Delaware, Inc. 367 S. Gulph Road
King of Prussia, Pennsylvania 19406
United States
610-382-4504(phone)
charles.smouse@uhsinc.com (authorized)
The applicant's current Correspondence Information:
Charles Smouse
UHS of Delaware, Inc.
367 S. Gulph Road
King of Prussia, Pennsylvania 19406
610-382-4504(phone)
charles.smouse@uhsinc.com;carolyn.esch@uhsinc.com; ip@williamsmullen.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: /Charles D. Smouse/ Date: 07/02/2019
Signatory's Name: Charles D. Smouse
Signatory's Position: Associate General Counsel
Signatory's Phone Number: 610-382-4504
Payment Sale Number: 88497481
Payment Accounting Date: 07/02/2019
Serial Number: 88497481
Internet Transmission Date: Tue Jul 02 11:28:10 EDT 2019
TEAS Stamp: USPTO/FTK-XX.X.XX.XXX-201907021128108551
03-88497481-620473a96879d97354540ab87fba
c461e73c1b294ce9f599615d8d374579571020-C
C-10196-20190701135134698364