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
CareSource
*STREET
230 North Main Street
*CITY
Dayton
*STATE
(Required for U.S. applicants)
Ohio
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
45402
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY OF INCORPORATION
Ohio
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
036
*IDENTIFICATION
Provision of health insurance plans; health insurance services in the nature of underwriting, issuing, and administration of health insurance
plans; administration of health care benefits plans in the nature of health maintenance organizations; administrative services for the public health sector, namely, administration of pre-paid health
care plans; health insurance claims processing; provider relations, namely, administration of preferred provider plans in the field of health care; health insurance administration.
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Suzanne K. Ketler
ATTORNEY DOCKET NUMBER
127642.0137
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Roetzel & Andress
STREET
222 South Main Street
CITY
Akron
STATE
Ohio
COUNTRY
United States
ZIP/POSTAL CODE
44308
PHONE
330-376-2700
FAX
330.376.4577
EMAIL ADDRESS
sketler@ralaw.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
OTHER APPOINTED ATTORNEY
Terrence H. Link, II
CORRESPONDENCE INFORMATION
NAME
Suzanne K. Ketler
FIRM NAME
Roetzel & Andress
STREET
222 South Main Street
CITY
Akron
STATE
Ohio
COUNTRY
United States
ZIP/POSTAL CODE
44308
PHONE
330-376-2700
FAX
330.376.4577
*EMAIL ADDRESS
sketler@ralaw.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
/Suzanne K. Ketler/
SIGNATORY'S NAME
Suzanne K. Ketler
SIGNATORY'S POSITION
Attorney of Record, Ohio Bar Member
SIGNATORY'S PHONE NUMBER
330-849-6641
DATE SIGNED
08/16/2019
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:88581480
Filing Date:08/16/2019
To the Commissioner for Trademarks:
MARK: CareSource Veterans Advantage (Standard Characters, see mark)
The literal element of the mark consists of CareSource Veterans Advantage. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, CareSource, a corporation of Ohio, having an address of
230 North Main Street
Dayton, Ohio 45402
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 036: Provision of health insurance plans; health insurance services in the nature of underwriting, issuing, and administration of health insurance plans; administration of
health care benefits plans in the nature of health maintenance organizations; administrative services for the public health sector, namely, administration of pre-paid health care plans; health
insurance claims processing; provider relations, namely, administration of preferred provider plans in the field of health care; health insurance administration.
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 hereby appoints Suzanne K. Ketler. Other appointed attorneys are Terrence H. Link, II. Suzanne K. Ketler of Roetzel & Andress, is a member of the XX bar, admitted to the bar in
XXXX, bar membership no. XXX, and the attorney(s) is located at
222 South Main Street
Akron, Ohio 44308
United States
330-376-2700(phone)
330.376.4577(fax)
sketler@ralaw.com (authorized).
The attorney docket/reference number is 127642.0137.
Suzanne K. Ketler submitted the following statement: I attest that I am an attorney who is an active member in good standing of the bar of the highest court of a U.S. state (including the District of
Columbia and any U.S. Commonwealth or territory).
The applicant's current Correspondence Information:
Suzanne K. Ketler
Roetzel & Andress
222 South Main Street
Akron, Ohio 44308
330-376-2700(phone)
330.376.4577(fax)
sketler@ralaw.com (authorized).
Email Authorization: I authorize the USPTO to send email correspondence concerning the application to the applicant, the applicant's attorney, or the applicant's domestic representative at the
email address provided in this application. I understand that a valid email 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: /Suzanne K. Ketler/ Date: 08/16/2019
Signatory's Name: Suzanne K. Ketler
Signatory's Position: Attorney of Record, Ohio Bar Member
Payment Sale Number: 88581480
Payment Accounting Date: 08/16/2019
Serial Number: 88581480
Internet Transmission Date: Fri Aug 16 11:23:31 EDT 2019
TEAS Stamp: USPTO/BAS-XX.XX.XX.XXX-20190816112331253
498-88581480-61058c1821055899533f9716107
170b0e7f0134e9af771b125ee7a2e517c943dd2-
DA-23315578-20190816110142003108