TEAS Plus New 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)

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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: 88594510

Filing Date: 08/27/2019

To the Commissioner for Trademarks:

MARK: SIDNEY (Standard Characters, see mark)
The literal element of the mark consists of SIDNEY. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Northwest Permanente Physicians and Surgeons, P.C., a corporation of Oregon, having an address of
      Suite 100
      500 NE Multnomah Street
      Portland, Oregon 97232
      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:

For specific filing basis information for each item, you must view the display within the Input Table.
International Class 044:  Health care
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)).



The applicant hereby appoints Amanda Bryan. Amanda Bryan of Bullivant Houser Bailey, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at
      Suite 300
      888 SW 5TH AVE
      Portland, Oregon 97204-2089
      United States
      503-228-6351(phone)
      503-295-0915(fax)
      amanda.bryan@bullivant.com (authorized).
The attorney docket/reference number is 29366-20001.
Amanda Bryan 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:

Amanda Bryan

Bullivant Houser Bailey

Suite 300       888 SW 5TH AVE

Portland, Oregon 97204-2089

503-228-6351(phone)

503-295-0915(fax)

amanda.bryan@bullivant.com; pdxip@bullivant.com (authorized). Email Authorization: I authorize the USPTO to send email correspondence concerning the application to the applicant or 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 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

	Basis: If the applicant is filing the application based on use in commerce under 15 U.S.C. § 1051(a): The signatory believes that the applicant is the owner of the trademark/service mark sought to be registered; The mark is in use in commerce on or in connection with the goods/services in the application; The specimen(s) shows the mark as used on or in connection with the goods/services in the application; and To the best of the signatory's knowledge and belief, the facts recited in the application are accurate. AND/OR If the applicant is filing the application based on an intent to use the mark in commerce under 15 U.S.C. § 1051(b), § 1126(d), and/or § 1126(e): The signatory believes that the applicant is entitled to use the mark in commerce; The applicant has a bona fide intention to use the mark in commerce on or in connection with the goods/services in the application; and To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.
	To the best of the signatory's knowledge and belief, no other persons, except, if applicable, concurrent users, have the right to use the mark in commerce, either in the identical form or in such near resemblance as to be likely, when used on or in connection with the goods/services of such other persons, to cause confusion or mistake, or to deceive.
	To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the allegations and other factual contentions made above have evidentiary support.
	The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of the application or submission or any registration resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on information and belief are believed to be true.

Declaration Signature

Signature: /Molly Burns Herrmann/   Date: 08/26/2019
Signatory's Name: Molly Herrmann
Signatory's Position: Vice President, Chief Legal Officer
Signatory's Phone Number: 5034907694
Payment Sale Number: 88594510
Payment Accounting Date: 08/27/2019

Serial Number: 88594510
Internet Transmission Date: Tue Aug 27 14:34:46 EDT 2019
TEAS Stamp: USPTO/FTK-XX.XXX.XX.XX-20190827143446572
568-88594510-6105e79f2f51c567212a245db09
03519c4af5d1d6141cb74bb8afbd4368b94212-D
A-34467366-20190816161231421573