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
Thomas E. Zutic, Ryan C. Compton, John Nading, David Kramer, Eunice Chung, James Stewart, Ashley Joyce, and Naomi Abraham
CORRESPONDENCE INFORMATION
NAME
Ann K. Ford
FIRM NAME
DLA Piper LLP (US)
STREET
500 Eighth Street, NW
CITY
Washington
STATE
District of Columbia
COUNTRY
United States
ZIP/POSTAL CODE
20004
PHONE
202-799-4000
FAX
202799500
*EMAIL ADDRESS
dctrademarks@dlapiper.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
/jeffrey a silver/
SIGNATORY'S NAME
Jeffrey A. Silver
SIGNATORY'S POSITION
Attorney
SIGNATORY'S PHONE NUMBER
402-393-1984
DATE SIGNED
08/28/2019
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:88596287
Filing Date:08/28/2019
To the Commissioner for Trademarks:
MARK: (Stylized and/or Design, see mark) The mark consists of a spiraling series of dots.
The applicant, Applied Underwriters, Inc., a corporation of Nebraska, having an address of
10805 Old Mill Road
Omaha, Nebraska 68154
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: Insurance administration, namely, claims administration in the field of workers' compensation insurance
In International Class 036, the mark was first used by the applicant or the applicant's related company or licensee or predecessor in interest at least as early as 01/01/2018, and first used in
commerce at least as early as 01/01/2018, 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) marketing material.
The applicant hereby appoints Ann K. Ford. Other appointed attorneys are Thomas E. Zutic, Ryan C. Compton, John Nading, David Kramer, Eunice Chung, James Stewart, Ashley Joyce, and Naomi
Abraham. Ann K. Ford of DLA Piper LLP (US), is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
500 Eighth Street, NW
Washington, District of Columbia 20004
United States
202-799-4000(phone)
202799500(fax)
dctrademarks@dlapiper.com (authorized).
Ann K. Ford submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest court of a U.S. state, the District of Columbia, or any U.S.
Commonwealth or territory.
The applicant's current Correspondence Information:
Ann K. Ford
DLA Piper LLP (US)
500 Eighth Street, NW
Washington, District of Columbia 20004
202-799-4000(phone)
202799500(fax)
dctrademarks@dlapiper.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: /jeffrey a silver/ Date: 08/28/2019
Signatory's Name: Jeffrey A. Silver
Signatory's Position: Attorney
Payment Sale Number: 88596287
Payment Accounting Date: 08/28/2019
Serial Number: 88596287
Internet Transmission Date: Wed Aug 28 15:23:18 EDT 2019
TEAS Stamp: USPTO/BAS-XX.XXX.X.XX-201908281523180359
47-88596287-6109cdec41dad5523147c7c456c0
75489f86e0a8231fd99e446bfd84852c36b-DA-2
3171438-20190823153915777734