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:88601861
Filing Date:09/03/2019
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 a partial cupola with a pole at the point; to the right of that and partially covering the cupola is the word "DOVER"; beneath
that is the word "BEHAVIORAL" and beneath that are the words "HEALTH SYSTEM" all in a stylized font.
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 inpatient treatment services for children, adolescents and adults, as well as detoxification
and substance abuse outpatient 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:88601861
Filing Date:09/03/2019
To the Commissioner for Trademarks:
MARK: DOVER BEHAVIORAL HEALTH SYSTEM (stylized and/or with design, see mark)
The literal element of the mark consists of DOVER BEHAVIORAL HEALTH SYSTEM. The mark consists of a partial cupola with a pole at the point; to the right of that and partially covering the cupola is
the word "DOVER"; beneath that is the word "BEHAVIORAL" and beneath that are the words "HEALTH SYSTEM" all in a stylized font.
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
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 inpatient treatment services for children, adolescents and adults, as well as detoxification and substance abuse outpatient
services
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 Charles D. Smouse. Charles D. Smouse of UHS of Delaware, Inc., is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at
367 S. Gulph Road
King of Prussia, Pennsylvania 19406
United States
610-382-4504(phone)
charles.smouse@uhsinc.com (authorized).
Charles D. Smouse 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:
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
Declaration Signature
Signature: /Charles D. Smouse/ Date: 08/30/2019
Signatory's Name: Charles D. Smouse
Signatory's Position: Associate General Counsel
Signatory's Phone Number: 610-382-4504
Payment Sale Number: 88601861
Payment Accounting Date: 09/03/2019
Serial Number: 88601861
Internet Transmission Date: Tue Sep 03 09:02:07 EDT 2019
TEAS Stamp: USPTO/FTK-XX.X.XX.XXX-201909030902075028
49-88601861-6106d8af2859144a56a475b929e7
2899c95b72dad32e4a454575802172bbdd8d1f-C
C-02069880-20190827151119021935