TEAS RF 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

Serial Number: 88638978

Filing Date: 10/02/2019

To the Commissioner for Trademarks:

MARK: NHQ-10 (Standard Characters, see mark)
The literal element of the mark consists of NHQ-10. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Blackthorn Therapeutics, Inc., a corporation of Delaware, having an address of
      780 Brannan Street
      San Francisco, California 94103
      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 009:  Downloadable computer software for administering questionnaires, tests, and assessments relating to a patient's mental health, including for screening and diagnosing a patient's psychological condition and recommending treatments and drug development

In International Class 009, 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 08/29/2019, and first used in commerce at least as early as 08/29/2019, 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) screen shot of the mark used in commerce in connection with the software.

Original PDF file:
SPE0-20825590221-20191001154951446222_._NHQ10.pdf
Converted PDF file(s) (1 page)
Specimen File1

International Class 016:  Printed materials, namely questionnaires and tests all relating to a patient's mental health, including for screening and diagnosing a patient's psychological condition and recommending treatments and drug development
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.

International Class 042:  Non-downloadable computer software for administering questionnaires, tests, and assessments relating to a patient's mental health, including for screening and diagnosing a patient's psychological condition and recommending treatments and drug development
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.

International Class 044:  Health care services, namely, providing questionnaires, tests, and assessments relating to a patient's mental health, including for screening and diagnosing a patient's psychological condition and recommending treatments and drug development
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 Elizabeth Baio. Other appointed attorneys are Daniel J. Burnham, John C. Gatz, Justin D. Swindells, Sorin Cimpoes, Janet M. Garetto, Wayne Tang, Peter Prommer, Bradley M. Taub, Deanna Kunze, Jason Kunze, Kevin Gualano, Ben Rosborough, Angelo Christopher, Ariel Roth, Alexis Grilli, Jennette Psihoules, Matthew Werber, and Erik Birkeneder. Elizabeth Baio of Nixon Peabody LLP, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
      70 W. Madison Street, 35th Floor
      Chicago, Illinois 60602
      United States
      312-977-4400(phone)
      312-977-4405(fax)
      chitm@nixonpeabody.com (authorized).
The attorney docket/reference number is 084394-17US.
Elizabeth Baio 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:

Elizabeth Baio

Nixon Peabody LLP

70 W. Madison Street, 35th Floor

Chicago, Illinois 60602

312-977-4400(phone)

312-977-4405(fax)

chitm@nixonpeabody.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 $1100 has been submitted with the application, representing payment for 4 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: /Erik Birkeneder/   Date: 10/02/2019
Signatory's Name: Erik Birkeneder
Signatory's Position: Attorney of Record, California Bar Member
Payment Sale Number: 88638978
Payment Accounting Date: 10/02/2019

Serial Number: 88638978
Internet Transmission Date: Wed Oct 02 12:53:16 EDT 2019
TEAS Stamp: USPTO/BAS-XXX.XXX.XX.XXX-201910021253169
23504-88638978-6105aca2288c3ead3b5b53175
f7969b20540dec16616719a6b98db8a256554-DA
-53166472-20191001154951446222