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: 88640463

Filing Date: 10/03/2019

To the Commissioner for Trademarks:

MARK: NHQ-10 (stylized and/or with design, see mark)
The literal element of the mark consists of NHQ-10. The applicant is not claiming color as a feature of the mark. The mark consists of a side profile of a face in a half circle with five lines extended out from the half circle with circles at the end of each line. The text "NHQ-10" is positioned to the right of the design portion.
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
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 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 084394-18US.
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: 10/03/2019
Signatory's Name: Erik Birkeneder
Signatory's Position: Attorney of Record, California Bar Member
Payment Sale Number: 88640463
Payment Accounting Date: 10/03/2019

Serial Number: 88640463
Internet Transmission Date: Thu Oct 03 11:26:47 EDT 2019
TEAS Stamp: USPTO/BAS-XXX.XXX.XX.XXX-201910031126475
75558-88640463-6104f5434b03e269fa6873b35
9b40f6fe6a6d2cdeb52b7cd8c5d43671eb55ec4-
DA-26477956-20191003111444015806