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
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
The mark consists of THREE CIRCLES FOLLOWED BY THE WORD REVITA.
PIXEL COUNT ACCEPTABLE
NO
PIXEL COUNT
9439 x 1924
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
FRACTYL LABORATORIES INC.
*STREET
17 HARTWELL AVENUE
*CITY
LEXINGTON
*STATE
(Required for U.S. applicants)
Massachusetts
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
02421
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
010
*IDENTIFICATION
medical instruments for use in minimally invasive procedures and surgery in the field of endoscopy
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Perry J. Viscounty
ATTORNEY DOCKET NUMBER
055902-3
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
LATHAM & WATKINS LLP
STREET
650 Town Center Drive, 20th Floor
CITY
Costa Mesa
STATE
California
COUNTRY
United States
ZIP/POSTAL CODE
92626
EMAIL ADDRESS
ipdocket@lw.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
OTHER APPOINTED ATTORNEY
Jennifer L. Barry and Julie L. Dalke
CORRESPONDENCE INFORMATION
NAME
Perry J. Viscounty
FIRM NAME
LATHAM & WATKINS LLP
STREET
650 Town Center Drive, 20th Floor
CITY
Costa Mesa
STATE
California
COUNTRY
United States
ZIP/POSTAL CODE
92626
*EMAIL ADDRESS
ipdocket@lw.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
/lisa davidson/
SIGNATORY'S NAME
Lisa A. Davidson
SIGNATORY'S POSITION
CFO
DATE SIGNED
10/17/2019
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:88658783
Filing Date:10/17/2019
To the Commissioner for Trademarks:
MARK: REVITA (stylized and/or with design, see mark)
The literal element of the mark consists of REVITA. The mark consists of THREE CIRCLES FOLLOWED BY THE WORD REVITA.
The applicant, FRACTYL LABORATORIES INC., a corporation of Delaware, having an address of
17 HARTWELL AVENUE
LEXINGTON, Massachusetts 02421
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 010: medical instruments for use in minimally invasive procedures and surgery in the field of endoscopy
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 Perry J. Viscounty. Other appointed attorneys are Jennifer L. Barry and Julie L. Dalke. Perry J. Viscounty of LATHAM & WATKINS 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
650 Town Center Drive, 20th Floor
Costa Mesa, California 92626
United States
ipdocket@lw.com (authorized).
The attorney docket/reference number is 055902-3.
Perry J. Viscounty 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:
Perry J. Viscounty
LATHAM & WATKINS LLP
650 Town Center Drive, 20th Floor
Costa Mesa, California 92626
ipdocket@lw.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: /lisa davidson/ Date: 10/17/2019
Signatory's Name: Lisa A. Davidson
Signatory's Position: CFO
Payment Sale Number: 88658783
Payment Accounting Date: 10/17/2019
Serial Number: 88658783
Internet Transmission Date: Thu Oct 17 16:38:25 EDT 2019
TEAS Stamp: USPTO/BAS-XXX.XXX.XX.XXX-201910171638251
86277-88658783-6101ef58f1ef9233210d32cc4
b722d5595b2cbf6ae9c901844c7fba429de6a4de
b-CC-38243997-20191017160722964154