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
The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
National General Holdings, Corp.
*STREET
59 Maiden Lane, 38th Floor
*CITY
New York
*STATE
(Required for U.S. applicants)
New York
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
10038
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
035
*IDENTIFICATION
Providing Marketing services, namely, marketing and sale of approved third-party Medicare plans as authorized by Centers of Medicaid and
Medicare Services (CMS) and State Regulatory Agencies and Insurance Carriers; providing a searchable online advertising website and informational guide featuring the Medicare related insurance
products
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Jan Tamulewicz
ATTORNEY DOCKET NUMBER
386253/00036
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Katten Muchin Rosenman LLP
STREET
575 Madison Avenue
CITY
New York
STATE
New York
COUNTRY
United States
ZIP/POSTAL CODE
10022-2585
PHONE
212-940-8673
FAX
212-940-7013
EMAIL ADDRESS
jan.tamulewicz@katten.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
OTHER APPOINTED ATTORNEY
Karen Artz Ash, Bret J. Danow, Jessica Kraver, Alexandra Caleca and others
CORRESPONDENCE INFORMATION
NAME
Jan Tamulewicz
FIRM NAME
Katten Muchin Rosenman LLP
STREET
575 Madison Avenue
CITY
New York
STATE
New York
COUNTRY
United States
ZIP/POSTAL CODE
10022-2585
PHONE
212-940-8673
FAX
212-940-7013
*EMAIL ADDRESS
jan.tamulewicz@katten.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 Weissmann/
SIGNATORY'S NAME
Jeffrey Weissmann
SIGNATORY'S POSITION
General Counsel and Secretary
DATE SIGNED
10/21/2019
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:88662714
Filing Date:10/21/2019
To the Commissioner for Trademarks:
MARK: MEDICARE BENEFITS AGENCY (Standard Characters, see mark)
The literal element of the mark consists of MEDICARE BENEFITS AGENCY. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, National General Holdings, Corp., a corporation of Delaware, having an address of
59 Maiden Lane, 38th Floor
New York, New York 10038
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 035: Providing Marketing services, namely, marketing and sale of approved third-party Medicare plans as authorized by Centers of Medicaid and Medicare Services (CMS) and
State Regulatory Agencies and Insurance Carriers; providing a searchable online advertising website and informational guide featuring the Medicare related insurance products
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 Jan Tamulewicz. Other appointed attorneys are Karen Artz Ash, Bret J. Danow, Jessica Kraver, Alexandra Caleca and others. Jan Tamulewicz of Katten Muchin Rosenman
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
575 Madison Avenue
New York, New York 10022-2585
United States
212-940-8673(phone)
212-940-7013(fax)
jan.tamulewicz@katten.com (authorized).
The attorney docket/reference number is 386253/00036.
Jan Tamulewicz 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:
Jan Tamulewicz
Katten Muchin Rosenman LLP
575 Madison Avenue
New York, New York 10022-2585
212-940-8673(phone)
212-940-7013(fax)
jan.tamulewicz@katten.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 Weissmann/ Date: 10/21/2019
Signatory's Name: Jeffrey Weissmann
Signatory's Position: General Counsel and Secretary
Payment Sale Number: 88662714
Payment Accounting Date: 10/21/2019
Serial Number: 88662714
Internet Transmission Date: Mon Oct 21 17:57:23 EDT 2019
TEAS Stamp: USPTO/BAS-XXX.XX.XXX.XX-2019102117572372
7740-88662714-610716d535aed397985cad7783
97ead87a748f44a6c549fd47429871a7daec-DA-
57231100-20191021175312192075