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)

---

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: 88681079

Filing Date: 11/05/2019

To the Commissioner for Trademarks:

MARK: GBT SOURCE (stylized and/or with design, see mark)
The literal element of the mark consists of GBT SOURCE. The applicant is not claiming color as a feature of the mark. The mark consists of the letters GBT followed by three connected hexagons positioned on the top right corner. Starting underneath the hexagon design is the word "SOURCE" with the stylized letter "O".
The applicant, Global Blood Therapeutics, Inc., a corporation of Delaware, having an address of
      171 Oyster Point Blvd., Suite 300
      South San Francisco, California 94080
      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:  Pharmacy referral services provided via a global computer network; specialized retail pharmacy referral services for patients with particular medical conditions; promoting public awareness of the interests of sickle cell disease patients.
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 036:  Prescription drug claims administration services, namely, facilitating authorization of healthcare insurance coverage, insurance claim submission and payer reimbursement for prescription drugs; providing patients who have been prescribed a course of therapy that involves prescription pharmaceuticals with information on insurance benefits regarding pharmaceuticals, medical coverage, reimbursement options and financial support for that therapy
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:  Providing medical information regarding sickle cell disease, therapeutic properties of pharmaceuticals, and medical treatment for sickle cell disease via a website and call center; providing health information; providing a website featuring information in the medical and health fields; medical services, namely, assisting in the monitoring, adherence and compliance of patients to medical treatments.
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 Harold Milstein. Other appointed attorneys are Chelseaa Bush and the firm. Harold Milstein of Sheppard Mullin Richter & Hampton 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
      379 Lytton Avenue
      Palo Alto, California 94301
      United States
      650-815-2600(phone)
      650-815-2601(fax)
      svtmdocketing@sheppardmullin.com (authorized).
The attorney docket/reference number is 57LZ-305240.
Harold Milstein 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:

Harold Milstein

Sheppard Mullin Richter & Hampton LLP

379 Lytton Avenue

Palo Alto, California 94301

650-815-2600(phone)

650-815-2601(fax)

svtmdocketing@sheppardmullin.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 $825 has been submitted with the application, representing payment for 3 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: /HaroldMilstein/   Date: 11/05/2019
Signatory's Name: Harold Milstein
Signatory's Position: Attorney of Record, California bar member
Payment Sale Number: 88681079
Payment Accounting Date: 11/05/2019

Serial Number: 88681079
Internet Transmission Date: Tue Nov 05 17:18:37 EST 2019
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XXX-201911051718378
41738-88681079-700d28f2ecfdcdc63511aecbc
61c6cb65012634387d7e26be57affa7e96fa591d
-DA-18374875-20191105152714849199