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 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".
PIXEL COUNT ACCEPTABLE
YES
PIXEL COUNT
944 x 282
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Global Blood Therapeutics, Inc.
*STREET
171 Oyster Point Blvd., Suite 300
*CITY
South San Francisco
*STATE
(Required for U.S. applicants)
California
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
94080
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
035
*IDENTIFICATION
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.
FILING BASIS
SECTION 1(b)
INTERNATIONAL CLASS
036
*IDENTIFICATION
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
FILING BASIS
SECTION 1(b)
INTERNATIONAL CLASS
044
*IDENTIFICATION
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.
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Harold Milstein
ATTORNEY DOCKET NUMBER
57LZ-305240
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Sheppard Mullin Richter & Hampton LLP
STREET
379 Lytton Avenue
CITY
Palo Alto
STATE
California
COUNTRY
United States
ZIP/POSTAL CODE
94301
PHONE
650-815-2600
FAX
650-815-2601
EMAIL ADDRESS
svtmdocketing@sheppardmullin.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
OTHER APPOINTED ATTORNEY
Chelseaa Bush and the firm
CORRESPONDENCE INFORMATION
NAME
Harold Milstein
FIRM NAME
Sheppard Mullin Richter & Hampton LLP
STREET
379 Lytton Avenue
CITY
Palo Alto
STATE
California
COUNTRY
United States
ZIP/POSTAL CODE
94301
PHONE
650-815-2600
FAX
650-815-2601
*EMAIL ADDRESS
svtmdocketing@sheppardmullin.com
*AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
FEE INFORMATION
APPLICATION FILING OPTION
TEAS RF
NUMBER OF CLASSES
3
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEE DUE
825
*TOTAL FEE PAID
825
SIGNATURE INFORMATION
SIGNATURE
/HaroldMilstein/
SIGNATORY'S NAME
Harold Milstein
SIGNATORY'S POSITION
Attorney of Record, California bar member
SIGNATORY'S PHONE NUMBER
650-815-2600
DATE SIGNED
11/05/2019
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: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
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