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
screenshot of applicant's website bearing the mark
INTERNATIONAL CLASS
036
*IDENTIFICATION
insurance services, namely, insurance eligibility review and verification and consultation in the healthcare industry; insurance services,
namely, submitting claims for preauthorization in the healthcare industry
screenshot of applicant's website bearing the mark
INTERNATIONAL CLASS
042
*IDENTIFICATION
providing temporary use of on-line non-downloadable software for use by labs in the healthcare industry; software as a service (SaaS) services
featuring software in the healthcare field for purposes of electronically converting, collecting, editing, validating, verifying, storing, and processing lab requisitions and transmitting and sharing
electronic health and medical records
screenshot of applicant's website bearing the mark
ATTORNEY INFORMATION
NAME
Gina L. Durham
ATTORNEY DOCKET NUMBER
425437-24
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
DLA Piper LLP (US)
STREET
PO Box 64807
CITY
Chicago
STATE
Illinois
COUNTRY
United States
ZIP/POSTAL CODE
60664-0807
PHONE
312-368-4000
FAX
312.236.7516
EMAIL ADDRESS
ch.tm@dlapiper.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
OTHER APPOINTED ATTORNEY
Keith W. Medansky, Michael A. Geller, Hilary H. Remijas, Nicole A. Chaudhari, Eugenia Schontag
CORRESPONDENCE INFORMATION
NAME
Gina L. Durham
FIRM NAME
DLA Piper LLP (US)
STREET
PO Box 64807
CITY
Chicago
STATE
Illinois
COUNTRY
United States
ZIP/POSTAL CODE
60664-0807
PHONE
312-368-4000
FAX
312.236.7516
*EMAIL ADDRESS
ch.tm@dlapiper.com; sheila.brown@dlapiper.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
/Gregory T. Church/
SIGNATORY'S NAME
Gregg Church
SIGNATORY'S POSITION
President
SIGNATORY'S PHONE NUMBER
5623101301
DATE SIGNED
01/08/2020
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:88752474
Filing Date:01/09/2020
To the Commissioner for Trademarks:
MARK: PERFECT ORDER FOR PERFECT PAYMENT (Standard Characters, see mark)
The literal element of the mark consists of PERFECT ORDER FOR PERFECT PAYMENT. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, 4medica Inc., a corporation of Delaware, having an address of
13160 Mindanao Way, Suite 350
Marina Del Rey, California 90292
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: medical billing; medical billing support services; providing administrative support services to labs in the healthcare industry
In International Class 035, the mark was first used by the applicant or the applicant's related company or licensee or predecessor in interest at least as early as 05/00/2018, and first used in
commerce at least as early as 05/00/2018, and is now in use in such commerce. The applicant is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any
item in the class of listed goods/services, consisting of a(n) screenshot of applicant's website bearing the mark.
International Class 036: insurance services, namely, insurance eligibility review and verification and consultation in the healthcare industry; insurance services, namely, submitting claims for
preauthorization in the healthcare industry
In International Class 036, the mark was first used by the applicant or the applicant's related company or licensee or predecessor in interest at least as early as 05/00/2018, and first used in
commerce at least as early as 05/00/2018, and is now in use in such commerce. The applicant is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any
item in the class of listed goods/services, consisting of a(n) screenshot of applicant's website bearing the mark.
International Class 042: providing temporary use of on-line non-downloadable software for use by labs in the healthcare industry; software as a service (SaaS) services featuring software in the
healthcare field for purposes of electronically converting, collecting, editing, validating, verifying, storing, and processing lab requisitions and transmitting and sharing electronic health and
medical records
In International Class 042, the mark was first used by the applicant or the applicant's related company or licensee or predecessor in interest at least as early as 05/00/2018, and first used in
commerce at least as early as 05/00/2018, and is now in use in such commerce. The applicant is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any
item in the class of listed goods/services, consisting of a(n) screenshot of applicant's website bearing the mark.
The applicant hereby appoints Gina L. Durham. Other appointed attorneys are Keith W. Medansky, Michael A. Geller, Hilary H. Remijas, Nicole A. Chaudhari, Eugenia Schontag. Gina L. Durham of DLA
Piper LLP (US), is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
PO Box 64807
Chicago, Illinois 60664-0807
United States
312-368-4000(phone)
312.236.7516(fax)
ch.tm@dlapiper.com (authorized).
The attorney docket/reference number is 425437-24.
Gina L. Durham 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:
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: /Gregory T. Church/ Date: 01/08/2020
Signatory's Name: Gregg Church
Signatory's Position: President
Payment Sale Number: 88752474
Payment Accounting Date: 01/09/2020
Serial Number: 88752474
Internet Transmission Date: Thu Jan 09 12:04:35 EST 2020
TEAS Stamp: USPTO/BAS-XXX.XXX.XXX.XX-202001091204356
01295-88752474-7005ff916a6c4ef5df2a78166
e6ebeb196bcc681ec7b3460c6694b7a663aa4-DA
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