TEAS Plus New Application

PRIMARY CARE PERSONALIZED

Mark Tieman, M.D., P..C

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

TEAS Plus Application

Serial Number: 88807260
Filing Date: 02/23/020

NOTE: Data fields with the * are mandatory under TEAS Plus. The wording "(if applicable)" appears where the field is only mandatory under the facts of the particular application.


The table below presents the data as entered.

Input Field
Entered
TEAS Plus YES
MARK INFORMATION
*MARK Primary Care Personalized
*STANDARD CHARACTERS YES
USPTO-GENERATED IMAGE YES
LITERAL ELEMENT Primary Care Personalized
*MARK STATEMENT The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER Principal
APPLICANT INFORMATION
*OWNER OF MARK Mark Tieman, M.D., P..C
DBA/AKA/TA/FORMERLY DBA Primary Care Personalized
*MAILING ADDRESS 34 Copperdale Lane
*CITY Huntington
*STATE
(Required for U.S. applicants)
New York
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
11743
PHONE 631-424-9844
FAX 631-543-2785
*EMAIL ADDRESS marktieman@aol.com
WEBSITE ADDRESS www.primarycarepersonalized.com
LEGAL ENTITY INFORMATION
*TYPE CORPORATION
* STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY OF INCORPORATION New York
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS 044 
*IDENTIFICATION Primary care medical services
*FILING BASIS SECTION 1(b)
ADDITIONAL STATEMENTS INFORMATION
*TRANSLATION
(if applicable)
 
*TRANSLITERATION
(if applicable)
 
*CLAIMED PRIOR REGISTRATION
(if applicable)
 
*CONSENT (NAME/LIKENESS)
(if applicable)
 
*CONCURRENT USE CLAIM
(if applicable)
 
ATTORNEY INFORMATION
NAME Anthony Hawks
ATTORNEY BAR MEMBERSHIP NUMBER XXX
YEAR OF ADMISSION XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY XX
FIRM NAME Hawks Law Office
STREET 5902 Mount Eagle Drive, Suite 102
CITY Alexandria
STATE Virginia
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY United States
ZIP/POSTAL CODE 22303
PHONE 571-271-1324
EMAIL ADDRESS hawks@rcn.com
CORRESPONDENCE INFORMATION
NAME Anthony Hawks
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE hawks@rcn.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES) marktieman@aol.com
FEE INFORMATION
APPLICATION FILING OPTION TEAS Plus
NUMBER OF CLASSES 1
APPLICATION FOR REGISTRATION PER CLASS 225
*TOTAL FEES DUE 225
*TOTAL FEES PAID 225
SIGNATURE INFORMATION
* SIGNATURE /Anthony Hawks/
* SIGNATORY'S NAME Anthony Hawks
* SIGNATORY'S POSITION Attorney at Law
SIGNATORY'S PHONE NUMBER 571-271-1324
* DATE SIGNED 02/23/2020



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

TEAS Plus Application

Serial Number: 88807260
Filing Date: 02/23/020

To the Commissioner for Trademarks:

MARK: Primary Care Personalized (Standard Characters, see mark)
The literal element of the mark consists of Primary Care Personalized. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Mark Tieman, M.D., P..C, DBA Primary Care Personalized, a corporation of New York, having an address of
      34 Copperdale Lane
      Huntington, New York 11743
      United States
      631-424-9844(phone)
      631-543-2785(fax)
      marktieman@aol.com

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:

For specific filing basis information for each item, you must view the display within the Input Table.
International Class 044:  Primary care medical services
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. (15 U.S.C. Section 1051(b)).


For informational purposes only, applicant's website address is: www.primarycarepersonalized.com
The owner's/holder's proposed attorney information: Anthony Hawks. Anthony Hawks of Hawks Law Office, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at
      5902 Mount Eagle Drive, Suite 102
      Alexandria, Virginia 22303
      United States
      571-271-1324(phone)
      hawks@rcn.com

Anthony Hawks 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:
      Anthony Hawks
       PRIMARY EMAIL FOR CORRESPONDENCE: hawks@rcn.com
       SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): marktieman@aol.com


Requirement for Email and Electronic Filing: I understand that a valid email address must be maintained by the applicant owner/holder and the applicant owner's/holder's attorney, if appointed, and that all official trademark correspondence must be submitted via the Trademark Electronic Application System (TEAS).
A fee payment in the amount of $225 has been submitted with the application, representing payment for 1 class(es).

Declaration

Declaration Signature

Signature: /Anthony Hawks/   Date: 02/23/2020
Signatory's Name: Anthony Hawks
Signatory's Position: Attorney at Law
Signatory's Phone Number: 571-271-1324
Payment Sale Number: 88807260
Payment Accounting Date: 02/24/2020

Serial Number: 88807260
Internet Transmission Date: Sun Feb 23 18:08:13 ET 2020
TEAS Stamp: USPTO/FTK-XXXX:XXXX:XXXX:XXXX:XXXX:XXXX:
XXXX:XXXX-20200223180813063731-88807260-
71078b35de92d71cb41fcde3ce21312b7a93aec3
5be49ae12dbf4b92e5e23e555c-CC-08118591-2
0200223173330805684

TEAS Plus New Application [image/jpeg]


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