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
Blue Cross and Blue Shield Association
*MAILING ADDRESS
225 North Michigan Avenue
*CITY
Chicago
*STATE
(Required for U.S. applicants)
Illinois
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
60601
*EMAIL ADDRESS
trademarks@bcbsa.com
LEGAL ENTITY INFORMATION
TYPE
non-profit corporation
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED
Illinois
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
036
*IDENTIFICATION
Vision health insurance underwriting and administration; financial administration of a vision health care benefits plan for employees, namely,
eye examinations, consultations, diagnosis of eye conditions, ophthalmology procedures, prescriptions for corrective lenses, corrective frames, visual aids, ophthalmic solutions, and preventative
services
FILING BASIS
SECTION 1(b)
INTERNATIONAL CLASS
044
*IDENTIFICATION
Comprehensive vision health care services provided to employees of a group plan, namely eye examinations, consultations, diagnosis of eye
conditions, ophthalmology procedures, prescriptions for corrective lenses, corrective frames, visual aids, ophthalmic solutions and preventative services
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
J. Ryan Hinshaw
ATTORNEY DOCKET NUMBER
10531EF
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Blue Cross and Blue Shield Association
STREET
225 North Michigan Avenue
CITY
Chicago
STATE
Illinois
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
60601
EMAIL ADDRESS
Ryan.Hinshaw@bcbsa.com
OTHER APPOINTED ATTORNEY
Cynthia B. Stevens
CORRESPONDENCE INFORMATION
NAME
J. Ryan Hinshaw
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
Ryan.Hinshaw@bcbsa.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
trademarks@bcbsa.com; cynthia.stevens@bcbsa.com
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Standard
NUMBER OF CLASSES
2
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEES DUE
550
*TOTAL FEES PAID
550
SIGNATURE INFORMATION
SIGNATURE
/J. Ryan Hinshaw/
SIGNATORY'S NAME
J. Ryan Hinshaw
SIGNATORY'S POSITION
Associate General Counsel, Brand, Illinois bar member
DATE SIGNED
03/31/2020
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:88854881
Filing Date:03/31/020
To the Commissioner for Trademarks:
MARK: BCBS FEP VISION (Standard Characters, see mark)
The literal element of the mark consists of BCBS FEP VISION. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Blue Cross and Blue Shield Association, a non-profit corporation legally organized under the laws of Illinois, having an address of
225 North Michigan Avenue
Chicago, Illinois 60601
United States
trademarks@bcbsa.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:
International Class 036: Vision health insurance underwriting and administration; financial administration of a vision health care benefits plan for employees, namely, eye examinations,
consultations, diagnosis of eye conditions, ophthalmology procedures, prescriptions for corrective lenses, corrective frames, visual aids, ophthalmic solutions, and preventative 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.
International Class 044: Comprehensive vision health care services provided to employees of a group plan, namely eye examinations, consultations, diagnosis of eye conditions, ophthalmology
procedures, prescriptions for corrective lenses, corrective frames, visual aids, ophthalmic solutions and preventative 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.
The owner's/holder's proposed attorney information: J. Ryan Hinshaw. Other appointed attorneys are Cynthia B. Stevens. J. Ryan Hinshaw of Blue Cross and Blue Shield Association, is a member of
the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
225 North Michigan Avenue
Chicago, Illinois 60601
United States
Ryan.Hinshaw@bcbsa.com
The docket/reference number is 10531EF.
J. Ryan Hinshaw 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:
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 $550 has been submitted with the application, representing payment for 2 class(es).
Declaration
Declaration Signature
Signature: /J. Ryan Hinshaw/ Date: 03/31/2020
Signatory's Name: J. Ryan Hinshaw
Signatory's Position: Associate General Counsel, Brand, Illinois bar member
Payment Sale Number: 88854881
Payment Accounting Date: 03/31/2020
Serial Number: 88854881
Internet Transmission Date: Tue Mar 31 17:49:04 ET 2020
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XXX-202003311749047
96538-88854881-710ccb55d1e761910d2760c9c
23737c97f7ff0376fe0c2fbd5488c1e8d8e558ff
b-CC-49031868-20200330123154907026