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
MAP Health Management, LLC
*MAILING ADDRESS
1114 Lost Creek Blvd., Fifth Floor
*CITY
Austin
*STATE
(Required for U.S. applicants)
Texas
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
78746
*EMAIL ADDRESS
jareds@thisismap.com
LEGAL ENTITY INFORMATION
TYPE
limited liability company
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED
Texas
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
044
*IDENTIFICATION
Behavioral health services
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Stacy J. Grossman
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Law Office of Stacy J. Grossman PLLC
STREET
888 Seventh Avenue, 10th Floor
CITY
New York
STATE
New York
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
10106
PHONE
212-873-6120
EMAIL ADDRESS
stacy@stacygrossmanlaw.com
CORRESPONDENCE INFORMATION
NAME
Stacy J. Grossman
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
stacy@stacygrossmanlaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
ipDocket@stacygrossmanlaw.com
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Standard
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEES DUE
275
*TOTAL FEES PAID
275
SIGNATURE INFORMATION
SIGNATURE
/Jared Smith/
SIGNATORY'S NAME
Jared Smith
SIGNATORY'S POSITION
Vice President of Marketing
SIGNATORY'S PHONE NUMBER
212-873-6120
DATE SIGNED
04/03/2020
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:88859426
Filing Date:04/03/020
To the Commissioner for Trademarks:
MARK: BEHAVIORAL HEALTH ANYWHERE (Standard Characters, see mark)
The literal element of the mark consists of BEHAVIORAL HEALTH ANYWHERE. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, MAP Health Management, LLC, a limited liability company legally organized under the laws of Texas, having an address of
1114 Lost Creek Blvd., Fifth Floor
Austin, Texas 78746
United States
jareds@thisismap.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 044: Behavioral health 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: Stacy J. Grossman. Stacy J. Grossman of Law Office of Stacy J. Grossman PLLC, is a member of the XX bar, admitted to the bar in XXXX, bar
membership no. XXX, is located at
888 Seventh Avenue, 10th Floor
New York, New York 10106
United States
212-873-6120(phone)
stacy@stacygrossmanlaw.com
Stacy J. Grossman 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 $275 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Jared Smith/ Date: 04/03/2020
Signatory's Name: Jared Smith
Signatory's Position: Vice President of Marketing
Payment Sale Number: 88859426
Payment Accounting Date: 04/03/2020
Serial Number: 88859426
Internet Transmission Date: Fri Apr 03 17:30:35 ET 2020
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XXX-202004031730355
37422-88859426-7109fcd9da9394abce3d92ef6
e639e7c547c37656427c79cbf2c83a73fad4771c
-CC-30349109-20200403165250684577