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
Verrica Pharmaceuticals Inc.
*MAILING ADDRESS
10 North High Street, 2nd Floor
*CITY
West Chester
*STATE
(Required for U.S. applicants)
Pennsylvania
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
19380
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
036
*IDENTIFICATION
Providing healthcare providers and patients with data aggregation and analytics concerning pharmaceuticals; reimbursement services concerning
pharmaceuticals including, insurance coverage determination, patient out of pocket costs, prior authorizations and claims submissions and appeals; and enrollment of patients into a co-pay support
program for pharmaceuticals
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:88912642
Filing Date:05/12/020
To the Commissioner for Trademarks:
MARK: Y-ACCESS (Standard Characters, see mark)
The literal element of the mark consists of Y-ACCESS. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Verrica Pharmaceuticals Inc., a corporation of Delaware, having an address of
10 North High Street, 2nd Floor
West Chester, Pennsylvania 19380
United States
XXXX
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: Providing healthcare providers and patients with data aggregation and analytics concerning pharmaceuticals; reimbursement services concerning pharmaceuticals including,
insurance coverage determination, patient out of pocket costs, prior authorizations and claims submissions and appeals; and enrollment of patients into a co-pay support program for
pharmaceuticals
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: Theodore A. Breiner. Other appointed attorneys are Mary J. Breiner. Theodore A. Breiner of BREINER & BREINER, L.L.C., is a member of the
XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
115 North Henry Street
Alexandria, Virginia 22314
United States
703-684-6885(phone)
703-684-8206(fax)
Docketclerk@bbpatlaw.com
The docket/reference number is 9228/TM.
Theodore A. Breiner 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: /Theodore A. Breiner/ Date: 05/12/2020
Signatory's Name: THEODORE A. BREINER
Signatory's Position: Virginia Attorney
Payment Sale Number: 88912642
Payment Accounting Date: 05/12/2020
Serial Number: 88912642
Internet Transmission Date: Tue May 12 17:52:29 ET 2020
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XXX-202005121752296
70608-88912642-7109e4ad1d2e85476b9aa1e1d
d6a0f134bb6374659cb891e09cb756aad37a33e1
95-CC-52282382-20200512173852483309