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
Axonics Modulation Technologies, Inc.
*MAILING ADDRESS
26 Technology Drive
*CITY
Irvine
*STATE
(Required for U.S. applicants)
California
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
92618
*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
010
*IDENTIFICATION
Nerve stimulator apparatus, namely, an external implantable pulse generator and internal implantable neurological lead for neurostimulation,
as well as a charging system comprised primarily of a battery charger, patient remote control and physician programmer in the nature of communication software and control software that allows for
direct communication between the patient and the system and/or the clinician and the system in order to configure or regulate the stimulation parameters for the implanted portion of the system, all
sold together as a unit along with related system components comprised of surgical instrumentation, batteries, device display monitors, device display microprocessors, battery chargers and software
for operating and programming the nerve stimulator apparatus
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Thomas J. Speiss, III
ATTORNEY DOCKET NUMBER
A9471-5007
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
BUCHALTER, A PROFESSIONAL CORPORATION
INTERNAL ADDRESS
15th Floor
STREET
1000 Wilshire Blvd.
CITY
Los Angeles
STATE
California
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
90017
PHONE
213-891-5158
EMAIL ADDRESS
tspeiss@buchalter.com
CORRESPONDENCE INFORMATION
NAME
Thomas J. Speiss, III
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
tspeiss@buchalter.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
IPdocket@buchalter.com; aahern@buchalter.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
/Thomas J. Speiss, III/
SIGNATORY'S NAME
Thomas J. Speiss, III
SIGNATORY'S POSITION
Attorney of Record, CA Bar member
SIGNATORY'S PHONE NUMBER
213-891-5158
DATE SIGNED
05/29/2020
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:88940146
Filing Date:05/29/020
To the Commissioner for Trademarks:
MARK: AXONICS R-SNM SYSTEM (Standard Characters, see mark)
The literal element of the mark consists of AXONICS R-SNM SYSTEM. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Axonics Modulation Technologies, Inc., a corporation of Delaware, having an address of
26 Technology Drive
Irvine, California 92618
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 010: Nerve stimulator apparatus, namely, an external implantable pulse generator and internal implantable neurological lead for neurostimulation, as well as a charging
system comprised primarily of a battery charger, patient remote control and physician programmer in the nature of communication software and control software that allows for direct communication
between the patient and the system and/or the clinician and the system in order to configure or regulate the stimulation parameters for the implanted portion of the system, all sold together as a
unit along with related system components comprised of surgical instrumentation, batteries, device display monitors, device display microprocessors, battery chargers and software for operating and
programming the nerve stimulator apparatus
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: Thomas J. Speiss, III. Thomas J. Speiss, III of BUCHALTER, A PROFESSIONAL CORPORATION, is a member of the XX bar, admitted to the bar in XXXX,
bar membership no. XXX, is located at
15th Floor
1000 Wilshire Blvd.
Los Angeles, California 90017
United States
213-891-5158(phone)
tspeiss@buchalter.com
The docket/reference number is A9471-5007.
Thomas J. Speiss, III 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: /Thomas J. Speiss, III/ Date: 05/29/2020
Signatory's Name: Thomas J. Speiss, III
Signatory's Position: Attorney of Record, CA Bar member
Payment Sale Number: 88940146
Payment Accounting Date: 05/29/2020
Serial Number: 88940146
Internet Transmission Date: Fri May 29 17:49:25 ET 2020
TEAS Stamp: USPTO/BAS-XX.XXX.XX.XXX-2020052917492567
5070-88940146-7102c96cd734a2dff6a2dd726b
3b57f4fd7dc25296e6321a5628de87df23e82703
b-DA-49254870-20200529174111633946