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:90050217
Filing Date:07/13/2020
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 mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Health Allaince Plan of Michigan
INTERNAL ADDRESS
Office of General Counsel
*MAILING ADDRESS
2850 W. Grand Boulevard
*CITY
Detroit
*STATE
(Required for U.S. applicants)
Michigan
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
48202-3450
*DOMICILE
XXXX
PHONE
313-874-5600
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
*TYPE
non-profit corporation
* STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED
Michigan
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
036
*IDENTIFICATION
Insurance underwriting in the field of Insurance underwriting in the field of health; administration of health care plans.
*FILING BASIS
SECTION 1(b)
*INTERNATIONAL CLASS
044
*IDENTIFICATION
Health care in the nature of health maintenance organizations
*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
Shanna R. Reed
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
INTERNAL ADDRESS
1 Ford Place
STREET
Ste 4B
CITY
Detroit
STATE
Michigan
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
48202
PHONE
313-874-5600
FAX
313-8745608
EMAIL ADDRESS
legal@hfhs.org
CORRESPONDENCE INFORMATION
NAME
Shanna R. Reed
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
legal@hfhs.org
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
lwashin2@hfhs.org
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Plus
NUMBER OF CLASSES
2
APPLICATION FOR REGISTRATION PER CLASS
225
*TOTAL FEES DUE
450
*TOTAL FEES PAID
450
SIGNATURE INFORMATION
* SIGNATURE
/Shanna R. Reed/
* SIGNATORY'S NAME
Shanna R. Reed
* SIGNATORY'S POSITION
Senior Counsel
SIGNATORY'S PHONE NUMBER
313-874-5600
* DATE SIGNED
07/13/2020
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:90050217
Filing Date:07/13/2020
To the Commissioner for Trademarks:
MARK: Pivotal (Standard Characters, see mark)
The literal element of the mark consists of Pivotal. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Health Allaince Plan of Michigan, a non-profit corporation legally organized under the laws of Michigan, having an address of
Office of General Counsel
2850 W. Grand Boulevard
Detroit, Michigan 48202-3450
United States
313-874-5600(phone)
XXXX
Domiciled at: 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:
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 036: Insurance underwriting in the field of Insurance underwriting in the field of health; administration of health care plans.
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 specific filing basis information for each item, you must view the display within the Input Table.
International Class 044: Health care in the nature of health maintenance organizations
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)).
The owner's/holder's proposed attorney information: Shanna R. Reed. Shanna R. Reed, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at
1 Ford Place
Ste 4B
Detroit, Michigan 48202
United States
313-874-5600(phone)
313-8745608(fax)
legal@hfhs.org
Shanna R. Reed 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 $450 has been submitted with the application, representing payment for 2 class(es).
Declaration
Declaration Signature
Signature: /Shanna R. Reed/ Date: 07/13/2020
Signatory's Name: Shanna R. Reed
Signatory's Position: Senior Counsel
Signatory's Phone Number: 313-874-5600
Payment Sale Number: 90050217
Payment Accounting Date: 07/13/2020
Serial Number: 90050217
Internet Transmission Date: Mon Jul 13 17:57:41 ET 2020
TEAS Stamp: USPTO/FTK-XXX.XXX.XX.XXX-202007131757419
03709-90050217-7404bc0d9832714549fbbf577
6478482bce3329b7b333e21307c555d85e4a2c-C
C-57402524-20200713165859785447