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:90080055
Filing Date:07/29/2020
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
Excellus Health Plan, Inc.
*MAILING ADDRESS
165 Court Street
*CITY
Rochester
*STATE
(Required for U.S. applicants)
New York
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
14647
*EMAIL ADDRESS
XXXX
WEBSITE ADDRESS
www.excellus.com
LEGAL ENTITY INFORMATION
*TYPE
non-profit corporation
* STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED
New York
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
036
*IDENTIFICATION
Insurance services, namely, underwriting, issuance and administration of dental insurance
*FILING BASIS
SECTION 1(b)
ADDITIONAL STATEMENTS SECTION
*TRANSLATION
(if applicable)
*TRANSLITERATION
(if applicable)
*CLAIMED PRIOR REGISTRATION
(if applicable)
The applicant claims ownership of active prior U.S. Registration Number(s) 2368062, 4809690, 5297560, and others.
*CONSENT (NAME/LIKENESS)
(if applicable)
*CONCURRENT USE CLAIM
(if applicable)
DISCLAIMER
No claim is made to the exclusive right to use FAMILY DENTAL apart from the mark as shown.
ATTORNEY INFORMATION
NAME
George R. McGuire
ATTORNEY DOCKET NUMBER
741T095
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Bond, Schoeneck & King, PLLC
STREET
One Lincoln Center
CITY
Syracuse
STATE
New York
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
13202
PHONE
315-218-8515
FAX
3152188100
EMAIL ADDRESS
bskpto@bsk.com
CORRESPONDENCE INFORMATION
NAME
George R. McGuire
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
bskpto@bsk.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
NOT PROVIDED
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Plus
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
225
*TOTAL FEES DUE
225
*TOTAL FEES PAID
225
SIGNATURE INFORMATION
* SIGNATURE
/George R. McGuire/
* SIGNATORY'S NAME
George R. McGuire
* SIGNATORY'S POSITION
Applicant's Attorney, NY Bar Member
SIGNATORY'S PHONE NUMBER
315-278-5604
* DATE SIGNED
07/29/2020
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
TEAS Plus Application
Serial Number:90080055
Filing Date:07/29/2020
To the Commissioner for Trademarks:
MARK: Univera Healthy Smile Family Dental (Standard Characters, see mark)
The literal element of the mark consists of Univera Healthy Smile Family Dental. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Excellus Health Plan, Inc., a non-profit corporation legally organized under the laws of New York, having an address of
165 Court Street
Rochester, New York 14647
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:
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 036: Insurance services, namely, underwriting, issuance and administration of dental insurance
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)).
Disclaimer
No claim is made to the exclusive right to use FAMILY DENTAL apart from the mark as shown.
Claim of Active Prior Registration(s)
The applicant claims ownership of active prior U.S. Registration Number(s) 2368062, 4809690, 5297560, and others.
For informational purposes only, applicant's website address is: www.excellus.com
The owner's/holder's proposed attorney information: George R. McGuire. George R. McGuire of Bond, Schoeneck & King, PLLC, is a member of the XX bar, admitted to the bar in XXXX, bar
membership no. XXX, is located at
One Lincoln Center
Syracuse, New York 13202
United States
315-218-8515(phone)
3152188100(fax)
bskpto@bsk.com
The docket/reference number is 741T095.
George R. McGuire 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:
George R. McGuire
PRIMARY EMAIL FOR CORRESPONDENCE: bskpto@bsk.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED
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 $225 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /George R. McGuire/ Date: 07/29/2020
Signatory's Name: George R. McGuire
Signatory's Position: Applicant's Attorney, NY Bar Member
Signatory's Phone Number: 315-278-5604
Payment Sale Number: 90080055
Payment Accounting Date: 07/29/2020
Serial Number: 90080055
Internet Transmission Date: Wed Jul 29 09:54:36 ET 2020
TEAS Stamp: USPTO/FTK-XX.XXX.XXX.XXX-202007290954365
07787-90080055-74084e5e64891e23e6734c21b
fba44e5b4d297db189e4227c3034a83da4cfdd88
-DA-54360587-20200729094749880277