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:90163323
Filing Date:09/07/2020
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
FloSpine
*MAILING ADDRESS
3651 FAU Blvd, Suite 400
*CITY
Boca Raton
*STATE
(Required for U.S. applicants)
Florida
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
33431
PHONE
561-705-3080
FAX
561-705-0720
*EMAIL ADDRESS
XXXX
WEBSITE ADDRESS
www.flospine.com
LEGAL ENTITY INFORMATION
*TYPE
LIMITED LIABILITY COMPANY
* STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED
Florida
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
010
*IDENTIFICATION
Surgical and medical apparatus and instruments for use in spinal surgery
*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
David Meibos
ATTORNEY DOCKET NUMBER
FLO-TM6
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Maywood IP Law
STREET
6800 North 2400 West
CITY
Amalga
STATE
Utah
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
84335
PHONE
801-677-0700
FAX
801-677-0500
EMAIL ADDRESS
dave@maywoodip.com
CORRESPONDENCE INFORMATION
NAME
David Meibos
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
dave@maywoodip.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
hayley@maywoodip.com; angela@maywoodip.com
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
/David Meibos/
* SIGNATORY'S NAME
David Meibos
* SIGNATORY'S POSITION
Attorney of Record; Utah Bar Member
SIGNATORY'S PHONE NUMBER
801-677-0700
* DATE SIGNED
09/07/2020
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:90163323
Filing Date:09/07/2020
To the Commissioner for Trademarks:
MARK: PANAMA (Standard Characters, see mark)
The literal element of the mark consists of PANAMA. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, FloSpine, a limited liability company legally organized under the laws of Florida, having an address of
3651 FAU Blvd, Suite 400
Boca Raton, Florida 33431
United States
561-705-3080(phone)
561-705-0720(fax)
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 010: Surgical and medical apparatus and instruments for use in spinal surgery
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 informational purposes only, applicant's website address is: www.flospine.com
The owner's/holder's proposed attorney information: David Meibos. David Meibos of Maywood IP Law, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located
at
6800 North 2400 West
Amalga, Utah 84335
United States
801-677-0700(phone)
801-677-0500(fax)
dave@maywoodip.com
The docket/reference number is FLO-TM6.
David Meibos 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 $225 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /David Meibos/ Date: 09/07/2020
Signatory's Name: David Meibos
Signatory's Position: Attorney of Record; Utah Bar Member
Signatory's Phone Number: 801-677-0700
Payment Sale Number: 90163323
Payment Accounting Date: 09/08/2020
Serial Number: 90163323
Internet Transmission Date: Mon Sep 07 12:40:58 ET 2020
TEAS Stamp: USPTO/FTK-XX.XX.XX.XXX-20200907124058513
119-90163323-750d9a6d79c4fa4fa773d2e1c5f
9bfe7f2d8accc8516f09314e547d3c3dffa147-C
C-40575743-20200907123404413460