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
Alpha II LLC
INTERNAL ADDRESS
General Counsel
*MAILING ADDRESS
2074 Summit Lake Drive
*CITY
Tallahassee
*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)
32317
PHONE
850-402-3515
*EMAIL ADDRESS
XXXX
WEBSITE ADDRESS
www.alphaii.com
LEGAL ENTITY INFORMATION
TYPE
limited liability company
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
042
*IDENTIFICATION
Software as a service (SAAS) services featuring software for the user to provide clinical information that was documented in the medical
record by a healthcare provider during a patient encounter for the purpose of generating the correct level of service for the evaluation and management code used on a health insurance claim.
Two specimens provided. One is a brochure describing the E&M Generate software. The second is a screenshot of the company webpage
for the E&M Generate software. http://www.alphaii.com/solutions/emgenerate screenshot taken 6/15/2020
ATTORNEY INFORMATION
NAME
Thompkins White
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
INTERNAL ADDRESS
General Counsel
STREET
2074 Summit Lake Drive
CITY
Tallahassee
STATE
Florida
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
32317
PHONE
850-402-3515
EMAIL ADDRESS
thompkinsw@gmail.com
CORRESPONDENCE INFORMATION
NAME
Thompkins White
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
thompkinsw@gmail.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
thompkins.white@alphaii.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
/thompkins w white/
SIGNATORY'S NAME
Thompkins W. White
SIGNATORY'S POSITION
General Counsel
SIGNATORY'S PHONE NUMBER
850-402-3515
DATE SIGNED
09/11/2020
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:90175183
Filing Date:09/11/2020
To the Commissioner for Trademarks:
MARK: E&M Generate (Standard Characters, see mark)
The literal element of the mark consists of E&M Generate. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Alpha II LLC, a limited liability company legally organized under the laws of Delaware, having an address of
General Counsel
2074 Summit Lake Drive
Tallahassee, Florida 32317
United States
850-402-3515(phone)
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 042: Software as a service (SAAS) services featuring software for the user to provide clinical information that was documented in the medical record by a healthcare provider
during a patient encounter for the purpose of generating the correct level of service for the evaluation and management code used on a health insurance claim.
In International Class 042, the mark was first used by the applicant or the applicant's related company or licensee or predecessor in interest at least as early as 09/08/2014, and first used in
commerce at least as early as 09/08/2014, and is now in use in such commerce. The applicant is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any
item in the class of listed goods/services, consisting of a(n) Two specimens provided. One is a brochure describing the E&M Generate software. The second is a screenshot of the company webpage
for the E&M Generate software. http://www.alphaii.com/solutions/emgenerate screenshot taken 6/15/2020.
For informational purposes only, applicant's website address is: www.alphaii.com
The owner's/holder's proposed attorney information: Thompkins White. Thompkins White, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at
General Counsel
2074 Summit Lake Drive
Tallahassee, Florida 32317
United States
850-402-3515(phone)
thompkinsw@gmail.com
Thompkins White 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: /thompkins w white/ Date: 09/11/2020
Signatory's Name: Thompkins W. White
Signatory's Position: General Counsel
Payment Sale Number: 90175183
Payment Accounting Date: 09/11/2020
Serial Number: 90175183
Internet Transmission Date: Fri Sep 11 17:16:37 ET 2020
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XX-2020091117163734
9888-90175183-750eaae881ff44a52ef8c6759d
9d371a4ec7443c19eacce68059695f21de329115
-CC-16360109-20200911165318081218