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
IHC Health Services, Inc.
*MAILING ADDRESS
36 South State Street, Suite 2200
*CITY
Salt Lake City
*STATE
(Required for U.S. applicants)
Utah
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
84111
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
TYPE
non-profit corporation
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED
Utah
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
016
*IDENTIFICATION
Questionnaires to collect, assess, and evaluate the social determinants of a patient's health
FILING BASIS
SECTION 1(b)
INTERNATIONAL CLASS
044
*IDENTIFICATION
Health consulting and assessment services, namely, providing a questionnaire to collect, assess, and evaluate the social determinants of a
patient's health
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Joshua G. Gigger
ATTORNEY DOCKET NUMBER
33629/9
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Stoel Rives LLP
STREET
201 South Main Street, Suite 1100
CITY
Salt Lake City
STATE
Utah
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
84111
PHONE
801-328-3131
FAX
801-578-6999
EMAIL ADDRESS
tm-slc@stoel.com
OTHER APPOINTED ATTORNEY
Catherine Parrish Lake and Richard C. Scoville
CORRESPONDENCE INFORMATION
NAME
Joshua G. Gigger
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
tm-slc@stoel.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
NOT PROVIDED
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Standard
NUMBER OF CLASSES
2
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEES DUE
550
*TOTAL FEES PAID
550
SIGNATURE INFORMATION
SIGNATURE
/Greg J Matis/
SIGNATORY'S NAME
Greg J Matis
SIGNATORY'S POSITION
VP and Deputy General Counsel
SIGNATORY'S PHONE NUMBER
(801) 442-3435
DATE SIGNED
09/29/2020
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:90222581
Filing Date:09/29/2020
To the Commissioner for Trademarks:
MARK: SOCIAL CHECK (Standard Characters, see mark)
The literal element of the mark consists of SOCIAL CHECK. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, IHC Health Services, Inc., a non-profit corporation legally organized under the laws of Utah, having an address of
36 South State Street, Suite 2200
Salt Lake City, Utah 84111
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 016: Questionnaires to collect, assess, and evaluate the social determinants of a patient's health
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.
International Class 044: Health consulting and assessment services, namely, providing a questionnaire to collect, assess, and evaluate the social determinants of a patient's health
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: Joshua G. Gigger. Other appointed attorneys are Catherine Parrish Lake and Richard C. Scoville. Joshua G. Gigger of Stoel Rives LLP, is a
member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
201 South Main Street, Suite 1100
Salt Lake City, Utah 84111
United States
801-328-3131(phone)
801-578-6999(fax)
tm-slc@stoel.com
The docket/reference number is 33629/9.
Joshua G. Gigger 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:
Joshua G. Gigger
PRIMARY EMAIL FOR CORRESPONDENCE: tm-slc@stoel.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 $550 has been submitted with the application, representing payment for 2 class(es).
Declaration
Declaration Signature
Signature: /Greg J Matis/ Date: 09/29/2020
Signatory's Name: Greg J Matis
Signatory's Position: VP and Deputy General Counsel
Payment Sale Number: 90222581
Payment Accounting Date: 09/29/2020
Serial Number: 90222581
Internet Transmission Date: Tue Sep 29 17:50:46 ET 2020
TEAS Stamp: USPTO/BAS-XXX.XX.XXX.XX-2020092917504605
8705-90222581-7502c99108e4e3b93a76b98227
19255957147cdac2283ff67fa837b9fa6d8dd129
-CC-50448435-20200922113844273588