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
screen shot of web page from Applicant's website showing use of the mark in connection with Applicant's services and a means to
engage Applicant's services
ATTORNEY INFORMATION
NAME
Christopher J. Hussin
ATTORNEY DOCKET NUMBER
27363-33
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Boardman & Clark LLP
STREET
1 S. Pinckney St., Ste. 410
CITY
Madison
STATE
Wisconsin
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
53703
PHONE
608-257-9521
FAX
608-283-1709
EMAIL ADDRESS
docket_chussin@boardmanclark.com
OTHER APPOINTED ATTORNEY
Jason M. Hunt, Sheldon L. Wolfe
CORRESPONDENCE INFORMATION
NAME
Christopher J. Hussin
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
docket_chussin@boardmanclark.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
NOT PROVIDED
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
/Jason A. Fogg/
SIGNATORY'S NAME
Jason A. Fogg
SIGNATORY'S POSITION
Executive Vice President
SIGNATORY'S PHONE NUMBER
6082430824
DATE SIGNED
10/06/2020
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:90237780
Filing Date:10/06/2020
To the Commissioner for Trademarks:
MARK: WASI (Standard Characters, see mark)
The literal element of the mark consists of WASI. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Wisconsin Reinsurance Corporation, a corporation of Wisconsin, having an address of
2810 City View Drive
Madison, Wisconsin 53718
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 036: insurance claims adjusting services; insurance information and consultancy
In International Class 036, 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 04/29/1999, and first used in
commerce at least as early as 04/29/1999, 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) screen shot of web page from Applicant's website showing use of the mark in connection with Applicant's services and a means to engage
Applicant's services. Specimen File1
The owner's/holder's proposed attorney information: Christopher J. Hussin. Other appointed attorneys are Jason M. Hunt, Sheldon L. Wolfe. Christopher J. Hussin of Boardman & Clark 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
1 S. Pinckney St., Ste. 410
Madison, Wisconsin 53703
United States
608-257-9521(phone)
608-283-1709(fax)
docket_chussin@boardmanclark.com
The docket/reference number is 27363-33.
Christopher J. Hussin 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:
Christopher J. Hussin
PRIMARY EMAIL FOR CORRESPONDENCE: docket_chussin@boardmanclark.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 $275 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Jason A. Fogg/ Date: 10/06/2020
Signatory's Name: Jason A. Fogg
Signatory's Position: Executive Vice President
Payment Sale Number: 90237780
Payment Accounting Date: 10/06/2020
Serial Number: 90237780
Internet Transmission Date: Tue Oct 06 14:11:59 ET 2020
TEAS Stamp: USPTO/BAS-XXX.XXX.XXX.XX-202010061411592
64611-90237780-750af27195550cb42c5a77d1b
c861c714f22a2106c663622dcb32d9e1e546cc8e
c-CC-11585095-20201005131656466732