FLOW GRAPH SOURCED PROBLEM ORIENTED EHR DATA RETRIEVAL SYSTEM
Howard MD, Joseph D.
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:90326841
Filing Date:11/18/2020
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.
FLOW GRAPH SOURCED PROBLEM ORIENTED EHR DATA RETRIEVAL SYSTEM
*MARK STATEMENT
The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Howard MD, Joseph D.
*MAILING ADDRESS
1224 Ceylon Drive
*CITY
Gulf Breeze
*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)
32561
PHONE
850-572-1331
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
*TYPE
INDIVIDUAL
* COUNTRY/REGION/JURISDICTION/U.S. TERRITORY OF CITIZENSHIP
United States
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
044
*IDENTIFICATION
Consulting services in the field of medical care
*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) 5387738.
*CONSENT (NAME/LIKENESS)
(if applicable)
*CONCURRENT USE CLAIM
(if applicable)
ATTORNEY INFORMATION
NAME
J. Nevin Shaffer, Jr.
ATTORNEY DOCKET NUMBER
227-1644
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
J. Nevin Shaffer, Jr., P.A.
INTERNAL ADDRESS
Suite 43
STREET
913 Gulf Breeze Parkway
CITY
Gulf Breeze
STATE
Florida
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
32561
PHONE
850-934-4124
FAX
850-934-4143
EMAIL ADDRESS
nevin@jnevinshaffer.com
CORRESPONDENCE INFORMATION
NAME
J. Nevin Shaffer, Jr.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
nevin@jnevinshaffer.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
/J. Nevin Shaffer, Jr./
* SIGNATORY'S NAME
J. Nevin Shaffer, Jr.
* SIGNATORY'S POSITION
Attorney of record, Alabama, Florida and Texas bar member
SIGNATORY'S PHONE NUMBER
850-934-4124
* DATE SIGNED
11/18/2020
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:90326841
Filing Date:11/18/2020
To the Commissioner for Trademarks:
MARK: FLOW GRAPH SOURCED PROBLEM ORIENTED EHR DATA RETRIEVAL SYSTEM (Standard Characters, see mark)
The literal element of the mark consists of FLOW GRAPH SOURCED PROBLEM ORIENTED EHR DATA RETRIEVAL SYSTEM. The mark consists of standard characters, without claim to any particular font style, size,
or color.
The applicant, Joseph D. Howard MD, a citizen of United States, having an address of
1224 Ceylon Drive
Gulf Breeze, Florida 32561
United States
850-572-1331(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 044: Consulting services in the field of medical care
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)).
Claim of Active Prior Registration(s)
The applicant claims ownership of active prior U.S. Registration Number(s) 5387738.
The owner's/holder's proposed attorney information: J. Nevin Shaffer, Jr.. J. Nevin Shaffer, Jr. of J. Nevin Shaffer, Jr., P.A., is a member of the XX bar, admitted to the bar in XXXX, bar
membership no. XXX, is located at
Suite 43
913 Gulf Breeze Parkway
Gulf Breeze, Florida 32561
United States
850-934-4124(phone)
850-934-4143(fax)
nevin@jnevinshaffer.com
The docket/reference number is 227-1644.
J. Nevin Shaffer, Jr. 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:
J. Nevin Shaffer, Jr.
PRIMARY EMAIL FOR CORRESPONDENCE: nevin@jnevinshaffer.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: /J. Nevin Shaffer, Jr./ Date: 11/18/2020
Signatory's Name: J. Nevin Shaffer, Jr.
Signatory's Position: Attorney of record, Alabama, Florida and Texas bar member
Signatory's Phone Number: 850-934-4124
Payment Sale Number: 90326841
Payment Accounting Date: 11/18/2020
Serial Number: 90326841
Internet Transmission Date: Wed Nov 18 10:47:12 ET 2020
TEAS Stamp: USPTO/FTK-XXX.XXX.XXX.XXX-20201118104712
028346-90326841-750bd406174c817727f5a252
5ec2559125c9abc469f7cde4a0f1cdc073db25e0
c4-CC-47101356-20201118103733030464