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:90327101
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.
No claim is made to the exclusive right to use Radiology apart from the mark as shown.
ATTORNEY INFORMATION
NAME
Michael J. Skiscim
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Vera + Skiscim
STREET
941 W. Morse Blvd, Ste. 100
CITY
Winter Park
STATE
Florida
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
32789-3781
PHONE
786-292-2668
FAX
786-292-1989
EMAIL ADDRESS
mjs@veraskiscim.com
OTHER APPOINTED ATTORNEY
Michael A. Vera
CORRESPONDENCE INFORMATION
NAME
Michael J. Skiscim
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
mjs@veraskiscim.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
e-service@veraskiscim.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
/Michael J. Skiscim/
* SIGNATORY'S NAME
Michael J. Skiscim
* SIGNATORY'S POSITION
Attorney of record
SIGNATORY'S PHONE NUMBER
786-292-2668
* 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:90327101
Filing Date:11/18/2020
To the Commissioner for Trademarks:
MARK: Insite Radiology (Standard Characters, see mark)
The literal element of the mark consists of Insite Radiology. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, QMG, LLC, a limited liability company legally organized under the laws of Florida, having an address of
201 S. Federal HWY
Hollywood, Florida 33020
United States
754-240-7994(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: Medical radiology services
Use in Commerce: The applicant is using the mark in commerce on or in connection with the identified goods/services. The applicant attaches, or will later submit, one specimen as a JPG/PDF image file
showing the mark as used in commerce on or in connection with any item in the class of listed goods/services, regardless of whether the mark itself is in the standard character format or is a
stylized or design mark. The specimen image file may be in color, and the image must be in color if color is being claimed as a feature of the mark.
In International Class 044, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least as early as 09/15/2020, and first used in commerce
at least as early as 09/15/2020, 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) Website. http://www.insite-radiology.com/.
Disclaimer
No claim is made to the exclusive right to use Radiology apart from the mark as shown.
The owner's/holder's proposed attorney information: Michael J. Skiscim. Other appointed attorneys are Michael A. Vera. Michael J. Skiscim of Vera + Skiscim, is a member of the XX bar, admitted
to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
941 W. Morse Blvd, Ste. 100
Winter Park, Florida 32789-3781
United States
786-292-2668(phone)
786-292-1989(fax)
mjs@veraskiscim.com
Michael J. Skiscim 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: /Michael J. Skiscim/ Date: 11/18/2020
Signatory's Name: Michael J. Skiscim
Signatory's Position: Attorney of record
Signatory's Phone Number: 786-292-2668
Payment Sale Number: 90327101
Payment Accounting Date: 11/18/2020
Serial Number: 90327101
Internet Transmission Date: Wed Nov 18 12:23:24 ET 2020
TEAS Stamp: USPTO/FTK-XX.XX.XXX.XXX-2020111812232411
3434-90327101-7503ba0ef2978875ee2d67f520
d01ea4b6f3eb39f539bcbfce7848746763b86cf-
CC-23223116-20201118111711795383