Trademark/Service Mark Application, Principal Register
PTO- 1478
Approved for use through 02/28/2021. OMB 0651-0009
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number
Trademark/Service Mark Application, Principal Register
TEAS Plus Application
Serial Number:90528856
Filing Date:02/15/2021
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.
The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Change Healthcare Holdings, LLC
DBA/AKA/TA/FORMERLY
DBA Change Healthcare Operations, LLC
*MAILING ADDRESS
3055 Lebanon Pike, Suite 1000
*CITY
Nashville
*STATE
(Required for U.S. applicants)
Tennessee
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
37214
PHONE
404-279-5070
*EMAIL ADDRESS
XXXX
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
Electronic storage of digital healthcare record for consumers and healthcare providers to track, monitor, access, and save healthcare
information and securely share status with others; Electronic data storage; Providing temporary use of on-line non-downloadable cloud computing software for digital healthcare record for
consumers and healthcare providers to track, monitor, access, and save healthcare information and securely share status with others
Approved for use through 02/28/2021. OMB 0651-0009
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number
Trademark/Service Mark Application, Principal Register
TEAS Plus Application
Serial Number:90528856
Filing Date:02/15/2021
To the Commissioner for Trademarks:
MARK: Vaccine Passport (Standard Characters, see mark)
The literal element of the mark consists of Vaccine Passport. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Change Healthcare Holdings, LLC, DBA Change Healthcare Operations, LLC, a limited liability company legally organized under the laws of Delaware, having an address of
3055 Lebanon Pike, Suite 1000
Nashville, Tennessee 37214
United States
404-279-5070(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: Electronic storage of digital healthcare record for consumers and healthcare providers to track, monitor, access, and save healthcare information and securely share
status with others; Electronic data storage; Providing temporary use of on-line non-downloadable cloud computing software for digital healthcare record for consumers and healthcare providers to
track, monitor, access, and save healthcare information and securely share status with others
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 042, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least as early as 12/09/2020, and first used in commerce
at least as early as 01/06/2021, 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) pdf of website showing mark used in commerce in connection with the identified services.
Webpage URL: http://www.changehealthcare.com/covid-19/digital-vaccination-records
Webpage Date of Access: 02/15/2021
The owner's/holder's proposed attorney information: Jasmine Jandrlich. Other appointed attorneys are Andrew Leba, Jennifer Miller. Jasmine Jandrlich of Change Healthcare, is a member of the XX
bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
3535 Piedmont Road, NE
3535 Piedmont Road, NE
Atlanta, Georgia 30305
United States
404-279-5070(phone)
jasmine.jandrlich@changehealthcare.com
Jasmine Jandrlich 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 $250 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Jasmine Jandrlich/ Date: 02/15/2021
Signatory's Name: Jasmine Jandrlich
Signatory's Position: Attorney of record, Alabama Bar member
Signatory's Phone Number: 404-279-5070
Signature method: Signed directly within the form
Payment Sale Number: 90528856
Payment Accounting Date: 02/16/2021
Serial Number: 90528856
Internet Transmission Date: Mon Feb 15 09:43:51 ET 2021
TEAS Stamp: USPTO/FTK-XX.XXX.XXX.XXX-202102150943510
71883-90528856-7702899102714acf0855a2883
5acffd2568bfa1b2e4a3cdbe8b6a072e28aefcd9
c-CC-43494385-20210215092847991122