Trademark/Service Mark Application, Principal Register
PTO- 1478
Approved for use through 05/31/2021. 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
The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Healthcare Foundry NewCo-1, Inc.
*MAILING ADDRESS
830 Menlo Ave #100
*CITY
Menlo Park
*STATE
(Required for U.S. applicants)
California
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
94025
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
036
*IDENTIFICATION
Insurance services, namely, underwriting, issuance and administration of health insurance; administration of a Medicare Advantage Plan and
other commercial health care insurance plans; issuance of health insurance; insurance administration.
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Lindsay Cohen Schneider
ATTORNEY DOCKET NUMBER
3006282.3
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Bryan Cave Leighton Paisner LLP
STREET
211 N. Broadway, Suite 3600
CITY
Saint Louis
STATE
Missouri
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
63102
PHONE
314-259-2000
FAX
3142592020
EMAIL ADDRESS
bcipdocketing@bclplaw.com
OTHER APPOINTED ATTORNEY
Nicole Grembocki, Matthew G. Minder, Mark A. Paskar, Steven G. Trubac, David A. Roodman, J. Bennett Clark, Erik Wolff Kahn, Daniel A. Crowe,
Marcy J. Bergman, Lucinda Althauser, George C. Chen, K. Lee Marshall, Emma Harty, Nick E. Williamson, Jill Chalmers, Katherine Keating, and other intellectual property attorneys from the law
firm
CORRESPONDENCE INFORMATION
NAME
Lindsay Cohen Schneider
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
bcipdocketing@bclplaw.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
lindsay.schneider@bclplaw.com
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Standard
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
350
*TOTAL FEES DUE
350
*TOTAL FEES PAID
350
SIGNATURE INFORMATION
SIGNATURE
/Brian Lovett/
SIGNATORY'S NAME
Brian Lovett
SIGNATORY'S POSITION
Co-Founder
SIGNATORY'S PHONE NUMBER
314-259-2481
DATE SIGNED
05/24/2021
SIGNATURE METHOD
Sent to third party for signature
PTO- 1478
Approved for use through 05/31/2021. 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
Serial Number:90732635
Filing Date:05/25/2021
To the Commissioner for Trademarks:
MARK: BELONG (Standard Characters, see mark)
The literal element of the mark consists of BELONG. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Healthcare Foundry NewCo-1, Inc., a corporation of Delaware, having an address of
830 Menlo Ave #100
Menlo Park, California 94025
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 services, namely, underwriting, issuance and administration of health insurance; administration of a Medicare Advantage Plan and other commercial health care
insurance plans; issuance of health insurance; insurance administration.
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: Lindsay Cohen Schneider. Other appointed attorneys are Nicole Grembocki, Matthew G. Minder, Mark A. Paskar, Steven G. Trubac, David A. Roodman, J.
Bennett Clark, Erik Wolff Kahn, Daniel A. Crowe, Marcy J. Bergman, Lucinda Althauser, George C. Chen, K. Lee Marshall, Emma Harty, Nick E. Williamson, Jill Chalmers, Katherine Keating, and other
intellectual property attorneys from the law firm. Lindsay Cohen Schneider of Bryan Cave Leighton Paisner 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
211 N. Broadway, Suite 3600
Saint Louis, Missouri 63102
United States
314-259-2000(phone)
3142592020(fax)
bcipdocketing@bclplaw.com
The docket/reference number is 3006282.3.
Lindsay Cohen Schneider 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 $350 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Brian Lovett/ Date: 05/24/2021
Signatory's Name: Brian Lovett
Signatory's Position: Co-Founder
Signatory's Phone Number: 314-259-2481
Signature method: Sent to third party for signature
Payment Sale Number: 90732635
Payment Accounting Date: 05/25/2021
Serial Number: 90732635
Internet Transmission Date: Tue May 25 10:08:13 ET 2021
TEAS Stamp: USPTO/BAS-XXX.XX.XX.XX-20210525100813457
448-90732635-78098eca7620e26065c8f6b5d6e
9bcf2c33c11eff9541e62d7fa72547a57fbc79c-
DA-08131814-20210524173610734348