Trademark/Service Mark Application, Principal Register
PTO- 1478
Approved for use through 09/30/2021. 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
Mirror Biologics, Inc.
*MAILING ADDRESS
4824 East Baseline Rd, Suite 113
*CITY
Mesa
*STATE
(Required for U.S. applicants)
Arizona
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
85206
*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
044
*IDENTIFICATION
Medical services for the treatment of proliferative and metastatic diseases
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Z. Peter Sawicki
ATTORNEY DOCKET NUMBER
M292.6002US1
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
WESTMAN, CHAMPLIN & KOEHLER, P.A.
STREET
121 South Eighth Street, Suite 1100
CITY
Minneapolis
STATE
Minnesota
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
55402
PHONE
612-334-3222
FAX
612-334-3312
EMAIL ADDRESS
psawicki@wck.com
OTHER APPOINTED ATTORNEY
Alan G. Rego; Brian D. Kaul; David D. Brush; Hallie A. Finucane; James L. Young; John D. Veldhuis-Kroeze; Judson K. Champlin; Leanne T.
Farrell; Mai-Tram D. Lauer; Amanda M. Prose; Peter J. Ims; Steven M. Koehler; Theodore M. Magee; Daniel J. Polglaze; Austen P. Zuege
CORRESPONDENCE INFORMATION
NAME
Z. Peter Sawicki
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
psawicki@wck.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
mneumann@wck.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
/Z. Peter Sawicki/
SIGNATORY'S NAME
Z. Peter Sawicki
SIGNATORY'S POSITION
Attorney of Record, Minnesota Bar member
SIGNATORY'S PHONE NUMBER
612-334-3222
DATE SIGNED
09/16/2021
SIGNATURE METHOD
Sent to third party for signature
PTO- 1478
Approved for use through 09/30/2021. 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:97031499
Filing Date:09/16/2021
To the Commissioner for Trademarks:
MARK: MIRROR (Standard Characters, see mark)
The literal element of the mark consists of MIRROR. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Mirror Biologics, Inc., a corporation of Delaware, having an address of
4824 East Baseline Rd, Suite 113
Mesa, Arizona 85206
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 044: Medical services for the treatment of proliferative and metastatic diseases
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: Z. Peter Sawicki. Other appointed attorneys are Alan G. Rego; Brian D. Kaul; David D. Brush; Hallie A. Finucane; James L. Young; John D.
Veldhuis-Kroeze; Judson K. Champlin; Leanne T. Farrell; Mai-Tram D. Lauer; Amanda M. Prose; Peter J. Ims; Steven M. Koehler; Theodore M. Magee; Daniel J. Polglaze; Austen P. Zuege. Z. Peter
Sawicki of WESTMAN, CHAMPLIN & KOEHLER, P.A., is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
121 South Eighth Street, Suite 1100
Minneapolis, Minnesota 55402
United States
612-334-3222(phone)
612-334-3312(fax)
psawicki@wck.com
The docket/reference number is M292.6002US1.
Z. Peter Sawicki 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: /Z. Peter Sawicki/ Date: 09/16/2021
Signatory's Name: Z. Peter Sawicki
Signatory's Position: Attorney of Record, Minnesota Bar member
Signatory's Phone Number: 612-334-3222
Signature method: Sent to third party for signature
Payment Sale Number: 97031499
Payment Accounting Date: 09/16/2021
Serial Number: 97031499
Internet Transmission Date: Thu Sep 16 18:04:36 ET 2021
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XXX-202109161804365
11622-97031499-781958a51eb492d73c9af7d28
545972355266a10ad7b1e5ddc86d636c86e8a34c
f-CC-04351328-20210916175759617830