PTO Form 1553 (Rev 4/2000)
`
`OMB Control #0651-0009 (Exp. 06/30/2005)
`
`Statement of Use Filing
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`SERIAL NUMBER
`
`76216175
`
`LAW OFFICE ASSIGNED
`
`LAW OFFICE 105
`
`NOTICE OF ALLOWANCE
`
`EXTENSION OF USE
`
`MARK SECTION
`
`YES
`
`NO
`
`MARK
`
`ASK MAYO CLINIC
`
`OWNER SECTION (no change)
`
`ATTORNEY SECTION
`
`NAME
`
`FIRM NAME
`
`Travis L. Bachman
`
`Dorsey & Whitney LLP
`
`INTERNAL ADDRESS
`
`Suite 1500
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`EMAIL
`
`50 South Sixth Street
`
`Minneapolis
`
`MN
`
`55402-1498
`
`USA
`
`612-340-2656
`
`612-340-8856
`
`ip.docket@dorsey.com
`
`AUTHORIZED TO COMMUNICATE VIA
`E-MAIL
`
`Yes
`
`DOCKET NUMBER
`
`18,917
`
`OTHER APPOINTED ATTORNEY
`
`David N. Fronek, Stuart R. Hemphill, Elizabeth C.
`Buckingham, Michael J. Kroll, Eric A. Priest, Paul
`Mussell
`
`

`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`KEEP EXISTING GOODS AND/OR
`SERVICES
`
`FIRST USE ANYWHERE DATE
`
`FIRST USE IN COMMERCE DATE
`
`SPECIMEN(cid:160)FILE NAME(S)
`
`042
`
`YES
`
`08/31/2002
`
`08/31/2002
`
`\\ticrs\EXPORT8\IMAGEOUT8
`\762\161\76216175\xml1\SO U0002.JPG
`
`\\ticrs\EXPORT8\IMAGEOUT8
`\762\161\76216175\xml1\SO U0003.JPG
`
`\\ticrs\EXPORT8\IMAGEOUT8
`\762\161\76216175\xml1\SO U0004.JPG
`
`\\ticrs\EXPORT8\IMAGEOUT8
`\762\161\76216175\xml1\SO U0005.JPG
`
`SPECIMEN DESCRIPTION
`
`four page brochure
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`SUBTOTAL AMOUNT
`
`TOTAL AMOUNT
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY NAME
`
`SIGNATORY DATE
`
`SIGNATORY POSITION
`
`FILING INFORMATION
`
`1
`
`100
`
`100
`
`/Daniel S. Goldman/
`
`Daniel S. Goldman
`
`12/22/2003
`
`Legal Counsel
`
`SUBMIT DATE
`
`Mon Dec 22 16:01:33 EST 2003
`
`TEAS STAMP
`
`USPTO/SOU-XXX.XX.XXX.X-20
`031222160133857061-762161
`75-200dbda319682271e26a55
`96ebc31fc069-RAM-160-2003
`1221163838844046
`
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)
`

`
`PTO Form 1553 (Rev 4/2000)
`
`OMB Control #0651-0009 (Exp. 06/30/2005)
`
`Trademark/Service Mark Statement of Use
`(15 U.S.C. Section 1051(d))
`To the Commissioner for Trademarks:
`
`MARK:(cid:160)ASK MAYO CLINIC
`SERIAL NUMBER:(cid:160)76216175
`
`This Allegation of Use is being filed after a Notice of Allowance has issued.
`
`The applicant, Mayo Foundation for Medical Education and Research, residing at 200 First Street
`Southwest , Rochester, MN US 55905, is using or is using through a related company or licensee the mark
`in commerce on or in connection with the goods and/or services as follows:
`
`For International Class: 042, the applicant, or the applicant's related company or licensee, is using the
`mark in commerce on or in connection with all goods and/or services listed in the application or Notice of
`Allowance.
`The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in
`interest at least as early as 08/31/2002, and first used in commerce at least as early as 08/31/2002, and is
`now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as
`used in commerce on or in connection with any item in the class, consisting of a(n) four page brochure.
`Specimen-1
`Specimen-2
`Specimen-3
`Specimen-4
`
`The applicant hereby appoints Travis L. Bachman and David N. Fronek, Stuart R. Hemphill, Elizabeth C.
`Buckingham, Michael J. Kroll, Eric A. Priest, Paul Mussell of (cid:160)Dorsey & Whitney LLP, Suite 1500, 50
`South Sixth Street, Minneapolis, MN USA 55402-1498 to submit this Statement of Use Filing on behalf of
`the applicant. The attorney docket/reference number is 18,917.
`
`A fee payment in the amount of $100 will be submitted with the form, representing payment for 1 class.
`
`Declaration
`
`Applicant requests registration of the above-identified trademark/service mark 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). Applicant is the owner of the mark sought to be registered, and is using the
`mark in commerce on or in connection with the goods/services identified above, as evidenced by the
`attached specimen(s) showing the mark as used in commerce.
`
`The undersigned being hereby warned that willful false statements and the like are punishable by fine or
`imprisonment, or both, under 18 U.S.C. Section 1001, and that such willful false statements and the like
`may jeopardize the validity of this document, declares that he/she is properly authorized to execute this
`
`

`
`document on behalf of the Owner; and all statements made of his/her own knowledge are true and that all
`statements made on information and belief are believed to be true.
`
`Signature: /Daniel S. Goldman/(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Date: 12/22/2003
`Signatory's Name: Daniel S. Goldman
`Signatory's Position: Legal Counsel
`
`Mailing Address:
`(cid:160)(cid:160)(cid:160)Dorsey & Whitney LLP
`(cid:160)(cid:160)(cid:160)Suite 1500
`(cid:160)(cid:160)(cid:160)50 South Sixth Street
`(cid:160)(cid:160)(cid:160)Minneapolis, MN 55402-1498
`
`RAM Sale Number: 160
`RAM Accounting Date: 12/23/2003
`
`Serial Number: 76216175
`Internet Transmission Date: Mon Dec 22 16:01:33 EST 2003
`TEAS Stamp: USPTO/SOU-XXX.XX.XXX.X-20031222160133857
`061-76216175-200dbda319682271e26a5596ebc
`31fc069-RAM-160-20031221163838844046
`
`

`
`A Mayo Clinic
`
`Reliable answers from your 24-hour nurse line
`
`

`
`Redirecting Callers to the
`Appropriate Level of Care
`
`Ask Mayo Clinic tmclrs and reports
`the level rifctzre the CflllC?'i7’IfE31Z£lP.£l to
`seek be/‘ore calling and compares it with
`our nurse's rzmipaiiit i'cc0mme7idriti071..
`
`Redirecting callers to more appropri-
`ate care (such as primriry care iiisteriri
`of the cziiiergericy riiumfiir 710714/LTg€KLf
`coiiditioiis) can result in sigiiificriiit
`cost saviii.gsf0i' empl0yci'—fiuuicd
`liealtli plans.
`
`22%
`Redirect
`to lifgliei-'
`level ofcare
`
`33%
`Agree with
`caller
`
`40% Redirect
`to lower level
`ofctzre
`
`£0 percent qfcallers are reziirected to a
`lower‘ (less ciricigciif) level qfciirc them
`their origiiial intention.
`
`Symptom Call Outcomes
`
`After spealciiig with rm Ask Mayo
`Clinic nurse, callers chose the
`
`fbllowiiig options:
`I Self-care: 33%
`I Call pi'0i:1'ricr: 30%
`I Urgent care; 23%
`I Pi'imii1'y care appoiritmeiit: 12%
`I Emergericy procedure: 2%
`
`Cullers chose primary or self-care by
`11 3:] margin over 1i1'geiit/cmcrgcricy
`CUTE.
`
`Ask Mayo Clinic
`
`Reliable LiTlSTU€7’S from your 24-hour nurse line
`
`Ask Mayo Clinic is a strategic resource that helps employees make
`
`informed health care decisions. When employees and their families
`
`choose the right level of care for illnesses and injuries, everyone benefits.
`
`Patients receive the care they need in an appropriate setting, saving
`
`them valuable time and money; payors can be confident that the claims
`
`they pay are for necessary and appropriate treatment.
`
`Ask Mayo Clinic offers a wide range of services, incl uding:
`
`'I'riage—Phone—based support for your employees and their families,
`
`24 hours a day, 365 days a year. Experienced registered nurses help
`
`callers choose the right level of care for illnesses and injuries. Ask Mayo
`
`Clinic nurses also answer general health questions and help callers
`
`understand and follow their physician's instructions.
`
`Triage PIus—ln addition to the phone—based Triage level services,
`
`Triage Plus members receive educational materials tailored to their
`
`individual needs and mailed directly to their homes. This valuoadded
`
`service gives your employees the reliable health information they need
`
`to manage ongoing medical conditions, understand a new diagnosis
`
`or make lifestyle changes to protect their health.
`
`Welcome caIIs—You may choose to have an Ask Mayo Clinic nurse
`
`make a proactive call to your employees’ homes to welcome them to
`
`the service. The welcome call nurse will explain the service, answer
`
`any questions and offer an immediate transfer to a triage nurse for any
`
`current symptoms or conditions. Welcome calls are an effective way to
`
`launch Ask Mayo Clinic and to maintain utilization, which can decrease
`
`the unnecessary use of high—cost emergency services.
`
`Outbound education caIIs—Ask Mayo Clinic registered nurses
`
`can make outbound calls to support your organization's health and
`
`Wellness initiatives. Typical topics include mammogram, immunization
`
`and child/ teen check-up reminders and car seat safety instructions.
`
`Outbound education calls are a valuable addition to your preventive
`
`care strategy for maintaining and improving employee health.
`
`

`
`compare nurse lines and we think you'll agree that Ask Mayo Clinic
`
`is in a class by itself. Every call to Ask Mayo Clinic is answered by
`
`an experienced registered nurse—no intake assistants, ”information
`
`specialists” or recorded health messages. And that’s just the beginning
`
`of the high quality, personal attention your employees will receive from
`
`Ask Mayo Clinic.
`
`Reliable health information. Ask Mayo Clinic nurses have access
`
`to the latest print and online references from Mayo Clinic, so callers
`
`receive reliable and up-to-date information. And because we are affiliated
`
`with Mayo Clinic, our nurses can consult with top Mayo Clinic specialists
`
`for complex cases. Sound nursing judgment, excellent clinical resources
`
`and a staff average of 18 years clinical experience make Ask Mayo Clinic
`
`the ideal health resource for your organization.
`
`Technology guided by clinical expertise. One of the greatest advan-
`
`tages of Ask Mayo Clinic is the algorithm—based triage software our
`
`nurses use. Based on the symptoms described by the caller, our nurses
`can choose from more than 500 algorithms to help them reach an end-
`
`point recommendation for care. The use of algorithms ensures that
`
`life-threatening symptoms will be recognized early in the conversation
`
`so the caller can be referred for treatment. Algorithms also promote
`
`consistency in recommendations from call to call.
`
`Satisfaction Survey Results
`
`As these excerpts from our satisfaction siirvey show, members have extreniely high levels of
`sntisfiiction with the nurses and with the infbrnzntinn tliey receivefrom Ask Mayo Clinic.
`
`0VGrfi“a Which 33651 describes
`Y0“? eXDefiefl¢e When You Called
`ASK Mayo Clinic?
`
`The nurse expressed a sincere
`interest in helping you with your
`concerns.
`
`33%
`Ex“’"‘’‘”/
`Very Good
`
`Gflfld
`
`2% Fair
`
`99%
`St1'onr'rl_i/ Arn'ee/
`Ag,-33°
`O
`V 1%
`
`Disngree/
`Strongly Disagree
`
`The Reassurance
`of Reliable Answers
`
`Ask Mayo Clinic oflzérs your
`employees the convenience and
`rmssumnce ofspeakiiig to n regis-
`tered nurse zuhen health questions
`and concerns arise‘ Good henltti.
`
`care decisions are biased on good
`fnforrncrtion. Ask Mayo Clinic
`nurses [l1'L?.Zl? on the resources of
`Mayo Clinic to provide reliable
`infornzntinn that helps your
`employees beconie iiifornierl health
`CflTE ($071511 l’i7.(?l'S.
`
`Night and day, Ask Mayo
`Clinic answers questions
`like these:
`
`I ll/ly baby just woke up with it
`1U2—riegreefez=er. Do we need,’ to
`go to the emergency room, or CH?!
`we wait to see our doctor in the
`
`nzornirig?
`I Is ice or heat lietterfor iny sure
`back?
`
`I How can I tell ifiny stitches
`lume become infected?
`I My doctor says I have diabetes.
`M/lzere can 1 find information
`about this conilition?
`
`

`
`Integrated products" and
`services from MMSI:
`
`I Ask Mayo Clinic 24-hour nurse line
`I Mayo Clinic Tobacco Quitline
`I Pregrrancy Care P1'ogro.m
`I Condition lvlanagement programs
`I MA/lSl Adniinistrative Serziices
`
`I M/‘\/IS l Pharmacy Benefit Services
`I Provider Network Ma1'1age1;»zent
`
`Also available through our
`affiliation with Mayo Clinic:
`I MayoClinic.com, a customized
`onlinc health information service
`I Online Health Risk Assessment
`
`I Mayo Clinic HealthQuest neu'slettci'
`I Mayo Clinic Guide to Self—Care
`I Mayo Clinic newsletters, essays,
`booklets, reference books and special
`reports
`
`Making a difference every day. Ask Mayo Clinic nurses have a
`
`passion for helping people. Most of our nurses come to us with many
`
`years experience in bedside nursing at Mayo Clinic's affiliated hospitals.
`
`Their continuing dedication to excellence is evident in the professional,
`
`personal attention they give to each caller. Here's what our clients and
`
`members say about Ask Mayo Clinic:
`
`”I have heard many, many good things about Ask Mayo Clinic. Our employ-
`
`ees are notoriousfor only telling me their problems. This is one service about
`
`which I have only heard great reports. Keep up the good zoorkl"
`—Personnel in one get, I 2,000 employees
`
`"Thank you for allowing us to use the 24-hour nurse line [Ask Mayo Clinic].
`
`It saved me from the stress of the emergency room, and reassured me it was
`
`okay to wait until morning to see my daughter's physician."
`Member comment to employer on .3 satisfacti on survey
`
`"IOne of our employees] had a need to contact Ask Mayo Clinic three times
`
`this week, and could not say enough good things about how helpful they
`
`were. She was confused and scared, and it was a comfort for us to be able to
`
`l'£’fi’..‘r‘ l‘l€f’
`
`l0 l’lI.iS SE1”Z7lC£’.. H
`
`—H1u_nan Resources inanager, ll,DDO employees
`
`"I called about my 22-year-old son who was having severe stomach pain and
`
`symptoms of the flu or food poisoning. The nurse also talked to my son and
`
`she encouraged me to take him to the ER. He had appendicitis. lt's really nice
`
`to know you can call and talk to a human being any time of the day or niglzt
`
`when you have questions about illnesses or injuries!"
`
`—Member
`
`For more information about Ask Mayo Clinic or other products
`
`and services from MMSI, call 1-888-823-2633.
`
`l\/ll\/lSl
`
`4001 41st Street NW
`Rochester, Minnesota 55901
`
`MC0000/00
`
`@2002 ,\.£MSl. All Rights Reserved. Mayo. Mayo Clinic, Ask Miyo Clinic, Mayo Clinic Tobacco
`Quitlinc are Lradcinarlcs and service marks of Mayo Foundation for Medical Education and
`Iiesealrli. Ask Mayo Cllltilfl is H product of MM§|, A Mayo Health Conipany.
`
`

`
`FEE RECORD SHEET
`
`Serial Number:
`
`76216175
`
`RAM Sale Number: 160
`
`Total Fees:
`
`$100
`
`RAM Accounting Date: 20031223
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Total
`Number
`of Classes @
`
`Statement of Use (SOU)
`
`12/22/2003
`
`$100
`
`$100
`
`

`
`‘Statement of Use Filing“
`
`L
`
`.
`
`Page I of 5
`
`PTO Form 1553 (Rev 4/2000)
`
`OMB Control #0657-0009 (Exp. O8l31/2004)
`
`Statement of Use Filing
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`7616175
`
`S
`
`AS MAYO CLINIC
`
`Mao Foundation for Medical Education and
`Research
`
`S 200 First Street Southwest
`
`Rochester
`
`C
`
`SERIAL NUMBER
`
`MARK SECTION
`LITERAL ELEMENT
`
`OWNER SECTION
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`ATTORNEY SECTION
`
`’
`
`5
`
`4
`
`Travis L. Bachman
`
` Dorsey & Whitney LLP
`Suie 1500
`50 outh Sixth Street
`
`A
`
`ZIP/POSTAT. coma
`
`554o2-1498
`
`couxmzy
`
`PHONE
`
`.
`
`USA
`
`S
`
`"
`
`612-340-2656
`
`.
`
`_ 612-34°-8856
`
`4
`
`
`
`
`
`‘
`
`ip.docket@dorsey.com
`
`

`
`-Statement of Use Filing 0
`
`A
`
`Page 2A of 5
`
`AUTHORIZED EMAIL COMMUN_ICATION
`
`Yes
`
`ATTORNEY DOCKET NUMBER
`
`18,917
`
`OTHER APPOINTED ATTORNEY(S) ‘
`
`David N. Fronek, Stuart R. Hemphill,
`Elizabeth C. Buckingham, Michael J . Kroll,
`Eric A. Priest, Paul Mussell
`
`LAW OFFICE ASSIGNED
`
`LAW OFFICE 105
`
`,
`
`NOTICE OF ALLOWANCE
`
`EXTENSION OF USE T
`
`KEEP EXISTING GOODS AND/OR
`SERVICES
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`FIRST USE ANYWHERE DATE
`
`EEEEEMEE EEEE EAMEE)
`
`—
`
`08/31/2002
`08/ 1/2002
`
`SpecimenPage1.'pg
`
`1701121251-21163742269-
`
`SpecimenPage2.‘pg
`
`1701121251-21 163801640-
`
`SpecimenPa‘ge3.ipg
`
`1701121251-21163812118
`
`SpecimenPage§Ljpg
`
`SIGNATURE SECTION
`
`A
`
`s. eowmam
`
`SIGNATORY POSITON
`I
`
`NUMBER OF CLASSES
`
`SUBTOTAL AMOUNT
`
`TOTAL AMOUNT
`
`RAM SALE NUMBER
`
`

`
`Statement of Use Filing“
`
`\
`
`Page 3 of 5
`
`RAM ACCOUNTING DATE
`
`20031223
`
`FILING INFORNIATION
`
`TEAS STAMP
`
`USPTO/SOU-172.30.230.5-
`
`‘20031222160133857061-76216175-
`200dbda319682271e26a5596ebc31fcO69-
`RAM—160—2003122l163838844046
`
`_
`
`

`
`«Statement of Use Filing“
`
`PTO Form 1553 (Rev 4/2000)
`
`OMB Controi #G651—OO09 (Exp. O8/31/2004)
`
`Page 4 01° 5
`
`Trademark/Service Mark Statement of Use
`
`(15 U.S.C. Section l051(d))
`
`To the Commissioner for Trademarks:
`
`MARK: ASK MAYO CLINIC
`SERIAL NUMBER: 76216175
`
`‘ This Allegation of Use is being filed after a Notice of Allowance has issued.
`
`The applicant, Mayo Foundation for Medical Education and Research, residing at 200 First Street
`Southwest , Rochester, MN US 55905, is using or is using through a related company the mark in
`commerce on or in connection with the goods and/or services as follows:
`
`For International Class: 042 all goods and/or services as listed in the Notice of Allowance.
`The mark was first used at least as early as 08/31/2002, and first used in commerce at least as early as
`08/31/2002, and is now in use in such commerce. The applicant is submitting one specimen for the class
`showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n)
`four page brochure
`,
`.
`Specimen-1 [1701 121251-21163723344-SpecimenPagel.jpg ]
`Specimen-2 [1701 121251-2ll63742269-SpecimenPage2.jpg ]
`Specimen-3 [1701 121251-21 163801640—SpecimenPage3.jpg ]
`SP_e§_imen—4 [1701121251-21163812118-SpecimenPage4.jpg ]
`
`A fee paymentfin the amount of $100 will be submitted with the form, representing payment for 1 class.
`
`Declaration
`
`Applicant requests registration of the above-identified trademark/service mark 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). Applicant is the owner of the mark sought to be registered, and is
`using the mark in commerce on orin connection with the goods/services identified above, as evidenced
`by the attached specimen(s) showing the mark as used in commerce.
`
`The undersigned being hereby warned that willful false statements and the like arepunishable by fine or
`imprisoimnent, or both, under 18 U.S.C. Section 1001, and that such willful false statements and the like
`may jeopardize the Validity of this document, declares that he/she is properly authorized to execute this
`document on behalf of the Owner; and all statements made of his/her own knowledge are true and that
`all statements made on information and belief are believed to be true.
`
`Signature: /Daniel S. Goldman/ Date: 12/22/2003
`Signatoiys Name: Daniel S. Goldman
`Signatory’s Position: Legal Counsel
`
`

`
`statement of Use Filing D
`
`T
`
`A
`
`Page 5 of 5
`
`

`
`O
`
`I
`
`
`
`7.,[~«o3
`
`FEE
`
`CORD SHEET
`
`Serial Number: 76216175
`
`RAM Sale Number: 160
`
`*
`
`« Total Fees:
`
`$100
`
`RAM Accounting Date: 20031223
`
`HllflllllillllllHlllllllllllllllllllllllllilllll
`
`Transaction
`
`Fee
`Code
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Total
`FLEQ
`
`Statement of Use (SOU)
`
`7003
`
`12/22/2003
`
`$100
`
`$100