The American Foundation for Firearm Injury Reduction in Medicine
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
The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
The American Foundation for Firearm Injury Reduction in Medicine
*STREET
P.O. Box 503
*CITY
Williamstown
*STATE
(Required for U.S. applicants)
Massachusetts
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
01267
LEGAL ENTITY INFORMATION
TYPE
non-profit corporation
STATE/COUNTRY WHERE LEGALLY ORGANIZED
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
036
*IDENTIFICATION
Promoting charitable giving and funding to support nonpartisan, public health research, education and training of health care professionals to
diminish the incidence and health consequences of gun violence
Screenshot of website depicting mark as used in connection with the applied-for services
ATTORNEY INFORMATION
NAME
Rachel M. Jurist
ATTORNEY DOCKET NUMBER
070709-00001
FIRM NAME
Kramer Levin Naftalis & Frankel LLP
STREET
1177 Avenue of the Americas
CITY
New York
STATE
New York
COUNTRY
United States
ZIP/POSTAL CODE
10036
PHONE
212-715-9108
FAX
212-715-8100
EMAIL ADDRESS
kltrademark@kramerlevin.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
OTHER APPOINTED ATTORNEY
Kevin Moss and the attorneys of Kramer Levin Naftalis & Frankel LLP
CORRESPONDENCE INFORMATION
NAME
Rachel M. Jurist
FIRM NAME
Kramer Levin Naftalis & Frankel LLP
STREET
1177 Avenue of the Americas
CITY
New York
STATE
New York
COUNTRY
United States
ZIP/POSTAL CODE
10036
PHONE
212-715-9108
FAX
212-715-8100
*EMAIL ADDRESS
kltrademark@kramerlevin.com
*AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
FEE INFORMATION
APPLICATION FILING OPTION
TEAS RF
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEE DUE
275
*TOTAL FEE PAID
275
SIGNATURE INFORMATION
SIGNATURE
/Christopher Barsotti/
SIGNATORY'S NAME
Christopher Barsotti
SIGNATORY'S POSITION
Chief Executive Officer
DATE SIGNED
02/08/2019
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
Serial Number:88294777
Filing Date:02/08/2019
To the Commissioner for Trademarks:
MARK: AFFIRM (Standard Characters, see mark)
The literal element of the mark consists of AFFIRM.
The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, The American Foundation for Firearm Injury Reduction in Medicine, a non-profit corporation legally organized under the laws of Delaware, having an address of
P.O. Box 503
Williamstown, Massachusetts 01267
United States
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: Promoting charitable giving and funding to support nonpartisan, public health research, education and training of health care
professionals to diminish the incidence and health consequences of gun violence
In International Class 036, the mark was first used by the applicant or the applicant's related company or licensee or predecessor in interest at least as early as 09/00/2017, and first used in
commerce at least as early as 09/00/2017, 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) Screenshot of website depicting mark as used in connection with the applied-for services.
The applicant's current Attorney Information:
Rachel M. Jurist and Kevin Moss and the attorneys of Kramer Levin Naftalis & Frankel LLP of Kramer Levin Naftalis & Frankel
LLP 1177 Avenue of the Americas
New York, New York 10036
United States
212-715-9108(phone)
212-715-8100(fax)
kltrademark@kramerlevin.com (authorized)
The attorney docket/reference number is 070709-00001.
The applicant's current Correspondence Information:
Rachel M. Jurist
Kramer Levin Naftalis & Frankel LLP
1177 Avenue of the Americas
New York, New York 10036
212-715-9108(phone)
212-715-8100(fax)
kltrademark@kramerlevin.com (authorized) E-mail Authorization: I authorize the USPTO to send e-mail correspondence concerning the application to the applicant, the applicant's attorney, or the applicant's domestic representative at
the e-mail address provided in this application. I understand that a valid e-mail address must be maintained and that the applicant or the applicant's attorney must file the relevant subsequent
application-related submissions via the Trademark Electronic Application System (TEAS). Failure to do so will result in the loss of TEAS Reduced Fee status and a requirement to submit an additional
processing fee of $125 per international class of goods/services.
A fee payment in the amount of $275 has been submitted with the application, representing payment for 1 class(es).
Serial Number: 88294777
Internet Transmission Date: Fri Feb 08 16:55:50 EST 2019
TEAS Stamp: USPTO/BAS-XXX.XXX.XXX.X-2019020816555002
4081-88294777-6209f2ec788ce46bfe16ac149c
a03955cec6454a1b6671c51fecd650b8383fad8c
-DA-3724-20190208164439694382