| PTO Form 1478 (Rev 6/2005) |
| OMB No. 0651-0009 (Exp xx/xx/xxxx) |
Trademark/Service Mark Application, Principal Register
Serial Number: 78475376
Filing Date: 08/29/2004
The table below presents the data as entered.
Input Field
|
Entered
|
| MARK SECTION |
| MARK |
IM-21 |
| STANDARD CHARACTERS |
YES |
| USPTO-GENERATED IMAGE |
YES |
| LITERAL ELEMENT |
IM-21 |
| MARK STATEMENT |
The mark consists of standard characters, without claim to any particular font, style, size, or color. |
| OWNER SECTION |
| NAME |
Charles L. Schel |
| STREET |
810 Millstream Lane |
| CITY |
Ormond Beach |
| STATE |
FL |
| ZIP/POSTAL CODE |
32174 |
| COUNTRY |
United States |
| PHONE |
386-586-0155 |
| EMAIL |
XXXX |
| AUTHORIZED EMAIL COMMUNICATION |
Yes |
| LEGAL ENTITY SECTION |
| TYPE |
INDIVIDUAL |
| COUNTRY OF CITIZENSHIP |
United States |
| GOODS AND/OR SERVICES SECTION |
| DESCRIPTION |
DIETARY SUPPLEMENT FOR HUMANS WHICH MODIFIES THE METABOLISM AS WELL AS THE PHYSIOLOGICAL RESULTS OF CONSUMING ALCOHOLIC BEVERAGES. |
| FILING BASIS |
Section 1(b) |
| SIGNATURE SECTION |
| SIGNATURE |
/Charles L. Schel/ |
| SIGNATORY NAME |
Charles L. Schel |
| SIGNATORY DATE |
08/29/2004 |
| PAYMENT SECTION |
| NUMBER OF CLASSES |
1 |
| NUMBER OF CLASSES PAID |
1 |
| SUBTOTAL AMOUNT |
335 |
| TOTAL AMOUNT |
335 |
| CORRESPONDENCE SECTION |
| NAME |
Charles L. Schel |
| STREET |
810 Millstream Lane |
| CITY |
Ormond Beach |
| STATE |
FL |
| ZIP/POSTAL CODE |
32174 |
| COUNTRY |
United States |
| EMAIL |
cschel@bellsouth.net |
| AUTHORIZED EMAIL COMMUNICATION |
Yes |
| FILING INFORMATION |
| SUBMIT DATE |
Sun Aug 29 16:10:00 EDT 2004 |
| TEAS STAMP |
USPTO/BAS-XXXXXXXXX-20040
829161000275029-78475376-
200c7672438952f7a7a9174bf
8fb54fe2a-CC-649-20040829
155953832416 |
| PTO Form 1478 (Rev 6/2005) |
| OMB No. 0651-0009 (Exp xx/xx/xxxx) |
Trademark/Service Mark Application, Principal Register
Serial Number: 78475376
Filing Date: 08/29/2004
To the Commissioner for Trademarks:
MARK: (Standard Characters, see
mark)
The mark consists of standard characters, without claim to any particular font, style, size, or color.
The literal element of the mark consists of IM-21.
The applicant, Charles L. Schel, a citizen of United States, residing at 810 Millstream Lane, Ormond Beach, FL, United States, 32174, 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.
Intent to Use: The applicant has a bona fide intention to use or use through the applicant's related company or licensee the mark in commerce on or in connection with the identified goods and/or
services. (15 U.S.C. Section 1051(b)).
International Class _______: DIETARY SUPPLEMENT FOR HUMANS WHICH MODIFIES THE METABOLISM AS WELL AS THE PHYSIOLOGICAL RESULTS OF CONSUMING ALCOHOLIC
BEVERAGES.
The USPTO is authorized to communicate with the applicant or its representative at the following email address: XXXX.
A fee payment in the amount of $335 will be submitted with the application, representing payment for 1 class(es).
Declaration
The undersigned, being hereby warned that willful false statements and the like so made 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 the application or any resulting registration, declares that he/she is properly authorized to execute this application on behalf of the
applicant; he/she believes the applicant to be the owner of the trademark/service mark sought to be registered, or, if the application is being filed under 15 U.S.C. Section 1051(b), he/she believes
applicant to be entitled to use such mark in commerce; to the best of his/her knowledge and belief no other person, firm, corporation, or association has the right to use the mark in commerce, either
in the identical form thereof or in such near resemblance thereto as to be likely, when used on or in connection with the goods/services of such other person, to cause confusion, or to cause mistake,
or to deceive; and that 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: /Charles L. Schel/ Date: 08/29/2004
Signatory's Name: Charles L. Schel
Mailing Address:
Charles L. Schel
810 Millstream Lane
Ormond Beach, FL 32174
RAM Sale Number: 649
RAM Accounting Date: 08/30/2004
Serial Number: 78475376
Internet Transmission Date: Sun Aug 29 16:10:00 EDT 2004
TEAS Stamp: USPTO/BAS-XXXXXXXXX-20040829161000275029
-78475376-200c7672438952f7a7a9174bf8fb54
fe2a-CC-649-20040829155953832416
