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
TEAS Plus Application
Serial Number:88056615
Filing Date:07/28/2018
NOTE: Data fields with the * are mandatory under TEAS Plus. The wording "(if applicable)" appears where the field is only mandatory under the facts of the particular
application.
The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Arick, Daniel S.
*STREET
211 Central Park West, Apt. 4-J
*CITY
New York
*STATE
(Required for U.S. applicants)
New York
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
10024
PHONE
212-496-0855
EMAIL ADDRESS
XXXX
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
LEGAL ENTITY INFORMATION
*TYPE
INDIVIDUAL
* COUNTRY OF CITIZENSHIP
United States
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
005
*IDENTIFICATION
Mentholated ointment for medical use
*FILING BASIS
SECTION 1(b)
ADDITIONAL STATEMENTS INFORMATION
*TRANSLATION
(if applicable)
*TRANSLITERATION
(if applicable)
*CLAIMED PRIOR REGISTRATION
(if applicable)
*CONSENT (NAME/LIKENESS)
(if applicable)
*CONCURRENT USE CLAIM
(if applicable)
CORRESPONDENCE INFORMATION
*NAME
Arick, Daniel S.
*STREET
211 Central Park West, Apt. 4-J
*CITY
New York
*STATE
(Required for U.S. addresses)
New York
*COUNTRY
United States
*ZIP/POSTAL CODE
10024
PHONE
212-496-0855
*EMAIL ADDRESS
dsarick@gmail.com
*AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Plus
NUMBER OF CLASSES
1
FEE PER CLASS
225
*TOTAL FEE PAID
225
SIGNATURE INFORMATION
* SIGNATURE
/Daniel S. Arick, M.D./
* SIGNATORY'S NAME
Daniel S. Arick, M.D.
* SIGNATORY'S POSITION
Owner
SIGNATORY'S PHONE NUMBER
212-496-0855
* DATE SIGNED
07/28/2018
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
TEAS Plus Application
Serial Number:88056615
Filing Date:07/28/2018
To the Commissioner for Trademarks:
MARK: Sinus Clear (Standard Characters, see mark)
The mark in your application is Sinus Clear.
The applicant, Daniel S. Arick, a citizen of United States, having an address of
211 Central Park West, Apt. 4-J
New York, New York 10024
United States
212-496-0855(phone)
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:
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 005: Mentholated ointment for medical use
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. (15 U.S.C. Section 1051(b)).
The applicant's current Correspondence Information:
Arick, Daniel S.
211 Central Park West, Apt. 4-J
New York, New York 10024
212-496-0855(phone)
dsarick@gmail.com (authorized) E-mail Authorization: I authorize the USPTO to send e-mail correspondence concerning the application to the applicant or 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 Plus 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 $225 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Daniel S. Arick, M.D./ Date: 07/28/2018
Signatory's Name: Daniel S. Arick, M.D.
Signatory's Position: Owner
Signatory's Phone Number: 212-496-0855
Payment Sale Number: 88056615
Payment Accounting Date: 07/30/2018
Serial Number: 88056615
Internet Transmission Date: Sat Jul 28 14:24:27 EDT 2018
TEAS Stamp: USPTO/FTK-XX.XX.XXX.XXX-2018072814242740
3088-88056615-610cb1833b8b7d2a595b3212b5
a7bd3ddd574387563224bfa0fc175a311af790-C
C-6144-20180728134356679133