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:88253549
Filing Date:01/08/2019
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
Ticktin, Richard D.
DBA/AKA/TA/FORMERLY
DBA SynergyLabs, LLC
INTERNAL ADDRESS
3201 SW 42nd St.
*STREET
3201 SW 42nd St.
*CITY
Fort Lauderdale
*STATE
(Required for U.S. applicants)
Florida
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
33312
PHONE
954-525-1133 x235
FAX
9545256461
EMAIL ADDRESS
XXXX
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
LEGAL ENTITY INFORMATION
*TYPE
LIMITED LIABILITY COMPANY
* STATE/COUNTRY WHERE LEGALLY ORGANIZED
Florida
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
003
*IDENTIFICATION
Pet shampoo; Non-medicated grooming preparations for dogs, cats, pets, and livestock, namely, shampoos, conditioners, sprays,
ointments, and suspensions; Non-medicated grooming preparations in the nature of shampoos for animals
*FILING BASIS
SECTION 1(b)
*INTERNATIONAL CLASS
005
*IDENTIFICATION
Medicated shampoos for pets; Medicated grooming preparations for dogs, cats, pets, and livestock, namely, shampoos, conditioners,
sprays, ointments, and suspensions
*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
Ticktin, Richard D.
FIRM NAME
Ticktin, Richard D.
INTERNAL ADDRESS
3201 SW 42nd St.
*STREET
3201 SW 42nd St.
*CITY
Fort Lauderdale
*STATE
(Required for U.S. addresses)
Florida
*COUNTRY
United States
*ZIP/POSTAL CODE
33312
PHONE
954-525-1133 x235
FAX
9545256461
*EMAIL ADDRESS
bnieves@synergylabs.com; richard@synergylabs.com
*AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Plus
NUMBER OF CLASSES
2
FEE PER CLASS
225
*TOTAL FEE PAID
450
SIGNATURE INFORMATION
* SIGNATURE
/Richard D. Ticktin/
* SIGNATORY'S NAME
Richard D. Ticktin
* SIGNATORY'S POSITION
Chief Executive Officer
SIGNATORY'S PHONE NUMBER
954-525-1133 x235
* DATE SIGNED
01/08/2019
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
TEAS Plus Application
Serial Number:88253549
Filing Date:01/08/2019
To the Commissioner for Trademarks:
MARK: Veterinary Formula Advanced (Standard Characters, see mark)
The mark in your application is Veterinary Formula Advanced.
The applicant, Ticktin, Richard D., DBA SynergyLabs, LLC, a limited liability company legally organized under the laws of Florida, having an address of
3201 SW 42nd St.
3201 SW 42nd St.
Fort Lauderdale, Florida 33312
United States
954-525-1133 x235(phone)
9545256461(fax)
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 003: Pet shampoo; Non-medicated grooming preparations for dogs, cats, pets, and livestock, namely, shampoos, conditioners, sprays,
ointments, and suspensions; Non-medicated grooming preparations in the nature of shampoos for animals
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)).
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 005: Medicated shampoos for pets; Medicated grooming preparations for dogs, cats, pets, and livestock, namely, shampoos, conditioners,
sprays, ointments, and suspensions
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:
Ticktin, Richard D.
Ticktin, Richard D.
3201 SW 42nd St.
3201 SW 42nd St.
Fort Lauderdale, Florida 33312
954-525-1133 x235(phone)
9545256461(fax)
bnieves@synergylabs.com;richard@synergylabs.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 $450 has been submitted with the application, representing payment for 2 class(es).
Declaration
Declaration Signature
Signature: /Richard D. Ticktin/ Date: 01/08/2019
Signatory's Name: Richard D. Ticktin
Signatory's Position: Chief Executive Officer
Signatory's Phone Number: 954-525-1133 x235
Payment Sale Number: 88253549
Payment Accounting Date: 01/08/2019
Serial Number: 88253549
Internet Transmission Date: Tue Jan 08 13:30:33 EST 2019
TEAS Stamp: USPTO/FTK-XX.XXX.XXX.XX-2019010813303302
6141-88253549-620eb41ffa667292f4d32fb214
eb7fe937d1b4b6b067e0d8694a3d2377edeca79-
CC-12416-20190108121841994439