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:88271240
Filing Date:01/22/2019
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
Raul Medina
*STREET
1254 Blaine Ave
*CITY
Fort Myers
*STATE
(Required for U.S. applicants)
Florida
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
33913
PHONE
404-360-1303
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
041
*IDENTIFICATION
Business education and training services, namely, developing customized leadership and executive development programs, providing executive
coaching services, and providing business education programs to employees and executives
*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
Raul Medina
*STREET
1254 Blaine Ave
*CITY
Fort Myers
*STATE
(Required for U.S. addresses)
Florida
*COUNTRY
United States
*ZIP/POSTAL CODE
33913
PHONE
404-360-1303
*EMAIL ADDRESS
rmedina.tm@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
/Raul Medina/
* SIGNATORY'S NAME
Raul Medina
* SIGNATORY'S POSITION
Owner
SIGNATORY'S PHONE NUMBER
404-360-1303
* DATE SIGNED
01/22/2019
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:88271240
Filing Date:01/22/2019
To the Commissioner for Trademarks:
MARK: MENTFOR (Standard Characters, see mark)
The mark in your application is MENTFOR.
The applicant, Raul Medina, a citizen of United States, having an address of
1254 Blaine Ave
Fort Myers, Florida 33913
United States
404-360-1303(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 041: Business education and training services, namely, developing customized leadership and executive development programs, providing
executive coaching services, and providing business education programs to employees and executives
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:
Raul Medina
1254 Blaine Ave
Fort Myers, Florida 33913
404-360-1303(phone)
rmedina.tm@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).
Serial Number: 88271240
Internet Transmission Date: Tue Jan 22 15:15:27 EST 2019
TEAS Stamp: USPTO/FTK-XX.XXX.XXX.XX-2019012215152774
3947-88271240-620f37ae3b2c997bf4e18574e7
babc9398194dd78fc8a40b99f6fb1583f71ab70-
CC-1892-20190122150427862945