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:88374083
Filing Date:04/05/2019
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
Burnt Church Distillery, LLC
*STREET
52 Baynard Park Road
*CITY
Hilton Head
*STATE
(Required for U.S. applicants)
South Carolina
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
29928
LEGAL ENTITY INFORMATION
*TYPE
LIMITED LIABILITY COMPANY
* STATE/COUNTRY WHERE LEGALLY ORGANIZED
South Carolina
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
032
*IDENTIFICATION
Non-alcoholic distilled spirits
*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)
ATTORNEY INFORMATION
NAME
Scott A. Andresen
ATTORNEY DOCKET NUMBER
BURN-016
FIRM NAME
Andresen & Associates, P.C.
STREET
319 Meier Street First Floor
CITY
East Dundee
STATE
Illinois
COUNTRY
United States
ZIP/POSTAL CODE
60118
PHONE
773-572-6049
FAX
773-572-6048
EMAIL ADDRESS
scott@andresenlawfirm.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
CORRESPONDENCE INFORMATION
*NAME
Scott A. Andresen
FIRM NAME
Andresen & Associates, P.C.
*STREET
319 Meier Street First Floor
*CITY
East Dundee
*STATE
(Required for U.S. addresses)
Illinois
*COUNTRY
United States
*ZIP/POSTAL CODE
60118
PHONE
773-572-6049
FAX
773-572-6048
*EMAIL ADDRESS
scott@andresenlawfirm.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
/Scott A. Andresen/
* SIGNATORY'S NAME
Scott A. Andresen
* SIGNATORY'S POSITION
Attorney of Record, Illinois bar member
SIGNATORY'S PHONE NUMBER
773-572-6049
* DATE SIGNED
04/05/2019
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:88374083
Filing Date:04/05/2019
To the Commissioner for Trademarks:
MARK: AMETHYST (Standard Characters, see mark)
The mark in your application is AMETHYST.
The applicant, Burnt Church Distillery, LLC, a limited liability company legally organized under the laws of South Carolina, having an address of
52 Baynard Park Road
Hilton Head, South Carolina 29928
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:
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 032: Non-alcoholic distilled spirits
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 Attorney Information:
Scott A. Andresen of Andresen & Associates, P.C. 319 Meier Street First Floor
East Dundee, Illinois 60118
United States
773-572-6049(phone)
773-572-6048(fax)
scott@andresenlawfirm.com (authorized)
The attorney docket/reference number is BURN-016.
The applicant's current Correspondence Information:
Scott A. Andresen
Andresen & Associates, P.C.
319 Meier Street First Floor
East Dundee, Illinois 60118
773-572-6049(phone)
773-572-6048(fax)
scott@andresenlawfirm.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: /Scott A. Andresen/ Date: 04/05/2019
Signatory's Name: Scott A. Andresen
Signatory's Position: Attorney of Record, Illinois bar member
Signatory's Phone Number: 773-572-6049
Payment Sale Number: 88374083
Payment Accounting Date: 04/08/2019
Serial Number: 88374083
Internet Transmission Date: Fri Apr 05 18:53:39 EDT 2019
TEAS Stamp: USPTO/FTK-XX.XXX.XXX.XXX-201904051853399
98795-88374083-620ca1d1b2819221b7b66fe42
5842baa0e3f0debf62e440191e82d7ca549e2b1-
CC-5432-20190405184809866118