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:88413412
Filing Date:05/02/2019
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
Fox, Terry J
*STREET
999 SW 1st Ave, Apt 2703
*CITY
Miami
*STATE
(Required for U.S. applicants)
Florida
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
33130
PHONE
954-242-3723
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
044
*IDENTIFICATION
Medical radiology services
*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
Fox, Terry J
*STREET
999 SW 1st Ave, Apt 2703
*CITY
Miami
*STATE
(Required for U.S. addresses)
Florida
*COUNTRY
United States
*ZIP/POSTAL CODE
33130
PHONE
954-242-3723
*EMAIL ADDRESS
Terryfox@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
/Terry Fox/
* SIGNATORY'S NAME
Terry Fox
* SIGNATORY'S POSITION
Owner
SIGNATORY'S PHONE NUMBER
954-242-3723
* DATE SIGNED
05/02/2019
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:88413412
Filing Date:05/02/2019
To the Commissioner for Trademarks:
MARK: TerryFox (Standard Characters, see mark)
The mark in your application is TerryFox.
The applicant, Terry J Fox, a citizen of United States, having an address of
999 SW 1st Ave, Apt 2703
Miami, Florida 33130
United States
954-242-3723(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 044: Medical radiology services
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:
Fox, Terry J
999 SW 1st Ave, Apt 2703
Miami, Florida 33130
954-242-3723(phone)
Terryfox@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: /Terry Fox/ Date: 05/02/2019
Signatory's Name: Terry Fox
Signatory's Position: Owner
Signatory's Phone Number: 954-242-3723
Payment Sale Number: 88413412
Payment Accounting Date: 05/03/2019
Serial Number: 88413412
Internet Transmission Date: Thu May 02 18:51:35 EDT 2019
TEAS Stamp: USPTO/FTK-XXX.XXX.XXX.XXX-20190502185135
248909-88413412-620dafa33d93b50af2754e56
711b9c7ab35ddf414e5dda9ff6f79da5eddc4dc-
CC-4974-20190502182829677316