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
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
The mark consists of the stylized text "Health" with a marijuana leaf as the "A".
PIXEL COUNT ACCEPTABLE
YES
PIXEL COUNT
944 x 729
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Darren Michael Smith
*STREET
465 N Stark Dr
*CITY
Palatine
*STATE
(Required for U.S. applicants)
Illinois
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
60074
PHONE
224-848-9441
EMAIL ADDRESS
hitthegreen@marijuanagolf.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
LEGAL ENTITY INFORMATION
TYPE
limited liability company
STATE/COUNTRY WHERE LEGALLY ORGANIZED
Illinois
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
*IDENTIFICATION
Cbd tinctures; Cbd cream; Cbd roll on; Cbd energy supplement
FILING BASIS
SECTION 1(b)
CORRESPONDENCE INFORMATION
NAME
Darren Michael Smith
STREET
465 N Stark Dr
CITY
Palatine
STATE
Illinois
COUNTRY
United States
ZIP/POSTAL CODE
60074
PHONE
224-848-9441
*EMAIL ADDRESS
hitthegreen@marijuanagolf.com
*AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
FEE INFORMATION
APPLICATION FILING OPTION
TEAS RF
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEE DUE
275
*TOTAL FEE PAID
275
SIGNATURE INFORMATION
SIGNATURE
/Darren Smith/
SIGNATORY'S NAME
Darren Smith
SIGNATORY'S POSITION
CEO
SIGNATORY'S PHONE NUMBER
224-848-9441
DATE SIGNED
06/29/2019
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
Serial Number:88495753
Filing Date:07/01/2019
To the Commissioner for Trademarks:
MARK: Health (stylized and/or with design, see mark)
The literal element of the mark consists of Health.
The mark consists of the stylized text "Health" with a marijuana leaf as the "A".
The applicant, Darren Michael Smith, a limited liability company legally organized under the laws of Illinois, having an address of
465 N Stark Dr
Palatine, Illinois 60074
United States
224-848-9441(phone)
hitthegreen@marijuanagolf.com
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:
International Class _______: Cbd tinctures; Cbd cream; Cbd roll on; Cbd energy supplement
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.
The applicant's current Correspondence Information:
Darren Michael Smith
465 N Stark Dr
Palatine, Illinois 60074
224-848-9441(phone)
hitthegreen@marijuanagolf.com (authorized) E-mail Authorization: I authorize the USPTO to send e-mail correspondence concerning the application to the applicant, 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 Reduced Fee 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 $275 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Darren Smith/ Date: 06/29/2019
Signatory's Name: Darren Smith
Signatory's Position: CEO
Payment Sale Number: 88495753
Payment Accounting Date: 07/01/2019
Serial Number: 88495753
Internet Transmission Date: Mon Jul 01 12:15:54 EDT 2019
TEAS Stamp: USPTO/BAS-XXX.XX.XX.XX-20190701121554664
995-88495753-6202e411e41e68dd760b940c8d9
28bdb23fee77c89accb97c03bbd09ef587996e-D
A-13664-20190629093503304358