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:88597754
Filing Date:08/29/2019
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
Anzie Blue LLC
INTERNAL ADDRESS
ATTN: Marcie Allen
*STREET
413 LYNNWOOD BLVD
*CITY
Nashville
*STATE
(Required for U.S. applicants)
Tennessee
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
37215
LEGAL ENTITY INFORMATION
*TYPE
LIMITED LIABILITY COMPANY
* STATE/COUNTRY WHERE LEGALLY ORGANIZED
Tennessee
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
035
*IDENTIFICATION
Retail store services featuring nutritional supplements, alternative medicine products, herbal medicine products, aromatherapy products,
vitamins, and herbal medicine; On-line retail store services featuring nutritional supplements, alternative medicine products, herbal medicine products, aromatherapy products, vitamins, and
herbal medicine
*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
Shane Cortesi
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
The Law Office of Shane V. Cortesi
STREET
424 Church Street, Suite 2000
CITY
Nashville
STATE
Tennessee
COUNTRY
United States
ZIP/POSTAL CODE
37219
PHONE
703-725-0817
EMAIL ADDRESS
shane.cortesi@cortesilaw.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
CORRESPONDENCE INFORMATION
*NAME
Shane Cortesi
FIRM NAME
The Law Office of Shane V. Cortesi
*STREET
424 Church Street, Suite 2000
*CITY
Nashville
*STATE
(Required for U.S. addresses)
Tennessee
*COUNTRY
United States
*ZIP/POSTAL CODE
37219
PHONE
703-725-0817
*EMAIL ADDRESS
shane.cortesi@cortesilaw.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
/John Derrick Van Mol/
* SIGNATORY'S NAME
John Derrick Van Mol
* SIGNATORY'S POSITION
Member
SIGNATORY'S PHONE NUMBER
6154147129
* DATE SIGNED
08/29/2019
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
TEAS Plus Application
Serial Number:88597754
Filing Date:08/29/2019
To the Commissioner for Trademarks:
MARK: ANZIE BLUE (Standard Characters, see mark)
The literal element of the mark consists of ANZIE BLUE. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Anzie Blue LLC, a limited liability company legally organized under the laws of Tennessee, having an address of
ATTN: Marcie Allen
413 LYNNWOOD BLVD
Nashville, Tennessee 37215
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 035: Retail store services featuring nutritional supplements, alternative medicine products, herbal medicine products, aromatherapy products, vitamins, and herbal medicine;
On-line retail store services featuring nutritional supplements, alternative medicine products, herbal medicine products, aromatherapy products, vitamins, and herbal medicine
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 hereby appoints Shane Cortesi. Shane Cortesi of The Law Office of Shane V. Cortesi, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located
at
424 Church Street, Suite 2000
Nashville, Tennessee 37219
United States
703-725-0817(phone)
shane.cortesi@cortesilaw.com (authorized).
Shane Cortesi submitted the following statement: The attorney of record is an active member in good standing of the bar of the highest court of a U.S. state, the District of Columbia, or any U.S.
Commonwealth or territory.
The applicant's current Correspondence Information:
Shane Cortesi
The Law Office of Shane V. Cortesi
424 Church Street, Suite 2000
Nashville, Tennessee 37219
703-725-0817(phone)
shane.cortesi@cortesilaw.com (authorized).
Email Authorization: I authorize the USPTO to send email correspondence concerning the application to the applicant or the applicant's attorney, or the applicant's domestic representative at
the email address provided in this application. I understand that a valid email 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: /John Derrick Van Mol/ Date: 08/29/2019
Signatory's Name: John Derrick Van Mol
Signatory's Position: Member
Signatory's Phone Number: 6154147129
Payment Sale Number: 88597754
Payment Accounting Date: 08/29/2019
Serial Number: 88597754
Internet Transmission Date: Thu Aug 29 12:21:24 EDT 2019
TEAS Stamp: USPTO/FTK-XXX.XXX.X.X34-2019082912212453
4150-88597754-6101b4a4dc9bdfa9b1be64f9f8
2609235fcc54d8a38e15246b8cc2569dba87130-
CC-21230992-20190827170201409177