TEAS Plus New Application

AZI MD

Azadeh Shirazi MD

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: 88599047
Filing Date: 08/30/2019

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 table below presents the data as entered.

Input Field
Entered
TEAS Plus YES
MARK INFORMATION
*MARK \\TICRS\EXPORT17\IMAGEOUT 17\885\990\88599047\xml1\ FTK0002.JPG
*SPECIAL FORM YES
USPTO-GENERATED IMAGE NO
LITERAL ELEMENT AZIMD
*COLOR MARK YES
*COLOR(S) CLAIMED
(If applicable)
The color(s) cyan is/are claimed as a feature of the mark.
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
The mark consists of a stylized depiction of a profile of a woman's face and hair. The letters A, Z and I appear in a staggered format, to the right of which are the letters "MD.".
PIXEL COUNT ACCEPTABLE YES
PIXEL COUNT 514 x 250
REGISTER Principal
APPLICANT INFORMATION
*OWNER OF MARK Azadeh Shirazi MD
*STREET 7301 Girard Ave. Suite 202
*CITY La Jolla
*STATE
(Required for U.S. applicants)
California
*COUNTRY United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
92037
PHONE 858-456-3992
FAX 858-456-5060
EMAIL ADDRESS derm.md1@gmail.com
AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
WEBSITE ADDRESS www.lajollalaserderm.com
LEGAL ENTITY INFORMATION
*TYPE INDIVIDUAL
* COUNTRY OF CITIZENSHIP United States
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS 003 
*IDENTIFICATION Non-medicated skin care preparations
*FILING BASIS SECTION 1(a)
       FIRST USE ANYWHERE DATE At least as early as 12/01/2017
       FIRST USE IN COMMERCE DATE At least as early as 12/01/2017
       SPECIMEN
       FILE NAME(S)
\\TICRS\EXPORT17\IMAGEOUT 17\885\990\88599047\xml1\ FTK0003.JPG
       SPECIMEN DESCRIPTION Brochure depicting image of product bearing mark
*INTERNATIONAL CLASS 005 
*IDENTIFICATION Medicated skin care preparations
*FILING BASIS SECTION 1(a)
       FIRST USE ANYWHERE DATE At least as early as 12/01/2017
       FIRST USE IN COMMERCE DATE At least as early as 12/01/2017
       SPECIMEN
       FILE NAME(S)
\\TICRS\EXPORT17\IMAGEOUT 17\885\990\88599047\xml1\ FTK0004.JPG
       SPECIMEN DESCRIPTION Product bearing mark
ADDITIONAL STATEMENTS SECTION
*TRANSLATION
(if applicable)
 
*TRANSLITERATION
(if applicable)
 
*CLAIMED PRIOR REGISTRATION
(if applicable)
 
*CONSENT (NAME/LIKENESS)
(if applicable)
*CONCURRENT USE CLAIM
(if applicable)
 
CORRESPONDENCE INFORMATION
*NAME Azadeh Shirazi MD
*STREET 7301 Girard Ave. Suite 202
*CITY La Jolla
*STATE
(Required for U.S. addresses)
California
*COUNTRY United States
*ZIP/POSTAL CODE 92037
PHONE 858-456-3992
FAX 858-456-5060
*EMAIL ADDRESS derm.md1@gmail.com; ali360x@gmail.com
*AUTHORIZED TO COMMUNICATE VIA EMAIL Yes
FEE INFORMATION
APPLICATION FILING OPTION TEAS Plus
NUMBER OF CLASSES 2
FEE PER CLASS 225
*TOTAL FEE PAID 450
SIGNATURE INFORMATION
* SIGNATURE /azadeh shirazi/
* SIGNATORY'S NAME Azadeh Shirazi
* SIGNATORY'S POSITION Owner
SIGNATORY'S PHONE NUMBER 858-456-3992
* 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: 88599047
Filing Date: 08/30/2019

To the Commissioner for Trademarks:

MARK: AZIMD (stylized and/or with design, see mark)
The literal element of the mark consists of AZIMD. The color(s) cyan is/are claimed as a feature of the mark. The mark consists of a stylized depiction of a profile of a woman's face and hair. The letters A, Z and I appear in a staggered format, to the right of which are the letters "MD.".
The applicant, Azadeh Shirazi MD, a citizen of United States, having an address of
      7301 Girard Ave. Suite 202
      La Jolla, California 92037
      United States
      858-456-3992(phone)
      858-456-5060(fax)
      derm.md1@gmail.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:

For specific filing basis information for each item, you must view the display within the Input Table.
International Class 003:  Non-medicated skin care preparations

Use in Commerce: The applicant is using the mark in commerce on or in connection with the identified goods/services. The applicant attaches, or will later submit, one specimen as a JPG/PDF image file showing the mark as used in commerce on or in connection with any item in the class of listed goods/services, regardless of whether the mark itself is in the standard character format or is a stylized or design mark. The specimen image file may be in color, and the image must be in color if color is being claimed as a feature of the mark.

In International Class 003, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least as early as 12/01/2017, and first used in commerce at least as early as 12/01/2017, and is now in use in such commerce. The applicant is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in the class of listed goods/services, consisting of a(n) Brochure depicting image of product bearing mark.
Specimen File1

For specific filing basis information for each item, you must view the display within the Input Table.
International Class 005:  Medicated skin care preparations

Use in Commerce: The applicant is using the mark in commerce on or in connection with the identified goods/services. The applicant attaches, or will later submit, one specimen as a JPG/PDF image file showing the mark as used in commerce on or in connection with any item in the class of listed goods/services, regardless of whether the mark itself is in the standard character format or is a stylized or design mark. The specimen image file may be in color, and the image must be in color if color is being claimed as a feature of the mark.

In International Class 005, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least as early as 12/01/2017, and first used in commerce at least as early as 12/01/2017, and is now in use in such commerce. The applicant is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in the class of listed goods/services, consisting of a(n) Product bearing mark.
Specimen File1



For informational purposes only, applicant's website address is: www.lajollalaserderm.com
The applicant's current Correspondence Information:
      Azadeh Shirazi MD
      7301 Girard Ave. Suite 202
      La Jolla, California 92037
      858-456-3992(phone)
      858-456-5060(fax)
      derm.md1@gmail.com; ali360x@gmail.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 $450 has been submitted with the application, representing payment for 2 class(es).

Declaration

Declaration Signature

Signature: /azadeh shirazi/   Date: 08/29/2019
Signatory's Name: Azadeh Shirazi
Signatory's Position: Owner
Signatory's Phone Number: 858-456-3992
Payment Sale Number: 88599047
Payment Accounting Date: 08/30/2019

Serial Number: 88599047
Internet Transmission Date: Fri Aug 30 12:34:49 EDT 2019
TEAS Stamp: USPTO/FTK-XX.XXX.XXX.XX-2019083012344973
6981-88599047-610a3a5ffc903e44a950c75cf8
604cb127471bd82d95c825e765c52452fd6a151-
CC-34486704-20190830020218168048

TEAS Plus New Application [image/jpeg]

TEAS Plus New Application [image/jpeg]

TEAS Plus New Application [image/jpeg]


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