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:88606990
Filing Date:09/06/2019
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 specimens show the use of the trademark phrase in a brochure about their life insurance, a banner used at events and a notebook
and gum packaging for promotional use.
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
Jason Loebach
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Chitkowski Law Offices
STREET
901 Warrenville Road, Suite 103
CITY
Lisle
STATE
Illinois
COUNTRY
United States
ZIP/POSTAL CODE
60532
PHONE
630-824-4808
FAX
630824-4809
EMAIL ADDRESS
jml@chitkowskilaw.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
OTHER APPOINTED ATTORNEY
John Chitkowski
CORRESPONDENCE INFORMATION
*NAME
Jason Loebach
FIRM NAME
Chitkowski Law Offices
*STREET
901 Warrenville Road, Suite 103
*CITY
Lisle
*STATE
(Required for U.S. addresses)
Illinois
*COUNTRY
United States
*ZIP/POSTAL CODE
60532
PHONE
630-824-4808
FAX
630824-4809
*EMAIL ADDRESS
jml@chitkowskilaw.com; jjc@chitkowskilaw.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
/Jason Loebach/
* SIGNATORY'S NAME
JASON LOEBACH
* SIGNATORY'S POSITION
Attorney of Record, Illinois bar member
SIGNATORY'S PHONE NUMBER
630-824-4808
* DATE SIGNED
09/06/2019
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:88606990
Filing Date:09/06/2019
To the Commissioner for Trademarks:
MARK: Protecting Life through all its stages (Standard Characters, see mark)
The literal element of the mark consists of Protecting Life through all its stages. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Polish Roman Union of America, AKA PRCUA, a corporation of Illinois, having an address of
901 Warrenville Road, Suite 103
984 N. Milwaukee Avenue
Chicago, Illinois 60642
United States
773-782-2631(phone)
773-278-4595(fax)
jml@chitkowskilaw.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 036: Issuance of life insurance
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 036, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least as early as 02/01/2019, and first used in commerce
at least as early as 02/01/2019, 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) The specimens show the use of the trademark phrase in a brochure about their life insurance, a banner used at events and a notebook and gum
packaging for promotional use..
For informational purposes only, applicant's website address is: www.prcua.org
The applicant hereby appoints Jason Loebach. Other appointed attorneys are John Chitkowski. Jason Loebach of Chitkowski Law Offices, is a member of the XX bar, admitted to the bar in XXXX, bar
membership no. XXX, and the attorney(s) is located at
901 Warrenville Road, Suite 103
Lisle, Illinois 60532
United States
630-824-4808(phone)
630824-4809(fax)
jml@chitkowskilaw.com (authorized).
Jason Loebach 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:
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: /Jason Loebach/ Date: 09/06/2019
Signatory's Name: JASON LOEBACH
Signatory's Position: Attorney of Record, Illinois bar member
Signatory's Phone Number: 630-824-4808
Payment Sale Number: 88606990
Payment Accounting Date: 09/06/2019
Serial Number: 88606990
Internet Transmission Date: Fri Sep 06 11:45:36 EDT 2019
TEAS Stamp: USPTO/FTK-XX.XXX.XX.XXX-2019090611453630
8666-88606990-610a96afd562e1bc9b162183ab
9967081e0bdd28b71f57db7f075208eaba5fa-CC
-45357702-20190906112437456998