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
The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Private ID Test, LLC
INTERNAL ADDRESS
Suite 900
*STREET
13155 Noel Rd.
*CITY
Dallas
*STATE
(Required for U.S. applicants)
Texas
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
75240
LEGAL ENTITY INFORMATION
TYPE
limited liability company
STATE/COUNTRY WHERE LEGALLY ORGANIZED
Texas
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
009
*IDENTIFICATION
Diagnostic test kits for scientific use comprised primarily of devices, namely, lancets, test tubes, wipes and swabs for collecting bodily
fluids, collection envelopes, and instruction manuals for using diagnostic test kits; Diagnostic test kits for collecting bodily fluids for use in disease detection, namely, HIV, syphilis, herpes,
and hepatitis
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Kelly Kubasta
ATTORNEY DOCKET NUMBER
9741.009
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Ferguson Braswell Fraser Kubasta PC
STREET
2500 Dallas Parkway, Suite 600
CITY
Plano
STATE
Texas
COUNTRY
United States
ZIP/POSTAL CODE
75093
PHONE
972-378-9111
FAX
972-378-9115
EMAIL ADDRESS
trademark@fbfk.law
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
CORRESPONDENCE INFORMATION
NAME
Kelly Kubasta
FIRM NAME
Ferguson Braswell Fraser Kubasta PC
STREET
2500 Dallas Parkway, Suite 600
CITY
Plano
STATE
Texas
COUNTRY
United States
ZIP/POSTAL CODE
75093
PHONE
972-378-9111
FAX
972-378-9115
*EMAIL ADDRESS
trademark@fbfk.law
*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
/Jacob Bunting/
SIGNATORY'S NAME
Jacob Bunting
SIGNATORY'S POSITION
CEO
DATE SIGNED
09/09/2019
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:88609193
Filing Date:09/09/2019
To the Commissioner for Trademarks:
MARK: bBOX (Standard Characters, see mark)
The literal element of the mark consists of bBOX. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Private ID Test, LLC, a limited liability company legally organized under the laws of Texas, having an address of
Suite 900
13155 Noel Rd.
Dallas, Texas 75240
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:
International Class 009: Diagnostic test kits for scientific use comprised primarily of devices, namely, lancets, test tubes, wipes and swabs for collecting bodily fluids, collection envelopes,
and instruction manuals for using diagnostic test kits; Diagnostic test kits for collecting bodily fluids for use in disease detection, namely, HIV, syphilis, herpes, and hepatitis
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 hereby appoints Kelly Kubasta. Kelly Kubasta of Ferguson Braswell Fraser Kubasta PC, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located
at
2500 Dallas Parkway, Suite 600
Plano, Texas 75093
United States
972-378-9111(phone)
972-378-9115(fax)
trademark@fbfk.law (authorized).
The attorney docket/reference number is 9741.009.
Kelly Kubasta 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:
Kelly Kubasta
Ferguson Braswell Fraser Kubasta PC
2500 Dallas Parkway, Suite 600
Plano, Texas 75093
972-378-9111(phone)
972-378-9115(fax)
trademark@fbfk.law (authorized).
Email Authorization: I authorize the USPTO to send email correspondence concerning the application to the applicant, 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 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: /Jacob Bunting/ Date: 09/09/2019
Signatory's Name: Jacob Bunting
Signatory's Position: CEO
Payment Sale Number: 88609193
Payment Accounting Date: 09/09/2019
Serial Number: 88609193
Internet Transmission Date: Mon Sep 09 12:05:56 EDT 2019
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XXX-201909091205569
28932-88609193-6101c16a09b163bc516c18cc5
144ced751fceb11e55fe84578c913de6f561bb9-
CC-05554985-20190908204149551094