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:88638114
Filing Date:10/01/2019
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.
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:88638114
Filing Date:10/01/2019
To the Commissioner for Trademarks:
MARK: Phorm By Samuelson Furniture (stylized and/or with design, see mark)
The literal element of the mark consists of Phorm By Samuelson Furniture. The applicant is not claiming color as a feature of the mark. The mark consists of The word "Phorm" with the words "By
Samuelson Furniture" printed underneath.
The applicant, Samuelson Furniture Inc., a corporation of New Jersey, having an address of
11-13 Maryland Avenue
Paterson, New Jersey 07503
United States
201-488-3900(phone)
2014889481(fax)
rgreen@shapiro-croland.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 020: Custom furniture; Seating furniture; Upholstered furniture
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 Robert F. Green. Robert F. Green of Shapiro Croland Reiser Apfel & Di Iorio, LLP, is a member of the XX bar, admitted to the bar in XXXX, bar membership no.
XXX, is located at
411 Hackensack Avenue
411 Hackensack Avenue
Hackensack, New Jersey 07601
United States
201-488-3900(phone)
2014889481(fax)
rgreen@shapiro-croland.com (authorized).
Robert F. Green 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:
Robert F. Green
Shapiro Croland Reiser Apfel & Di Iorio, LLP
411 Hackensack Avenue
411 Hackensack Avenue
Hackensack, New Jersey 07601
201-488-3900(phone)
2014889481(fax)
rgreen@shapiro-croland.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: /Robert F. Green/ Date: 10/01/2019
Signatory's Name: Robert F. Green
Signatory's Position: Attorney of Record
Signatory's Phone Number: 201-527-0727
Payment Sale Number: 88638114
Payment Accounting Date: 10/01/2019
Serial Number: 88638114
Internet Transmission Date: Tue Oct 01 16:57:31 EDT 2019
TEAS Stamp: USPTO/FTK-XX.XX.X.XXX-201910011657310813
46-88638114-6106ffadff865c28aedc314c9970
1bb7d79d90de4fdb157e97e1d41b79fe20fade-C
C-57308969-20191001164213411674