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
Dr. Anne F Creekmore, Psy.D.
DBA/AKA/TA/Formerly
DBA Dr. Anne F Creekmore, Psy.D.
*STREET
10315 Collinwood Drive
*CITY
Henrico
*STATE
(Required for U.S. applicants)
Virginia
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
23238
PHONE
804-741-2608 x412608
FAX
8042005367
EMAIL ADDRESS
afc23238@hotmail.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
WEBSITE ADDRESS
http://creekmorepublishing.com
LEGAL ENTITY INFORMATION
TYPE
individual
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
009
*IDENTIFICATION
Compact discs featuring newly discovered clinical hypnotic clinical method for for Dissociative Disorders Problems
FILING BASIS
SECTION 1(b)
CORRESPONDENCE INFORMATION
NAME
Dr. Anne F Creekmore, Psy.D.
STREET
10315 Collinwood Drive
CITY
Henrico
STATE
Virginia
COUNTRY
United States
ZIP/POSTAL CODE
23238
PHONE
804-741-2608 x412608
FAX
8042005367
*EMAIL ADDRESS
drcreekmore@hotmail.com; afc23238@hotmail.com
*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
/anne f creekmore/
SIGNATORY'S NAME
anne f creekmore
SIGNATORY'S POSITION
individual owner
SIGNATORY'S PHONE NUMBER
804-741-2608 x412608
DATE SIGNED
12/10/2019
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:88721114
Filing Date:12/10/2019
To the Commissioner for Trademarks:
MARK: AFC (Standard Characters, see mark)
The literal element of the mark consists of AFC. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Psy.D. Dr. Anne F Creekmore, DBA Dr. Anne F Creekmore, Psy.D., having an address of
10315 Collinwood Drive
Henrico, Virginia 23238
United States
804-741-2608 x412608(phone)
8042005367(fax)
afc23238@hotmail.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 009: Compact discs featuring newly discovered clinical hypnotic clinical method for for Dissociative Disorders Problems
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.
For informational purposes only, applicant's website address is: http://creekmorepublishing.com
The applicant's current Correspondence Information:
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: /anne f creekmore/ Date: 12/10/2019
Signatory's Name: anne f creekmore
Signatory's Position: individual owner
Payment Sale Number: 88721114
Payment Accounting Date: 12/10/2019
Serial Number: 88721114
Internet Transmission Date: Tue Dec 10 11:06:43 EST 2019
TEAS Stamp: USPTO/BAS-XXX.XX.XX.XXX-2019121011064394
4445-88721114-700ba8b80309b77ef1ab77d58f
251dfb01d807ccfbf25f1bf4bb6fadbe932c41e-
CC-06422847-20191210104014985817