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:88792035
Filing Date:02/10/2020
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 mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Embodied Recovery Institute, LLC
*STREET
18 S. Circle Drive
*CITY
Chapel Hill
*STATE
(Required for U.S. applicants)
North Carolina
*COUNTRY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
27516
LEGAL ENTITY INFORMATION
*TYPE
LIMITED LIABILITY COMPANY
* STATE/COUNTRY WHERE LEGALLY ORGANIZED
North Carolina
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
041
*IDENTIFICATION
Education services, namely, providing classes, seminars, and workshops in the fields of the diagnosis and treatment of eating
disorders including treatment for individuals struggling with anorexia, bulimia, and co-occurring diagnoses, including addiction, trauma, and mood disorders
the Applicant's social media and webpage featuring the mark in use in association with advertisement for the services and a method to
purchase
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
A. Justin Eldreth
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Eldreth Law Firm, PC
STREET
115 S. Saint Mary's St. Ste. C
CITY
Raleigh
STATE
North Carolina
COUNTRY
United States
ZIP/POSTAL CODE
27603
PHONE
919-833-5322
EMAIL ADDRESS
justin@eldrethlaw.com
AUTHORIZED TO COMMUNICATE VIA EMAIL
Yes
CORRESPONDENCE INFORMATION
*NAME
A. Justin Eldreth
FIRM NAME
Eldreth Law Firm, PC
*STREET
115 S. Saint Mary's St. Ste. C
*CITY
Raleigh
*STATE
(Required for U.S. addresses)
North Carolina
*COUNTRY
United States
*ZIP/POSTAL CODE
27603
PHONE
919-833-5322
*EMAIL ADDRESS
justin@eldrethlaw.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
/A. Justin Eldreth/
* SIGNATORY'S NAME
A. Justin Eldreth
* SIGNATORY'S POSITION
Attorney of Record, Member of the NC Bar
SIGNATORY'S PHONE NUMBER
919-833-5322
* DATE SIGNED
02/10/2020
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:88792035
Filing Date:02/10/2020
To the Commissioner for Trademarks:
MARK: EMBODIED RECOVERY INSTITUTE (Standard Characters, see mark)
The literal element of the mark consists of EMBODIED RECOVERY INSTITUTE. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Embodied Recovery Institute, LLC, a limited liability company legally organized under the laws of North Carolina, having an address of
18 S. Circle Drive
Chapel Hill, North Carolina 27516
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:
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 041: Education services, namely, providing classes, seminars, and workshops in the fields of the diagnosis and treatment of eating disorders including treatment for
individuals struggling with anorexia, bulimia, and co-occurring diagnoses, including addiction, trauma, and mood disorders
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 041, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least as early as 07/05/2015, and first used in commerce
at least as early as 07/05/2015, 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 Applicant's social media and webpage featuring the mark in use in association with advertisement for the services and a method to purchase.
The applicant hereby appoints A. Justin Eldreth. A. Justin Eldreth of Eldreth Law Firm, PC, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at
115 S. Saint Mary's St. Ste. C
Raleigh, North Carolina 27603
United States
919-833-5322(phone)
justin@eldrethlaw.com (authorized).
A. Justin Eldreth 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:
A. Justin Eldreth
Eldreth Law Firm, PC
115 S. Saint Mary's St. Ste. C
Raleigh, North Carolina 27603
919-833-5322(phone)
justin@eldrethlaw.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: /A. Justin Eldreth/ Date: 02/10/2020
Signatory's Name: A. Justin Eldreth
Signatory's Position: Attorney of Record, Member of the NC Bar
Signatory's Phone Number: 919-833-5322
Payment Sale Number: 88792035
Payment Accounting Date: 02/10/2020
Serial Number: 88792035
Internet Transmission Date: Mon Feb 10 21:03:38 EST 2020
TEAS Stamp: USPTO/FTK-XX.XX.XXX.XXX-2020021021033825
2721-88792035-7002a2179895fc313723258412
ba41fe32c43f776b7eebbaa6d2f4b8e6126b3df-
CC-03374121-20200210202536393339