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 color(s) brown, green, and black is/are claimed as a feature of the mark.
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
The mark consists of several brown circles of varying sizes, laid out in the shape of a mushroom, some of which are connected by straight brown
lines. To the right of the mushroom shape are the words REAL in green and MUSHROOMS in black. The words 100% PURE + ORGANIC appear in brown underneath REAL MUSHROOMS.
PIXEL COUNT ACCEPTABLE
NO
PIXEL COUNT
2455 x 506
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
North American Reishi Ltd
*MAILING ADDRESS
926 Joe Road
*CITY
Roberts Creek, BC
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
Canada
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
V0N2W6
*EMAIL ADDRESS
applicant@lozaip.com
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY OF INCORPORATION
Canada
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
005
*IDENTIFICATION
Dietary and nutritional supplements containing mushrooms; Fungal extracts sold as a component ingredient of nutritional supplements and
vitamins; Herbal supplements; Nutraceuticals for use as a dietary supplement; Nutritional supplements; Powdered nutritional supplement concentrate; all of the foregoing containing mushrooms
website printout showing use of the mark in connection with a display associated with the goods and on the product packaging
ADDITIONAL STATEMENTS SECTION
ACTIVE PRIOR REGISTRATION(S)
The applicant claims ownership of active prior U.S. Registration Number(s) 4661349.
ATTORNEY INFORMATION
NAME
Holly J. Bayne, Esq.
ATTORNEY DOCKET NUMBER
BAYNE-201M
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
LAW OFFICE OF BAYNE & ASSOCIATES
INTERNAL ADDRESS
Suite 900 South Bldg.
STREET
601 Pennsylvania Ave., NW
CITY
Washington
STATE
District of Columbia
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
20004
PHONE
202-220-3101
FAX
202-639-8238
EMAIL ADDRESS
holly@bayne-associates.com
OTHER APPOINTED ATTORNEY
Christina S. Loza
CORRESPONDENCE INFORMATION
NAME
Holly J. Bayne, Esq.
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
holly@bayne-associates.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
tina-pto@lozaip.com
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Standard
NUMBER OF CLASSES
2
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEES DUE
550
*TOTAL FEES PAID
550
SIGNATURE INFORMATION
SIGNATURE
/Christina S. Loza/
SIGNATORY'S NAME
Christina S. Loza
SIGNATORY'S POSITION
Attorney of Record
SIGNATORY'S PHONE NUMBER
949-705-6777
DATE SIGNED
03/17/2020
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
Serial Number:88838077
Filing Date:03/17/020
To the Commissioner for Trademarks:
MARK: REAL MUSHROOMS 100% PURE + ORGANIC (stylized and/or with design, see mark)
The literal element of the mark consists of REAL MUSHROOMS 100% PURE + ORGANIC. The color(s) brown, green, and black is/are claimed as a feature of the mark. The mark consists of several brown
circles of varying sizes, laid out in the shape of a mushroom, some of which are connected by straight brown lines. To the right of the mushroom shape are the words REAL in green and MUSHROOMS in
black. The words 100% PURE + ORGANIC appear in brown underneath REAL MUSHROOMS.
The applicant, North American Reishi Ltd, a corporation of Canada, having an address of
926 Joe Road
Roberts Creek, BC V0N2W6
Canada
applicant@lozaip.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:
International Class 005: Dietary and nutritional supplements containing mushrooms; Fungal extracts sold as a component ingredient of nutritional supplements and vitamins; Herbal supplements;
Nutraceuticals for use as a dietary supplement; Nutritional supplements; Powdered nutritional supplement concentrate; all of the foregoing containing mushrooms
In International Class 005, the mark was first used by the applicant or the applicant's related company or licensee or predecessor in interest at least as early as 10/29/2018, and first used in
commerce at least as early as 10/29/2018, 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) website printout showing use of the mark in connection with a display associated with the goods and on the product packaging.
International Class 030: Snack foods, namely, chocolate based food bars
In International Class 030, the mark was first used by the applicant or the applicant's related company or licensee or predecessor in interest at least as early as 12/13/2019, and first used in
commerce at least as early as 12/13/2019, 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) website printout showing use of the mark in connection with a display associated with the goods and on the product packaging.
Claim of Active Prior Registration(s)
The applicant claims ownership of active prior U.S. Registration Number(s) 4661349.
The owner's/holder's proposed attorney information: Holly J. Bayne, Esq.. Other appointed attorneys are Christina S. Loza. Holly J. Bayne, Esq. of LAW OFFICE OF BAYNE & ASSOCIATES, is a
member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
Suite 900 South Bldg.
601 Pennsylvania Ave., NW
Washington, District of Columbia 20004
United States
202-220-3101(phone)
202-639-8238(fax)
holly@bayne-associates.com
The docket/reference number is BAYNE-201M.
Holly J. Bayne, Esq. 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:
Requirement for Email and Electronic Filing: I understand that a valid email address must be maintained by the applicant owner/holder and the applicant owner's/holder's attorney, if appointed,
and that all official trademark correspondence must be submitted via the Trademark Electronic Application System (TEAS).
A fee payment in the amount of $550 has been submitted with the application, representing payment for 2 class(es).
Declaration
Declaration Signature
Signature: /Christina S. Loza/ Date: 03/17/2020
Signatory's Name: Christina S. Loza
Signatory's Position: Attorney of Record
Payment Sale Number: 88838077
Payment Accounting Date: 03/17/2020
Serial Number: 88838077
Internet Transmission Date: Tue Mar 17 20:25:24 ET 2020
TEAS Stamp: USPTO/BAS-XX.XXX.XX.X-202003172025247715
29-88838077-71082f4208d22ff38ca5b67d4858
0d1db98a5df058662bdc698e8fe51398ab3c7-CC
-25233432-20200317183700497811