Collective Membership Mark Form, 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 1481 (Rev 09/2006)
OMB No. 0651-0009 (Exp 02/28/2021)
Collective Membership Mark Form, Principal Register
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
The mark consists of The word "Royal" in cursive and then a picture of a "cross" and then a "y" in cursive all in white color.
PIXEL COUNT ACCEPTABLE
YES
PIXEL COUNT
250 x 541
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Debra Sams
DBA/AKA/TA/Formerly
DBA Royalty
INTERNAL ADDRESS
22 Leslie Lane
*MAILING ADDRESS
180
*CITY
Skamania
*STATE
(Required for U.S. applicants)
Washington
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
98648
PHONE
360-719-8412
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
TYPE
individual
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY OF CITIZENSHIP
United States
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
200
*TYPE OF ORGANIZATION
To indicate membership in Royalty, a brand dedicated to seeking God's Kingdom through the use of entertainment, media, apparel, and the
arts.
FILING BASIS
SECTION 1(b)
METHOD OF CONTROL
*METHOD OF CONTROL
Applicant intends to control the use of the mark by the members as follows: .
CORRESPONDENCE INFORMATION
NAME
Debra Sams
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
debrasams93@gmail.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
debrasams93@gmail.com
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Standard
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
275
*TOTAL FEES DUE
275
*TOTAL FEES PAID
275
SIGNATURE INFORMATION
SIGNATURE
/Debra/
SIGNATORY'S NAME
Debra Sams
SIGNATORY'S POSITION
Owner
SIGNATORY'S PHONE NUMBER
360-719-8412
DATE SIGNED
05/31/2020
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 1481 (Rev 09/2006)
OMB No. 0651-0009 (Exp 02/28/2021)
Collective Membership Mark Form, Principal Register
Serial Number:88941389
Filing Date:05/31/020
To the Commissioner for Trademarks:
MARK: (Stylized and/or Design, see mark) The applicant is not claiming color as a feature of the mark. The mark consists of The word
"Royal" in cursive and then a picture of a "cross" and then a "y" in cursive all in white color.
The applicant, Debra Sams, DBA Royalty, a citizen of United States, having an address of
22 Leslie Lane
180
Skamania, Washington 98648
United States
360-719-8412(phone)
XXXX
requests that the Collective Membership Mark identified above be registered with the USPTO on the Principal Register for the following:
International Class 200: To indicate membership in Royalty, a brand dedicated to seeking God's Kingdom through the use of entertainment, media, apparel, and the arts.
Intent to Use: The applicant has a bona fide intention, and is entitled, to exercise legitimate control over the use of the mark in commerce by the members in connection with the identified
collective membership organization.
Applicant intends to control the use of the mark by the members as follows: .
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 $275 has been submitted with the application, representing payment for 1 class(es).
Serial Number: 88941389
Internet Transmission Date: Sun May 31 17:16:44 ET 2020
TEAS Stamp: USPTO/CMM-XX.XX.XXX.XX-20200531171644497
733-88941389-71022ced6ec4f41962e97d0b3bc
288b54b259a3cf1abe956b758d77ebd5f63cfb-C
C-16421983-20200531160337578175