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 No Form Number (Rev 12/2015) |
OMB No. 0651-0054 (Exp 10/31/2017) |
Trademark/Service Mark Request to Divide
The table below presents the data as entered.
Input Field
|
Entered
|
SERIAL NUMBER |
88025012 |
LAW OFFICE ASSIGNED |
LAW OFFICE 104 |
EXTENSION OF USE |
YES |
MARK SECTION |
MARK |
ADRIEN GAGNON |
REQUEST TO DIVIDE |
YES |
GOOD(S)/SERVICE(S) IN USE |
Natural products for human use namely a formula composed of saw palmetto, pygeum, stinging nettle, white deadnettle, common heather and bearberry, all
in the form of capsules for relieving benign prostate hyperplasia symptoms; collagen, in the form of tablets for relieving joint pain and symptoms related to arthritis and osteoarthritis and for
contributing to the formation of healthy cartilage; Natural products for human use namely capsules containing plant extracts to assist in weight loss; Natural products for human use namely plant and
vitamin extracts in the form of ampoules and capsules for soothing respiratory symptoms due to a cold, flu, bronchitis and for increasing the bio-availability of Vitamin C by decreasing its
elimination and oxidation; Natural products for human use namely plant extracts in the form of infusions, with purifying, eliminative, diuretic and laxative actions; Natural products for human use
namely a supplement formula made of vitamins, plants and adaptogenic roots in the form of energizing ampoules, to increase resistance to stress and decrease the feeling of fatigue; Natural products
for human use namely a supplement formula made of adaptogenic plants and roots in the form of energizing ampoules, to increase resistance to stress and decrease the feeling of fatigue, to decrease
hyperglycemia and stimulate weakened immune systems and cognitive functions; Natural products for human use namely plant and root extracts in the form of capsules and ampoules to assist in slowing
the advancement of benign prostate hypertrophy, controlling sleep disorders; a fatty acid and vitamin formula in the form of capsules for physical endurance, cholesterol level management and for the
maintenance of good health; Natural products for human use namely plant extracts and antioxidant roots and fish oils in the form of capsules, gelcaps, liquids, to improve the cognitive functions of
patients suffering from Alzheimer's or minor memory disorders, to contribute to the development and proper functioning of the brain; Natural products for human use namely type II collagen containing
chondroitin and hyaluronic acid in the form of capsules for maintaining connective tissues namely joints and skin; Natural products for human use namely gel in the form of ampoules to combat
fatigue |
GOOD(S)/SERVICES INTENT TO USE |
Goods: glucosamine sulphate and chondroitin formula, chitosan oligosaccharides, MSM in the form of tablets for relieving joint pain and symptoms
related to arthritis and osteoarthritis and for contributing to the formation of healthy cartilage; plant extracts in the form of capsules for improving the health, for reducing the frequency of
climateric episodes (hot flashes), improving the neurovegetative state associated with menopause, improving blood cholesterol levels, alleviating excessive perspiration and enabling regulation of a
disrupted sleep cycle; Natural products for human use namely meal replacements in the form of meal replacement bars which taste like peanuts, crème caramel, fruit, chocolate, apple-cinnamon, coffee,
granola and chocolate chips to assist in weight loss and weight maintenance; Natural products for human use namely a vitamin and mineral supplement formula to remedy vitamin and mineral deficiencies;
plant extract formulas with calming antioxidant properties, plant extract formulas possessing immune system benefits, to help balance mood swings, aiming at palliating the reduction of estrogen in
menopausal women, antioxidants in the form of tablets, for maintaining good health; Natural products for human use namely plant extracts in the form of capsules, with purifying, eliminative, diuretic
and laxative actions; Natural products for human use namely oligosaccharide chitosan capsules assisting in controlling cholesterol; Natural products for human use, namely chitosan oligosaccharide
ampoules and creams to soothe joint pain and act as anti-inflammatories for joints; Natural products for human use namely vitamin supplement formulas in the form of gelcaps for maintaining an
appropriate level of antioxidants in the body to palliate oxidative stress; vitamin supplement formulas in the form of tablets to assist in balancing human metabolism namely carbohydrate levels and
to assist in reducing homocysteine levels; mineral formulas in the form of capsules and tablets for remedying magnesium deficiencies; Natural products for human use namely a supplement formula made
of vitamins, plants and adaptogenic roots in the form of energizing ampoules, to decrease hyperglycemia and stimulate weakened immune systems and cognitive functions; Natural products for human use
namely plant and root extracts in the form of capsules and ampoules to assist in preventing and treating urinary tract infections, soothing respiratory symptoms stemming from a cold or flu, treating
moderate Alzheimer's, facilitating digestion of food and to assist in reducing symptoms associated with digestive disorders; plant, root, and bark extracts in capsule form for treating lumbar pain,
arthritis pain, rheumatic disorders; plant extracts in capsule form for soothing respiratory symptoms due to a cold or flu, the formula of which has proven to be an immuno-stimulant in preclinical
studies; leaf, root, and bark extracts in the form of infusions, and capsules with a purifying, eliminative, diuretic and laxative action; Natural products for human use namely leaf, flower, and bark
extracts in the form of capsules for combatting sleep disorders and reducing nervousness; Natural products for human use namely a vitamin supplement and antioxidant fruit extract formula in the form
of capsules to assist in decreasing the duration and severity of cold symptoms, slowing down the development of atherosclerosis, improving blood circulation and blood pressure; a food supplement
formula in the form of gelcaps containing soya lecithin and carthane oil to prevent memory disorders and hypercholesterolemia; plant extracts in the form of capsules to assist in fighting
hypertension or hypercholesterolemia; a vitamin and mineral food supplement formula in the form of tablets to stimulate the appetite, treat acne and furunculosis; oils in the form of gelcaps rich in
fatty acids and vitamin E for prostate health; Natural products for human use namely plant extracts and antioxidant roots and fish oils in the form of capsules, gelcaps, liquids, to assist in
reducing the damage caused by oxidative stress, decreasing the risk of prostate cancer and lung cancer, coronary illnesses, to assist in treating rheumatoid arthritis, to improve muscular strength
and endurance and to accelerate recovery after an injury, to soothe urological symptoms associated with benign prostate hyperplasia, to combat general fatigue, to assist in preventing macular
degeneration associated with age, cataracts, the maintenance of proper retina functioning, the maintenance of cardiovascular and cognitive health, for preventing and treating urinary tract
infections, to assist in diminishing the risks of prostate cancer and lung cancer, to assist in reducing the symptoms of light to moderate depression, improving memory and immune system activity;
Natural products for human use namely yoghurt culture in the form of capsules contributing to the regulation of intestinal flora, stimulating the immune system; Natural products for human use namely
potassium gluconate in the form of tablets for preventing hypokalemia and hypertension; Natural products for human use namely an essentially fatty acid formula in the form of gelcaps to assist in
fighting eczema, premenstrual syndrome and menopausal symptoms; Natural products for human use namely chitin formula made from crustacean shells, organic beef trachea, chicken sternum extracts and
standardized resin extracts in the form of capsules and tablets to assist in soothing osteoarthritis symptoms, to reduce joint pain, protect against cartilage deterioration resulting from chronic
joint disorders and play a role in the maintenance and building of cartilage, diminish the pain associated with arthritis, assist in slowing the progression of joint erosion, reduce the risk of
osteoporosis in arthritic patients; Natural products for human use namely a vitamin and mineral supplement formula in the form of capsules, tablets and ampoules for soothing the symptoms of
menopause, relaxing muscles, reducing nervous tension, reducing premenstrual syndrome symptoms, decreasing edema, reducing the volume/circumference of the legs, decreasing pain and tension in the
legs, maintaining bone mass, preventing osteoporosis, fighting fatigue associated with anemia, preventing anemia; Natural products for human use namely gel in the form of ampoules to combat aging;
Natural products for human use namely soluble fibres in the form of capsules for intestinal regularity; Natural products for human use namely plant and mineral extracts in the form of capsules and
liquids to promote intestinal regularity and to aid in digestion and purify (detoxify); Natural products for human use namely mineral formulas in the form of capsules and tablets to remedy calcium
deficiencies |
SIGNATURE SECTION |
DECLARATION SIGNATURE |
/Becki C. Lee/ |
SIGNATORY'S NAME |
Becki C. Lee |
SIGNATORY'S POSITION |
Attorney of record, Georgia Bar member |
DATE SIGNED |
10/28/2019 |
REQUEST TO DIVIDE SIGNATURE |
/Becki C. Lee/ |
SIGNATORY'S NAME |
Becki C. Lee |
SIGNATORY'S POSITION |
Attorney of record, Georgia bar member |
DATE SIGNED |
10/29/2019 |
AUTHORIZED SIGNATORY |
YES |
PAYMENT SECTION |
NUMBER OF CLASSES IN USE |
1 |
SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] |
100 |
REQUEST TO DIVIDE FEE |
100 |
TOTAL AMOUNT |
475 |
PAYMENT METHOD |
DA |
FILING INFORMATION |
SUBMIT DATE |
Tue Oct 29 11:40:13 EDT 2019 |
TEAS STAMP |
USPTO/SOU-XXX.XXX.XX.X-20
191029114013650244-880250
12-7001ada235adf767b311aa
a9b796a69ba6b2a7e24de8de0
92c091fa9b3cb5e785-DA-401
31933-2019102819024888980
8 |
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 No Form Number (Rev 12/2015) |
OMB No. 0651-0054 (Exp 10/31/2017) |
Trademark/Service Mark Request to Divide
To the Commissioner for Trademarks:
MARK: ADRIEN GAGNON
SERIAL NUMBER: 88025012
REQUEST TO DIVIDE
The applicant is requesting to divide the application and specifies the following:
The following good(s) or service(s) is/are now in use: Natural products for human use namely a formula composed of saw palmetto, pygeum, stinging nettle, white deadnettle, common heather and
bearberry, all in the form of capsules for relieving benign prostate hyperplasia symptoms; collagen, in the form of tablets for relieving joint pain and symptoms related to arthritis and
osteoarthritis and for contributing to the formation of healthy cartilage; Natural products for human use namely capsules containing plant extracts to assist in weight loss; Natural products for
human use namely plant and vitamin extracts in the form of ampoules and capsules for soothing respiratory symptoms due to a cold, flu, bronchitis and for increasing the bio-availability of Vitamin C
by decreasing its elimination and oxidation; Natural products for human use namely plant extracts in the form of infusions, with purifying, eliminative, diuretic and laxative actions; Natural
products for human use namely a supplement formula made of vitamins, plants and adaptogenic roots in the form of energizing ampoules, to increase resistance to stress and decrease the feeling of
fatigue; Natural products for human use namely a supplement formula made of adaptogenic plants and roots in the form of energizing ampoules, to increase resistance to stress and decrease the feeling
of fatigue, to decrease hyperglycemia and stimulate weakened immune systems and cognitive functions; Natural products for human use namely plant and root extracts in the form of capsules and ampoules
to assist in slowing the advancement of benign prostate hypertrophy, controlling sleep disorders; a fatty acid and vitamin formula in the form of capsules for physical endurance, cholesterol level
management and for the maintenance of good health; Natural products for human use namely plant extracts and antioxidant roots and fish oils in the form of capsules, gelcaps, liquids, to improve the
cognitive functions of patients suffering from Alzheimer's or minor memory disorders, to contribute to the development and proper functioning of the brain; Natural products for human use namely type
II collagen containing chondroitin and hyaluronic acid in the form of capsules for maintaining connective tissues namely joints and skin; Natural products for human use namely gel in the form of
ampoules to combat fatigue
The following good(s) or service(s) remain(s) under the Section 1(b), intent to use basis: Goods: glucosamine sulphate and chondroitin formula, chitosan oligosaccharides, MSM in the form of tablets
for relieving joint pain and symptoms related to arthritis and osteoarthritis and for contributing to the formation of healthy cartilage; plant extracts in the form of capsules for improving the
health, for reducing the frequency of climateric episodes (hot flashes), improving the neurovegetative state associated with menopause, improving blood cholesterol levels, alleviating excessive
perspiration and enabling regulation of a disrupted sleep cycle; Natural products for human use namely meal replacements in the form of meal replacement bars which taste like peanuts, crème caramel,
fruit, chocolate, apple-cinnamon, coffee, granola and chocolate chips to assist in weight loss and weight maintenance; Natural products for human use namely a vitamin and mineral supplement formula
to remedy vitamin and mineral deficiencies; plant extract formulas with calming antioxidant properties, plant extract formulas possessing immune system benefits, to help balance mood swings, aiming
at palliating the reduction of estrogen in menopausal women, antioxidants in the form of tablets, for maintaining good health; Natural products for human use namely plant extracts in the form of
capsules, with purifying, eliminative, diuretic and laxative actions; Natural products for human use namely oligosaccharide chitosan capsules assisting in controlling cholesterol; Natural products
for human use, namely chitosan oligosaccharide ampoules and creams to soothe joint pain and act as anti-inflammatories for joints; Natural products for human use namely vitamin supplement formulas in
the form of gelcaps for maintaining an appropriate level of antioxidants in the body to palliate oxidative stress; vitamin supplement formulas in the form of tablets to assist in balancing human
metabolism namely carbohydrate levels and to assist in reducing homocysteine levels; mineral formulas in the form of capsules and tablets for remedying magnesium deficiencies; Natural products for
human use namely a supplement formula made of vitamins, plants and adaptogenic roots in the form of energizing ampoules, to decrease hyperglycemia and stimulate weakened immune systems and cognitive
functions; Natural products for human use namely plant and root extracts in the form of capsules and ampoules to assist in preventing and treating urinary tract infections, soothing respiratory
symptoms stemming from a cold or flu, treating moderate Alzheimer's, facilitating digestion of food and to assist in reducing symptoms associated with digestive disorders; plant, root, and bark
extracts in capsule form for treating lumbar pain, arthritis pain, rheumatic disorders; plant extracts in capsule form for soothing respiratory symptoms due to a cold or flu, the formula of which has
proven to be an immuno-stimulant in preclinical studies; leaf, root, and bark extracts in the form of infusions, and capsules with a purifying, eliminative, diuretic and laxative action; Natural
products for human use namely leaf, flower, and bark extracts in the form of capsules for combatting sleep disorders and reducing nervousness; Natural products for human use namely a vitamin
supplement and antioxidant fruit extract formula in the form of capsules to assist in decreasing the duration and severity of cold symptoms, slowing down the development of atherosclerosis, improving
blood circulation and blood pressure; a food supplement formula in the form of gelcaps containing soya lecithin and carthane oil to prevent memory disorders and hypercholesterolemia; plant extracts
in the form of capsules to assist in fighting hypertension or hypercholesterolemia; a vitamin and mineral food supplement formula in the form of tablets to stimulate the appetite, treat acne and
furunculosis; oils in the form of gelcaps rich in fatty acids and vitamin E for prostate health; Natural products for human use namely plant extracts and antioxidant roots and fish oils in the form
of capsules, gelcaps, liquids, to assist in reducing the damage caused by oxidative stress, decreasing the risk of prostate cancer and lung cancer, coronary illnesses, to assist in treating
rheumatoid arthritis, to improve muscular strength and endurance and to accelerate recovery after an injury, to soothe urological symptoms associated with benign prostate hyperplasia, to combat
general fatigue, to assist in preventing macular degeneration associated with age, cataracts, the maintenance of proper retina functioning, the maintenance of cardiovascular and cognitive health, for
preventing and treating urinary tract infections, to assist in diminishing the risks of prostate cancer and lung cancer, to assist in reducing the symptoms of light to moderate depression, improving
memory and immune system activity; Natural products for human use namely yoghurt culture in the form of capsules contributing to the regulation of intestinal flora, stimulating the immune system;
Natural products for human use namely potassium gluconate in the form of tablets for preventing hypokalemia and hypertension; Natural products for human use namely an essentially fatty acid formula
in the form of gelcaps to assist in fighting eczema, premenstrual syndrome and menopausal symptoms; Natural products for human use namely chitin formula made from crustacean shells, organic beef
trachea, chicken sternum extracts and standardized resin extracts in the form of capsules and tablets to assist in soothing osteoarthritis symptoms, to reduce joint pain, protect against cartilage
deterioration resulting from chronic joint disorders and play a role in the maintenance and building of cartilage, diminish the pain associated with arthritis, assist in slowing the progression of
joint erosion, reduce the risk of osteoporosis in arthritic patients; Natural products for human use namely a vitamin and mineral supplement formula in the form of capsules, tablets and ampoules for
soothing the symptoms of menopause, relaxing muscles, reducing nervous tension, reducing premenstrual syndrome symptoms, decreasing edema, reducing the volume/circumference of the legs, decreasing
pain and tension in the legs, maintaining bone mass, preventing osteoporosis, fighting fatigue associated with anemia, preventing anemia; Natural products for human use namely gel in the form of
ampoules to combat aging; Natural products for human use namely soluble fibres in the form of capsules for intestinal regularity; Natural products for human use namely plant and mineral extracts in
the form of capsules and liquids to promote intestinal regularity and to aid in digestion and purify (detoxify); Natural products for human use namely mineral formulas in the form of capsules and
tablets to remedy calcium deficiencies
A fee payment in the amount of $100 will be submitted with the form, representing payment for the allegation of use for 1 class.
A fee payment in the amount of $100 will be submitted with the form, representing payment for the request to divide fee.
A fee payment in the amount of $275 will be
Declaration
The signatory believes that the applicant is the owner of the mark sought to be registered.
For a trademark or service mark application, the mark is in use in commerce on or in connection with all the goods/services in the application or notice of allowance, or as subsequently
modified.
For a collective trademark, collective service mark, collective membership mark application, the applicant is exercising legitimate control over the use of the mark in commerce by members on
or in connection with all the goods/services/collective membership organization in the application or notice of allowance, or as subsequently modified.
For a certification mark application, the applicant is exercising legitimate control over the use of the mark in commerce by authorized users on or in connection with the all goods/services in
the application or notice of allowance, or as subsequently modified, and the applicant is not engaged in the production or marketing of the goods/services to which the mark is applied, except to
advertise or promote recognition of the certification program or of the goods/services that meet the certification standards of the applicant.
The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may
jeopardize the validity of the application or submission or any registration resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on
information and belief are believed to be true.
Signature: /Becki C. Lee/ Date Signed: 10/28/2019
Signatory's Name: Becki C. Lee
Signatory's Position: Attorney of record, Georgia Bar member
Request to Divide Signature:
Signature: /Becki C. Lee/ Date Signed: 10/29/2019
Signatory's Name: Becki C. Lee
Signatory's Position: Attorney of record, Georgia bar member
Serial Number: 88025012
Internet Transmission Date: Tue Oct 29 11:40:13 EDT 2019
TEAS Stamp: USPTO/SOU-XXX.XXX.XX.X-20191029114013650
244-88025012-7001ada235adf767b311aaa9b79
6a69ba6b2a7e24de8de092c091fa9b3cb5e785-D
A-40131933-20191028190248889808