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:90202406
Filing Date:09/23/2020
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.
*DESCRIPTION OF THE MARK
(and Color Location, if applicable)
The mark consists of a center image of an orchid flower composed of five petals. It is surrounded by smoke, Underneath this image are the words
Black Orchid. Underneath these two words are the words Brewing Co.
PIXEL COUNT ACCEPTABLE
YES
PIXEL COUNT
944 x 944
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Black Orchid Brewing LLC
*MAILING ADDRESS
19345 Stonegate Dr.
*CITY
Cottonwood
*STATE
(Required for U.S. applicants)
California
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
96022
PHONE
909-938-8363
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
*TYPE
LIMITED LIABILITY COMPANY
* STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED
California
GOODS AND/OR SERVICES AND BASIS INFORMATION
*INTERNATIONAL CLASS
040
*IDENTIFICATION
Brewing services; Brewing of beer
*FILING BASIS
SECTION 1(b)
ADDITIONAL STATEMENTS SECTION
*TRANSLATION
(if applicable)
*TRANSLITERATION
(if applicable)
*CLAIMED PRIOR REGISTRATION
(if applicable)
*CONSENT (NAME/LIKENESS)
(if applicable)
*CONCURRENT USE CLAIM
(if applicable)
CORRESPONDENCE INFORMATION
NAME
Black Orchid Brewing LLC
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
joffreroberts@aol.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
TMApp@legalzoom.com
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Plus
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
225
*TOTAL FEES DUE
225
*TOTAL FEES PAID
225
SIGNATURE INFORMATION
* SIGNATURE
/Joffre B Roberts/
* SIGNATORY'S NAME
Joffre Benga Roberts
* SIGNATORY'S POSITION
Partner
SIGNATORY'S PHONE NUMBER
909-938-8363
* DATE SIGNED
09/21/2020
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:90202406
Filing Date:09/23/2020
To the Commissioner for Trademarks:
MARK: Black Orchid Brewing Co. (stylized and/or with design, see mark)
The literal element of the mark consists of Black Orchid Brewing Co.. The mark consists of a center image of an orchid flower composed of five petals. It is surrounded by smoke, Underneath this image
are the words Black Orchid. Underneath these two words are the words Brewing Co.
The applicant, Black Orchid Brewing LLC, a limited liability company legally organized under the laws of California, having an address of
19345 Stonegate Dr.
Cottonwood, California 96022
United States
909-938-8363(phone)
XXXX
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 040: Brewing services; Brewing of beer
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. (15 U.S.C. Section 1051(b)).
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 $225 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Joffre B Roberts/ Date: 09/21/2020
Signatory's Name: Joffre Benga Roberts
Signatory's Position: Partner
Signatory's Phone Number: 909-938-8363
Payment Sale Number: 90202406
Payment Accounting Date: 09/23/2020
Serial Number: 90202406
Internet Transmission Date: Wed Sep 23 06:55:06 ET 2020
TEAS Stamp: USPTO/FTK-XXX.XX.XXX.X-20200923065506078
668-90202406-750df84b2fee44927fb684b3673
15226dc4916a76a1b6b62c42c9b1c25ebda-DA-5
5059986-20200916184243062340