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:90254596
Filing Date:10/14/2020
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
Brice F Gilliam
*MAILING ADDRESS
9 S 9th Street, Suite 5
*CITY
Nashville
*STATE
(Required for U.S. applicants)
Tennessee
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
37206
*DOMICILE
XXXX
PHONE
615-973-0927
*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
035
*IDENTIFICATION
Retail store services in the field of home goods featuring a showroom for the goods of others in the field of home goods?
*FILING BASIS
SECTION 1(b)
*INTERNATIONAL CLASS
042
*IDENTIFICATION
Residential building design
*FILING BASIS
SECTION 1(b)
ADDITIONAL STATEMENTS INFORMATION
*TRANSLATION
(if applicable)
*TRANSLITERATION
(if applicable)
*CLAIMED PRIOR REGISTRATION
(if applicable)
*CONSENT (NAME/LIKENESS)
(if applicable)
*CONCURRENT USE CLAIM
(if applicable)
CORRESPONDENCE INFORMATION
NAME
Brice F Gilliam
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
info@elevationorthodontics.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
drbricegilliam@gmail.com
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Plus
NUMBER OF CLASSES
2
APPLICATION FOR REGISTRATION PER CLASS
225
*TOTAL FEES DUE
450
*TOTAL FEES PAID
450
SIGNATURE INFORMATION
* SIGNATURE
//Brice F Gilliam//
* SIGNATORY'S NAME
Brice F Gilliam
* SIGNATORY'S POSITION
Owner
SIGNATORY'S PHONE NUMBER
615-973-0927
* DATE SIGNED
10/14/2020
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:90254596
Filing Date:10/14/2020
To the Commissioner for Trademarks:
MARK: DEEP SOUTH MODERN (Standard Characters, see mark)
The literal element of the mark consists of DEEP SOUTH MODERN. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Brice F Gilliam, a citizen of United States, having an address of
9 S 9th Street, Suite 5
Nashville, Tennessee 37206
United States
615-973-0927(phone)
XXXX
Domiciled at: 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 035: Retail store services in the field of home goods featuring a showroom for the goods of others in the field of home goods?
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)).
For specific filing basis information for each item, you must view the display within the Input Table.
International Class 042: Residential building design
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 $450 has been submitted with the application, representing payment for 2 class(es).
Declaration
Declaration Signature
Signature: //Brice F Gilliam// Date: 10/14/2020
Signatory's Name: Brice F Gilliam
Signatory's Position: Owner
Signatory's Phone Number: 615-973-0927
Payment Sale Number: 90254596
Payment Accounting Date: 10/14/2020
Serial Number: 90254596
Internet Transmission Date: Wed Oct 14 15:04:08 ET 2020
TEAS Stamp: USPTO/FTK-XX.XX.XXX.XXX-2020101415040898
4718-90254596-7501fd1d2f3aba4a6426bdd17d
2696d9f65b7cb0fca06b70c038821d80ab31-CC-
04073931-20201014145746040305