Multidisciplinary Association of Psychedelic Studies, Inc.
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 mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Multidisciplinary Association of Psychedelic Studies, Inc.
*MAILING ADDRESS
1115 Mission St.
*CITY
Santa Cruz
*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)
95060
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
TYPE
non-profit corporation
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY WHERE LEGALLY ORGANIZED
Florida
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
005
*IDENTIFICATION
Pharmaceutical preparation having psychotherapeutic properties for the treatment of diseases and disorders of the central nervous system and
for the treatment of mental health disorders; Pharmaceuticals used to treat diseases and disorders of the central nervous system; Pharmaceuticals used to treat mental health disorders
FILING BASIS
SECTION 1(b)
ADDITIONAL STATEMENTS SECTION
MISCELLANEOUS STATEMENT
To aid the examination process, Applicant claims ownership of US Serial No. 88/345469 and 88/345471. Applicant acknowledges that
application numbers are not printed on the registration certificate.
ATTORNEY INFORMATION
NAME
Lara Pearson
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Law Office of Lara Pearson Ltd, PBC
STREET
775 Mays Blvd. No. 10-405
CITY
Incline Village
STATE
Nevada
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
89451
EMAIL ADDRESS
Lara@BrandGeek.net
CORRESPONDENCE INFORMATION
NAME
Lara Pearson
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
Lara@BrandGeek.net
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
paralegal@BrandGeek.net
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
/Richard Doblin/
SIGNATORY'S NAME
Richard Doblin
SIGNATORY'S POSITION
Executive Director
SIGNATORY'S PHONE NUMBER
555-555-5555
DATE SIGNED
12/10/2020
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:90374609
Filing Date:12/11/2020
To the Commissioner for Trademarks:
MARK: MPATH (Standard Characters, see mark)
The literal element of the mark consists of MPATH. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Multidisciplinary Association of Psychedelic Studies, Inc., a non-profit corporation legally organized under the laws of Florida, having an address of
1115 Mission St.
Santa Cruz, California 95060
United States
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:
International Class 005: Pharmaceutical preparation having psychotherapeutic properties for the treatment of diseases and disorders of the central nervous system and for the treatment of mental
health disorders; Pharmaceuticals used to treat diseases and disorders of the central nervous system; Pharmaceuticals used to treat mental health disorders
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.
Miscellaneous Statement
To aid the examination process, Applicant claims ownership of US Serial No. 88/345469 and 88/345471. Applicant acknowledges that application numbers are not printed on the registration
certificate.
The owner's/holder's proposed attorney information: Lara Pearson. Lara Pearson of Law Office of Lara Pearson Ltd, PBC, is a member of the XX bar, admitted to the bar in XXXX, bar membership no.
XXX, is located at
775 Mays Blvd. No. 10-405
Incline Village, Nevada 89451
United States
Lara@BrandGeek.net
Lara Pearson 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 $275 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Richard Doblin/ Date: 12/10/2020
Signatory's Name: Richard Doblin
Signatory's Position: Executive Director
Payment Sale Number: 90374609
Payment Accounting Date: 12/11/2020
Serial Number: 90374609
Internet Transmission Date: Fri Dec 11 02:27:34 ET 2020
TEAS Stamp: USPTO/BAS-XXXX:XXXX:XXXX:XXXX:XXXX:XXXX:
XXXX:XXXX-20201211022734406691-90374609-
750fe25992cf8415ae7834a16aab2ddc9c78dfad
58af3569384354e6fedfb914635-CC-27328083-
20201209162513462730