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:90457527
Filing Date:01/10/2021
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.
Attached is a scorecard (sign) developed , printed and supplied by applicant and used in the PSYCHOTOUR Colon Cancer Educational
Outreach event in Santa Barbara, CA on September 17, 2018
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
Dickens, Bart
DOCKET/REFERENCE NUMBER
0001
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
dickens@att.net
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
bart@psychotour.org
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Plus
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
250
*TOTAL FEES DUE
250
*TOTAL FEES PAID
250
SIGNATURE INFORMATION
* SIGNATURE
/Bart Dickens/
* SIGNATORY'S NAME
Bart Dickens
* SIGNATORY'S POSITION
Holder
SIGNATORY'S PHONE NUMBER
805-886-3478
* DATE SIGNED
01/10/2021
SIGNATURE METHOD
Signed directly within the form
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:90457527
Filing Date:01/10/2021
To the Commissioner for Trademarks:
MARK: SMART SCRAMBLE (Standard Characters, see mark)
The literal element of the mark consists of SMART SCRAMBLE. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Bart Dickens, a citizen of United States, having an address of
PO Box 61406
Santa Barbara, California 93160
United States
805-886-3478(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 016: Printed matter, namely, paper signs, books, manuals, curricula, newsletters, informational cards and brochures in the field of educational outreach.
Use in Commerce: The applicant is using the mark in commerce on or in connection with the identified goods/services. The applicant attaches, or will later submit, one specimen as a JPG/PDF image file
showing the mark as used in commerce on or in connection with any item in the class of listed goods/services, regardless of whether the mark itself is in the standard character format or is a
stylized or design mark. The specimen image file may be in color, and the image must be in color if color is being claimed as a feature of the mark.
In International Class 016, the mark was first used by the applicant or the applicant's related company or licensee predecessor in interest at least as early as 05/21/2018, and first used in commerce
at least as early as 09/17/2018, and is now in use in such commerce. The applicant is submitting one(or more) specimen(s) showing the mark as used in commerce on or in connection with any item in the
class of listed goods/services, consisting of a(n) Attached is a scorecard (sign) developed , printed and supplied by applicant and used in the PSYCHOTOUR Colon Cancer Educational Outreach event in
Santa Barbara, CA on September 17, 2018.
The applicant's current Correspondence Information:
Dickens, Bart
PRIMARY EMAIL FOR CORRESPONDENCE: dickens@att.net
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): bart@psychotour.org
The docket/reference number is 0001.
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 $250 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Bart Dickens/ Date: 01/10/2021
Signatory's Name: Bart Dickens
Signatory's Position: Holder
Signatory's Phone Number: 805-886-3478
Signature method: Signed directly within the form
Payment Sale Number: 90457527
Payment Accounting Date: 01/11/2021
Serial Number: 90457527
Internet Transmission Date: Sun Jan 10 22:03:56 ET 2021
TEAS Stamp: USPTO/FTK-XXXX:XXXX:XXXX:XXX:XXXX:XXXX:X
XXX:XXXX-20210110220356846487-90457527-7
60eaa8bc6ec58c032da73d8ac682ab1e55567cdc
b668e1459cc149d71ab7c87-CC-03550973-2021
0110200614028029