Trademark/Service Mark Application, Principal Register
PTO- 1478
Approved for use through 05/31/2021. OMB 0651-0009
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number
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
Palencia, Jerome
*MAILING ADDRESS
1012 Geneva Ave
*CITY
San Francisco
*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)
94112
*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
016
*IDENTIFICATION
Publications
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Thomas D. Foster
ATTORNEY DOCKET NUMBER
7110.009-09
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
TDFoster - Intellectual Property Law
STREET
11622 El Camino Real, Suite 100
CITY
San Diego
STATE
California
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
92130
PHONE
858-922-2170
EMAIL ADDRESS
foster@tdfoster.com
CORRESPONDENCE INFORMATION
NAME
Thomas D. Foster
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
foster@tdfoster.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
NOT PROVIDED
FEE INFORMATION
APPLICATION FILING OPTION
TEAS Standard
NUMBER OF CLASSES
1
APPLICATION FOR REGISTRATION PER CLASS
350
*TOTAL FEES DUE
350
*TOTAL FEES PAID
350
SIGNATURE INFORMATION
SIGNATURE
/Jerome Palencia/
SIGNATORY'S NAME
Jerome Palencia
SIGNATORY'S POSITION
Owner
SIGNATORY'S PHONE NUMBER
000-000-0000
DATE SIGNED
06/02/2021
SIGNATURE METHOD
Sent to third party for signature
PTO- 1478
Approved for use through 05/31/2021. OMB 0651-0009
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number
Trademark/Service Mark Application, Principal Register
Serial Number:90750547
Filing Date:06/02/2021
To the Commissioner for Trademarks:
MARK: MUSHROOM (Standard Characters, see mark)
The literal element of the mark consists of MUSHROOM. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Jerome Palencia, a citizen of United States, having an address of
1012 Geneva Ave
San Francisco, California 94112
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 016: Publications
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.
The owner's/holder's proposed attorney information: Thomas D. Foster. Thomas D. Foster of TDFoster - Intellectual Property Law, is a member of the XX bar, admitted to the bar in XXXX, bar
membership no. XXX, is located at
11622 El Camino Real, Suite 100
San Diego, California 92130
United States
858-922-2170(phone)
foster@tdfoster.com
The docket/reference number is 7110.009-09.
Thomas D. Foster 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:
Thomas D. Foster
PRIMARY EMAIL FOR CORRESPONDENCE: foster@tdfoster.com SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): NOT PROVIDED
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 $350 has been submitted with the application, representing payment for 1 class(es).
Declaration
Declaration Signature
Signature: /Jerome Palencia/ Date: 06/02/2021
Signatory's Name: Jerome Palencia
Signatory's Position: Owner
Signatory's Phone Number: 000-000-0000
Signature method: Sent to third party for signature
Payment Sale Number: 90750547
Payment Accounting Date: 06/02/2021
Serial Number: 90750547
Internet Transmission Date: Wed Jun 02 19:59:21 ET 2021
TEAS Stamp: USPTO/BAS-XX.XX.XX.XXX-20210602195921363
164-90750547-7801947552aeefcdc0911d56353
67595f6a3b0d3e37b27ac576e6f8c6f2dde2abc-
CC-59190936-20210602192536562334