Trademark/Service Mark Application, Principal Register
PTO- 1478
Approved for use through 06/30/2021. 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
Konja, Anthony
*MAILING ADDRESS
2156 Hidden Springs Dr.
*CITY
El Cajon
*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)
92019
*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
005
*IDENTIFICATION
NUTRITIONALLY FORTIFIED BEVERAGES FOR REMOVING HANGOVER FROM ALCOHOLIC BEVERAGES
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Anthony M. Verna III
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
STREET
80 Theodore Fremd Ave.
CITY
Rye
STATE
New York
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
10580
PHONE
914-908-6757
EMAIL ADDRESS
anthony@vernalaw.com
CORRESPONDENCE INFORMATION
NAME
Anthony M. Verna III
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
anthony@vernalaw.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
/s Anthony M. Verna III s/
SIGNATORY'S NAME
Anthony M. Verna III
SIGNATORY'S POSITION
Attorney of Record
SIGNATORY'S PHONE NUMBER
914-908-6757
DATE SIGNED
06/25/2021
SIGNATURE METHOD
Signed directly within the form
PTO- 1478
Approved for use through 06/30/2021. 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:90794786
Filing Date:06/25/2021
To the Commissioner for Trademarks:
MARK: BLACKOUT (Standard Characters, see mark)
The literal element of the mark consists of BLACKOUT. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Anthony Konja, a citizen of United States, having an address of
2156 Hidden Springs Dr.
El Cajon, California 92019
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: NUTRITIONALLY FORTIFIED BEVERAGES FOR REMOVING HANGOVER FROM ALCOHOLIC BEVERAGES
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: Anthony M. Verna III. Anthony M. Verna III, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at
80 Theodore Fremd Ave.
Rye, New York 10580
United States
914-908-6757(phone)
anthony@vernalaw.com
Anthony M. Verna III 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:
Anthony M. Verna III
PRIMARY EMAIL FOR CORRESPONDENCE: anthony@vernalaw.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: /s Anthony M. Verna III s/ Date: 06/25/2021
Signatory's Name: Anthony M. Verna III
Signatory's Position: Attorney of Record
Signatory's Phone Number: 914-908-6757
Signature method: Signed directly within the form
Payment Sale Number: 90794786
Payment Accounting Date: 06/25/2021
Serial Number: 90794786
Internet Transmission Date: Fri Jun 25 09:06:53 ET 2021
TEAS Stamp: USPTO/BAS-XXX.XX.XXX.XXX-202106250906538
12381-90794786-7802755239cce582c519381d1
1a8a557c1532b103f646506ba47e87d347594-CC
-06511498-20210625090251862336