TEAS Plus New Application

PTO- 1478

Approved for use through 10/31/2024. 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

---

PTO- 1478

Approved for use through 10/31/2024. 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

TEAS Plus Application

Serial Number: 97197278

Filing Date: 12/30/2021

To the Commissioner for Trademarks:

MARK: FORM (stylized and/or with design, see mark)
The literal element of the mark consists of FORM. The applicant is not claiming color as a feature of the mark. The mark consists of a stylized design of the word FORM.
The applicant, Stephanie Anguiano, a citizen of United States, having an address of
      11846 Neenach St
      Sun Valley, California 91352
      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:

For specific filing basis information for each item, you must view the display within the Input Table.
International Class 009:  Eyewear; Sun glasses
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 owner's/holder's proposed attorney information: Justin Johanson. Justin Johanson of Johanson Parker, is a member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, is located at
      21920 E. Pegasus Parkway
      Queen Creek, Arizona 85142
      United States
      480-845-2030(phone)
      justin@innovativeIPLaw.com

Justin Johanson 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:

Justin Johanson

PRIMARY EMAIL FOR CORRESPONDENCE: justin@innovativeIPLaw.com        SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES): jjohanson1129@gmail.com; jjohanson@rocketlawyer.com 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

	Basis: If the applicant is filing the application based on use in commerce under 15 U.S.C. § 1051(a): The signatory believes that the applicant is the owner of the trademark/service mark sought to be registered; The mark is in use in commerce and was in use in commerce as of the filing date of the application on or in connection with the goods/services in the application; The specimen(s) shows the mark as used on or in connection with the goods/services in the application and was used on or in connection with the goods/services in the application as of the application filing date; and To the best of the signatory's knowledge and belief, the facts recited in the application are accurate. And/Or If the applicant is filing the application based on an intent to use the mark in commerce under 15 U.S.C. § 1051(b), § 1126(d), and/or § 1126(e): The signatory believes that the applicant is entitled to use the mark in commerce; The applicant has a bona fide intention to use the mark in commerce and had a bona fide intention to use the mark in commerce as of the application filing date on or in connection with the goods/services in the application; and To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.
	To the best of the signatory's knowledge and belief, no other persons, except, if applicable, concurrent users, have the right to use the mark in commerce, either in the identical form or in such near resemblance as to be likely, when used on or in connection with the goods/services of such other persons, to cause confusion or mistake, or to deceive.
	To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the allegations and other factual contentions made above have evidentiary support.
	The signatory being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of the application or submission or any registration resulting therefrom, declares that all statements made of his/her own knowledge are true and all statements made on information and belief are believed to be true.

Declaration Signature

Signature: /JUSTIN JOHANSON/   Date: 12/30/2021
Signatory's Name: JUSTIN JOHANSON
Signatory's Position: Attorney of Record
Signatory's Phone Number: 480-845-2030
Signature method: Signed directly within the form
Payment Sale Number: 97197278
Payment Accounting Date: 12/30/2021

Serial Number: 97197278
Internet Transmission Date: Thu Dec 30 15:36:03 ET 2021
TEAS Stamp: USPTO/FTK-XXX.XX.X.XX-202112301536034921
09-97197278-800c4fc2a14f1489a8f9fe3906e8
28bddd5f862d18c3a32de16dd169559b29eff94-
CC-36022783-20211230153355369692