Trademark/Service Mark Application, Principal Register
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
The mark consists of standard characters, without claim to any particular font style, size, or color.
REGISTER
Principal
APPLICANT INFORMATION
*OWNER OF MARK
Achieve Life Sciences, Inc.
*MAILING ADDRESS
22722 29th Drive SE, Suite 100
*CITY
Bothell
*STATE
(Required for U.S. applicants)
Washington
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
98021
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY OF INCORPORATION
Delaware
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
005
*IDENTIFICATION
Pharmaceutical preparations of cytisinicline and its derivatives for use as an aid for nicotine addiction cessation, smoking cessation, and
nicotine e-cigarettes cessation
FILING BASIS
SECTION 1(b)
ATTORNEY INFORMATION
NAME
Winfield B. Martin
ATTORNEY DOCKET NUMBER
137319-4001
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
Perkins Coie LLP
STREET
P.O. Box 2608
CITY
Seattle
STATE
Washington
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
98111
PHONE
206-359-8000
FAX
206-359-9000
EMAIL ADDRESS
pctrademarks@perkinscoie.com
OTHER APPOINTED ATTORNEY
Lindsay B. Allen, Griffin Barnett, Britt L. Anderson, Caleb Bacos, Stefan B. Blum, Jared H. Bryant, Jeremy L. Buxbaum, Katie Christensen, L.
Omar Cojulun, Sabrina J. Danielson, James R. Davis, Colleen M. Ganin, Daniel J. Glenn, Mark S. Goodrich, Lynne E. Graybeal, Monica Gutierrez, Patchen M. Haggerty, John P. Halski, Thomas L. Holt,
Jason S. Howell, Julie A. Kent, Erica Klazmer, Lisa K. Koenig, Patrick J Koncel, Elizabeth A. Kristoferson, Alicia A. Matusheski, Vicki Y. Nee, Lisa T. Oratz, Scott J. Palmer, Mira Park, Andrew A.
Roppel, Grace Han Stanton, Malcolm C. Tyler, James L. Vana, Fabricio Vayra and Robert G. Woolston
CORRESPONDENCE INFORMATION
NAME
Winfield B. Martin
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
pctrademarks@perkinscoie.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
/Winfield B. Martin/
SIGNATORY'S NAME
Winfield B. Martin
SIGNATORY'S POSITION
Attorney of Record, Washington Bar Member
SIGNATORY'S PHONE NUMBER
206-359-8000
DATE SIGNED
01/20/2022
SIGNATURE METHOD
Sent to third party for signature
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
Serial Number:97229947
Filing Date:01/20/2022
To the Commissioner for Trademarks:
MARK: ACHIEVE (Standard Characters, see mark)
The literal element of the mark consists of ACHIEVE. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, Achieve Life Sciences, Inc., a corporation of Delaware, having an address of
22722 29th Drive SE, Suite 100
Bothell, Washington 98021
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 preparations of cytisinicline and its derivatives for use as an aid for nicotine addiction cessation, smoking cessation, and nicotine e-cigarettes
cessation
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: Winfield B. Martin. Other appointed attorneys are Lindsay B. Allen, Griffin Barnett, Britt L. Anderson, Caleb Bacos, Stefan B. Blum, Jared H.
Bryant, Jeremy L. Buxbaum, Katie Christensen, L. Omar Cojulun, Sabrina J. Danielson, James R. Davis, Colleen M. Ganin, Daniel J. Glenn, Mark S. Goodrich, Lynne E. Graybeal, Monica Gutierrez, Patchen
M. Haggerty, John P. Halski, Thomas L. Holt, Jason S. Howell, Julie A. Kent, Erica Klazmer, Lisa K. Koenig, Patrick J Koncel, Elizabeth A. Kristoferson, Alicia A. Matusheski, Vicki Y. Nee, Lisa T.
Oratz, Scott J. Palmer, Mira Park, Andrew A. Roppel, Grace Han Stanton, Malcolm C. Tyler, James L. Vana, Fabricio Vayra and Robert G. Woolston. Winfield B. Martin of Perkins Coie LLP, is a
member of the XX bar, admitted to the bar in XXXX, bar membership no. XXX, and the attorney(s) is located at
P.O. Box 2608
Seattle, Washington 98111
United States
206-359-8000(phone)
206-359-9000(fax)
pctrademarks@perkinscoie.com
The docket/reference number is 137319-4001.
Winfield B. Martin 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:
Winfield B. Martin
PRIMARY EMAIL FOR CORRESPONDENCE: pctrademarks@perkinscoie.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: /Winfield B. Martin/ Date: 01/20/2022
Signatory's Name: Winfield B. Martin
Signatory's Position: Attorney of Record, Washington Bar Member
Signatory's Phone Number: 206-359-8000
Signature method: Sent to third party for signature
Payment Sale Number: 97229947
Payment Accounting Date: 01/20/2022
Serial Number: 97229947
Internet Transmission Date: Thu Jan 20 16:15:54 ET 2022
TEAS Stamp: USPTO/BAS-XX.XX.XXX.XXX-2022012016155489
4006-97229947-810597db43a476a6821d1b830a
650b124c1526fb8b460519a40e979ebb1dae5ec-
CC-15532703-20220120121217654949