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
FormFox, Inc.
*MAILING ADDRESS
8433 Quivira Road
*CITY
Lenexa
*STATE
(Required for U.S. applicants)
Kansas
*COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
*ZIP/POSTAL CODE
(Required for U.S. and certain international addresses)
66215
*EMAIL ADDRESS
XXXX
LEGAL ENTITY INFORMATION
TYPE
corporation
STATE/COUNTRY/REGION/JURISDICTION/U.S. TERRITORY OF INCORPORATION
Kansas
GOODS AND/OR SERVICES AND BASIS INFORMATION
INTERNATIONAL CLASS
001
*IDENTIFICATION
on-site testing kit for determining the presence of drugs of abuse in urine and oral fluids consisting primarily of reagent impregnated strips
or indicators for pre-employment and employee screening, and also including means for optical interpretation of the urine and oral fluid result read window, and urine and oral fluid collection
containers
FILING BASIS
SECTION 1(b)
ADDITIONAL STATEMENTS SECTION
ACTIVE PRIOR REGISTRATION(S)
The applicant claims ownership of active prior U.S. Registration Number(s) 3511175, 4509679, and 5485424.
ATTORNEY INFORMATION
NAME
Joan Optican Herman
ATTORNEY DOCKET NUMBER
57400; 7125
ATTORNEY BAR MEMBERSHIP NUMBER
XXX
YEAR OF ADMISSION
XXXX
U.S. STATE/ COMMONWEALTH/ TERRITORY
XX
FIRM NAME
HOVEY WILLIAMS LLP
STREET
10801 Mastin St., Suite 1000
CITY
Overland Park
STATE
Kansas
COUNTRY/REGION/JURISDICTION/U.S. TERRITORY
United States
ZIP/POSTAL CODE
66210
PHONE
913-647-9050
FAX
913-647-9057
EMAIL ADDRESS
tmdocketing.herman@hoveywilliams.com
OTHER APPOINTED ATTORNEY
Thomas B. Luebbering, Andrew G. Colombo, Scott R. Brown, Tracy L. Bornman, Michael B. Hurd, Kameron D. Kelly, Gregory J. Skoch, Cheryl L.
Burbach, Randall W. Schwartz, Crissa A. Cook, Matthew Walters, Dianne M. Smith-Misemer, Paul J. Walker, Chad Kyle, Stephen Huggins, Kyle Mendenhall, C. Blair Barbieri, Darin McCollum, Chandler E.
Schmidt, Denise Dantzler, and Lauren Byrne
CORRESPONDENCE INFORMATION
NAME
Joan Optican Herman
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE
tmdocketing.herman@hoveywilliams.com
SECONDARY EMAIL ADDRESS(ES) (COURTESY COPIES)
mm@hoveywilliams.com
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
/Allen Jones/
SIGNATORY'S NAME
Allen Jones
SIGNATORY'S POSITION
Vice President - Legal Affairs
SIGNATORY'S PHONE NUMBER
9136935408
DATE SIGNED
05/23/2022
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:97424488
Filing Date:05/23/2022
To the Commissioner for Trademarks:
MARK: FormFox Flex (Standard Characters, see mark)
The literal element of the mark consists of FormFox Flex. The mark consists of standard characters, without claim to any particular font style, size, or color.
The applicant, FormFox, Inc., a corporation of Kansas, having an address of
8433 Quivira Road
Lenexa, Kansas 66215
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 001: on-site testing kit for determining the presence of drugs of abuse in urine and oral fluids consisting primarily of reagent impregnated strips or indicators for
pre-employment and employee screening, and also including means for optical interpretation of the urine and oral fluid result read window, and urine and oral fluid collection containers
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.
Claim of Active Prior Registration(s)
The applicant claims ownership of active prior U.S. Registration Number(s) 3511175, 4509679, and 5485424.
The owner's/holder's proposed attorney information: Joan Optican Herman. Other appointed attorneys are Thomas B. Luebbering, Andrew G. Colombo, Scott R. Brown, Tracy L. Bornman, Michael B. Hurd,
Kameron D. Kelly, Gregory J. Skoch, Cheryl L. Burbach, Randall W. Schwartz, Crissa A. Cook, Matthew Walters, Dianne M. Smith-Misemer, Paul J. Walker, Chad Kyle, Stephen Huggins, Kyle Mendenhall, C.
Blair Barbieri, Darin McCollum, Chandler E. Schmidt, Denise Dantzler, and Lauren Byrne. Joan Optican Herman of HOVEY WILLIAMS 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
10801 Mastin St., Suite 1000
Overland Park, Kansas 66210
United States
913-647-9050(phone)
913-647-9057(fax)
tmdocketing.herman@hoveywilliams.com
The docket/reference number is 57400; 7125.
Joan Optican Herman 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:
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: /Allen Jones/ Date: 05/23/2022
Signatory's Name: Allen Jones
Signatory's Position: Vice President - Legal Affairs
Signatory's Phone Number: 9136935408
Signature method: Sent to third party for signature
Payment Sale Number: 97424488
Payment Accounting Date: 05/23/2022
Serial Number: 97424488
Internet Transmission Date: Mon May 23 18:27:09 ET 2022
TEAS Stamp: USPTO/BAS-XX.XXX.XXX.XX-2022052318270972
8201-97424488-820c3483699d9095a57cc5edce
6aebd887db29e0cc6161cb2b14a37e331ad67-DA
-27084224-20220523172101688140