PTO Form 1481 Collective Membership Mark Application

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Trademark Electronic Application System

Navigation History: Instruction > Applicant > Mark > Goods/Services/Filing Basis > Attorney/Dom. Rep./Correspondence > Fee/Signature

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid 0MBcontrolnumber.
PTO Form 1481 (Rev 09/2006)
Approved for use through xx/xx/xxxx OMB Control No. 0651-0009

Collective Membership Mark Form, Principal Register
Version 7.1
Watch the "Before vou me" TMIN video for an overview of the most imp011aut issues to be aware of when filing a tradt'mark application with the USPTO.

To file the application elech·onically, please complete the following steps:

1.
2.
3.
4.
5.
6.
7.
8.

Answer the first question below to create an application form showing only sections relevant to your specific filing.
For help at any point, click on any underlined word on any page.
After answering the first wizard question, click on the CONTINUE button at bottom of the page.
Once in the actual form, complete all fields with a • symbol, since they are mandatory fields for TEAS filing purposes.
Validate the fonn, using the "Validate" button at the end of the form. If there are errors, return to the form to make the correction. A "\Varning" may be corrected or by-passed.
Double-check all entries througb the links displayed on the Validation page.
You may save your work for submission at a later time by clicking on the Save Form button at the bottom of the Validation page.
When ready to file, use the Pay/Submit button at the bottom of the Validation page. This will allow you to choose from three (3) different payment metl1ods: credit card, automated
deposit account, or electronic funds transfer.
9. After accessing the proper screen for payment, and making the appropriate entries, you will receive a confinnation screen if your transmission is successful. This screen will say
SUCCESS! and will provide your assigned serial number.
IO. An email acknowledging receipt of the submission (a filing receipt) will be sent to the correspondence email address of record.
Once you submit this application, the USPTO will not cancel tbr filing or refund you,· fee. Tb• frr ls a processing fer, which wr do uot rrfund even lf we cannot Issue a registration
afftr our sobstautivt rtvltw.

Important: After tliis application is submitted, tlie USPTO will send a filing receipt co the email address of eitl1er (A) tl1e appointed attorney, if any, otl1erwise (BJ the trademark applicant
owner/holder.
Contact Points:

Gtoeral tradrmark Information: Please review the information posted at Where Do I Start. If you have remaining questions, email TrademarkAssistanceCeuter@uspto.gov, or telephone
1-800-786-9 I 99,._ .
Htlp: For instrnctions on how to use the electronic fonus. or help in resolving tec/111/ca/ glitches, please email TEAS@uspto.gov. Please include your telephone number in your email, so we
can talk to you directly, if necessary. Also, include the relevant serial number or registration number. if existing.

NOTE: The TEAS Support Team rocu-;es on problems related to the process of completing the electronic forms, not on what information would be correct for entry within a form, or other b Applicant > Mark > Goods/Services/Filing Basis > Attorney/Dom. Rep./Correspondence > Fee/Signature

Under the Paper workReduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid 0MB control number.
PTO Form 1481 (Rev 09/2006)
Approved for use through xx/xx/xxxx OMB Control No. 0651-0009

Collective Membership Mark Form, Principal Register
Version 7.1
Watch the TMIN 1'Applicant information II video that explains the terms "applicant" or "applicant owner/holder." The tem1 "applicant" identifies who owns the trademark, not necessarily who is filing
the application.
Watch the TEAS Nuts and Bolls Applicaut Information video that explains how to fill out the Applicant Information page.
Applicant Information
Note: If there is morr than one owner, complete the applicant information for the first owner, and then click on the "Add Owner" button at the bottom of this page. Repeat for each owner. You must
specify whetlier the multiple applicants are joint aQQlicants or some other entity type listed below.
* Owner of Mark

I

[If an individual, use the following format: Last Name, First Name Middle Initial or Name, if applicable]

D DBA (doing business as) D AKA (also known as)
D TA (trading as) D Formerly

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EnlitvTvpe
0 Individual
0 Corporation
0 Limited Llabllitv Company
0 PartuershiQ
0 Limited Partnership
0 Joint Venture
0 Sole Proprietorship
OTrust

<= Click the appropriate circle on the left to indicate the applicant's entity type. The form will then display the
field(s) for entering Information corresponding to that specific entity type. If your entity type Is not one of the
options displayed directly to the left, you must click on "Other" and then select the appropriate entry from the
relevant pull-down box.

0 Estate
O0ther
I

Internal Address
* Sh·eet Address

(Entered address is viewable in the USPTO's
TSOR database. This address must be capable
of receiving mail. The USPTO presumes this
address is the applicant owner's/holder's domicile.
If It Is not, enter the Domicile Address below.)

• Citv
* State

(Required for U.S. applk:ant owners/holders)

* Countrv/Region/Jurisdiction/U.S. Territorv

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NOTE: You must limit your entry here, and for all remaining fields within this overall section, to no more than 40 characters (the storage limit for the USPTO database). You
may need to abbreviate some words, e.g., St. instead of Street. Failure to do so may result in an undeliverable address, due to truncation at the 40 character limit.

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NOTE: You must limit your entry here to no more than 22 dlaracters.

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ISelect State

y
NOTE: You must include as part of the •ot " enby any information related to geographical regions (e.g., provinces) not found in the dropdown lists for MStates• or "Countries.•
Enter the city and then the geographic.al region, separated by a romma (e.g., Toronto, Ontario). In most instances, you will then also have to sefect the country within which
the region is found, below.

ISelect Country/Regiou/Jurisdictiou/U.S. Territ, vi

* Zip/Postal Code

I

(Required for U.S. and certain international addresses)

Domicile Address

1,21 Uncheck this box if the Domicile Address and mailing address of the applicant owner/holder are NOT the same.

(If the domicile and the mailing address above
are different, enter the Domicile Address here.
Enter the number, street, city, state, country or
U.S. territory, and i f applicable, zip/postal
code.)

-

Phone Number

IUnited States

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Fax Number
* Email Address

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Indicate piace you reside and Intend to be your principal home (for lndMdual) or your prirx::lpal place of business (for entity). The address entered In this ftekl is not publicly
viewable in the USPTO's TSOR database unless it is the same as the mailing address entered above.

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The applicant owner/holder is required to provide an email address and keep that address current with the USPTO. If the applicant
owner/holder is represented by a U.S.-licensed anorney, only the anorney's email address will be used for correspondence by the USPTO.

Website address
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Trademark Electronic Application System

Navigation History: Instruction > Applicant > Mark > Goods/Services/Rling Basis > Attorney/Dom. Rep./Correspondence > Fee/Signature

Under the P aperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays avalid 0MB control number.
PTO Form 1481 (Rev 09/2006)
0MB No. 0651-0009 (Exp. 02/28/2021)

Collective Membership Mark Form, Principal Register
Version 7.1
Mark Information

Before the USPTO can register your mark, exactly what the mark is must be clear. You may present your mark in one ofthe following ways: (1) standard characters, if not claiming a particular font
style, size, and/or color; (2) special form, if the mark includes a design or word(s) combined with a design, or is displayed in a particular font style, size, and/or color; or (3) non-visual sound mark (for
this type ofmark, you should include a musical score, and an audio file, as well as a detailed mark description). Do not upload your specimen ofuse (sample ofacmal use, e.g., a label or advertisement)
here. This will be required in a different part ofthe form (ifappropriate for your filing basis). WAR.J'\'ING: You may submit only one mark per application, ifyour application includes multiple marks,
it may be denied a filing date or refused registration.
When you click on one of the three circles presented below, and follow the specific instructions, the form will automatically create a separate page that displays the mark for which you are applying or
permits the applicant owner/holder to attach an audio file for a sound mark. Please carefully review this page prior to final submission to the USPTO, to ensure that it accurately depicts or represents
your mark. You may not be penuitted to change or correct your mark after filing this application. While minor changes in the mark may sometimes be permitted, changes that result in a material
alteration of tl,e mark as originally filed will result in the USPTO issuing a refusal on that ground.
WARNING: AFTER YOU FINISH SEARCHING THE USPTO DAT ABASE FOR POTENTIALLY CONFLICTING MARKS, EVEN IF YOU THINK THERE ARE NO CONFLICTING MARKS,
DO NOT ASSUME THAT YOUR MARK WILL AUTOMATICALLY REGISTER. AFTER YOU FILE THE APPLICATION, THE USPTO WILL CONDUCT ITS OWN DATABASE SEARCH
AND COMPLEX LEGAL REVIEW, AND MAY REFUSE TO REGISTER YOUR MARK ON THAT OR ANOTHER BASIS.

Watch the TMIN lust.-uctloual video ou the Importance or conductlue a search or existing trademarks or s,n,lce marks before filing your appllcatlon.
• Click the ap1,roprlate circle to Indicate the Mark type:® Standard Characters O Special Form (Stvli=ed and/or Design) 0 Sound mark
Watch tbt Ti\11N instructional video on drawing issues.

Watch the TEAS Nuts aud Bolts video explalnlue bow to fill out the Mark Iurormatlou paee.
Enter the mark here: (Note: The entJy c.an be In capital letters, lower case letters, or a combination thereof. Do not indude the "',"',®, or© symbols after the mark entry, because they are not part of
the actual mark. If using Internet Explorer, the entry cannot exceed 2036 characters; otherwise, you must switch to another browser.)
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NOTE: for how the USPTO determines what the display of the entered mark will be, dk:k m.
NOTE: For Information about mark display in USPTO databases, dick

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The "Additional Statement" section of this form is used to enter various legal or informational statement(s) that may pertain to the mark: for example, a disclaimer or English translation. You are not
required to enter any of these statement(s) at the time of filing; however, you may be required to add a statement(s) to the record during examination of the application. If you are unsure whether you
should make such a statement, the examining attorney assigned to your application will issue a requirement, if appropriate.
D Check here to display the full listing of additional statements from which you may make your selection .
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Trademark Electronic Application System

Navigation History: Instruction > Applicant> Mark > Goods/Services/Filing Basis > Attorney/Dom. Rep./Correspondence > Fee/Signature
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid 0MB control number.
PTO Form 1481 (Rev 09/2006)
Approved for use through xx/xx/xxxx OMB Control No. 0651-0009

Collective Membership Mark Form, Principal Register
Version 7.1
Identification
An identification of goods/services is not appropriate in connection with a collective membership mark. The purpose of a collective membership mark is to indicate membership in an organization.
Appropriate identification language would be, "to indicate membership in an organization (association, club or the like)...," followed by a phrase indicating the narure of the organization or association,
e.g., "to indicate membership in an organization of computer professionals."

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You may indicate the nalllfe of the collective membership organization by specifying the area of activity of the members (e.g., they may sell lumber, or cosmetics, or food, or they may provide services
as engineers or accountants). If goods/services are not directly involved, the nature of the collective membership organization can be indicated by specifying the organization's type or purpose (such as a
service or social club, a political society, a trade association, a beneficial fraternal organization, or the like). Detailed descriptions of collective membership organization's objectives or activities are not
necessary. It is sufficient if the identification indicates broadly either the field of activity as related to the goods/services, or the general type or purpose of the collective membership organization.
lnternallonal Class
200

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Trademark Electronic Application System

Navigation History: Instruction> Applicant> Mark> Goods/Services/Filing Basis> Attorney/Dom. Rep./Correspondence > Fee/Signature
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid 0MB control number.
PTO Form 1481 (Rev 09/2006)
Approved for use through xx/xx/xxxx OMB Control No. 0651-0009

Collective Membership Mark Form, Principal Register
Version 7.1
METHOD OF CONTROL
D For a Section I (a) basis, please check this box to use the folJowing text to indicate your Method of Control or uncheck the box and enter your own text below:

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"The applicant controls the members' use of the mark as specified in tl1e applicant's bylaws or other wrinen provisions."
• Method of Control

Basis for Filing

The applicant requests that the collective membership mark identified on the preceding page be registered with the USPTO on the Principal Register for the type of organization entered below.

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International

Select All

Class

62l

200

* Identification

Asslgued

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Filiug Basis(es)

NOTE: Tht" 4 BUTTONS btlow idt"utify tht" chokts of filing basis to be assigutd to tht items listed in the table, above. Bt"cause assignment of tht" correct basis to each itt"m is critical, pleast
read the ex11lauatiou of the basis if you have a11y questious as to which basis(es) to select, before clicking the button(s), below, to begin the assignment of the basis(es). Since assignment of a
filing basis is not a requirement within this form, you can by�pass this step by clicking ou the Contiuut" button, below, if nt"cessary.
WARNING: Registration Subject to Cancellation for Fraudulent Statements
You must ensure that statements made in filings to the USPTO are accurate, as inaccuracies may result in the cancellation of a trademark registration. The lack of a bona fide intention to use the mark
with all goods/all services/the collective membership organization included in an application, or tl1e lack of use on all goods/all services/tl1e collective membership organization for which you claim
use, could jeopardize the validity of the registration and result in its cancellation.

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Section 1(a)

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Actually using mark in convnerce now

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Section 1(b)

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No use of mark yet, intending to use

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Section 44(d)

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Foreign application exists for same collective
membership organization

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Section 44(e)

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Foreign registration exists for same collective
membership organization

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Trademark Electronic Application System

Navigation History: Instruction> Applicant> Mark> Goods/Services/Filing Basis> Attorney/Dom. Rep./Correspondence> Fee/Signature

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid 0MB control number.
PTO Form 1481 (Rev 09/2006)
Approved for use through xx/xx/xxxx OMB Control No. 0651-0009

Collective Membership Mark Form, Principal Register
Version 7.1
Tip: If you do not want to appoint an anorney at this time:
1. Rerurn to the first page of this fonn by clicking on the hyperlinked term, "lnstmction," in the Navigation History ar the top of this page;
2. Answer "No" to the wizard question asking "Is an anomey filing this application?";
3. Click on the Continue button ar the bonom of the lnstmcrion page ro resume the fonn. The Attorney Information page will not appear.

Attorney Information
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* Attoruel'. Name
Individual Attorney
Docket/Refe!'ence Numbel'

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NOTE: You must limit your entry here to no more than 12 characters.

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• Yea!' orAdrnisslon Select Year

vi

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vi

• U.S. State/Co1111nonwealtb/fe!'!'itOI')' Select State
• Membership Number I

• Bar Membership

You must enter •N/A" or a membership number if your U.S. state, commontNealth, or territory issues one. This number is not VleWable in TSOR.
You must limit your entry here to no more than 40 alphanumeric charocters.

• D 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.

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Otbe!' Al!l!Oluted Attoruev{s}
Recoentzed Canadian
Attorney/Ai:,ent

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Firm Name

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Internal Address

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* Strf'f't Address

NOTE: You must limit your entJy here, and for all rernaining fields within this overall section (except Qty, see below), to no more than 40 characters (the storage limit for the USPTO database). You
may need to abbreviate some words, e.g., s t . il'Nead of street. Failure to do so may result in an undeliverable address, due to truncation at the 40 character limit.

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• Citv

NOTE: You must limit your entry here to no more than 2.2 characters.

* State

ISelect State

* Countrv/Region/Jurisdiction/U.S.
Territorv

ISelect Country/Region/Jurisdicrion/U.S. Territ, vi

(Required for U.S. addresses)

vi

NOTE: You must include as part of the •oty" entry any infom,ation related to geographical regions (e.g., provinces) not found in the dropdown lists for "state/ or •eountries: Enter the city and then
the geographical region, separated by a oomma (e.g., Toronto, Ontario). In most instances, you will then also have to sek!ct: the countJy within which the region is found, be.>w.

* Zip/Postal Code

(Required for U.S. and certain
international addresses)

Phone Number

I

IUnited States

vii

IExr.�
I

Fax Number

The appointed anorney's email address must be provided and kept current with the USPTO.

* Email Address

NOTE: The applicant owner/holder or the appficant owner's{holder's attorney acknowledges that he or she is solefy responsible for receiving USPTO emails. Additionally, the applicant owner/holder or

the applicant owner's/holder's attorney is responsible for periodically checking the status of the application/registration using the Trademark Status & Document Retrieval (TSDR) system. USPTO

notices and office actions i ssued in this application/registration can be viewed online using TSDR. The USPTO is not responsible for any failure to receive a USPTO-issued email due to the receiver's
security or anti-spam software, or any problems with the receiver's email system.

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PATENT AND TRADEMARK OFFICE
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Trademark Electronic Application System

Navigation History: Instruction> Applicant> Mark> Goods/Services/Filing Basis> Attorney/Dom. Rep./Correspondence> Fee/Signature

Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid 0MB control number.
PTO Form 1481 (Rev 09/2006)
Approved for use through xx/xx/xxxx OMB Control No. 0651-0009

Collective Membership Mark Form, Principal Register
Version 7.1
Correspondence Information
Watch the TEAS Nuts and Bolts: Correspondence Information video on the USPTO website for instructions on this page.
To make changes to the Primary Email Address fot· Correspoodtoce below, either
( 1) rerum to the Applicant Information section (if no anomey bas been appointed) and enter the change. or
(2) use the Attorney Information section of the form to enter the change (if an attorney has been appointed).
Name
Primary Email Address for Correspondeuce:
Serondari Email Address(es) (Courtesy Coe ies)

IEnter up to 4 addresses, separated by either a srmicolou or a comma.

Only the Primary Email Address for Correspondence is used for official connnunication by the USPTO. If an attorney has been appointed, the
USPTO will correspond ONLY with the appointed attorney; otherwise the USPTO will correspond with the applicant owner/holder. The applicant
owner/holder or the appointed attorney must keep this email address current with the USPTO.

Email Address

NOTE: I understand that (1) a valid email address must be maintained by the applicant owner/holder and the applk:ant owner's/holder's attorney, If appointed, for correspondence and (2)
all official trademark correspondence must be submitted via the Trademark Electronk: Application System (TEAS).

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Trademark Electronic Application System

Navigation History: Instruction > Applicant > Mark > Goods/Services/Filing Basis > Attorney/Dom. Rep.{Correspondence > Fee/Signature
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid 0MB control number.
PTO Form 1481 (Rev 09/2006)
Approved for use through xx/xx/xxxx OMB Control No. 0651-0009

Collective Membership Mark Form, Principal Register
Version 7.1
Fee Information
The total filing fee is based on the number of classes of the goods/services listed in the application.
Watch the TEAS Nms and Bolts: Fee/Signarure Information video for an explanation of bow to fill our the fee and signarure information sections.
Payment options: You will have three payment options (credit card. automated de[!Qsit account. and Electronic Funds Transfer). These options will appear after completing and validating this form.
1

Number of Classes
Fee per class

$275

Total Fee Due

$275
$275

* Total Paid Fees

Signature Information
Click to choose ONE sie;uature method:
® Sign directly O Email Text Form to second partv for signature O Handwritten pen-and-ink signature O Submit application unsigned

Electronic Signature
To electronically sign this application, enter any alpha/numeric characters (letters/numbers) of your choosing, preceded and followed by the forward slash(/) symbol. Most signa tories enter their name between the two
forward slashes; examples of acceptable "signatures" include: /john doe/; /jd/; or /123-4567/. The application may still be validated to check for missing information or errors even if the signature and date signed fields are
left blank; however, you must specifically click the button for "Submit application unsigned," above.

DECLARATION
Read the following statements before signing. Acknowledge the statements by checking the boxes and signing below.
D 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 collective membership mark sought to be registered;
The applicant is exercising legitimate control over the use of the mark in commerce by the members in connection with the collective membership organization in the application;
The specimen(s) shows the mark as used by the members in connection with the collective membership organization in the application; and
To the best of the signatory's knowledge and belief, the facts recited in tl1e application are accurate.

A.ND/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 exercise legitimate control over the use of the mark in commerce by the members;
The applicant has a bona fide intention to exercise legitimate control over the use of the mark in commerce by the members in connection with the collective membership organization in
the application; and
To the best of the signatory's knowledge and belief, the facts recited in the application are accurate.
D To the best of the signatory's knowledge and belief, no other persons, except for the members, and, 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 in connection with the collective membership organization of such other persons, to cause confusion or mistake, or to
deceive.

D To the best of the signatory's knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, the allegations and other facntal contentions made above have

evidentiary support.

D The signatory being warned that willfol 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 tme and all statements made
on information and belief are believed to be true.
* Signature
* Sigoatorv's Name
* Sie;uato1:y's Position

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• Date Si�ed_11

I (MM/00/YYYY)

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NOTE: The signatory must provide their first and last name. Use tl1e following forniat: Last Name. First Name Middle Initial or Name. if applicable.
Enter appropriate title or narure of relationship to the owner/holder.
If the signer is
- An iudh idual owuer/holdtr, enter "Owner" or "Holder" as appropriate.
- Joint lndMdual ownel'siholders, enter "Owners" or "Holders" as appropriate (all must sign the form).
- A business entity authorized signatory, enter official title; e.g .• "President" (if a corporation),"General Partner" (if a partnership). or "Principal" (if a
limited liability company).
- A U.S.-licensed attorney, enter "Attorney of record," and if not specified in the application or prior communications, specify at least one state bar
admission, e.g., "Attorney of record, New York Bar member." Also, if the signing attorney is from the same U.S. firn1 as the attorney of record, but
was not listed in the original filing and is not otherwise of record, also include law firm name, e.g .• Associate Attorney, Smith, Jones & Davis,
Virginia Bar member.
1

Si2natorv's Phone Number !United States

vii

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Trademark Electronic Application System
Navigation History: Instruction > Applicant > Mark > Goods/Services/Filing Basis > Attorney/Dom. Rep.{Correspondence > Fee/Signature
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid 0MB control number.
PTO Form 1481 (Rev 09/2006)
Approved for use through xx/xx/xxxx OMB Control No. 0651-0009

Collective Membership Mark Form, Principal Register
Version 7.1 - Validation Page
L'1PORTANT: On Mon Dec 16 08:09:07 ET 2019, you completed all mandatory fields and successfully validated the form. It has NOT yet been filed with the USPTO at this point.
Complete all the steps below lo submit the application to the USPTO.
Watch the TEAS Nuts and Bolts: Validation Page video for instrnctlons on filling out this page.

■ STEP 1: Review the application data in the various formats below by clicking on the hyperlinks under "Application Data." Use the print function in your browser to print these pages for your own
records. Visit the USPTO'S TEAS Help webpage for information on correcting your image when the Mark and Specimens appear huge in the provided hyperlinks.

Note: Review this information for accuracy and completeness now. Corrections after submission may not be allowed, thereby possibly affecting your legal rights.

■ STEP 2: lf there are no errors and you are ready to file, confirm the Primary Email Address for Correspondence, displayed below. To make changes to this email address, use the navigation
buttons below to remrn to the appropriate page in the form and update either tl1e attorney's email address, if appointed, or tl1e applicant owner's/holder's email address. Courtesy copies are also
permitted and these email address(es) are displayed below. To update these addresses, use the navigation buttons below to return to the Correspondence Infonuation page and enter the changes.
After you submit the form, the USPTO will send an acknowledgment of receipt to the following email address(es):
Primary Email Addr,ss for Correspondence:
Secouda1y Email Address(es) (Courtesy Coples):

■ STEP 3: To download and save the form data, click on the "Save Form" button at the bottom of this page. The information will be saved to your local drive. To begin the submission process with
saved data, you must open a new form, and click on tl1e "Browse/Choose File" button displayed on the initial fom1 wizard page, at "[OPTIONAL] To access previously-saved data, use the
Browu/Choosr File" button brlow to access the file from yo11r local drivr." REi\UNDER: Do NOT try to open the saved .obj/.xml form directly. You must return to the very first page of the
form, as if starting a brand new form, and then use the specific "Browse/Choose File" button on that page to import the saved file. Clicking on the "Continue" button at the bottom of that first page
will then properly open the saved version of your form.
11

■ STEP 4: Read and check the following:
Imp011aut Nohcr:

(1) Once you submit this application, we will not cancel the filing or refund your fee. The fee is a processing fee, which we do nol refund even if we cannot issue a registration after our
substantive review. This is true regardless of how soon after submission you might attempt to request cancellation of the filing. Therefore, please review ALL information carefully prior to
transmission.
(2) All information you submit to the USPTO at any point in the application and/or registration process will become public record, including your name, phone number, email address, and street
address. By filing this application, you acknowledge and agree that YOU HAVE NO RIGHT TO CONFIDENTIALITY in the information disclosed. The public will be able to view this information
in the USPTO's on-line databases and through internet search engines and other on-line databases. This information will remain public even if the application is later abandoned or any
resulting registration is surrendered, cancelled, or expired. To maintain confidentiality of banking or credit card information, only enter payment information in the secure portion of the site after
validating your form. For any information that may be subject to copyright protection, by submitting ii to the USPTO, the filer is representing that he or she has the authority to grant, and is
granting, the USPTO permission to make the information available in its o n -line database and in copies of the application or registration record.
(3) Be aware that private companies not associated with the USPTO often use trademark application and registration information from the USPTO's databases to mail or email trademark­
related solicitations (samples of n o n -USPTO solicitations included).
D If you have read and understand the above notice, please check the box before you click on the Pay/Submit button.

■ STEP 5: If you are ready to file electronically:

Click on the Pay/Submit bunon below, to access the site where you will select one of three possible payment methods. After successful entry of payment infonnation, you can complete the
submission to the USPTO. A valid transaction will result in a screen that says SUCCESS! Also, we will send au email acknowledgment within 24 hours.
WARNING: Click on the Pay/Submit button ONLY if you are now entirely prepared to complete the Pay/Submit process. After clicking the button, you can NOT return to the form, since you will
have left the TEAS site entirely. Once in the separate payment site, you must complete the Pay/Submit process within 30 minutes. If you are not prepared to complete the process now, you should
select the "Save Form" option to save your form, and then complete the Pay/Submit process later. Or, if you have discovered any error, use the "Go Back to Modify" button to make a correction.
WARNING: Fee payments by credit card may not be made from 2 a.m. to 6 a.m. Sunday, Eastern Time. If you are attempting to file during that specific period, you must use either (I) the deposit
account or electronic funds transfer payment method; or (2) the "Save Form" option to save your form, and then complete the Pay/Submit process later for a credit card payment.
Go Back to Modify

Save Form

Pay/Submit

Burden/Privacy Statement I TEAS Form Burden Statement I Bug Report/Feedback I TEAS Home

PRA Act Statement
This collection of information is required by 37 CFR 1.137. The information is required to obtain or retain a benefit by the public which
is to file (and by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11, 1.14 and 41.6.
This form is estimated to take 45 minutes to complete, including gathering, preparing, and submitting the completed form to the
USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you require to complete this form
and/or suggestions for reducing this burden, should be sent to the Chief Administration Officer, U.S. Patent and Trademark Office, U.S.
Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS
ADDRESS. SEND TO: Mail Stop Petition, Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.

Privacy Act Statement
The United States Patent and Trademark Office (USPTO) collects this information under authority of 5 CFR 339.205. The information
in this system of records is used to manage name, citizenship, domicile, email address, postal address, and telephone number of the
trademark applicant, registrant, and applicant’s or registrant’s legal or other authorized representative(s), an attorney’s law firm or
company affiliation and professional licensing information, and other information pertaining to an applicant’s or registrant’s activities
in connection with the applied-for or registered mark. Other records mange in this system include trademark applications, applicant
and registrant declarations, office actions, registration certificates, and correspondence generated in the course of the prosecution of a
trademark application or maintenance of a trademark registration. The information you provide is protected from disclosure to third
parties in accordance with the Privacy Act. However, routine uses of this information may include disclosure to the following: public;
foreign entity, professional organizations or associations, audit or oversight; governments, law enforcement and investigation; nonfederal personnel; record informational inquiries; data breach notification; data breach assistance; adjudication and litigation;
department of justice litigation; freedom of information act assistance from department of justice; office of personnel management;
congressional inquiries; the National Archives and Records Administration; and office of management and budget. Disclosure of the
information by you is voluntary; however, failure to provide any part of the requested information may result in our inability to enroll
you in the program. The applicable Privacy Act System of Records Notice for this information request is COMMERCE/USPTO-26,
Trademarks Application and Registration Records: Federal Register vol. 85 February 18, 2020, p 8847, available at https://
www.govinfo.gov/content/pkg/FR-2020-02-18/pdf/2020-03068.pdf