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TEAS petition to revive abandoned application - failure to respond to timely office action

ICR 202608-0651-005 · OMB 0651-0061 · Object 171986400.

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File Type	application/pdf
File Title	TEAS petition to revive abandoned application - failure to respond to timely office action
Last Modified By	Acrobat PDFMaker 24 for Word
File Modified	2026-08-14
File Created	2025-01-17
Conversion State	complete

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Notice regarding Section 508 of the Workforce Investment Act of 1998: Section 508 of the Workforce Investment Act of 1998 requires that all U.S. Federal Agencies make their web sites fully accessible to individuals with disabilities. See 29 U.S.C. §794d.
While the Trademark Electronic Application System (TEAS) forms do comply with Section 508, the PDF/Word preview of the TEAS forms currently do not meet all standards for web accessibility. If you cannot access a TEAS form preview or have any
questions about this notice, please contact the Trademark Assistance Center (TAC) at 1-800-786-9199 (select option#1).
PTO-2194
Approved for use through 11/30/2027. OMB 0651-0061
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

Petition To Revive Abandoned Application - Failure To Respond Timely To Office Action
TEAS - Version 7.7
GENERAL FORM INFORMATION:
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TIMEOUT WARNING: You're required to log back in after 30 minutes of inactivity. This ensures the USPTO complies with mandatory federal information security standards and protects user
information. After 25 minutes of inactivity, you will be prompted to continue your session. If you do not continue within 5 minutes, the session will end, you will be logged out of your USPTO.gov
account, and you will lose any unsaved data in the form. Please have all of your information ready before you start.
DO NOT USE YOUR BROWSER BACK/FORWARD BUTTONS: Use only the navigation buttons at the bottom of each page.
TIPS ON USING THIS FORM MOST EFFECTIVELY: Click on any underlined (hyperlinked) terms for additional information.
REQUIRED FIELDS: All have an ASTERISK (*), and the form will not validate if these fields are not filled-out.

NOTE:
The United States Patent and Trademark Office (USPTO) "abandons" a trademark application when timely response to an Examining Attorney's office action is not received. You can file a petition to
"revive" an abandoned application if your delay in responding to the office action was unintentional.
You must file the petition no later than two (2) months from the mailing date of the Notice of Abandonment. If you never received the Notice of Abandonment, you must file the petition within two (2)
months of your actual knowledge of the abandonment and no later than six (6) months from the date the application status was updated to "Abandoned - Failure to Respond or Late Response."
If your application status is "Abandoned - Incomplete Response" or if this Petition to Revive Abandoned Application form is not available for your serial number, you can submit the Petition to the Petition
to the Director form. You also may submit the Petition to the Director form if your application has been partially abandoned.

STEP 1: ENTER APPLICATION SERIAL NUMBER BELOW OR ACCESS PREVIOUSLY FILLED-OUT/SAVED FORM.
* Serial Number:

(Do not enter serial number if you are accessing your saved form.)

OR
To upload a previously saved form file, first review the TEAS Help instructions for accessing previously saved data and then use the "Browse..." button below to access the form file saved on
your computer. WARNING: Failure to follow the TEAS Help instructions will result in the inability to edit your data.
Do NOT upload or attach any other file(s) (for example, a specimen or foreign registration certificate) using the button below. You must upload other attachments within the proper section of
the actual form, after answering "Yes" to the appropriate wizard question(s) on the next page.

CONTACT:
For general trademark information or help navigating the forms, email [email protected], or telephone 1-800-786-9199 (press 1).
If you need help resolving technical glitches, email [email protected]. Please include in your email your phone number, serial or registration number, and a screenshot of any error message you may have received.
Tips:
Use the Continue button at the bottom of each page to move through the form. Fill out all fields for which information is known. Fields with a * symbol are mandatory and must be completed.
Choose a signature method for signing the form on the Signature Page.
Review the data you entered by accessing the Input Table on the Validation Page. Confirm that all information is displayed properly. Return to the appropriate section of the form and make any needed corrections
before submission of the response.
Click on the Pay/Submit button at the bottom of the Validation Page and provide the payment required (if any) to submit the form. When successful you will be navigated to a confirmation screen.
An email acknowledging receipt of the submission (a filing receipt) will be sent to the Primary Email Address for Correspondence.
Status Check:
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The status of the filing is available in the Trademark Status & Document Retrieval System (TSDR) 72 hours after filing.

Serial Number
Mark

Owner/Holder Information
Email Address :
Primary Email Address
for Correspondence
Warning: This is the email address
currently of record in the USPTO
database. If it is not the email address
of either the appointed attorney, if any,
otherwise the owner, it must be
updated.

Secondary Email Address(es) for
(Courtesy Copies)
Mailing date of
Notice of Abandonment

REVIEW ALL QUESTIONS BELOW AND SELECT THE APPROPRIATE RADIO BUTTON. At least one answer must be "Yes" or your response will be blank.

1. Did you receive the Notice of Abandonment issued for this application?

Yes

2. Are you filing this petition within two months of actual knowledge that the application was abandoned?

Yes

3. Did you receive the Original Office Action?
This application abandoned because you did not submit a timely response to an examining attorney's Office action. To review the Office action previously issued in connection with the
application, use the Trademark Status and Document Retrieval (TSDR) database at https://tsdr.uspto.gov.
If you received the Office action, answer "Yes" to Question #1. You will then be provided with the response form questions. You must provide a response that addresses each issue raised in
the Office Action. Once the petition is granted, the application will be revived and the assigned examining attorney will consider the response to determine if it meets all outstanding
requirements.
If you did not receive the Office action, answer "No" to Question #1. If you want to go ahead and submit a response with the petition in order to expedite the processing of your application
answer "YES" to the second question. Otherwise, the Office action will be reissued to you. Please note you can only claim that you did not receive the Office action once.
Yes

If no, are you nonetheless now filing a response with your Petition to Revive?
Yes

NOTE: If you did NOT receive the original office action, please check whether all of your correspondence information is correct in the USPTO database. If it is incorrect, please use
the Change Address or Representation Form.
In submitting this petition, the signatory confirms that he/she
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has firsthand knowledge that the failure to respond to the Office Action by the specified deadline was unintentional; and

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requests the USPTO to revive the abandoned application.

PETITION SIGNATURE

Click to choose ONE signature method:
Sign electronically directly on this petition form

Email Text Form to second party for electronic signature

Handwritten pen-and-ink signature

NOTE: Not all signature options (direct, e-signature, and handwritten pen-and-ink signature) may necessarily be used in combination for the 3 portions of this form (petition, declaration, response). For a complete
listing of what is possible, click here.
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 the facts set forth above are true, all statements made of his or her own knowledge are true, and all statements made on
information and belief are believed to be true.
* Signature

* Date Signed
Examples of acceptable "signatures" include: /john doe/; /jd/;
or /123-4567/.
NOTE: Must be personally signed by the individual listed in
the Signatory's Name field. 37 C.F.R. §2.193(a). The person
signing may not enter someone else's signature.

(MM/DD/YYYY)

* Signatory's Name
* Signatory's Position
NOTE: Limit your entry to no more than 150 characters (the storage limit for this field in the USPTO database).
Enter appropriate title or nature of relationship to the petitioner/owner/holder.
If the signer is
- An individual petitioner/owner/holder, enter "Owner" or "Holder" as appropriate.
- Joint individual petitioners/owners/holders, enter "Owners" or "Holders" as appropriate (one must sign the petition).
- 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. firm 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.
Signatory's Phone Number

Response To Office Action
1. Do you need to respond to a refusal to register your mark, including (but not limited to) a possible finding that your mark appears to be:
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likely to cause confusion with another mark(s)

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merely descriptive (or generic) or deceptively misdescriptive

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primarily merely a surname

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geographically descriptive or geographically deceptively misdescriptive

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deceptive

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functional

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multiple marks instead of a single mark

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a protected symbol (e.g., a flag, the Red Cross)

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used in a manner that would not be perceived as actually being a trademark/servicemark*

You must answer "Yes" to this question to submit your arguments against the refusal, and if necessary, attach supporting evidence, to attempt to convince the examining attorney to withdraw
the refusal.
*NOTE: To submit a "substitute specimen" to overcome a refusal, also answer "Yes" to #2.
Yes

2. Do you need to do any of the following:
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change/delete an existing class number*

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modify the identification of goods/services/the nature of the collective membership organization**

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change filing basis

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add/modify dates of use

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submit a new or substitute specimen

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submit a foreign registration certificate or proof of renewal of the foreign registration
*NOTE: To ADD a new class, answer "Yes" to #6, and to pay fee(s) for additional class(es), answer "Yes" to #7.

**NOTE: You may only modify the identification of goods/services/the nature of the collective membership organization to clarify or limit them; adding to or broadening the scope of the
goods/services/nature of the collective membership organization is not permitted.

Yes

3. Do you need to add or delete (withdraw) any of the following:
NOTE: ALL of the below will display within the "Additional Statement(s)" section of the form, even when only one is appropriate and should be selected.
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Disclaimer

•

Colors claimed as feature of the mark

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Description of the mark (including nature and location of color(s), if appropriate)*

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Stippling statement

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Claim of prior registration(s)

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Translation/Transliteration

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Meaning and/or significance of wording, letter(s), and/or numeral(s) in the mark

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Section 2(f) claim

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Consent to register name(s), likeness(es), signature(s) of individual(s)

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Supplemental Register amendment

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Concurrent use claim

•

Miscellaneous statement**

*NOTE: Do not use this section if you are also answering "Yes" to Question #4, below, which will then provide this field. Use this only if adding or modifying an existing description but not
attaching a new mark image.
**NOTE: The miscellaneous statement field includes the ability to attach a file, for example, to provide requested product literature. Do not use this section for attachments where a specific
different section for the purpose already exists, for example, submission of a substitute specimen in #3, above. This field may also be used to request DELETION (WITHDRAWAL) of an
additional statement currently of record, for example, a disclaimer (see specific instructions within form).
Yes

4. Do you need to submit a new drawing of the mark, either to change the mark itself or submit a better quality image?
NOTE: A material change to your mark is never permissible. Only minor changes in the mark are sometimes permitted. A drawing must be in JPG format.
Yes

5. Do you need to correct or change the owner's/holder's name or entity information or update the owner's/holder's mailing address, email address, phone or fax number(s)?

NOTE: The email address of the trademark owner/holder is the Primary Email Address for Correspondence if an attorney is NOT appointed. Secondary Email Address(es) for courtesy
copies can be provided.

Yes

6. Do you need to ADD a new class(es) of goods and/or services/a collective membership organization?
NOTE: You may not add class(es) or goods/services to broaden the scope of the current identification of goods/services/the collective membership organization.
NOTE: To pay the fee(s) for adding class(es), answer "Yes" to #7. To change an existing classification number or delete goods/services/the collective membership organization, answer "Yes"
to #2.

Yes

If the answer is Yes, enter the number of classes:
7. Do you need to submit a fee for: (1) an existing or additional class of goods/services/a collective membership organization due to a deficiency in the application and/or (2) processing
a payment that has been refused or charged back?

Yes

8. Is a newly appearing U.S.-licensed attorney filing this form or do you need to update the bar information, email address, street address, phone or fax number for an already appointed
attorney?

Foreign-domiciled owners /holders must have a U.S.-licensed attorney represent them before the USPTO in any application-or registration-related filing. Information about hiring a U.S.licensed attorney can be found on the USPTO website.

Yes

9. Do you need to submit a Signed Declaration to verify an application?
NOTE: Answer "Yes" to this question if the application was unsigned, improperly signed, or lacked the required declaration language.

Yes

Entering your argument(s)
1. In the free-text area below, enter your argument(s) in support of registration. You may either type directly into the box, or cut-and-paste from another document into this box.
2. If your browser version supports the enhanced functionality of this section, you can format your entry, using the various editing keys displayed above the text entry area (for font, size, color,
bold, italics, etc.). Do NOT include any html or other programming code or language that may create links within the argument section.
3. If no editing keys are displayed above the text entry box, then your current browser version does not support the enhanced text-editing functionality. You may wish to upgrade to a higher
browser level. You may still use the box for entry of your argument(s), but no formatting beyond conventional spacing will be possible. Again, do NOT include any html or other programming
code or language that may create links within the argument section.
4. When you have completed entry of your entire argument(s), click on the "Save and Return to Form" button, above the text entry box. Do not use the "X" button within the browser to close the
window, as this may delete all entered information. The form will retain any formatting you have used, viewable through the icons on the Validation page upon completion and validation of this
form.
5. At the point of final validation, it is critical to confirm that all information is displayed properly immediately before filing, regardless of the appearance of the data at any point earlier in the
process. If any previously-entered argument text or files (e.g., evidence) are now missing, you must re-enter or re-attach before final submission. Otherwise, the USPTO will not receive a
complete response, e.g., if you initially pasted text into the argument field, but the argument section is now blank, you must paste it in again after final validation but before actual submission of
the response, or the USPTO will not receive that text at all.

Entering your argument(s) here:

EVIDENCE
Evidence File
Click on the 'Attach' button below to select the file from your computer. Visit the USPTO's website for information on acceptable file sizes and formats.
Instructions: Attach ONLY supporting evidence or the response to a refusal to register here, not the entire response to Office action. Each portion of this form serves a
specific purpose for data processing reasons. Failure to follow this instruction will cause significant delays in the processing and review of your filing.
Evidence

Describe what the evidence submitted consists of:

CLASSIFICATION AND LISTING OF GOODS/SERVICES/COLLECTIVE MEMBERSHIP ORGANIZATION
Amending the Original Class(es) in the Application
Enter information for the Original Class
Check here to delete the following class of goods/services/collective membership organization from your application. If checked, it is not necessary to modify the current class below.
Check here to modify the current classification number; listing of goods/services/the nature of the collective membership organization; dates of use; and/or filing basis; or to submit a substitute specimen,
foreign registration certificate, or proof of renewal of the foreign registration. If not checked, the changes will be ignored.
Original International Class : ___
*Listing of Goods/Services/Collective Membership Organization
[NOTE: Do not enter a Class or any other code in the field below. You must enter only the common commercial name for the specific goods/services/nature of the collective membership organization associated
with the mark. Also, do not include any html or other programming code or language that may create links in the listing of goods/recitation of services/description of the collective membership organization]. For
more information about acceptable language for the goods/services, see the USPTO's on-line Goods and/or Services Manual. If entering multiple listings of goods/services, please separate with a semi-colon (;),
NOT a comma.
WARNING: Your entry may NOT exceed the scope of your current identification. While you may modify the current listing to clarify, limit, or remove goods/services/the collective membership organization, you
may NOT at this point ADD or BROADEN goods or services or otherwise amend the goods/services/nature of the collective membership organization beyond the scope of that in the current identification. A new
filing would be required to cover any new goods/services/or broadening the nature of the collective membership organization not within the scope of the current identification.
WARNING: Registration Subject to Cancellation for Fraudulent Statements
Statements made in filings to the USPTO must be accurate; inaccuracies could result in the cancellation of a trademark registration. For example, an applicant's lack of a bona fide intention to use the mark
with all goods/services included in an application, or the lack of use on all goods/services for which use is claimed, could jeopardize the validity of the resulting registration.

Filing Basis Section 1(a), Use in Commerce: For all applications: The mark is in use in commerce and was in use in commerce as of the application filing date. The provided specimen shows the mark in use
in commerce (see specimen statement below). For a collective trademark, collective service mark, collective membership mark, or certification mark application: The applicant is exercising legitimate control
over the use of the mark in commerce and was exercising legitimate control over the use of the mark in commerce as of the application filing date. For a certification mark application: The applicant is not engaged
in the production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification program or of the goods/services that meet the certification standards
of the applicant. WARNING: If you filed your original application under Section 1(b), Intent to Use, do not use this form to submit dates of use and a specimen, unless responding to a specimen issue created by an
already filed Allegation of Use. Otherwise, you must file the specific Allegation of Use form (Statement of Use/Amendment to Allege Use). Filing an Allegation of Use is not a proper response to an Office action.
Date of First Use of Mark Anywhere at least as early as

(MM/DD/YYYY)

Date of First Use of Mark Commerce at least as early as

(MM/DD/YYYY)

Specimen File
Watch the TMIN video explaining what is meant by the term "specimen". Visit the USPTO's website for information on acceptable file sizes and formats.
Instructions: Attach ONLY the specimen here, not the entire response to Office action. Each portion of this form serves a specific purpose for data processing reasons. Failure to follow this instruction will cause

significant delays in the processing and review of your filing.
Check this box if you are mailing a non-traditional specimen using USPS because it meets the qualifications explained in the hyperlink. Sound and motion specimens are not non-traditional and MUST be
submitted using this form. Failure to submit a required specimen through TEAS may result in processing delays and additional fees.
Describe what the submitted specimen consists of

* CHECK THIS BOX IF SPECIMENS ARE NOW BEING SUBMITTED OR WERE PREVIOUSLY SUBMITTED UNVERIFIED IN THE APPLICATION.
Checking this box will automatically add the following declaration language to the form:
"The substitute (or new, or originally submitted, if appropriate) specimen(s) was/were in use in commerce at least as early as the filing date of the application" [for an application based on Section 1(a),
Use in Commerce] OR "The substitute (or new, or originally submitted, if appropriate) specimen(s) was/were in use in commerce prior either to the filing of the Amendment to Allege Use or expiration of
the filing deadline for filing a Statement of Use" [for an application based on Section 1(b) Intent-to-Use]. OR "The attached specimen is a true copy of the specimen that was originally submitted with the
application, amendment to allege use, or statement of use" [for an illegible specimen]. 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 or her
own knowledge are true and all statements made on information and belief are believed to be true.
Filing Basis Section 1(b), Intent to Use: For a trademark or service mark application: The applicant believes the applicant is entitled to use the mark in commerce on or in connection with the goods or
services specified in the application; 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. For a collective
trademark, collective service mark, collective membership mark, or certification mark application: The applicant has a bona fide intention, and is entitled, to exercise legitimate control over the use of the mark in
commerce and had a bona fide intention, and was entitled, to exercise legitimate control over the use of the mark in commerce as of the application filing date. For a certification mark application: The applicant
will not engage in the production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification program or of the goods/services that meet the
certification standards of the applicant.
WARNING: Do NOT check the box to add a Section 1(b) filing basis if your goods/services/collective membership organization for this class is/are already based on Section 1(a), use in commerce. Filing under
Use and Intent to Use is not permitted for the same goods/services/collective membership organization.
Additional Filings: Fee(s) will be required to file either the Statement of Use form or Extension Request, prior to registration, after you begin the required use of the mark in commerce.
Filing Basis Section 44(d), Priority based on foreign filing: For a trademark or service mark application: The applicant believes the applicant is entitled to use the mark in commerce on or in connection with
the goods/services specified in the application; 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; and the

applicant asserts a claim of priority based upon a foreign application. For a collective trademark, collective service mark, collective membership mark, or certification mark application: The applicant has a bona
fide intention, and is entitled, to exercise legitimate control over the use of the mark in commerce; the applicant had a bona fide intention, and was entitled, to exercise legitimate control over the use of the mark in
commerce as of the application filing date; and the applicant asserts a claim of priority based upon a foreign application. For a certification mark application: The applicant will not engage in the production or
marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification program or of the goods/services that meet the certification standards of the applicant.
Foreign Application Number Note: The USPTO database can only store 19 characters for this field. You should adjust your entry if possible, eliminating any unnecessary leadings 0s or country abbreviations, for
example.
Date of Foreign Filing

(MM/DD/YYYY)

Country/Region/Jurisdiction/U
.S. Territory of Foreign
Application
At this time, the applicant intends to rely on Section 44(e) as a basis for registration. If ultimately the applicant does not rely on Section 44(e) as a basis for registration, a valid claim of priority may be retained.
At this time, the applicant has another basis for registration (Section 1(a) or Section 1(b)) and does NOT intend to rely on Section 44(e) as the basis for registration, but is only asserting a valid claim of priority.
Filing Basis Section 44(e), Based on Foreign Registration: For all applications: The applicant attaches a copy of the foreign registration certificate or proof of renewal of such registration, and an English
translation if such documents are in a foreign language. For a trademark or service mark application: The applicant believes the applicant is entitled to use the mark in commerce on or in connection with the
goods/services specified in the application; 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. For a
collective trademark, collective service mark, collective membership mark, or certification mark application: The applicant has a bona fide intention, and is entitled, to exercise legitimate control over the use of
the mark in commerce; and the applicant had a bona fide intention, and was entitled, to exercise legitimate control over the use of the mark in commerce as of the application filing date. For a certification mark
application: The applicant will not engage in the production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification program or of the
goods/services that meet the certification standards of the applicant.
Foreign Registration Number Note: The USPTO database can only store 19 characters for this field. You should adjust your entry if possible, eliminating any unnecessary leadings 0s or country abbreviations, for
example.
Foreign Registration Date

(MM/DD/YYYY)

Date Foreign Registration
Renewed
(if applicable)

(MM/DD/YYYY)

Expiration Date of Foreign
Registration

(MM/DD/YYYY)

Country/Region/Jurisdiction/U
.S. Territory of Foreign
Registration
Instructions:
Attach the Foreign Registration/Proof of Renewal here, not the entire filing. Each portion of this form serves a specific purpose for data processing reasons. Failure to follow this instruction will cause significant
delays in the processing and review of your filing.
Visit the USPTO's website for information on acceptable file sizes and formats.

0 file(s) attached
Check here if the foreign registration that is the basis of the U.S. application under Section 44(e) includes a claim of standard characters or the country of origin's standard character equivalent.
WARNING: If this box is NOT checked, then the designation of the mark as "Standard Character Mark" will automatically be changed from "YES" to "NO."

ADDITIONAL STATEMENT(S)
Tip: Use the MISCELLANEOUS STATEMENT field to delete/withdraw a statement that is already in the application record (e.g., withdraw a disclaimer).

DISCLAIMER: No claim is made to the exclusive right to use

apart from the mark as shown.

STIPPLING AS A FEATURE OF THE MARK: The stippling is a feature of the mark and does not indicate color.
STIPPLING FOR SHADING: The stippling is for shading purposes only.
ACTIVE PRIOR REGISTRATION(S): The applicant claims ownership of active prior U.S. Registration Number(s)
numerals long (if necessary, add leading 0's to number, e.g., 0086417).

. NOTE: Entry must not include any commas, and must be 7

and others: Check here to indicate there are additional active prior U.S. Registration Number(s).
TRANSLATION:
The English translation of
The wording

in the mark is

has no meaning in a foreign language.

TRANSLITERATION: (NOTE: Not required for any standard character marks.)
The non-Latin characters in the mark transliterate to

and this means

The non-Latin characters in the mark transliterate to

and this has no meaning in a foreign language.

in English.

SIGNIFICANCE OF WORDING, LETTER(S), OR NUMERAL(S):
appearing in the mark means or signifies or is a term of art for
the goods/services/collective membership organization listed in the application.

in the relevant trade or industry or as used in connection with

appearing in the mark has no significance nor is it a term of art in the relevant trade or industry or as used in connection with the goods/services/collective membership
organization listed in the application, or any geographical significance.
The word(s)

has no meaning in a foreign language.

INDICATE THE NATURE OF THE §2(f) CLAIM OF ACQUIRED DISTINCTIVENESS
§2(f) Whole

§2(f) In Part

Note: The declaration required to support a Section 2(f) (or in part) claim will automatically appear at the end of this form.
NAME(S), PORTRAIT(S), SIGNATURE(S) OF INDIVIDUAL(S):
The name(s), portrait(s), and/or signature(s) shown in the mark identifies

, whose consent(s) to register is made of record.

The name(s), portrait(s), and/or signature(s) shown in the mark does not identify a particular living individual.
SUPPLEMENTAL REGISTER: The applicant seeks registration of the mark on the Supplemental Register (i.e., a change of the words 'Principal Register' to 'Supplemental Register').
The applicant has separately filed an Allegation of Use, to change the basis of this application from Section 1(b), intent-to-use, to Section 1(a), use in commerce, making conversion to the Supplemental Register
permissible.
CONCURRENT USE: Enter the appropriate concurrent use information in the text box immediately below. WARNING: To assert concurrent use, you must: (1) have assigned a Section 1(a) filing basis, which
indicates you are using, or, if appropriate, exercising legitimate control over the use of, the mark in commerce; AND (2) (i) intend to initiate a legal proceeding before the Trademark Trial and Appeal Board or
have obtained a Board determination from a prior proceeding establishing that you are entitled to a concurrent registration; or (ii) have obtained a final court determination establishing your concurrent right to
use the same or similar mark in commerce in a limited geographic area.
MISCELLANEOUS STATEMENT: Enter information here ONLY if no other section of the form is appropriate. FAILURE TO FOLLOW THIS INSTRUCTION WILL CAUSE SIGNIFICANT
DELAYS IN THE PROCESSING AND REVIEW OF YOUR SUBMISSION. If you wish to DELETE (WITHDRAW) a statement previously submitted, you may indicate that here through an
instruction. e.g., "Please delete the disclaimer currently of record."
•

For collective trademark/service mark/membership applications based on Section 1(a), use of the mark in commerce: If you have not previously submitted an acceptable statement indicating your
method of control for all identified classes, use the text box below to indicate your method of control (the following format is suggested: the applicant controls the members use of the mark [indicate
method of control, e.g., as specified in the applicant's bylaws or other written provisions, etc.]).

•

For certification mark applications based on Section 1(a), use of the mark in commerce: If you have not previously submitted an acceptable copy of the applicable certification standards, click on
the gray bar below labeled Click here to Attach/Remove Miscellaneous to attach a copy of the standards that you use to determine whether particular goods or services will, in fact, be certified.

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For all certification mark applications: If you have not previously submitted an acceptable statement of the characteristic(s), standard(s), or feature(s) that is (or will be) certified by the mark for all
identified classes, use the text box below to enter a statement of the characteristic(s), standard(s), or other feature(s) that you are (or will be) certifying about the identified goods/services. The following
format is suggested: The certification mark, as used or intended to be used by persons authorized by the certifier, certifies or is intended to certify that the goods and/or services provided have [specify].

Enter miscellaneous statement here:

Mark Update
Note: While minor changes in the mark are sometimes permitted, any material alteration will NOT be permitted and will result in a refusal being issued on that ground.
If you have read and understood the above notice, you must check this box before you enter the proposed amended mark.

* Click the appropriate circle to indicate the Mark type:

Standard Characters

Special Form (Stylized and/or Design)

Sound Mark

Use this section if you wish to modify a word(s), letter(s), punctuation, and/or number(s) with no design element and without claim to any particular font style, size or color.

Add/Modify the Standard Characters mark here: (Note: The entry can be in capital letters, lower case letters, or a combination thereof.)

Owner Information
Instructions:
Update the mailing address, if needed. The address entered on this page is publicly viewable in the USPTO's TSDR database and is presumed to be the owner's/holder's domicile.
* Owner/Holder

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

DBA (doing business as)
(also known as)
TA (trading as)

AKA

Formerly

* Entity Type
Individual
Corporation
Limited Liability Company
Partnership
Limited Partnership
Joint Venture

If U.S. Corporation
State or
OR
Country/Region/Jurisdi If non-U.S. Corporation
ction/U.S. Territory of
Incorporation
Note: You may correct an error or omission in the original listing. However, if the State/Country of Incorporation has actually changed, you
should file an assignment document form PTO-1594.

Sole Proprietorship
Trust
Estate
Other
Internal Address
* Mailing Address
(Entered address is publicly viewable in
the USPTO's
TSDR database. This address must be
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).
capable of receiving mail and may be
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.
your street address, a P.O. box, or a
"care of" address.)
* City

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

* State
NOTE: You must include as part of the "City" entry any information related to geographical regions (e.g., provinces) not found in the dropdown lists for "States" or
(Required for U.S. owners/holders only) "Countries." Enter the city and then the geographical region, separated by a comma (e.g., Toronto, Ontario). In most instances, you will then also have to select the country
within which the region is found, below.
* Country/Region/Jurisdiction/U.S.
Territory
* Zip/Postal Code
(Required for U.S. and certain
international addresses)
Domicile Address
Uncheck this box if the Domicile Address and mailing address of the applicant owner/holder are NOT the same.
(Entered address is not publicly
viewable in the
USPTO's TSDR database unless it is the
same as the mailing address. If your
mailing address is not your domicile,
you must enter the number, street, city, Indicate place you reside and intend to be your principal home (for individual) or your principal place of business (for entity).
state, country or U.S. territory, and if
applicable, zip/postal code of
your domicile address. In most cases, a
P.O. box, "care of" address, or similar
variation is not acceptable as a domicile
address.)
Phone Number
Fax Number

* Email Address
Confirm that the email address is
correct before continuing. The owner
email address is not publicly viewable in
the USPTO's TSDR database.

The owner/holder is required to provide an email address and keep that address current with the USPTO. If the owner/holder is represented by a U.S.-licensed attorney,
only the attorney's email address will be used for correspondence by the USPTO.
NOTE: The owner/holder or the owner's/holder's attorney acknowledges that he or she is solely responsible for receiving USPTO emails. Additionally, the owner/holder
or the 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 issued 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.
CLASSIFICATION AND LISTING OF GOODS/SERVICES/COLLECTIVE MEMBERSHIP ORGANIZATION
Adding the New Class(es) in the Application

Enter information for the New Class
*International Class:

(Enter class number 001- 045, A, B and 200)

* Listing of Goods/Services/Collective Membership Organization [NOTE: Do not enter a Class or any other code in the field below. You must enter only the common commercial name for the specific
goods/services/nature of the collective membership organization associated with the mark. Also, do not include any html or other programming code or language that may create links in the listing of
goods/recitation of services/description of the collective membership organization]. For more information about acceptable language for the goods/services, see the USPTO's on-line Goods and/or Services Manual.
If entering multiple listings of goods/services, please separate with a semi-colon (;), NOT a comma.
WARNING: Your entry may NOT exceed the scope of your current identification. While you may modify the current listing to clarify or limit the goods/services/nature of the collective membership organization or
to remove goods/services, you may NOT at this point ADD to, or BROADEN, the goods/services/nature of the collective membership organization. A new filing would be required to cover any new goods/services
or broadening of the nature of the collective membership organization not within the scope of the current identification.
WARNING: Registration Subject to Cancellation for Fraudulent Statements
Statements made in filings to the USPTO must be accurate; inaccuracies could result in the cancellation of a trademark registration. For example, an applicant's lack of a bona fide intention to use the mark
with all goods/services included in an application, or the lack of use on all goods/services for which use is claimed, could jeopardize the validity of the resulting registration.

Filing Basis Section 1(a), Use in Commerce: For all applications: The mark is in use in commerce and was in use in commerce as of the application filing date. The provided specimen shows the mark in use
in commerce (see specimen statement below). For a collective trademark, collective service mark, collective membership mark, or certification mark application: The applicant is exercising legitimate control
over the use of the mark in commerce and was exercising legitimate control over the use of the mark in commerce as of the application filing date. For a certification mark application: The applicant is not engaged
in the production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification program or of the goods/services that meet the certification standards
of the applicant. WARNING: If you filed your original application under Section 1(b), Intent to Use, and you now want to assert use, do not use this form to submit dates of use and a specimen, unless responding to
a specimen issue created by an already filed Allegation of Use. Otherwise, you must file the specific Allegation of Use form (Statement of Use/Amendment to Allege Use). Filing an Allegation of Use is not a proper
response to an Office action.
Date of First Use of Mark Anywhere at least as early as

(MM/DD/YYYY)

Date of First Use of Mark Commerce at least as early as

(MM/DD/YYYY)

Specimen File

Watch the TMIN video explaining what is meant by the term "specimen". Visit the USPTO's website for information on acceptable file sizes and formats.
Instructions: Attach ONLY the specimen here, not the entire response to Office action. Each portion of this form serves a specific purpose for data processing reasons. Failure to follow this instruction will cause
significant delays in the processing and review of your filing.
Check this box if you are mailing a non-traditional specimen using USPS because it meets the qualifications explained in the hyperlink. Sound and motion specimens are not non-traditional and MUST be
submitted using this form. Failure to submit a required specimen through TEAS may result in processing delays and additional fees.
Describe what the submitted specimen consists of

ADDITIONAL INFORMATION REQUIRED FOR WEBPAGE SPECIMENS:
Enter webpage URL(s) and date(s) of access below if it does NOT appear on the attached specimen.
Enter webpage URL(s) and dates(s) of access below if it does NOT appear on the attached specimen.
If your specimen consists of a webpage, provide the webpage URL:
If your specimen consists of a webpage, indicate the date you accessed or printed the webpage:
(MM/DD/YYYY)
* CLICK BOX BELOW IF SPECIMENS ARE BEING SUBMITTED OR WERE UNVERIFIED IN THE APPLICATION: If additional or new specimen(s) is/are being submitted, or the originallysubmitted specimen(s) was unverified, check the statement immediately below to support the submission (the required declaration will automatically appear at the end of the form).
WARNING: You must select the specimen statement below for the substitute, new, or originally submitted unverified specimen to be acceptable. Please refer to the Office action to which you are responding and
select the statement specifically referenced therein.
"The substitute (or new, or originally submitted, if appropriate) specimen(s) was/were in use in commerce at least as early as the filing date of the application" [for an application based on Section
1(a), Use in Commerce] OR "The substitute (or new, or originally submitted, if appropriate) specimen(s) was/were in use in commerce prior either to the filing of the Amendment to Allege Use or
expiration of the filing deadline for filing a Statement of Use" [for an application based on Section 1(b) Intent-to-Use] OR "The attached specimen is a true copy of the specimen that was originally
submitted with the application, amendment to allege use, or statement of use" [for an illegible specimen]. 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 or her own knowledge are true and all statements made on information and belief are believed to be true.
Filing Basis Section 1(b), Intent to Use: For a trademark or service mark application: The applicant believes the applicant is entitled to use the mark in commerce on or in connection with the goods or
services specified in the application; 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. For a collective
trademark, collective service mark, collective membership mark, or certification mark application: The applicant has a bona fide intention, and is entitled, to exercise legitimate control over the use of the mark in
commerce and had a bona fide intention, and was entitled, to exercise legitimate control over the use of the mark in commerce as of the application filing date. For a certification mark application: The applicant
will not engage in the production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification program or of the goods/services that meet the
certification standards of the applicant.

WARNING: Do NOT check the box to add a Section 1(b) filing basis if your goods/services/collective membership organization for this class is/are already based on Section 1(a), use in commerce. Filing under
Use and Intent to Use is not permitted for the same goods/services/collective membership organization.
Additional Filings: Fee(s) will be required to file either the Statement of Use form or Extension Request, prior to registration, after you begin the required use of the mark in commerce.
Filing Basis Section 44(d), Priority based on foreign filing: For a trademark or service mark application: The applicant believes the applicant is entitled to use the mark in commerce on or in connection with
the goods/services specified in the application; 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; and the
applicant asserts a claim of priority based upon a foreign application. For a collective trademark, collective service mark, collective membership mark, or certification mark application: The applicant has a bona
fide intention, and is entitled, to exercise legitimate control over the use of the mark in commerce; the applicant had a bona fide intention, and was entitled, to exercise legitimate control over the use of the mark in
commerce as of the application filing date; and the applicant asserts a claim of priority based upon a foreign application. For a certification mark application: The applicant will not engage in the production or
marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification program or of the goods/services that meet the certification standards of the applicant.
Foreign Application Number Note: The USPTO database can only store 19 characters for this field. You should adjust your entry if possible, eliminating any unnecessary leadings 0s or country abbreviations, for
example.
Date of Foreign Filing

(MM/DD/YYYY)

Date Foreign Registration
Renewed
(if applicable)

(MM/DD/YYYY)

Expiration Date of Foreign
Registration

(MM/DD/YYYY)

Country/Region/Jurisdiction/U
.S. Territory of Foreign
Registration
Instructions:
Attach Foreign Registration/Proof of Renewal here, not the entire filing. Each portion of this form serves a specific purpose for data processing reasons. Failure to follow this instruction will cause significant delays
in the processing and review of your filing.
Visit the USPTO's website for information on acceptable file sizes and formats.

FEE INFORMATION

Petition to Revive (including a petition to director used solely as a petition to revive) (required): =$250
Response Fee (required only if classes are being added)
If classes are being added as part of the Response to Office Action, the response fee is computed based on the number of classes for which payment is being made.

Amount

number of Classes Paid x $350 (per class) for base application fee= $

number of Classes Paid x $100 for insufficient information (Sections 1 and 44), per class = $

number of Classes Paid x $200 (per class) for u sing the free-form text box instead of the Trademark ID Manual within Trademark Center to identify goods and services (Sections 1

and 44), per class $
0

0
0

number of Payments Refused or charged back x $50 for Additional processing fee for each payment refused or charged back= $

TOTAL AMOUNT = $
I elect not to submit a fee payment for the class(es), believing no fee payment is required under the Trademark Rules of Practice. I acknowledge that the USPTO may, upon later review,
require a fee payment.
NOTE: If the outstanding Office action is a final action, you are encouraged to provide all required fees so that no issues remain outstanding that would prevent the mark from registering.

NEW CORRESPONDENCE INFORMATION
To make changes to the Primary Email Address for Correspondence below, either
(1) return to the Owner Information section (if no attorney has 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
Docket/Reference
Number NOTE: You must limit your entry here to no more than 12 characters.
Primary Email Address for Correspondence:

Email Address

Secondary Email Address(es) (Courtesy Copies):
Enter up to 4 addresses, separated by either a semicolon or a comma.
Only the Primary Email Address for Correspondence is used for official communication 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 owner/holder. The owner/holder or the appointed attorney must keep this email address current with the USPTO.
NOTE: I understand that (1) a valid email address must be maintained by the owner/holder and the applicant owner's/holder's attorney, if appointed, for correspondence and (2) all official
trademark correspondence must be submitted via the Trademark Electronic Application System (TEAS).

DECLARATION SIGNATURE

If a declaration is required, the declaration must be signed by someone who is a "proper party to sign on behalf of applicant" under Trademark Rule 2.33. The information for the Response Signature
section must always be entered.

Click to choose ONE signature method:
Sign electronically directly on this response form

Email Text Form to second party for electronic signature

Handwritten pen-and-ink signature

NOTE: To electronically sign this document, enter any alpha/numeric characters (letters/numbers) of your choosing, preceded and followed by the forward slash (/) symbol. Most signatories enter their name
between the two forward slashes; examples of acceptable "signatures" include: /john doe/; /jd/; or /123-4567/.

The undersigned has elected not to submit the signed declaration, believing no supporting declaration is required under the Trademark Rules of Practice. The undersigned acknowledges that the USPTO may,
upon later review, require a signed declaration.

WARNING: Do not check this box if you are submitting a substitute specimen or attempting to fulfill another requirement in which a declaration is required. If you omit a required declaration after final action,
your application may be abandoned for failure to file a complete response.

DECLARATION: 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, if the applicant submitted the application or allegation of use (AOU)
unsigned, all statements in the application or AOU and this submission based on the signatory's own knowledge are true, and all statements in the application or AOU and this submission made on
information and belief are believed to be true.
STATEMENTS FOR UNSIGNED SECTION 1(a) APPLICATION/AOU: If the applicant filed an unsigned application under 15 U.S.C. §1051(a) or AOU under 15 U.S.C. §1051(c), the signatory additionally
believes that: the applicant is the owner of the 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 or AOU on or in connection with the
goods/services/collective membership organization in the application or AOU; the original specimen(s), if applicable, shows the mark in use in commerce as of the filing date of the application or AOU on or in
connection with the goods/services/collective membership organization in the application or AOU; for a collective trademark, collective service mark, collective membership mark, or certification mark
application, the applicant is exercising legitimate control over the use of the mark in commerce and was exercising legitimate control over the use of the mark in commerce as of the filing date of the application or
AOU; for a certification mark application, the applicant is not engaged in the production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the
certification program or of the goods/services that meet the certification standards of the applicant. To the best of the signatory's knowledge and belief, no other persons, except, if applicable, authorized
users, members, and/or 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/collective membership organization of such other persons, to cause confusion or mistake, or to deceive.
STATEMENTS FOR UNSIGNED SECTION 1(b)/SECTION 44 APPLICATION AND FOR SECTION 66(a) COLLECTIVE/CERTIFICATION MARK APPLICATION: If the applicant filed an
unsigned application under 15 U.S.C. §§ 1051(b), 1126(d), and/or 1126(e), or filed a collective/certification mark application under 15 U.S.C. §1141f(a), the signatory additionally believes that: for a trademark or
service mark application, the applicant is entitled to use the mark in commerce on or in connection with the goods/services specified in the application; 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; for a collective trademark, collective service mark, collective membership mark, or certification mark
application, the applicant has a bona fide intention, and is entitled, to exercise legitimate control over the use of the mark in commerce and had a bona fide intention, and was entitled, to exercise legitimate control
over the use of the mark in commerce as of the application filing date; the signatory is properly authorized to execute the declaration on behalf of the applicant; for a certification mark application, the applicant
will not engage in the production or marketing of the goods/services to which the mark is applied, except to advertise or promote recognition of the certification program or of the goods/services that meet the
certification standards of the applicant. To the best of the signatory's knowledge and belief, no other persons, except, if applicable, authorized users, members, and/or 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/collective membership organization of such
other persons, to cause confusion or mistake, or to deceive.
* Signature

(MM/DD/YYYY)

- Joint individual owners/holders, enter "Owners" or "Holders" as appropriate.
- 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. firm 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.
Signatory's Phone Number

RESPONSE SIGNATURE

Click to choose ONE signature method:
Sign electronically directly on this response form

Email Text Form to second party for electronic signature

NOTE: Although a possible combination as selected on the form, the following signing method must NOT be used: declaration signed directly and response signed through the email text form approach.
NOTE: To electronically sign this document, enter any alpha/numeric characters (letters/numbers) of your choosing, preceded and followed by the forward slash (/) symbol. Most signatories enter their name
between the two forward slashes; examples of acceptable "signatures" include: /john doe/; /jd/; or /123-4567/.

*You must click one of the three buttons below to confirm that you are legally authorized to sign this form based on the trademark rules governing representation of others before the USPTO.
If you have a U.S.-licensed attorney representing you in this matter, only your attorney can sign this response.
Owner/Holder who is not represented by an attorney (pro se): I hereby confirm that
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I am not represented by an attorney in this matter, and am either: (1) the owner(s)/holder(s); or (2) a person or person(s) with legal authority to bind the owner(s)/holder(s); and

•

If I had previously been represented by an attorney in this matter, either I revoked their power of attorney by filing a signed revocation with the USPTO or the USPTO has granted this attorney's withdrawal
request.

ADVISORY: Click the above first button only if you are the owner(s)/holder(s) or legally authorized to bind the owner(s)/holder(s); such as an officer of the owner/holder corporation or association, or a general
partner of the owner/holder partnership.
Authorized U.S.-Licensed Attorney: I hereby confirm that
•

I am a U.S.-licensed attorney who is an active member in good standing of the bar of the highest court of a U.S. state (including the District of Columbia and any U.S. Commonwealth or territory);

•

I am currently the trademark owner's/holder's attorney or an associate thereof;

•

To the best of my knowledge, if prior to my appointment another U.S.-licensed attorney not currently associated with my company/firm previously represented the owner/holder in this matter:
o

the owner/holder has revoked their power of attorney by filing a signed revocation or substitute power of attorney with the USPTO;

the USPTO has granted that attorney's withdrawal request;

the owner/holder has filed a power of attorney appointing me in this matter; or

the owner/holder's appointed U.S.-licensed attorney has filed a power of attorney appointing me as an associate attorney in this matter.

Authorized Canadian Trademark Attorney/Agent: I hereby confirm that
•

An authorized U.S.-licensed attorney has been appointed to represent the owner/holder;

•

I have been granted reciprocal recognition under 37 C.F.R. §11.14(c)(1) by the USPTO's Office of Enrollment and Discipline; and

•

I am an authorized signatory based on 37 C.F.R. §11.14(c)(2).

ADVISORY: Foreign attorneys (other than authorized Canadian attorneys/agents) may not sign responses and are prohibited from representing a trademark owner/holder before the USPTO in trademark matters.
NOTE: If more than one owner/holder, ALL must sign the overall submission.
* Signature

(MM/DD/YYYY)

* Signatory's Name
* Signatory's Position
NOTE: Limit your entry to no more than 150 characters (the storage limit for this field in the USPTO database).
Enter appropriate title or nature of relationship to the owner/holder.
If the signer is
- An individual owner/holder, enter "Owner" or "Holder" as appropriate.
- Joint individual owners/holders, 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. firm 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.
Signatory's Phone Number