PTO Form 1478 (Rev 9/2006)
`
`OMB No. 0651-0009 (Exp 12/31/2011)
`
`Trademark/Service Mark Application, Principal Register
`
`TEAS Plus Application
`
`Serial Number: 77804259
`Filing Date: 08/13/2009
`
`NOTE: Data fields with the * are mandatory under TEAS Plus. The wording "(if applicable)" appears where the field is only mandatory
`under the facts of the particular application.
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`TEAS Plus
`
`MARK INFORMATION
`
`*MARK
`
`*SPECIAL FORM
`
`USPTO-GENERATED IMAGE
`
`*COLOR MARK
`
`*COLOR(S) CLAIMED
`(If applicable)
`
`*DESCRIPTION OF THE MARK
`(and Color Location, if applicable)
`
`PIXEL COUNT ACCEPTABLE
`
`PIXEL COUNT
`
`REGISTER
`
`APPLICANT INFORMATION
`
`*OWNER OF MARK
`
`*STREET
`
`*CITY
`
`*STATE
`(Required for U.S. applicants)
`
`*COUNTRY
`
`*ZIP/POSTAL CODE
`(Required for U.S. applicants only)
`
`PHONE
`
`LEGAL ENTITY INFORMATION
`
`*TYPE
`
`YES
`
`\\TICRS\EXPORT8\IMAGEOUT8
`\778\042\77804259\xml1\FT K0002.JPG
`
`YES
`
`NO
`
`NO
`
`The mark consists of the left side profile of a stylized roaring
`lion head.
`
`YES
`
`642 x 390
`
`Principal
`
`Roaring Lion LLC
`
`13 Orion Belt Way
`
`Hamilton
`
`Montana
`
`United States
`
`59840
`
`406-363-0164
`
`LIMITED LIABILITY COMPANY
`
`* STATE/COUNTRY WHERE LEGALLY ORGANIZED
`
`Montana
`
`GOODS AND/OR SERVICES AND BASIS INFORMATION
`
`

`
`* INTERNATIONAL CLASS
`
`041(cid:160)
`
`IDENTIFICATION
`
`*FILING BASIS
`
`ADDITIONAL STATEMENTS SECTION
`
`*TRANSLATION
`(if applicable)
`
`*TRANSLITERATION
`(if applicable)
`
`*CLAIMED PRIOR REGISTRATION
`(if applicable)
`
`*CONSENT (NAME/LIKENESS)
`(if applicable)
`
`*CONCURRENT USE CLAIM
`(if applicable)
`
`ATTORNEY INFORMATION
`
`NAME
`
`FIRM NAME
`
`STREET
`
`CITY
`
`STATE
`
`COUNTRY
`
`ZIP/POSTAL CODE
`
`PHONE
`
`FAX
`
`EMAIL ADDRESS
`
`Providing educational mentoring services and programs in the
`field of land use
`
`SECTION 1(b)
`
`Valerie Balukas
`
`Morrison & Balukas
`
`111 N Last Chance Gulch (3B)
`
`Helena
`
`Montana
`
`United States
`
`59601
`
`406-443-1040
`
`406-443-1041
`
`val@mbtaxlaw.com
`
`AUTHORIZED TO COMMUNICATE VIA EMAIL
`
`Yes
`
`CORRESPONDENCE INFORMATION
`
`*NAME
`
`FIRM NAME
`
`*STREET
`
`*CITY
`
`*STATE
`(Required for U.S. applicants)
`
`*COUNTRY
`
`*ZIP/POSTAL CODE
`
`PHONE
`
`FAX
`
`*EMAIL ADDRESS
`
`*AUTHORIZED TO COMMUNICATE VIA EMAIL
`
`FEE INFORMATION
`
`NUMBER OF CLASSES
`
`Valerie Balukas
`
`Morrison & Balukas
`
`111 N Last Chance Gulch (3B)
`
`Helena
`
`Montana
`
`United States
`
`59601
`
`406-443-1040
`
`406-443-1041
`
`val@mbtaxlaw.com
`
`Yes
`
`1
`
`(cid:160)
`(cid:160)
`(cid:160)
`(cid:160)
`

`
`FEE PER CLASS
`
`*TOTAL FEE PAID
`
`SIGNATURE INFORMATION
`
`* SIGNATURE
`
`* SIGNATORY'S NAME
`
`* SIGNATORY'S POSITION
`
`* DATE SIGNED
`
`275
`
`275
`
`/Valerie Balukas/
`
`Valerie Balukas
`
`Attorney of record, Montana bar member
`
`08/13/2009
`
`

`
`PTO Form 1478 (Rev 9/2006)
`
`OMB No. 0651-0009 (Exp 12/31/2011)
`
`Trademark/Service Mark Application, Principal Register
`
`TEAS Plus Application
`
`Serial Number: 77804259
`Filing Date: 08/13/2009
`
`To the Commissioner for Trademarks:
`
`MARK:(cid:160)(Stylized and/or Design, see mark)
`The applicant is not claiming color as a feature of the mark. The mark consists of the left side profile of a stylized roaring lion head.
`The applicant, Roaring Lion LLC, a limited liability company legally organized under the laws of Montana, having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)13 Orion Belt Way
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Hamilton, Montana 59840
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`requests registration of the trademark/service mark identified above in the United States Patent and Trademark Office on the Principal Register
`established by the Act of July 5, 1946 (15 U.S.C. Section 1051 et seq.), as amended, for the following:
`
`For specific filing basis information for each item, you must view the display within the Input Table.
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160) International Class 041: (cid:160)Providing educational mentoring services and programs in the field of land use
`Intent to Use: The applicant has a bona fide intention to use or use through the applicant's related company or licensee the mark in commerce on
`or in connection with the identified goods and/or services. (15 U.S.C. Section 1051(b)).
`
`The applicant's current Attorney Information:
`Valerie Balukas of Morrison & Balukas
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)111 N Last Chance Gulch (3B)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Helena, Montana 59601
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)United States
`
`The applicant's current Correspondence Information:
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Valerie Balukas
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Morrison & Balukas
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)111 N Last Chance Gulch (3B)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Helena, Montana 59601
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)406-443-1040(phone)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)406-443-1041(fax)
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)val@mbtaxlaw.com (authorized)
`
`A fee payment in the amount of $275 has been submitted with the application, representing payment for 1 class(es).
`
`Declaration
`
`The undersigned, being hereby warned that willful false statements and the like so made are punishable by fine or imprisonment, or both, under
`18 U.S.C. Section 1001, and that such willful false statements, and the like, may jeopardize the validity of the application or any resulting
`registration, declares that he/she is properly authorized to execute this application on behalf of the applicant; he/she believes the applicant to be
`the owner of the trademark/service mark sought to be registered, or, if the application is being filed under 15 U.S.C. Section 1051(b), he/she
`believes applicant to be entitled to use such mark in commerce; to the best of his/her knowledge and belief no other person, firm, corporation, or
`association has the right to use the mark in commerce, either in the identical form thereof or in such near resemblance thereto as to be likely,
`when used on or in connection with the goods/services of such other person, to cause confusion, or to cause mistake, or to deceive; and that all
`
`

`
`statements made of his/her own knowledge are true; and that all statements made on information and belief are believed to be true.
`
`Signature: /Valerie Balukas/(cid:160)(cid:160)(cid:160)Date Signed: 08/13/2009
`Signatory's Name: Valerie Balukas
`Signatory's Position: Attorney of record, Montana bar member
`
`RAM Sale Number: 3642
`RAM Accounting Date: 08/14/2009
`
`Serial Number: 77804259
`Internet Transmission Date: Thu Aug 13 17:32:06 EDT 2009
`TEAS Stamp: USPTO/FTK-XXX.XXX.XXX.XXX-20090813173206
`719861-77804259-4007b416ae8fc8df8b28e698
`afe74b7b37-CC-3642-20090813171931624519
`
`

`
`___________;___=_