Form DSCB:54-1112 "Registration of Trademark or Service Mark" - Pennsylvania

What Is Form DSCB:54-1112?

This is a legal form that was released by the Pennsylvania Department of State - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2015;
  • The latest edition provided by the Pennsylvania Department of State;
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  • Fill out the form in our online filing application.

Download a fillable version of Form DSCB:54-1112 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of State.

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PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Return document by mail to:
Registration of Trademark or Service Mark
DSCB:54-1112
Name
(rev. 7/2015)
Address
*1112*
City
State
Zip Code
1112
Return document by email to:
________________________________
Read all instructions prior to completing.
Fee: $50
In compliance with the requirements of the 54 Pa.C.S. § 1112 (relating to application for registration), the
undersigned, having adopted and used a trademark or service mark in this Commonwealth and desiring to register such
mark, hereby states that:
1.
The name of the applicant is (see instruction A):
2. The residence, location or place of business of the applicant is (see instruction B):
Number and street
City
State
Zip
County
3. The name and description of the mark is (a facsimile of the mark to be registered accompanies this
application as Exhibit A and is incorporated herein by reference):
4. General class in which such goods or services fall is (use only one of the classifications as set forth in
the general classes of goods and services established by the United States Patent and Trademark Office
and set forth in instruction G):
PENNSYLVANIA DEPARTMENT OF STATE
BUREAU OF CORPORATIONS AND CHARITABLE ORGANIZATIONS
Return document by mail to:
Registration of Trademark or Service Mark
DSCB:54-1112
Name
(rev. 7/2015)
Address
*1112*
City
State
Zip Code
1112
Return document by email to:
________________________________
Read all instructions prior to completing.
Fee: $50
In compliance with the requirements of the 54 Pa.C.S. § 1112 (relating to application for registration), the
undersigned, having adopted and used a trademark or service mark in this Commonwealth and desiring to register such
mark, hereby states that:
1.
The name of the applicant is (see instruction A):
2. The residence, location or place of business of the applicant is (see instruction B):
Number and street
City
State
Zip
County
3. The name and description of the mark is (a facsimile of the mark to be registered accompanies this
application as Exhibit A and is incorporated herein by reference):
4. General class in which such goods or services fall is (use only one of the classifications as set forth in
the general classes of goods and services established by the United States Patent and Trademark Office
and set forth in instruction G):
DSCB:54-1112– 2
5. The goods or services on or in connection with which the mark is used and the mode or manner in
which the mark is used on or in connection with such goods or services are:
6. The date when the mark was first used anywhere is:
7. The date when the mark was first used in this Commonwealth by the applicant or the predecessor in
interest is:
8. The date, if any, an application to register the mark, or portions or a composite thereof, was filed by
the applicant or a predecessor in interest in the United States Patent and Trademark Office. Also
provide filing date and serial number of each application, the status thereof and, if any application was
finally refused registration, or has otherwise not resulted in a registration, the reasons therefore.
(Please attach 8½ x 11 sheet(s) if more space is needed.)
9. Applicant is the owner of the mark, the mark is in use and, to the applicant’s knowledge, no other
person has registered, either federally or in this Commonwealth or has the right to use such mark,
either in the identical form thereof or in such near resemblance thereto as to be likely, when applied to
the goods or services of such other person, to cause confusion or to cause mistake, or to deceive.
IN TESTIMONY WHEREOF, the undersigned person has caused this Application for Registration
of Mark to be executed this
day of
,
.
_________________________________________
Name of Applicant
_________________________________________
Signature
_________________________________________
Title
DSCB:54-1112–Instructions
Pennsylvania Department of State
Bureau of Corporations and Charitable Organizations
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
Web site: www.dos.pa.gov/corps
Instructions for Completion of Form:
A. Enter the name and mailing address to which any correspondence regarding this filing should be sent. This field must
be completed for the Bureau to return the filing. If the filing is to be returned by email, an email address must be
provided. An email will be sent to address provided, containing a link and instructions on how a copy of the filed
document or correspondence may be downloaded. Any email or mailing addresses provided on this form will become
part of the filed document and therefore public record.
B. If the applicant is a corporation, limited liability company or business trust, set forth the association name in
Paragraph 1 and also give jurisdiction of incorporation. If a general or limited partnership, set forth the partnership
name in Paragraph 1 and also give the jurisdiction in which the partnership is organized and the names of the
general partners.
C. The name of a commercial registered office provider may not be used in Paragraph 2 in lieu of an address.
D. An application for registration of a mark is limited to a single general class of goods or services, but a mark may be
made the subject of multiple registrations in two or more general classes. (See general classes of goods and
services established by the United States Patent and Trademark Office in accordance with the International
Classification System, as listed in H below).
E. Typewritten is preferred. If handwritten, the form shall be legible and completed in black or blue-black ink in order
to permit reproduction. The nonrefundable filing fee for this form is $50 made payable to the Department of State.
Checks must contain a commercially pre-printed name and address.
F. This registration is effective for a term of five years from the date of registration. Application to renew for a
similar term must be made on form DSCB:54-1114 (Application for Renewal of Registration of Mark) within
six months prior to the expiration of such term.
G. This form and all accompanying documents shall be mailed to the address listed above.
H. Schedule of classes of goods and services
GOODS
CLASS 1 – Chemicals
Pharmaceutical and veterinary preparations; sanitary
Chemicals used in industry, science and photography, as well as
preparations for medical purposes; dietetic food and substances
in agriculture, horticulture and forestry; unprocessed artificial
adapted for medical or veterinary use, food for babies; dietary
resins, unprocessed plastics; manures; fire extinguishing
supplements for humans and animals; plasters, materials for
compositions; tempering and soldering preparations; chemical
dressings; material for stopping teeth, dental wax; disinfectants;
substances for preserving foodstuffs; tanning substances;
preparations for destroying vermin; fungicides, herbicides.
CLASS 6 – Metal goods
adhesives used in industry.
CLASS 2 – Paints
Common metals and their alloys; metal building materials;
Paints, varnishes, lacquers; preservatives against rust and against
transportable buildings of metal; materials of metal for railway
deterioration of wood; colorants; mordants; raw natural resins;
tracks; non-electric cables and wires of common metal;
metals in foil and powder form for painters, decorators, printers
ironmongery, small items of metal hardware; pipes and tubes of
and artists.
metal; safes; goods of common metal not included in other
CLASS 3 – Cosmetics and cleaning preparations
classes; ores.
CLASS 7 – Machinery
Bleaching preparations and other substances for laundry use;
cleaning, polishing, scouring and abrasive preparations; soaps;
Machines and machine tools; motors and engines (except for
perfumery, essential oils, cosmetics, hair lotions; dentifrices.
land vehicles); machine coupling and transmission components
CLASS 4 – Lubricants and fuels
(except for land vehicles); agricultural implements other than
Industrial oils and greases; lubricants; dust absorbing, wetting
hand-operated; incubators for eggs; automatic vending
and binding compositions; fuels (including motor spirit) and
machines.
CLASS 8 – Hand tools
illuminants; candles and wicks for lighting.
CLASS 5 – Pharmaceuticals
Hand tools and implements (hand-operated); cutlery; side arms;
razors.
CLASS 9 – Electrical and scientific apparatus
CLASS 24 – Fabrics
Scientific, nautical, surveying, photographic, cinematographic,
Textiles and textile goods, not included in other classes; bed cover;
optical, weighing, measuring, signalling, checking (supervision),
table covers.
CLASS 25 – Clothing
life-saving and teaching apparatus and instruments; apparatus
and instruments for conducting, switching, transforming,
Clothing, footwear, headgear.
CLASS 26 – Fancy goods
accumulating, regulating or controlling electricity; apparatus for
recording, transmission or reproduction of sound or images;
Lace and embroidery, ribbons and braid; buttons, hooks and eyes,
magnetic data carriers, recording discs; compact discs, DVDs
pins and needles; artificial flowers.
CLASS 27 – Floor coverings
and other digital recording media; mechanisms for coin-operated
apparatus; cash registers, calculating machines, data processing
Carpets, rugs, mats and matting, linoleum and other materials for
equipment, computers; computer software; fire-extinguishing
covering existing floors; wall hangings (non-textile).
CLASS 28 – Toys and sporting goods
apparatus.
CLASS 10 – Medical apparatus
Games and playthings; gymnastic and sporting articles not included
Surgical, medical, dental and veterinary apparatus and instruments,
in other classes; decorations for Christmas trees.
CLASS 29 – Meats and processed foods
artificial limbs, eyes and teeth; orthopedic articles; suture materials.
CLASS 11 – Environmental control apparatus
Meat, fish, poultry and game; meat extracts; preserved, frozen, dried
Apparatus for lighting, heating, steam generating, cooking,
and cooked fruits and vegetables; jellies, jams, compotes; eggs, milk
refrigerating, drying, ventilating, water supply and sanitary purposes.
and milk products; edible oils and fats.
CLASS 12 – Vehicles
CLASS 30 – Staple foods
Vehicles; apparatus for locomotion by land, air or water.
Coffee, tea, cocoa and artificial coffee; rice; tapioca and sago;
CLASS 13 – Firearms
flour and preparations made from cereals; bread, pastry and
Firearms; ammunition and projectiles; explosives; fireworks.
confectionery; edible ices; sugar, honey, treacle; yeast, baking-
CLASS 14 – Jewelry
powder; salt; mustard; vinegar, sauces (condiments); spices; ice.
CLASS 31 – Natural agricultural products
Precious metals and their alloys and goods in precious metals or
coated therewith, not included in other classes; jewellery, precious
Grains and agricultural, horticultural and forestry products not
stones; horological and chronometric instruments.
included in other classes; live animals; fresh fruits and
CLASS 15 – Musical Instruments
vegetables; seeds; natural plants and flowers; foodstuffs for
CLASS 16 – Paper goods and printed matter
animals; malt.
CLASS 32 – Light beverages
Paper, cardboard and goods made from these materials, not
included in other classes; printed matter; bookbinding material;
Beers; mineral and aerated waters and other non-alcoholic
photographs; stationery; adhesives for stationery or household
beverages; fruit beverages and fruit juices; syrups and other
purposes; artists’ materials; paint brushes; typewriters and office
preparations for making beverages.
CLASS 33 – Wine and spirits
requisites (except furniture); instructional and teaching material
(except apparatus); plastic materials for packaging (not included
Alcoholic beverages (except beers).
in other classes); printers’ type; printing blocks.
CLASS 34 – Smokers’ articles
CLASS 17 – Rubber goods
Tobacco; smokers' articles; matches.
Rubber, gutta-percha, gum, asbestos, mica and goods made from
SERVICES
these materials and not included in other classes; plastics in
CLASS 35 – Advertising and business
extruded form for use in manufacture; packing, stopping and
Advertising; business management; business administration; office
insulating materials; flexible pipes, not of metal.
CLASS 18 – Leather goods
functions.
CLASS 36 – Insurance and financial
Leather and imitations of leather, and goods made of these materials
Insurance; financial affairs; monetary affairs; real estate affairs.
and not included in other classes; animal skins, hides; trunks and
CLASS 37 – Building construction and repair
travelling bags; umbrellas, parasols and walking sticks; whips,
Building construction; repair; installation services.
harness and saddlery.
CLASS 38 – Telecommunications
CLASS 19 – Nonmetallic building materials
CLASS 39 – Transportation and storage
Building materials (non-metallic); non-metallic rigid pipes for
Transport; packaging and storage of goods; travel arrangement.
building; asphalt, pitch and bitumen; non-metallic transportable
CLASS 40 – Treatment of materials
buildings; monuments, not of metal.
CLASS 41 – Education and entertainment
CLASS 20 – Furniture and articles not otherwise classified
Education; providing of training; entertainment; sporting and cultural
Furniture, mirrors, picture frames; goods (not included in other
activities.
classes) of wood, cork, reed, cane, wicker, horn, bone, ivory,
CLASS 42 – Computer and scientific
whalebone, shell, amber, mother-of-pearl, meerschaum and
Scientific and technological services and research and design
substitutes for all these materials, or of plastics.
CLASS 21 – Housewares and glass
relating thereto; industrial analysis and research services; design
and development of computer hardware and software.
Household or kitchen utensils and containers; combs and sponges;
CLASS 43 – Hotels and restaurants
brushes (except paint brushes); brush-making materials; articles for
Services for providing food and drink; temporary accommodation.
cleaning purposes; steelwool; unworked or semi-worked glass
CLASS 44 – Medical, beauty and agricultural
(except glass used in building); glassware, porcelain and earthenware
Medical services; veterinary services; hygienic and beauty care for
not included in other classes.
CLASS 22 – Cordage and fibers
human beings or animals; agriculture, horticulture and forestry
services.
Ropes, string, nets, tents, awnings, tarpaulins, sails, sacks and bags
CLASS 45 – Personal
(not included in other classes); padding and stuffing materials (except
Legal services; security services for the protection of property and
of rubber or plastics); raw fibrous textile materials.
CLASS 23 – Yarns and threads
individuals; personal and social services rendered by others to meet
the needs of individuals.
Yarns and threads, for textile use.