Form PTO/TFH/001 Trademarks for Humanity Application

0651-0066 – PTO/TFH/001 (Trademarks for Humanity Application)
OMB Information
PTO/TFH/001
Approved for use through XX/XX/XXXX. OMB Control Number 0651-0066
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 displays a valid OMB Control Number.

Page: Applicant Information
Submitting Party First Name *

Submitting Party Last Name *

Submitting Party Title *

Applicant (Registrant) Name *

Enter the Applicant's U.S. trademark registration number: *

Upload a digital image of Applicant’s mark in PDF or JPEG format: *
(this is an opportunity for Applicant to show how it is using the mark, including with any stylization or
color f eatures)
[File Upload]

Enter the specific goods and/or services listed in this trademark registration
upon which this application is based: *

Ownership/Use of U.S. Trademark Registration(s) *
Select one or more options
☐ By checking this box, Applicant makes the following statement: “Applicant owns all U.S.
trademark registrations claimed in this application, and Applicant is using each claimed trademark in
U.S. commerce on or in connection with the goods/services listed in the relevant registration(s).”

Tell your story! *
In no more than seven thousand characters, please tell us how the trademark(s) you
use in connection with your products/services or business practices is related to, or has
become associated with, the environment or an environmental cause. Please also tell
us how the products or services you offer, or the business practices you use, contribute
toward improving the environment. In your narrative, please address the following
criteria:

•

What environmental problem does the provision of Applicant’s goods/services address?

•

Describe how the provision of goods/services in connection with Applicant’s registered
mark(s), has made an impact in addressing a humanitarian environmental problem.

•

How has the provision of Applicant’s goods/services improved people’s lives or the health of
the planet?

•

What demonstrable impact has the provision of Applicant’s goods/services made?

•

Describe unique or creative aspects of Applicant’s goods/services and/or creative or
improved approaches used by Applicant to produce and provide the goods/services
associated with the registered mark.

•

Describe one or both of the following:

o

How Applicant’s mark relates to the importance of the environment, the need to
resolve environmental problems, or the manner in which its goods/services address
environmental problems OR

o

How Applicant’s mark is recognized as being associated with an environmental
cause

Applicant may upload up to three f iles in this optional supplementary section containing additional
inf ormation or materials to support this application, such as a short video, brochures or advertising
materials, published articles, etc. Time permitting, judges will review inf ormation and materials
provided in this optional supplementary section.

Supplemental Upload 1
[File Upload]

Supplemental Upload 2
[File Upload]

Supplemental Upload 3
[File Upload]

Agreement to Terms and Conditions *
Terms and Conditions can be found here

Select one or more options
☐ By checking this box, Applicant certifies agreement to the Trademarks for Humanity 2022- 2023
Terms and Conditions.

Authority to Submit Application *
Select one or more options
☐ By checking this box, I certif y that I am authorized on behalf of Applicant to submit this
application.

Paperwork Reduction Act Statement
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor
shall a person be subject to a penalty for failure to comply with an information collection subject to
the requirements of the Paperwork Reduction Act of 1995, unless the information collection has a
valid OMB Control Number. The OMB Control Number for this information collection is 0651-0066.
Public burden for this form is estimated to average 4 hours per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the information collection. Send comments regarding this
burden estimate or any other aspect of this information collection, including suggestions for
reducing this burden to the Office of the Chief Administrative Officer, United States Patent and
Trademark Office, P.O. Box 1450, Alexandria, VA 22313-1450 or email
InformationCollection@uspto.gov.

Privacy Act Statement
The United States Patent and Trademark Office (USPTO) collects this information under authority
of 35 U.S.C. 2 and 15 U.S.C. 1051-1141n.
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 managed 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; non-federal 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 an inability to record a trademark assignment. 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