California > Secretary Of State > Trademarks And Service Marks

Registration Of Trademark Or Service Marks LP TM 100 - California

Registration Of Trademark Or Service Marks Form. This is a California form and can be used in Trademarks And Service Marks Secretary Of State .
 Fillable pdf Last Modified 9/7/2010
Get this form for FREE as a print-only pdf

State of California Secretary of State REGISTRATION OF TRADEMARK OR SERVICE MARK Pursuant to Business and Professions Code sections 14207 and 14235 IMPORTANT ­ Read instructions before completing this form. REGISTRATION APPLICATION FOR (Check One): 1. NAME OF OWNER OF MARK (REGISTRANT) 2. BUSINESS ADDRESS OF REGISTRANT 3. BUSINESS STRUCTURE OF REGISTRANT (Check One and Complete) CORPORATION (State of Incorporation)____________________________ LIMITED LIABILITY COMPANY (State of Organization) ____________________________ LIMITED PARTNERSHIP (State of Organization) ____________________________ GENERAL PARTNERSHIP (State of Organization) ____________________________ CITY AND STATE ZIP CODE TRADEMARK SERVICE MARK SOLE PROPRIETOR SPOUSES, AS COMMUNITY PROPERTY DOMESTIC PARTNERS, AS COMMUNITY PROPERTY OTHER (Describe)_________________________________ 4. NAMES OF GENERAL PARTNERS, IF REGISTRANT IS A PARTNERSHIP 5. NAME AND/OR DESIGN OF MARK. (For design, provide a brief written description that can be pictured in the mind without reference to the specimens. Do not draw the design on the application. Attach a drawing of the mark.) 6. DISCLAIMER (If Applicable) NO CLAIM IS MADE TO THE EXCLUSIVE RIGHT TO USE THE TERM: 7a. DATE THE MARK WAS FIRST USED IN CALIFORNIA 7b. DATE THE MARK WAS FIRST USED ANYWHERE 8a. IF A TRADEMARK, LIST SPECIFIC GOODS. IF A SERVICE MARK, LIST SPECIFIC SERVICE. THIS SPACE FOR FILING OFFICER USE TRADEMARK OR SERVICE MARK REG. NO. _______________________ CLASS NO.(S) ___________________ 8b. CLASS NUMBER(S) ________ ________ ________ ________ ________ 9. RETURN ACKNOWLEDGMENT TO: (Type or Print) NAME ADDRESS CITY/STATE/ZIP (Page 1 of 2) FILING FEE: $70.00 PER CLASSIFICATION SEC/STATE TM 100 (REV. 08/2010) 10. INDICATE WHETHER AN APPLICATION TO REGISTER THE MARK, OR PORTIONS, OR A COMPOSITE THEREOF, HAS BEEN FILED BY THE REGISTRANT OR A PREDECESSOR IN INTEREST WITH THE UNITED STATES PATENT AND TRADEMARK OFFICE. FILING DATE _________________ SERIAL/FILE NO. ___________________ STATUS OF APPLICATION _____________________________ IF REFUSED, WHY? _______________________________________________________________________________________________ CHECK HERE IF THIS ITEM DOES NOT APPLY 11. MANNER IN WHICH THE MARK IS USED (Check all that apply) FOR TRADEMARKS ONLY ON LABELS AND TAGS AFFIXED TO THE GOODS ON LABELS AND TAGS AFFIXED TO CONTAINERS OF THE GOODS BY PRINTING IT DIRECTLY ONTO THE GOODS BY PRINTING IT DIRECTLY ONTO THE CONTAINERS OF THE GOODS OTHER _____________________________________________________ FOR SERVICE MARKS ONLY ON BUSINESS SIGNS ON ADVERTISING BROCHURES ON ADVERTISING LEAFLETS ON BUSINESS CARDS ON LETTERHEADS ON MENUS OTHER __________________________ 12. SPECIMENS (Check one box below and enclose three (3) identical original specimens showing current use of the mark.) FOR TRADEMARKS ONLY ACTUAL LABELS ACTUAL TAGS PHOTOGRAPHS OF GOODS/CONTAINERS SHOWING THE TRADEMARK FRONT PANELS OF A PAPER CONTAINER BEARING THE TRADEMARK OTHER ________________________________________________ FOR SERVICE MARKS ONLY BUSINESS CARDS ADVERTISING BROCHURES ADVERTISING LEAFLETS MENUS SHOWING THE MARK OTHER ________________________ 13. DECLARATION OF OWNERSHIP Applicant declares that the applicant is the owner of the mark, that the mark is in use, and that to the knowledge of the person verifying the application, no other person has registered in this state, or has the right to use the mark, either in the identical form or in such near resemblance as to be likely, when applied to the goods or services of the other person, to cause confusion, to cause mistake, or to deceive. 14. DECLARATION OF ACCURACY Applicant declares that all the information contained in this registration is accurate and if the applicant willfully states in the registration any material fact that the applicant knows to be false, the applicant shall be subject to a civil penalty of not more than ten thousand dollars ($10,000.00). ___________________________________________________ DATE ___________________________________________________ SIGNATURE OF AUTHORIZED PERSON ___________________________________________________ TYPE OR PRINT NAME AND TITLE SEC/STATE TM 100 (REV. 08/2010) (Page 2 of 2) FILING FEE: $70.00 PER CLASSIFICATION INSTRUCTIONS FOR COMPLETING REGISTRATION OF TRADEMARK OR SERVICE MARK Type or print in blue or black ink. Mail your application along with drawing, specimens, and filing fee of $70.00 per classification, to the Secretary of State, Trademark Unit, P.O. Box 942877, Sacramento, CA 94277-0001. Indicate at the top of the application whether the mark you are registering is a Trademark or Service Mark. A Trademark is a mark that is placed on specific goods offered in commerce. A Service Mark is a mark that is used in the advertising of specific services offered in commerce. Check only one box. You cannot register both on one application. Item 1. Item 2. Item 3. Enter the complete name of the owner of the mark. Enter the complete business address of the owner of the mark. Identify the business structure of the registrant by checking the appropriate box. If a corporation, limited liability company, limited partnership or general partnership is the owner of the mark, list the state of origination. Item 4. Enter the names of the general partners, if registrant is a partnership. Item 5. If the mark is just "words," list only those words. If the mark is words and a design, provide the words and a brief written description of the design. If the mark is a design only, provide a brief written description of the design in the space provided without making any reference to the specimens. Submit a drawing of your mark on an 8 ½" x 11" sheet of paper with your application. A drawing is a visual representation of the mark. Do not include phrases or designs that are not included in Item 5. The drawing can be hand written, hand drawn, or computer generated. If your mark is a "word mark," list only those words on the 8 ½ x 11" sheet of paper. Do not paste, tape, or staple a specimen in this space. If the mark or any part of the mark is not in English, you must submit an English translation from a "certified English translator" with your application. The translator's signature must be notarized. You may wish to consult the following websites for assistance with a certified translation: California Government Code section 27293 Judicial Council of California at www.courtinfo.ca.gov/programs/courtinterpreters/ma
Link/Embed this Document
URL
Embed


Popular Searches

  1. civil cover sheet
  2. satisfaction of judgment
  3. visitation
  4. financial affidavit
  5. notice of motion
  6. Declaration
  7. interrogatories
  8. summons
  9. civil
  10. power of attorney

Bookmark and Share