West Virginia > Secretary Of State > Business Organizations > Multiple Company Types
Application For Registration Of Emblems EMB-1 - West Virginia
| Application For Registration Of Emblems Form. This is a West Virginia form and can be used in Multiple Company Types Business Organizations Secretary Of State . |
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Natalie E. Tennant Secretary of State 1900 Kanawha Blvd E. Bldg 1, Suite 157-K Charleston, WV 25305 File one original FEE: $10.00 WEST VIRGINIA APPLICATION FOR REGISTRATION OF Hrs: 8:30 a.m. 5:00 p.m. ET EMBLEMS, ETC. Under WV Code 35A-1 et.seq. Penney Barker, Manager Corporations Division Tel: (304)558-8000 Fax: (304)558-8381 www.wvsos.com Applicant Information 1. Name or organization, etc.: _______________________________________________ 2. Address: _______________________________________________ _______________________________________________ 3. Chief officer(s) making application: _______________________________________________ _______________________________________________ _______________________________________________ 4. Brief description of organization and its activities: _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ 5. Brief description of emblem: _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ A facsimile or duplicate of the emblem is attached, marked Attachment 1. Verification I, as applicant, hereby certify that: 1) the organization, etc. is the owner of the emblem for which this application is made; 2) the emblem is in use; 3) to my knowledge, no other person has registered, either federally or in this state, or has the right to use this emblem either in the identical form thereof or in such near resemblance to it as to be likely to cause confusion, or to cause mistake, or to deceive; and 4) the information contained in this application is true, to the best of my knowledge. _____________________ _______________________________ _____________________________ Date Signed Form EMB-1 Name of Person Signing (Type or Print) Office of the Secretary of State Signature Revised 10/09 American LegalNet, Inc. www.FormsWorkFlow.com West Virginia Application for Registration of Emblems, etc. Attachment 1 Print applicant's name on line provided. Leave effective date and serial number blank. Place drawing of photo-coped representation of emblem vertically within the frame. If necessary, enlarge or reduce so that longer dimension is no less than 5" and no more than 6". Organization's Name: _______________________________________________ Effective Date: _______________________________________________ Return to: West Virginia Secretary of State Business & Licensing Division State Capitol Bldg., Ste. 157-K 1900 Kanawha Blvd. East Charleston, WV 25305-0770 Please enclose check in the amount of $10.00 payable to West Virginia Secretary of State. Form EMB-1 Office of the Secretary of State Revised 10/09 American LegalNet, Inc. www.FormsWorkFlow.com
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