Change Of Registrant Information Of Trademark {08-555}

State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ CHANGE OF REGISTRANT INFORMATION OF TRADEMARK, SERVICE MARK, COLLECTIVE MARK, OR CERTIFICATION MARK AS 45.50.125 Filing Fee: $25.00 (non-refundable) INSTRUCTIONS (Please retain for your records): Refer to Alaska Statutes 45.50.125. If you need assistance in completing your filing, it is advised that you seek legal counsel. Please be aware that this filing will become public information. ITEM 1: Name registration number of mark Provide the name registration number of the mark as stated on the certificate of registration. ITEM 2: Previous registrant Provide the name and business mailing address of previous registrant. ITEM 3: Current registrant Provide the name and business mailing address of current registrant. ITEM 4: Signature The previous or current registrant may sign this application. NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in material respects, is guilty of a class A misdemeanor. Mail the Articles of Incorporation and the non-refundable $25.00 filing fee in U.S. dollars to: State of Alaska Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. 08-555 (Rev.02/01/2012) Change of Registrant Information Instructions American LegalNet, Inc. www.FormsWorkFlow.com State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP CHANGE OF REGISTRANT INFORMATION OF TRADEMARK, SERVICE MARK, COLLECTIVE MARK, OR CERTIFICATION MARK AS 45.50.125 $25.00 Filing Fee (non-refundable) Pursuant to Alaska Statutes 45.50.125 the following will apply to the mark registration on file with this office: ITEM 1: Name of the mark: Registration #: ITEM 2: Name and business mailing address of previous registrant Name: Physical address: Mailing address: ITEM 3: Name and business mailing address of current registrant Name: Physical address: Mailing address: ITEM 4: Signature. The signer must be the either registrant. Signature of registrant Printed Name of registrant Date NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in material respects, is guilty of a class A misdemeanor. Mail the document and the non-refundable $25.00 filing fee in U.S. dollars to: State of Alaska Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. 08-555 (Rev. 02/01/2012) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP CONTACT INFORMATION SHEET Please return this document with your filing. This information will only be used to resolve questions with the filings attached. NOTE: this form will not be filed for record or appear online. Name of entity as it appears on filing: To resolve questions with this filing, contact: Name: Email: Mailing address: Return documents to: Name: Company: Mailing address: Attach this form to your filings. Send all documents to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. Phone: 08-561 (Rev. 02/01/2012) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com