Assignment Of Trademark (Assignment Form Only) {08-556}

08-556 Rev 9/1/17 Trademark Assignment 1 of 2 Assignment of Trademark (AS 45.50) For a 223How To224 guide to successfully register a trademark, as well as a list of FAQs, visit our website at www.Corporations.Alaska.Gov and select Register a Trademark. Standard processing time for complete and correct filings submitted to this office is approximately 10-15business days. All filings are reviewed in the date order they are received. COR Corporations Section State Office Building, 333 Willoughby Avenue, 9th Floor PO Box 110806, Juneau, AK 99811-0806 Phone: (907) 465-2550 225 Fax: (907) 465-2974 Email: Corporations@Alaska.Gov Website: Corporations.Alaska.Gov Assignment Form Only 1. Important: AS 45.50.010-.205 This form is only used to change the registrant (owner) of a trademark. An 223Assignment224 form may be used to change the registrant (owner) of a trademark currently registered with the State of Alaska. An assignment will not extend the term of a mark; the mark will maintain its current expiration date. A Certificate of Trademark Assignment will be issued upon approval of the assignment, reflecting the new ownership. If the owner is not changing, but the current registrant222s information has changed since the registration or renewal was filed, use the 223Amended Registrant Information224 application (form #08-555). A trademark registration is valid only in the State of Alaska. The Corporations Section does not check an application against other states222 registrations or registrations on file with the U.S. Patent and Trademark Office. If you require assistance, you are advised to seek the services of an attorney or other qualified professional specializing in trademark law. 2. Fee: $ Nonrefundable Filing Fee (CORF) AS 45.50.120(b) Mail this form and the non-refundable $50 filing fee in U.S. dollars to the letterhead address. Make the check or money order payable to the State of Alaska, or use the attached credit card payment form. 3. CURRENT Registrant Information (assignor): AS 45.50.070 and AS 45.50.020(1) Name of CURRENT Registrant: Trademark Number (mandatory): Mailing Address: FOR DIVISION USE ONLY T HE S TATE ALASKA of Department of Commerce, Community and Economic Development Division of Corporations, Business and Professional Licensing American LegalNet, Inc. www.FormsWorkFlow.com 08-556 Rev 9/1/17 Trademark Assignment 2 of 2 4. Name and address or the NEW registrant (assignee) as a result of this filing: AS 45.50.120 Name of NEW Registrant: If Applicable: AK Entity #: AK Business License #: Mailing Address of NEW Registrant: 5. NEW Registrant Information: AS 45.50.020(1)(a) and (b) a. Registrant Type: Corporation (INC, LLC, LP, LLP) Partnership Sole Proprietor b. Home State of Organization: c. If the Entity is a Partnership, list all General Partners: 1. 2. 3. 4. 10. Required Signature: AS 45.50.030 and AS 45.50. 070 IMPORTANT: By signing this application I declare, under penalty of perjury, that this application is true and complete, including any information provided in this application and the following statements: the applicant is the owner of the trademark; the trademark is in use; and, to the knowledge of the individual signing the application, no other person has the right to use the mark either in the identical form or in a near resemblance to it as to be likely, when applied to the goods or services of another person, to cause confusion or mistake or to deceive. The signer must be the applicant, or a member of the firm or an officer of the corporation, partnership, or association applying for the trademark as listed in ITEM 3 of this application. Persons who sign documents filed with the Commissioner that are known to the person to be false in material respects are guilty of a Class A misdemeanor. Signature: Date: Printed Name: Title of Authorized Signer: If the trademark is owned by an entity (listed in Item #3), then the signer must identify their signing authority, such as: corporation President or LLC Member. Example: John Doe, President of owning entity XYZ Incorporated. American LegalNet, Inc. www.FormsWorkFlow.com 08-561 Rev 7/14/16 Contact Information Return this form with your filing This information may be used by the Division to assist with processing your attached filings This form will not be filed for record, or appear online COR Corporations Section State Office Building, 333 Willoughby Avenue, 9th Floor PO Box 110806, Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Email: corporations@alaska.gov Website: Corporations.Alaska.Gov Contact Information Entity Information Enter your entity information as it appears on this filing. Entity Name: AK Entity #: Contact Person Whom may we contact with any questions or problems with this filing? Company: Contact: Mailing Address: Address: City: State: ZIP: Phone: Email: Document Return Address Provide an address for the return of your filed documents. Return my filings to the address provided ABOVE Return my filings to this address provided BELOW Company: Contact: Mailing Address: Address: City: State: ZIP: FOR DIVISION USE ONLY T HE S TATE ALASKA of Department of Commerce, Community and Economic Development Division of Corporations, Business and Professional Licensing American LegalNet, Inc. www.FormsWorkFlow.com All major credit cards are accepted. For security purposes, do not email credit card information. Include this credit card payment form with your application. Name of Applicant or Licensee: Program Type: License Number (if applicable): I wish to make payment by credit card for the following (check all that apply): AMOUNT Application Fee: License or Renewal Fee: Other (name change, wall certificate, fine, duplicate license, exam, etc.): 1. 2. TOTAL: Name (as shown on credit card): Mailing Address: Phone Number: Email (optional): Signature of Credit Card Holder: 08-4438 Rev 12/26/18 Credit Card Payment Form (all major cards accepted) State of Alaska Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing PO Box 110806, Juneau, AK 99811 Phone: (907) 465-2550 Credit Card Payment Form CREDIT CARD INFO: Your payment cannot be processed unless all fields are completed! All four fields MUST be completed! This section will be destroyed after the payment is processed. 1. Account Number : 2. Expiration Date: 3. Billing ZIP Code: 4 . Security Code : FOR DIVISION USE ONLY T HE S TATE ALASKA of Department of Commerce, Community , and Economic Development Division of Corporations, Business and Professional Licensing American LegalNet, Inc. www.FormsWorkFlow.com