Free Trademark or Servicemark Renewal Application - Illinois

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State of Illinois Trademark or Servicemark
Renewal Application TM/SM-30
Application must be typed or legibly printed in black ink.

This space for use by Secretary of State.

Mailing Address:
Secretary of State Department of Business Services Trademark Division Rm. 330 Howlett Building Springfield, IL 62756 217-524-0400 www.cyberdriveillinois.com

Three examples of the mark must accompany the application. Do not attach examples with staples, glue or tape. A $5 renewal fee is required in the form of a check or money order payable to Illinois Secretary of State. See instruction page for additional information.

Items 1-4 refer to Registrant 1. Name of Registrant (Owner of the Mark):______________________________________________________________ 2. Mailing Address: _________________________________________________________________________________
Street

______________________________________________________________________________________________
City, State, ZIP Code

3. Registrant is a (check one): Ë Corporation Ë Union Ë General Partnership Ë Limited Liability Partnership (LLP) Ë Individual Ë Association Ë Limited Partnership (LP) Ë Limited Liability Company (LLC) Ë Other (specify): _______________________________________________________________________________ 4. a) If a Corporation, LP, LLP or LLC, State in which it is Organized: __________________________________________ b) If an LP or LLP, Name of one of the General Partners: _________________________________________________

5. Registration Number:

-------------

Original Date of Registration: ______________________________
Month, Day, Year

6. Name of Mark: __________________________________________________________________________________ 7. Goods or Services named in the registration in connection with which the mark is now being used: ________________ ______________________________________________________________________________________________

The applicant hereby appoints the Illinois Secretary of State as agent for service of process in an action relating only to the renewal registration, which may be issued pursuant to this application, if the renewal registrant is, or shall become, a non-resident individual, or foreign partnership, limited liability company, association or corporation not licensed to do business in the State, or cannot be found in this State. The undersigned hereby declares, under penalties of perjury, that the statements contained in the foregoing renewal application are true, that said registrant is the owner of the mark, and that the mark is still in use in the State of Illinois in the manner described in this renewal application.

X _____________________________________________
Signature of Applicant

_______________________________________________
Name of Applicant (type or print)

______________________________________________
Official Capacity

_______________________________________________
Contact Phone Number

Printed by authority of the State of Illinois. January 2009 -- 2.5M -- C 247.9

Instructions for Completing Renewal Application
If the mark has been changed or is no longer in use as registered or no longer used in the classification in which it was originally registered, the mark cannot be renewed. 1. Provide the name of the registrant/owner of the mark as it currently appears on the records of the Secretary of State's office. This information appears on the Renewal Notice as well as on the previously issued certificates; i.e., Certificate of Registration or any previous Certificate of Renewal for the specific mark. 2. Provide the business/mailing address where renewal correspondence should be sent. 3. Mark the appropriate box for the type of ownership of the mark as it currently appears on the records of the Secretary of State's office. 4. Complete item 4a or 4b only if the registrant is one of the business entities listed in item 3. 5. Provide the registration number assigned to this mark and the original date of registration with the Secretary of State's office. This is not the date of first use by the owner of the mark. 6. Provide the name of the mark as originally registered. 7. Provide the goods or services as named on the registration application. Signature and Contact Information The registrant or the attorney-in-fact for the registrant must sign the form. The person signing the form is declaring the mark to be in continous and current use in the normal course of commerce in the state of Illinois. Photocopied, stamped or faxed signatures are unacceptable. Specimens The renewal application must be accompanied by three examples of the mark showing actual use in commerce in the state of Illinois. For trademarks, examples may include the product label, business cards, letterhead or advertisements. For servicemarks, examples may include business cards, letterhead, brochures, flyers or advertisements. Name/tagline/logo printed, written or drawn on plain paper are unacceptable. If color is a feature of the mark, specimens reflecting the actual color(s) must be submitted. Duration and Renewal Registrations are effective for five years. If there is a change of address, it is the responsibility of the registrant to notify the Secretary of State's office. Renewals may be submitted no more than 60 days prior to the expiration date. The expiration date is the date of original registration.

Printed by authority of the State of Illinois. January 2009 -- 2.5M -- C 247.9