State of California
Secretary of State
ASSIGNMENT OF TRADEMARK OR SERVICE MARK
Pursuant to Business and Professions Code Section 14220(a)
IMPORTANT Read instructions before completing this form.
ASSIGNMENT APPLICATION FOR:
1. NAME OF ASSIGNOR (Owner of mark as registered in the Secretary of State's office) 2. NAME OF ASSIGNEE (Person to whom ownership of mark is transferred) 3. BUSINESS ADDRESS
CITY STATE ZIP CODE
4. BUSINESS STRUCTURE OF ASSIGNEE (Check One)
CORPORATION (State of Incorporation)_____________________________ LIMITED LIABILITY COMPANY (State of Organization) ____________________________ LIMITED PARTNERSHIP (State of Organization) ____________________________ GENERAL PARTNERSHIP (State of Organization) ____________________________ SOLE PROPRIETOR
SPOUSES, AS COMMUNITY PROPERTY
DOMESTIC PARTNERS, AS COMMUNITY PROPERTY
(Describe) ________________________________ 5. NAMES OF GENERAL PARTNERS, IF ASSIGNEE IS A PARTNERSHIP 6. NAME AND/OR DESCRIPTION OF TRADE/SERVICE MARK
7. TRADE/SERVICE MARK REGISTRATION NUMBER
8. DATE OF REGISTRATION
9. Assignor hereby assigns to assignee all rights, title and interest in the mark, together with the good will of the business in which the mark is used (or that part of the good will of the business connected with the use of and symbolized by the mark) and the registration thereof. Please Note: Signature must be acknowledged by a Notary Public. _________________________________________________ DATE _________________________________________________ SIGNATURE OF ASSIGNOR-OWNER OF MARK ___________________________________________________ TYPE OR PRINT NAME AND TITLE
THIS SPACE FOR FILING OFFICER USE
10. RETURN ACKNOWLEDGMENT TO: (Type or Print) NAME ADDRESS CITY/STATE/ZIP
REG. NO. _______________________ ASSIGN. NO. ____________________
SEC/STATE TM 108 (REV 07/08)
FILING FEE: $30.00 PER CLASSIFICATION
State of California County of _____________________________)
On _________________________ before me, _________________________________________ (insert name and title of the officer) personally appeared ______________________________________________________________, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
INSTRUCTIONS FOR COMPLETING ASSIGNMENT OF TRADEMARK / SERVICE MARK
Assignments must be filed with the Secretary of State's office within three months after the date thereof or prior to the subsequent purchase together with the filing fee of $30.00 per classification. Type or print in blue or black ink. Mail the assignment with original signatures and filing fees to the Secretary of State, Trademark Unit, P.O. Box 942877, Sacramento, CA 94277-0001. Please indicate at the top of the application which type of registration is being assigned.
Item 1. Enter the complete name of the assignor (owner of the mark as currently registered with the Secretary
of State's office). Item 2. Enter the complete name of the assignee (person to whom ownership of the mark is being transferred). Item 3. Enter the complete business address of the assignee. Item 4. Identify the business structure of the assignee by checking the appropriate box. If a corporation, limited liability company, limited partnership or general partnership, list the state of origination. Item 5. Enter the names of the general partners, if assignee is a partnership. Item 6. Enter the name and/or description of the trade/service mark as registered. Item 7. Enter the trade/service mark registration number. Item 8. Enter the original date of registration of the trade/service mark. Item 9. Date, sign, and print the name of the assignor (owner of the mark as currently registered with the Secretary of State's office). If the assignor is a corporation, limited liability company, or a partnership, list the title of the person signing the application. The signature must be acknowledged by a notary public on the reverse side of the application. Item 10. Enter the name and address of the person or firm to receive the Certificate of Registration for the remainder of the term.