Free Trade Mark or Service Mark Application - Nebraska

TRADEMARK or SERVICE MARK APPLICATION
John A. Gale, Secretary of State Room 1301 State Capitol, P.O. Box 94608 Lincoln, NE 68509 (402) 471-4079
http://www.sos.state.ne.us

Submit in Duplicate

You MUST type or write in the box below a description of the Mark to be registered:

Applicant: ____________________________________________________________________ Address_______________________________________________________________________
street address city state zip Applicant is a: ___Corporation ___Limited Liability Company ___Limited Liability Partnership ___Limited Partnership ___Partnership ___Sole Proprietorship ___Other (specify)_________________ If other than a sole proprietorship give the state under whose laws the entity was formed__________________ (a) If a trademark, check how the mark is used. By applying it: ___directly to goods, ___directly to the containers for goods, ___to tags or labels affixed to the goods, ___to tags or labels affixed to containers for the goods (b) If a service mark, check how the service mark is used. By applying it: ___in advertisements of the service, ____on documents, wrappers or articles delivered in connection with the service rendered, ___other (specify): _________________________________________________________________________________________ Classification Number _____________ (ONLY ONE, see reverse side) Date of first use of the mark by applicant: a. Anywhere _______________ b. in Nebraska _____________

State of ____________________ County of __________________
The applicant does hereby state and affirm that the applicant is the owner of the mark, the mark is in use, to the applicant's knowledge no other person has registered, either federally or in this state, or has the right to use such mark either in identical form or in such a near resemblance when applied to the good or services of such other person as to cause confusion, mistake, or to deceive.

_________________________________
Signature of Applicant

_____________________________
Official Capacity of Applicant

Subscribed and sworn to before me this _______ day of ____________________, 20_____ seal ____________________________________ Notary Public
Please Note: Registration of a trademark or service mark with the State of Nebraska does not guarantee that a similar mark has not been registered nationally with the U.S. Patent and Trademark Office. To check national availability please call: 800-786-9199 or go to: http://www.uspto.gov/web/menu/tm.html

Submit THREE examples or facsimiles of the mark as actually used. FILING FEE: $100.00 Registration Expires 10 years from date of filing Revised 02/16/2006 Neb. Rev. Stat. § 87-130 & § 87-133

I. Classification of Goods (for trademarks)
1. Chemicals used in industry, science and photography, as well as in agriculture, horticulture and forestry; unprocessed artificial resins; unprocessed plastics; manures; fire extinguishing compositions; tempering and soldering preparations; chemical substances for preserving foodstuffs; tanning substances; adhesives used in industry. 2. Paints, varnishes, lacquers; preservatives against rust and against deterioration of wood; colorants; mordants; raw natural resins; metals in foil and powder form for painters, decorators, printers and artists. 3. Bleaching preparations and other substances for laundry use; cleaning, polishing, scouring and abrasive preparations; soaps; perfumery, essential oils, cosmetics, hair lotions; dentifrices. 4. Industrial oils and greases; lubricants; dust absorbing, wetting and binding compositions; fuels (including motor spirit) and illuminants; candles, wicks. 5. Pharmaceutical, veterinary, and sanitary preparations; dietetic substances adapted for medical use, food for babies; plasters, materials for dressings; material for stopping teeth, dental wax; disinfectants; preparations for destroying vermin; fungicides, herbicides. 6. Common metals and their alloys; metal building materials; transportable buildings of metal; materials of metal for railway tracks; nonelectric cables and wires of common metal; ironmongery, small items of metal hardware; pipes and tubes of metal; safes; goods of common metal not included in other classes; ores. 7. Machines and machine tools; motors and engines (except for land vehicles); machine coupling and transmission components (except for land vehicles); agricultural implements other than hand-operated; incubators for eggs. 8. Hand tools and implements (hand-operated); cutlery; side arms; razors. 9. Scientific, nautical, surveying, electric, photographic, cinematographic, optical, weighing, measuring, signalling, checking (supervision), life-saving and teaching apparatus and instruments; apparatus for recording, transmission or reproduction of sound or images; magnetic data carriers, recording discs; automatic vending machines and mechanisms for coin operated apparatus; cash registers, calculating machines, data processing equipment and computers; fire extinguishing apparatus. 10. Surgical, medical, dental, and veterinary apparatus and instruments, artificial limbs, eyes, and teeth; orthopedic articles; suture materials. 11. Apparatus for lighting, heating, steam generating, cooking, refrigerating, drying, ventilating, water supply, and sanitary purposes. 12. Vehicles; apparatus for locomotion by land, air, or water. 13. Firearms; ammunition and projectiles; explosives; fireworks. 14. Precious metals and their alloys and goods in precious metals or coated therewith, not included in other classes; jewelry, precious stones; horological and chronometric instruments. 15. Musical instruments. 16. Paper, cardboard and goods made from these materials, not included in other classes; printed matter; bookbinding material; photographs; stationery; adhesives for stationery or household purposes; artists' materials; paint brushes; typewriters and office requisites (except furniture); instructional and teaching material (except apparatus); plastic materials for packaging (not included in other classes); playing cards; printers' type; printing blocks. 17. Rubber, gutta-percha, gum, asbestos, mica and goods made from these materials and not included in other classes; plastics in extruded form for use in manufacture; packing, stopping and insulating materials; flexible pipes, not of metal. 18. Leather and imitations of leather, and goods made of these materials and not included in other classes; animal skins, hides; trunks and travelling bags; umbrellas, parasols and walking sticks; whips, harness and saddlery. 19. Building materials (non-metallic); nonmetallic rigid pipes for building; asphalt, pitch and bitumen; nonmetallic transportable buildings; monuments, not of metal. 20. Furniture, mirrors, picture frames; goods (not included in other classes) of wood, cork, reed, cane, wicker, horn, bone, ivory, whalebone, shell, amber, mother-of-pearl, meerschaum and substitutes for all these materials, or of plastics. 21. Household or kitchen utensils and containers (not of precious metal or coated therewith); combs and sponges; brushes (except paint brushes); brush-making materials; articles for cleaning purposes; steel-wool; unworked or semi-worked glass (except glass used in building); glassware, porcelain and earthenware not included in other classes. 22. Ropes, string, nets, tents, awnings, tarpaulins, sails, sacks and bags (not included in other classes); padding and stuffing materials (except of rubber or plastics); raw fibrous textile materials. 23. Yarns and threads, for textile use. 24. Textiles and textile goods, not included in other classes; beds and table covers. 25. Clothing, footwear, headgear. 26. Lace and embroidery, ribbons and braid; buttons, hooks and eyes, pins and needles; artificial flowers. 27. Carpets, rugs, mats and matting, linoleum and other materials for covering existing floors; wall hangings (non-textile). 28. Games and playthings; gymnastic and sporting articles not included in other classes; decorations for Christmas trees. 29. Meat, fish, poultry and game; meat extracts; preserved, dried and cooked fruits and vegetables; jellies, jams, fruit sauces; eggs, milk and milk products; edible oils and fats. 30. Coffee, tea, cocoa, sugar, rice, tapioca, sago, artificial coffee; flour and preparations made from cereals, bread, pastry and confectionery, ices; honey, treacle; yeast, baking powder; salt, mustard; vinegar, sauces (condiments); spices; ice. 31. Agricultural, horticultural and forestry products and grains not included in other classes; live animals; fresh fruits and vegetables; seeds, natural plants and flowers; foodstuffs for animals; malt. 32. Beers; mineral and aerated waters and other nonalcoholic drinks; fruit drinks and fruit juices; syrups and other preparations for making beverages. 33. Alcoholic beverages (except beers). 34. Tobacco; smokers' articles; matches.

II. Classification of Services (for service marks)
35. Advertising; business management; business administration; office functions. 36. Insurance; financial affairs; monetary affairs; real estate affairs. 37. Building construction; repair; installation services. 38. Telecommunications. 39. Transport; packaging and storage of goods; travel arrangement. 40. Treatment of materials. 41. Education; providing of training; entertainment; sporting and cultural activities. 42. Providing of food and drink; temporary accommodation; medical, hygienic and beauty care; veterinary and agricultural services; legal services; scientific and industrial research; computer programming; services that cannot be classified in other classes.