Free STATE OF MINNESOTA SECRETARY OF STATE ARTICLES OF INCORPORATION Business and Nonprofit Corporations - Minnesota

Minnesota Secretary of State ASSIGNMENT OF REGISTRATION OF A TRADEMARK OR SERVICE MARK, CERTIFICATION MARK, OR COLLECTIVE MARK
Filing Fee: $15.00 File Number: ___________________________ Class: _________________________

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MARK AS DESCRIBED ON CERTIFICATE: _______________________________________________________________ ___________________________________________________________________________________________________ Name of Present Registrant: ___________________________________________________________________________________________________ Address: ____________________________________________________________________________________________ Street City State Zip The present registrant has filed this mark and is assigning this registration and all rights to and interest in this mark, including any good will connected to the mark for valid consideration which has been received. This mark is assigned to: Name: _____________________________________________________________________________________________

Address: ____________________________________________________________________________________________ Street City State Zip State of Formation, if an entity: ______________________________________ I certify that I am authorized to execute this assignment and I further certify that I understand that by signing this assignment, I am subject to the penalties of perjury as set forth in section 609.48 as if I had signed this assignment under oath. _____________________________________________ Signature (on behalf of present registrant ____________________________________________ (Print name and title)

Name and telephone number of contact person: ______________________________________ (____) ________________ Please print legibly Make check payable to the MN Secretary of State. FILE IN-PERSON OR MAIL TO: Minnesota Secretary of State - Business Services Retirement Systems of Minnesota Building 60 Empire Drive, Suite 100 St Paul, MN 55103 (Staffed 8:00 - 4:00, Monday - Friday, excluding holidays) All of the information on this form is public and required in order to process this filing. Failure to provide the requested information will prevent the Office from approving or further processing this filing. All of the information on this form is public. Minnesota law requires certain information to be provided for this type of filing. If that information is not included, your document may be returned unfiled. This document can be made available in alternative formats, such as large print, Braille or audio tape, by calling (651)296-2803/voice. For a TTY/TTD (deaf and hard of hearing) communication, contact the Minnesota Relay Service at 1-800-627-3529 and ask them to place a call to (651)296-2803. The Secretary of State's Office does not discriminate on the basis of race, creed, color, sex, sexual orientation, national origin, age, marital status, disability, religion, reliance on public assistance or political opinions or affiliations in employment or the provision of service.

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bus43 Assignment of Reg TM Rev 5-07