State of Wisconsin 226 Department of Financial Institutions Registration of Tradename/Trademark Per Chapter 132 Wisconsin Statutes OFFICE USE ONLY 1.This is a: first time registration renewal registration If renewal, enter original 2 .N ame of applicant ( organization or individual ) 3 .B usiness address City State Zip 4.Certificate e mail address (to be used to send the registration certificate) Phone number 5 .Certificate mailing address (if different f rom business address ) City State Zip 6.If Tradename: Enter name (or phrase) to be registered.If Trademark: Provide a description using detailed language so that a person would be able to get a good image of the design without actually seeing the design. If more space is needed, include an additional page for the description. 7 . Date of First Use: MM DD YYYY 8 . Classification of goods or service. See instructions on page 2. Classification Code : 9.I, the undersigned, swear or affirm that I amthe registrant or a duly authorized representative,the information on this registration is true andcorrect, the registrant has the right to use thesubject registration, no other person or entityhas such a right either in identical form or nearresemblance, and any attachments filed with thisregistration are correct. 10.Affix notary seal or stamp Signature (to be signed in the presence of a Notar y) Subscribed and sworn to before me on this date/state/county Date State County Printed Name Notary Signature Title Commission Expiration Date 11 . Contact person Email Phone This document may be made available in alternate formats, upon request, to qualifying individuals with disabilities. Attention: Mail to: Physical Address: Tradename/Trademark Section Department of Financial Institutions PO Box 7847 Madison WI 53707-7847 4822 Madison Yards Way, North Tower Madison WI 53705 Contact Information: Phone: 608-266-8915 Email: DFI-Trademark@dfi.wisconsin.gov Fax: 608-264-7965 TTY: 711 Registration expires after 10 yearsunless cancelled or revoked. Filing fee is $15.00 226 Make checkspayable to WDFI. DFI/TRD101 (04/19) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Tradename/Trademark Registration Instructions The name of a business, product, label, logo, or form of advertisement, are some examples of items that may be registered with the Wisconsin Department of Financial Institutions. The registration is not required, but is a good way to notify the public of the use of a certain name or mark. Search the internet and our website https://dccs.wdfi.org , to be sure that the name you intend to register is not already in use. 1.Check the appropriate box to indicate if this is a new registration or a renewal of an unexpired tradename/trademark. Renewals: If this is a renewal, enter the of the previously filed . You can find this number when you search for your Tradename/Trademark on our website https://dccs.wdfi.org. If you cannot find the number, you may leave this field blank. 2.Enter the name of the applicant (sole proprietor, corporation, LLC, partnership, etc.) that is registering theTradename/Trademark. Example: John Johnson (Sole Proprietor) or Smith & Roberts (Partnership) 3.Enter the business address of the applicant registering the Tradename/Trademark. 4.Optional - Enter the Certificate email address and/or phone number. If you want the Certificate mailed, leave #4 blank. 5.Optional - If the certificate should be mailed to a location that is different from the business address in #3, enter the mailingaddress. 6.Enter the Tradename you will be operating under OR a description of the design of the Trademark you want to register. a.If the name entered on line 6 has an entity ending (Company, Co., Limited, Ltd., Corp., Inc., LLC, LLP, etc.), thename on line 6 must be the same as line 2.b.If a design is being registered, a written description must be entered and a sample of the design must be included. Describe, using detailed language, so that a person would be able to get a good image of the design without actually seeing the design. c.A separate application and $15 fee are required for each Tradename/Trademark registered or renewed. 7.Enter the date of first use of the Tradename or Trademark. Future dates are only allowed up to 30 days into the future. 8.Enter the classification code and abbreviated classification name. A complete list is foundhttps://www.wdfi.org/ApostillesNotaryPublicandTrademarks/formsTrademark.htm . 1. Chemicals 2.Paints3.Soaps4.Oil5.Pharmaceuticals6.Metal7.Machines8.Tools9.Scientifics10.Medical Device11.HVAC12.Vehicles13.Firearms14.Jewels 15.Musical instruments 16.Paper 17.Rubber18.Leather19.Building supplies20.Furniture and Materials21.Household utensils22.Rope and Canvass23.Thread24.Textiles25.Clothing26.Lace and decorations27.Carpet28.Playthings29.Meat, Dairy, Preserves 30.Coffee and Baking Goods 3 1.Plant Produce 32.Beverages and Beer33.Liquor and Wine34.Tobacco goods35.Advertising and Business Management36.Insurance and Financial Services37.Construction Services38.Telecommunications39.Transport Services40.Material Finishing41.Educational Services42.Technology Services43.Food Service44.Medical Services 45.Legal Services 9.Sign ONLY in the presence of a notary. Print your name and title, in relation to the business. 10.A Notary must complete this section in its entirety. 11.Provide the contact information for the person who will respond to correspondence regarding this registration. 12.The filing fee is $15 for each Tradename/Trademark registered and is payable to WDFI. The registration expires after 10 years unless cancelled and may be renewed up to six months before the date of expiration. 13.If applying for multiple Tradenames/Trademarks, submit a separate application for each Tradename/Trademark. The fee is $15 per application. One combined payment for multiple applications is acceptable. 14.When the application is processed, a Tradename/Trademark Certificate and confirmation will be emailed or mailed and theinformation will be posted on our website https://dccs.wdfi.org Email: DFI-Trademark@dfi.wisconsin.gov Phone: 608-266-8915 DFI/TRD101 (04/19) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com