State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.state.ak.us/occ DO NOT STAMP ABOVE THIS BOX CORP (OFFICE USE ONLY) APPLICATION FOR REGISTRATION OR RENEWAL TRADEMARK, SERVICE MARK, CERTIFICATION MARK OR COLLECTIVE MARK 1. Name and Business Mailing Address of Registrant: Name: Mailing Address: City: State: Zip Code: Country: If this is an renewal application, please provide Alaska Trademark Registration #: 2. If registrant is a corporation or partnership, list the state of incorporation or if a partnership, the state in which the partnership is organized: 3. If the registrant is a partnership, list the names of the general partners: 4. Description of Mark: 5. Check appropriate box: Trademark Service Mark Certification Mark Collective Mark 6. Required Statements: Date the mark was first used in Alaska: Date the mark was first used anywhere: Class of goods or services for this mark: Description of goods or services connected with this mark: Application was filed with the US Patent and Trademark Office. If the registration was denied by the US Patent and Trademark Office, briefly explain why: 08-565 (Rev. 03/08/10) Filing Date: Serial #: 1 Application Status: American LegalNet, Inc. www.FormsWorkFlow.com 7. Three specimens showing actual use of mark must accompany this application. 8. By signing this application the applicant states: a. the applicant is the owner of the mark; b. the mark is in use; and c. to the knowledge of the individual signing the application, no other person has the right to use the mark either in the identical form or in a near resemblance to it as to be likely, when applied to the goods or services of another person, to cause confusion or mistake, or to deceive. The signer must be the applicant or a member of the firm or an officer of the corporation, partnership or association applying for the mark. Date Contact Name and Phone Number (To resolve questions with this filing) Signature Printed Name Title If you have specific legal questions or concerns about this filing, you are strongly advised to consult an attorney or other professional to assist you. Mail the application, 3 specimens, and the $50.00 registration fee to: State of Alaska Corporations Section PO Box 110808 Juneau AK 99811 For additional information or forms please visit our web site at: www.corporations.alaska.gov 08-565 (Rev. 03/08/10) 2 American LegalNet, Inc. www.FormsWorkFlow.com A person may register their mark by submitting the Application for Registration of Trademark, Service Mark, Certification Mark or Collective Mark, together with three specimens, showing the actual use of the mark on or in connection with the stated goods or services with applicable fees. A separate application must be submitted for each class of goods or services being registered. Registration is valid for a period of five years from the date of registration. Trademark Used to identify goods made or sold. Service Mark Used to identify a source of service. Certification Mark Used to identify the quality, accuracy, or other characteristic of goods or services. Collective Mark Used to identify membership in a cooperative, union, association, or other organization. A mark that merely serves to identify the name of a business is not a valid trademark. In addition, Alaska Statute 45.50.010 states that a proposed mark cannot be registered if it consists of: 1. immoral, deceptive, or scandalous matter; 2. matter that disparages or falsely suggests a connection with persons living or dead, institutions, beliefs, or national symbols; 3. the flag, coat of arms, insignia of the United States, this or another state, or municipality of this or another state, or a foreign nation; 4. the name, signature, or portrait identifying a living individual, except with the written consent of that individual; 5. merely descriptive or deceptively misdescriptive of an applicant’s goods or services; 6. merely geographically descriptive or deceptively misdescriptive of an applicant’s goods or services; 7. primarily a surname; 8. a mark that so resembles a mark registered in this state or in the United States Patent and Trademark Office, or a mark previously used and not abandoned, as to be likely, when used on or in connection with the goods or services of the applicant, to cause confusion or mistake or to deceive. A state trademark application is valid only in the State of Alaska and not elsewhere. The Corporations Section does not check an application against other state’s registrations, or registrations on file with the U.S. Patent and Trademark Office. You are strongly advised to conduct a thorough search of your mark before filing. If you require assistance, you are advised to seek the services of an attorney or other qualified professional specializing in the area of trademark law. 08-565 (Rev. 03/08/10) 3 American LegalNet, Inc. www.FormsWorkFlow.com CLASSIFICATION OF GOODS AND SERVICES TRADEMARK, SERVICE MARK, CERTIFICATION MARK, OR COLLECTIVE MARK Trademark Classifications Trademark Classifications 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 Chemicals Paints Cosmetics and Cleaning Preparations Lubricants and Fuels Pharmaceuticals Metal Goods Machinery Hand Tools Electrical and Scientific Apparatus Medical Apparatus Environmental Control Apparatus Vehicles Firearms Jewelry Musical Instruments Paper Goods and Printed Matter Rubber Goods Leather Goods Nonmetallic Building Materials Furniture and Articles Not Otherwise Classified Housewares and Glass Cordage and Fibers Yarns and Threads Fabrics Clothing Fancy Goods Floor Coverings Toys and Sporting Goods Meats and Processed Foods Staple Foods Natural Agricultural Products Light Beverages Wines and Spirits Smokers' Articles Service Mark Classifications Service Mark Classifications 35 36 37 38 39 40 41 42 43 44 45 Advertising and Business Insurance and Financial Building Construction and Repair Telecommunications Transportation and Storage Treatment of Materials Education and Entertainment Computer, Scientific and Legal Hotels and Restaurants Medical, Beauty and Agricultural Personal Certification Mark Classifications 100 Mark A Goods 101 Mark B Services Collective Mark Classifications 200 Collective Mark 08-565 (Rev. 03/08/10) 4 American LegalNet, Inc. www.FormsWorkFlow.com