State of Alaska Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110808 Juneau AK 99811-0808 ASSIGNMENT OF REGISTRATION OF TRADEMARK OR SERVICE MARK A mark and its registration are assignable with the goodwill of the business in which the mark is used, or with that part of the goodwill of the business connected with the use of and symbolized by the mark. Alaska Registration #: Name of Mark: Name and Business Mailing Address of Assignor: Name: Mailing Address: City: State: Zip: State: Zip: Country: Name and Business Mailing Address of Assignee: Name: Mailing Address: City: Country: If assignee is a corporation or partnership, list the state of incorporation or if a partnership, the state in which the partnership is organized: If the assignee is a partnership, list the names of the general partners: Description of Mark: An assignment of registration is void as against a subsequent purchaser for valuable consideration without notice, unless it is filed with the commissioner within three months after the date of the assignment or before the subsequent purchase. 08-566 (Rev. 12/06) alh 1 The signer must be the assignor or a member of the firm or an officer of the corporation, partnership or association assigning the mark. Signature of Assignor Date Printed Name Title Contact Name and Phone Number (To resolve questions with this filing) 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 $25.00 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 08-566 (Rev. 12/06) alh 2