ASSIGNMENT OF REGISTRATION TRADE MARK OR SERVICE MARK , Secretary of State P.O. Box 94608 Lincoln, NE 68509 (402)471-4079http://www.sos.ne. Submit in Duplicate Circle the type of filing to be assigned: Trade Mark or Service Mark Mark to be assigned Whereas Name of Assignor Street Address has adopted, used and is City State Zip using the mark which is registered with the Nebraska Secretary of State, and whereas: Name of Assignee Street Address desires to acquire said mark City State Zip and registration thereto: Now, therefore, for good and valuable consideration, receipt of which is hereby acknowledged, does hereby assign to Name of Assignor all right, title and interest in and to said Name of Assignee mark. Signature of Assignor State of County of Subscribed and sworn to before me this day of , Year Notary Public Affix Notary Seal here FILING FEE: $5.00 Revised 0 American LegalNet, Inc. www.FormsWorkFlow.com