State of New Hampshire APPLICATION FOR REGISTRATION OF TRADEMARK/SERVICE MARK INSTRUCTIONS FOR COMPLETING Form TM-1 (RSA 350-A) APPLICANT: May be an individual, partnership, or corporation. Use full name. If a New Hampshire corporation, it must appear as it is registered in the N.H. Secretary of State's files. DESCRIPTION OF MARK: Describe mark fully, both wording and design or pictorial features such as logo. It must be clear from this description and the specimens exactly what is to be registered, or the application will be rejected. DESCRIPTION OF GOODS OR SERVICES: Should describe what the mark is being applied to. CLASS: Enter one class only on each registration; see list below. MARK APPLIED TO: Should describe how the mark is to be used, i.e. on labels attached to goods, displays such as advertising, etc. DATES OF FIRST USE: These are the dates the mark was first used 1) anywhere and 2) in New Hampshire. The dates may be the same, but cannot be in the future. SIGNATURE (by an officer if a corporation or partner if a partnership) MUST BE NOTARIZED. ENCLOSE $50 AND THREE IDENTICAL SPECIMENS OR FACSIMILES ON PAPER. NOTE: A mark may not be registered if it consists of or comprises the flag, coat of arms, etc. of the United States, any state or foreign country, or the name, signature, or portrait of any living individual, except with written consent. A mark that is merely descriptive of goods or services may not be registered unless it has become distinctive of the applicant's goods or services. The Secretary of State may require proof of continuous use for five years as evidence that the mark has become distinctive. See RSA 350-A:2 for further restrictions. CLASSES: Goods: 1. 2. 3 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Raw or partly prepared materials Receptacles Baggage, animal equipment; portfolios, pocketbooks Abrasives and polishing materials Adhesives Chemicals and chemical compositions Cordage Smokers' articles not including tobacco products Explosives, firearms, equipment and projectiles Fertilizers Inks and inking material Construction materials Hardware and plumbing and steam-fitting supplies Metals and metal castings and forgings Oils and greases Page 1 of 2 Form TM-1 Instruct. Pg 1 American LegalNet, Inc. www.FormsWorkFlow.com CLASSES: (cont.) Goods: 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. Paints and painters' materials Tobacco products Medicines and pharmaceutical preparations Vehicles Linoleum and oiled cloth Electrical apparatus, machines , and supplies Games, toys and sporting goods Cutlery, machinery, and tools, and parts thereof Laundry appliances and machines Locks and safes Measuring and scientific appliances Horological instruments Jewelry and precious-metal ware Brooms, brushes and dusters Crockery, earthenware, and porcelain Filters and refrigerators Furniture and upholstery Glassware Heating, lighting, and ventilating apparatus Belting, hose, machinery packing, and non-metallic tires Musical instruments and supplies Paper and stationery Prints and publications Clothing Fancy goods, furnishings, and notions Canes, parasols, and umbrellas Knitted, netted and textile fabrics, and substitutes therefor Thread and yarn Dental , medical and surgical appliances Soft drinks and carbonated waters Foods and ingredients of foods Wines Malt beverages and liquors Distilled alcoholic liquors Merchandise not otherwise classified Cosmetics and toilet preparations Detergents and soaps Services: 100. 101. 102. 103. 104. 105. 106. 107. Miscellaneous Advertising & business Insurance & financial Construction & repair Communications Transportation & storage Material treatment Education & entertainment Page 2 of 2 Form TM-1 Instruct. Pg 2 American LegalNet, Inc. www.FormsWorkFlow.com State of New Hampshire Filing fee: $50.00 Use black print or type. APPLICATION FOR REGISTRATION OF TRADEMARK/SERVICE MARK Applicant: Business address: State of incorporation (if a corporation): Description of Mark: Form TM-1 RSA 350-A Description of Goods or Services: Class: (enter one only) Mark applied to: (goods, labels, containers, displays, etc.) Date of first use: Date of first use in New Hampshire: State of first use: STATEMENT: Applicant is the owner of this mark, and no other person to his/her knowledge and belief has the right to use said mark in this state either in the identical form thereof or in such near resemblance thereto as might be calculated to deceive or to be mistaken therefor. Signed (By an officer, if a corporation) (Print or type name) STATE OF COUNTY OF Before me personally appeared instrument in my presence, on this day of , ss. , who signed the foregoing . [seal] (Signature of Notary Public or Justice of the Peace) My commission expires: ______________________, ______ DISCLAIMER: All documents filed with the Corporation Division become public records and will be available for public inspection in either tangible or electronic form. Mail fee, DATED AND SIGNED ORIGINAL AND THREE IDENTICAL, REPRODUCIBLE SPECIMENS OR FACSIMILES OF MARK to: Corporation Division, Department of State, 107 North Main Street, Concord, NH 03301rd 4989. Physical location: 25 Capitol Street, 3 Floor, Concord, NH 03301. American LegalNet, Inc. www.FormsWorkFlow.com Form TM-1 (6/2009)