FILE ONE ORIGINAL (Two if you want a filed, date-stamped copy returned to you) FEE: $50.00 - Expedited service not available for this type of filing.(See instructions for complete list of applicable fees.) Applicant Information 1.2.4.5.If applicant is a partnership, list the names of general partners below:Goods or Services 6.The mark is used on or in connection with the following goods or services (see instructions):G = Goods S = Services Description of Goods or Services Mode or Manner Used Class of Goods Or Services G S New Application (MARK NOT PREVIOUSLY REGISTERED IN WEST VIRGINIA) Renewal; Mark last registered on (Date): Name of Applicant: Business Address: If applicant is a corporation or partnership, enter home state of organization: General Partner: General Partner: General Partner: General Partner: G S G S G STMWEST VIRGINIA APPLICATIONFOR TRADEMARK OR SERVICE MARKForm TM-1 Rev. 2/2018West Virginia Secretary of State Business & Licensing Division Tel: (304)558-8000 Fax: (304)558-8381 Website: www.wvsos.gov3. E-mail Address: WEST VIRGINIA TRADEMARK OR SERVICE MARK APPLICATION Page 2 Mark to be Protected 7.The mark for which the application is made consists of (check one):8.Brief description of the mark:9.10.A drawing or representation of the mark is attached in the size and format shown, marked Attachment 1.and, three specimens showing the mark as actually used are attached, marked Attachment 2, 3, and 4.Filing with the U. S. P. T. O. 11.An application to register this mark, or portions or a composite for this mark has been filed by thisapplicant (or predecessor in interest) with the United States Patent and Trademark Office: (check one,if yes, all detailed information is required, attach sheet if more than one application has been filed).If more than one filing for this mark or portions or near matches of this mark have been made, attach aseparate sheet listing the specifics for each application.Status: NO 226 an application has not be filed YES 226 the specifics of the application(s) are: Date filed with USPTO: Serial No.: PENDING APPROVED REFUSED/OTHER (Enter reason below.) Reason:Verification 12.I, as applicant or authorized representative of the applicant, hereby certify that: (1) the applicant is theowner of the mark for which this application is made; (2) the mark is in use; (3) to may knowledge, noother person has registered, either federally or in this state, or has the right to use this mark either in theidentical form thereof or in such near resemblance to it as to be likely, when applied to the goods orservices of that other person, to cause confusion, or to cause mistake, or to deceive; and (4) theinformation contained in this application is true, to the best of my knowledge.Date Signed Name of Person Signing (Type or Print) Signature X TITLE OF MEMBER OR OFFICER SIGNING IF OTHER THAN INDIVIDUAL APPLICANT: State of ; County of Acknowledged before me this day of , 20. Notary Public My Commission Expires a graphic symbol only a graphic symbol including words or letters words or letters in a specific typography words or letters only, without regard to typography The mark was first used anywhere on: and in West Virginia on:(Date)(Date). ATTACHMENT 1 WEST VIRGINIA TRADEMARK OR SERVICE MARK APPLICATION Type applicant222s name on the line provided. Leave effective date and WV Serial Number blank. Place drawing or photo copied representation of mark vertically within the frame. If necessary, enlarge or reduce so that longer dimension is no less than 5224 and no more than 6224. Applicant Name: Contact Name: Phone No.: WV Serial No.:Effective Date:Be sure to include the required ATTACHMENTS 2, 3 and 4 to this application as specified in #9 of the attached instructions.The application will be rejected and returned to you as incomplete without these attached items. International Schedule of Classes of Goods and Services Goods 1.Chemicals used in industry, science and photography, as well as in agriculture, horticulture andforestry; unprocessed artificial resins; unprocessed plastics; manures; fire extinguishingcompositions; tempering and soldering preparations; chemical substances for preserving foodstuffs;tanning substances; adhesives used in industry. 2.Paints, varnishes, lacquers; preservatives against rust and against deterioration of wood; colorants;mordants; raw natural resins; metals in foil and powder form for painters, decorators, printers andartists. 3.Bleaching preparations and other substances for laundry use; cleaning, polishing, scouring andabrasive preparations; soaps; perfumery, essential oils, cosmetics, hair lotions; dentifrices. 4.Industrial oils and greases; lubricants; dust absorbing, wetting and binding compositions; fuels(including motor spirit) and illuminants; candles, wicks. 5.Pharmaceutical, veterinary, and sanitary preparations; dietetic substances adapted for medical use,food for babies; plasters, materials for dressings; material for stopping teeth, dental wax;disinfectants; preparations for destroying vermin; fungicides, herbicides. 6.Common metals and their alloys; metal building materials; transportable buildings of metal;materials of metal for railway tracks; nonelectric cables and wires of common metal; ironmongery,small items of metal hardware; pipes and tubes of metal; safes; goods of common metal notincluded in other classes; ores. 7.Machines and machine tools; motors and engines (except for land vehicles); machine coupling andtransmission components (except for land vehicles); agricultural implements other than hand-operated; incubators for eggs. 8.Hand tools and implements (hand-operated); cutlery; side arms; razors. 9.Scientific, nautical, surveying, electric, photographic, cinematographic, optical, weighing,measuring, signaling, checking (supervision), life-saving and teaching apparatus and instruments;apparatus for recording, transmission or reproduction of sound or images; magnetic data carriers,recording discs; automatic vending machines and mechanisms for coin operated apparatus; cashregisters, calculating machines, data processing equipment and computers; fire extinguishingapparatus. 10.Surgical, medical, dental, and veterinary apparatus and instruments, artificial limbs, eyes, and teeth;orthopedic articles; suture materials. 11.Apparatus for lighting, heating, steam generating, cooking, refrigerating, drying, ventilating, watersupply, and sanitary purposes. 12.Vehicles; apparatus for locomotion by land, air, or water. 13.Firearms; ammunition and projectiles; explosives; fireworks. 14.Precious metals and their alloys and goods in precious metals or coated therewith, not included inother classes; jewelry, precious stones; horological and chronometric instruments. 15.Musical instruments. 16.Paper, cardboard and goods made from these materials, not included in other classes; printed matter;bookbinding material; photographs; stationery; adhesives for stationery or household purposes;artists222 materials; paint brushes; typewriters and office requisites (except furniture); instructionaland teaching material (except apparatus); plastic materials for packaging (not included in otherclasses); playing cards; printers222 type; printing blocks. 17.Rubber, gutta-percha, gum, asbestos, mica and good made from these materials and not included inother classes; plastics in extruded form for use in manufacture; packing, stopping and insulatingmaterials; flexible pipe, not of metal. 18.Leather and imitations of leather, and goods made of these materials and not included in otherclasses; animal skins, hides; trunks and traveling bags; umbrellas, parasols and walking sticks;whips, harness and saddlery. 19.Building materials (non-metallic); nonmetallic rigid pipes for building; asphalt, pitch and bitumen;nonmetallic transportable buildings; monuments, not of metal. 20.Furniture, mirrors, picture frames; goods (not included in other classes) of wood, cork, reed, cane,wicker, horn, bone, ivory, whalebone, shell, amber, mother-of-pearl, meerschaum and substitutes forall these materials, or of plastics. 21.Household or kitchen utensils and containers (not of precious metal or coated therewith); combs ands