For Office Use Only Wyoming Secretary of State 2020 Carey Avenue, Suite 700 Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: Business@wyo.gov TM-Assignment 226 Revised October 2015 Assignment of Trademark Registration WHEREAS (name of assignor), of (address) has adopted, used and is using the mark which is registered with the Secretary of State, Registration Number ; and WHEREAS (assignee) of (address) is desirous of acquiring said mark and registration thereof; NOW, THEREFORE, for good and valuable consideration, receipt of which is hereby acknowledged said (assignor) does hereby assign unto said (assignee) all right, title and interest in and to said mark, together with the good will of the business in which the trademark is used (or that part of the good will of the business connected with the use of and symbolized by the trademark) and the Registration Number thereof. Assignor Signature: Date: (mm/dd/yyyy) Print Name: Contact Person: Email: Daytime Phone Number: (Email provided will receive filing evidence) *May list multiple email addresses Checklist Filing Fee: $25.00 Make check or money order payable to Wyoming Secretary of State. Enclose a facsimile of the mark as it is actually used. Please submit one originally signed document. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents. American LegalNet, Inc. www.FormsWorkFlow.com