Application For Renewal Of Trademark, Service Mark, Certification Mark Or Collective Mark

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For your convenience, this form

has been designed to be

completed online. You must have

MINNESOTA SECRETARY OF STATE

Acrobat Reader 7.0 or above to

use this new feature. Once your

form is completed, be sure to

APPLICATION FOR RENEWAL OF TRADEMARK,

select "Print" at the bottom of the

screen to capture your data entry

SERVICE MARK, CERTIFICATION MARK OR

for printing. After printing, sign

and send applicable fees as

COLLECTIVE MARK

required.Note: Selecting "Reset"

will clear all data entry from this

page. To print a blank form, go to

File->Print.

The renewal form can only be filed during the 6 months

preceding the expiration date listed in Item 5 below. The

renewal cannot be accepted before or after this six month

time period.

The filing fee to renew the registration for 10 years is

$25.00.

Please read ALL of the instructions on the back of this

form before you fill it out and please remember this form

must be signed.

Mark #:

CURRENT INFORMATION ON FILE:

4. Date of original filing

1. Mark

2. Classification Number

5. Current expiration date

3. Current Markholder(s) and Address(es)

If the address(es) of the current markholder(s) have changed,

list all

address change information below: (Note: If the

identities of the markholder(s) have changed, an assignment

must be filed.)

Street:

New Addresses:

City:

_________________________________________________

Street:

State:

Zip:

_________________________________________________

City:

_________________________________________________

State:

Zip:

Street:

City:

State:

Zip:

I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the person(s) whose signature

I certify that I am authorized to execute this renewal and I further certify that I understand that by signing it I am subject to the

would be required who has authorized me to sign this document on his/her behalf, or in both capacities. I further certify that I have completed all

penalties of perjury as set forth in Minnesota Statutes section 609.48 as if I had signed this document under oath.

required fields, and that the information in this document is true and correct and in compliance with the applicable chapter of Minnesota Statutes. I

understand that by signing this document I am subject to the penalties of perjury as set forth in Section 609.48 as if I had signed this document under

oath.

6. Signature _______________________________________________

Date _____________________

7. Name and telephone number of a contact person ____________________________________ (____)_______________

Reset

TrademarkRenewalRev.8-5-10