Form TM109 "Renewal of Trademark or Service Mark" - California

What Is Form TM109?

This is a legal form that was released by the California Secretary of State - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2015;
  • The latest edition provided by the California Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form TM109 by clicking the link below or browse more documents and templates provided by the California Secretary of State.

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Download Form TM109 "Renewal of Trademark or Service Mark" - California

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State of California
Secretary of State
RENEWAL OF TRADEMARK OR SERVICE MARK
Pursuant to Business and Professions Code section 14217
IMPORTANT – Read instructions before completing this form.
TRADEMARK
SERVICE MARK
RENEWAL APPLICATION FOR (Check One):
1.
NAME OF OWNER OF MARK (REGISTRANT)
2.
BUSINESS ADDRESS OF REGISTRANT
CITY
STATE
ZIP CODE
3.
BUSINESS STRUCTURE OF REGISTRANT (Check One and Complete)
CORPORATION
_____________________________
(State of Incorporation)
SOLE PROPRIETOR
LIMITED LIABILITY COMPANY
____________________________
(State of Organization)
SPOUSES, AS COMMUNITY PROPERTY
LIMITED PARTNERSHIP
____________________________
(State of Organization)
DOMESTIC PARTNERS, AS COMMUNITY PROPERTY
GENERAL PARTNERSHIP
OTHER
____________________________
_______________________________
(State of Organization)
(Describe)
4.
,
NAMES OF GENERAL PARTNERS
IF REGISTRANT IS A PARTNERSHIP
5.
NAME AND/OR DESCRIPTION OF TRADEMARK OR SERVICE MARK
6.
7.
TRADEMARK OR SERVICE MARK REGISTRATION NUMBER
DATE OF REGISTRATION
8. The mark has been and is still in use within the State of California by the registrant in the form and manner specified in the present
registration. I certify under penalty of perjury under the laws of the state of California that the foregoing statement is true and correct.
_________________________________________________
DATE
_________________________________________________
________________________________________________
SIGNATURE OF AUTHORIZED PERSON
TYPE OR PRINT NAME AND TITLE
THIS SPACE FOR FILING OFFICER USE
.
9
RETURN ACKNOWLEDGMENT TO: (Type or Print)
TRADEMARK OR SERVICE MARK
REG. NO. _______________________
NAME
RENEWAL NO. __________________
ADDRESS
CITY/STATE/ZIP
SEC/STATE TM 109 (REV. 04/2015)
FILING FEE: $30.00
State of California
Secretary of State
RENEWAL OF TRADEMARK OR SERVICE MARK
Pursuant to Business and Professions Code section 14217
IMPORTANT – Read instructions before completing this form.
TRADEMARK
SERVICE MARK
RENEWAL APPLICATION FOR (Check One):
1.
NAME OF OWNER OF MARK (REGISTRANT)
2.
BUSINESS ADDRESS OF REGISTRANT
CITY
STATE
ZIP CODE
3.
BUSINESS STRUCTURE OF REGISTRANT (Check One and Complete)
CORPORATION
_____________________________
(State of Incorporation)
SOLE PROPRIETOR
LIMITED LIABILITY COMPANY
____________________________
(State of Organization)
SPOUSES, AS COMMUNITY PROPERTY
LIMITED PARTNERSHIP
____________________________
(State of Organization)
DOMESTIC PARTNERS, AS COMMUNITY PROPERTY
GENERAL PARTNERSHIP
OTHER
____________________________
_______________________________
(State of Organization)
(Describe)
4.
,
NAMES OF GENERAL PARTNERS
IF REGISTRANT IS A PARTNERSHIP
5.
NAME AND/OR DESCRIPTION OF TRADEMARK OR SERVICE MARK
6.
7.
TRADEMARK OR SERVICE MARK REGISTRATION NUMBER
DATE OF REGISTRATION
8. The mark has been and is still in use within the State of California by the registrant in the form and manner specified in the present
registration. I certify under penalty of perjury under the laws of the state of California that the foregoing statement is true and correct.
_________________________________________________
DATE
_________________________________________________
________________________________________________
SIGNATURE OF AUTHORIZED PERSON
TYPE OR PRINT NAME AND TITLE
THIS SPACE FOR FILING OFFICER USE
.
9
RETURN ACKNOWLEDGMENT TO: (Type or Print)
TRADEMARK OR SERVICE MARK
REG. NO. _______________________
NAME
RENEWAL NO. __________________
ADDRESS
CITY/STATE/ZIP
SEC/STATE TM 109 (REV. 04/2015)
FILING FEE: $30.00
INSTRUCTIONS FOR COMPLETING
RENEWAL OF TRADEMARK OR SERVICE MARK
Application for renewal must be received by the Secretary of State within (but not before) the six
month period prior to the date of expiration of the current registration together with the renewal
fee of $30.00.
Include with the application one original specimen that shows how the mark is currently used on
the goods or in connection with services identified in the application. The original specimen should
be no larger than 8 ½” x 11” and should lay flat. Original specimens that have been altered or
defaced in any manner are not acceptable. Do not submit metal of any kind, words typed on cards
or sheets of paper. Computer generated prototypes are not acceptable.
Type or print in blue or black ink. Mail your application with original signature, filing fee, and
specimen indicating current use to the Secretary of State, Trademark Unit, P.O. Box 942870,
Sacramento, CA 94277-2870.
Indicate at the top of the application which type of registration you are renewing. The information
required below must match the information provided on the original application.
Item 1.
Enter the complete name of the owner of the mark.
Item 2.
Enter the complete business address of the owner of the mark.
Item 3.
Identify the business structure of the registrant by checking the appropriate box. If a
corporation, limited liability company, limited partnership or general partnership is the owner
of the mark, please list the state of origination.
Item 4.
Enter the names of the general partners, if registrant is a partnership.
Item 5.
Enter the name and/or description of the Trademark or Service Mark as registered.
Item 6.
Enter the Trademark or Service Mark registration number(s).
Item 7.
Enter the original date of registration of the Trademark or Service Mark.
Item 8.
Date, sign, and print the name of the person signing the renewal.
 If the registrant is a corporation, an officer of the corporation must sign the application. Include
the title of the officer (i.e. President, Vice-President, Secretary, etc.)
 If the registrant is a limited liability company, a member or manager of the limited liability
company must sign the application. Include the title; either Member or Manager.
 If the registrant is a partnership, a general partner of the partnership must sign the application.
Include the title of the general partner.
 This office will accept a statement attached to the application that the individual signing the
application is authorized to do so for the registrant.
Item 9.
Enter the name and address of the person or company to receive the acknowledgment of the
filing.
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