Form TM110 "Name Change-Registered Owner of Trademark or Service Mark" - California

What Is Form TM110?

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 TM110 by clicking the link below or browse more documents and templates provided by the California Secretary of State.

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Download Form TM110 "Name Change-Registered Owner of Trademark or Service Mark" - California

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State of California
Secretary of State
Name Change-Registered Owner
of Trademark or Service Mark
Pursuant to Business and Professions Code section 14220(b)
IMPORTANT – Read instructions before completing this form.
TRADEMARK
SERVICE MARK
NAME CHANGE APPLICATION FOR (Check One):
1.
NAME OF OWNER OF MARK AS ORIGINALLY REGISTERED (ORIGINAL REGISTRANT)
2.
CITY AND STATE
ZIP CODE
BUSINESS ADDRESS OF ORIGINAL REGISTRANT
3.
BUSINESS STRUCTURE OF ORIGINAL 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 ORIGINAL REGISTRANT IS A PARTNERSHIP
5.
6.
TRADEMARK OR SERVICE MARK REGISTRATION NUMBER
DATE OF REGISTRATION
7.
NAME AND/OR DESCRIPTION OF TRADEMARK OR SERVICE MARK
8.
NEW NAME OF REGISTRANT
CITY AND STATE
ZIP CODE
9.
NEW BUSINESS ADDRESS OF REGISTRANT
10.
NEW 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)
11.
NEW NAMES OF GENERAL PARTNERS, IF REGISTRANT IS A PARTNERSHIP
12. Registrant certifies that the attached document is a true and correct copy of the original document showing proof of the name
change, or registrant has attached a copy of the original document filed in another jurisdiction and certified by the filing office of
that jurisdiction.
_______________________________________________
DATE
_______________________________________________
____________________________________________________
SIGNATURE OF AUTHORIZED PERSON
TYPE OR PRINT NAME AND TITLE
SEC/STATE TM 110 (REV. 04/2015)
State of California
Secretary of State
Name Change-Registered Owner
of Trademark or Service Mark
Pursuant to Business and Professions Code section 14220(b)
IMPORTANT – Read instructions before completing this form.
TRADEMARK
SERVICE MARK
NAME CHANGE APPLICATION FOR (Check One):
1.
NAME OF OWNER OF MARK AS ORIGINALLY REGISTERED (ORIGINAL REGISTRANT)
2.
CITY AND STATE
ZIP CODE
BUSINESS ADDRESS OF ORIGINAL REGISTRANT
3.
BUSINESS STRUCTURE OF ORIGINAL 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 ORIGINAL REGISTRANT IS A PARTNERSHIP
5.
6.
TRADEMARK OR SERVICE MARK REGISTRATION NUMBER
DATE OF REGISTRATION
7.
NAME AND/OR DESCRIPTION OF TRADEMARK OR SERVICE MARK
8.
NEW NAME OF REGISTRANT
CITY AND STATE
ZIP CODE
9.
NEW BUSINESS ADDRESS OF REGISTRANT
10.
NEW 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)
11.
NEW NAMES OF GENERAL PARTNERS, IF REGISTRANT IS A PARTNERSHIP
12. Registrant certifies that the attached document is a true and correct copy of the original document showing proof of the name
change, or registrant has attached a copy of the original document filed in another jurisdiction and certified by the filing office of
that jurisdiction.
_______________________________________________
DATE
_______________________________________________
____________________________________________________
SIGNATURE OF AUTHORIZED PERSON
TYPE OR PRINT NAME AND TITLE
SEC/STATE TM 110 (REV. 04/2015)
INSTRUCTIONS FOR COMPLETING
NAME CHANGE-REGISTERED OWNER OF TRADEMARK OR SERVICE MARK
You must file this application with the Secretary of State’s office only if the name of the owner
of the mark has changed, not the ownership of the mark. If ownership of the mark has changed
you must file an Assignment of Trademark or Service Mark.
Registrant must attach a true and correct copy of the original document showing proof of name
change, or a copy of the original document filed in another jurisdiction and certified by the filing
office of that jurisdiction.
Type or print in blue or black ink. Mail the application with original signature and proof of name
change to Secretary of State, Trademark Unit, P.O. Box 942870, Sacramento, CA 94277-2870.
There is no fee to file this form.
Indicate at the top of the name change application the type of registration.
Item 1.
Enter the complete name of the registrant as it was originally registered.
Item 2.
Enter the complete business address as it was originally registered.
Item 3.
Identify the business structure of the registrant as it was originally registered, by checking
the appropriate box. If a corporation, limited liability company, limited partnership or general
partnership, list the state of origination.
Item 4.
Enter the names of the general partners as originally registered, if registrant is a partnership.
Item 5.
Enter the Trademark or Service Mark registration number.
Item 6.
Enter the original date of registration of the Trademark or Service Mark.
Item 7.
Enter the name and/or description of the Trademark or Service Mark.
Item 8.
Enter the new name of the registered owner of the mark.
Item 9.
Enter the new business address, if applicable.
Item 10. Identify the new business structure, if applicable, of the registrant by checking the appropriate
box. If a corporation, limited liability company, limited partnership or general partnership, list
the state of origination.
Item 11. Enter the new names of the general partners, if applicable, if registrant is a partnership.
Item 12. Date, sign, and print the new name of the registrant.
 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.
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