"Statement of Trademark Registration of a Non-reporting Entity - Sample" - Colorado

Statement of Trademark Registration of a Non-reporting Entity - Sample is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on October 31, 2011;
  • The latest edition currently provided by the Colorado Secretary of State;
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  • Fill out the form in our online filing application.

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Download "Statement of Trademark Registration of a Non-reporting Entity - Sample" - Colorado

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Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Trademark Registration of a Non-Reporting Entity
filed pursuant to § 7-70-102 of the Colorado Revised Statutes (C.R.S.)
1. The person delivering this statement is an entity other than a reporting entity (“non-reporting entity”).
2.
(Mark the applicable box and complete the statement. Caution: Mark only one box.)
Such non-reporting entity is a general partnership.
The true name of at least one general partner of such general partnership is
(if an individual)
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
OR
(if an entity)
______________________________________________________
.
(Caution: Do not provide both an individual and an entity name.)
OR
The non-reporting entity is not a general partnership and the true name of such non-reporting entity is
_________________________________________________.
3. For such non-reporting entity delivering this statement, its form of entity and the jurisdiction under the law
of which it is formed are
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________.
4. The principal address of such non-reporting entity and, if different, the mailing address of such non-
reporting entity are
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
TDMK_NRE
Page 1 of 3
Rev. 10/31/2011
Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Trademark Registration of a Non-Reporting Entity
filed pursuant to § 7-70-102 of the Colorado Revised Statutes (C.R.S.)
1. The person delivering this statement is an entity other than a reporting entity (“non-reporting entity”).
2.
(Mark the applicable box and complete the statement. Caution: Mark only one box.)
Such non-reporting entity is a general partnership.
The true name of at least one general partner of such general partnership is
(if an individual)
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
OR
(if an entity)
______________________________________________________
.
(Caution: Do not provide both an individual and an entity name.)
OR
The non-reporting entity is not a general partnership and the true name of such non-reporting entity is
_________________________________________________.
3. For such non-reporting entity delivering this statement, its form of entity and the jurisdiction under the law
of which it is formed are
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________.
4. The principal address of such non-reporting entity and, if different, the mailing address of such non-
reporting entity are
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
TDMK_NRE
Page 1 of 3
Rev. 10/31/2011
5.
(Mark the applicable box and complete the statement. Caution: Mark only one box.)
Such non-reporting entity does not maintain a registered agent in this state and the mailing address to
which service of process in any proceeding based on a cause of action with respect to the statement of
trademark registration may be mailed pursuant to section 7-70-108, C.R.S. is
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
__________________________
___
____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
OR
Such non-reporting entity maintains a registered agent in this state and such registered agent’s name
and address are
Name
(if an individual)
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
OR
(if an entity)
______________________________________________________
(Caution: Do not provide both an individual and an entity name.)
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________
CO
____________________
(City)
(State)
(Zip Code)
Mailing address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________
CO
____________________.
(City)
(State)
(Zip Code)
The person appointed as registered agent has consented to being so appointed.
6.
(Mark the applicable box and complete the statement. Caution: Mark only one box.)
The trademark is a standard character trademark and the characters constituting the trademark are
__________________________________________________________________________________.
OR
The trademark is a special form trademark and a description of the attached drawing is
__________________________________________________________________________________.
7. A detailed description of the goods or services in connection with which the trademark is used is
_____________________________________________________________________________________.
The class into which such goods or services fall is ____________________________________________.
(Class)
TDMK_NRE
Page 2 of 3
Rev. 10/31/2011
8. A description of the attached specimen sufficient to identify the nature of the specimen is
_____________________________________________________________________________________.
9. The date of first use in commerce of the trademark in this state by such non-reporting entity or such non-
reporting entity’s predecessor in interest is __________________________.
(mm/dd/yyyy)
10. The registrant identified above is currently using the trademark in commerce in this state and such
registrant believes, in good faith, that such registrant has the right to use the trademark in connection with
the goods or services listed above and such registrant’s use of the trademark does not infringe the rights of
any other person in that trademark.
11.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is
such individual's act and deed, or that such individual in good faith believes such document is the act and deed
of the person on whose behalf such individual is causing such document to be delivered for filing, taken in
conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent
documents and the organic statutes, and that such individual in good faith believes the facts stated in such
document are true and such document complies with the requirements of that Part, the constituent documents,
and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of
State, whether or not such individual is identified in this document as one who has caused it to be delivered.
12. The true name and mailing address of the individual causing this document to be delivered for filing are
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
_
_
__
__________________________
____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains the true name and mailing address of one or more additional individuals
causing the document to be delivered for filing.
Disclaimer:
This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice,
and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy
minimum legal requirements as of its revision date, compliance with applicable law, as the same may be
amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should
be addressed to the user’s legal, business or tax advisor(s).
TDMK_NRE
Page 3 of 3
Rev. 10/31/2011
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