Fillable Form Pto-1594 (Rev. 6-12) - Recordation Form Cover Sheet (Page 2 of 3) in pdf

Guidelin e s for Comp l eting Tradem a rks Co v er Sheets (PTO-15 9 4)

Cover Sheet info r mation m u st be su b m i tted w ith e a ch d o c u ment to be recorded. If the d o c u me n t to be recorded

concerns both patents and trad e marks, separate pate n t and trad e m a rk cover sheets, i n cluding any a tt a ched pages for

continuing info r m a tion, m u st acc o mpany the d o c u ment. All pages of the cover she e t should be n u mb e red cons e cutively for

e x ample, i f both a p a tent and tra d ema r k cover she e t i s u sed, and i n form a tion i s continued on one add i tional page for b o th

patents and trad e ma r ks, the pag e s o f the cover sheet w ould be n u mbered fr o m 1 to 4 .

Item 1 . Name of C o nve

ing Part y (ies).

Enter the fu l l n a me of the party(ies) conveying the interest. If there i s more than one conveying party, e nter a check

ma r k in the "Y e s" box to ind i cate that additional info r mation is attac h ed. The n a me of the s e cond and a ny subsequent

conveying party(ies) should be pl a ced on an att a ched page clearly i d entified a s a continuation of the inform a tion in It e m 1 .

Enter a ch e ck ma r k in the "No" bo x , if no i n fo r mation i s contained on an attached pag e .

Item 2 . Name,

ddress, Legal Entity Type, and Citizenship of Assignee.

Enter the name and complete address of the first party receiving the interest. If there is more than one receiving

party,check the "Yes" box to indicate that additional information is attached and write the wording “See additional sheet” on the

citizenship line. On a separate sheet, provide all of the necessary information about the other receiving parties, as explained

below. If the receiving party is an individual, check the “Individual” box and enter the citizenship of the receiving individual. If the

receiving party is a legal entity, i.e., corporation, association, limited partnership, etc., designate the legal entity and citizenship of

the receiving party by checking the appropriate box and filling in the citizenship information. If a box is not provided for the legal

entity, check the “Other” box and write the nature of the legal entity, e.g., limited liability company, trust, estate, etc., and its

citizenship. Information about the entity type and citizenship is mandatory.

The citizenship of a legal entity is as follows: for a corporation, it is the U.S. state (or foreign country) of incorporation; for

an association, it is the U.S. state (or foreign country) under which it is organized; for a partnership or joint venture, it is the U.S.

state (or foreign country) under which it is organized, etc. In addition, for a domestic partnership or domestic joint venture, the

cover sheet must include the names, legal entities, and national citizenship (or the state or country of organization) of all general

partners or active members that compose the domestic partnership or domestic joint venture. For a trust or estate, the same

information should be provided. If additional space is needed, check the "Yes" box to indicate that additional information is

attached, write the wording “See additional sheet” next to the appropriate entity designation, and provide the required information

on the additional sheet.

If the receiving party is not domiciled in the United States, a designation of domestic representative is encouraged. Check

the appropriate box to indicate whether or not a designation of domestic representative is attached. Check the "No" box if no

information is attached.

Item 3 . Nature of Conve

ance/Execution Date(s).

Enter the e x ecution date ( s) of the doc u ment. It i s pr e ferable to use the n a me of the mont h , or an abbreviation of that

nam e , to min i mize conf u sion over dates. In additio n , pl a ce a ch e ck ma r k in the appropriate box descr i bing the n a ture of the

conveying doc u ment. If the "Othe r " box is ch e cke d , specify the natu r e of the conveyance. The "Other" box should be

checked i f the conveying/receiving party i s correcting a previously fil e d doc u me n t.

Item 4 .

pplication N u mber(s) o r Registrati o n N u mber(s).

Indic a te the appl i cation n u mber(s) including series code and serial n u mbe r , and/or reg i str a tion n u mber ( s) against

w hich the doc u ment is to be reco r ded. The ident i f i cation of the tradema r k should be provided for all p roperties to avoid

recordation against the w rong property. A f i ling date should be pr o vided only w hen the application or registration n u mber i s

unkno w n. Enter a check mark in the appropriate bo x : "Yes" or "No" i f additional n u mbe r s appear on a ttached pages. Be

sure to ident i fy n u mbers i n cluded on att a ched pages as the co n tinu a tion of It e m 4.

Item 5 . Name and

ddress of Party to wh o m corresp o ndence c oncerni n g d oc u ment s h ould be mailed.

Enter the n a me and fu l l address o f the party to w h o m correspondence is to be ma i led.

Item 6 . T otal

pplications a nd T rademarks Inv o lved.

Enter the t o tal n u mber of applic a t i ons and trad e marks ide n tified for recordation. Be sure to i n clude a l l a pplicatio n s

and registrations ident i fied on the cover sheet and on add i tional pa g es.

Item 7. T otal Fee Enclosed.

Enter the t o tal fee e n closed or authorized to be charged. A fee i s re q uired for each appl i cation and reg i stration

against w hich the d o c u me n t i s r e corded.

Item 8 . Pa

ment Info r mati o n.

Enter the dep o sit a ccount n u mber a n d authorized user n a me to a u thorize charges.

Item 9 . Signatur e .

Enter the n a me of the pe r son submitting the doc u ment. The su b mitter must sign and date the cover s h eet. E n ter the

total n u mber of pages including t h e cover sheet, attac h me n ts, and d oc u ment.

Th i s col l ect i on of in f or m at i on i s r equi r ed by 35 USC 261 a n d 262 a n d 15 USC 1057 a n d 1060. T h e in f or m at i on i s u sed by t h e publ i c to s u b mit ( a n d b y t h e

U S P T O t o p r ocess) pa t e n t and tr ade m a r k ass i gn m ent r eq u es t s. A f t er t h e U S P T O r ecords t h e i n f or m at i o n , t h e r eco r ds f or pa t e n t a n d t r ade m a r ks, ass i gn m en t s,

a n d ot h er assoc i ated docu m ents can be i n spected by t h e p u b l i c. T o v i ew docu m ents r eco r ded u n der sec r ecy o r de r s or docu m e n ts r ec ord e d d u e to t h e int e r es t

of t h e f ede r al g o v ern m e n t , a wr i tt en a u t h or i za t i on mu st be s u b m i t t ed. Th i s co l l ect i on i s es ti m a t ed t o t ake 30 m i nu t es t o co m p le te, i n cluding g at h ering,

preparin g , a n d sub m itting t h e f orm to t h e USP T O. Any com m ents on t h e a m ount of ti m e y ou require to co m p l ete th i s form a n d/or s u g g est i o n s f or r ed u c i ng

th i s bu r de n , s h ould be se n t to t h e Ma n a g er of t h e A ss i gn m ent Recordation Branch, Randolph Square, Room 5D01, 2800 South Randolph Street , A rlingto n , VA

22206. DO NOT SEND F E E S OR COMPL E T E D F ORMS T O TH I S A DDR E SS. S E ND T O: Mail Stop A ss i gn m e n t Reco r dat i on Branch, Di r ector of t h e

USP T O, P.O. B ox 1450, A l e x andr i a, VA 22313 - 1450.

Form Pto-1594 (Rev. 6-12) - Recordation Form Cover Sheet Page 2

Related Articles

Related forms

Related Categories