Correcting The Form Of Registrant And Or Jurisdiction
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1
2Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Correction of Trademark Information
Correcting the Form of Registrant and/or Jurisdiction
filed pursuant to § 7-90-305 of the Colorado Revised Statutes (C.R.S.)
1. The trademark ID number, the true name of the trademark registrant, and the trademark as stated in the
statement of trademark registration are
Trademark ID number
__________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________
Trademark
______________________________________________________.
2. The document number of the filed document that is corrected is ___________________________________.
3.
(If applicable, adopt the following statement by marking the box and enter the correction.)
The form of registrant as stated in the document identified above is incorrect.
Such form, as corrected, is
_____________________________________________________.
4.
(Caution: If the form of registrant is a state, a trust, an estate or a jurisdiction other than a state, a jurisdiction is not
required.)
(If applicable, adopt the following statement by marking the box and enter the correction.)
The jurisdiction under the law of which the entity is formed as stated in the document identified above is
incorrect or was not provided.
Such jurisdiction, as corrected, is
______________________________________________________.
5.
(If applicable, adopt the following statement by marking the box.)
This document is filed for historical purposes only and does not correct the information currently of
record.
6.
(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.
TDMK_CORRECT_JURIS
Page 1 of 2
Rev. 1/01/2008
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