Statement Of Renewal Of Trademark Registration Filed Prior To May 29, 2007 Of A Non-Reporting Entity
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4Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Renewal of Trademark Registration Filed Prior to May 29, 2007 of a
Non-Reporting Entity
filed pursuant to § 7-70-104 of the Colorado Revised Statutes (C.R.S.)
The filing of this document provides and/or restates information to comply with the Trademark Act (Article 70
of Title 7, C.R.S.) as repealed and reenacted May 29, 2007.
1. The registrant 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
Such non-reporting entity is not a general partnership and the true name of such non-reporting entity is
_________________________________________________.
3. The trademark ID number of the trademark to be renewed and the trademark as stated in the statement of
trademark registration are
Trademark ID number
_________________________
Trademark
____________________________________________________________________.
4. For such registrant delivering this statement, its form of entity and the jurisdiction under the law of which it
is formed are
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________.
5. The principal address of such registrant and, if different, the mailing address of such registrant are
Principal (street) address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Zip/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
TDMK_REN_NRE_LEG
Page 1 of 4
Rev. 1/01/2008
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