Statement Of Renewal Of Trademark Registration Filed Prior May 29, 2007 Of A Non-Reporting Domestic Limited Partnership, Dissolved Or Delinquent Reporting Entity Or Converted Entity

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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 Renewal of Trademark Registration Filed Prior May 29, 2007 of a
Non-Reporting Domestic Limited Partnership, Dissolved or Delinquent Reporting Entity
or Converted 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of Title 7, C.R.S.) as repealed and reenacted May 29, 2007.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 entity ID number and the true name of the trademark registrant are
Entity ID number
__________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________.
2. 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
____________________________________________________________________________________.
3. 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)
(Postal/Zip 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)
(Postal/Zip Code)
_______________________ ______________.
(Province – if applicable)
(Country)
(If applicable, adopt the following statement by marking the box.)
The mailing address in the records of the Secretary of State is no longer different than the street
address and is no longer required.
4. The goods or services in connection with which the trademark was used on the date of first use in
commerce in this state are described in detail as follows
_____________________________________________________________________________________.
TDMK_REN_DLQ_LEG
Page 1 of 3
Rev. 12/08/2008

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