Trademark/Service Mark Renewal Application

COMMONWEALTH OF KENTUCKY

ALISON LUNDERGAN GRIMES

SECRETARY OF STATE

Pursuant to the provisions of KRS 365.567 to KRS 365.581, the undersigned hereby makes application for the renewal of

registration of a mark in Kentucky and for that purpose submits the following statements:

1. The registration being renewed is  a trademark.  a service mark. (must check one)

2. The name of the applicant:

______________________________________________________________________________________________

3. The business address of the applicant:

______________________________________________________________________________________________

Address City State Zip Code

4. If the applicant is a corporation or limited liability company, indicate the state of incorporation/organization: _________

5. If the applicant is a partnership, indicate the state of organization: __________________________________________

List the names of the general partners: _______________________________________________________________

(Attach a continuation sheet, if necessary)

6. Date of original registration: __________________________ Certificate number: ___________________________

7. The goods or services on or in connection with which the mark is used:______________________________________

______________________________________________________________________________________________

8. The class comprising the goods or services (refer to International Classification list on page three): ________________

9. Name and description of the mark in words: ___________________________________________________________

________________________________________________________________________________________________

10. The mark has been and is still in use in Kentucky.

11. A specimen showing actual use of the mark accompanies this renewal application.

I am ______________________________________________________ of _________________________________________, the applicant herein,

being first duly sworn; say that I have read the above renewal application and know the contents thereof, and that the facts set out therein are true,

complete and correct. I further say that the specimen filed herewith is true and correct.

_________________________________________

Signature

_________________________________________

Type or Print Name and Title

State of ___________________________

County of __________________________

Subscribed and sworn to before me this __________ day of ______________________, 20 _______.

_________________________________________________

Notary Public

My Commission Expires: _____________________________

(01/12)

Instructions for completing the KY Trademark/Service Mark Renewal Application

NOTE:

Application must be completed, signed and notarized.

Application must be verified and signed by the Applicant or an authorized agent of the Applicant, whose title must be declared under

oath in the witness of a Notary Public

Line-by-Line Instructions:

1. Must check only one box. If mark is registered as both trademark and service mark, use separate renewal applications.

2. Print name of Applicant, including any business entity ending such as Inc., LLC, LP, etc. NOTE: The mark cannot be renewed

to a name other than the owner on file with the Secretary of State unless a name change or assignment is recorded with the

Secretary of State.

3. Print the business address of the Applicant.

4. This applies only to corporations or limited liability companies, print state of organization.

5. This applies only to organized partnerships, print state of organization.

6. Print the date that the mark was originally registered with the KY Secretary of State, and most recent certificate number (also

known as registration number). NOTE: A single application may contain only a single mark.

7. If applying for a trademark renewal, list the goods offered or sold under the mark. If applying for a service mark renewal, list the

services offered under the mark.

8. State the classification, by number, that best represents the product or service listed in item 7. Refer to the class listing on page

3. NOTE: The KY Secretary of State adopted the international trademark classification schedule as of July 15

1994. Any

mark registered prior to that date will be converted to the international classification system upon renewal. If the mark was

originally registered or renewed in an inappropriate class, it may be converted to the correct classification upon renewal. The

class list that follows is the international schedule of classes.

9. State the mark in words exactly as it is registered, including a brief description of any design element involved.

10. This is a declaration that the mark is eligible for renewal based on continued and current use in the normal course of commerce

in Kentucky.

11. Provide one actual specimen of use. NOTE: If the mark has been changed significantly and is no longer in use as registered,

or is no longer used in the classification in which it was originally registered, the mark cannot be renewed and a new application

will be required to register the new mark.

12. Signing and verifying the application: The applicant must swear under an oath administrated by a notary public that

the information is true and correct and must sign the application in the presence of a notary public.

SPECIMEN: The application must be accompanied by a specimen showing the mark as actually used. A specimen must show usage in

the normal course of trade in the Commonwealth of Kentucky.

A trademark specimen may include the following: label, tag, a picture or impression of the mark stamped on, printed on or otherwise

applied to the goods.

A service mark specimen may include the following: advertisement, brochure or flier. Note: business cards and stationery may be

acceptable provided that they show a connection between the mark and the services offered. The specimen must clearly indicate the

services.

NOTE: Names or marks typed, printed or written on plain paper are not acceptable as specimens of use of the mark. Photo-ready or

computer generated print-outs are not acceptable as specimens of use.

FILING FEES: The filing fee for Trademark/Service Mark Renewal Application is $5.00 per class.

When a single renewal application includes goods or services falling in multiple classes, a fee of $5.00 is required for each class.

Your check should be made payable to the Secretary of State.

NUMBER OF COPIES: Submit the original signed and notarized application, no additional copies are necessary.

MAILING ADDRESS: Secretary of State

Trademark Division

PO Box 718

Frankfort, KY 40602-0718.

Renewal Period: A renewal extends the registration for an additional 5 years, based on the date of original registration with the KY

Secretary of State. Registration is renewed by applying for renewal within 6 months prior to the expiration of the registration, which will

always fall on an anniversary of the date of original registration.

Contact Information:

For further information call (502) 564-3490

Visit our website to review trademark/service mark FAQs and to perform online searches: www.sos.ky.gov

International Classification of Goods and Services

Classification of Goods:

1. Chemicals used in industry, science and photography, as well as in

agriculture, horticulture and forestry; unprocessed artificial resins,

unprocessed plastics; manures; fire extinguishing compositions;

tempering and soldering preparation; chemical substances for

preserving foodstuffs; tanning substances; adhesives used in industry.

2. Paints, varnishes, lacquer; preservatives against rust and against

deterioration of wood; colorants, mordants; raw natural resins; metals

in foil and powder form for painters, decorators, printers and artists.

3. Bleaching preparations and other substances for laundry use;

cleaning polishing, scouring and abrasive preparations; soaps;

perfumery, essential oils, cosmetics hair lotions; denitrifies.

4. Industrial oils and greases; lubricants; dust absorbing, wetting and

binding compositions; fuels (including motor spirit) and illuminates;

candles, wicks.

5. Pharmaceutical, veterinary and sanitary preparations; dietetic

substances adapted for medical use, food for babies; plasters,

materials for dressings; material for stopping teeth, dental wax;

disinfectants; preparations for destroying vermin, fungicides,

herbicides.

6. Common metals and their alloys; metal building materials;

transportable buildings of metal; materials of metal for railway tracks;

non-electric cables and wires of common metal; ironmongery, small

items of metal hardware; pipes and tubes of metal; safes; goods of

common metal not included in other classes, ores.

7. Machines and machine tools; motors and engines (except for land

vehicles); machine coupling and transmission components (except for

land vehicles); agriculture implements; incubators for eggs.

8. Hand tools and implements (hand operated); cutlery; side arms;

razors.

9. Scientific, nautical, surveying, electric photographic,

cinematographic; optical, weighing, measuring, signaling, checking

(supervision), life-saving and teaching apparatus and instruments;

apparatus for recording, transmission or reproduction of sound or

images; magnetic data carriers, recording discs, automatic vending

machines and mechanisms for coin-operated apparatus; cash

registers, calculating machines, data processing equipment and

computers; computer software and games; fire-extinguishing

apparatus.

10. Surgical, medical, dental and veterinary apparatus and

instruments, artificial limbs, eyes and teeth; orthopedic articles; suture

materials.

11. Apparatus for lighting, heating, steam generating, cooking,

refrigerating, drying, ventilating, water supply and sanitary purposes.

12. Vehicles; apparatus for locomotion by land, air or water.

13. Firearms; ammunition and projectiles; explosives, fireworks.

14. Precious metals and their alloys and goods in precious metals or

coated therewith, not included in other classes; jewelry, precious

stones; horological and chronometric instruments.

15. Musical instruments.

16. Paper, cardboard and goods made from these materials, not

included in other classes; printed matter, bookbinding material;

photographs; stationery, adhesives for stationery or household

purposes; artists' materials; paint brushes; typewriters and office

requisites (except furniture); instructional and teaching material (except

apparatus); playing cards; printers' type; printing blocks.

17. Rubber, gutta-percha, gum asbestos, mica and goods made from

these materials and not included in other classes; plastics in extruded

form for use in manufacture; packing, stopping and insulating

materials; flexible pipes, not of metal.

18. Leather and imitations of leather, and goods made of these

materials and not included in other classes; animal skins, hides, trunks

and traveling bags; umbrellas, parasols and walking sticks; whips,

harness and saddlery.

19. Building materials (non-metallic); non-metallic rigid pipes for

building; asphalt, pitch and bitumen; non-metallic transportable

buildings; monuments, not of metal.

20. Furniture, mirrors, picture frames; goods (not included in other

classes) of wood, cork, reed, cane, wicker, horn, bone ivory,

whalebone, shell, amber, mother-of-pearl, meerschaum and

substitutes for all these materials, or of plastics.

21. Household or kitchen utensils and containers (not of precious

metal or coated therewith); combs and sponges; brushes (except paint

brushes); brush-making materials; articles for cleaning purposes; steel

wool; un-worked or semi-worked glass (except glass used in building);

glassware, porcelain and earthenware not included in other classes.

22. Ropes, string, nets, tents, awnings, tarpaulins, sails, sacks and

bags (not included in other classes); padding and stuffing materials

(except of rubber or plastics); raw fibrous textile materials.

23. Yarns and threads, for textile use.

24. Textiles and textile goods not included in other classes; bed and

table covers.

25. Clothing, footwear, headgear.

26. Lace and embroidery, ribbons and braid, buttons, hooks and

eyes, pins and needles; artificial flowers.

27. Carpets rugs, mates and matting, linoleum and other materials for

covering existing floors; wall hangings (non-textile).

28. Games and playthings; gymnastics and sporting articles not

included in other classes; decorations for Christmas trees.

29. Meat, fish, poultry and game; meat extracts; preserved, dried and

cooked fruit and vegetables; jellies, jams, fruit sauces; eggs, milk and

milk products; edible oats and fats.

30. Coffee, tea, coca, sugar, rice, tapioca, sago, artificial coffee; flour

and preparations made from cereals, bread, pastry and confectionery,

honey treacle; yeast, baking-powder, salt, mustard, vinegar, sauces

(condiments); spices; ice.

31. Agricultural, horticultural and forestry products and grains not

included in other classes; live animals; fresh fruits and vegetables;

seeds, natural plants and flowers; foodstuffs for animals, malt.

32. Beers, mineral and aerated waters and other non-alcoholic drinks;

fruit drinks and fruit juices; syrups and other preparations for making

beverages.

33. Alcoholic beverages (except beers).

34. Tobacco; smokers' articles; matches.

Classification of Services

35. Advertising; business management; business administration;

office functions; retail, wholesale, distributorship services.

36. Insurance; financial affairs; monetary affairs; real estate affairs.

37. Building construction; repair, installation services.

38. Telecommunications.

39. Transport; packaging and storage of goods; travel arrangement.

40. Treat of materials.

41. Education; providing of training; entertainment; sporting and

cultural activities.

42. Scientific and technological services and research and design

relating thereto; industrial analysis and research services; design and

development for computer hardware and software; legal services.

43. Services for providing food and drink; temporary

accommodations.

44. Medical services; veterinary services; hygienic and beauty care

for human beings or animals; agriculture, horticulture and forestry

services.

45. Personal and social services rendered by others to meet the

needs of individuals; security services for the protection of property

and individuals.