APPLICATION RE PRICKLY PEDAL TRADEMARK.PDF

DO NOT WRITE IN THIS SPACE
State of Arizona – Office of the Secretary of State
Trademark/Service Mark Application
SEND BY MAIL TO:
Secretary of State Michele Reagan, Atten: Trade Name/Trademark Division
1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808
OR return this application in person:
PHOENIX - State Capitol Executive Tower, TUCSON - Arizona State Complex,
1700 W. Washington Street, 1st Fl., Room 103 400 W. Congress, 1st Fl., Suite 141
Office Hours: Monday through Friday, 8 a.m. to 5 p.m., except state holidays.
PLEASE NOTE: The registration of a Trademark is not legally required in Arizona, but is an accepted business FOR OFFICE USE ONLY
practice. The registration is a public record and does not constitute exclusive rights to the holder of the Trademark. SOSBSTMR REV. 1/5/2015
APPLICANT INSTRUCTIONS
First time applicants shall use this form to apply for a Trademark/ Be Accurate: Complete all applicable fields on this form. Write legibly;
Service Mark under A.R.S. §§ 44-1441 to 44-1455. Applicants must be or fill out this application online at www.azsos.gov and print it.
at least 18. This application must be signed, dated and notarized. Filing Fee and Payment: $15; expedited service, include an
Trade Name/Renewal/Address Change: To register a Trade Name, additional $25. Checks or money orders shall be made payable to the
DO NOT use this form. Use the Trade Name Registration Application. Secretary of State. Credit cards are not accepted.
To renew a Trademark, use the Trademark Renewal form. To report a Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842.
change of address use the Trade Mark Amendment form. Website: All forms are available on the Secretary of State’s Website,
Processing: 2-3 weeks; expedited service (24-48 hours) available. www.azsos.gov.
1. Trademark/Service Mark information SPACE BELOW FOR OFFICE USE ONLY - VALIDATION AREA
Written Description: Provide an accurate written description of your mark (logo or symbol)
The graphic consists of a cow skull with a set of mountain bike
handle bars running through the middle serving as horns.
Directly above the skull, at a slight diagonal, is the wording
"Prickly Pedal on the Maricopa Trail" in Eveleth and Trade
Gothic font faces.
The date in which the Mark was first Month Day Year Date the mark was first used in Arizona. This date Month Day Year
used by the applicant. 09 20 2014 must be today or prior to today’s date. 09 20 2014
2. Entity Type and Owner Name
What type of person or entity will function as the owner of this trademark? Enter the entity or person(s) name. CHOOSE ONLY ONE.
A.  SOLE PROPRIETORSHIP (one person) B.  ASSOCIATION C.  ORGANIZATION
Applicant First and Last Name Association Name Organization Name
D.  PARTNERSHIP [List name(s)]
Either provide the partnership name(s) OR multiple individuals by the Applicants’ First and Last Name
E.  CORPORATION * F.  LIMITED LIABILITY COMPANY (LLC) *
Corporation Name Limited Liability Company Name
*Corporation/LLC: If checked the applicant must be on the Arizona Corporation Commission’s website as a member/officer. The application will be returned if not incorporated.
G.  FOREIGN CORPORATION Licensed to do business in Arizona H.  OTHER (If other, please indicate type. Examples: firm, society, foundation, federation)
Foreign Corporation Name Other Name
Government Agency (Maricopa County)
3. Products or Goods
Provide a description of goods on which this mark is used
Marketing, website, social media and souvenir items.
4. Contact Information Addresses must be complete as they are used to mail certificates and renewal notices.
Mailing Address Apt., Space, Suite, or Floor #
C/O Maricopa County Parks & Recreation Dept. 41835 N. Castle Hot Springs Road
City State Zip Code Business Phone Number
Morristown AZ 85342 ( 602 ) 506-2930
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State of Arizona
Arizona Secretary of State’s Office Page 2 of 2
TRADEMARK/SERVICE MARK REGISTRATION FORM
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5. Trademark/Service Mark Samples
Attach three samples of the trademark/service mark with this application on 8 1/2 by 11 inch (letter) paper that can be photocopied clearly. Examples:
letterhead, business card, advertisement, etc.
Classification Number(s) (Refer to the Trade Name & Trademark book)
36 - Advertising and business
6. Applicant’s Signature – If two applicants are listed under Section 2D, both must sign. Each signature requires a separate notarization
1st Signer’s Printed First and Last Name 1st Signer’s Signature Month Day Year
Maricopa County Board of Supervisors Chairman Steve Chucri
State of Arizona )
County of ___________________ ) On this ______ day of ________________________, 20 ____
(Name of Person Appearing Before the Notary)
personally appeared before me and acknowledged that he/she signed this
(Place Notary Seal Here)
document for it’s stated purpose.
Notary Public
2nd Signer’s Printed (If applicable) First and Last Name 2nd Signer’s Signature Month Day Year
State of Arizona )
County of ___________________ ) On this ______ day of ________________________, 20 ____
(Name of Person Appearing Before the Notary)
personally appeared before me and acknowledged that he/she signed this
(Place Notary Seal Here)
document for it’s stated purpose.
Notary Public
 I have enclosed a check or money order for $15 made payable to “Secretary of State”
 I have attached three samples with this registration form as requested in Section 5.
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