Jiminian Law PLLC Contact and Intake Form

Jiminian Law PLLC Intake Form for Legal Services

Thank you for contacting Jiminian Law PLLC. Please take a minute to submit the following information via this online form, encrypted with SSL to help ensure the data you enter is secure.
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Fax Number

Area CodeFax Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I authorize:
I am a/an:

Other
Please select one or more (or fill in at the bottom if not listed):

Other
What type of business do you want to form?
Aside from business formation, what services do you need for your business?

Other
What state do you wish to form the business in OR if it is already formed, please check off in what state it was formed:

Other
List any other states in which you want the business to be qualified to do business in:
What is the business name* (actual or desired)?
*Include up to 2 additional alternative names.
General description of your business (for ex. goods, services, industry, profession, etc.)
Address of Principal Place of Business (actual or desired)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Full Names, Addresses, Social Security Numbers of the Owners of the Business AND their amount of shares, units or percentage of ownership.
If you're a single owner, write NONE or SOLO.
Full Names of all officers you wish to elect, IF APPLICABLE, with their appropriate title next to their name (i.e., President, Vice President, Secretary, Assistant Secretary, Treasurer, etc.).
If you're a single owner, are unsure or don't know the composition of your board yet, LEAVE BLANK.
Will you use a Trade Name for your business? If yes, please write it in the box provided.
A Trade Name is a name used by a company to identify itself to the public that is different than the company's legal name. For example, a company may be formed using the legal name Jiminian Productions, LLC but utilize a registered trade name of "Jiminian Films" or "Eagle's Nest Pictures" for purposes of advertising to the public.
In what state(s) do you wish to use your Trade Name?
Do you have or expect to have any employees or contractors within the next 12 months?
How many employees or contractors do you have or expect to have within the next 12 months? (If unsure, estimate)
Please WRITE how many will be FULL TIME, PART TIME and/or CONTRACTORS.
On what date do you expect to first pay them their wages? (If unsure, estimate)
What contract services do you seek? (select as many that apply)
Who are the actual or potential parties you wish to negotiate and contract with?
By what date do you want your agreement drafted, reviewed or negotiated by?
Which copyright law services do you seek:

Other
Which Entertainment & Sports Law services do you seek:

Other
What 501(c) classification are you conducting or wish to conduct business in:
Why is the nonprofit being formed or what does the nonprofit intend to accomplish?
Be as specific as possible.
Who will directly or indirectly benefit from its accomplishments?
You should specify which groups of people, geographies or communities will be helped.
What is your status in the lawsuit (actual or intended):

Other
What kind of case(s) do you seek to litigate:

Other
Please provide a brief description of your case (250 words or less):

0/250
Please provide name, phone number, address and email of the opposing party or parties:
Please provide name, phone number, address and email of the opposing party's lawyer:
IF A SUIT HAS BEEN STARTED: Name and location of the court, including case number:
Which trademark law services do you seek:

Other
Additional information you would like me to know:
DISCLAIMER. Danny Jiminian may review the information you submit for contact and intake purposes as described on this website. Your use of this form for communication with Jiminian Law PLLC does not establish an attorney-client relationship. Danny Jiminian's review of the information you send will not preclude him from representing any other client if confidential information is sent through this form. You also may receive additional information or content related to legal knowledge or services that Danny Jiminian provides. Please check one:
How did you learn of Jiminian Law PLLC?

Other
Should be Empty:

Jiminian Law PLLC Intake Form for Legal Services