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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
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First Name
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Area Code
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Address
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Street Address
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City
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Please Select
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India
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Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
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Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
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Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
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Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
I authorize:
*
emails concerning my case or a follow-up call regarding my consultation or both
short and informative content from Danny Jiminian that can help me with my business or project
I am a/an:
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business owner / entrepreneur
filmmaker / producer
writer
musician / singer / producer
artist (painter, dancer, sculptor, etc.)
designer (graphic, fashion, etc.)
engineer, coder, web developer, etc.
athlete
Other
Please select one or more (or fill in at the bottom if not listed):
*
Business (formation, funding, compliance, dissolution, etc.)
Contracts
Copyrights
Entertainment (Film & TV, Music, Visual Arts, Fashion, Print & Publishing, Theater, Photography, Talent & Management, Publicity Rights and Sports)
Litigation
Nonprofits (formation, funding, compliance, dissolution, etc.)
Trademarks
Other
What type of business do you want to form?
*
Sole Proprietorship
General Partnership
Limited Liability Partnership
Limited Partnership
Limited Liability Company (LLC)
C or S Corporation (for-profit)
I don't know
I have already formed a business
Aside from business formation, what services do you need for your business?
Corporate compliance
Contracts and licensing agreements
Financing documents
Mergers and acquisitions
Business planning
Dissolutions
Intellectual property (trademark, copyright, patent)
Trade secrets
Non-compete and non-disclosure agreements
Buy-sell agreements
Employment and labor issues
Lease review
Zoning compliance
Franchising
Purchase of commercial property
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:
*
New York
Delaware
California
New Jersey
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
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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?
*
Yes
No
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)
*
Drafting agreement(s) for your use
Reviewing agreement(s) you have been given
Negotiating agreement(s) on your behalf
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:
*
Copyright registration, licensing and protection
Strategic planning
Chain of title and clearance services
Copyright litigation
BitTorrent litigation
Copyright infringement
Copyright infringement: fair use doctrine
Copyright infringement: first sale
Litigation involving music companies and organizations like BMG, ASCAP, RIAA, etc
Drafting/reviewing work-made-for-hire agreements
Licensing agreements
Publishing contracts
Distribution agreements
Software licensing, development and consulting agreements
Issues related to the Digital Millennium Copyright Act (DMCA)
Other
Which Entertainment & Sports Law services do you seek:
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Copyrights: registration, licensing, protection and/or litigation
Trademarks: registration, licensing, protection and/or litigation
Strategic planning and consulting
Counseling on the use of of copyrighted materials and trademarks
Chain of title and clearance services
Business entity formation and governing documents
Litigation: contract disputes and/or fraud
Production agreements
Distribution agreements
Recording and performance contracts
Talent, host and modeling agreements
Employment, service and work-made-for-hire agreements
Writing / Ghostwriting agreements
Publishing contracts
Live stage rights agreements
Release forms
Script protection
Stock footage licenses
Music clearance/licenses
Agency and management contracts
Union and guild compliance
Publicity/privacy rights issues
Trade secret protection
Trade dress registration and protection
Manufacturing contracts
Federal Trade Commission labeling regulation
Athlete representation
Endorsement and sponsorship agreements and deals
Personality rights
Book deals
Sports memorabilia licensing
I'm not sure yet
Other
What 501(c) classification are you conducting or wish to conduct business in:
*
501(c)(2) corporations holding property for tax-exempt organizations
501(c)(3) charitable organizations, public charities, private foundations, operating foundations and supporting organizations
501(c)(4) civic organizations
501(c)(5) labor organizations
501(c)(6) professional, business and trade associations and chambers of commerce
501(c)(7) social and recreational clubs
501(c)(8), (9) and (10) employee associations and fraternal organizations
I don't know
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):
*
Plaintiff (starting a lawsuit)
Defendant (defending against a lawsuit)
Counter-plaintiff (starting a counterlawsuit against the person who sued you)
Counter-defendant (defending against the person you sued who is now suing you)
Other
What kind of case(s) do you seek to litigate:
*
Copyright infringement or other copyright litigation
Trademark infringement or other trademark litigation
Business litigation
Breach of contract
Fraud
Defamation
Right of publicity/privacy violations
Commercial and contract disputes
Non-compete and restrictive covenants
Partnership disputes
Trade secret
Employment and labor
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:
*
Prepare and file trademark applications with the USPTO (US Patent and Trademark Office)
Respond to USPTO office actions
File appeals with USPTO
License and assignment agreements
Cease and desist letters
Trademark litigation
Defense against trademark infringement claims
Strategic planning
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:
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