Jiminian Law PLLC Trademark Intake Form

Name of person completing this form and authorizing the filing:*

First NameLast Name

Title, if any ( for ex. CEO, President, Secretary, etc. - Note to partnerships: General Partner only):

Are you acting on behalf of a company or as an individual (note - if you are doing this for your company then click on "Company"):*

CompanyIndividual

E-mail:*

Phone Number:*

Area CodePhone Number

Fax Number

Area CodeFax Number

Individual Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Name of Business:*

Entity Type (C for C/S Corporation, LLC for Limited Liability Company, P for General/Limited/Limited Liability Partnership, SP for Sole Proprietor, etc.):*

State* of Formation or Organization:*

*If formed outside of the US, enter the country of the business entity instead.

Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Website:

Please choose the copyright service(s) you seek:*

Advice on fair use and copyright for your project or business and basic clearance search (limited to US Copyright Office and web data)Preparing and filing a US copyright registration application (includes a basic clearance search)Clear potential copyright infringement liabilities and/or assist with getting permissions to use copyrightsCreating and maintaining a clean chain of titleOther

Brief description of your business and your project and how you wish to use your copyright(s):*

Information about your work which you seek to copyright. Is it a:*

LITERARY WORK. Literary work INCLUDES: books, articles, fiction, nonfiction, poetry, textbooks, reference works, online works, directories, catalogs, advertising copy, compilations of information, computer programs, databases, and an article published in a serial. DOES NOT INCLUDE: dramatic literary work or entire serial issueVISUAL ARTS / PICTORIAL, GRAPHIC OR SCULPTURAL WORK. These works INCLUDE: two-dimensional and three-dimensional works of fine, graphic, and applied art, photographs, prints and art reproductions, maps, technical drawings, architectural works, sketches, and illustrations.SOUND RECORDING WORK. Sound recording work INCLUDES: sound recording alone, sound recording with the underlying literary/dramatic/musical work, production, and performance DOES NOT INCLUDE: a motion picture/audiovisual work including sounds.PERFORMING ARTS / DRAMATIC OR CHOREOGRAPHIC WORK. These works INCLUDE: music with or without lyrics, screenplays, play or other script, and pantomime. DOES NOT INCLUDE: musical work including a sound recording.MOTION PICTURE / AUDIO VISUAL WORK. These works INCLUDE: feature films, documentary films, television shows, videos, video games, and cinematography.PUBLISHED SINGLE SERIAL ISSUE WORK. This type of work INCLUDES: periodicals, newspapers, magazines, bulletins, newsletters, annuals, journals, and proceedings of societies. DOES NOT INCLUDE: multiple serial issues or unpublished single serial issue

Title of Specific Work:

Title of Larger Work (if any):

Previous Title(s)?

YesNo

Previous Title(s):

Is the Work based on or incorporate preexisting work(s):*

Yes, it is based on or incorporates preexisting work(s)No, it is wholly original

Which preexisting work(s):*

How is your work distinct from the preexisting work(s) you use:*

Year of Creation / Completion:*

Date or Approximate Date of First Publication:*

Publication has a technical meaning in copyright law. According to the statute, “Publication is the distribution of copies or phonorecords of a work to the public by sale or other transfer of ownership, or by rental, lease, or lending. The offering to distribute copies or phonorecords to a group of persons for purposes of further distribution, public performance, or public display constitutes publication. A public performance or display of a work does not of itself constitute publication.” Any form of dissemination in which the material object does not change hands, for example, performances or displays on television, is not a publication no matter how many people are exposed to the work. However, when copies or phonorecords are offered for sale or lease to a group of wholesalers, broadcasters, or motion picture theaters, publication does take place if the purpose is further distribution, public performance, or public display.Generally, publication occurs on the date on which copies of the work are first made available to the public.

Nation or Country of First Publication:*

Publication Number:

Preregistration Number:

Author(s) of the Work:*

Owner(s) / Claimant(s) of the Work:*

The Work you wish to register, clear or maintain:

Upload a File

ACCEPTABLE FILE TYPES: DATA - .db (Database File) .mdb (Microsoft Access Database) .xls (Microsoft Excel Spreadsheet); IMAGE - .bmp (Bitmap Image) .dwg (AutoCAD Drawing) .dwf (Autodesk Design) .fdr (Final Draft) .gif, .giff (Graphics Interchange Format) .jpg, .jpeg, .jfif (Joint Photographic Experts Group) .pdf (Portable Document Format) .pic, .pict (Picture File) .png (Portable Network Graphic) .psd (Photoshop Document) .pub (Microsoft Publisher) .tga (Targa Graphic) .tif, .tiff (Tagged Image File Format) .wmf (Windows Metafile); AUDIO - .aif, .aiff (Audio Interchange File Format) .au (Audio File) .mid, .midi, .rmi (Musical Instrument Digital Interface) .mp3 (MP3 Audio File or Layer 3 Audio Compression) .ra, .ram (Real Audio File) .rmi (Resource Interchangable File Format) .wav (Windows Wave Sound File) .wma (Windows Media Audio File); VIDEO - .avi (audio video interleave) .mov (quicktime) .mpg, .mpeg (Moving Picture Experts Group) .rm, .rv (Real Media File) .swf (Adobe Flash formerly Shockwave Flash) .wmv (windows media video); TEXT - .doc (Microsoft Word Document) .docx (Microsoft Word Open XML Document) .htm, .html (HyperText Markup Language) .pdf (Portable Document Format) .rtf (Rich Text Document) .txt (Text File) .wpd (WordPerfect Document) .wps (Microsoft Works Word Processor Document); PRESENTATION - .pps, .ppt (Microsoft Power Point); COMPRESSED - .cab (Windows Cabinet File) .rar (Compressed Archive) .zip (Zipped File).

Web Link(s) for your Project:

Comments or questions:

Are you interested in an intellectual property strategy for your trademarks and copyrights?*

YesNoI don't know, tell me more

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. Furthermore, Danny Jiminian may email you additional informative content that may be helpful to your business or project. Please check one:*

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Jiminian Law PLLC Copyright Client Intake Form