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FORM D-VH For Vessel Hull Desi UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER DUH 0087 BATE OF REGISTRATION PUBLICATION June 18, 2002 ont Day Yow DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VHICON) Please give the make and model of the vessel that embodies the design. -CHAPARRAL SUNESTA 243 TITLE = ie ‘What is the type or style of the design for which registration is sought? (a) “FIBERGLASS MONO-HULL DECK BOAT : As (b) Provide a brief general statement setting forth the salient features of the design. DESIGN \"'/." Overall aesthetic appearance, including deck layout and configuration, hull configuration, Blopect nee and style line: a ion creck nee it ing (c) If this design is derived from an earlier design, describe how that design has been revised, adapted, or rearranged. D-VH/CON for addtone! Provide the name and address of the designer(s). The name of the employer may be given instead of the designer(s) if, (1) the design was made within the regular scope of employment of the designer(s) and (2) the individual authorship of the design s difficult ‘or impossible to ascribe. BESIGNER@)” ~W-Please check here if those conditions are-saisfied-and you are providing the employersname> ~-senn son centre Name: _ Chaparral Be Inc, Name:_ Phares and Associates __ ‘Address: P. O. Drawer 928 ‘Address, 33228 W. 12 Mile Rd. Suite 317 300 Industrial Park Blvd. Farmington Hills, MI_ 48334 Nashville, GA_31639-0928 Ifthe owner is different from the designer(s) or employer named above, provide the name and address ofthe owner: Name; __Chaparral Boats, Inc. % ‘OWNER, wor ie ohana Pad Blvd i DESIGNERS) ee ee Nashville. GA_3163¢ 5 (a) Was an aplication for repistaton of his design entified (J) Is, identy the county and dst of pplication in an application filed in a foreign country that extends to Country _ designs of owners who are citizens of the United States, or Fem erry © Persons filing applications inthe United Stats, similar Date of applica we _ oI protection to that afforded in 17 U.S.C. chapter 132 CLAIM OYes_ @No : Serial No: ‘Was this design made public before the date of application?.G Yes ( No |§}~ APPLICATION RECEIVED 6 yes, on whatdate? BB+ + 22001 eS cestoncoresnecenen JUN O4. 2002 ig DATE MADE 158 cunos neceiven IN O.4 2002 PUBLIC Bg MORE ON BACK: cocypassiapougans ore O™TaR jane ayereg noe o> oaoe eer een ee BRNO On DT aA FORM DIE TrECKED BY CORRESPONDENGE FOR, CORRESPONDING conthanr ves OFFICE use ‘ONLY 2O NOT WRITE ABOVE THIS LINE_IF YOU NEED MORE SPACE, USE A SEPAHATE CONTINUATION SHEET. 7 Please provide te name and address of the person to whom correspondence regarding this applica Name: William S. Pegg CONTACT a caress: P.O. Drawer 928 PERSON Nashville, GA_ 31639-0928 E-mail address bpegg @chaparralboats.com FAX number (229) 686-3660 ________aytime phone: (229 ) 686-7481 Give thename and account number if the registntion fee isto be charged to a Deposit Account established inthe Copyright Office: 8 DEPOSIT Account number: ACCOUNT 9 DECLARATION: The undersigned, as the applicant or the applicant's duly appointed agent or representative, being hereby warned ‘that willful false statements are punishable by fine or imprisonment, or both, under 18 U.S.C. §1001, and that such willful false statements may jeopardize the validity ofthis application or any resulting registration, hereby declares tothe best of his/her knowledge and belief: (1) that the design has been fixed in a useful article; (2) that the design is original and was created by the designer(s), or employer if applicable, named in the application; (G) that those aspects ofthe design for which registration is sought are not protected by a design patent; (4) that the design has not previously been registered on behalf of the applicant or applicant's predecessor in ttle; and (6) that the applicant is the person entitled to protection and t registration under chapter 13 of title 17, United States Code. Complete if applicable: ‘The design has been made public with-a design notice as prescribed by 17 U:S.C. §1306.- = z we Following stn Spica Gelinas Baier ication, wih Protected Design™ _srogs the top, and "2001" geross tho bottom Where on the useful article is the design notice located? Adjacent the helm ‘If the undersigned ig not the applicant, he/she is properly authorized to execute this application on behalf of the applicant, io CERTIFICATION AND SWORN STATEMENTS ‘Sipe vy oe , Mie iraes 28 Vice President (229) 686-7481 (220) 686-3660 -bpega@ chaparraiboats.com Dae eS pete or eer cate | Saree aan Sa te Chaparral Boats, Inc. amaraicane —— site P. O. Drawer 928 ic aniaianaal mated in | casa , ——— raw |" Nashville, GA_ 31639-0928 Soren Pane FUSE GE Fenany toriatm epresentnton rcerrimewngy mater sae rmvereisce rata ster hens Sarai me fe chp ere perp aeargaperoer cS tegen sth pay a pray 7a lean SSG) ana more hun $0056 ete plas Ra aay Pave bye gece ve Susans ‘eu 19020008 Gremsamccste “Soa GavetMmenT PRINTING OFFICE: 243 BOW-STERN ae Pp rn TI JUN 042002 ty, 7 ©,