You are on page 1of 12
FORM D-VH @ For Vessel Hull Design UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER ‘DVH O117 BATE OF REGISTAATIONPUBLICATION Feb. 13, 2003 enh ey 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. "What is the type or style of the design for which registration is sought? ) FIBERGLASS DECK BOAT (fy) Provides briet general statement setting forth the salient features ofthe design pester OVERALL APPEARANCE INCLUDING DECK LAYOUT, HULL CONFIGURATION AND SHAPE. Kelcheck here it this iva single sesion Check nore it = reaieterng / If this design is derived from an earlier design, describe how that design has been revised, adapted, or rearranged. ene deaign. N/A. te Form Bavwicon - for setona ‘eslans 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 theregular scope of employment ofthe designer(s) and (2) the individual authorship ofthe designis difficult or impossible to ascribe. $ DESIGNER) © Please check here if those conaitions are satisfied and you are providing the employer's name, ‘Name: CROWNLINE BOATS ING, __—Name: ‘Address; 11884 COUNTRY CLUB ROAD Address WEST FRANKFORT, IL 62896 ‘the owner i different from the designer(s) or employer named above, provide the name and address ofthe owner: Name: CROWNLINE BOATS, INC. bead 11884 COUNTRY CLUB ROAD WEST FRANKFORT, IL 62896 DESIGNERS) 7” Wes an application forrepstration of this design identified (/) If yes, identify the country and dae of application: (2) in an application filed in a foreign country that extends to \") Country: designs of owners who are citizens ofthe United States, or to persons filing applications inthe United States, similar Date of application: PRIORITY protection to that afforded in 17 U.S.C. chapter 137 - CLAIM Yes No Serial No: IE», APPLicaTiON RECEIVED. oe ‘Was this design made public before the date of application?) Yes OQ No A €)——eseuoavimuer BET. 137002 ocoaiconesneceneo 1703 DATE MADE = io ff remo necenen JAN 17 2003 PUBLIC ie EXAMINED BY pone BVH CHECKED BY $s cer ‘CORRESPONDENGE COPYRIGHT Yes OFFICE, use ONLY 0 NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET, (Form D.-VHICOI _ Please provide the name and address of the person to whom correspondence regarding this application may be directed: 7 Name: JAMES T. CLAXTON CONTACT Address; 11884 COUNTRY CLUB ROAD PERSON WEST FRANKFORT, TL 62896 E-mail address t¢1axton@crownline. com FAX number 618 = 932 = 8746 ______________ Daytime phone: ( 618 ) 937 - 6426 A LLL aTTn eo 8 Give the name and account number if the registration fee is to be charged to a Deposit Account established in the Copyright Office: Name of Account: 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 wilful false statements may jeopardize the validity ofthis application or any resulting registration, hereby declares to the best of his/her knowledge and belief: (1) that the design has been fixed in a useful article; (@) that the design is original and was created by the designers), or employer if applicable, named in the application; (@) 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 ofthe applicant or applicant's predecessor in ttle; and (5) thatthe applicant isthe person entitled to protection and to registration under chapter 13 of ttle 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. Following is the exact form ofthe design notic ADHESIVE LABEL W/ "PROTECT! ‘Where on the useful article is the design notice located? PORT AFT EXTERIOR DESIGN". 2002. CROWNLINE BOATS INC. CERTIFICATION AND SWORN STATEMENTS If he nrviarciomed is not the applicant, he/she is properly authorized to execute this application on behalf of the applicant. a ft Crug vi. Coos Einancia 2 Sn Fab Se Fennel _Deppicer 618-937-6426 618-932-8746, £00 fy Crownline. Conn Teepe nro ERS er PORT Ry Ci cue ess it ee terticate o CROWNLINE BOATS, INC. ATTN: JANES T. CLAKTON ria Contcate 11884 COUNTRY CLUB ROAD ioe mallee in RT window WEST FRANKFORT, IL 62896 Nea i pepaton cere ea Fee ee ‘FUSE. $127. Penalty fo Tavs represeration. "Wincor knowingly Makes aoa reseceniaion marly elec te im obanade under fhe chap r te purpece cf caring egataion © ‘aso onc a supe’ sha pay apoyo net oes than 6500 snd ne moran 1.000 and any rots or prvepes ht nda may haven ho Goegn unde i oto