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FORM D-VH @ For Vessel Hull Design UNITED STATES COPYRIGHT OFFICE, REGISTRATION NUMBER DVH 0128 RTE OF REGISTRATION PUBLICATION June 2, 2003 i Do NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VHICON) 1 Please give the make and model of the vessel that embodies the design. Stratos ASX ‘What is the type or style of the design for which registration is sought? 9 (a) See eo on Ssraton soup )) Provide a brief general statement setting forth the salient features ofthe design pestex(b overall aesthetic appearance of hull including rear pad_conftgueation-and.not— lcrecknere including components ofi the- deck io heck ev ‘eoisterna (.) If this design is derived from an earlier design, describe how that design has been revised, adapted, or rearranged. c) is ip tmore than oo = Use Form D-VHICON - for additionat ~~ "ce ene: EE OE AE ee A SEED 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 is difficult ‘or impossible to ascribe. DESIGNERS) 1 Please check here if those conditions are satisfied and you are providing the employer's name, Name: Alan Stinson ‘Address; 1167 Windsor Drive ‘If the owner is different from the designer(s) or employer named above, provide the name and address of the owner: E] 880 But le Road SC Murfreesboro, TN 37127 ~ DESIGNERS) Was napleaton for reiratonof is dsgnenifed yy Ifyes,entfy te county and date of appcation: (a) Wegimapnn ean ois ain ened (fp) Hen, em he ooney end : designs of owners who are citizens of the United States, or to petsons filing applications in the United States, similar Date of application: PRIORITY protection to that afforded in 17 U.S.C. chapter 137 CLAIM Dyes il No Serial No: = 6 tr yes.on whatdae? July 15. 2002 ee 3 Sgagence —— DATE MADE EB mnosnecenen MAY 15 2008 PUBLIC iss TConpeesyapeieane aces untae aon ergene nae cl Me pege MORE ONBACK = Compisie all spplicabl numbecs 7 ~0) on the rev | DO NOT WRITE HERE EXAMINED BY PE = FORM D-VH CHECKED BY CORRESPONDENCE FOR ov COPYRIGHT i} OFFICE, USE ONLY DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET, (Form D-VHICON) 7 Please provide the name and address of the person to whom correspondence regarding this application may be directed: Namé: David G. Schmaltz _ — CONTACT agiress: 3200 IDS Center, 80 South Eighth Street, Minneapolis, MN 55402_ PERSON aC Jn ——————— Email address AX nuber (6129332-9081 Dayne phone: (612 336-4617 8 Give the name and account number ifthe registration fee is tobe charged to a Deposit Account established in the Copyright Office: ‘Name of Account: DEPOSIT Account number: ACCOUNT 9 CERTIFICATION AND SWORN STATEMENTS Xx DECLARATION: The undersigned, asthe applicant or the applicant's duly appointed agent or representative, being hereby warned that willfl false statements are punishable by fine or imprisonment, or both, under 18 U.S.C. §1001, and that such willful false statements may jeopardize te validity of thisapplication orany resultingregistration, hereby declares tothe bestofhis orherknowledge and belief: (thatthe design has been fixed in a useful article: (Q) that the design is original and was created by the designer(s), or employer if applicable, named in the application; G) that those aspects of the design for which registration is sought are not protecied by a design patent; ) thatthe design has not previously been registered on behalf of the applicant or applicant's predecessor in title; and (G) thatthe applicants the person entitled o protection and to 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, Following is the exact form of the design notice: PROTECTED DESIGN, STRATOS BOATS, INC. , 2002 Where on the useful article the design notice located? on transom beneath hull identification number Ifthe undersfenel is notAhe aplicyfe or she is properly authorized to execute this as con behalf of the applicant. ol! Sfavid G. schmaltz ; Attorney - (612)336-4617_____(612)332-9081 _dgchmaLta@nerchangegould.con rateahaae wishd jechmal Pe ea Centiicste [arew will be mailed in window envelope to this address: Sigur sppation't hace David G. Schmaltz 3200 IDS Center, 80 South Eighth Street “Minneapolis, MN 55402 @ Pina on recy poe ol | a Bees maar Sedet it Wigan C2001