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FORM D-VH For Vessal Hull Design UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER ‘DUH 0151 ‘BATE OF REGISTRATIONPUBLIGATION Oct, 1, 2003 Ment bay vor 100 NOT WRITE ABOVE THIS LINE. If YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VH/CON) 1 Please give the make and model of the vessel that embodies the design. Four Winns 194 Funship TITLE _ (ay Whats te ype oF Sea he dese or whch reoraton og @) Fiberglass multi V-Hull and deck Provide a brief general statement setting forth the salient features of the des pesicn(D) na, pe 7 oth Sizing, propttioning and shaping that provides aesthetic along with _ ma necknerei! _ maximizing functionality per size. _ _ _ Sesion check nero for adtionat a Provide the name and address ofthe designer(s). The name of the employer may be given instead ofthe designer(s) if, (1) the design was made within the regular scope of employment ofthe designer(s) and (2) the individual authorship ofthe design s difficult ‘or impossible to ascribe. DESIGNERS) 2 Please check here if those conditions ar satisfied and you are providing the employer's name. Name: Craig Martin Name:__ _ _ ‘Address; 14994 18 Mile Rd. Address LeRoy, MI_49655 Name: 4 ‘Ifthe owner is diferent from the designer(s) or employer named above, provide the name and address of the owner: OWNER, 925 Frisbie St IF NOT Address 225 Fedebie Cadillac. M4960) DESIGNERS) in an application filed in a foreign country that extends to designs of owners who are citizens of the United States, or Country: 5 (a) Nesmalin freon fi evga eed (yy I ye ey te oun nd ato application to persons filing applications in the United States, similar Date of applicat PRIORITY proiection to that afforded in 17 U.S.C. chapter 13? casi Oyes BNo Serial No;___ ‘Was this design made public before the date of application? Yes No f= _— I yes, on what date? February 13 ___2903 vesionconesnecev SEP 2 2 2003 DATE MADE SEP 22 2003 E FUNDS RECEIVED as ihe ataree eons Pope PUBLIC EXAMINED BY FORM D-VH CHECKED BY DORRESPONDENGE FoR CORRESPONDENCE Conan ayes OFFICE Use ‘OnLy DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET, (Form 0-VHICON) z or Please provide the name and address of the person to whom correspondence regarding this application may be directed: g Name; ___Tom Wenstadt 905 Frisbie St. Cadillac, MI 49601 Email address tWensta. Daytime phone: (231) _779=2333 Give the name and account number ifthe registration fe is tobe charged toa Deposit Account established in the Copyright Office: Name of Account - DEPOSIT Account number: ACCOUNT = encanto omen nebronctenattensicernnnenetnentnenencennt tet manent oe DECLARATION: The undersigned, asthe applicant or the applicant’ duly appointed agent or representative, being hereby warmed 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 orany resulting registration, hereby declares othe best ofhisorher knowledge and belief: () 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 of the 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 isthe person entitled to 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 Four Winns Boats, LL ‘Where on the useful article isthe design notice located”? CERTIFICATION AND SWORN STATEMENTS Transom If the undersigned is not the applicant, he or she is properly authorized to execute this application on behalf of the applicant OY a 27) 1 tom Wenstadt Teh nel Menem 179 * - 724 =: —— -pwenstg OT pur inns. com Panta opa mane Copyright Office fees are subject to change. For current fees, check the Copyright Office wel write the Copyright Office, or call (202) 707-3000. Nec ne oo ney ayaa a Beng rat [FS Giser Penny to fin roprvartaton “Wooo arowrgy mats a ose eosarntn tea alsin he fs anaes fu chart te pupere 3 tng ogee ot ‘hlgcer ths casts pay apenas than S00 ond nner han $100, ar ny sor aolges a ema ave ha Sat nae chs shalbe ens” DVH O15