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- FORM D-VH @ For Vessel Hull Design. UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER, DUH 0172 DATE OF REGISTRATION PUBLICATION Nov. 20, 2003 DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VH/IGON) Pe HS PES GRD EGE WARE Da He TITLE — / What is the type or style of the design for which registration is sought? (a). bottom bass boat. . (bb) Provide a brie general statement sting forth the salient femurs ofthe design pesten\?) new hull, new vortex pad surface on the hull, new console «and seats, large casting decks and novel graphics. here t («°F this design is derived from an earlier design, describe how that design has been revised, adapted, o rearranged. No te Form — - - - _ DAVHIGON for ational = ——— 7 oa 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 designers) and (2) the individual authorship of the designs dificult or impossible to ascribe. DESIGNER(S) 59 Please check here if those conditions are satisfied and you are providing the employer's name. Name: Triton Boat Company, L.P Name: ‘Address,_15 Bluegrass Drive _ —Ashland City, TN 37015 Tf the owner is different from the designer(s) or employer named above, provide the name and address ofthe owner: Name: Triton Boat Company, L.P. _ ae Address: —15.-Bluegrass Drive J Ashland City, TN 37015 DESIGNERS) a a = 21) WéSamapplicaton for registration ofthis design dented [It yes, deny the country and date of applications (24) in an application filed ina foreign country that extends to (©) Country: _ designs of owners who are citizens ofthe United States, o to persons filing applications in the United States, similar . Date of application: _ PRIORITY protection to that afforded in 17 U.S.C. chapter 13? cea QyYes No Serial No: _ ‘Was this design made public before the date of application?) Yes C) No 15 2003 DATE MADE PUBLIC MORE ON BACK Page tet agus _Sitemacrrammesnaensncs crevices sen asoaronarnnc att EXAMINED BY FORM D-VH CHECKED BY CORRESPONDENCE FOR SPRRESPONDENCE con Rat es OFFICE te ontr _;-PONOT WRITE ABOVE Til LIN. IF YOU NEED MORE SPACE, USE SEPASATE CONTRUATON SHEET farm BTTED Sap Pine provide irae and aes oft poen ow covepndcce ean as apni ae Seed f Name: Andrew S. Neely, Luedeka, Neely & Graham, P.C. CONTACT agdess: B20. Box 1871 _ — a Knoxville, 1N 37901 tmaitadias ANECLYEING-patent .com 8 33-4478 FAX number (865) 523-4478 yastime phone: 865 ) 546-4305 Give he nameand account number the rogistatonfcisto be chargedton Deposit Account ceablished nine CopyaghtOffee & Name of Account: — — DEPOSIT Account number: _ ACCOUNT —_——_—————— SS e=xv“”"”."= sane Ee RC SLSR MORE ETO 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 er statements may jeopardize the validity of this application or any resulting registration, hereby declares to thebestof his orher knowledge and belief: (1) thatthe design has been fixed in a useful article; 2) thatthe design is original and was created by the designer(s), or employer if applicable, named inthe application; aa {tt those aspects ofthe design for which registration is sought are not proteced by a design patent Ze (A) that the design has not previously been registered on bebalf of the applicant or applicant's predecessor in title; and = g (5) that the applicant is the person entitled to protection and to registration under chapter 13 of title 17, United States Code. ga ££ complete i applicable: az "The design has been made public with a design notice as prescribed by 17 U.S.C. §1306, ga Following is the exact form of the design notice: Ez 56 - — as ‘Where on the useful article is the design notice located? transom Th the undersigned ie not the nnatinans to ~ che is properly authorized to execute this applicat “Andrew S. Neelyf Esq. PE sae 4305 a nal sie Contteate Ramey motesin Andrew S. Neely, Luedeka, Neely & Graham window | Norton i fms” | P.O, Box 1871 address: le, TN 37901 ter! Weimer 8 2104300 ‘SFUBE star? Peay fort ‘come oun a chase puoae ol carn egaracanar “hen und cha al pay a analy ote han 850 ae no mre tan $08, ary popes a na my haven he dog ogc capt sa soa i in 2092-20000 Wa Rar Jem 2013 @ Pitan royce eae US Govan Pang ten 0004-18