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FORM D-VH @ For Vesset Hull Desi GNirTED STATES COPYRIGHT OFFICE REGISTRATION NUMBER DUH 0206 DATE OF REGISTRATION PUBLICATION 02 04 05 sont ey Yoo Ab 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. Ranger 168 Phantom TITLE my) What is the type or style of the design for which registration is sought? (a) Fate Boat (b) Provide abriet general statement setting forth the salient features ofthe design DESIGN! Hull configuration and design of deck. The altached drawings show the hull as well as a plug forthe hull. se Breck here it this easing design. 5 Dohoek neve it ‘Sretgd (c)) thie design is derived rom an eae design, describe bow that desig hasbeen revised adaped or rearanged. omegengn This hull was derved from the 160 Phantom produced by Champion. Among ather things, the running srtaces wore fattened the stakes wore bevucon modified, rear rim tab pockets were provided for recessing the trim tabs. The dock was also substantially modified. for adetionsl Provide the name and address of the designer(s). The name of the employer may be given instead ofthe designer(s) if, (1) the desigh was made within the regular scope of employmentof the designer(s) an (2) the individual authorship ofthe design is difficult or impossible to ascribe. DESIGNERG) © Please check here if those conditions ae satisfied and you are providing the employers name. ‘Name: Wood Manufacturing Company, Io. Name: ‘Address: P.0. Box 17 Address: Highway 178Norh Flippin, Arkaneas 72694 1 If the owner is different from the designes(s) or employer named above, provide the name and address ofthe owner. Name: OWNER, IF NOT ee DESIGNERS) ‘Was an aplication for repstation of is design denied. Tf ye, identify the country and date of application: (A) inan apitoaion fled ina foreign county tat exends co (D) County: designs of owners who are citizens ofthe United States, or to persons filing applications in the United States, similar Date of application: PRIORITY protection to that afforded in 17 U.S.C. chapter 13? CLAIM QYes BNo Serial No: yes, on whatdate? 262 4 08 DATE MADE PUBLIC MORE ON BACK 1 Sao dad lotto % No drawings deposited; photographs only received £0 ssn vemitter. EXAMINED BY FORM D-VH menepg VTE ‘SHECKED BY ————— CORRESPONDENCE contr aves ‘OFFICE USE onty DONOT WRITE ABOVE THIS LINE. YOUNEED MORE SPACE, USE & SEPARATE CONTNUATIONSUEET. [Form BYN/CON, Please provide the name and address ofthe person to whom correspondence regarding ths application may be cirecied / Name: Davi G Schmalz _ CONTACT a gaross: Merchant & Gould P.C., $200 IDS Center, 80 South Eighth Street, Minneapolis, Minnesota $5402 PERSON = = Email address Sschmaltz@merchant-gould.com PAX number 912992908) Daytime phone: ( 612) 396-4617 ‘Name of Account: SR ETE RT Ne TA ALANS 8 Give the name and account number if the registration fee is tobe charged toa Deposit Account established in the Copyright Office: DEPOSIT Account number: ACCOUNT. that wilful 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 any resultingregstration hereby daclacestothebestofhisor her knowledge and belief (1) that the design has been fixed in a useful article; (2) tha the design is original and was created bythe designes(), or employer if applicable, named inthe application; (3) that howe aspect of the design for which registration is sought ae 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 title; and (5) thatthe applicant is the person ened to protection and to registration under chaper 13 of tile I7, United States Code ‘eee nN A RA 9 DECLARATION: The undersigned, as the applicant or the applicant’ duly appointed agent or representative, being hereby wamed. 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, Rangor Boats 2003, ‘Where on the useful article is the design notice located? CERTIFICATION AND. SWORN STATEMENTS Transom Ifthe wmucrananea isi th epplia, he or she is propery authorized to execute this application on behalf ofthe applicant. November 29, 2004 el David G. Schmalz ‘ Attornoy 612.336-4817 612-332-0081 dschalz @merchant-gould.com Tle ona Fa a Eat acess Execs Peake ak Certificate ame ¥ willbe Mraieg in | Davi G, Schatz window | Tarseaiesiaer — Tammie? | Merchant & Gould Pc, 3200 1DS Center, 80 South Eighth St address: | Sasa i Minneapots, Minnesota $5402 Heber ugaton Ihssgen 0.6 20230 FUSE razr rennty ornare Sean cape sal py apa arta tran 350) are than $10 ard ayes reentry Fave he ang neers costs sai oookeg Fe sun 2-20.00 Web ae sary 2009 @ Piri sneead paper US covert Pg Ot: ono 41- 132002