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FORMDVH @ UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER DVH 0219 ‘BATE OF REGSTRATIONPUSLIGATION oan 04 - ow 22 ver 05, «_DO 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, -CHAPARRAL SUNESTA 236 TITLE What is the ‘syle of the design for which registration (a) “FBERGUASS MONO-HULL DECK BOAT ide a brief forth the sali fl Seatcn (Lb) Provide a bret general statement setting forth the salient festres ofthe design Overall aesthetic appearance, including deck layout and ion, hu ion, Boros ree" and style lines, hei sa aes Orcheck nere it tnbetned (c)) his designs derived fiom an earlir desig, describe how tat design has been revised, adepted, or rearanged. ee Fe BWeCON for asational Provide the name and address ofthe designer(s). The name ofthe employer may be given instead of the designer(s) if, (1) the design was made within he regular scope ofemployment ofthe designer(s) and (2) te individual authorship of the design isdificult or impossible to ascribe. ; DESIGNER(S) _& Please check here if those conditions are satisfied and you ae providing the employer's name. ‘Name: _ Chaparral Boats, Inc. ‘Name:_Phares and Associates Address: P. O. Drawer 928 Address, 33228 W. 12 Mile Rd. Suite 317 300 Industrial Park Blvd. Farmington Hills, Ml 48334 Nashville, GA_31639-0928 TF the owner is different from the designer(s) or employer named above, provide the name and address of the owner: Name; __Chaparral Boats, Inc. oe ‘Address: -P-O- prewar 928 resee 300 Industrial Park Blvd. Nashvil 4 2 forregismaton ofthis design ened (fy) yes, intify the country and date of application: ‘Was an app! (a) ‘in an application filed in a foreign country that extends to Country: designs of owners who are citizens ofthe United States, or Pmorrry _ ‘®2ers0ns filing applications inthe United States, similar Date of application; ‘protection to that afforded in 17 U.S.C. chapter 13? CLAIM Yes No Serial No: ——————__ RG; smmucaronasceves MAD 2005 ‘Was this design made public before the date of application? @ Yes Q No 3 ‘ osnouesess ascend Ah 28-2005. Ifyes, on what date? & 8 2003. Ee DESIGN COPIES RECEIVED 4 ea GE euoseecsieo MAN 2 8 20014 PUBLIC Fa MORE ONBAGK *"Date in space 6 and certification confirmed by CO by authority telephone call to remitter, —eeaeneeaenenensemeeeneeeeeeeeee 4/19/2005." EXAMINED EY JE FORM D-Vit CREKEDBY Nn _, ‘SORRESPONDENCE corn Ret Yea OFFICE USE ONLY DO NOT WRITE ABOVE THIS LINE. YOU NEED MORE SPACE, USE A SEPARATE CONTRUATION SHEET, [romm ONNCOM_——_—————— ‘Please provide the name and address of the person to whom correspondence regarding this application may be directed: / Name: _ William S. Pegg CONTACT, P.O. Drawer 928 Season” Address: 2 Nashville, GA 31639-0928 E-mail address DPega@chaparralboats.com FAX number (229) 686-3660 Daytime phone: ( 229 )_686-7481 Give the name and account number if the registration fee is to be charged toa Deposit Account established in the Copyright Office: Name of Account: DEPOSIT Account number: ACCOUNT ‘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 statements may jeopardize the validity of this 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; (2) that the design is original and was created by the designer(s), or employer if applicable, named inthe application; (3) 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 title; and (5) thatthe applicants the 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 of the design notice: ‘An eliptical"Ditincive Owner Identification’, with "Protected Design” ‘across the top and "2003" across the bottom. ‘Where on the usefil article i the design notice located?” Aft port quarter, above port stern storage compartment. Ifthe undersioned isnot the annticant. he/she is properly authorized to execute this application on behalf of the applicant. * CERTIFICATION AND SWORN STATEMENTS DB, ~ 7 CAL OS William S. Pegg Vice President eS “years 229) 686-7481 (229) 686-3660. bpeag@chaparralboats. com ee] eee) zm [" Chaparral Boats, Inc. saiaeee |"""""*" B. O. Drawer 928 mailed in -SiysiawzPw Sivelope Nashville, GA_31639-0928 [SFUine art renalyfoctose ropegentntonWesvertnowngy nate ane pverien ratny elcing ne ie anaie aw ie nse br Ne pupors of sara enetwon ore ‘hp ics ap na ay a only ett ias an 909 at mre an $1 80am ony ngs page et vc may Paw be ie Ps chap sal ee” nua 1000-20800 ‘Gruman "20 GOVERNMENT PANTING OFFICE: 236 SUNESTA OVERHEAD