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FORM D-VH For Vossol Hull Design UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER DVH 0228 DATE OF REGISTRATIONPUBLICATION ~ enh 04 _owy 27 you, <__.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. ‘Aquasport 185 Osprey TITLE = — ‘What is the type or style of the design for which registration is sought? (a) Comer sonsolefoing bt Provide a brief general statement setting forth the salient features of the design. pEsIGN(D) (ee are canes Ehcneck ne his ie a design, cnc er if " rethan (¢)) thie designs derived from an cali design, describe how that design has ben revised, adapted, or erranged, ore design A 7 The hull isthe samo as tha ofthe Wellcraft 180 Fisherman model (rat prtecid bya DVH relation), The design of the dock i new. D.VH/CON jr adaltonal = : : Provide the name and address of the designer(s). The name of the employer may be given instead of the designer(s if, (i) the design was made within the regular scope of employment of the designen(s) and (2) the individual authorship of the designis difficult ‘or impossible to ascribe. DESIGNERG) © Please check here if those conditions are satisfied and you are providing the employer's name. Name: Aqvasport Boats Name: _ ‘Address; 1651 Whitfeld Avenue Address: ‘Sarasota, Florida 34249 Ifthe owner is different from the desiginer(s) or employer named above, provide the name and address ofthe owner: Name: OWNER, . NOE ‘Adress: ——— DESIGNERS) "Was an ppheton for regan of tis deg deed (fy Hes, Ney te county an ae of apes (€) in an application filed ina foreign country that extends to (D)) Country _ designs of owners who are citizens ofthe United States, or Meonrry ‘0 PetSons filing applications in the United States, similar Date of application: _ ; protection to that afforded in 17 U.S.C. chapter 13? SLAIM Des No Seri Sn ‘Was this design made public before the date of application? ©] Yes No uryesonwiadaer 2 2 DATE MADE 7 >UBLIC 5 i = MORE ON BACK age tot pages ERROR TTY BY. aa nn TORM DV checked ey YF — a —————— it ‘CORRESPONDENCE eas ayes OFFICE, eS ony DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET, (Form DVHIGON) lease provide the name and address of the person to whom correspondence regarding this application may be directed: 7 Name: David G. Schmalz — ——__ CONTACT a garess: Merchant & Gould PC., 3200 108 Center, 80 South Eighth Strest, Minnespols, MN 85402 PERSON : : —~ Email address _38stmaltz@merchantgoul.com FAX number £12:9929081_ daytime phone: ( 612) 3964617. Name of Account: en renee ean ene 8 Give the name and account number if the registration fee is to be charged to a 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 willfl false statements may jeopardize the validity of tis application orany resulting registration, hereby declaresothebestofhisorherknowledge and belief (1) thatthe design has been fixed ina useful article; (2) thatthe design is original and was created by the designer(s), or employer if applicable, named in the appli (G) that those aspects of the design for which registration is sought are not protected by a design patent, (4) tha the design has not previously been registered on behalf of the applicant or applicant's predecessor in ttle; and (5) thatthe applicants the person entitled to protection and to registration under chapter 13 of itl 17, United States Code, ene 9 DECLARATION: The undersigned, asthe applicant or the applicant's duly appointed agent or representative, being hereby wamed tion; Complete if applicable: ‘The design has been made public with a design notice as prescribed by 17 U.S.C. §1306. Following isthe exact form of the design notice: Protected Design, Aquasport Boats 2004 ‘Where on the useful article is the design notice located? CERTIFICATION AND SWORN STATEMENTS — Irthe vadeohin ‘cant he o she is properly authorized to execute this application on behalf ofthe applicant. GD . 4, A [ox Sean ———— if ite peas ote Z say cesar eee ieimgenae ae Sauer ree —- Semen Copyright Office fees are subject to change. For current fees, check the Copyright Office website at www.copyright.goy, write the Copyright Office, or call (202) 707-3000. Cortiticate (anew willbe | mmaedin | _De“dG. Soha SEE cwaicpe | Ser = | ARR ig an cnet mney es frwmiope | Merchant & Goud PC, 3200108 Contr, 60 Sou Enh Set ea b address: [Gaye w Minneapolis, MN 55402 tha regen eovanaion realy erring ns suanauense te Caper re Papeete epee eer ase shape np nt wes an $500 art mor har 8,090 a any ss pope handy have nb gh adhe cap sa be fens Fer: Jone 2002-20000 Ob Pv: samsry2003 Pret gn ey paper US Covemeat rising Ofer 000401-11920,021