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FORM D-VH @ For Veese! Hull Design UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER, DvH 0257 RTE OF REGISTRATIONPUBLICATION 07 22 05 ect bey Your DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VH/CON) lease give the make and model of the vessel that embodies the design. ‘Ranger 1850 Resta TITLE, = = — - ~ 9 (a) Whats the peor se of he design for which registration ir soughi? Fishing and recreation boat (b) Provide a rie general statement sting forth the salient Features of he design. DESIGN! Hull configuration and design of deck Broneck neve it thisiea single — = desir. QWeteck er if mmerenan (C2) tit design is derived from an earlier design describe how that design has ben revised, adapted, or euranged 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 egularscope ofemploymentof the designe(s)and (2) theindividual authorship ofthe designs difcult ‘or impossible to ascribe. DESIGNERG) © Please check here if those conditions are satisfied and you are providing the employer's name. ‘Name: Wood Manutactrng Company, ne Name: - = ‘Address: P.0.Bo« 178 Ades Highway 178 Nor _ ~ — : Flippin, Arkansas 72694 _ 4 Ifthe owners different from the designers) or employer named ubove, provide the name and address ofthe owners Name: in an application filed ina foreign country that extends to (D.) Country designs of owners who are citizens of the 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? ace QYes_@No 7 5 (a) "Was an application for registration ofthis design identified (bb) Ease Monit te county and ato apcaton Serial No: ‘Was this design made public before the date of application? WJ Yes No une 2 2004 6 Ifyes, on what date? 22°@ DATE MADE PUBLIC fg APPcATION neceNeD a pesion cones neceiveo JUN 1 0, 2005 Pune JUN18 2 MORE ON BACK 7 Sone tnakiscee’ Cae lem arsenee Page tot agen _Sapas rancet annem rience mRNA BRN TE FORM D-VH CHECKED B CORRESPONDENGE FOR, ‘GORRESPONDENCE erie Yes ‘OFFICE a -OO USE ONLY DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET, (Form D-VHICON) Please provide the name and address of the person to whom correspondence regarding this application may be directed: / Name: David 6. Schmalz _ - 7 CONTACT dares; 80 South Eighth Strost, Minneapolis, Minnesota 55402 PERSON re — a ~ Email address .o8chmaltz@merchant-gould com FAX number 912-332-9081 ——— Daytime phone: ( 612) 336-4617 earnestness none nee eA A een Give the name and account number ifthe registration fee is tobe charged to a Deposit Account established in the Copyright Offi Name of Account: DEPOSIT. Account number: ACCOUNT - - : : - DECLARATION: The undersigned, as the applicant or the applicant's duly appointed agent or representative, being hereby wamed 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 tothe bestofhis orherknowledge and belief: (2) 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; (@) 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 ofthe applicant or applicant's predecessor in title; and (5) that the applicant isthe person entitled to protection and to registration under chapter 13 of ttle 17, United States Code. o 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, Ranger Boats 2004 ‘Where on she useful article is the design notice located? CERTIFICATION AND SWORN STATEMENTS Transom : : Ite nwo ic nat the annua he o she is properly authorized to execute this application on behalf ofthe applicant - bf2Los— : Atorney Posto 812-336-4617 612-332-9084 ___dschmaitz@merchant-gouls com, Occ Rie ORCA Deen ieee nee Corttioste Nase wag | "avs. Somate window — iaimonisveeiag¥ OO Poplesten an vaore | "tan & Goud PC, 220105 Cer 0 Sou igh Sve | Reeser ote mer ree a mt Meapte, Mores S302 ee spn asnngae 86, 2000-1990 yor fave rspenenaion, “Whee none macs en opmarnanon raat Pe rgue manatee een Reeeeeee eee pore ‘eg andr tsa spy aera las S00 an elma Pan 08, an any os gn et Mec av nb Soo nears ena sar os tea™ ec ame 2002~20.400 Web Rasa 2003 Ptadenseclaspapa US Goverment Paning On 20048119200 LGR OF CONGR. “JUN 10 005 # baer RIGHT OFEISS