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Form D-VH Feros thal Design LUNTTED SURES COMMIT OFFICE DVH 0263 se on 00 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. 1 Scout_262 Sportfish ame rena "What is the type or style ofthe design for which registration is sought? (2) “center console offshore fishing boat. (fy |, Provide a brit general statement seting fo the salen features ofthe design. DESIGN('" lyu1i form, deck configuration, and overall appearance including NU-V3 shape. The NU-V3_hull eee shape is the variable dead rise hull with three planing regions of varying degree: _(1)Speed_ Faved (2) Stability (3)Seaworthiness. The regions are between the keel, strake 1, strake 2, and chine. Gicneck nore « ZhaStability \3)Seavorthiness._ The regions are between the keel strake 1, streke 2,ond chin repetenna (If this design is derived from an earfir design describe how that design has been revised. adapted. o rearranged. ‘one design. # Provide the name and address of the designer(s). The name of the employer may be given instead of the designes(s) if « design was made within the regular scope of employment ofthe designers) and (2) the inividval authorship ofthe design is difficult ‘or impossible to ascribe. DESIGNERS) Oi Please check here if those conditions are satisfied and you ar providing the employer's name. Name: Scout Boats, Inc. = Name: ‘Address: 2582 Ewy 78 West Adaress: “Summerville, 8¢ 29483 i] Ifthe owner is diferent from the designr(s) or employer named above, provide the name and address of the owner: P= (py Wet iplctin forego fis ign eed, Wye ent he country and dae of pico: SC (1) nam application filed ina foreign counny that extends to (!”) County: 4 > designs of owners who are citizens of the United States, or ei to persons filing applications in the United States, similar Date of application: ORE protection to that afforded in 17 U.S.C. chapter 13? CLAIM OYes. No Serial No: ro a ee Mdidbden —— 2005 § Al bondi cern rete ine? DMO 1008 - EXAMINED BY FORM D-VH Greaney FoR, ‘GOARESPONDENCE Poeeet| ayes OFFICE USE omy 00 NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VE Please provide the name and address of the person to whom correspondence regarding this application may be directed: Name: Nate Justiss — CONTACT address: 2581 Hxy 79 Hest PERSON ee Summerville, s¢ 29403 Email address — FAX number —242.728.008 Daytime phone: (843 ) 621-0068 Give the name and account number if the registration fees tobe charged toa Deposit Account established inthe Copyrigin Office: ) Name of Account: ___ DEPOSIT Account number: ACCOUNT - — ae DECLARATION: The undersigned s the applicant rte applicants duly appointed agent or represcattve bing hereby ward 4 that willful false statements are punishable by fine or imprisonment, o both, under 18 U.S.C. §1001, and that such willful false ; statements may jeopardize the validity of ths aplication or any resulting registration, hereby declarestothe bestof his orher knowledge and belief: (() thatthe design has been fixed in a useful article; (2) thatthe design is original and was created by the designer(s), ox employer if applicable, named in the application: G) that those aspects of the design for which registration is sought are not protected by a design patent; (@) that the design has not previously been registered on behalf ofthe applicant or applicant's predecessor in title; and (6) thatthe applicants the person entitled to protection and to registration under chapter 13 of tte 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: Protected Design Scout Boats 2006 CERTIFICATION AND SWORN STATEMENTS ‘Where on the useful article is the design notice located? ‘Transom If the ue4>rsiefied is not the applicant, he or she is property authorized to execute this application on behalf of the applicant. OEY January 30th, 2006 SHREC ouspaee Industrial Deaigner CC 7 Pai Ta ‘Bas 821 T0068 843.725.0081, ‘natesacoutboats.con a Fa a - mat aes will be nme’ steve Potts Sgn your apgscanon space 9 ‘ran window: Naren Skeet hes © sree 2581 twy 78 Hest 2S Eaeeieper cesenoer trot i a Summerville, 5¢ 29483 4 re {7 USC. $227. Peay torte preening mse preston maa acing he pi start ce oper pop cig earn 8 ‘ign srr is che Spy a pray etwas ha Sac mor ar 160m oes fre et al ey have 8 ogee’ fe pasate ae” Sarwar 2009-om ab ae Sry 2083. @ Pete neo apa {US Comment rng Ow: 2003