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FORM D-VH For Vessel Hull Desi UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER, ‘DVH 0285 DRTEOF REGSTRATIONPUBUCATION 05 4406 DO NOT WRITE ABOVE THIS LINE. F YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VH/CON) Please give the make and model of the vessel that embodies the design. ra-Spots 2900 CC TITLE \ What is the type or style of the design for which registration is sought? (a1) Center consol fishing boat (b) Provide brief genera statement sting forth the alent features ofthe design DESIGN’ The salient features relate to the design of the deck. check here it ty more than one design. Use Form D-vHicON for additional 3 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 registering (co) Uhl design's derived rom an cartier design, describe how that design has been revised, adapted, or rearranged. design was made within the regular scope of employment ofthe designer(s) and (2) the individual authorship ofthe design is difficult or impossible to ascribe. DESIGNER(S) _&@ Please check here if those cone 8 are satisfied and you are providing the employers name. Name: HydraSportsBosts __ Name: 1651 Whitfeld Avenue Sarasota, Forida 34249 Address If the owner is different from the designer(s) or employer named above, provide the name and address of the owner: Name: 5 (ax) Masehappliction for region of is design ened (yy Mf yes, deny the country and date ‘of application: in an application filed ina foreign country that extends to 9) Country: — _ designs of owners who are citizens ofthe United Stats, or h to persons filing applications in the United States, similar Date of application: —_____ RIORITY protection to that afforded in 17 U.S.C. chapter 13? eran yes @No Serial No:___ _ Wass design made pe bie dato apeation? Yor) No fg weruesTonnecenea Ifyes, on what date? fs 7 EP iGBeBde@OOB DATE MADE, ” BE ruses neceneo FEB 01. 2006 PUBLIC R NN B. “Compiote al appicabe spaces (nombere 7 a) on the reverse side of thie page WORE ONBACK™ LEBRuiceaass Cope aess os an EXAMINED BY FORM D-VH tt CHECKED BY er ‘CORRESPONDENCE COPYRIGHT aves OFFICE 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. Schmaitz CONTACT A gidross: 3200108 Center, 80 South Eighth Street, Minneapots, Minnesota 55402 PERSON a a Email address #8hmaltz@merchant gould com FAX number 912-992-8081 Daytime phone: ¢ 812) 3964817 Give the name and account number fhe registration feeisto becharged toa Deposit Account established inthe Copyright Office: Name of Account: DEPOSIT Account number: ACCOUNT DECLARATION: The undersigned, asthe applicant or the applicant's duly appointed agent or representative, being hereby warned. that willful fase 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 orany resulting registration, hereby declares tothe best of hisor her knowledge and belief: (1) that the design has been fixed in a useful article; (Q) thatthe design is original and was created by the designer(s), or 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: (4) that the design has not previously been registered on behalf of the applicant or applicant's predecessor in ttle: and (5) thatthe applicant isthe 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: Protected Design, Hyéra-Sports Boats 2005 Where on the useful article is the design notice located? CERTIFICATION AND SWORN STATEMENTS 20 We ¥ ot he o shes propery authorized exe this application on hel ofthe applicant - - _ January 32, 2008 a rater 4 - eo cressetT bese 081 deck archan gold com Copyright Office fees are subject to change. For current fees, che Route kee rae eter Steen tana Centiieste Gamw a window — “umoedsieeua¥ ~ ee — appieation fmm envelope Papin a address: Siysiateizie w ST 17 US. $1827 Pnaty for tale eprananiain."Whowr!inongy makes 3 es eran Maley ecg he neigh snd ena 2a py pansy else S800 ono rte a 1060. aay rhs or lege Pa Fw na 2602-20000 Wine Jarry 2008 @ Pred onrecyoaseaer US Goverment Peng Ce: 2000481119200 DWH O285 Se és ie ie > ig 2 9 z 3 3 oe n S 18 S ge Ss = 88 % Way ew a %, 9 ar