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FORM D-VH For Vosset ll Design ERingD STATES COBYRIGHT OFFICE REGISTRATION NUMBER, ‘DVH 0286 SATE OF REGISTRATION PUBLICATION 04 05 06 on Dey You DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VH/CON) Please give the make and model ofthe vessel that embodies the design. ‘Wellcraft 195 Bay TITLE = vy) What is the type or style of the design for which registration is sought? 2? (2) Conarconsl feng tet (lo) Provide a brief general statement sing forth the salen features of the design. DESIGN’ ‘The features relat jan of the deck and the hull configuration of the vessel hull Bcheok ne " this io. single —§ ——— design. chock here it oe Form D:VHICON for edstonal 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 regular scope of employment ofthe designen(s) and (2) the individual authorship ofthe design is difficult or impossible to ascribe, DESIGNERS) © Please check here if those conditions are satisfied and you are providing the employer's name. Name; Welerat Marine Name: ‘Address:_1851 Whitfield Avenue ‘Sarasot Address: Tf the owner is different from the designer(s) or employer named above, provide the name and address of the owner: Name: — OWNER, IF NOT ae DESIGNERS) ‘Was an application for registration of this design identified (b) If yes, identify the country and date of application: (@) inn application filed ina foreign country that extends to Country: designs of owners who are citizens of the United States, or PRrorrry _ ' PE0ns filing applications inthe United States, similar Date of application: protection to that afforded in 17 U.S.C. chapter 137 CLAIM Yes No Serial No: NOV 09 205 DATE MADE NOV 09 2005 SRST FUNDS RECEIVED PUBLIC WORE ONBACKCopsestiaeee he aes eee Page tot page EXAMINED BY FORM D-VH CHECKED BY FOR CORRESPONDENCE corner Yes OFFICE USE OnLy DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET, (Form D.VWCON) Please provide the name and address of the person to whom correspondence regarding this application may be directed: / Name: Dv Ee - CONTACT £3200 IDS Center, 80 South Eighth Street, Minneapolis, Minnesota 55402 Person | Médress: nt : Email address FAX number £12882.9081 - — Daytime phone: ( 612) 9964617 8 Give the name and account number ifthe registration fee isto be charged to a Deposit Account established inthe Copyright Office: 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 ofthis application orany resultingegistration, hereby declares tothe best his or 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 in the application; av {G) that those aspects ofthe design for which registration is sought are not protected by a design patent; Ze (4) that the design has not previously been registered on behalf of the applicant or applicant's predecessor in title; and eS a (5) that the applicant is the person entitled to protection and to registration under chapter 13 of title 17, United States Code. 2 = E ‘Complete if applicable: SZ “The design has been made public with a design notice as prescribed by 17 U.S.C. §1306, g a Following is the exact form of the design notice: Eg Protecod Design Worf Maine, 2005 s z ‘Where on the useful article is the design notice located? ~ Transom ee f. Tf the binders is properly authorized to execute this application on bebalf ofthe applicant. gy, polo ep fom Attorney _ Sr Certificate asew will be vt | Dead Sonate window — “iumbeuSireedant ¥ TO es apptosr Tor on FREES en ern oer one remap | 200108 Centr 80 Sout hin Set ee address: etl egten Potton raion Weve kowngy manne ae prvoioen rata ecg Wo gis soarone woe fe che fe purpose o searing parson ‘hag de hapa apy puny tae an 00a notre Pan 8196, day i rage Panwa nay ave ie Sein’ ae case sab oetods Fra 2002-20900 Web Rev Jmiay2009 Prd en ojo paer US. Govt Pintng Oi: 2000481-11970921, DUH 0286 aay OF io NOV 09