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FORM D-VH For Vessel Hull Design UNITED STATES COPYRIGHT OFFICE, REGISTRATION NUMBER ‘DVH 0287 RTE OF REGISTRATIONPUBLICATION 04 05 06 ont by vee! 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 of the vessel that embodies the design. Wolcrat 215 Bay _ TITLE - What is the type or style of the design for which registration is Sought? 2 (a) corterconote fing boat _ Provide a brief general statement setting forth the salient features ofthe design. DESIGN(D) eat oad win desea edocs el nto ef he vse Nl Beck nae i tsieaet eo oo Drcheck nore it ESTAR (cc) tis deson is derived rom an ear design, describ ow that design as een revise, adapted, of erage ote Fare ' : - ovwcon for adsionst a = Provide the name and address of the designer(s). The name ofthe employer may be given instead ofthe designer(s) if, (1) the design was made within the regular scope of employment othe designers) and 2) the individual authorship ofthe designs difficult or impossible to ascribe DESIGNERS) 6 Pleite check href those conditions ae satisfied and you are providing te employer name. Name: Wola Marine Name: ‘Address: 1854 Whi Avenue _ Address: “Sarasota, Florida 24249 Tf the owner i different from the designer(s) or employer named above, provide the name and address ofthe owner: Name: OWNER, . IF NOT Adcom DESIGNERS) - — Was an application forepisraon ofthis design denied J) yes, ently the county and date of aplieation: (b) (2) _in.an application filed in a foreign country that extends to \O) Country designs of owners Who ae citizens ofthe United Sates, ot to persons filing applications in the United States, similar Date of application; —____ PRIORITY protection to that afforded in 17 U.S.C. chapter 13? oe Qyes_@No Serial No: 6 ‘Was this design made public before the date of application? @ Yes Q No. Bs APPLICATION RECEIVED 765 ae NOV 09 ae) 20 DESIGN COPIES RECEIVED I yes, on what date’ — as Ee Woy 0 DATE MADE 4 FUNDS RECEIVED PUBLIC H a re rrpeeee Thee 1 Sedeted nsossone WORE ON BACK oem sain Page tot pages ok nerccmeetaanaRNa ARAN ETERS EXAMINED BY FORM D-VH CHECKED BY CORRESPONDENCE For ‘CORRESPONDENCE onion Yes ‘OFFICE Circ ‘ONLY DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-V/CON) Please provide the name and address of the person to whom correspondence regarding this application may be directed: / Name: David G. Schatz 7 _ CONTACT A garess: 2200108 Center, 80 South Eighth Steet, Minneapolis, Minnesota 55402 PERSON ~ - Email address 8ehmaltz@merchant-goud.com_ FAX number 12382-9085 ___________— Daytime phone: ( 612) 336-4617_ Give the name and account number ifthe registration fee isto be charged o a Deposit Account established inthe Copy Name of Account: _ a — DEPOSIT account number: _ _ ACCOUNT : Seamus tenes nen bee 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 ofthis application orany resulting registration, hereby declares tothe bestofhis orher knowledge and belief: (1) thatthe design has been fixed ina useful article; (Q) thatthe design is original and was ereated 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 ofthe applicant or applicant's predecessor in tle; and (5) thatthe applicant is the person entitled to protection and to registration under chapter 13 of title 17, United States Code, ‘Complete if applicable: “The design has been made public witha design notice as prescribed by 17 US.C. §1306. Following is the exact form of the design notice: ‘Protected Design Wellcraft Marine, 2005 ‘Where on the useful article is the design notice located? CERTIFICATION AND SWORN STATEMENTS Transom Ifthe un snot tha snaficaft, he or she is properly authorized to execute this application on bchalf of the applicant. OX __ bat fos~ — : — core a ye os een nieieett ato eke PUR Aken Ce RAL Meta ecient Certificate anew = an wil Maed in | David Schmatz window | Finersventie envelope fommeP® | 3200108 Center, 80 South Eighth Stroot address: Sala Y : Minneapolis, Mingesota 55402 : issn: BC, 23041300 ‘SFERE GET Pera tor ae aprosmition“Vnoreytnonngy reser neo epereinton aia) afocing ne is aanabe oe’ ie up lrhe pupose ol coarg rogers oe ‘Melgar chp al aye erly tte han 00a normre han 81,000 day sph aes at ns Pay Pee Pe lg incor is cep sat bares” Fc Je 2902-20000 aa Redan 2003 @ Prnadon wey pape US. Covent Ping Ofc: 0004611920021 DVH 0287