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Form D-VH ForVeuel Hill Design UNITED STATES ConvmcHT OFFICE ecIsTRATION NUMRER DVH 0323 TATE OF REGISTRATIONFUBLICATION 09 21 06 co er your DONG! wrate ABUIE tm _~-JACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VH/CON) | Please give the make and model of the vessel that embodies the design. ISLAND PACKET 440. TITLE meats tne pe oF sie of he dep for which repstmtion i sought? (a) “BiaeRecass SAILING YACHT. Provide a brief general statement setting forth te salient Features ofthe des pesten(b) GENERAL HULL SHAPE, LOMG FULL FOIL KEEL cD TRAWSOKA CONFIGURATION, Clcneck nereit GENERAL DECK HARE, CABIN TOP BOSS DESIGAS ‘Risa engle design Crete eco it eee (c)_ I isdesiis derived om ance design, desert hw tat design as ben revised adapted, or rearranged. Sno deegn NeA. ot fom bimieon {or adetonal tg 18 pen eee SAAN AREAL SL Provide the name and address ofthe designer(s). The name of the employer may be given instead ofthe designerts) if (1) the design was made within the regular scope of employment of the designer(s) and (2) the individual authorship ofthe designis dificult ‘orimpossibe to ascribe. DESIGNER) I Please check here if those conditions are satisfied and you are providing the employer's name, Name, ROBERT K. JORNSON. Name: Address: ISCAND PACKET YACHTS address: 1971 WILD Acres ROAD LARGO, PL, 3377] Tf the owner is different from the designer(s) or employer named above, provide the name and address of the owner: sane NAL OWNER, Tenor Addess: DESIGNERS) Was an application fr registration ofthis design identified (|) If yes, identify the country and date (22) nan application filed in a foreign country that extends to (D) country: designs of owners who are citizens of the United States, or Febery Perone fling applications in the United States, similar Date of application protection tg that afforded in 17 USC chapter 13? clas Qyes WNo Serial No: "Was this design made public before the date of application? &f Yes Cl No ffs, APPLICATION RECEIVED If yes, on what date? gue 30 _ 2008" DATE MADE PUBLIC wD arora EXAMINED BY FORM D-H JT- GRECREDEY a SORRESPONDENCE cof it aoe “OFFICE USE onty PO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SEE ooo CON scanner 7 se provide the name and address of the person to whom correspondence regarding this application may be directed: fj Name: ~!ERRY SwARTE CONTACT adress: Ze ISLHUO PACKIET YACHTS 1474 Wied Heres KD. PERSON - > ~ ~ ry @ ipy- LARGO, FL. 33771 Email address —D&CC7E i py- come FAX number 227-530-5806 Daytime phone: (72.7) 535-6 434 1°) Give te name and acount number ithe epson feito be charged ta deposit account established inthe Copyright Otfie a Name of Account _NJe A+ DEPOSIT Account number: ACCOUNT ¢ DECLARATION: The undersigned, as the applicant or the applicant's dly appointed agent or representative, being hereby warmed that willful false statements are punishable by fine or imprisonment, or both, under 18 USC §1001, and that such willful false state- , ‘ments may jeopardize the validity of this application or any resulting registration, hereby declares to the best of his or her knowledge and belief. (1) that the design has been fixed ina useful article; (Q) that the designis original and was created by the designers) 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; (G) that the design has not previously been registered on behalf of the applicant or applicants predecessor in tile, and (3 that the applicant isthe person entitled to protection and to registration under chapter 13 of title 17, United States Code, ‘Complete i applicable: “The design has been made public with a design notice as presribed by 17 USC $1306, Following isthe exact form, i Following the eae formal te dese, paorcera DESIGN OWED BY ISLAND PACKET YHEATS RECSTERLD With THE US. COPYLIENT CRICK COMMEWONU 1D THE YEAR 2005” ‘Where onthe weful article is the design notice located? BELOW COMPAMICWIWAY If the undersigned is no}the applicant. he or she is properly authorized to execute this appficatipn on behalf of the applicant. » 7 2 & B lob CERTIFICATION AND SWORN STATEMENTS, Revind PASTOR Vice PRESIOEMT OF MANLFACTURIG Pinta ype = Pastore 221-5 35-4431 727-530~ S806 Taepnane aber Farber - rarer wari Certificate [Nam an ISLRWD PACKET YACHTS AR 8th Si ie window” | Tinoeraeeae — ervaope | 1474 WiLo ACRES ROAD EES parecer Sadrave: | GHSRADY LARGO, FL, 33771 ee pace = (Weston Do 224130) +17 usc 27, Party tr nos prevention al ib peer etg ba rhs ciate ude i chp be poe of ing epaton Cog {rs cpr shal pay apenas han 00 ad ret wae 100, aay regen at ita hve be ag unr es rae shal bee Fam OM Rac O18 Pi 72008 Pha nee paper Us Goremmant Pring OM: 02