:dcw',j exley17 usc §1327. penally for lalse represenlll1lon. "whoever knowingly makes a...

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Copy Ight Office fees are subjec 0 chheck the Copyright

vw.copyr;qht.gov, w It

~ FormD-VH ~ For Vessel Hull Design For current fees, UNITED STATES COPYRIGHT OFfiCE

websil at ~ REGISTRATION NUMBER

rt 1 f' . r C II 202 -07

DVH 0537

DATE OF REGISTRATION/PUBLICATION

Year

DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VHlCON)

Bo~t'vv'orks TITLE

2 (a )_ _W_h_a_t_is_t_he_ty_p_e_o_r_s_tY_I_e_O_f_th_e_d_e_s_ig_n_f_O_r_W_h_ic_h_re_g_is_tra_ti_o_n_is_s_O_U_g_h_t? ;.._/' ._~ _COmBINA"tIQN fflorlaHulL /' -rB. J _ULL

registering ( ....) If this design is derived from an earlier design, describe how that design has been revised, adapted, or rearranged.more than L one design. Use Form D-VH/CON for additional

esi ns.

DCheck here if this is a single design. DCheck here if _;..,;.;"",;_""""....;..;";;;;.;.;..;.;.;;.";;;, ...;",;,..;...;._....;;;_..;;.";,,;;,;;,,,,,;;;.;;;~...;,,,;;,;,,;,.,;..,;.~~~,;,,(,~~::I.l.::I4~"""'Il~IIUIIl."~~~~~

Provide the name and address of the designer(s). The name of the employer may be gi ven instead of the designer(s) if, (I) the design was made within the regular scope ofemployment of the designer(s) and (2) the individual authorshipofthe design is difficult or impossible to ascribe. D Please check here if those conditions are satisfied and you are providing the employer's name.DFSIGNER(S)

Name: :Dcw',J 13 ~ Exley Name:

Add"" 13~ ~,:=huU Add"". _

!J.)e~ ~!J~G&9f2lf-

If the owner is different from the designer(s) or employer named above, provide the name and address of the owner:

N,me S('e~!letYM ~_o~~Wbrk~ OWNER,

Address: ­ /3Lf-Jl;W~o -aM1------:-----;-.-­'FNOT !AJf!.5T !J1e/lJ'OuCIJe) EL 3'AqO!j..DESIGNER(S)

Was an application for registration or this design identified If yes, identify the country and date of application: Country: _in an application filed in a foreign country that extends to5 (al

designs of owners who are citizens of the United States, or to persons filing applications in the United States, similar Date of application: _

PRIORITY protection to that afforded in 17 USC chapter J3? CLAIM Serial No: _DYes rNo

Was this design made public before the date of application? Yes 0 No lh APPLICATION RECEIVED W...J

~~ If yes, on what date'? 1i6rUb.ry /1) ;1..0/3 fg DESIGN COPIES RECEIVED2 J51 J/

~ I Month Day Year

DATE MADE b~ FUNDS RECEIVED -:2- /1?/1 PlIBLlC ~:5 r " o

• Complete all applicable spaces (numbers 7-9) on the reverse SIde 01 thiS page.MORE ON BACK • See detailed instructions. . Sion the form fit section 9.

FORM D-VHEXAMINED B4~

FORCORRESPONDENCE COPYRIGHT

DYes OFFICE USE

ONLY

DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. Form D-VHlCON7 ::::P'"3):~Jnd '80$: of '1;a;;;om co>Tesponden,e "g"d;ng to;s 'ppl;,at;on m,y be d;"e1ed,

CONTACT Address: 13i tl/o nll CC I<.OfA d PERSON EmailaddressCo..nOf?do.ve@eo.rW.e.S-t IYJelbatJrtle £1.. 3?-.q~L.f.-- ...l\lr..k.flet

FAX number ON~ Daytime phone: (3;2..1 ) 5l./-l/- - ;2.9 3lf: Give the name and account number if the registration fee is to he charged to a deposit account established in the Copyright Office:

Name of Account:

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 USC § 1001, and that such willful false state­ments may jeopardize the validity of this application or any resulting registration, hereby declares to the best of his or her knowledge and belief:

(I) that the design has been fixed in a Llseful al1icle; (2) that the design is original and was created by the designer(s), or employer if applicable, named in the application; (3) 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 title; and (5) that the applican! 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 with a design notice as prescribed by 17 USC § /306. Following is the exact form of the design notice:

'~~----- Fe6Y'f1O. 0/ 7, ;;to I 3 Signatu~

Print or type name

3~ (-5'f't -2Q3'f

Copyrjght Office fees are SUbject to change. For current fees, check the Copyright Office website at www.copyright.gov, write the Copyright Office, or call (202) 707-3000.

Telephone number Fax number

Name Y

.:DAyr» FXLEYB .. Number/Street/Apt Y I 3lf­ mONACO r<oAb City/State/Zip Y fA!EST fY}eL'BoV~N F'J FL 3:LGJOl!­

Certificate will be mailed in window envelope to this address:

• Complete all necessary spaces • Sign your application in space 9

SEND ALL 3 ELEMENTS IN THE SAME PACKAGE:

1. Application lorm 2. Nonrefundable filing lee In check or money order payable

to Regis/er of Copyrights 3. Design material

_M·1'_u Dept D-VH Vessel Hull Registration PO Box 71380 Washington, DC 20024-1380

17 USC §1327. Penally for lalse represenlll1lon. "Whoever knOWingly makes a talse representation materially atlecting the nghts obtainable under this chapter lor the purpose of obtaining registration 01 a de gn under thiS chapter shall pay a penalty ot nol less than $500 and not more than $1.000. and any rights or pnvileges that individual may have in the design under this chapter shall be fortetted."

Fnrm nVH l=lAV· n71?nnn Print· n7I?nM-'l{'l{)()('X PnnrArl nn rpr.vr.lpn n.::lnp'r

-rhe ')..5' FLATS FL YF!<. by Gt"een lIeY'dn E(J~i" WOrKs

Ubrary of Congress Received

FEB 0 B2013

U.S. Copyright Offlce DVH 0537

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Library of Congress Received

FEB 0 8 2013

U.S. Copyright OffiCe DVH 0537

-rAe 25/ FLATs FLYFR by GREE'N IIE~ot{ BoATWORKs

Library of Congress Received

FEB 0 8 2013

U.S. CoPyright Offfce DVH 0537

-rAe ;lSi pLA;-S FZ Yc-R by Green lIer'on Boo.:tWorks

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