~ ra~~~ll~:~H UNITED STATES COPYRIGHT OFFICE

REGISTRATION NUMBER

DVH 0522

DATE OF REGISTRATION/PUBLICATION

..... 1 1 1ft1I Month ~~ Year

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

Please give the make and model of the vessel that embodies the design.

Rickborn 260

TITLE

DESIGN(I ) Hull configuration and shape OCheck here if this IS a single design.

OCheck here if ----------------------------------------------- ­registering ') If this design is derived from an earlier design. describe how that design has bL'en revised, adapted, or rearrangedmore than I one design. ' N/AUse Form D-VH/CON

What is the type or style of the design for which registration is sought? Motorboat

Provide a brief general statement setting forth the salient features of the design.

tor additional desi os

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

Name: Spencer Wolfgang Rickborn Name:

Address: 1475 SE 15th Street Address: _

Apt 104 Fort Lauderdale FL 33316-2753

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

Name:

Address: --------------------------- ­OWNER, IF NOT DFEIGNER4S)

Was an application for regisu'ation of this design identified If yes. identify ilie country and date of appliciltion: Country: _in an application filed in a foreign countly that extends to

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

PlUOlUTY protection to iliat atJorded in 17 USC chapter 13 '} CLAIM SeriaJ No: _DYes Di1 No

~>- APPLICATION RECEIVED: Was this design made puhlic before Ole date of application? ILQ Yes 0 No LU-':x:Z ~~ DESIGN COPIES RECEIVED. 0 III J:z. ) L

If yes, on what date? :-:-'--:F~e-'='b-'..:ru~a~ryl--_____f.1~2=----------'=2'-"0'--'1C;_:1':_:_ !E~ - I /Month Day Year

DATE MADE b~ FUNDS RECEIVED ~ III} z. 0 I:z-. ~15 JIfPUBLIC o

• Complete all applicable spaces (numbers 7-9) on the reverse side ollhls page.MORE ON BACK . See delailed instructions. • Sign Ihe term at secHen 9

EXAMINED BY FORM D-VH J1/:;} CHECKED BY aVv1p4

FORCORRESPONDENCE COPYRIGHT

o Yes OFFICE USE

ONLY

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

Please provide the name and address of the person to whom correspondence regarding this application may be directed:

Name: Ury Fischer, Esq.

CONTACT PERSON

Address: Loll & Fischer, PL 355 Alhambra Circle, Suite 1100

Coral Gables, FL 33134 Email addressufischer@lfiplaw.com

FAX number 305-44J~,-,-",w- _ Daytime phone: (305 ) _4'-4'-"8'--7-'--'0,..,8,..,9"-----­ _

Give the name and account number if the registration fee is to be 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 wiJlfuJ 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:

(J) 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 ill 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 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 with a design notice as prescribed by 17 USC §1306. Following is the exact form of the design notice:

Where on the useful article is the design notice located?

305-448-7089 305-446-6191 ufischer@lfiplaw comTTe':"lec.:;pho~ne:-:n':-cum"'be~r'--=='--------FFax=nu'=m::Lb-=er~-=--'--"'--'-----·----- Email address

Copyright 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.

Ma 29 2012 Data

Owner/Designer Positk>n or title

~~~!gg!l~ppl~lJIt,he or she is properly authorized to execute this application on behalf of the applicant.

Print or type name

Name.

Urv Fischer c/o Lott & Fischer. PL Number/Street/Apt.

355 Alhambra Circle, Suite 110O City/State/Zip.

Coral Gables, FL 33134

.i""a"..,Certificate will be

SrtJIJAI/3fLEtlHJ1Smailed In HJ fHE S,iH.1L I'AI~KI\t.f

wIndow 1. Application form envelope 2. Nonrefundable filing fee In check or money order payable

to Register of Copyrightsto this 3. Design malerlaladdress: !gtflJ

Form DVH Rev: 0712006 Print: 0712OO6-xx,xxx Printed on recycled paper U.S. Government Printing OlIice: 2003-xxx

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I.IIIIIY ofCone.,..Received

JUN 11 20'1

U.s. CopyrIght OffIce DVH 0522

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