`
`VWGoA - Ex. 1017
`Volkswagen Group of America, Inc., Petitioner
`
`
`
`I
`
`
`-
`FORM SE
`EXAMINED BY
`CHEEED BY
`connespouoewce
`“*5
`
`
`
`son I
`COPYRIG
`omce 1‘
`use 5
`ONLY ‘
`
`.
`
`
`
`NOTWFI TE ABOVELTHIS LINE. IF VOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET.
`
`PREVIOUS REGISTRATION Has registration for this issue. or for an earlier version of this particular issue, already been made in the Copyright Office?
`Cl Yes I No If your answer is "Yes," why is another registration being sought? (Check appropriate box) 7
`a. G This is the first published edition of an issue previously registered in unpublished form.
`b. D This is the first application submitted by this author as copyright claimant.
`c. G This is a changed version of this issue. as shown by space 6 on this application.
`If your answer is "Yes," give: Previous Registration Number 7
`Year of Registration 7
`
`
`
`
`DERIVATIVE WORK OR COMPILATION Complete both space 6a and 6b for a derivative work; complete only 6b for a compilation.
`a. Preexisting Material Identify any preexisting work or works that this work is based on or incorporates. V
`
`b. Material Added to This Work Give a brief, general statement of the material that has been added to this work and in which copyright is claimed. 7
`
`See instrucfiom
`
`
`—space deleted-
`
`
`ture on this form at space 10 and a check in one
`REPRODUCTION FOR USE OF BLIND OR PHYSICALLY HANDICAPPED INDIVIDUALS A signa
`of the boxes here in space 8 constitutes a non-exclusive grant of permission to the Library of Congress to reproduce and distribute solely for the blind and physically
`handicapped and under the conditions and limitations prescribed by the
`tioru of the Copyright Office: (1) copies of the work identified in space 1 of this
`application in Braille (or similar tactile symbols); or (2) phonorecords embodying a fixation of a reading of that work; or (3) both.
`
`am Copies and Phonorecords
`b D Copies Only
`c C] Phonorecords Only
`See instructions
`
`DEPOSIT ACCOUNT If the registration fee is to be charged to a Deposit Account established in the Copyright Office. give name and number of Account.
`Name 7
`Account Number V
`SAE
`DAO 31747
`
`
`
`CORRESPONDENCE Give name and address to which correspondence about this application should be sent. Name/Address/ Apt/City/State/ZIP V
`
`
`
`__Y_iyian Rathke
`awn»F
`400 Commonwealth Drive
`‘gawfumpnon.
`Warrendale PA 1 096-0001
`number
`AreeCodeandTe|ephoneNurnberp
`724-772-7107
`
`G author
`CERTIFICATION‘
`I, the undersigned, hereby certify that [am the
`
`Cl other copyright claimant
`Cl owner of exclusive right(s)
`mauthorized agent of __
`of the work identified in this application and that the statements made
`NuneoiauthaoroIheroopynghtdaimanLorownerotexch:siven9ht(s)‘A
`by me in this application are correct to the best of my knowledge.
`
`Check only one D
`
`Typed or printed name and date 7 If this application gives a date of publication in space 3, do not sign and submit it before that date.
`
`
`
`“"’
`
`"/-£0
`
`I
`Vivian Rathke
` Handwritten signature!
`
`.
`
`L
`
`g§$;I;I6
`
`NW '
`°/° 5”‘ “TL
`'.’ivian sac:-.ke
`number/street/Apartment Number V
`4 o 0 COMMONWEALTH DR
`
`C"Y’5‘3‘°’2'P V
`WARRENDALE PA 15096-0001
`
`. voumu:
`.°°‘si..."""",.......%..;"‘..;':‘.o
`1- Awiication hm‘
`" 'an'°cn-cu""”"o«""’»-on-y"."°o-'5'-r'° "',
`certificate
`3. B12';.«".}'?.f'.7..i‘7""'°'°°"’"°"”
`Will be
`MAIL To
`mailed In
`.._.,.,..,,,.,.,,,.,,,,,
`.,.,.¢.,..
`t.‘$'.;‘..2%%';“2.mm
`envelope
`-:1 ll 9: C s Slfilnl‘ Anv nnrsnn who lrnowinahr makes a false reoresemarion or a material tact in the application for copyright registration provided for by section 409. or in any written statement fled in connection
`
`:.~.:....:*.°-..:m2
`
`in one-
`The
`:-§f_;,,,’‘-'«'‘g,,'’'v;,-_-_'''''
`".,:;,'~g**,,:',,",,,,,,,,
`month one In ran
`5-3-_$=o5-,-,-__g_«g
`
`2