COURTForm MW 3 For Mask Works UNITED STATES COPYRIGHT OFFICE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.CONTINUATION SHEET FOR FORM MW This sheet should be used to complete information appearing on Form MW.REGISTRATION NUMBERCalendar No.MWEFFECTIVE DATE OF REGISTRATION Identify the work by completing the first section.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s) Spaces are provided to identify two additional owners.CONTINUATION SHEET RECEIVED Other information may be provided in the last space.(Month)(Day)(Year)DO NOT WRITE ABOVE THIS LINE. FOR COPYRIGHT OFFICE USE ONLY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .IDENTIFICATION OF CONTINUATION SHEET: This sheet is a continuation of the application for registration on Form MW filed for the following work: TITLE: Give the title as given under the heading Title of This Work in space 1 of Form MW. NAME AND ADDRESS OF CURRENT OWNER(S): Give the name and address of at least one of the owners named at space 3 of Form MW.STATE OF NEW YORKCITIZENSHIP OR DOMICILE OF CURRENT OWNER(S) Citizen of:NAME AND ADDRESS OF CURRENT OWNER(S)orDomiciled in:COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the located at,o'clock in the day ofnoon, and at any recessed the, 20, at testify and give evidence as a witness in this action on the part of theDERIVATION OF OWNERSHIP: If the person who created the mask work which is subject matter of this application is NOT named as the owner, check one: (Note: If a company or organization is named as the current owner, one of the following boxes must be checked.)comply with this subpoena is punishable as a contempt of court and will make you liable to behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a comply. a. The owner is the employer of a person who created such mask work within the scope of his/her employment. b. The owner has acquired the rights by transfer from the creator, employer, or representative. c. The owner is the legal representative of the deceased or legally incapacitated creator.CITIZENSHIP OR DOMICILE OF CURRENT OWNER(S) Citizen of:NAME AND ADDRESS OF CURRENT OWNER(S)Honorable, one of the Justices of theday of, 20 County,orDomiciled in:(Attorney must sign above and type name below)DERIVATION OF OWNERSHIP: If the person who created the mask work which is subject matter of this application is NOT named as the owner, check one: (Note: If a company or organization is named as the current owner, one of the following boxes must be checked.)Attorney(s) for a. The owner is the employer of a person who created such mask work within the scope of his/her employment. b. The owner has acquired the rights by transfer from the creator, employer, or representative. c. The owner is the legal representative of the deceased or legally incapacitated creator.Office and P.O. AddressADDITIONAL INFORMATION: Indicate the Heading and the Space Number from the basic Form MW being amplified, followed by the added facts. The other side of this form may be used for additional space.Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:January 20023,000U.S. GOVERNMENT PRINTING OFFICE: 2002491423/40,009American LegalNet, Inc. www.USCourtForms.com