PRIVACY ACT ADVISORY STATEMENT Required by the Privacy Act of 1974 (P.L. 93-579)The authority for requesting this information is title 17 U.S.C. 247409 and 247410. Furnishing the re-quested information is voluntary. But if the information is not furnished, it may be necessary to delay - Name of Author: The fullest form of the author222s name should be given. Unless the work was 223made for hire,224 the individual who actually created the work is its 223author.224 In the case of a work made for hire, the statute provides that 223the employer or other person for whom the work was prepared is considered the author.224What Is a 223Work Made for Hire224? A 223work made for hire224 is defined as (1) 223a work prepared by an employee within the scope of his or her employment224; or (2) 223a work specially ordered or commissioned for use as a contribution to a collective work, as a part of a motion picture or other audiovisual work, as a translation, as a supplemen-tary work, as a compilation, as an instructional text, as a test, as answer material for a test, or as an atlas, if the parties expressly agree in a written instrument signed by them that the work shall be considered a work made for hire.224 If you have checked 223Yes224 to indicate that the work was 223made for hire,224 you must give the full legal name of the employer (or other person for whom the work was prepared). You may also include the name of the employee along with the name of the employer (for example: 223Elster Music Co., employer for hire of John Ferguson224).223Anonymous224 or 223Pseudonymous224 Work: An author222s contribution to a work is 223anonymous224 if that author is not identified on the copies or phonorecords of the work. An author222s contribution to a work is 223pseudonymous224 if that author is identified on the copies or phonorecords under a fictitious name. If the work is 223anonymous224 you may (1) leave the line blank; (2) state 223anonymous224 on the line; or (3) reveal the author222s identity. If the work is 223pseudonymous224 you may (1) leave the line blank; (2) give the pseudonym and identify it as such (example: 223Huntley Haverstock, pseudonym224); or (3) reveal the author222s name, making clear which is the real name and which is the pseud-onym (for example: 223Judith Barton, whose pseudonym is Madeline Elster224). However, the citizenship or domicile of the author must be given in all cases.Dates of Birth and Death: If the author is dead, the statute requires that the year of death be included in the application unless the work is anonymous or pseudonymous. The author222s birth date is optional but is useful as a form of identification. Leave this space blank if the author222s contribution was a 223work made for hire.224Author222s Nationality or Domicile: Give the country of which the author is a citi-zen, or the country in which the author is domiciled. Nationality or domicile must be given in all cases.When to Use This Form: Use Form PA for registration of published or unpublished works of the performing arts. This class includes works prepared for the purpose of being 223performed224 directly before an audience or indirectly 223by means of any device or process.224 Works of the performing arts include: (1) musical works, including any accompanying words; (2) dramatic works, including any accompanying music; (3) pantomimes and choreographic works; and (4) motion pictures and other audiovisual works.Unpublished works: This form may be used to register one unpublished work. This form cannot be used to register a 223collection224 of two or more unpublished works. Any paper application submitted with more than one unpublished work may be refused. To register multiple unpublished works, you must use the online application for 223A Group of Unpublished Works.224 For information about the online application, see Multiple Works (Circular 34).Deposit to Accompany Application: An application for copyright registration must be accompanied by a deposit consisting of copies or phonorecords representing the entire work for which registration is made. The following are the general deposit requirements as set forth in the statute:Unpublished Work: Deposit one complete copy (or phonorecord).Published Work: Deposit two complete copies (or one phonorecord) of the best edition.Work First Published Outside the United States: Deposit one complete copy (or phonorecord) of the first foreign edition.Contribution to a Collective Work: Deposit one complete copy (or phonorecord) of the best edition of the collective work.Motion Pictures: Deposit both of the following: (1) a separate written description of the contents of the motion picture; and (2) for a published work, one complete Title of This Work: Every work submitted for copyright registration must be given a title to identify that particular work. If the copies or phonorecords of the work bear a title (or an identifying phrase that could serve as a title), transcribe that wording completely and exactly on the application. Indexing of the registration and future identification of the work will depend on the information you give here. If the work you are registering is an entire 223collective work224 (such as a collection of plays or songs), give the overall title of the collection. If you are registering one or more indi-vidual contributions to a collective work, give the title of each contribution, followed by the title of the collection. For an unpublished collection, you may give the titles of the individual works after the collection title. Previous or Alternative Titles: Complete this space if there are any additional titles for the work under which someone searching for the registration might be likely to look, or under which a document pertaining to the work might be recorded. If you need a additional space, request a Continuation Sheet (Form CON).Nature of This Work: Briefly describe the general nature or character of the work being registered for copyright. Examples: 223Music224; 223Song Lyrics224; 223Words and Music224; 223Drama224; 223Musical Play224; 223Choreography224; 223Pantomime224; 223Motion Picture224; 223Audio-visual Work.224General Instructions: After reading these instructions, decide who are the 223authors224 of this work for copyright purposes. Then, unless the work is a 223collective work,224 give the requested information about every 223author224 who contributed any appre-ciable amount of copyrightable matter to this version of the work. If you need further space, request additional Continuation Sheets. In the case of a collective work such as a songbook or a collection of plays, give information about the author of the collec-tive work as a whole.copy of the best edition of the motion picture; or, for an unpublished work, one complete copy of the motion picture or identifying material. Identifying material may be either an audiorecording of the entire soundtrack or one frame enlargement or similar visual print from each 10-minute segment.The Copyright Notice: Before March 1, 1989, the use of copyright notice was man-datory on all published works, and any work first published before that date should have carried a notice. For works first published on and after March 1, 1989, use of the copyright notice is optional. For more information about copyright notice, see Copyright Notice (Circular 3).For Further Information: To speak to a Copyright Office staff member, call (202) 707-3000 or 1-877-476-0778 (toll free). Recorded information is available 24 hours a day. Order forms and other publications from the address in space 9 or call (202) 707-9100 or 1-877-476-0778 (toll free). Access and download circulars, certain forms, and other information from the Copyright Office website at www.copyright.gov.4 � Form PA � Detach and read these instructions before completing this form. � Make sure all applicable spaces have been 037lled in before you return this form. BASIC INFORMATIONLINE-BY-LINE INSTRUCTIONSPlease type or print using black ink. The form is used to produce the certificate. SPACE 1: Title1 SPACE 2: Author(s)2 American LegalNet, Inc. www.FormsWorkFlow.com (3) File Form SR if you are seeki