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Initial Notice Of Distribution Of Digital Audio Recording Devices Or Digital Audio Recording Media Form. This is a Official Federal Forms form and can be use in US Copyright Office.
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037036035034033032 031034030034033031 027026025024023035022021034 026020020035027033Initial Notice of Distribution of Digital Audio Recording Devices or Digital Audio Recording Media5 A þ 1 þ Legal name of þ importer þ manufacturer: þ ( þ n Check the applicable box(es).) þ 2 þ Mailing address of importer/ þ manufacturer:037036035034033032 031 030027032033033027, þ 032036032026025 032024036027033, þ 026023026032027035033037027022030036021027033 037036035034033032 þ þ 020021027017/027024016037 þ 030027026027033/023032024r021037020033 þ f021023/ þ n 023024030027026025 020024013033B þ 1 þ Business name of importer/manufacturer (if di037erent): þ 2 þ Mailing address (if di037erent):037036035034033032 031 030027032033033027, þ 032036032026025 032024036027033, þ 026023026032027035033037027/030036021027033 037036035034033032 þ þ 020021027017/027024016037 þ 030027026027033/023032024r021037020033 þ f021023/023024030027026025 020024013033 þ 3 þ Trade names, trademarks, or like indicia of origin presently used or intended to be used in the future: þ þ þ C þ Product category/technology þ Date of distribution þ þ þ Use a separate sheet of paper if additional space is needed.D þ þ Importer or manufacturer other than a corporation or partnership: I am the importer or manufacturer identi036ed in space A, line 1, under 223legal name.224 þ þ Principal of importer or manufacturer other than a corporation or partnership: I am the duly authorized agent of the importer or manufacturer identi036ed in space A, line 1, under 223legal name.224 þ þ O036cer or partner: I am an o035cer (if a corporation) or a partner (if a partnership) of the legal entity identi036ed in space A, line 1.n026037013016032021027027033037 030021t037026027036032033 þ 013026027033027017023033013 024032 023032021037027033013 037026035033 þ 027021027025033033035026021025 (024023027021024037026025) þ 027033025033023n024037033 037036035034033032 026020020035027033 037031033 026036017024Date received:Privacy Act Notice: Chapter 10 of title 17, United States Code, authorizes the Copyright O037ce to collect the personally identifying information (PII) requested on this form in order to process your initial notice. PII is any personal information that can be used to identify or contact an individual, such as names, addresses, and telephone numbers. By providing your PII, you are agreeing to this routine use of it. The e036ects of not providing the PII requested are that it may delay processing of your initial notice, and it may a036ect the legal su037ciency of the 035ling, a determination that would be made by a court of law. American LegalNet, Inc. www.FormsWorkFlow.com Use This Form If:225 þ You are an importer or manufacturer of a digital audio recording device or a digital audio recording medium, and225 þ You have distributed the device or medium in the United States on or after October 28, 1992.When to File225 þ An initial notice must be recorded in the Copyright Office within 45 days after the commencement of the first distribution in the United States of such devices or media.225 þ An initial notice must be recorded in the Copyright Office within 45 days after the commencement of the first distribution in the United States of a new product category or product utilizing new technology.225 þ The notice must be forwarded on the form provided by the Copyright Office to: Copyright Royalty Board, Attn: Licensing Division, P.O. Box 70977, Washington, DC 20024-0977.225 þ For additional forms or information, you may call the Licensing Division at (202) 707-8150 or email at email@example.com þ n .Space ALine 1 þ 267 þ Give the full legal name of the importer or manufacturer of the digital audio recording device or digital recording medium. If the importer or manufacturer is a partnership, give the name of the part-nership followed by the name of at least one individual partner. If the owner is a subsidiary of another corporation, give the full corporate title of the subsidiary, not that of the parent corporation.Line 2 þ 267 þ Provide the current mailing address of the importer or manu-facturer listed in line 1.Space BLine 1 þ 267 þ List the business name used by the importer or manufacturer if different from space A, line 1.Line 2 þ 267 þ Give the mailing address if different from the mailing address in space A, line 2.Line 3 þ 267 þ List any trade names, trademarks, or like indicia of origin that the manufacturer uses or intends to use in the future. Space CProvide the product category (e.g., portable personal recorder, boom box, automobile recorder), technology utilized (e.g., DAT, DCC), and the date of distribution for each product. Space DThe notice must be signed in accordance with Copyright Office regula-tions. A photocopied or stamped signature is not acceptable.Privacy Act Advisory StatementRequired by the Privacy Act of 1974 (Public Law 93-579)Authority for requesting this information: þ Title 17, USC, chapter 10Furnishing this information is: þ voluntaryBut if this information is not furnished: 225 þ It may be necessary to delay placement of the initial notice in the com-pleted record.225 þ You may be liable for civil or statutory damages for copyright infringement with respect to the distribution of digital audio recording devices or media (17 USC 2471009).Principal uses of requested information: 225 þ Preparation of detailed reports to the Copyright Royalty Board225 þ Establishment and maintenance of a public record225 þ Examination of the initial notice for compliance with legal requirement037036035034033032 031034030034033031 027026025024023035022021034 0260200200350270335 þ Instructions for Filing an Initial Notice034033032031/030027034 þ 032026025: 024023/022024021020 þ 017032030027031: xx/xxxx þ 226 þ 225225225225 þ Printed on recycled paper þ U. þ n S. þ Government Printing O037ce: 2014-xxx-xxx016xx,xxx American LegalNet, Inc. www.FormsWorkFlow.com