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Formre Form RE (U.S. Copyright Office)

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answer only the questions that apply to your claim.
     .
    ,   
/
.
1
title and original term information
A
Title of work as rst published or registered:
if you need more space, use space b on form re
/
con
If periodical, give: Volume: Number: Issue date: ISSN:
B
Alternative title:
if you need more space, use space b on form re
/
con
C
If rst published as a contribution to a periodical or other collective work, give title of larger work:
if you need more space, use space b on form re
/
con
If periodical, give: Volume: Number: Issue date: ISSN:
D
Has this work (or the work in which it was rst published, if a contribution) ever been registered?
Yes
Give registration number
:

No (
Complete Form RE/Addendum.
)
E
Publication date:

Registration date, if registered as unpublished work:
(mm
/
dd
/
yyyy ) (mm
/
dd
/
yyyy )
F
Year date(s) in copyright notice, if earlier than actual publication year date: 19 ISBN:
G
Original copyright claimant(s):
if you need more space, use space b on form re
/
con
H
If the work was originally registered in Class Ai or Bi, was a U.S. edition registered?
Yes
Give registration number
:

No
I
If the original registration record was corrected or amplied by supplementary registration on Form CA, give the registration
number and eective date of the supplementary registration: Number: Date:
2
work or material claimed and author information
A
Copyright for the renewal term is claimed in: (
Check only one.
)
1 the entire work.
2 a contribution rst published in a periodical or other collective work.
3 revisions in previously published or registered work.
Describe revisions
:
4 separate element(s) of authorship in a larger work.
Specify element
(
s
):

5 The renewal claim is based on the rst publication of a work previously
registered as an unpublished work under registration number:
B
The following author(s) contributed to the work or material claimed:
Name: This author created:
Date of death, if applicable:
(mm
/
dd
/
yyyy )
Name: This author created:
Date of death, if applicable:
(mm
/
dd
/
yyyy )
Name: This author created:
Date of death, if applicable:
(mm
/
dd
/
yyyy )
if there are additional authors, use space d on form re
⁄
con.
5
Form RE
For Renewal Registration
·
United States Copyright Oce
registration number
effective date of renewal registration
mm dd yyyy
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. §409 and §410. Furnishing the requested information is voluntary. But if the
information is not furnished, it may be necessary to delay or refuse registration and you may not be entitled to certain relief, remedies, and benets provided in chapters 4 and 5 of title 17 U.S.C. The principal uses of the
requested information are the establishment and maintenance of a public record and the examination of the application for compliance with the registration requirements of the copyright code. Other routine uses include
public inspection and copying, preparation of public indexes, preparation of public catalogs of copyright registrations, and preparation of search reports upon request. NOTE: No other advisory statement will be given in
connection with this application. Please keep this statement and refer to it if we communicate with you regarding this application.
do not write above this line.
if you need more space, use form re
/
con.
3
   
A
Name the party or parties entitled by law to claim the renewal copyright on the last day of the original 28-year term of copyright.
For each statutory claimant named, give the basis of the claim, and provide a
current
address.
Read instructions.
Name: as the:
Address:
or
Year of death:
Name: as the:
Address:
or
Year of death:
Name: as the:
Address:
or
Year of death:
Name: as the:
Address:
or
Year of death:
if there are additional statutory claimants, use space e on form re/con.
B
This application is submitted by or on behalf of the: (
Check only one.
)
Statutory claimant(s) named above. (
Go on to section 4.
)
or
Assignee
/
successor of the statutory claimant(s) named above. (
Complete space C below.
)
C
by
assignee
/
successor means of transfer
Current address:
4

I, the undersigned, hereby certify that I am the statutory claimant, the assignee
/
successor, or the duly authorized agent of the
statutory claimant or assignee
/
successor, and that the statements made by me in this application are correct.
Typed or printed name:
Date:
Handwritten signature:
5
, ,   
Deposit account number:
Account name:
Contact information for correspondence, including name and mailing address:
Phone: ( ) Fax: ( ) Email:
   :
name
number
/
street apt
/
suite
city
/
town state
/
province zip
/
postal code country
application received:
correspondence: yes
examined by:
funds received:
  : /  Printed on recycled paper ..   : -xxx-xxx ⁄ xx,xxx
17
USC
§506(e)
:
Any person who knowingly makes a false representation
of a material fact in the application for copyright registration provided
for by section 409, or in any written statement led in connection with
the application, shall be fined not more than $2,500.
How to complete this form
Complete the form on your personal computer and print it out, or
print out a blank form and complete it using black ink.
Leave blank any question that does not apply to your copyright
claim.
Use
Continuation Form RE/CON
to add the names of authors or
statutory claimants if there are more than four or if you need addi-
tional space for titles.
Complete a
Form RE/Addendum
in addition to a Form RE if the
work, or the collective work in which it was rst published, was not
registered during the original term of copyright.
To obtain additional forms
Visit the Copyright Oce website at
www.copyright.gov
and click on
Forms. Scroll down to Renewals and select the appropriate forms. Or
call the Copyright Oce at (202) 707-9100 or 1-877-476-0778 (toll free).
What to send
1 · Forms ·
Form RE (completed and signed) and Form RE/CON
(if any) if the work was registered during the original term. If the
work, or the collective work in which it was rst published, was
not registered during the original term, send Form RE and Form
RE/Addendum.
2 · Filing fee(s) ·
For current fees, check the Copyright Oce
website at https://www.copyright.gov/about/fees.html, write the
Copyright Oce, or call (202) 707-3000. Send the ling fee in a check
or money order made payable to U.S. Copyright Oce. If you are l-
ing from outside the United States, your check or money order must
be redeemable in U.S. dollars without a service or exchange fee. If
you are sending multiple renewal claims together, you may send
a single check or money order for the entire amount due. Or, if you
have a deposit account with the Copyright Oce, give the account
number in Section 5.
3 · Deposit ·
A deposit copy must accompany a Form RE/Adden-
dum. For deposit copy requirements, see instructions for Form RE/
Addendum.
exception:
A deposit copy is not required when the sole
purpose of the Form RE/Addendum is to establish eligibility of a con-
tribution to a work that was registered during its original term.
Where to send your application
Mail the signed application, fee(s), and deposit copy (if any) in the
same package to:
Library of Congress
U. S. Copyright Oce-RE
101 Independence Avenue SE
Washington, DC 20559
If your package includes a deposit copy that is electronic in
nature, use a box rather than an envelope for mailing to the Copy-
right Oce to avoid damage from Library security measures.
Questions about completing the application?
The instructions will guide you; however, copyright specialists are
available in the Public Information Oce between 8:00  and
5:00  Monday–Friday, eastern time, except federal holidays,
and can be reached by phone at (202) 707-5959 or 1-877-476-0778
(toll free). You can also send an email message from the website at
www.copyright.gov
or leave a voice mail message for a renewals
specialist at (202) 707-8180
.
Line-by-Line Instructions
Section 1
·
Title and Original Term Information
1a · Title of work as rst published or registered ·
Give the title (or an
identifying phrase that could serve as a title) as it was given in the
original registration (or in the published edition, if the work was
never registered). If the complete title will not t, give the remainder
in space B on Form RE/CON. If the work is a periodical, give the vol-
ume, number, issue date, and International Standard Serial Number
(ISSN), if any. If the work is a contribution to a periodical or other
collective work, give the title of the contribution. If the work is an
episode in a series, give the episode title and complete line c to give
title information about the series.
1b · Alternative title ·
Complete line 1b only if the work was pub-
lished under a dierent title than the one given in the original regis-
tration.
Do not include contents titles here
.
1c · If rst published as a contribution to a periodical or other
collective work ·
If the work was rst published as a contribution to
a periodical or other collective work, give the title of the periodical
5
Instructions for Form RE
Read these instructions before completing the application.
Use this form
for works published or registered from January 1, 1964,
through December 31, 1977.
Do
not
use this form for works published or registered before
January 1, 1964, or after December 31, 1977.
See circular 6A, Renewal of Copyright, and Code of Federal Regula-
tions (37 CFR 202.17), Registration of Claims to Copyright – Renewals,
for more detailed information.
All Copyright Oce forms and circulars are available at
www.copyright.gov.
Privacy Act Notice: Sections 408–410 of title 17 of the United
States Code authorize the Copyright Oce to collect the personally
identifying information requested on this form in order to process
the application for copyright registration. By providing this
information, you are agreeing to routine uses of the information
that include publication to give legal notice of your copyright claim
as required by 17
USC section 705. It will appear in the Oce’s online
catalog. If you do not provide the information requested, registration
may be refused or delayed, and you may not be entitled to certain
relief, remedies, and benets under the copyright law.
4
·
 
or other collective work on this line and the volume, number, issue
date, and ISSN, if any.
note:
If the claim is in a contribution by a U. S.
author to an English-language periodical or literary work rst published
abroad, a Form RE/Addendum is required to establish eligibility for regis-
tration of the contribution.
1d
·
Has this work (or the work in which it was rst published,
if a contribution) ever been registered?
·
If the work (or the work in
which the contribution or material was rst published)
was
regis-
tered during its original term of copyright, check “yes,” and give the
registration number. If the work (or the work in which the contribu-
tion or material was rst published) was not registered, check “no”
and complete a Form RE/Addendum to provide information about
the original copyright term and eligibility for registration.
note:
If
you do not know whether the work (or the work in which the contribu-
tion or material was rst published) was registered, you may either
conduct a search of records at the Copyright Oce in Washington, D.C., or
request the Copyright Oce to do the search for you. Information about
requesting a search can be found in Circular 22. See also note in 1c above.
1e · Publication or registration date ·
Give the
complete date of
rst publication
(month/day/year). Or, if the work was registered
prior to its publication as an unpublished work, give the
date of
registration
. If the work was registered as an unpublished work, give
the latest date stamped in the lower left corner of the second page
of the original certicate of registration.
note:
Under the 1909 Copy-
right Law, statutory copyright protection was secured on the date of rst
publication, provided the work was published with the required copyright
notice, or on the date of registration, if the work was registered prior to
its publication.
1f · Year given in copyright notice, if earlier than publication ·
If the year in the copyright notice in the published edition is earlier
than the year of publication, give the earlier year in the notice. If
there are multiple years in the copyright notice, list all of them.
note:
Generally, the original and renewal copyright terms are calcu-
lated from the year in the copyright notice, if it is earlier than the year of
publication.
If an International Standard Book Number (ISBN) was
assigned to the work, give the number.
1g
·
Original copyright claimant(s)
·
Give the name(s) of the
copyright claimant(s) as identied in the original registration
or
in
the copyright notice on the published edition, if the work was not
registered during the original term. If there were multiple claimants,
separate the names with commas. If you need more space, use space
C of Form RE/CON.
1h · If the work was originally registered in Class Ai or Bi, was a
U.S. edition registered? ·
Answer this question
only
if the renewal
claim is based on an ad interim registration (Ai or Bi classes).
note:
Ad interim copyright was a short-term U.S. copyright available
to nondramatic English-language books and periodicals that were
manufactured and rst published abroad prior to 1978. It was secured
by registration within six months of rst publication abroad and lasted
for a maximum of ve years from publication. If a U. S. edition was
manufactured and published in the U.S. with the required copyright
notice before the ad interim copyright expired, full-term protection
was secured. If ad interim copyright was subsisting or was capable of
subsisting on December 31, 1977, the work may be eligible for renewal
registration even if copies were not manufactured and published in
the U.S. within ve years of publication abroad. Also, if a work was
manufactured and published in the U.S. within ve years of publication
abroad, but the U.S. edition was not registered, renewal registration may
be possible for both editions. For more information about ad interim
copyright, see Circular 6A.
1i
·
If the original registration record was corrected or amplied
by supplementary registration on Form CA
·
Complete this line
only
if a supplementary registration was made during the original term
of copyright to correct or amplify the information in the original
registration record. Give the registration number and eective date
of the supplementary registration.
Section 2
·
Work or Material Claimed and
Author Information
2a · Copyright for the renewal term is claimed in ·
Check only one
option. Check option 1 if the renewal claim covers the entire work as
originally registered or rst published. Check option 2 if the claim
is in a contribution rst published in a periodical or other collective
work. Check option 3 if the claim covers only the revisions in a previ-
ously registered or published edition of the work (such as a new
musical arrangement or revised text), or option 4 if the claim is lim-
ited to a separate element of authorship created by an author (such
as illustrations or photographs in a literary work).
note:
Option 4
does not apply to joint works (such as songs) or to works incorporating
elements of authorship that are integral to the work as a whole (such as
motion pictures).
Or check option 5 if the renewal claim is based on
the rst publication of a work that was registered as an unpublished
work (such as a song or other musical or dramatic work).
2b · The following author(s) contributed to the material claimed ·
Name only the author(s) who contributed to the work or the mate-
rial claimed in line 2a. Examples: If you checked option 1, name all
authors identied in the original registration or in the published
edition. If the original registration did not name an author (as in
the case of periodicals), give the name of the author at the time
of creation. If you checked option 2, name the author(s) of the con-
tribution. If you checked options 3 or 4, name only the author(s) of
the material added to the derivative work or the separate element
of authorship. If you checked option 5, name the author(s) of the
original work; do not name the author(s) of any material added to
the published work. If there are more than 4 authors, use space D of
Form RE/CON.
Name ·
If the author is an individual, give the name as it appears
in the original registration, or in the published edition, as well as the
pseudonym, if given in the original registration or published edition.
If the author is an organization, give the name as it appeared in the
original registration or the complete legal name of the organization
at the time the work was created, if the work was not registered dur-
ing the original term.
This author created ·
Complete this line if the original registra-
tion gave an authorship statement for the author, or if the work was
not registered during the original term.
note:
Do not give terms that
are not subject to copyright protection, such as idea, process, concept,
title, or name.
Date of death ·
Give the date of death for any author who is
deceased. If you do not know the complete date of death, you may
give a partial date such as the month and year or only the year.
 
·
5
Section 3
·
Renewal Term Ownership Information
Please read the following paragraphs before attempting to com-
plete this section of the application.
Information about who is entitled by law to claim copyright for
the renewal term. Section 304 of the current law states that, if a
renewal registration is not made in the Copyright Oce before the
expiration of the original term of copyright, copyright for the
renewal term vests automatically in the person or entity entitled to
claim that right on the last day of the original term of copyright,
that is, on December 31st of the 28th year following publication or
registration as an unpublished work. Generally, the individual
author is so entitled, if still alive on that date. When the author dies
during the original term, the law prescribes that the following per-
sons are entitled to claim copyright for the renewal term in this
order:
1 the
widow
(
er
) and/or surviving child(ren);
2 the
executor
named in the author's will, if there is no widow(er) or
surviving child;
3 a person recognized by state law as the
next of kin of the author
,
provided there was no widow(er) or surviving child, and the
author died intestate.
note:
Based on case law, if the author’s will failed to name an executor, or
if the executor died or was no longer acting in that capacity at the time of
registration, a court-appointed administrator may claim on behalf of the
legatees.
For certain types of works, such as composite and posthumous
works and works made for hire, the law provides that
the copyright
proprietor
on the last day of the original term of copyright may claim
copyright for the renewal term.
All of these parties
—
the author, the deceased author’s heirs,
the proprietor
—
are known as
statutory claimants
.
note:
Copyright
cannot vest in a deceased person or a defunct organization. To be named
as a statutory claimant, an individual must be alive or, in the case of an
organization, still be in existence at the time of registration.
The law also states that an
assignee
or a
successor
of a statutory
claimant in whom the renewal copyright vested may submit an
application for the renewal term,
provided
a claim has not been reg-
istered already in the name of the statutory claimant. For example, if
the statutory claimant assigned the copyright for the renewal term,
but did not register a claim to copyright for the renewal term, the
assignee may submit the application. Likewise, if a statutory claim-
ant dies before registering a renewal claim, the successor under the
will of the statutory claimant in whom the renewal copyright vested
may submit an application.
note:
Such registrations must identify the
statutory claimant in whom the renewal copyright vested, as well as the
assignee or successor. For more information about who can submit an
application for the renewal copyright, see 37 CFR 202.17 .
3a · Name the party or parties ·
Name the party or parties so
entitled. Do not include any statutory claimants you do not repre-
sent, or on whose behalf renewal claims have already been regis-
tered. Use space E of Form RE/CON if there are more than four statu-
tory claimants.
note:
To calculate when the original term ended, add
28 years to the year of publication or registration from space 1e. Or, if the
work was published with an earlier year date in the copyright notice, add
28 years to the year given in space 1f.
As the ·
Give the basis of the claim for each statutory claimant.
For example, if the individual author created the work in his or her
personal capacity, the statutory claimant may claim as the “author,”
the “widow(er) or child of the deceased author,” the “executor of the
deceased author” or the “next of kin of the deceased author, there
being no will.” (If a court-appointed administrator was acting in the
capacity of an executor on that date, the administrator may claim
as the “administrator c.t.a. (or d.b.n.c.t.a.) of the deceased author.”)
If more than one author is named in section 2, specify which author
is deceased; for example, “widow of the deceased author Benjamin
Bracket.” If the work is a posthumous or composite work, or if it was
created as a “work made for hire,” the statutory claimant may claim
as “proprietor of copyright in a work made for hire (or in a post-
humous or composite work.)”
note:
For a work to be “posthumous”
for renewal registration purposes, it had to be unpublished at the
time of the author's death, with no assignment of copyright or other
exploitation having occurred during the author's lifetime. A separate
written statement to this eect must accompany a renewal claim in a
posthumous work.
Address ·
Give the
current
and complete address of each statu-
tory claimant, or give the year of death, if the statutory claimant is
an individual who died after the renewal copyright vested. If the
address is an “in care of” address, include the name of the addressee
(representative). If you do not know the address of a claimant, do not
name that claimant.
3b · This application is submitted by or on behalf of the ·
Check
only one
option. If the party submitting the application is, or rep-
resents, the statutory claimant(s) named in line 3a, check
option 1
and go on to section 4. Or, if the party submitting the application
is, or represents, the assignee or successor of the statutory claimant
named in line 3a check option 2. In this case, complete 3c.
3c · Information about the assignee⁄successor ·
Give the name and
address of the assignee or successor and designate the means of
transfer.
note:
An assignee or successor can submit an application
only
if a claim in the name of the statutory claimant has not already been
registered.
Section 4
·
Certication
The applicant must certify that he or she is, or represents, the statu-
tory claimant(s) or the assignee/successor, and that the information
given on the application is accurate.
Section 5
·
Payment, Correspondence, and Mailing
Information
By completing the deposit account information, the applicant
authorizes the Copyright Oce to deduct the required fee(s) from
the deposit account. Otherwise, a check or money order must
accompany the application (and deposit copy, if any). Give contact
information for correspondence regarding registration issues and a
complete mailing address for mailing the certicate. That address,
as given, will appear in the window of the envelope.
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Completed 15 July 2020

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