Fill and Sign the Filing of Appeal Form

AO 279 (4/82) TO: Register of Copyrights Copyright Office Library of Congress Washington, DC 20559 REPORT ON THE FILING OR DETERMINATION OF AN ACTION OR APPEAL REGARDING A COPYRIGHT In compliance with the provisions of 17 U.S.C. 508, you are hereby advised that a court action or appeal has been filed on the following copyright(s):  ACTION  APPEAL COURT NAME AND LOCATION DOCKET NO. DATE FILED PLAINTIFF DEFENDANT COPYRIGHT REGISTRATION NO. TITLE OF WORK AUTHOR OF WORK 1 2 3 4 5 In the above-entitled case, the following copyright(s) have been included: DATE INCLUDED INCLUDED BY  AMENDMENT  ANSWER  CROSS BILL  OTHER PLEADING COPYRIGHT REGISTRATION NO. TITLE OF WORK AUTHOR OF WORK 1 2 3 In the above-entitled case, a final decision was rendered on the date entered below. A copy of the order - 1 - or judgment together with the written opinion, if any, of the court is attached. COPY ATTACHED  Order  Judgment WRITTEN OPINION ATTACHED  YES  NO DATE RENDERED CLERK (BY) DEPUTY CLERK DATE  U.S. G.P.O. 1982-374-279 Copy 1 - Upon initiation of action, mail this copy to Register of Copyrights Copy 2 - Upon filing of document adding copyrights(s), mail this copy to Register of Copyrights Copy 3 - Upon termination of action, mail this copy to Register of Copyrights Copy 4 - In the event of an appeal, forward this copy to the Appellate Court so they can prepare a new AO 279 for the appeal. Copy 5 - Case file copy - 2 -