EFTA01332772.pdf

UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION 1 FEDERAL AVIATION ADMINISTRATION -MIKE MONRONEY AERONAUTICAL CENTER f 2 AIRCRAFT REGISTRATION APPLICATION C. II UPETED STATES PitOSTRATCN IAANISR N 722.1E N rot or nor !Anew 0 0 I. moss 1 PENNS 0 1 CaNatirn 2) ANCRAFT t 03.0~ lin4LWACTISCR ANO MOCEL KEYSTONE HELICOPTER STEC 0 s omen( (Ohba, one tcA) El 7. weed islet Cowry (ILO SE AIAL MAWR 760760 0 a Nn011son Caps/Non 0 • lisiERzes Orpon•On Cease I) /WACO) OF ApPLOM(SIIPww(N•huan on •Rasno4 of annhp X itch.clal miss& bans led NNO•INIIRI lockable Ma0rdy Solutions, LLC e) TELEPHONE NURSER 7) INIUNO ADDRESS (Penton•M SR Sew Pall apOlcal anMl NAMPER AND STREET! 2161 E. Convection Centex Way 0222 RURAL ROUTE PG e0x CITY: Ores*, STATE CA zip. RIM N poffIREAL Acrepara rrATIONIF ADAM IINL COOP OR RIME RDIRP NIX I P.mFORMALS] Annlipm MAMA MI) STREET. 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Ni!INC ALL SIGNATORIESOf MS APPUCAMNIASI READ DE FOIONIG MID UICERSTAND TEAL BY AMVYNO A SIGNATURE 10 De IICCUICKL REY ME SUBJECT TO THE RIETEROICED STATUTES AND ASSOCIATED POIALI13. ree Web/ wee SIN Wean Mae IL axe h Eery *Want Weis IpPkolon bail:rail go:0**m is ha,acoaele an] wreak) Ise talolNeter krooledee and Oeld allDAs* lanl Mee FM etieseetir el fee on theigannate Wee po h deienei•to MAW oigkeke a Solemoist No urdeolenS Mal etass, A my mar vital toLettlelon day *attired orioircyPee lit Slam Moe*indMlle Wes.await cement) 0/ ry Mx man ordiekeFe menIM0). slaNeene4 erneereelm(s)Free* nay be Med up b L503.0C0er eerie* hr rct acre Den he (Shears or Oat (I.U.S.C.MICOI ea 3571). km ereeniare entNiro** and welely. ielalsty et cereal aISSNleet Of 0) me a OcooNte leweene I Men a New, Mae ed DeFeeelIMIeweeelmorc)Puce WY INCSuble, fake slitenvinceaston can masa me tab** [smote S9 US.0 116306), all re extralto Ott sad SA mit te deept &OMmenmcled. NNE: I execsed Pt cam/nevi* all effecon0 mustNg. the reel;Are Nxi add gsI il necessary. SIGNATURE: Digitat& eat.r 0341CHARD F W MUNKVOLD U' ELANIA 744 ' DATE: 1 ) I W t. \ 11) OTLE: CFO of Frontier Finance Co its Member TYPED/PRINTED Niue FI/Man1 Oinked:I SIGNATURE: DATE 12) TYPEWRINTED ' TITLE NM*: f mot it.., the sRanan,N,vWciER Valbteealh=Ind or cancel** 14 CFR 4731(0r/1de. Cr an Wheal" U.S. alma le be operateis up NM days Set eve Weed Sums So a coq el one spied dray regtreauon application hrel In Ow Saidrile ma.' Instance Ind receipt ol the law rigstration oinks AC Poem MORI eSZIPIR Nei SDNY_GM_02762406 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249328 EFTA01332772  VVI0W41)10 A110 VN0HTIN0 60:01 Ntl Ellin' I/01 HO N0I1V81S10321 1O213211V \NA HUM 031H SDNY_GM_02762407 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249329 EFTA01332773  31(019650 Conveyance Recorded Jul/30/2021 08:53 OMB Control No. 2120-0042 UNITED STATES OF AMERICA bp. 0/130/2017 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRCRAFT BILL OF SALE FOR AND IN CONSIDERATION OF $ 1.00 + OVC THE UNDERSIGNED OWNERS) OF THE FULL LEGAL AND BENEFICIAL TITLE OF THE AIRCRAFT DESCRIBED AS FOLLOWS: UNITED STATES REGISTRATION NUMBER N 722JE AIRCRAFT MANUFACTURER & MODEL KEYSTONE HELICOPTER S-76C AIRCRAFT SERIAL No. 760750 DOES THIS r)th DAY OF May . 2021 HEREBY SELL, GRANT, TRANSFER AND DEL VER ALL RIGHTS, TITLE, AND INTERESTS IN AND TO SUCH AIRCRAFT UNTO: Do Not WIN In This Wadi FOR FM USE ONLY NAME AND ADDRESS (IF INDIVIDUAL(S). GIVE LAST NAME. FIRST NAME.MD MIDDLE INMAL) Industrial Integrity Solutions , LLC 2151 E. Convention Center Way #222 Ontario, Ca 91764 DEALER CERTIFICATE NUMBER AND TO ITS`SUCCESSORS afr.GLSORS,ADMIMI4TRATORS, AM ASSIGNS TO HAVE ND TO HOLD SINGULARLY TIE SAO AIRCRAFT FOREVER. WO WARRANTS THE TITLE THEREOF: IN TESTIMONY WHEREOF I HAVE SET MY Rua AND sag. ram a n t or May, 2021 NAME(S) OF SELLER SIGNATURE(S) TITLE (TYPED OR PRINTED) (IN INK) (IF EXECUTED FOR (TYPED OR PRINTED) CO-OWNERSHIP. ALL MUSTSIGN. Hyperion Air LLC DIg e0 by LARRY VISOSKI Manager SPZW04.944103 ACKNOWLEDGMENT NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER. MAY BE REQUIRED BY LOCAL LAW FOR VALICC"( OF TIE INSTRUMENT.) ORIGINAL: TO FM: AC Fan, 0050-2 (01/12) (NSN 0052-00429-0003) 211331018187 85.00 05/13)2021 SDNY_GM_02762408 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249330 EFTA01332774  VINOHTbi0 AlIO VNOHV1NO 60 01 1411 E I AVH RBI H NOLINKS1038 13V80HIV VVA RIM 0311i SDNY_GM_02762409 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249331 EFTA01332775  UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION AMINTSTRATION — MIKE INONRONEY AERONAUTICAL CENTER a AIRCRAFT REGISTRATION APPLICATION a L WOW STATES I AMON 0 RECIORATION N 722JE TON a a Partnelfts L MYER RECASTRATION 3 C.:mouton AIRCRAFT A CoMam MANUFACITIRER Sikorsky sg6C S Ocrownsu NOICOB. (CANA cm MN, ? Llm11•1 WAN Como,NC) 0 AIRCRAFT a 760750 • NonCtman Capalcm ROMER ft Monaimm Calms Co-0mm MEM COPINXAMMI)INIn00) Sam mato' ci caseerds a rebid* 0. INI mint MN mml onl.ale TrITNI .. ... . 4frperion hi r I-I-C TEupice Me ad- ANIOTTIO RAMO MORRIS (P•moroft INS, SON fix MI ipp0rml tm Mt) ma wo trnmr Awe a '" ' a WOO ea( Hook ouar+er, to NUM ROUTE FO. TAW Mt Ill".00moRi e .:11119111aS STATE Irl 3 Irri BP: MOM oofoA PIMICAL ACOPOSNOCATION FPO BOX OR RURAL ROUTE SOX USED FOR MAITIOACORRIII MASER APO stoat OESCFCPTION OF LOCO-ICC CITY STATE On. 0 OW HEREIF YOU ARE jaa REPORT/Nil A CHANGE OFADDRESS anerana eva Cam: III ITN ea *o. and a and y as naarda wan do. ailaCiUMOGSSalninaint El a A Mum d ma wews Www w (Www w a use 40104151 CI b. A mi.. Om tun dm root Pam TOM Ma O o A nonItlan cap:Mm couneld of den2 Name Troy ITO MN CMOS Ind NS Sot lamed sylpromOy oAdd mho UMW Side Moab TOW tommis *MOM b Improlm strode amoloTTRONOSAmmaj O d A orporewmang • willrEMO to omIN F.Or mood bolo Q) a tat c a d ER:. • dada).). tr. Wow oar* MS PS) witted by es apart Meru Atom In MR OITTANA: .Male NOP mak dad muteetion cm we/ or Tray N OW NO MANI "INTM Orumoornt NUTTOM (3) But ennap b roIstorwl oar dap lam orrery erd (4) TM kora aniamomO mesa is mom a ma bum Roo nem is NORM Amtm. Ad..mumat AMY MID ALL SIGNATORM OF MS APPUCATON MST NERD THE FOLLOWING AND UNDERSTATED THAT, BY AMMO A SKINATURE TO MS DOCUMENT. THEY AM SUBECT TORE NEFEIONCE) STATUTES MAD ASSOCIATED PENALTIES. I SIS CON ON is Condo BROS him Rid In aN Ortanttis IT MosplarEcn to Bad ITIMINtatmn a RAT Nand' au =ea loth° tad cl illy Moab*al bit heal tWo m fl ea prtoAdiaile WI be TANA m Ay to FAA ieerwTabr el &RNA deRnmerion d ciatisotca Iar stadipaglisalket I undenlail lbeltoewe. al en nitrate hi profs:to, of •ry apalminci doom dr*Untid SNARL Nos* NW TORN NS Lamb armee up (IN AN Lid. %Were a MAN. MAW Acta Ito attentflawilwarg a ha:LW saterrenbctleposaliwe a copy.a WAS w b127000:1 cr inwimisol now IS ON Ci) MsarbTOWNIUSO. Sicken IC01 at WM I trionalwillaLsAMIIMNITINlymIdennexTreect Wm Itenraft. MAMA d Sr NAM MS may te wicted NOTE: Namaged fa: S appecants must sign. Um sadrap sad ail puip0 rasa% SIGNATURE • DATE (0.. it - I II I . TYPEDANUNTED TITLE /Anew NAVE Lawence R Mob. A. SIGNATURE DATE: 2 Trt (VIED NAME PC DMA anER mod Fad mostrAlon of Ow awl Carl h /cat a comma*14CWIAMIWImilie ma ASTOR/ GA atraillte to weed fer up to TO days AM, We Unbd Stan. copy WWII Well NORM AM WOWS N MAR Is Ih• thaft while meting Imam. itr4 recoNd 0 II. rem mists:Non cdetab. AC Form SRN, OTC BI SDNY_GM_02762410 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249332 EFTA01332776  VVNOHV1)10- AlIO VIVOI-IV1NO ZI 01 NV (IN' 6107 88 N011VijISIJ3a 1R/8311IV VVd WAN and SDNY_GM_02762411 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249333 EFTA01332777  DocuSIgn Envelope TC2I386F-TOCC-4AISECC14C030CC9F504 FORM APPROVED OMB NO. 21204042 2•••1j UNITED STATES OF AMERICA 0 V. S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMNISTRATION AIRCRAFT BILL OF SALE FOR AND IN CONSIDERATION OF S THE UNDERSIGNED OWNER(S) OF THE FULL LEGAL AND BENEFICIAL TITLE OF THE AIRCRAFT DES- CRIBED AS FOLLOWS: UNITED STATES 8 REGISTRATION NUMBER: N722JE AIRCRAFT MANUFACTURER & MODEL Keystone (Sikorsky) model S-76C O AIRCRAFT SERIAL NO. 760750 0 O DOES THIS 13 DAY OF June, 2019, HEREBY SELL, GRANT, TRANSFER AND DELIVER ALL RIGHTS, TITLE, AND INTERESTS Do NotWYllo In TMMee IN AND TO SUCH AIRCRAFT • UNTO: FOR FAA USE ONLY NAME AND ADDRESS PURCHASER IW INDIVIDUAL (B. GIVE LAST NAME. FIRST NAME, AND MIDDLE INITIAL.,) Hyperion Air, LLC 8100 Red Hook Quarter, B3 St. Thomas, U.S. Virgin Islands 00802 DEALER CERTIFICATE NUMBER AND TO ITS SUCCESSORS, EXECUTORS, ADMINISTRATORS, AND ASSIGNS TO HAVE AND TO HOLD SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF. IN TESTIMONY WHEREOF, THE UNDERSIGNED HAS SET ITS HAND THIS 13 DAY OF St#A- 2019. NAME(S) OF SELLER SIGNATURE(S) TITLE (TYPED OR PRINTED) pt4 BLUE INIQ (IF EXECUTED (TYPED OR PANTED) FOR CO-OWNERSHIP. ALL MUST SIGN) SELLER ASI WINGS LLC Senior Vice President, r im...row By: Aetna Inc., Its Managing controller & Chief Member J"M7t4 ant Accounting Officer James D. Clark ACKNOWLEDGEMENT (NOT REQUIRED FOR PURPOSES OF FAA RECORDING: HOWEVER, MAY BE REQUIRED BY LOCAL LAW FOR VALENTI OF THE INSTRUMENT.) ORIGINAL TO FAA AC Form 8050-2 (9/92) (NSN 0052-00429-0003) Supersedes Previous Edition ' and the following described engines: TURBOMECA model ARRIEL 2S2 bearing manufacturers serial numbers 42285 and 42288. ADMIN 35381002v1 35.00 08/13/2019 SDNY_GM_02762412 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249334 EFTA01332778  VNI0HV1N0 All0 VI';OIIV1N0 ZI OM El WI 5101 N9 N0IIVNISIDRI 1JVHDHIV VVJ RIM 0311J SDNY_GM_02762413 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249335 EFTA01332779  OstliCoutn4 Rumba 2120-0729 Boas 04/30/17 Paperwork Reduction Act Statemarm TM information collected an this lam le necessary to mar•aln areal regloration. We estimate Dating take approanatey 30 inhales lo compel, the form. Mee nobs that an agency may not coed:Last or sponsor. and a pirscn a not rcµried to reword lo. a collection Cl Norman wens *displays a wild CMS coned number. Form Approved, OMB No. 2120-072A Comments concerning the accuraPy or the burden and suggestons for le0Aing the omen shots)) be areas] to Its FAA at 500 Independence Avenue SW. Washinacn. DC 20591. ATTN. hiamanon Cotocton Clearance War. AES-200.' FAILURE 70 RENEWREGASTRA RON Mt DEPARTMENT OF TRANSPORTATION • FEDERAL AVIATION ADMINISTRATION RESULT IN CANCELLATION OF REGISTRATION AIRCRAFT REGISTRATION RENEWAL APPLICATION ARO REGISTRATION NUMBER ASSIGNMENT (See 14 CFR §§ 47.15(0, 47.40 and 47.41) AIRCRAFT REGISTRATION NUMBER SERIAL NUMBER N 7223E 760750 MANUFACTURER MODEL KEYSTOtE HELICOPTER S-76C DATE OF ISSUANCE DATE OF EXPIRATiON TYPE OF REGISTRATION 08/16/2011 06312020 CORPORATION ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE HELPFUL INFORMATION (Owner 1) ASI WPIGSLIS Review Aircraft Registration File Information for this aircraft al: http://renistry.faa.00W8ittalflinnoirY. (Owner 2) BS Enter any additional owner names on page two. Assistance may be obtained 151 FARMINGTON AVE at our web page httiXffrengtry.faa.qoyfrenewreoistration (Address) by email at fate acraft.rentstryafaa.vev or (Address) by aleph:no at: (866) 762 - 9434 (loll free). or (405) 954 - 3116 Gay HARTFORD state CT zip 06156-0001 When mailing fees, please use a check or money order made Country UNITEDSTATES payable to the Federal Avision Administration. Physical Address: Required Wan mating address is a P.O. Bea or mai drop. Signature and Title Requirements for Common Registration Typos: (Address) - Individual corner met sign, ale would be 'owner' • Pannershe general partner signs showing 'general partner as (Address) title. ay Stale Zip - Corporation corporate officer or manager signs, slowing full title. Country - Limited Lasity Co authored member. manager. or &leer idenbied in the LAC organization document signs. tinning full tots - Co-owner each co-owner must sign; showing -co-owner as AM. TO RENEW REGISTRATION: REVIEW aircraft registration ingot-WO, - Government authorizer] person must so end tow tar full tile SELECT the aPPnXITile itaterron ENTER any change Y1 addteSS the h spaces below, ssqL4 DATE, & SEND forrn YAM the 55 renewal fee to te : Note: All signatures must be In Ink, or other permanent media. FAA Aircraft Registry. PO Box 25509, Oklahoma City OK 73125-0504, a To correct entries: Draw a single sne through error. Make correct entry En by courier to: 6425 S Denning Rm 118, °Mahone City OK 73169-6937 remaking space. or complete the form orine. An apple-awn loon we be rejected it any entry is coward try arrection tape Cf sinelany obscured. a IFOR (WE) CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FAA FILES THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT. OWNERSHIP TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT: CHFCK All amicable blOCKS) below, re/WI FTF Erali gam ea stas. MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED UNVER THE LAWS OF ANY FOREIGN COUNTRY. ells form with any fees lo the: FAA Ascraft Registry, PO Box 25504, Oklahoma City. OK. 73125-0504. or by courier to: ri UPDATE THE MAILING / PHYSICAL ADDRESS AS SHOWN BELOW. I (WE) CERTIFY THE: NAME(S)SHOWN ABOVE FOR THE OWNER(S) OF 6425 S Deming Rm. 118, Ckiahoma City OK 73189.6837 THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP O CANCELLATION OF REGISTRATION IS REQUESTED. REQUIREMENTS OF 14 CFR §47.3. MRCRAFT IS NOT REGISTERED O THE AIRCRAFT WAS SOLD TO: UNCER THE LAWS OF ANY FOREIGN COUNTRY. (Show purchasers name and address.) NEW MAILING ADDRESS O THE AIRCRAFT IS DESTROYED OR SCRAPPED. NEW PHYSICAL ADDRESS: Canoga" if physical oaken has changed, or ❑ THE AIRCRAFT WAS EXPORTED TO: he new mailing addross s a PO Box a Mail Drop. O OTHER: Specify O PLEASE RESERVE NJIUMBER IN THE OWNERS NAME AND ADDRESS. The S10 reservation fee is enclosed. SIGNATURE OF OWNER 1 (WNW MM) PRINTEO NAME OF SIGNER (required Said) ilLE (reared Add) OATS Electronically COI'S by Ragletered Osalsve 32502017 SIGNATURE OF OWNER 2 PRINTED NAME CF SIGNER TITLE DATE Use page 2 for ado:Nona] signatures. Fee paid: $5 (201703281152554432N8) AC Form 8050-113 (04/12) SDNY_GM_02762414 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249336 EFTA01332780  SDNY_GM_02762415 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249337 EFTA01332781  OMB Cotiaol Ntabes 2120-0729 Eaputs040011/ Note', Twelve (12) owner names may be entered on this page. If you require more, enter the first 12 names and then print this page by pressing the 'Print Page 2' button below. Next dick the Reset' button to dear the data fields (from page 2 only) to add more names. Repeat action as needed. NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TIME NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE AC Form 8050-1B (04/12) REF N-NUM: 722JE SDNY_GM_02762416 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249338 EFTA01332782  SDNY GM 02762417 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249339 EFTA01332783  D P. DEBEE GILCH RIST 1116- ATTORNEYS & COUNSELORS a0 o August 4, 2014 >o 05. o Jana L. Hammer, Manager ri o Aircraft Registration Branch 1: Federal Aviation Administration P.O. Box 25082 Oklahoma City, Oklahoma 73125 RE: Executive Jet Management; One (I) Keystone Helicopter S-76C; Serial Number 760750; U.S. Registration Number N722JE; Our File Number: 5502.0015 Dear Ms. Hammer: On behalf of AS1 Wings LLC, as registered owner (or co-owner) of the above described aircraft, we hereby request that a duplicate Certificate of Registration be issued for the above referenced aircraft. The original was inadvertently returned to the FAA for mailing, but the address listed is not the address where the helicopter is located. Please deliver the duplicate Certificate of Registration to the attention of the undersigned in the Public Documents Room. We are enclosing $2.00, in payment for the duplicate certificate fee. Very truly yours, la AinA44/V P4t4t1 ( Brandt S. Sterling Legal Assistant 142181527010 $2.00 08104/2014 100 North Broadway Ave. • Suite 1500 • Oklahoma City, OK 73102-8609 • vAvw.debeegilchrist.com SDNY_GM_02762418 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249340 EFTA01332784  VNIOMMIO All0 11WOH1/1)10 C Wd h 911H 1,101 263 NO11 V8ISIO3'; liV2i3b17 V 1/3 H.LIM U31Id SDNY_GM_02762419 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00249341 EFTA01332785  V.S. Department Flight Standards Service P.O. Box 26504 of Transportation Aircraft Registration Branch, Oklahoma City, Oklahoma 731254504 AFS-760 (405) 9544116 Federal Aviation Toll Free: 1.666-762-9434 WEB Address: hltpg/registry.faa.gov Administration Date of Issue: August 4, 2014 ASI WINGS LLC 151 FARMINGTON AVE HARTFORD, a 06156-0001 HAND DELIVERED TO JOIL IN THE PD ROOM 146046 This facsimile must be carried in the Aircraft as a Temporary Certificate of Registration for N722JE KEYSTONE HELICOPTER S-76C Serial 760750 and is valid until Sep 03, 2014. This is not an airworthiness certificate. For airworthiness information, contact the nearest Federal Aviation Administration Flight Standards District Office. r Manager, FAA Atrcra Registry, AFS-750 Federal Aviation Administration APS-710-FAX-4 (01/14) SDNY_GM_02762420 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249342 EFTA01332786  SDNY GM 02762421 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00249343 EFTA01332787  0 0 PRINT PAGE 1 PRIVACY ACT STATEMENT OW ControlNumb 2120-0729 Elpites0S/linOt4 Papenwork Rocluct on Act Statement Il-e Infcm.w4., col000d on the ixrn 94OJEaily lo maIntel &reran regitealen Wo emlmale thai It will :Nit ap70ST4lely )3 mInutes g a t. 10 ccevfete tle 4,4n Please nc(.3 tat al agency may nue:now., or sponoor. and a Fowl!, R rot moo Imo *; eepond *. a ccaomen of Wermakon vJess It also ays a road C. pal coniroi runt.... Form Approved. OMB No. 2120.0729 tp-rnents corcernng ma accuracy of hts barman, suggestion: for reexin he ex0en SAnue De droved l0 C the FM at. BOO Ireacendenee Avenue SW. Wastingteri.00 20591. ATTN: tedotmatke Collection Clearance Ulcer. AES-2C0.' FAILURE 70 RENEWREGISTRAnom WILL DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION RESULT IN CANCELLATION OP REGISIRADON O AIRCRAFT REGISTRATION RENEWAL APPLICATION AND REGISTRATION NUMBER ASSIGNIAENT (SOO 14 C.F.R §§ 47.150), 47.404nd 47.41) AIRCRAFT REGISTRATION NUMBER SERIAL NUMBER N 722JE 760750 MANUFACTURER MODEL Keystone Helicopter S-76C DATE OF ISSUANCE DATE OF EXPIRATION TYPE OF REGISTRATION August 16, 2011 August 31. 2014 Corporation ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE IIFLPFUL INFORMATION (Owner I) ASI Wines LLC Review Aircraft Registration File Information for this aircraft at ilitOMORMIN.lea.doviairtraftinduirv. (Owner 2) &Jr, Enter any eddidonel owner names on page Teo. Assistance may be Obtained at our web page: linpfitetretry.raa dovrrenewrecitilmtion. (Address) 151 Farmington Avenue by a-mar at laa.areraftrealittlESIMI 49X. or (Address) by telephone at: (866)762 . 9434 (toll Iran or (405) 964 • 3116 Cry Hanford Stale CT zip 06156.0001 Men malting fees, &AM use n then or tretneY order ^Nee Cooney payable lo the Eager& Avtallol AOmInseaton. Physical Address: Required when marling address is a P.O. Box or mall *op. Signature and Title Requirements for Common Registration Typos: - InclMcmis owner must sign. nee would be 'Ownot (AdCreSt9 PlatnershIp general partner skins showing 'general panne' as 11110. (AdtesS) - CaPC44.19n ccrporale races or manager signs. sAoMrg AJI tee. - UMIIo0 LlablIty Co autheeized member, manager, or &Tar Idenolied li the Ch.y Stele VO LLC erg:minim* document signs. showing lull tine Country Commer each co-owner must sign: showing 'co-owne? as file. • Government SNINOC1201 person Moil Mr and shoe' lair full tale TO RENEW REGISTRATION: SEMI aircraft iwalataticin information. Note: All signatures must be Ni Ink, or other permanent media. SELECT the aPPMPriele statement. ENTER . any dirge in address in the spaces below. EIW, DATE. a SEND form with Ete SO renewal lee to the: To correct entries: Drew a single lire through error. Make coned entry In FM Antra Registry. PO Box 25504, Oklehtere Cay OK 73125-0504, or remaining spook or complete the form on4lre. An oPPIcalle41IONn cede be by courier to: 6425 $ Canning Room 118. Oklahoma City OK 731694937 *POW I any envy Is Covered by