EFTA01329724
EFTA01329726 DataSet-10
EFTA01329790

EFTA01329726.pdf

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UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION - MIKE MONRONEY AERONAUTICAL CENTER AIRCRAFT REGISTRATION APPLICATION TZOZ/0£/Tnl 1) LerE0 STATES RECISTRA1ION RORER N 722JE C TYPE CO REGSTRATICH a 1 iredesal 0 I POWS'0*/ 2) AIRCRAFT 0 a cans VANSACRER (3 4 CO- are ANO IVOR. IL KEYSTONE HELICOPTER S.76C (CTRS eV tat) 5 OsOnTO1 0 N ARCRAFT 0 7 UTSKI USW COTO* (US) SERIAL 0 a Wan* Colsatcw WARIER 0 a Ncnasin Capwas Copse, 5) NAVE(S) OF APR iCAMT(5)(Prion;e) to., cn swiss a *airs 0 sOo6s0 Wo sr own/ lonow noo000 MS) Industrial Infecanty Solutions. LLC al TELEonCNE NUMBER 7) WRING ACORESS (Nowlin rowei103•441w MN ads* cois) WARIER AA.0 5- REE1 RCAµ ROVE PO SOX OTT ORT3110 STATE CA Op CM N Pierces, ADOIWSSALCCAT ON Li TO ECK MAL DROP OR Riau 0111.11F FOX USED rNg WARM Annwsc NURSER AAO STREET DESCRIPTOR OF LOCATOR CITY STATE ZIP 91 0 CNECIC Nell IF YOU APE alr REPORT*, A CHANGE 0F ADDRESS 10) 2{Enica21 SW COME: 0/ TOO So OwnliSla * coned Or Tv Lecwswood *sky,Ss* Wary CHECK MOMS CONALIll• li e «Q 0 • A OOPS Of Ow Uoteci Sixes as sines by 49 66C 40, 92(015) El 0 A Owen Sin ST San rscornon (Fowl 1651) TS II C A no, Val =onto, *grind and Clorq Oan0I4 War 011ISO 4110140 fed sod swot 4 Sad and a'wn, used..1. LInWO Sills Rocco* cI1lort nos Dv RAMS/ *So II(prowl. OININIMO OfliCili 8.....) O 4 A cspallroISM • AWN /NM SOW Ens mew tf tuts (2) V MC eta to. 4 dwookel 1 MOSS Wet Orley SO I on ioutonaM Oy PO Cam* Soon Scow la sgo copses eccurnveA rd b anewilnoon*, on best or no raw wV mg Ids prate(' rw we *sotalo, 4 rwouriwt (3) 11.It fiort• nol sprawl tar eels ol ow tar saw ea (4) i1 SO warnat Optidivits) 4 Mend ce Mil teen fled wt. Os Ender Mean A:inmate**, ANY NO ALL SIGNATORIES OE DC APPLICATOR MUST READ THE EOLLOOMIG AID UNDERSTMO THAT. BY AMA% A SIGNATURE TO THIS 00CLIMENE TREY ARE SUBJECT TO THE REFERENCED STATUTES NO ASSOOATED PENAL TIES. WA hereby or*/ tate 'rifler, oottlxl et. and 0 arty aniOrrellS to I s accickr Ix sacral reCieralerl arm.Kant rd area b at beet OMAN, MOWS* rd teen( Wee urCerstard tetteFM annstatnel re y cr. Me clone/on Swords inbleenregmy.eurcuaircrxo kr amen norralon ke worsted that stew. in any mater *ha The pfSktOr Oro "partneri" a acencyollbe Wad Raw wit* npy and wetly links, womb. **covers up by any telt sire. a OSSOB ry malenalea s) slremen(s) aceesentalonis) a raYlass) may be bled LORSSCO.000ce ownhoecl hind Waren 04(5)yeses Leap Da u $ C §§ I CO' pre WTI VolunOBISlind Net lotwecty as SRO a) tesNcecorceelamalenal tack cr b) Loa a doweenl ItnOtwo i Oren a US, kbaous a /Lour/ stalemeMpnlry, a 4Ford! irry exam*. Vse stalemeetHcematatn or sLtael ma tocenta meter (49U S C 5167061. NG the restraton eta sutra arcrafl may era *ND Omen anSte woad NOTE: II executed for co-mom/up. all applacales mull site. Use next wr9e and add par(s)il necessary. SIGNATURE Digitally Smiled by RICHARD MUNKVOLD I DATE ( te5 17.021 11) TYPED/PORTED Rchard MunkvolO A EI CFO of Frontier Finance Co its Member NAME SIGNATURE. DATE, 12) TYPEDCRINTED NAVE TrTLE NOTE: faceotetten the most WAre re:Writs"( of te steal aialta mind or cn*d 14 CIR41.11h§ provides ex an envanny US Earn to be °permed he up to 9) days eon de untied suits eAna copy die SOW War regisbaton applcatal 6 carried in Ire au et teak sno issuance and Wept of the new te95.41101 AC Com90504 (09201 Page I SONY_GNI_027579.41 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244863 EFTA01329726 VVIONV1NO All3 VIOHV1)10 60 :01 NV £ 1 MN 1101 H£1 NOIlVd1S103t1 liV210111V VV HUM 63113 SDNY_GM_02757942 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244864 EFTA01329727 JW019658 Conveyance Recorded Jul/30/2021 08:53 UNITED STATES OF AMERICA OW Control No. 2120.0042 Exp. 04/30/2017 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRCRAFT BILL OF SALE FOR AND IN CONSIDERATION OF $ 1.00 + OVC THE UNDERSIGNED OWNER(S) OF THE FULL LEGAL AND BENEFICIAL TITLE OF THE AIRCRAFT DESCRIBED AS FOLLOWS: UNITED STATES REGISTRATION NUMBER AIRCRAFT MANUFACTURER & MODEL KEYSTONE HELICOPTER S-76C AIRCRAFT SERIAL No. DOES THIS in to, DAY OF May HEREBY SELL, GRANT, TRANSFER AND . 2021 DELIVER ALL RIGHTS, TITLE, AND INTERESTS IN AND TO SUCH AIRCRAFT UNTO: Do Not Writs In This Block FOR FM USE ONLY NAME AND ADDRESS (IF INDIVIDUAL(S), GIVE LAST NAME. FIRST NAME. AM) MIDDLE INMAL) PURCHASER M y Industrial Integrity Solutions , LLC nano, a DEALER CERTIFICATE NUMBER AND TO ITS SUCCESSORS rwn-irranc•• • AND ASSIGNS TO HAVE AND TO HOLD SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF: IN TESTIMONY WHEREOF HAVE SET MY HAND AND SEAL THIS tattLy May, 2021 or NAME(S) OF SELLER SIGNATURE(S) TITLE (TYPED OR PRINTED) (IN NW) (IF EXECUTED FOR (TYPED OR PRINTED) CO OWNERSHIP. ALL MUSTSIGN. Hyperion Air LLC d ila necl LARRY VISOSKI Manager ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES Of FMRECORDING: HOWEVER. MAY BE REQUIRED BY LOCAL LAW FOR VALIDITY OF THE INSTRUMENT.) ORIGINAL: TO FAA: AC Form 8050-2 (01/12) (NSN 0052-004329-0E03) 211331018187 ?/-5 DO 05/13/2021 SDNY_GM_02757943 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244865 EFTA01329728 VINOHV1)10 A110 tqIOHV140 60 a NY £ 1 Oil IN/ 110 N0I1V81S193I VVi HUM G31U 2757944 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, GM 0 and 17 SDNY_15,_ EFTA_00244866 EFTA01329729 UNITED STATES OF AMERICA — DEPARTMENT OF TRANSPORTATION FFIIEDu AMATION ADMINISTRATION - MUM MONRONEY AERONAUTICAL CENTER AIRCRAFT REGISTRATION APPLICATION UNITED STATES N i irdsilal GLOC/Lt/Ine RECtiTiMPOR nil Of 2 PrImnelp Men REGISTRAMN I Caprobal ANICRAFT 4 Ce05•54 IARAPADDIFER NO NON& Sikorsky S-76C 5 Owners (Chuck on• the I 7 Lied Wily Cavpaa (ad AMOVIT Maral a literawern COP)MIC/N MAW a ritmomm Conan Coosa MONROE APPUCAMT(5)PrepO) deal al volderce of agyees a ryes aws Iasi ream fIrml a ad wpdea MAI -Hyperion Air I-12- 71:LEPHOW MADER ( allA SPOtitPIM WRAC ACCREM (Perwarl mara skews ix S appbt/net/)y, ,tom IIIIIMER AND MEET ....." -." . .... - al G eta( &ark"; r).3 RURAL ROUE PO BOA art saa- Ststosse 6r1hOffillS STATE MS 11) zw. &VS 00 f OA • PRISM ACOMMKOCATION R P 0 BOX OR RURAL NOWT RCMMOO FORMASI PROMO RIMIER MO GREET. DESCRIPTION a LOCATOR CITY STATE- ZIP • OW "MEV YOU ANS flarREPOR77110 A MIMEO, AMIE= LIEDINADMI RTE aam: rtj Pus Om atom Wadi /5 end by to otinaad apitinnehe I ORSI_Ctir •. 77TR4Inad) Ei • A Mist d In WOW Slam as tired by 40 UM 40302(151 0 • Anna OM tla at• nni(peridatin fr 1361) No Cli c A WIC... OnallIP awnedad deep Pas wipe rho ims <4 (44.1 led tad am" 15 2• 54I act ~II wed 45PI WOW 574:44 Rend RV Fan a anaka.la YoPs2155 a anima say** Pa/an .Mat o' A aermoyinft noire WM b gay Fate ran cd hare 0 .) It= c or chaos Is asydept I. We Maw nod. anti tat las •20.5454 by II SI Wan lows a RP meals Senn rem ask eat repirebyt cn taro Pa ray ad helve poelo Om An anyrusecti I no.•055 (3) MSPe wolf Intl csaalsesl vote* la areelorsivimaws ad (4) 1151KOSICIIMII aI <went is Schad a raw barnRd vet Pm 2444.4 Asa Aansiran AMY AIM ALL SIGMTORMS OF DOS APPLICATION MOST MD TM P3LLOINOKI MD UNDERSTAND THAT. BY APPLGINI A SPIMATURE TO nos CO:UNENT. THEY ME SUBJECT TO DIE REFEREICED STATUTES AM ASSOCIATED PENALTIES. I hoda catty Olt the damatcn ported herein rid m wry nchnste to to appleNonIto were renew= amp, atone end CLOW il) to Ms d my bat* erd betaI I canard tit the Summon NoMod by me MIbe Medway the FAA name= m Mite detonno at inEcalcil kr Iowa regaten I intend Is tamer. or eny MO" iltYll the ArodcbcpcI syy depannt a mercy d PS Ilan Sides troorgly ad wady bleas wont a corers up (by wry hi. Marna a nor) a man Is ate metes wry Me. melee a Munn strisrent ar ropresentacto wont rray Mfrs/ ta to1210E00 co ranscrel nai Inn Owl hie DI yearn boa (15 LI S C Swan 1001 awl 3571) I mamma taL tax reentronsly fl any mown a tape nenown. repents-Mete 'disci anal may te mane 1101E: If exacidad tor an aispEcants must sign Use non page and add page(a)deseasary. SIGNATURE. DATE ( irs _ 11- II 1 TYPED/PRIMITO . Lantrerwe P Sanaa Jrart MU Manager DIANE SKINATIME DATE 2 TYPEDPRINTED NAIM: NOTE [WM OM Pa mat Nor NIPS alba wad inert la mold or armalret, 14 CFR Cstiel prawns loran anon/ U anon Cb apersard for up to la) dqa vthbiVr Ultftel Saba when copy et ate typed gait aton her to reg*anon la canal Intl. anal ale sunny Wawa wid Rapt On new manna cartents. AC Fa, e050-1 (IMP SDNY_GM_02757945 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244867 EFTA01329730 VtNOHV1N0 A113 VI'IOHVl40 ZI 41 HY Mir 6101 NOIIVHIS19321 IATOHIV VVJ H11At 43113 SDNY_GM_02757946 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244868 EFTA01329731 McLain Emolope ID: 7C21386F-7W L "' Me OCC1-7C030CCOF594 O FORM APPROVED O oue NO. 212041042 UNITED STATES OF AMERICA 0 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION 0 AIRCRAFT BILL OF SALE FOR AND IN CONSIDERATION OF $ THE 0 0 UNDERSIGNED OWNER(S) OF THE FULL LEGAL 0 AND BENEFICIAL TITLE OF THE AIRCRAFT DES- CRIBED AS FOLLOWS: 0 UNITED STATES REGISTRATION NUMBER: a0 AIRCRAFT MANUFACTURER & MODEL Keystone (Sikorsky) model S-76C AIRCRAFT SERIAL NO. O O DOES THIS II DAY OF June, 2019, 0 HEREBY SELL, GRANT, TRANSFER AND DELIVER ALL RIGHTS, TITLE, AND INTERESTS yn IN AND TO SUCH AIRCRAFT • UNTO: Do HO WM In TM Mock FOR FAA USE ONLY NAME AND ADDRESS PURCHASER (iF INOMDUAL (S), GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL.) Hyperion Air, LLC 6100 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 SPJD AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF. IN TESTIMONY WHEREOF, THE UNDERSIGNED HAS SET ITS HAND THIS 13 DAY OF -344%-l- 2019. NAME(S) OF SELLER SIGNATURE(S) TITLE (TYPED OR PRINTED) (IN BLUE INK) (IF EXECUTED (TYPED OR PUNTED) FOR CO-OWNERSHIP, ALL MUST SIGN.) SELLER ASI WINGS LLC Senior Vice President, By: Aetna Inc., its Managing Oso.Sure t controller & Chief Member Limits OAK Accounting Officer James D. Clark ACKNOWLEDGEMENT (NOT REQUIRED FOR PURPOSES OF FAA RECORDING: HOWEVER, MAY BE REQUIRED BY LOCAL LAW FOR VALIDITY OF DE INSTRUMENT.) ORIGINAL: TO FAA orm 8050-2 (9/92) (NSN 0052-00429-0003) Supersedes Previous Edition • and the following described engines: TURBOMECA model ARRIEL 2S2 bearing manufactmer's serial numbers 42285 and 42288. 191841014476 ADMW 35381002v: $5.00 08/13/2019 SDNY_GM_02757947 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244869 EFTA01329732 VI410HV1)10 A.1.10 VI'; ?''d1`10 Z I :01 NV £I MT 510? 88 N011'alS19321 VVI 1-111M 03113 SDNY_GM_02757948 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241870 EFTA01329733 OMB Comet Number 21264729 Etyma 0930'17 Paperwork Reduction Act Stalemate: The infcnnationcolkaed on els form Is necessary lo maintain aircraft 'Niehaus°. We eSlimate that it will take appronmaiey 30 minutes to complete de form. Pease note that an agency may not conduct or sponsor. and a person is ol eau' co to respond to. a ccriectco d irfonnation unless 4 asisays a vale PAS control newer Form Approved, OMB No 2120-07/9 'Comments caxeming the accuracy of thin wrest) and sunscreens far (*drag the burden shoud be directed to the FAA at 800 Independence Avenue SW. WaShinfilen, DC 20501. ATTN: won-re/on cotecton Csiararce Officer. AES-200.- FAILURE TO RENEW REGISTRATION WILL DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION RESULT INCANCELLATION OF REGISTRATION AIRCRAFT REGISTRATION RENEWAL APPLICATION ARO REGISTRATIONNUMBER ASSIGNMENT (See 14 CFR. §§ 47.15(1). 47.40 and 47.41) AIRCRAFT REGISTRATION NUMBER NUMBER N MANUFACTURER MODEL KEYSTONE HELICOPTER S-76C DATE OF ISSUANCE DATE OF EXPIRATION TYPE Of REGISTRATION 08/16/2011 0111/31/2020 CORPORATION ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE HELPFUL INFORMATION (owner 1) ASI WINGS MC Review Aircraft Registration File Information for this aircraft at: htID://recaStrYfaa.C/011/airCraftinClUiry. (Owner 2) WILL Enter any additional owner names on page two. Assistance may be obtained at OW web page- haD;HregisInciaa.Q0Y/renewrecastration /Address) by Cr Masi a: faa.airaatreaiSlnifeinaa.00y. or (Address) by telephone a! (866) 762. 9434 (toll free). or (405) 954 - 3116 City HARTFORD State CT rx, Osies000l When mailing fees, please use a check or money order made Camay UNTIED STATES payable to the Federal Ana,On Administration. Physical Address: Required when mailing address is a P 0 Box or mail drop. Signature and Title Requirements for Common Registration Types: (Address) - Inervidual owner non sign. tole would be -eAner. - Partnership general partner signs showing 'general partner' as (Adaress) title. Cs Sate Z9 - Corporation corporate officer or manager signs. showing full title. Country • Limited Liabilly Co authorized member. manager. a officer identified in the LLC organization document mans. showing lull title. - Co.oweer each Co owner must sign. showing "co owner as title. TO RENEW REGISTRATION: REVIEW aircraft registrabon information. . I autiatized penal must and show their fun title. SELECT the appropriate statement, Erna any change in address In the spaces below. 21,QB, Dem, a &la form with the $5 renewal fee to Ise: Noes: Al signatures must be In Ink, or other permanent media. FAA Aircraft Registry. PO Box 25504. Oklahoma City OK 73125-0504.0r TO Correa entries: Draw a single line through error. Make correct entry in by career to: 6425 S Denning Rm 118, Oklahoma City OK 73169-6937 remaining space. or complete the form onene. An application form will be retracted if any entry is covered by correaicn tape or similarly obscured p2 I (WE) CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FAA FILES '' FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, CYNNERSHIP TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT: MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS CHECK /MI applicable block(s) below, COMM FTF. Bat DATE 4 MAIL NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. ihiS form with any fees to the: FAA Aircraft Registry. PO Box 25504. Oklahoma City. OK. 73125-0504. or by courier to: UPDATE THE MAILING r PHYSICAL ADDRESS AS SHOWN BELOW. 6425 S Denning Rm. 118. Oklahoma City OK 73169-6937 I (WE) CERTIFY 111E. NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP O CANCELLATION OF REGISTRATION IS REQUESTED. REOUREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. THE AIRCRAFT WAS SOLD TO: (Show purchaser's name arid address.) NEW MAILING ADDRESS THE AIRCRAFT IS DESTROYED OR SCRAPPED. NEW PHYSICAL ADDRESS: complete if physical address has changed. or THE AIRCRAFT WAS EXPORTED TO: the now mailing address is a PO Box or Mail Drop. OTHER, Specify PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME AND ADDRESS. The 510 reservation fee is enclosed. SIGNATURE OF OwmER 1 (wouired red) PRINTED NAME CF SIGNER (required IBM) TITLE (required held) DATE Erearoncany Crawled by RegStared Onners 3/28f2017 SIGNATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE Use page 2 for additional signatures. Fee paid: S5 (201703281152554432NB) AC Form 8050-18 (04/12) SDNY_GM_02757949 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024487 I EFTA01329734 SDNY_GM_02757950 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244872 EFTA01329735 OMB Canal Numbe 21260729 Expcses WWI 7 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 click the 'Reset' button to clear the data fields (from page 2 only) to add more names. Repeat action as needed. NAME OF OWNER DATE SIGNATURE I PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE I PRINTED NAME OF SIGNER TITLE NAME Of OWNER DATE SIGNATURE I PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE I PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE I PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE I 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: n2JE SDNY_GM_02757951 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244873 EFTA01329736 SDNY_GM_02757952 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244874 EFTA01329737 D Q B6 DEBEE GILCH KIST Al"fORNEVS & COUNSELORS F. a - 0 August 4, 2014 Jana L. Hammer, Manager Aircraft Registration Branch Federal Aviation Administration P.O. Box 25082 Oklahoma City, Oklahoma 73125 RE: Executive Jet Management; One (1) Keystone He S-76C; Serial Number U.S. Registration Number Our File Number: 5502.0015 Dear Ms. Hammer: On behalf of ASI 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, • aihAft.4 7-/ Brandt S. Sterling Legal Assistant 142161527019 $2.00 08/04)2014 • Oklahoma City, OK 73102-8609 • • Fax: www.debeegilchrist.com SDNY_GM_02757953 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244875 EFTA01329738 VW0HVINO AIIO VPIOHV1NO 9Z C Wd h onu goz ne NO117e1SIDY:: la"; tjObt7 VV3 H.L1M 03111 SDNY_GM_02757954 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244876 EFTA01329739 V.S. Department Flight Standards Service P.O. Box 25504 of Transportation Aircraft Registration Branch, Oklahoma City, Oklahoma 73126-0504 AFS-760 (405)954-3116 Federal Aviation Toll Free: 1466-7624434 WEB Address: http://regisiry.faa.gov Administration Date of Issue: August 4, 2014 ASI WINGS LLC HARTFORD, CT 06156-0001 111,1,81.16,011,1 HAND DELIVERED TO JGIL IN THE PD ROOM T146046 This facsimile must be carried in the Aircraft as a Temporary Certificate of Registration for KEYSTONE HELICOPTER S-76C Serial =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. S0eAlcbtili-et for Jana L. Hammer Manager, FAA Aircraft Registry, AFS-750 Federal Aviation Administration AFS-750-FAX-4 (01/14) SDNY_GM_02757955 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244877 EFTA01329740 SDNY_GM_02757956 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244878 EFTA01329741 PRINT RAGE 1 PRIVACY ACT STATEMENT OMB Control Newby 2110-012" Ens. c. 0513 u10 • Paperwork Reducbon Act Staten". k The formation ozrodea on mo Icon a rosemary lo maintain alive registramn. We estirrate thal It we bare aperoximatoy 30 miniAcrs be complete to lonn Picas" ere A tan weft, may na otinibm or apamor. end person is not recuice a respond to. to collection of inlexeraten WISMAR Morays a mild OMB cower numece. Form Approved. OMB No. 2120-0729 'Comments concern no me accuracy of ms talon and suggestions for reflucIna the burden MOM be armed to die FM at BOO indeFontianft Awing SW. WaShincren. DC 20591. ATTN: ink:Irma:ion Collect*, Clearance Officer. AES.200 • FAMURE TO RENEW REGTSTRAWON WfLL DEPARTMENT OF TRANSPORTATION • FEDERAL AVIATION ADMINISTRATION RESLRT WC.ANCELLAIION CW REGISTRATION AIRCRAFT REGISTRATION RENEWAL APPLICATION AND REGISTRATION NUMBER ASSIGNMENT (See 14 C.FF. if 47.15(1). 47.40 ant/47.41; Al GISTRATION NUMBER SERIAL NUMBER N 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 HELPFUL INFORMATION (Owner 1) ASI Wings LLC Review Aircraft Registration File Information for this aircraft at: htlofireaistry.faagovfaircrahinguiry (Owner 2) Nett: Enter any addeonal owner names on Page Imo. Assistance may be obtained el our web bap" htiorireCielrY taa dOurrennwre0-Straten (Address) e by e-mar at. faa aircraft recistrottlfaanov or (Address) by telephone al- (866) 762 • 9434 (loll free). m {405) 954 • 3116 City Hartford Stale CT zip 06156-0001 When mailing fees, deaf use a check or money order moft Country payable 10 Me Federai Aviation Administration. Physical Address: Required when mailing asklftrft is a P.O. Box or mile drop. Signature and Tine Requirements for Common Registration Types: - Individual owner must sign, itue wOuld be 'Owned% (Address) • Pannership general winner signs shaMng 'general panne( es title. (Address) - Corporation corporate officer or manager signs. showing lull We. City Stale Zip • Limbed Liliblity CO authorised member. manager. or °door nontaed n me LIC organization document signs. sne.mg sus title Country - CO-Owner each co-owner must sign. showing 'co-Owner as tee. - Govemmem authorized person mast sign and show their to ten TO RENEW REGISTRATION: IFAELV aircraft registration information. Nets: NI signatures must be In Ink, or ether permanent media. SELECT the appropetate statement gaIgg. any Change in address in the spaces below. AMI, DATE, & SEND form with the 55 renewal leo to the To correct entries: Draw a singe Aft through error Make Correct entry In FM MOROI Registry. PO Box 25504. Oklahoma City OK 73125-0504. or remaking space. or complete the Kim onitne An application form was be by Maude( 10: 6426 S Denning Room 118. Oklahoma City OK 731694937 rebooted b any envy is covered by correction tape or &misery obscured. n I (WE) CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FM FILES TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT: FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT. OWNERSHIP MEETS CITIZENSHIP REOUREMENTS OF 14 CFR §47.3. AIRCRAFT IS Gl1fsd5 all applicable blocks below. ;OMR FTF Mil mu a htag. this NOT REGISTERED UNGER THE LAWS OF ANY FOREIGN COUNTRY. form with any fees to the: FM Aircraft Registry. PO Box 25504. Oklahoma City. OK, 731254504. or by courier to: El UPDATE THE MAILiNG I PHYSICAL ADDRESS AS SHOWN BELOW. 6425 S Denning Rrn. 118. Oklahoma City OK 73169.6937 I (WE) CERTIFY THE, NAME(S) SHOWN MOVE FOR THE OWNER(S) OF THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP MI CANCELLATION OF REGISTRATION IS REQUESTED. REQUIREMENTS OF 14 CFR 847.3. AIRCRAFT IS NOT REGISTERED VNDER THE LAWS OF MY FOREIGN COUNTRY. O (Show THE AIRCRAFT WAS SOLD TO: purchaser's name sad address.) NEW MAILING ADDRESS O THE AIRCRAFT I
ℹ️ Document Details
SHA-256
b052ddc41054943a50730c092f3f3809896943b9dcad74ab7b43f77d519221c6
Bates Number
EFTA01329726
Dataset
DataSet-10
Document Type
document
Pages
64

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