📄 Extracted Text (9,063 words)
UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION - MIKE MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
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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
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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
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UNITED STATES OF AMERICA — DEPARTMENT OF TRANSPORTATION
FFIIEDu AMATION ADMINISTRATION - MUM MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
UNITED STATES
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SIGNATURE. DATE ( irs _ 11- II
1
TYPED/PRIMITO .
Lantrerwe P Sanaa Jrart MU Manager
DIANE
SKINATIME DATE
2
TYPEDPRINTED
NAIM:
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EFTA 00244868
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McLain Emolope ID: 7C21386F-7W L
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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
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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
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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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