EFTA01329790.pdf

' LLC June 11, 2021 To whom it may concern, FAA Registration N Number Change Request: Industrial Integrity Solutions, LLC Owner of N722JE A Sikorsky S76C++ Helicopter Manufacturer: Sikorsky Model: S76 Serial: 760750 Current N Number: N722JE We are requesting to change the N Number to: N760GP Please find enclosed our $20.00 check to process the change. Thank you, Rich Munkvold Chief Financial Officer Industrial Integrity Solutions 211751330158 32O.00 06124/2021 SDNY_GM_02758005 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244927 EFTA01329790  N4',10AV 1 ,4.9140 1O30 v,40Vk • 1,2 ura t 63113 3 Filth\ SDNY_GM_02758006 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244928 EFTA01329791  ASSIGNMENT OF SPECIAL Special Registration Number CO N76OGP REGISTRATION NUMBERS U.S. 0cipanmani Aircraft Make and Model Present Registration Number of TransportatIon KEYSTONE HELICOPTER S-76C N722JE Federal Aviation Serial Number Issue Date: Administration 760750 Aug 05. 2021 ICAO AIRCRAFT ADDRESS CODE FOR N760GP - 52441054 This is your authority to change the United States registration number on the above described aircraft to the special registration number shorn. Carry duplicate of this form in the aircraft together with the old registration certificate as interim authority to operate the aircraft pending receipt of revised certificate of aircraft registration. The latest FAA Form Ill30-6, Application For Airworthiness on Me is dated: Dec 08, 2008 The airworthiness classification and category: STI) .ERANSP INSTRUCTIONS: SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry. Aircraft Registration Branch. within 5 days after the special registration number is placed on the aircraft. A revised certificate of aircraft registration will then be issued. Obtain a revised certificate of airworthiness from your nearest Flight Standards District Office. The authority to use the special number expires: Aug 05. 2022 CERTIFICATION: I certify that the special registration number was placed RETURN FORM TO: on the aircraft described above. Civil Aviation Registry Signature of Owner IIIIIIIMI — Title of Owner Date Placed on Aircraft: AC FORM 805041 45:2005) Superstdc. Prevlon. Edition SDNY_GM_02758007 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244929 EFTA01329792  SDNY_GM_02758008 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244930 EFTA01329793