UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION - MIKE MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
MIST® STATES
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SIGNATURE: DATE Il
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TYPEOPRNTED
Lawrence P Wm* Jr. TITLE manager
NAME:
SIGNATURE DATE
2
TYPED/PRNTED
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NAME.
NOTE PON* linen Oho roc41 MGM rwpabatIon of the or-Sect akraft mired or cyanid, 14 CFR 47.31(t) wain for an emote" U.S.
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EFTA_00249561
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DocuSIgn Envelope ID: 7C213436F•MCC 4M° 9CCI-70330CCOFSS4
0
N
FORM APPROVED
OMB NO 21204042
UNITED STATES OF AMERICA 00
U. S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
AIRCRAFT BILL OF SALE 0
FOR AND IN CONSIDERATION OF $ THE 0
UNDERSIGNED OWNER(S) OF THE FULL LEGAL
AND BENEFICIAL TITLE OF THE AIRCRAFT DES-
CRIBED AS FOLLOWS:
0
UNITED STATES
REGISTRATION NUMBER: N722JE 0
a
AIRCRAFT MANUFACTURER & MODEL
Keystone (Sikorsky) model S-76C
Z.4
AIRCRAFT SERIAL NO. 760750 0
0
0
DOES THIS 1 DAY OF June, 2019,
HEREBY SELL, GRANT, TRANSFER AND (.0
DELIVER ALL RIGHTS, TITLE, AND INTERESTS 3
IN AND TO SUCH AIRCRAFT • UNTO: Do WWI* in ThIt Block T
FOR FAA USE ONLY y
NAME AND ADDRESS
PURCHASER
(IF INDIVIDUAL (S). 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 t3 DAY OF 31.44V- 2019.
NAME(S) OF SELLER SIGNATURE(S) TITLE
(TYPED OR PRINTED) (IN BLUE INK) OF EXECUTED (TYPED OR PRINTED)
FOR CO-OWNERSHIP. ALL MUST
SIGN.)
W ASI WINGS LLC Senior Vice President,
Olteapl4bY
-J By: Aetna Inc., its Managing
—a controller & Chief
iu Member @lama (Lark Accounting Officer
co 710•000MASI
James D. Clark
ACKNOWLEDGEMENT (NOT REQUIRED FOR PURPOSES OF FAA RECORDING: HOWEVER. MAY BE REQUIRED
BY LOCAL LAW FOR VALIDITY OF THE INSTRUMENT.)
ORIGINAL: TO FAA
AC Form 8050-2 (9/92) (NSN 0052-00-829-0003) Supersedes Previous Edition
• and the following described engines: TURBOMECA model ARRIEL 2S2 bearing manufacturers serial numbers 42285
and 42288.
191641014476
ADAM 35381002v1 55.00 08/13/2019
SDNY_GM_02762713
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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VN0W/1)10
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EFTA_00249563
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OMB Carrel Ameba 21204729
roses 063017
Paperwork Reduction Act Statement: The intorrration wisdom on this form is recessary to marroath wirer regottallon. We °mirrors that a wll take awe:Kersey 30
minutes 10 °empire° the form Pease notedly' an agency may rot conduct ce sponse', and a person b nor required to respond to. a collection cor Own:~ unless a erspays a
rad OMB control rums, Fenn Approved. OMB No. 71:r: 07? r 'Comments coscerrirg the exuracy dMis Peden and suggestions for reducing the burden 'bete be
settee ro the FAA at BOO Insescence Avers, SW. Washington. DC 20591 AT TN Ironical Cotection Clearance Officer. AES-200.'
FAILURE TO RENEW REGISTRATION Writ
DEPARTMENT OF TRANSPORTATION • FEDERAL AVIATION ADMINISTRATION RESIA r IN CANCELLATION OF REGISMATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION AND REGISTRATIONNUMBER ASSIGNMENT
(See U CF.R ft§ 47.1SM 47.40 and 4 tau
AIRCRAFT REGISTRATION NUMBER SERIAL NUMBER
N 722JE 760750
MANUFACTURER MODEL
KEYST0hE HELICOPTER S.76C
DATE OF ISSUANCE DATE OF EXPIRATION TYPE OF REGISTRATION
08,16/2011 08/31/2020 CORPORAL ION
ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE HELPFUL INFORMATION
(0erner 1) ASI WINGS LLC Review Aircraft Registration File Information for this aircraft
at: htto://reqistry.faamov/aircraftinauiry.
(OATS' 2)
Hyde; Enter any additional owner names on page two. Assistance may be obtained
at our web page: http://moistry.faa.govirenewreoistration.
(Address) 151 FARMINGTON AVE
by entail at faa aircraft.reaistryafaa.00v. or
(Address) by telephone at: (866) 762' 9434 (toll free). Or (405) 954' 3116
City HARTFORO State CT Zip 06156-0001
When mailing foes, please use a check or money order made
Country UNITED STATES payable to the Federal Simon Administration
Physical Address: Required when mailing address is a P.O. Box or mail drop. Signature and Title Requirements for Common Registration Typos:
(Address) - Individual eviler rust Kn, title would be 'owner.
(AddreSS)
• nonmetal* general Pans' sirs showing 'general Partner. AS
:isle.
City State Zip - Corporation corporals officer or manager signs. showing ful title
Country - Limited Liability Co authorized member. manager. a officer identified in
the LLC organization doormen, signs, showing full title.
TO RENEW REGISTRATION: REVIEW aircraft registration informatinet "Co-owner each Menne, must sign: showng 'co-owner as role.
- Government authonzed person must sin and show their full title
apjaaj the appropriale statement FRIER any change in address in the
spaces below, Ira. asig, $ sis form with the 55 renewal leek) tho Note: MI signatures must be In Ink, or other permanent media.
FM Antall Registry. PO Box 25504. Oklahoma City OK 73125-0504, a To cornet or Draw a stole line through error Make cared entry it
by courier to: 6425 S Dennlig Rm 118. Oklahoma City OK 731694937 d space. or complete the form cc-line. An applicasc form will be
remainirg
rejected any entry is covered by correction tape or similarly obscured.
ilg I (WE) CERTIFY, THE NANCS)ANO ADDRESSES FROM THE FM FILES
FOR THE ONPER(S) OF THIS AIRCRAFT ARE CORRECT. OWNERSHIP TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §97.3. AIRCRAFT IS CMS& Al snob:able block(s) below. r.OhIPLE rt. 20., QM & Mal
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. this Ion., with any fees to the: FM Aircraft Registry.
PO Box 25504, Manama City, OK, 731260504. or by courier to
UPDATE THE MAKING! PHYSICAL ADDRESS AS SHOWN BELOW. 6425 S Denning Rm. 118. Oklahoma City OK 731694937
I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF
THIS AIRCRAFT IS CORRECT. OWNERSHP MEETS THE CITIZENSHIP CANCELLATION OF REGISTRATION IS REQUESTED.
REQUIREMENTS OF 14 CFR $472, AIRCRAFT IS NOT REGISTERED ❑
UNDER THE LAWS OF ANY FOREIGN COUNTRY. THE AIRCRAFT WAS SOLD TO:
(Shoe purchaser's name and eildreSS.I
NEW MAILING ADDRESS
O THE AIRCRAFT IS DESTROYED OR SCRAPPED.
NEW PHYSICAL ADDRESS: complete if physical address has changed. a O THE AIRCRAFT WAS EXPORTED TO:
the new main° address is a PO Box or Mail Drop.
O OTHER. Specify
O PLEASE RESERVE NAUMBER IN THE OWNER'S NAME
AND ADDRESS. The $10 reservation lee is enclosed.
SIGNATURE OF OWNER 1 posse sad) PRINTED NAME OF SIGNER (required Oex) TITLE (required Seth DATE
Eleanore-say Carted by Reg Stared Owners 372872017
SIGNATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE
Use page 2 lor ackfitional signatures.
Fee paid: $5 (201703281152554432NB)
AC Form 8050.18 (04/12)
SDNY_GM_02762715
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249564
EFTA01262053
SDNY_GM_02762716
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249565
EFTA01262054
OMB Ccagrol Mamba" 2I200729
Expires 0LI0:It
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 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
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 Fomi 8050.18 (00/12) REF N-NUM:
SDNY_GM_02762717
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249566
EFTA01262055
SDNY_GM_02762718
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249567
EFTA01262056
D
DEBEE GILCHRIST
a6
1€ ATTORNEYS & COUNSEI ORS
co
August 4, 2014 >
0
9.c
o
iii
Jana L. Hammer, Manager ia
O
Aircraft Registration Branch is
Federal Aviation Administration
P.O. Box 25082
Oklahoma City, Oklahoma 73125
RE: Executive Jet Management;
One (1) 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,
AhAitigit4- 11 7
Brandt S. Sterling
Legal Assistant
142161527010
82.00 08/04/2014
100 North Broadway Ave. • Suite 1500 • Oklahoma City, OK 73102-8609
www.debeegiichrist.com
SDNY_GM_02762719
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249568
EFTA01262057
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A.1.10 VP1011V1U0
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249569
EFTA01262058
U.S. Department Flight Standards Service P.O. Box 25504
of Transportation Aircraft Registration Branch. Oklahoma City. Oklahoma 73126.0604
AFS.760
Federal Aviation Toll Free: 1466-762-9434
WEB Address: http:Hregistry.faa.gov
Administration
Date of Issue: August 4, 2014
ASI WINGS LLC
151 FARMINGTON AVE
HARTFORD, CT 06156-0001
HAND DELIVERED TO 'GIL IN THE PD ROOM
T146046 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.
Soexbutu-et.
for
Jana L. Hammer
Manager, FAA Aircraft Registry, AFS-750
Federal Aviation Administration
AFS-7545FAXA (01/14)
SDNY_GM_02762721.
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00249570
EFTA01262059
SDNY_GM_02762722
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024957 I
EFTA01262060
_.
PRINT PAGE 1 PRIVACY ACT STATEMENT OMBComet Number 2120-0729
Emma 053 1/2014
az
Paperwork Reduction Act Statement: The racrrnmon coaecice on Ma Sorm fs no essery b manal aircraft regatraben We intimate that k volt take a9ProernetNY TO mfMAOS
to complete the lorm Pease au that an agency may not conduct of sponaor, end o person is n01 MO 00010 respond 10. a 000eMen a inlermabon unless it deploys a eatel C
OMB control runts.. Form Approved. OMR No. 2120-0721 'Comments ohicernno me accuracy of Ms burden and supposilms for redoOng la burden &MAO be &mod to C
Me FM at 000 ham:entente Avenue SW wee/rote& CC 20691. ATTN. imam-wan Cosa/won Clearance Oboe., AES-200" C
DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION FAILURE TO RENEW REGISTRATION WILL N
RESULTW CANCELLATION OF REGISTRATION O
AIRCRAFT REGISTRATION RENEWAL APPUCATION ANC REGISTRATION NUMBER ASSIGNMENT
(See 14 CFR if 47.15(4), 1240 end 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 OWNEFt(S)& ADDRESS FROM FAA FILE HELPFUL INFORMATION
(Crimer 1) ASI Wings LLC Review Aircraft Registration Filo Information for this aircraft
(Owner 2) at: ettolketeStrtfaasevraircraftmouire.
Mei Enter any traditional on nemes on page two. Assistance may be obtained
151 Farmington Avenue at cur web page here//registry IPA ilenerenevereoleatiOn
(Address) by e-mail al fee duet redistrydiVaa coy. Or
(Address) by tercaaone at. (Oa) T62. 9434 (ton hook aµ05)954 . 3116
cry Hartford Siete CT Zip 06156-0001 When mailing fees, please use a check or money order made
Country payable lo the Fedora; Aviation Admineveson.
Physical Address: Reolfed when mating address tea P.O. Boa c4 mss drop. Signature and Tide Requirements for Common Registration Types:
• Individual owner must sign. 11110 womb 0o 'ohne".
(Address) Ponnorshp general panne( Signs showing -genera Winer' as Lilo
(Address) - Corporation corporate ORION a manager IrgnS. showing kill tin)
City Stale Zip • limited Liability Co authorized member. manager, or MAW identified n me
LLC aganizeban cicomenl slam. showing full [kb
County • Co-owner each commer must Sign. SnOwn9 .00-ownef as het
GOYCitnrnOnl autriara•O parson must Sign and SAO* MOY full 1. .
TO RENEW REGISTRATION: REVIEW aircraft reejstration information. Note: AK signatures must be In Ink, or other permanent media.
261.6.01 the appropriate Statemeet. EOM. any Change M address on the
spaces below. SIGN. DATE. b mg_ form wile the SS renewal fee to the: To correct entries: Drew a singe line thrown OfrOr. Make correct entry in
FM Suers Registry. PO Box 25504. Oklahoma City OK 73125.0504. or remainng space. or complete tip form on-line. M applitatnn FOrm will be
by courier to 6425 S Denning Room 118. Oklahoma City OK 731694937 maieled if any envy is covered by correction tape a similarly obscured.
M I (WEI CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FM FILES
FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, OWNERSHIP TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3. AIRCRAFT IS CHECK all applicable blocks below. calMIN FTF r41G.N. DMZ & gal this
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. form with any fees to the FM Aircraft Regisiry,
PO Box 25504. Oklahoma Gay. OK. 73125-0504, or by courier to:
❑ UPDATE THE MAILING I PHYSICAL ADDRESS AS SHOWN BELOW. 6425 S Donning Rm. 118, Oklahoma City OK 731694937
I (WEI CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF
THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP 0 CANCELLATION OF REGISTRATION IS REQUESTED.
REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED
UNDER THE LAWS OF ANY FOREIGN COUNTRY. O (Show
THE AIRCRAFT WAS SOLD TO:
purchasw's name and addreSal
NEW MAILING ADDRESS
El THE AIRCRAFT IS DESTROYED OR SCRAPPED.
NEW PHYSICAL ADDRESS: complete if physical address has charged, Or
❑ THE AIRCRAFT WAS EXPORTED TO:
Me new mailing Address is a PO Box or Mail Drop.
❑ OTHER. SP•bl7Y
I71 PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME
AND ADDRESS. The 510 reservation fee is endosed.
SIGNATURE 0F Dolt 1 wed Gem PRINTED NAME OF SIGNER (rewired dell) TITLE 0040.400 WO)
SIGNATURE Of OWNER 2
Westbrook
PRINTED NAME OF SIGNER
MamaniCarene Sacanary et MemInc.
'Marcy ce
TITLE
°A; 79 Lao4
OATE
Use page 2 for additional signatures.
AC Form 8050-I B (04/I2)
SDNY_GM_02762723
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249572
EFTA01262061
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ADD VIY0117lUn
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SDNY_GM_02762724
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249573
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DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE006014974
FFR -18 DOC ID 8018 5/1/14
141211307096 $5 5/1/14
SDNY_WA_02762725
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249574
EFTA01262063
SDNY_GM_02762726
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249575
EFTA01262064
U S DePartn'ent Flight Standards Service P.O. Box 25504
(>, Arcratt Registration Branch. AFS-750 klahcfna 73125.0504
Federal Aviation
Toll Free 1.866.762.9434
Administration WEB Address http//registry faa gov
December 1 1, 2012
MI WINOS LLC
131 FARMINGTON AVE
HARTFORD Cr6614o-000i
111//1111
Dear Sirs:
An AC Form 8050-64, Assignment of Special Registration Numbers, was issued on September
16, 2011, as authorization to the change the registration number on a KEYSTONE
HELICOPTER S-76C aircraft, serial number 760750, from N722JE to special number N162AE.
This authorization was good for one year from the form's date of issue. The form was required
to be signed and returned to this office within five days after the special registration number was
permanently affixed to the aircraft. As of the date of this letter, no completed authorization has
been received by this office.
This authorization expired on September 16, 2012. Accordingly, the assignment of special
registration number NI 62AE to this aircraft was cancelled on December 11, 2012, and returned
to the pool of available N-numbers.
You may apply to reserve any available N-number as a special number in your name, or request
an available N-number be assigned to an aircraft to change that aircraft's registration number.
Information about requesting the reservation or assignment of a special registration number may
be viewed on our web site htto://registry.faa.gov.
If you have any questions, our toll free telephone number is 1 (866) 762-9434.
Walter L. Binkley
Manager, Aircraft Registration Branch, AFS-750
AFS-750-REREG-14 (09/10)
SDNY_GM_02762727
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00249576
EFTA01262065
SDNY_GM_02762728
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249577
EFTA01262066
U S GePartn'en! Flight Standards Service P.O. Box 25504
(>1 "'ans:>::•- ta'ic- Avcratt Regrstration Branch. AFS-750 Oklahoma 73125.0504
Federal Aviation Toll Free 1.861.702.9434
Administration WEB Address httpfiregustry faa gov
October 12, 2012
ASl WINGS Lie
151 FARMINGTON AVE
IRRTFORD(1 0614441001
11111.111i....11.I.I..11..11...Ill.,Ill,..”11,1.1,...11.1.1,1
Dear Sirs:
The FAA Aircraft Registration Branch (Registry) issued an Assignment of Special Registration
Numbers, AC Form 8050-64, on September 16, 2011. This form authorized a change of
registration number from N722JE to NI 62AE to be completed within one year of its issue date
for the KEYSTONE HELICOPTER S-76C aircraft with serial number 760750. Within five days
of placing N162AE on the aircraft a signed copy of this form showing the date of the change was
required to be returned to the Registry. The authorization to change registration numbers
expired on September 15, 2012, without a completed copy of the form being received by the
Registry. We ask that you confirm the status of this registration number change so that the
matter may be closed appropriately. If no response is received within 30 days from the date of
this letter, the number change will be cancelled and N162AE returned to the pool of available N-
numbers.
The attached form may be used to confirm the status of this registration number change. If
special registration number N162AE has been placed on this aircraft, then upon receipt of your
notification, the Registry will update our records and issue a revised registration certificate
showing the special registration number.
The attached form also may be used to confirm that the N-Number change was not made, to
request the reservation of the special number in your name, or to make a new request for
N162AE to be assigned as special registration number to change the N-number of this or another
aircraft.
If we may be of any assistance, our toll free telephone number
filf:s ie re'r-eary
Walter L. Binkley
Manager, Aircraft Registration Branch, AFS-750
AFS-750-REREG-13 (03/11)
SDNY_GM_02762729
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00249578
EFTA01262067
SDNY_GM_02762730
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249579
EFTA01262068
Directiont:
Select and complete the appropnatc section below then send. with the indicated fee (if appropriate). to the FAA
Aircraft Registration Branch.
U.S. Postal Service. Regular and Priority Mail Commercial Delivery Services:
FAA Aircraft Registration Branch FAA Aircraft Registration Branch
P.O. Box 25504 Registry Building. kin. 118
Oklahoma City. OK 73125-0504 6425 South Denning
Oklahoma City. OK 73169-6937
Make fee payment by check or money order payable to the Federal Aviation Administration.
For additional information call toll free 1-866.762.9434. or visit htto://reaistrvfaa.eov
FAX No: (405) 954-3548
Dear Aircraft Registry:
0 Special registration number N162AE was not painted on KEYSTONE HELICOPTER S-76C. serial
number 760750.
O I/We do not wish to reserve this number at this time.
O Please reserve this NI62AE in our name. The SI0.00 special N-number reservation fee is
enclosed.
O Please assign N162AE to KEYSTONE S-76C 760750
HELICOPTER
(Fiefs) I Male! 'Saul Ntnhnp
for an N-number change. $20.00 is enclosed to cover both the special number request and
assignment fees.
On
0 Special registration number N162AE was placed on KEYSTONE HELICOPTER S-76C serial number
760750 on (cued., Please issue a revised registration cenificate.
O The completed and signed Assignment of Special Registration Numbers. AC Form 8050-64. is
enclosed.
O The Assignment of Special Registration Numbers. AC Form 8050-64. is lost or destroyed. Please
accept this as notice that the authorized N-number change has been completed.
Name of Owner:
Signatureffitle Date
AFS-750-REREG-13 (03/11)
SDNY_GM_02762731
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249580
EFTA01262069
SDNY_GM_02762732
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249581
EFTA01262070
ASSIGNMENT OF SPECIAL Special Registration Number
N162AE
REGISTRATION NUMBERS
V.S Dot:oilmen' Aircraft Make and Model Present Registration Number
of Transportation KEYSTONE HELICOPTER S-76C N722JE
Federal Avlalon Serial Number Issue Date:
Administration 760750 Sep 16. 2011
ICAO AIRCRAFT ADDRESS CODE FOR N162AE - 50174441 This is your authority to change
the United Stales registration
number on the above described
ASI WINGS LLC aircraft to the special
151 FARMINGTON AVE registration number shorn.
HARTFORD CT 06156-0001
Can duplicate of this form in the
Dirndl
aircrall together midi the
old registration certificate as
interim authority to operate the
aircraft pending receipt of revisal
cenilicate of registration.
Obtain a revised certificate of
ainsorthiniwr from your 1101.
ca Flight Standards District
Office.
The latest FAA Fonts
Application For Ainsorthincss
on tile is dated:
Dec OR, 200R
The airnorthiness classification
and category:
STD TRANSI'
INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, AFS-750, within 5 days after the special
registration number is placed on the aircraft. A revised certificate will then be issued.
The authority to use the special number expires: Sep 16, 2012
CERTIFICATION: I certify that the special registration number was placed RETURN FORM TO:
on the aircraft described above.
Civil Aviation Registry. AFS-750
P.O. Box 25504
Signature of Owner Oklahoma City. Oklahoma 73125-0504
Tide of Cutter.
Date Placed on Aircraft:
AC FORM 81$0-6-1 (9400) super-wilt, Pry.kW% FglItIon
SDNY_GM_02762733
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240582
EFTA01262071
SDNY_GM_02762734
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249583
EFTA01262072
V
'0
0
A Insured Aircraft Title Service, Inc.
[Li S
P.O. Box 19527
4848 SW 36th Street
e-mail address
Oklahoma City, Ok 73144
Oklahoma City, Ok 73159
web site: veww. su eclai c all com
FA
O
FEDERAL AVIATION ADMINISTRATION
CENTRAL RECORDS DIVISION
OKLAHOMA CITY, OKLAHOMA
Date: August 26, 2011
Dear Sir/Madam:
Please Reserve N in NAME ONLY for:
N# Change Request
Please Reserve N 162AE' and assign for the following aircraft:
N 722JE Make Keystone Helicopter_ Model S-76C Serial # 760750
Which is (1) being purchased by (2) registered to XX
ASI Wings LLC
112381430476
520.00 08/26/2011
Payment of the required $10.00 fee per number to reserve/assign is attached. If the preferred N number is not
available. please contact the undereigned fore selection of a new number. Please send the confirmation of
reservation/8050-64 form to Insured Aircraft title Service. Inc. in the Public Documents room of the FM.
Additional Information: • please see attached relinquishment
Requested by: ChM aka
Au a Jones
Fee: $10.00
SDNY_GM_02762735
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249584
EFTA01262073
VHOW/1)10
1110 VHOHT-1)10
9S T Lid 929liti
allOILVILS1038 131/40d1V
V'03 HIM 03112
SDNY_GM_02762736
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249585
EFTA01262074
FORM APPROVED
OMB No. 2120-0042
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION
renew. AVIATION ADIPAINISTRATIONAAINS IWONPONST AERONAUTICAL CENTER 1
AIRCRAFT REGISTRATION APPLICATION CERT: ISSUE DATE ;
REGISTRATION12ABER II 722JE I
AIRCRAFT MANUFACTURER & MODEL '
Keystone (Sikorsky) S -76C
AIRCRAFT SERIAL.No.
760750 FOR FAA USE ONLY i
TYPE OF REGISTRATION (Check One box) I
O 1. Individual O2. Partnership O 3. Corporation 04. Co -Owner 0 5. Government
O 8. Non -Citizen Corporation O 9. Non-Citizen Corporation Co-Owner
NAME OR APPLICANT (Person(s) shown on evidence of ownership. If individual. give last name. Met name. and middle initial.)
III ASI Wings, LLC
TELEPHONE NUMBER:
ADDRESS (Permanent mailing address for first applicant on list) (It P.O. Box Is used. physical address must also be shown.)
151 Farmington Avenue
siumbentind street:
Rural Route: P.O. Box:
CITY STATE 2IP CODE
Hartford Connecticut 06156
O CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS
ATTENTION! Read the following statement before signing this application.
This portion MUST be completed.
A false or dishonest answer to any question in this application may be grounds for punishment by line and/or imprisonment
(U.S. Code. Title IS. Sec. 1001).
IIIPINE CERTIFY:
CERTIFICATION
(1) That the above aircraft is owned by the undersigned applicant. who Is a citizen (including corporation)
of the United States.
(For voting trust. give name of trustee: I Or:
CHECK ONE AS APPROPRIATE.
O. A resident alien. with alien registration (Form 1.151 or Form 1-551) NO.
b. A non-citizen corporation organized and doing business under the laws of (state)
and said aircraft is based and primanly used in the United States. Records or flight hours are available for
inspection at
(2) That the aircraft is not registered under the laws of any foreign country: and
(3) That legal evidence of OwnerShIp IS attached or has been filed with the Federal Aviation Administration.
NOTE: If executed for co-ownership all applicants must sign. Use reverse side It necessary.
TYPE OR PRINT NAME BELOW SIGNATURE
SI NATURE \ YiTLE DATE
EACH PART OF THIS
Assistant Corporate
•
ecretary of Aetna Inc. ,7 a ' a
SIGMA ugE DATE
APPLICATION MUST
MISAaging Member of
Melinda Westbrook ASI Wings, LLC
BE SIGNED IN I .
SIGNATURE TITLE DATE
NOTE Pending recelpi of the Certificate of Aircraft Registration, the /Scroll may be operated for a period not in excess of 90
days. during which time the PINK copy of this application must be carried In the aircraft.
AC Form 8050-1 (1/09) (NSN 0052.00-828.9007) Supersedes Previous Edition
S0NY_GM_02762737
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249586
EFTA01262075
AltoQHv1
VW1?-v
iNnxO
8S TT 1113 9Z 11W 110?
tie Nouvt.sisioits J.dvsloalv
V VA HUM 03113
SDNY_GM_02762738
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249587
EFTA01262076
a
O
O
•
0
WARRANTY BILL OF SALE 0
a
a
0
The undersigned, FREEDOM AIR INTERNATIONAL, INC. ("Seller"), is the
owner of the full legal and beneficial title in and to that certain used Keystone (Sikorsky) S-76C 0
helicopter (sometimes referred to as a S-76C++) bearing Manufacturer's Serial No. 760750 and
U.S. Registration No. N722JE, with two (2) Turbomcca Arricl 2S2 engines bearing
aa
a
Manufacturer's Serial Nos. 42285 and 42286, together with all avionics, equipment (including
loose equipment), systems, furnishings and accessories installed on, contained in or attached to
said helicopter and engines, all as is more particularly described in that certain Aircraft Purchase
Agreement dated as of July I R , 2011, between Seller and Purchaser, and also including all
airframe, engine and accessory logbooks, flight and operation manuals, maintenance and
overhaul records, checklists, drawings, any issued FAA Form 337's, warranty documents, and all
other records and paperwork relating to the above-described helicopter and engines in Seller's ru
possession (collectively, the "Aircraft'); provided, that the term Aircraft as used herein does not
include airframe maintenance manuals and airframe illustrated parts catalogs as the same are being
retained by Seller.
For and in consideration of the sum of Ten Dollars ($10.00) and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Seller
does hereby grant, bargain, sell, convey, transfer and deliver unto ASI WINGS, LLC
("Purchaser"), all of Seller's right, title and interest in and to the Aircraft.
Seller hereby warrants to Purchaser, its successors and assigns, that Seller is the
lawful owner of the Aircraft and that there is hereby conveyed to Purchaser good and marketable
title to the Aircraft, free and clear of any and all liens, claims and encumbrances whatsoever, and
Seller will wan-ant and defend such title forever, at the sole expense of Seller, against all claims
and demands whatsoever. EXCEPT FOR THE WARRANTIES OF SELLER SET FORTH IN
THE PRECEDING SENTENCE, THE AIRCRAFT IS HEREBY SOLD TO PURCHASER IN
ITS "AS IS, WHERE IS" CONDITION AND "WITH ALL FAULTS."
IN WITNESS WHEREOF, Seller has caused this Warranty Bill of Sale to be
executed by its duly authorized officer, as of this )L' day of July, 2011.
FREEDOM AIR INTERNATIONAL, INC.
112071217388
$5.00 07/28/2011
SDNY_GM_02762739
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA ())249588
EFTA01262077
V14014V1NO
A IID VW4iV1X0
9S it WU 92 iv no?
Z16 NOW; b1S:918 in
OdIV
V V:11-{11A; 03114
SDNY_GM_02762740
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249589
EFTA01262078
FORM APPROVED
OMB No. 2120-0042
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION 6
FEDERAL AVIATION ADMINISTRATION-MIKE MONRONEY AEFIONAuliCAL CENTER G
AIRCRAFT REGISTRATION APPLI CATOR CERT: ISSUE DATE
a
Ti
REGMYRA
t iciaaitiABER 14 - 7 ?TE .
MANUFACTURE." MODEL n
a
Al tit* Net / cop‘et-, K
If‘CIVS eLf ..- 1 C 1-1-. >
AIRCRAFT SERIAL No. c
to
Ti' 6 coa-7 5 0 FOR FAA USE ONLY IV
TYPE OF REGISTRA k One box) t0
01. Individual 02. Partnership . Corporation 04. Co-Owner • O S. Government S
-.
O 8. Non-Citizen Corporation 0 9. Non-Citizen Corporation Co-Owner 0
NAME OR APPLICANT (Porson(s) shown on evidence of ownership. If Individual. give HSI name. first name. and middle initial.)
rre...C.c9CAAA., Aci C . MOO 4.—
CA r fie leCi101.4.C5_ ( J =lin C- •
ail
TELEPHONE NUMBER: ( )
ADDRESS (Permanent mailing address for first applicant on list) (It P.O. Box Is used. physical address must also be shown.)
Number and street' I (3 3 F -(3 01. V Rama. 4 SCAB' ile ac>...D_
Rural Route: P.O. Box:
CITY SIAM ZIP CODE
\ st .) \ k viAJ"tal k t... *--b)e.. (9 203
O CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS
ATTENTION! Read the following statement before signing this application.
This portion MUST be completed.
A false or dishonest answer to any question in this application may be grounds for punishment by fine and/or imprisonment
(U.S. Code. Title 18. Sec. 1001).
Il. CERTIFICATION
I/WE CERTIFY:
(1) That the above aircraft Is owned by the undersigned applicant. who is a citizen (Including corporations)
of filo United States.
(For voting trust. give name of trustee: ), Or:
SHECK ONF AS APPROPRIATE'
a. A resident alien. with alien registration (Form 1-151 or Form 1.551) No.
b. A non-Citizen COrpOratiOn organized and doing business under the iaws of (state)
and Said aircraft is based and primarily used in the United States. Records or flight hours are availed° for
inspection at
(2) Thal the aircraft IS not registered under the laws of any foreign country: and
(3) That legal evidente of ownership Is attached Or hag been filed with the Federal Aviation Administration.
NOTE: II executed for co-ownership all applicants must sign. Use reverse side if necessary.
TYPE OR PRINT NAME BELOW SIGNATURE
SIGNATURE TITLE DATE
EACH PART OF THIS ;tom i i )V CO + ' tail°
APR CATION MUST
SIGNATURE .e._ TITLE DATE
102280834295
BE SGNEO IN INK.
SIGNATURE TM-E55, QC 03/18/2010 DATE
... ..._....--
.
NOTE Pending receipt of the Certificate of Aircraft Regis ration• the aircraft may be operated for a period not in excess of 90
days. during which time the PINK copy of tie OPP Kellen must be carried in the aircraft. .
AC Form 8050.1 (MOS) (NSN 0052-00.828.9007) Supersedes Previous Edition
SDNY_GM_02762741
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249590
EFTA01262079
SDNY_GM_02762742
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249591
EFTA01262080
DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE001916668
name change
rev/doi 022709
SDNY_WA_02762743
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249592
EFTA01262081
SDNY_GM_02762744
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249593
EFTA01262082
RECORDED CONVEYANCE. FILED IN:
U.S. DEPARTMENT OF TRANSPORTATION NNUM:
FEDF.RAI. AVIATION ADMINISTRATION SERIAL NUM:
CDR'
CROSS-REFERENCE—RECORDATION lured
kik C \KKR R
This form is to be used in cases where a conveyance covers several ai craft and amines. propellers. or locations. File original of this form
with the monied conveyance and a cop) in each aircraft folder invol 'ed.
'FITE OF CONVEYANCE DATE ENICUTED
NAME CHANGE FEBRUARY I L 2010
FROM DOCUMENT NO.
AIR GHISLAINE INC
TO OR ASSIGNED TO DATE RECORDED
SHMITKA AIR INC
MARCH 17. 2010
THE FOLLOWING COLLATERAL IS COVERED BY THE CONVEYANCE:
Total Airmail: Total Engines: Total Props: Total Sparc NILS:
APS-750-23R (02/0/0
SDNY_GM_02762745
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249594
EFTA01262083
SDNY_GM_02762746
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249595
EFTA01262084
Special Registration Number
0 ASSIGNMENT OF SPECIAL N7221E
REGISTRATION NUMBERS
Present Registration Number
Aircraft Make and Model N750A
Us °SWIMS
d Tainasetaaen KEYSTONE IfEJCOPTER S-76C
Issue Date:
Federal Aviation Serial Number Mar 10, 2010
Adiranistratkon 760750 This is your authoriy to change 0
N7223E - 52325707
ICAO AIRCRAFT ADDRESS CODE FOR the United StainInititilaten O
number on the atom described
airmail to the spxial
AIR GIRSLAINE INC mein:ratios number shown
103 FOUUC RD
Cony duplicate of ttis form in the
WILMINGTON DE 19803.3742
iiiiIIIIIiiIiikil l iiiiiiIiielikiliii.Iliiiikiniklil airmail together Mt the
old tegistrition ealificate as
interimalba* temperate the
Mash pending reaipt of revised
certitiCAle of intention.
Obtain a revised ertiterde of
at from you near.
ea flight Standard: Dinner
Oflice
TM latest FAA Form at30-6.
Apathetic* For Airworthiness
as The Is tied:
Jan I4.2010
The aleworibiane dassillemloo
sad easiginyi
ExPfflumna
INSTRUCTIONS:
the Civil Aviation Registry, AFS•750. within 3 days after etc special
SIGN AND RETURN THE ORIGINAL of this form to
is *cal on the sacra. A revised certifica te will then be Soot
inastration number
The authority to use the special Danaher expires: Mar 10, 2011
CERTWICATICti: I way that mrstrthee ourista vas Owed RETURN FORM TO:
on the aircraft described a
Civil Aviation Registry. AFS-750
for Skunitka Air, P.O. Box 25504
of Olt. Oklahoma City. Oklahoma 731254504
Signal= i
D rest r of Operations of
nut or 0.„,a. Ohmitka Air, Inc. f/k/a • '
Air onisia ine, /no.
Oath awed en hihesh:tnan eli. 151zato
SOWN.", Pontoon tatitoa
AC FORM IOW" (112005)
SDNY_GM_02762747
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249596
EFTA01262085
Vr:OHV1%0
Ai,y2 v?:OHVii0
Si Lid 91 HU 0107.
sAVaTdii
%-liv4 031U
SDNY_GM_02762748
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249597
EFTA01262086
AIRCRAFT TTtE SEAROWIE Aero Records & Title Co.
RECORONO SERVICES P.O. Box 19246
mawrnitmottemnmw4now
February 11, 2010
Hand Delivered
To: FAA
Oklahoma City, Oklahoma
FORM 8050-64 URGENTLY
Attention: NEEDED/ PLEASE ISSUE AS
QUICKLY AS POSSIBLE. THANK YOU!!! 0
Gentlemen:
On behalf of our client:
AIR GHISLAINE INC.
103 Foulk Rd.
Wilmington, DE 19803-3742
Please Initiate the following action:
Please ASSIGN special registration number N722.7E, which is
reserved for our client, to the following described aircraft which
is registered in their name:
KEYSTONE HELICOPTER S-76C
SERIAL NUMBER 760750
CURRENTLY N750A
PLEASE HAND THE ORIGINAL FORM 8050-64 TO ARTC ROOK.
Thank you.
100431322310
$10.00 02112/2010
Cl PLEASE HAND CONFIRMATION OF RESERVATION LETTER TO ARTC - PUBLIC DOCUMENTS ROOM.
PLEASE HAND ORIGINAL FORM 8050-64 TO ARTC - PUBLIC DOCUMENTS ROOM.
ank you.
AERO RECORDS & TITLE C4
By: LISA THOMAS Gkgkej7genior Administrator, Special Services
/1g
Fee Attached: *10.00
CC: Christopher Shurkus
Sikorsky Aircraft
SDNY_GNIp2762749
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249598
EFTA01262087
VP101.1V -1)10
A110 Vig01111 -1)10
00 i Lid ZI 833 OIOZ
11£1 NOLINLILS103/111010k11V
v74.114,Im 03113
SDNY_GM_02762750
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249599
EFTA01262088
FORM APPROVED
OMB No. 2120.0042
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION
FEIOURAL irteriATXPIT Aeesseennurnorrc sabooKINFT ASISCOMiniCAL Pans 2
I'D
AIRCRAFT REGISTRATION APPLICATION CERT. ISSUE DATE V
UNITED STATES
REGISTRATION NUMBER IV
750A
AIRCRAFT MANUFACTURER a MODEL Kest $4 one 14ercop-oe r
i-karsai A4rertft S-76C-2
AIRCRAFT SERIAL No. co
cr
760750 FOR FAA USE ONLY
TYPE OF REGISTRATION (Check one boa)
1. Individual O 2. Partnership ri 3. Corporation 0 4. CO-owner O 5. Gov't O 8. °n-atinn O
O Corporation O
tD
NAME OF APPLICANT (Petson(e) sown on evidence of ownership. If individual. give teat name. first name. and middle initial.)
Air Ghislaine, Inc.
ID
TELEPHONE NUMBER:
ADDRESS (Pemienent mailing address for first applicant listed.) (If P.O. BOX S used. physical address must also be s)Own.)
Number and street' 103 Faulk Road
Rural Route: P.O. Boa:
CITY STATE ZIP CODE
Wilmington DE 19803
• CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS
ATTENTION? Read the following statement before signing this application.
This portion MUST be completed.
A Wee or dishonest answer to any question in this applicaticm may be /reads for punishment by One and, or inifinadroment
(U.S. Code. Rile IS. Sec. 1001).
III RYE CERTIFY:
CERTIFICATION
(I) That the above aircraft Is owned by the undersigned •00•••Or. *10 is a down (ndudi•xo CorlisftetiOne)
of the United States.
(For mango Ma give name of trustee: I or'
CHECK ONE AS APPROPRIATE:
a. O A resident alien. with alien registration (Form 1-151 or Form 1.551) No.
O. iD A nonidazim corporation organized and doing business under the laws of (Mate)
and said aircraft is based and primartty used en the United States. Records or flight hours are available for
inspection at
(2) That the aircraft is not registered under the taws of any foreign Country: end
(3) Thal Noel evidence of ownership is attached or has been Red with the Federal Aviator, Administration.
NOTE: If executed for co-ownership all applicants must sign. Use reverse side if necessary.
TYPE OR PRINT NAME E SI NATURE
SIGNATURE cm , TITLE DATE I
EACH PART OF THIS
RONA E
1650S t pkte74(..41 willitki 42429 og
TITLE DATE
APPUCATCH MUST
L.P941.9 1.1%.1305b“.
SE SIGNED IN INK UW1481439/31
SIGNATURE TITLE DATE
$5.00 02/17/2009
NOTE Pending recto' of the Certificate of Aircraft Registration. Fie aircraft may be operated for a period not in excess of 90
<WA during which time the PINK oopy of Ines application mart be ranted in the almvall.
AC FPTA 80504 (5/03) (0052-00.628.8007)
S0NY_GM_02762751
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 002496(X)
EFTA01262089
•
•
YS~C. •
• .um v•
1;0" Wd Ll 933 601:12
• ;L 1.; •. • : 1 1 V iOU
•, -11
SDNY_GM_02762752
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249601
EFTA01262090
-0
0
0
FORM APPROVED N
UNITED STATES OF AMERICA OMB NO 2120-0042
U.S. DEPARTMENT OF TRANSPORTATION FECERN. AVIATOR A0AlinISTFLATION 08/310008 O
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF $ +Ore.- THE
UNDERSIGNED OWNER(S) OF THE FULL LEGAL AND
BENEFICIAL TITLE OF THE AIRCRAFT DESCRIBED AS
FOLLOWS: a
a
UNITED STATES
REGISTRATION NUMBER N750A 0
AIRCRAFT MANUFACTURER & MODEL
Sikorsky Aircraft S-76C-2 NJ
O
AIRCRAFT SERIAL No.
760750
DOES THIS DAY OF December , 2008
HEREBY SELL. GRANT. TRANSFER AND
DELIVER ALL RIGHTS. TITLE, AND INTERESTS
Do No. Wino In This Block
IN AND TO SUCH AIRCRAFT UNTO: FOR FM USE ONLY
NAME AND ADDRESS
INDNIDUALISL ONE LAST NAME. FIRST NAME. AND MINX( INITIAL.)
PURCHASER
Air Ghislaine, Inc.,
103 Foulk Rd., #202
Wilmington, DE,
19803
083651547221
S5 OD 12/30/2008
DEALER CERTIFICATE NUMBER
AND TO ns sucuuors EIS. AND ASSIGNS TO WAVE ANO TO HOLD
SINGULARLY THE SAC AIRCRAFT FOREVER AND WARRANTS THE TITLE THEREOF:
IN TESTIMONY WHEREOF I HAVE ET PRI "(AND AND SEAL THI DAY OF December. 2009
NAME(S) OF SELLER SIGNATURE(S) TITLE
(TYPED OR PRINTED) (IN INK) VP EXECUTED FOR (TYPED OR PRINTED)
CCI‘OwNERSHIP A MUST SIGN )
Sikorsky Aircraft Corporation 5.76 Program Manager
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GM1ns ShurkuS
ACKNOWLEOGMENT (NOT REWIRED FOR PURPOSES OF FM RECORDING HOWEVER. MAY BE REQUIRED BY LOCAL LAW FOR
VALIDITY OF THE INSTRUMENT.)
ORIGINAL TO FAA
AC Form 80502 (W92) (NSN 0052-00-629-0003) Supersedes Previous Edition
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DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE000740071
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SDNY_WA_02762755
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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FORM APPROVED
UNITED STATES OF AMERICA
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
OMB NO 2120-0042
08/3102008 0
AIRCRAFT BILL OF SALE
0
FOR AND IN CONSIDERATION OF S lark/ e THE
UNDERSIGNED OWNER(S) OF THE FULL LEGAL AND
BENEFICIAL TITLE OF THE AIRCRAFT DESCRIBED AS
FOLLOWS: a
UNITED STATES
REGISTRATION NUMBER N750A fl
AIRCRAFT MANUFACTURER & MODEL Z.4
Keystone Helicopter Corporation S-76C 0
AIRCRAFT SERIAL No. 0
760750
DOES THIS D0 DAY OF
HEREBY SELL. GRANT, TRANSFER AND
DELIVER ALL RIGHTS. TITLE. AND INTERESTS 3
Do Hal VHS In This BloC
IN AND TO SUCH AIRCRAFT UNTO: FOR FM USE ONLY
NAME AND ADDRESS
(IF INOmDuAL(S). GIVE LAST NAME. FIRST NAME. ANO MIDDLE INITIAL )
PURCHASER
Sikorsky Aircraft Corporation
6900 Main Street
Stratford, CT 06614
DEALER CERTIFICATE NUMBER
AND TO 113, states-sou AXECEIEDAS. ADWIRTS1WWFOR6. AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SNO AIRCRAFT FOREVER AND WARRANTS THE TITLE THEREOF.
IN TESTIMONY WHEREOF NAVE SET wr HAND AND SEAL THIS 303i# DAY OF tp , alibg
NAME(S) OF SELLER SIGNATURE(S) TITLE
(TYPED OR PRINTED) (IN INK) (IF EXECUTED FOR (TYPED OR PRINTED)
CO-CAERIERSHIP, ALL MUST SIGN )
(X
Lii
KeyStene EIBIOOpler GOrpOSIIOR
(74 President
David A. Ford
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ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FAA RECORDING HOWEVER. MAY BE REQUIRED BY LOCAL LAW FOR
VALIDITY OF THE INSTRUMENT )
ORIGINAL. TO FAA
AC Form 8050-2 (9/92) (NSN 0052-00-629-0003) Supersedes Previous Edition
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DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE000740069
ORIG DOC ID #0068 FFR 12-30-08 RET TO C&D
SDNY_WA_02762759
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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Dec 22 2008 3:24PM HP LASERJET FAX 1O • 2
a
a
Keystone Helicopter 0
a
A Sikorsky Company 110 E. Stewart Huston Drive, Coatesville PA, 19320
N
O
O
December 22, 2008
Flight Standards Service
Aircraft Registration Branch, AFS-150
PO Box 2550
Oklahoma City, Oklahoma 73125-0504
incorrectly
Keystone Helicopter Corporation is requesting the correction of aircraft that where
have been registered from our facility where registered as MODEL: S-76C-2,
registered. Some of the aircraft that registered as S-
should have been
this is not in accordance with our type certificate data sheet (NINE); the aircraft any
that these please be corrected. We apologize for
76C. As the Aircraft manufacturer we are requesting
hl Number am affected
inconvenience this may cause. The following A/C Serial Numbers with the corresponding
by this error, they include:
Aircraft Serial Number Aircraft N Number
U 760686 718P
4760690 ' 759P
760704 231Y
760708,G, ' 415Y
6073.1 757Y
- 60714 714Y
60717 767J
anoo-rzo 720G
ca/760723 723Y
lli1760726 753P
6760729 799Y
,
Sa,O60731 781K
760741 741A
03743 743N
745G
S
-7760745
60744 746K
60747 747Y
/146760748 748A
Q5760750 750A
/ /6760751 751E
(±)760753 753V
Regards,
Shaun M. Gabbard
S76 Quality Assurance Production Supervisor
Keystone Helicopter Corporation
110 E. Stewart Huston Dr.
Coatesville PA 19320
Mot/
Des
Fax
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MEMORANDUM TO THE FILE
JINNY ROSALES 09/9/2008
ID DATE
A Prior Record search 111Is performed for KEYSTONE HELICOPTER CORP S-76C-2. 760750 on 9/9/2008. Search
results:
No Prior Record
Assigned N750A
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U S Department Flight Standards Service P.O. Box 25504
of Transportation
Federal Aviation
Accra Registration Branch. AFS-750
i iiiraileklahoma
Toll Free 1-866-704-4715
73125-0504
Administration WEB Address hap //registry faa.gov
September 9, 2008
1:41/S1O‘1 III I !Cori I R Coln,
110Slt %It I III SION 1)R
CO %I I. to. 11 I I I' 19420
Dear Sirs:
United States identification mark N750A has been assigned to KEYSTONE HELICOPTER
CORP S-76C-2, serial number 760750, Mode S Transponder Code 5241501 1 as requested by
you. This manufacturer's assignment of special registration number cannot be used as an
authorization for a number change.
If we ma y be of further assistance, please contact the Aircraft Registration Branch at
or toll free 1-866-704-4715.
Sincerely,
Cg -ackS)-(5-
Legal Instruments Examiner
Aircraft Registration Branch
AFS-750-SUPPORT-5 (9/O4)
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EFTA_002496 14
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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9/4/08
Federal Aviation Administration
Civil Aviation Registry
Aircraft Registration Branch
Attention: Central Records
Reference: Request for Manufacturer's
Registration Number Assignments
Gentlemen/Ladies:
This is written to request reservation 6
assignment of the following special registration
numbers to the aircraft described below which are
presently under manufacture:
ALL ARE KEYSTONE HELICOPTER CORP.,
MODEL S-76C-2
REGISTRATION NO. SERIAL NO.
N741A 760741
14743N 760743
N745G 760745
14746K 760746
N747Y 760747
N748A 760748 /
N750A 760750V
N751E 760751
N753V 760753
Thank you.
Sincerely,
KEYSTONE HELICOPTER CORPORATION
By:
Carl Kress
576 Program Manager
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AIRCRAFT TITLE SEARCHES
Aero Recotclis-S. Title Co.
RECORDING SERVICES P.O. Box 19248
AIRMEN RECORD INFORMATION Oklahoma City. OK 73144
September 5, 2008
Hand Delivered
To: FAA
Oklahoma City. Oklahoma
Attention: Central Records
4'72140r7kr.-. .
Gentlemen:
On behalf of our client:
KEYSTONE HELICOPTER CORPORATION
110 East Stewart Huston Drive
Coatesville, PA 19320
C 711r
.±cascr_
Please initiate the following action:
Please RESERVE and assign the following NINE (9) special
registration numbers to the aircraft listed below which are
presently under manufacture:
ALL ARE KEYSTONE HELICOPTER CORP.,
MODEL 5-76C-2
REGISTRATION NO. SERIAL NO.
I N741A 760741
1 N743N 760743
S 14745C 760745
It N746K 760746
C N747Y 760747
N748A 760748
dp N750A 760750
4 N751E 760751
q N753V 760753
PLEASE ISSUE FORM AFS-750-SUPPORT-5 TO THE HMHUMACTURER, KEYSTONE
HELICOPTER CORP., AT THE ADDRESS SHOWN ABOVE. PLEASE HAND COPIES
OF THE MANUFACTURER ASSIGMENT LETTERS TO ARTC - P.D. ROOM.
Note: Enclosed is a "fax" letter by the manufacturer,
confirming their need for these assignments.
Thank you.
082491212072
't90 00 09/05/2008
)ef PLEASE HAND CONFIRMATION OP RESERVATION LETTER TO ARTC - PUBLIC DOCUMENTS ROOM.
\is PLEASE HAND TO ARTC - PUBLIC DOCUMENTS ROOM.
Thank you.
AER RECO S TITLE CO.
By: LIS7C THOMAS GASKIN/Senior Administrator, Special Services
/lg
emsAttached:$434). ‘")
CC: Carl Kress
Keystone Helicopter Corp.
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