EFTA01329067

to n H UNITED STATES of AMERICA H DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION 17 7J STANDARD AIRWORTHINESS CERTIFICATE 0 1 NATIONALITY AND 2 MANUFACTURER AND MODEL 3 AIRCRAFT SERIAL 4 CATEGORY H rn REGISTRATION MARKS NUMBER Culfstream Aerospace Corporation N212JE 6V-SP (C550) 5(73 Transport rn 5 AUTHORITY AND BASIS FOR ISSUANCE This airworthiness certificate is issued pursuant to 49 U S C § 44704 and certifies that, as of the date of issuance, the aircraft to which 0 issued has been inspected and found to conform to the type certificate therefor, to be in condition for safe operation, and has been C shown to meet the reouirements of the applicable comprehensive and detailed airworthiness code as provided by Annex 8 to the rn Convention on International Gve Aviation, except as noted herein 3D Exception" ,0 7S Exemption No. 7946 I FAR 25.813 (c) I. Mid-Cabin Doors Between Passenger Compartments. G.) Exemption No. 8004, 8142 I FAR 25.901 (c) j, Uncontrollable High Thrust Failure Conditions. 7S Exemption No. 10044 I FAR 25.1447 (c) (I) 1, Passenger Oxygen Equipment Deployed at 15,000 feet. 6 TERMS AND CONDITIONS Unless sooner surrendered, suspended. revoked. or a termination date is otherwise estaolished by the FAA, this airworthiness certificate s effective as tong as the maintenance. preventative maintenance, and alterafions are performed in accordance with Parts 21, 43, and 91 of the Federal Aviation Regutations. as appropriate. and the aircraft is registered m the Unled States DATE OF ISSUANCE FAA REPRESENTATIVE DESIGNATION NUMBER R 07 MAR 2008 Brent Archibald ODA-511131-CE I-1 co .s .° 2 Any ale:abort reproduction, or misuse of this certificate may be punishable by a fine not exceeding $1.000 or imprisonment not exceeding 3 years or both. 1-s 6) THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORDANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. LIr FAA Form 8100.2 (04.11) Supersedes Previous Edition 0 CD_ F-1 ISOZ/LZ/xdS SV Pind000S IJ p EFTA01329067 SDNY_GM_02757283 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244205 EFTA01329068 noshz/xdv so readspav UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE NArawrymm > tosteFauFFRA•40 VOLN . - 11 YBPATI51- 4.1/4 roily 4 BATBOY', i /534TMONYATIAB GULFSTREAM AEROSPACE GV-SP ' . 5173 Transport N550GP .. . (6550) . 5 AUROMITYMO GAY FOR .300AABC. . • ma ancontiess t°dhow a s'und ons.art q.9 usc g Loos ar., cedar, un, 'memo6ot oe issoinca.vmo amen MS WY YeerTe24442 Ton, RY 10010,0 IA Ye bedneel• ere be a ecoleol Tor Oil. CfneCt The Yea. ..e Os owybernelte ol Me applouls mt... itorrt.% tlaneards 4.1 Line. 8 iota c.r....aarn on Intones...CO &Tay oaf* OA Oka NONE - \ b ,-, • i CO • Li.. A YEANIMOCONINTIONi saws:Mel susFebaNircreote4. ix a utrinnewn din a edureee esmieNNIIIN IPA FAANM ornOtlheeSS maga% A ore v. as lora Ay ea:Nonsrce. PreStith, mantinros. ens gleenblepureyelbenid par no aponana• FOOTS YMCA ICY ird Ito astrat a reabind ate WOO Yalee. , Y. OAT, or IMAVAIOI VIATOM • _ e, 3 , Or UGT.Albro Dretty merest by RICARDO TIBINANICF2 IX 'RAY° il-°ThANt2ce3 RICARDO HERNANDEZ JR Dec 202101 It I 1613 a WP-21 RAI , 7 F -i 7 177 r Ill -r FSDO My ateNion. matubt ot IOPPLC.001 of NA Nos fic Fr* foistmabipipbcpcsei4y be A-41Sb. by °NINNY revalaNWATY. rd .or mobererer, OTIS CERTIFICATE MAT BE MONO° IN THE AIRCRAFT PER pc *Pascua FEDERAL AVIATION REGUIATONS. FM Fern10S 2 (9 22I 9) NAN cos ENNA Nay lbe UAW OVA DKIMIO SON Y_GM_02757284 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244206 EFTA01329069 SDNY_GM_02757285 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244207 EFTA01329070 SZOZ/LZ/xdV so Pelde**If SDNY_GM_02757286 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244208 EFTA01329071 SDNY_GM_02757287 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244209 EFTA01329072 Y • 0 ASSIGNMENT OF SPECIAL Special Registration Number a. N550GP REGISTRATION NUMBERS 67 Aircraft Make and Model Present Registration Number to U.S. Doptimant SZOZ/LZ/xdV el TiGriportston GULFSTREAM AEROSPACE GV-SP (G350) N2I2JE Federal Arleta:in Serial Number Issue Date: arithastratiou 5173 Feb 24, 2021 ICAO AIRCRAFT ADDRESS CODE FOR NSSOGP - 516C0017 This is you au homy to change the United States registration ameba on the above describe! N550GP LLC aircraft to the special 2131 E CONVENTION CENTER WAY registration number shoat STE 222 Carry duplicate of this form ONTARIO CA 91764-5496 aircraft together with the ILl IlliiiiilliiiIiilililiiliillildilliililiilil Ill old registration certificate as wain authority to opus the aircraft pending receipt of revised certificate of aircraft registraticrs The taint FAA Perm $130.6, Appliestion For Airworthiness oat tile is dated: Mar 07.7005 The atrworth inns dossilkatket and category: SID TRANSP INSTRUCTIONS: SIGN AND RETURN THE ORIGINAL of ibis form to the Civil Aviation Registry, Aircraft Registration Branch, within S days after the special registration amber is placed on the aircrafL A revised certificate of aircraft registration will then be Swat Obtain a revised certificate of airworthiness from your newest Flied Standards District Office. The authority to use the special amber expira: Feb 24, 2022 CERTIFICATION: trendy that the special registration number wan placed RETURN FORM TO: ire the aircraft described above. Civil Aviation Registry Aircraft Registration Branch P.O. Box 25504 Signature of Owner. ....----7 _ _,---C< ? Oklahoma City, Oklahoma 73125-0504 Tide of Owner Cp/s/- n e.;4216(47 VCI(4' Date Placed on Averaft: 3 - I 9 -*Val AC FORM 505044 (5/2005) faipsooln rftliettiESSu SDNY_GM_02757288 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244210 EFTA01329073 SDNY_GM_02757289 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024421 I EFTA01329074 un co rn n H H O 10 70 REGISTRATION NOT TRANSFE O UNITED STATES OF NOWA lliSsONECIN• DEPARTMENT Of TRANWORTATICN - FEDERAL AVIATION ADMNISTRATION Must Co in eta M. H CERTIFICATE OF AIRCRAFT REGISTRATION emit Mum OPIDNOP7 m AIRCRAFT SERIAL NO U.S. Departrnenl n NATIONALITY AND Of Transporlabon H REGISTRATION MARKS N 2121E $173 Federal Aviation MANUFACTURER AND MANUFACTURERS DESIGNATION OF AIRCRAFT Administration GULFSTREAM AEROSPACE GY-SP fG5SO) m Miltxo Replay PU. EN 21504 ICAO Akan AbatesCa $0340675 Omorassess OF 7317S00 The tatilltsfa et Mu*, ler Official Ilinin•O• i NS$OGP Lit MitigationNooses Peak,roe Ilifiviele Use WM CD S 2151 E CONVENTION CENTER WAY only MCI es rOt 4 AC rem seasaitanstiplm m S STE 222 Otnifate of ii• Pm, Pcsle•M Axiom 73 U E ONTARIO CA 91764-5496 AdinerflialiOn 600$ TO: NSSOCP Ix( 0 na Osonnine emnh 2151 E CONY! of or"Inlyp as belvregn meals STE 222 T ONTARIO CA 9 70 0 LLC Gl li is anemia thin ow Ann dosCrad Emelt nn ben enterer on IN maim Ot Pm FoSival Aviation Aanwistrabon, Undaci SUSS Cd ArMeiCs. Caw AcCatlinco with itCOnventen On 70 IMOrnatemi CM *widen DARN 0•Cernbef 7, 1844. end wain Tree 49, UMW SUMS CON, NJ nSPAsUonS awn Peteumer U.S. Department of Trannotiabem 1D we OF RSA February 24, 2021 /: / Federal *Nab= EAPPIATION DATE February 29, 2024 I ,./....... AOINNISTRA TOR Administmom p.n.MIN 01:01% Semis.r.esnets 00 Sri 1 co 9 I-s I TZ0Z/LVidEf SG PoldaDDV EFTA01329075 SDNY_GM_02757291 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244213 EFTA01329076 Accepted GS Apr/27/2021 ft, ASSIGNMENT OF SPECIAL Special Registration Number N550OP REGISTRATION NUMBERS U.S. Optwant Aircraft Make and Model Patient Registration Number el Tgenportston GULFSTREAM AEROSPACE GV-SP (G350) N212JE Federal Aviatkm Serial Nienbee Issue Date: Atirainistranon 5173 Feb24, 2021 ICAO AIRCRAFT ADDRESS CODE FOR N550GP - 51600017 This rs you Authority to change the United States (saner:Sion number on the above describe] N550GP LLC aircraft to the special 2131 E CONVENTION CENTER WAY registration number sham STE 222 Carry duplicate of this hew in the ONTARIO CA 91764-5496 aircraft *saber with the ILL Illinlilluiliiiililsiliilisliiilliilihilil Ill old regurtneicei certifeate as maim authority to opus the aircraft median receipt of raised certificate of aircraft registration. The bent FAA Form $1304, Appal:melon For Airworthiness 0 fie is dated: Mar 07.2005 The airworth inns death:Wks and category: TIM TRANSP INSTRUCTIONS: SIGN AND RETURN THE ORIGCNA I. of this form to the Civil Aviation Registry, Aircraft Registration Branch, within 5 days after the special registration wisher 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 Dania Office. The authority to use the special amber capita: Feb 24, 2022 CERTIFICATION: locality that the special registration nuenba was pawed RETURN FORM TO: m the aircraft desniboil stove. Civil Aviation Registry Aircraft Registration Branch P.O. Box 25504 Sigissiure of Oweet .....--- 7 _ ___,--S< ? Oklahoma City, Oklahoma 73125-0504 Title of Owner CHISF bidA.244(4? O/Were Date Placed on Ammar 3-i 9 -01DaI AC FORM 505044 (54•05) Sopenales ?mists Edam SDNY_GM_02757292 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244214 EFTA01329077 SDNY_GM_02757293 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244215 EFTA01329078 1i N550GP, LLC 2151 E. Convention center Way #222 2 szoz4z/xdv Ontario, Ca 91764 March 18, 2021 Khera Turner, Chief Inspector Aviation Maintenance Group, Inc. 8352 Kimball Avenue Chino, Ca 91708 Subject: Special Power of Attorney Dear Khera: The undersigned is the owner of the certain Gulfstream Aerospace aircraft, GV-SP (G550), serial no. 5173, tail no. N212JE (the Aircraft). This letter will authorize Khera Turner, Chief Inspector for Aviation Maintenance Group, Inc. as the Company's legal representative to sign for all FAA applications and other document necessary to obtain the requested standard Airworthiness Certificate. The undersigned hereby certifies to be the Company's Chief Financial Officer and is authorized in the governing documents of the company to grant authorities set forth above and is authorized to act independently in connection with all FAA related matters. If you have any question, do not hesitate to contact the undersigned. Sincerely, ./.., Richard Munkvold Chief Financial Officer {Notary page follows} SDNY_GM_02757294 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002442 16 EFTA01329079 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness. accuracy, a validity of that document State of California , ) County of 3O1v-t been cIrdino ) t On niClienk lel 00)? before me, zfl 1-4;I IS'f 1 0 ncria pith7l(r, Date Hero Insert Name and nt of I he Officer personally appeared I) 1Cik a 1421 ill Wel i'S \ID (01 Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(es), and that by his/her/thoir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws 1,1 of the State of California that the foregoing paragraph G. Lii0 VET:Edema is true and correct. Nsoitanr 14. yeertard'in.„ co6uenz WITNESS my hand and official seal. Commission comm. Expires Oct IS. 2020 Signature " -111c. noti Corn cn6Ston Signature of Notary Public eiCkeenckeol utuerk— -1-t) u /4-• . EXCL.L.--tn c,areteif Place Notary Seal Above OP77ONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signerts) Signer's Name: Signer's Name: O Corporate Officer — litle(s): O Corporate Officer — Title(s): O Partner — O Limited O General O Partner — O Limited O General O Individual O Attorney in Fact O Individual O Attorney in Fact O Trustee O Guardian or Conservator O Trustee O Guardian or Conservator O Other: O Other: Signer Is Representing: Signer Is Representing: O2016 National Notary Association • www.NationalNotary.org - 1-800-US NOTARY (1.800.876.6827) Item 15907 SDNY_GM_02757295 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244217 EFTA01329080 corm hopo..a F leaCrot i ,”.Pg Wind"' OIABN3 2123-0023 45 1irsorroor_ . US Department MAJOR REPAIR AND ALTERATION For FAA Use Only Of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration INSTRUCTIONS: Print or type all entries. See rite 14 CFR § 43.9, Pal 43 Appendix B. and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Faure to report can result in a civil penalty for each such violation. 49 U.S.C. §46301(a)) Nationality and Registration Mark Serial No. N212JE 5173 1. Aircraft Series Make Model Gulfsbearn G550 i Name (As shown on registration certificate) Address (As shown on registration certificate) 2. Owner I PLAN D LLC 6100 RED HOOK QUARTER B3 ST THOMAS VIRGIN ISLANDS USA 00802 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. • Z AIRFRAME (As Oast:1100d in Item 1above) 0 0 POWERPLANT ID 0 PROPELLER Type 0 0 APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency U.S. Certificated Mechanic I Manufacbser GA.C. GLYNCO Foreign certificated Mechanic C. Certificate No. 550 CONNOLE STREET X Certificated Repair Station BRUNSWICK, GA 31525 FAA CRS GR4D216M Certificated Maintenance Organization E. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and deserted on the reverse or attachments hereto have been made in accordance with the requirements of Pert 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and coifed to the best of my knowledge. Signature/Date of Authorized Individual Extended range fuel per 14 CFR ID r Part 43 App. Et Jason Tighe / 01/15/20 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by The Administrator of the federal Aviation Administration and is al Approved O Rejected FAA Flt Standards Persons Approved by Canadian Manufacturer Maintenance Organization BY Inspector Department of Transport FAA Designee X Repair Station Inspection Authorization Other (Specify) Certificate or Signature/Date of Authorized Individual Designation No. FAA CRS GRAD216.4 Jason Tighe / 01/15/20 FM Form 337 twee) SDNY_GM_02757296 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244218 EFTA01329081 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft recad. An alteration must be compatible with all previous alteration to assure continued conformity with the applicable alnvorthiness requirements. 8. Degeriptbe of Work Accomplished: (If more space is required, attach additional sheets. Identify Mt, aircraft nabonatity and registration mark and des Wok *mottled.) MODEL: G550 ACTT: 5747.2 SERIAL NO.: 5173 ACTL: 1348 REGISTRATION NO.: N212JE DATE COMPLETED: 01115120 Reference: Gulfstream Aerospace Corporation Workorder Number: SC5270 Item 7.3 = Per Customer Request Return LH Divan, LH Divan Cabinets, LH And RH #3 Fwd Facing Seats And LH Cabin Ledge To Original Configuration. Resolution: Complied with interior reconfiguration to original interior installation per drawing CE528000057- SA rev B. Ref 8110-3 dated 12/20/2019 END ❑ Additional Sheets Are Attached FAA Fon 337 (1OM) SDNY_GM_02757297 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241219 EFTA01329082 re. P ow ead eon new kis X00 , 30 1 1 CMOS; 0 r &Mel US Deportment MAJOR REPAIR AND ALTERATION For FAA Use Only Of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Arleen Administration INSTRUCTIONS: Print or trio all mutes. See Tee 14 CFR § 43.9. Part 43 Appendix B. rd AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. Ibis mat is roared by law (49 U.S.C. §44701). Failure to report can result in s civil penalty for each such *Aston. (9 U.S.C. §46301(s)) Nationality and Reglebalto Mark Serial No. I4212JE 5173 I. Aircraft Model Make I Sobs Gulfatream 0550 l Name (As shone onregkindion colikete) Address (As crown on registrabon certficafe) 2. Owner ELAN D US 6100 RED HOOK QUARTER B3 ST THOMAS VIRGIN ISLANDS USA 00602 S. Fer FAA Use Only 4. Typo & Unit Identification Repair Alteration Unit Make Mode Segal No. a D AIRFRAME (As dented b nem I abom) 0 0 POWERPLANT 0 0 PROPELLER Type IN O APPUANCE Martibitaxer Il. Cenktrmity Stained A.Ajencys Name and Address B. land of Agency U.S. CaratSI MacMrec j Manufacturer GAS. GLYNCO Canceled Meohanc C. Cerligtate No. 550 CONNOLE STREET X GAeoed Repair Station BRUNSWICK, GA. 31525 FAA CRS GRUM 641 Cortilloswo stainienanca Orem/moor E. Icy* mat the war anOor alteration made to the units) kienefled in Item 5 stove anc demand on the reverse or attachments hereto have been made In accordance et the requirements of Poi 43 of the U.S. Fedene Av Won Regulations and that the iniormebon &meshed herein is bus and correct to the best of my knoMedge. Signature/Date of Authorized Individual Extended range fuel per 14 CFR 0 Part 43 App. B Jason Tighe / 01/15/20 7. Approval for Return to Service Pursuant to the authority given persons specified below. the unit identified in item 5 was inspected in the manner prescribed by One Administrator of the federal Aviation Administration end is CC Approved 0 Rejected FAA Flt. Standards PS110111S Approved by Canadian Manufacturer Maintenance Organization se Inspector Department Of Transport FMNeches X Repair Station • losptelon Aultodzetton Other (Spicily) Corncrib or Signature/Date of Authorized Individual Oesignetbn No. ager \ FAA CRS OR4021041 Jason Tighe I 01/1920 FMFats 337 (1 ) SDNY_DM_027572913 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244220 EFTA01329083 r N0TICE Weep:* and Waft, CV °Dorothy Inteflon dung's WWI be entered in the appropriate aloe mord. An stenefon must be cornpotoble nes ell preNous alterations to assure continued confer/My nett the applicable einrathiness requirements. 8. Description of Wont Actunplishsci: Of awe spas Is rawarod. math addlaxial flak Identify War alrorart nationalty and reglerralica mark and OM work compkilad.) MODEL: G550 ACTT: 5747.2 SERIAL NO.: 5173 ACTL: 1348 REGISTRATION NO.: N212JE DATE COMPLETED: 01/15/20 Reference: Gulfstream Aerospace Corporation Workorder Number: SC5270 Item 7.3 = Per Customer Request Return LH Divan, LH Divan Cabinets, LH And RH e3 Fwd Facing Scats And LH Cabin Ledge To Original Configuration. Resolution: Complied with interior reconfiguration to original interior installation per drawing CE528000057- SA rev B. Ref 8110-3 dated 12/20/2019 0 Additional Shoe Ne Matched tee cam 337 (10-03) SDNY_GM_02757299 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00241221 EFTA01329084 CERTO 69 08 2019GV-SP SN5173-01 U.S. DEPARTMENT Of TRANSPORTATION il OATC FEDERAL AVIATION AMINISTRATON STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 12/20/2019 AMCRAFT OR AIRCRAFT COMPONENT MOMRCATIO6 3 MAK! 3 NO0EL NO 4 rriTe Wren, Redid. Iffiltopao I NAM! Or APPLICANT elc.I GuEstmern GV-SP Aimlane GULFSTREA)A AEROSPACE IJST OF DATA C. IOINTIFICA non r TALI CE528000()STSA FLOORPLAN SN 5173 REV: 8 12/20/2019 __END— END Notes. 1. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulates' specified by paragraph and subparagraph listed below as 'Applicable Requirements? (Compliance with additional regulations not listed here may be reqt ired). This form does not constitute FM approval of all the engineering design data sacessary for substantiation of compliance to necessary requirements for the entire atteration/repair. 2. Only the structural aspects of the data listed abode are approved herein Electrical aspects are not included in this approval. • PURPOSE Or 04TA In support of major alteration on Guffstream GV-SP SN 5173. I APPLICAILE RIOutREmINTS iii•• AH40 4 Two440 14 CFR Parts 25.601 And' 25-0 25.609 (at 11. (2) (3) (b) ands 25-3 25.603(a) (b) Ccl And' 25-46 25.611 Aadt 25-23 25.605(a) Amdt 25-46 10. CERTIFICATION-Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment wide 14 CFR 133, dam listed above and on attached sheets numbeted g, hays bean examined in accordance with applicable requireme is or the Airworthiness Standards listed. Recommend apploval of these data l flAtaiTheretcee tia•••• X Approve these data III.WatAlUalell OF EtMONATED ENOMEERIC REARESERTATIYMM 12. oasomnota it OASSIFICATIOrethe Noss D. Rot laqh DERT -510267-CP Structures FAA FORM 11104 (03,10) SUPERSEDES PREVIOUS EDITION SDNY_GM_02757300 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244222 EFTA01329085 SDNY_GM_02757301 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244223 EFTA01329086 Eliistuciriuuruhune Gem ma 2120.0020 0 US Department MAJOR REPAIR AND ALTERATION "mot For FAA Us* Only Of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration INSTRUCTIONS: Prin or type all entries See Title 14 CFR § 43.9. Part 43 Appendix B. and AC 419-1 (or subsequent revision thereof) for instructions and disposition of this form This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(a)) Nationality and Registration Mark Serial No. N212JE 6173 1. Aircraft Make Model Serves Gulfstream 6660 Name (As shown on registration certificate) Address (As shown on registration certificate) 2. Owner PLAN CI LSO 6100 RED HOOK QUARTER B3 ST THOMAS VIRGIN ISLANDS USA 00802 3. For FAA Use Only 4. Type 6. Unit Identification Repair Alteration Unit Make Model Serial No. El AIRFRAME (As described in Horn 1 above) • • POYiERRANT 0 0 PROPELLER Type 0 • APPLIANCE Manufacturer 6. Confomilty Statement A. Agency's Name and Address B. Kind of Agency U.S. Certificated Mechanic I Manufacturer G.A.C. GLYNCO Foreign Certificated Mechanic C. Certificate No. 550 CONNOLE STREET X Certificated Ran! Station BRUNSWICK, GA. 31525 FAA CRS GR413216M Certificated Maintenance Organization D I certify that the repair andror alteration made to the und(s) identified in item S above and described on the reverse a attachments hereto have been made in accordance with the requirements of Pan 43 of the U.S Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Signature/Date of Authorized Individual Extended range fuel per 14 CFR Part 43 App. El O Jason Tighe I 01/15/20 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item S was Inspected in the manner presated by the Administrator of the federal Aviation Administration and is ID Approved 0 Rejected FAA Flt. Standards Persons Approved by Canadian Manufacturer Maintenance Organization ler Inspector Department of Transport FAA Designee X Repair Station Inspection Authorization Other (Specify) Certificate or Signature/Date of Authorized Individual Designation No. FAA CRS GR4D216M Jason Tighe I 0M5/20 orm SDNY_GM_02757302 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244224 EFTA01329087 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished: Of more spaces reputed. attach additional sheets Identify with aircraft nattonakty and registration mark and date work completed ) MODEL: G550 ACTT: 5747.2 SERIAL NO.: 5173 ACTL: 1348 REGISTRATION NO.: N212JE DATE COMPLETED: 01/15/20 Reference: Gulfstream Aerospace Corporation Workorder Number: SC5270 Item 37.3 = R/H Zone I Rib 9 outbd rib foot aft stgr 13 has area of disbond. Resolution: Trimmed out area as per RFA RFA No.CS613899-2.4.I. Fabricated -11 fi ller from 0.050 2024-13 Lot number LT19-201086.I PO number DAPO19-05366.2 as per SE55502139 REV -. Installed -11 filler per Notes 9 and 19. Inspected for disbonds 5.0 in. around each rivet installed in the —T4 temper per model specific NDTPM 05-00-00 Procedure I, "Horizontal Stabilizer Lowe rSkin Resonance C-Scan - NDT Procedure with no defects noted. 8100-9 In Support. END 0 Additional Sheets Are Attached FM Form 337 (10-06) SDNY_GM_02757303 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244225 EFTA01329088 Oil i O W 2 I 2S0 020 ElettORICTIOdlite MIAMI bp eaMOIII 0 MAJOR REPAIR AND ALTERATION w mauls Only us orimmen or Trap:moon (Airframe. Powerplent, Propeller, or Appliance) leant Avinlen Aanintstradea INSTRUCTIONS: Print or type at entries. See Title 14 CFR §43.9, Part 43 Appendix B. and AC 43.9-1 (or subsequeM revision thereof) for instructions and disposban of 0* form. This report Is required by law (49 U.S.C. §44701). Failure to report can react in a civil penalty for each such violation. (49 U.S.C. §46301(a)) Nationality and Regestrabon Mark Serial No. N212JE, USA 5173 1. Aircraft G ke - -- - MOdel Series GULFSTREAM AEROSPACE GV-SP (G550) G550 Name (As shown or:registration certiacate) Address (As shown on reg)sfradon certificate) Moms 6100 Red Heat Oa ael 2. Owner Plan D, L.W. cc, Sr neap Sena uSIA Li, 00002 can" um 3. For FAA IJSCOnN 4. Typo 5. Unit Idendfication Repair Alteration Una Make Model Serial No. O 0 AIRFRAME OutESTIREAuranOSACE (As Oasalbed in Item 1 above) 5173 O O PONERPLANT O • PROPELLER Type O o APPLIANCE Illanulactuzer 5 Conformity Statement A. Agency's Name and Address B. Knit of Agency MY,* Lividan Jai Carle U S Certificated Methane I alartheterer Actarri. 4"••••••••••• Foreign Graft-Med ME'I(C C. Certificate No. my Towson, Am PO UnkindRepair Staten liaiROS.IF bat 07•01 taro* USA Connoted itarterence Organization CRS IMJR053F D. fortify that the repair ander alteration made to the unids) identified in kern 5 above arid described on the reverse or atmitmems hereto have been made In accordance vAth the requirements of Part 43 of MS U.S. Federal Meatier, Regulatices and that the information furnished herein is true and correct to the best el my knot/edge. Extended range fuel Signatse/Dete of Authorized Individual per 14 CFR Part 43 O App. B - /eilakif 7. Approval for Return to Service Pursuant to the authority green persons spected below, the unit Idenbfied In tem S was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is fl Approved TT/erected FM Fri. Standards Peace's ApptewedlarCanadan Inspector Manufacturer Maintenance Organization Depettmers a Tramoort BY Other (Specify) FAA Designee X Repair Station Inspection ALthenzabon Certificate or Signature/Date of Authorized Individual Designation No. CRS IMJR053F 01 7/0 , /0/7 a FAA Form 337 (10/06) Page I SDNY_GM_02757304 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244226 EFTA01329089 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the aPPliCablesiAsnfrnineSs requirements. e. Description of Work Accomplished 0 more space o requited attach eddelonel sheets. (dente win Werth nationeMy and registrebon men end Me week completed.) Go-So (0550)-5173 5731.5AFTT 1315 CYC USA- Netea 06firnAte Nationality end Registration Mark Coto Incorporated STC ST02893AT- Installation of LoPresti (Whelen) Taxi Lighting system (LSM-500-125 Rev K dated 01/28/19). This Alteration replaces the existing taxi lights (3) with new assemblies. The functionality of the systems remain unaltered. Airworthiness Limitations: There are no new or additional airworthiness limitations associated with this equipment or installation. There is no required Airplane Flight Manual Supplement required for this Alteration. There is no effect to the MEL for relief, the systems are functionally the same as the existing taxi and landing light systems. Instructions for Continued Airworthiness: Reference the LoPresti (Whelen) Instructions for Continued Airworthiness section of Installation Manuals LSM-500-125 Rev K, or later. This Supplemental Type Certificate is designed to satisfy the requirements of 14 CFR 25.1529 "Instructions for Continued Airworthiness" associated with this design. Refer to the Aircraft Maintenance Manual for the Aircraft Scheduled Maintenance Program otherwise the scope and detail of FAR 43, Appendix 0 will apply. Weight and balance changes: Taxi lights- (-3 installation) +2.74 lbs, moment +315.46 in-lbs. The aircraft Weight and balance has been revised for this Alteration. Electrical Load Analysis: Taxi lights- (-3 installation) Reduction of 17.49 amps to system. Wiring changes have been incorporated into the aircraft records and noted on the Load Analysys. Accomplished an evaluation of the inter-relationship between the systems listed above and the Type Certificated produce in accordance with 14 CFR Parts 25.1301(d), 25.1431(c) and they have been found to be operating satisfactory and that there is no adverse effect on any other component, system, or the airworthiness of this aircraft. - -- END------- ClAcidtbonal Sheets Aro Attached FM Form 337 (10/06) Page 2 SDNY_GM_02757305 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244227 EFTA01329090 e OMNo 200.0020 recicac iruicag r4,,,,bn liir MAJOR REPAIR AND ALTERATION Op. SOI/2016 roe FAA Use Oar uS 0444404.4 Cr rh , en" (Airframe, Powerplant, Propeller, or Appliance) fan Minion Aclaryilsbalon INSTRUCTIONS. Print or type all entries. See Title 14 CFR §43.9. Part 43 Appendix S. and AC 43.9-1 (or subsequent revision thereof) for instructions nd disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can resift in a civi penalty for each such violation (49 U.S.C. §46301(a)) Nationality and Registration Mark Serial No. N212JE, USA 5173 1. Aircraft Make Model Senes GULFSTREAM AEROSPACE GV-SP (G550) G550 Name (As snown on regiztratron cectIcate) Address (As shown on registration ceaficore) X40(0411 6100 Rid 1400i Curie 145 2. owner Plan D. LLC. Cry St Donn Sad USVI 20 40402 Catty USvl 3. For FAA Use Only 4. Type S. Unit Identification Repair Alteration Una Make Model Serial No. GUIYSTREAMMROSPACE SliS . El AIRFRAME (As desaibod In born l above) D p POWERPLANT • • PROPELLER Type 0 0 APPLIANCE runtrectunw 6. Conformity Statement A_ Agency's Name and Address B. Kind of Agency eon mosso Merle U. S Crylifcaled Methane I Marciedurer Mans I s 44444 •4" 4 Emir Cecoccaleci Methane C. Certificate No. XXXITXXO WO NJ Crated Row Staten 2. 01604 Casey USA CMIC0100 morrenence CfSIOnaryOn CRS IMJR053F D. !certify that the repair andlor alteration made to the unit(s) identified in tem S above and described on the reveru or attachments hereto have been made In accordance wah the requirements of Part 43 of the U.S. Federal Aviation Regutabons and that the information furnished herein Is true and correct to the best of my knowledge. Extended range fuel ❑ Signature/Da of Authonzed Intl dual A l AM14 poy 8 CFR Part 43 gO l, T. Approval for Return to Service Pursuant to the authority given persons specified below. the unit identified in tem 5 was inspected n the manner prescribed by the Administrator of the Federal Aviation Administration and it plApproved Rejected FAA Fs Standards Persons APpromobyConecian Manufacturer Maintenance Organization Inspector Oepstrrert of Transpart BY Other (Speofy) FAA Designee x Repair Station Inspection Authorization Cattaloor lo Signature/Date Authorized Individual No. CRS - • /1/.3 0/9..0 ICI_ IMJR053F FAA Form 337 (10/06) Page I SDNY_GM_02757306 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244228 EFTA01329091 NOTICE Weight and balance or operating larefelien changes shot be entered el the 0,00, 00/ate aircraft record An aeration min be compatible with all previous alterations to assure continued conformity with the applicable airocithiness requirements. 8. Description of Work Accomplished gt more sone is required. attach addgonal sheets. Identify loth naafi netienahly and registration mark end dale teak comp/elect) Gv4P 0550)ain 5173 599].5 asp UMW* USA M212£ 30 Aft. 2019 Nalonakty and Ftegisusbon Mstk Dais Incorporated STC ST02893AT- Installation of LoPresti (Whelen) Landing Light System (Installation Manual LSM-500-126 Rev J dated 01/29/19, -3 installation kit). This Alteration replaces the existing Landing lights (2) with new assemblies and installs new power converters and Ballasts. The functionality of the system remain unaltered. Airworthiness Limitations: There are no new or additional airworthiness limitations associated with this equipment or installation. There is no required Airplane Flight Manual Supplement required for this Alteration. There is no effect to the MEL as for relief, the system is functionally the same as the existing landing light system. Instructions for Continued Airworthiness: Reference the LoPresti (Whelen) Instructions for Continued Airworthiness section of Installation Manual LSM-500-126 Rev J, or later. This Supplemental Type Certificate is designed to satisfy the requirements of 14 CFR 25.1529 "Instructions for Continued Airworthiness" associated with this design. Refer to the Aircraft Maintenance Manual for the Aircraft Scheduled Maintenance Program. Weight and balance changes: The aircraft Weight and balance has been revised for this Alteration. Electrical Load Analysis: Landing lights- (-3 installation) Reduction of 4.9 amps to system. Wiring changes have been incorporated into the aircraft records and noted on the Load Analysis. The STC and provided documentation have been added to the permanent aircraft records. Accomplished an evaluation of the inter-relationship between the systems listed above and the Type Certificated product in accordance with 14 CFR Parts 25.1301(a) and 25.1431(c) and they have been found to be operating satisfactory and that there is no adverse effect on any other component, system, or the airworthiness of this aircraft. --END =Additional Sheets Aro Attafled FM Form 337 (10/06) Parr ") SDNYGivl_02757307 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244229 EFTA01329092 31A6 No. 2120-0020 electienie Tenserine MAJOR REPAIR AND ALTERATION Exp W3112014 SW - (Airframe, Powerplant, Propeller, or Appliance) - Fat FMIne Onif US 01*.irmeal 0 Panto-boon I Federal Anneon Adraniattalon INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (o subsequent revision thereof) for instructions and disposition of this form. This report is required by law (19 U.S.C. 44701). Failure to report can result in a civil penally for each such violation. (49 U.S.C. 46301(a)). Nationality and Registration Mark Serial No. USA N212JE 5173 1. Aircraft Model Series lMike GV-SP (G550) Gulfstream Aerospace Name (As shown on registration certificate) Address (As shown on registration certificate) Address 6100 Red Hook Quarter B3 2. Owner Plan D LLC city St Thomas sm. Foreign zio 00802 Cowry Virgin Islands 3. For FAA Use Only , : I I 4. Type 6. Unit Identification Repair AlteratIo Unit Make Model Serial No AIRFRAME ------- (As described in item 1 above) O O POWERPLANT ❑ D PROPELLER APPLIANCE I t" O O laisiesineow 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency Manufacturer International Jet Interiors U.S. Certificated Mechanic C. Certificate No. 2221 Smithtown Ave Foreign Certificated Mechanic Ronkonkoma, New York X Certificated Repair Station I CRS 11JR439Y 11779 USA Certificated Maintenance i D. I certify that the repair and/or alteration made to the unit(s) identified in Item 6 above and described on the reverse or attachments here to have been made In accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein Is true and correct to the best of my knowledge. Extended range fuel per Signature/Date d 14 CFR Pan 43 O App. B Jay Masser 9127/2018 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 6 was nspected In the manner prescribed by the Administrator of the Federal Aviation Administration and is 0 APPROVED 0 REJECTED FAA Ftt. Standards Persons Approved by Canadian Manufacturer Maintenance Organization Departmeot of Transport Inspector BY Other (Speed)) FAA Designee X Repair Station Inspection Authorization Certificate or Signature/Date of Authoriz ividual ( IL Designation No. CRS I1JR439Y Thomas Norden 9/27/2018 FAA Form 337 !IOC*) SDNY_GM_02757308 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244230 EFTA01329093 NOTICE Weight and balance or operating limitation changes shall bo entered in the appropriate aircraft record. An alteration must be compatible with a/I previous alterations to assure continued conformity with the applicable airworthiness requirements 8. Description of Work Accomplished (If more space is required, attach additional shoots, identify with aircraft nationality and registration mark and date work accomplished) USA N2I2JE Date 9/27/2018 Nationality and Registration Mark It Accomplished the following modifications/alterations as listed below to an existing executive interior in accordance with the below listed International Jet Interiors Drawings. All listed Structural drawings below were approved via (attached) FAA/DER Form 8110-3 dated 9/24/2018, (attached) by Robert F. Clossin (DERT-230227-CE). DRAWING NUMBER REV TITLE OR DESCRIPTION 111-G550-5173-02 IR INSTL-LEDGE-SIDEWALL MOD 111.0550.$173-03 IR 1NSTL-DIVAN MOD 1754-ST-001 IR INTERIOR MODIFICATIONS - GULFSTREAM MODEL GV-SP, SN 5173 2) Removed the existing R/H Cabin Divan (P/N 2523.700.0I-(04)) and End Arms and modified ledge in accordance with Ul Dwg No. 1.11-G530-5173,433; Rev R. dated 7/11118. Stowed the existing RAI and UH Ledge Cabin Audio/Call/Shade Switch panels (8 Ea. Rockwell Collins P/N 2501-2) behind Lower side wall panels LH & RH side at FS 420.0. 3) Fabricated new replacement LH Cabin Divan End Arms in accordance with 111 Dwg No. IJI.0550.5173-03. Rev IR. dated 7/11/18. 4) Removed the existing RH Cabin Fwd. Side Wall Table Frame and Side Wall Bump Out Panel and fabricated new side wall panels in accordance with Ill Dwg No. 111-6550.5173-02, Rev IR, dated 7/I 1/18. Composite material Hermes Fabric 211007 M 16 — Toile Decoration Grege, (same material) has been previously burnt, reference Skandia burn report TPt/ 329681-17 dated 8/22/17. 5) Reupholstered the LH Divan (Outer Dress Cover Only) with Cowtan & Tout Fabric: 18905-01, EMI Natural. In accordance with Aviation Consulting & Engineering Solutions Inc. Substantiation Report No. A072618-01SR Rev IR dated 8/2/18, ACES drawing No. A0100001 Rev R dated 1/23/13, and ACES drawing No. GVSP-090039 Rev IR dated 8/2/18 approved via FAA/DER 8110.3 dated 2/7/18 (attached) by David S. Molnar (DERT-510260-CE). 6) The cabin Divan seat cushions have been fireblocked in accordance with FAA Title 14 CFR 25.853 (a) (c) amendment 25- 116. Reference Aviation Consulting & Engineering Solutions Inc. (ACES) fire blocking Test Plan report No. A072518. 02FP Rev IR dated 7/25/18 and Oil Burner Test Results report No. A072518-02FR Rev IR dated ft/3/18 and approved via FANDER form 8110-3 (attached) dated 7/25/18 and 9/6/18 by Jeff A. White (DERT-230318-CE and Herschel E. Loepp (DERT-230453-CE). 7) Installed new Replacement Floor Covering in the Main Cabin with Glen Eden Carpet: 5201 Hand-Tufted Color: B788 Twilight and 8789 Twilight. Reference Certificate of Flammability Testing by CA Aviation, LLC. Test Report No. 83278 dated 7/30/18 in accordance with FAA Title 14 CFR 25.853 (a) Arndt 25-116 Appendex F, Part 1(a) (I)(ii). 8) Stripped and recovered existing Headliner and PSU Panels with Lao Piana Fabric: A8730RS 001, Panjab Shaded White. Bum report TP 348675-18 Rev A dated 9/17/18 approved via FAA/DER Form 8110-3 dated 9/17/18 (attached) by Jane Biberstein (DERV-832780-CE). Skandia Inc. composite burn spec No. I. 9) Stripped and recovered existing Aft Lavatory Storage Area with Tapis Fabric: 0263 Woodhue Grospoint. Burn report TP 348675.18 Rev A dated 9/17/18 approved via FAA/DER Form 8110-3 dated 9/17/18 (attached) by Jane Biberstein (DERV-832780-CE). Skandia Inc. composite bum spec No. 8. 10) Fabricated a LH mid-cabin removable (Loose Equipment) divider at the forward divan arm rest in accordance with Ill Dwg No. 111-6550-5173-03, Rev IR, dated 7/11/18. Divider placarded "Must be Stowed During Taxi, Takeoff and Landing". II) Removed the existing WE Aerospace Cabin 5800 Series Fluorescent Lamps and installed Aircraft Lighting International LED Lamps (L5800-XXX-YY series) and Lamp Holders (PN N5120B) on yin accordance with ALI Aerospace "Installation Instructions" Rev A, dated 11120/17. 0 Additional Sheets No Attached cam SDNY_GM_02757309 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0O24423 I EFTA01329094 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record An alteration must be compatible with allprevious alterations fo assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identity with aircraft nationality and registration mark and date work accomplished ) USA N2I2JE Dater/27/2018 Nationality and Registration Mark 12) The Aircrafts Weight & Balance Manual has been updated (report dated 9/20/2018) and a Supplement to Cabin Interior Equipment List has been provided to customer. 13) A logbook entry has been made reflecting this alteration. 14) This Refurbishment/Repair/Alteration to the existing Cabin Interior furnishings requires No Schedqled Maintenance Tasks or Airworthiness Limitations, refer to the OEM Maintenance Manual, and all other existing !CA's. fflie Aircraft's Scheduled Maintenance Program is not altered by this repair/refurbishment. The work described, has been founcho'be in conformity with the above mentioned approved data and continues to meet the airworthiness criteria under which it was originally certificated. Work Order No. 18147, on file at this agency, covers the above described work. NO FURTHER ENTRIES 0 Additional Sheets Are Attached FAA Form 337 (10-06) SDNY_GM_02757310 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244232 EFTA01329095 SDNY_GM_02757311 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244233 EFTA01329096 U.S. DEPARTMENT OF TRANSPORTATION 1. DATE • FEDERAL AVIATION ADMINISTRATION , STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS July 25. 2018 AIRCRAFT OR AJRCRAFT COMPONENT IDENTIFICATION 2 MARE 3 MODEL NO. 4 TYPE Minya Engine. Piraper. at) S. NAME OF APPLICANT ' Gulfstream Aerospace GV-SP Aircraft International Jet Interiors Corporation 1 I UST OF DATA 6. IDENTIFICATION 7, tins REPORT: i A072518-02FP FLAMMABILITY AND OIL BURNER TEST PLAN - 4-PLACE DIVAN - Rev. IR 07/25/18 GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP SN 5173 Note: 1. Approval of test results Is required. ....m...t. . _ at . = =====. END END .... Za .akaa ...... ',Zan I PURPOSE OF DATA i Test pan approval only. In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP SN 5173. 9 APPLICABLE REOLAREMENTS psi spectie weans) 14 CFR §§ 25.853(aXc) at Amendment 25-116 I 10. CERTIFICATION -)Mar adhonly veiled by drecOon Of Ma Arinator and ii Accordance althccochnora arid lenlaiensolapponlmenl under 14 CFR Pat 153. dada Wed Nova and on idladvd Omits nuntiesad Nov_ bre been mandned m accordance *IN talablehed onxiadwes and lound lo comply win appIcatio metwanioNa al de Alestellansa Standards bled. 0 INcomniand approval of these data I (FOAM Then:40M CD APPIAN' Ness Beta I. SIGNATURE(S) OF DESIGNATED ENGINEERNO REPRESENTATNEIS) 12. DESIGNATION NUWERNS) II. CLASSIFICATIONS) Aviation Consulting 4 Engineering Solutions. Inc. I DEBT-230318-CE Structures r Jeff A. White h 22 /0 i FAA Fonn11104 (03/11) SUPERSEDES PREVIOUS EDITION RU SDNY_GM_02757312 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244234 EFTA01329097 • SDNY_GM_02757313 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244235 EFTA01329098 V S DEPARTMENT OF TRANSPORTATION 1. DATE FEDERAL AVIATION AOMNGTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS August 8, 2018 ARCRAFT OR AIRCRAFT COMPONENT CENTRIC-ARON I 2. MAKE 3. MODEL NO. 4. TYPE (Ain% &Va. Pr0Peae. a) 5. NAME OF APPLICANT Gulfstream Aerospace GV-SP Aircraft International Jet Interiors Corporation LIST OF DATA 6. rDENTWICATION 7. TITLE REPORT: A072518-02FR FLAMMABILITY AND OIL BURNER TEST RESULTS - 4-PLACE DIVAN - Rev. IR 08/03/18 GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP SN 5173 Notes: 1. The flammability aspects only of the above listed data we approved I hemin. This approval is for the engineering design data only. It indicates tho data listed above deMonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements' 2. This form does not constitute FM approval of all the engineering dateinecessary for substantiation of compliance to necessary requirements for tie entire alteration/repair. Compliance with additional regulations is required. I iii=== ==== END END := an 2====rallelatillirMS4Vill2 =se==mem= . ---__—_- - - a - == I i I S. PURPOSE OF DATA In support of a major alteration to Guffstream Aerospace Corporation Model GV-SP SN 5173. 9. APPLICABLE REQUIREMENTS (Lisi WeediC Seeter0) 14 CFR 55 25.853(e)(c) at Amendment 25-116 10 CERTIFICATION41Mo eutheAly vested by *coon d the Adrowistralw and in oceofeanc• win creates and Imitators of aopeoratrent under II CFR Pan lel data rated stove and on stashed sheets renew) Note have been eawraled in wares who esinashed procrehret and toted to comely wet apleable rechiremetts of to Alwordlnen StandaritS Wed 0 Repairenend approval of thole data I I Ave) Thertdare 0 APPrOVII then fin II. SIGNATUREIS)OF DES TED ENGINEERING REPRFtENTATIVE(S) 12. DESIGNATION NuMBERS(S) 13. CLASSIFICATION(SI Potable Certsultong & "oils Inc.t gif He E. Loepp DERT-230453-CE Structires I 5. aree4-PP I FAA EOM 81104 Mlle) SUPERSEDES PREVIOUS EIXTVON RLI SDNY_GM_02757314 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244236 EFTA01329099 SDNY_GM02757315 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244237 EFTA01329100 U.S. DEPARTMENT OF TRANSPORTKRON I DATE FEDERAL AVATION ADM NISIRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I AugustZ 2018 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION I 2. MACE 3. MOOEL NO. 4. TYPE (Ant Enema Propelor, eta) I NAME OF APPLICANT. Gulfstream Aerospace GV-SP Aircraft internatioilal Jet Interiors Corporation LLST OF DATA B.I0ENTIFCATON 7. TITLE • Report: I A072818-01SR -SUBSTANTIATION REPORT -DRESS COVER REPLACEMENT -4 -?LACE DIVAN - Rev. IR 08/02/18 GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP SN 5173 Drawings: GVSP-090039 GULFSTREAM GV-SP DRESS COVER REPLACEMENT 4-PLACE DISN Rev. IR 08/02/18 A0100001 'PLACARDS i Rev. R 01/23113 Notes: 1. Structural approval of the seat installations is not included as part of this 8110-3. 2. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements.' 3. This form does not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the en* alteration/repair. Compliance with additional regulations such as 14 CFR §§ 25.803(a), 25.813(c2ii), 25.815, 25.853(a)(c), 25.1411(b), and 25.1561(c) are beyond the scope of this design data. Additional approvals may be required. ENO END .c......mr..., r. — NWERNMI:M====.170=95=======laZtaa,tittrIZ:=2flattl1=1.=. I I S. PURPOSE OF OATA In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP SN 5173. 9. APPLICABLE REQUIREMENTS (Liss spatifie saclons) 14 CFR §§25.561(b1). .562(a1),. .603(a), .785(b)(c), and .1541(a1Xb1)(b2) through Amendment 25r98. 10. CERTIFICATION Grdef bueneelty vested try tInctien of VseAdmenslralor arch In SCCOnlanCe vAil ConallOnS and linflabom of smonlmatft under 14 CFR Pad M. din listed abOve and en beached shoe Tendered none_ have been eicarrined in ace0tdanCe with eStabithed priXeCluree WC bird 10<elf* Sib apples/ nipulremend of Ts Airworthiness Standards IfsPel i 0 Ratammead approval of NOS! data I I elm Thorekrts el Approve these data II SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTABVE(S) 12. DESIGNATOR NUMBERS(S) 13. CLASSIFICATION(S) DAVID S. MOLNAR .2x2 t.oc---i icz ..„. DERT-510260-CE STRUCTURES i ..----- I FAA Form 81104 (03110) SUPERSEDES PREVIOUS EDITION SDNY_GM_02757316 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244238 EFTA01329101 SDNY_GM_02757317 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244239 EFTA01329102 1.DATr U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION September 24, 2018 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION I 2 MAKE 3.MODEL NO. 4 TYPE p.m,* hone, reepron, ere) 5.NAME OF APPLICANT Gulfstream GV- SP Aircraft International )et Interiors Ronkbnkcima, NY LIST OF DATA 6.IDENTIFICATION I 7.TITLE Document Title IJI-G550-5173-02 Instl-Ledge-Sidewall Mod Rev. IR, 7/11/18 IM-G550-5173-03 Instl-Divan Arm Mod Rev. IR, 7/11/18 Report: 1754-ST-001 Interior Modifications - Gulfstream Model GV-SP, S/N 5173 Rev. IR, 9/24/18 Note(s): 1. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as Applicable Requirements. This form may not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the entire alteration. 2. This approval is for Gulfstream GV-SP, S/N 5173 only. I I 8.PURPOSE OF DATA To present the irate for modification data in support of a major alteration on Gulfstream Model GV-SP, S/N 5173. 9.APPLICABLE REQUIREMENTS (List specific sections) I 14 CFR Part 25.301(a)(c) [Arndt. 25-23), 25.303 [Amdt. 25-23), 25.305(a)(b) [Arndt. 25-86], 25.307(a) [Arndt. 25.72), 25.341(a) [Arndt. 25. 72], 25.561(a)(b)(c)(d) [Arndt. 25-91), 25.601 (No Arndt.), 25.603(a)(b)(c) (Amdt. 25-46), 25.605(a) [Arndt. 25-46), 25.607(a)(b) [Arndt. 25-23), 25.609(a)(b) (No Amdt.], 25.625(a)(b)(c) [Amdt.25-72), 25.787 (a)(b) [Amdt. 25.51), 25.789(a)(Amdt. 25-46), and 25.1541(a)(b) [No Arndt.) Ref TCDS AI2EA, Rev. 49 10. CERTIFICATION • Under authority vested by direction of the Administrator end in accordance with conditions and limitations of appointment under III CFR Part IX). dais listed above and on attached sheets numbered N/A liav:e been examined in accordance will, established procedures and found to comply with applicable requirements of the Airworthiness Standards listed. I (ve) Therefore O Recommend approval of these data r Approve these dais I I SIGNATUREMOFDESIGNATEDENGINEERINGREPRESENTAINE(S) 52 DESIGNATi0NNUMBERSM 53 CLASSIFICATIONS) Robert F. Clossin e.,444. - I DERT-230227-CE Strtictures - Interiors 14 CFR Part 23 & 25 • FAA Form 8110.3 13510) SUPERSIOES PREVIOUS 1DITION SDNY_GM_02757318 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244240 EFTA01329103 SDNY_GM_02757319 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244241 EFTA01329104 U.S. DEPARTMENT OF TRANSPORTATION 1. DATE FEDERAL AVIATION ADMINISTRATION 09/17/2018 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS ST AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE 3. MODEL NO. / Typo (Ampere. Enght. Propels.. et) S. NAME OF APPLICANT Gullstream G550 Airplane International Jet Interiors LIST OF DATA & IDENTIFICATION 7.11TLE TP 348675-18 Skanda, Inc. Flammability Test Report Rev A Dated 9/17/2018 Bunsen Burner Testing: Test Specimen Part Numbers: P/N 01 (Represents: Headliner and PSU Panels) P/N 08 (Represents: Aft Lay Closets) Notes: i 1) Work accomplished under Skandia Inc. WO N 348675-18. Ref Document ID 101649. 2) Flammability test witnessing only, does nal constitute installation approval of the materials. 8. PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair & Al eration for SIN 5173 9. APPUCABLE REOUREMENTS (List speck Sections) 14 CFR Pan 25.853 (a) Arnd 25-116 Appendix F Pan I (a)(1)(i) la CERTIFICATION • Under authority vested by direction of the Administrator and in accordance with conditions and limitations al appoiMment under 14 CFR Part 183, data listed above arid on attached sheets numbered ' have Dean examined in accordance with established procedures and found to comply meth applicable requirements of the Ainvonhiness Standards listed. O Recommend approval of these data ; I( Therefore X Approve these data 11. SI TURE(S) OF DE t4GINEERING REPR ATIVE 12. DESIGNATION NUMSER(S) 13. CIANNFICAMS) TIC C X IIIIPI DR netB rstein DERV-832780-CE Structural Special FAA Fo 0-3 man SUPERSEDES PREVIOUS EDITION SDNY_GM_02757320 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244242 EFTA01329105 SDNY_GM_02757321 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244243 EFTA01329106 CERTIFICATE OF FLAMMABILITY TESTING CC AVIATION, LLC. BRIAN FOSS 242 SERRA DR. WHITE LAKE, MI 48386 E-MAIL TEST REPORT NO: 83278 TEMP: 73° HUMID: 51% FLAME 15156° CONDITIONING DATE: 07/27118 CONDITIONING TIME: 9:30 AM TF.ST DATE: 07/30/18 TEST TIME: 10:00 AM MATERIAL IDENTIFICATION: Carpet: Glen Eden Wool Carpet: Custom 5201 Hand-Tufted Color: 0788 Custom Twilight-Wool. B789 Custom Twilight-Wool RoII' 76979 APPLICATION: DATA SHEET/ PON 7944 CUSTOMER: INTERNATIONAL JET 12 Second Vertical Ignition: 14 CFR 25.853 (a) Amdt. 25-116 Appendix F. Pan I (a) (1) (ii). Requirements: IS see. extinguish time: 8 inch bum length: 5 sec drip extinguish time: Extinguish Time: 0.0 Burn Length: 0.1 : Drip Extinguish Time: None Extinguish Time: 0.0 Bum Length: 0.1 Drip Extinguish Time: None Extinguish Time: 0.0 Bum Length: 0.1 Drip Extinguish Time: None Extinguish Time: Bum Length: Drip Extinguish Time: Extinguish Time: Burn Length: Drip Extinguish Time: Extinguish Time: Bum Length: Drip Extinguish Time: AVERAGE 0.00 AVERAGE 0.10 AVERAGE 0.00 COMMENTS: PASSED: X FAILED: Testing Witnessed and Approved By: Brian Foss Engineering Designee: Structures (Flammability Only) SDNY_GM_02757322 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0O244244 EFTA01329107 SDNY_GM_02757323 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244245 EFTA01329108 AIRCRAFT LIGHTING INTERNATIONAL 1I I 105 I NGIN - IWALJ nnut N Y 11int, INSTALLATION INSTRUCTIONS FOR AIRCRAFT LIGHTING INTERNATIONAL 5800 LED LAMP, P/N L5800-XXX-YY and N5120B Lamp Holder Manufactured By: AIRCRAFT LIGHTING INTERNATIONAL REV A November 20, 2017 Aircraft Lighting International, Corporation, PROPRIETARY NOTICE This document contains information ofa confidential andproprietary nature to Aircraft Lighiing International, Corporation ( -ALI), constitutes trade secret for the purpose ofthe Trade Seciket and Freedom ofInformation Act, and is providedin confidencefor the sole purpose ofenabling the recipient to evaluate the information disclosed by ALIfor the sole purpose ofinstallation ofpart number 15800- XX.Ar-YY. The recipient assumes custody and contra and agrees that this document andits aicompanying enclosures/exhibits will not be copied, manufactured, sold, usedfor Inventions or discovery, reproduced, in whole or in part, nor its contents revealed or disclosed in any manner to any thirdparty without prior written consent ofALL As oldie date ofthis cover letter no right has, now, currently or in thefuture, been granted to disclose or use any information containedIn this document. ®Copyright 2017 Aircraft lighting International. Corporation. all rights reserved. Page 1 of 7 Document No.IINST4.5800 SDNY_GM_02757324 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244246 EFTA01329109 SDNY_GM_02757325 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244247 EFTA01329110 IMOPAM 0, •Isf DEPAKTIONT Of TRAM PORTA11011-FEDERAL AVIATION ACOMSTRA11001 STANDARD AIRWORTHINESS CERTIFICATE virtrit.., MID I imatAKTACI)0600:4( ) ./A0017 WM. 1 cow*. 1 X41'414. Sot Gain. Aeov.e 0.00•00, MI= Cv41 $17) Trwspsn I *CAW) Lad, WA SWSCI W. ~Familia ileilats•40.1K awe.. be ear s noi• aid Mimi Nositimi ideranansh/en• 11101.4111011•••••••••••••• n 10••••••••••••••••••••••••••••••• ••••••••••• .11010fibliOs hie C•••••••••••••0. 101•••••••S.O. IF lamas Nall* I FAA WUKU. 10.001) 000) 00•••• ray. CompitesiAL Ealep0•• 1/11.11431 FAR 23301101Ussiost RM ) 000Men 00110100. Capin Phi IOU I FY WM 4010I.Prom Pyin Lidsera.Delbyel M asap St ts. reenielli. aloe lied 011•••••••••••••••••••0•00.0eMemeil. •••••We••••••••••posatainintafarels•••••••• •••••T an • nor. Ininlopfaln.-wrr.••••.I.rry. DINO ISSWCJI ImMis,0000At ItitfearglaMIGI A e Ka ION ono Artlidd /f4 00A <I I •••••••••••• • aorosina rt.inns* ant m.100••••....is inns& emit Mint: a t'q inor inappioctspi/.11VAPPKVOW•WINILoOt bott27161000.••••• Asa tes. SDNY_GM_02757326 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244248 EFTA01329111 SONY_GM_02757327 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244249 EFTA01329112 ..entD MRS 0111/11CA DEPARTMENT OF TRAHSPCRTATIONJEDERAL AVIATION STANDARD AIRWORTHINE int .rsgTN4bo tirCOIL wm NIISLM Gairia GV • avi, r. Ma rbrC at* tut•loaszs•Illt allItsIMI Swigalliml•SIbIl• ••••••••1•••••••••••• kl in3 Cowan imprint,' Dawn N. 71•11, (t) 2A N. MN 3S101 gy p. Ltiapeln Ns. Ma 40 Mµ Mon 4 a 70•4110 CO•01%. Ulaestawils. •POMAII••••••= Idellearo• IMPIMISOMISIIII•ASII eat Vann.. . 1: 11.70 Just P. Len WP-27 AK u•••••• !sm.- •••••1 1k116.Isom. Finie, CIATCAllialtOlealliMMOMM•COISOWriradilliVINONAIMIWYJAM PothmelS20•111•••••••••••ineika SDNY_GM_02757328 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244250 EFTA01329113 SONY_GM_02757329 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_0024425 I EFTA01329114 Plan D LLC 6100 Red Hook Quarter B3 St Thomas VI VI 00802 To: Brent Archibald ODA-511131-CE Gul(stream Aerospace Corporation Savannah, Georgia 31402-2206 Subject: Request for Replacement Standard Airworthiness Certificate. As the owner /certificate operator of Gulfstream Aerospace Corporation GV-SP (G550) , Serial Number 5173, registration N415LM, I am requesting a Replacement Standard Airworthiness Certificate due to change of Registration from N4I5LM to N212JE as authorized by AC form 8050-64 issued on 23 AUG 2017. The registration markings have ban affixed to the aircraft in accordance with 14 CFR 45, subpart C. Regards, Title: m 4W AgEst RAN A ac. Date c -/ S —01-O/ SDNY_GM_02757330 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244252 EFTA01329115 SDNY_GM_02757331 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244253 EFTA01329116 Gulfstream A OONORAL OYNAPAICS COMPANY 27 FEB 2018 ODA-GR4R-2018-08 Mr. Brian Cole Aviation Safety Inspector (AW) DOT/FAA/ATL FSDO-11 1701 Columbia Ave College Park, GA 30337 Subject: Replacement Standard Airworthiness Certificate for Gulfstrearn Aerospace Corporation, Aircraft Model GV-SP(G550), Serial No. 5173, registration N415LM, due to registration change to N212JE. Attachments: Replacement 8100-2 data package. A Replacement Standard Airworthiness Certificate was issued for subject aircraft due to registration change on 27 FEB 2018. Brent Archibald ODA-511131-CE Gulfstream Aerospace Corporation Savannah, Ga. ATL FSDO-1I •I 1 3 201$ P.O. Boa 2206 • Savannah. GA 31002-2206 USA • Telephone (912) 965-3000 • gulfatrom.com SDNY_GM_02757332 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFFA_00244254 EFTA01329117 [I 1 i -O:124 . ITA • SONY GM 02i57333.: SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244255 EFTA01329118 Federal Aviation Administration Memorandum Date: March 14, 2018 To: Aircraft Registry, AFS-750 From: Fdmundo Rolon, ASI; SO-11 Subject: Reissued Airworthiness Certificate Please be advised that a replacement Airworthiness Certificate was issued by Brent Archibald, ODA-511131-CE, fora Gulfstream G550 aircraft, S/N 5173, due to an "N" number change from N415LM to N212JE. A copy of the FAA Form 8100-2 and the letter authorizing an agent to sign for the owner, are attached. kNY_GM_02757a34 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244256 EFTA01329119 SDNY_GM_02757335 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244257 EFTA01329120 Form Approved Electronic Tracking Number 0 MAJOR REPAIR AND ALTERATION OMB No. 2120-0020 US Dammam II/302007 elingspatuma (Airframe, Powerplant. Propeller, or Appliance) RectalMidge For FAA La Only Mosisigracke INSTRUCTIONS: Print or type all entries. See Title la CFR 643.9. Pan 43 Appendix B. and AC 43.9-I (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 444701). Failure to report can result in a civil pawky for each such violation. (49 U.S.C. 446301(d) Nationality and Registration Mask Serial No. N4I5LM $173 I. Aircraft Make Model Series GULFSTREAM GV-SP (0550) Name (As shown on reisislrodon canficate) Address (At shown on registration eenilierue) Address 6100 RED HOOK Quarter 93 2. Owner PLAN D LLC. City St. Thomas Virgin Island Zip 00802 Country USA 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. 0 AIRFRAME (4, descnbed in hem I abate) 0 0 POWERPLANT 0 0 PROPELLER Type 0 • APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name nd Address B. Kind of Agency Name Gulfstream At-manes C0ro0rati00 U.S. Certified Mechanic I Manufacturer Address Cifts_ennUct_SUPP9BBoad Foreign Cati fled Mechanic C. Certificate No. City ,avannah State GA X Certificated Repair Station FAA CRS GR4R216M Zip 31408 Country USA Certificated Maintenance Organization D. I entity dm the repair enclitic alteration made to the trans identified in item 5 above and described on he reverse or attachments hereto have been made in accordance with the requirements of Pan 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and comet to the best of my knowledge. Extended range fud Signature/Date of Authorized Individual_ • , pa 14 CFR Part 43 ❑0 le ci ‘ tC4.._ 0 .• :- ' t App. B Carlos A. Davila 03/082018 7. Approval for Return to Service Pursuant to the authority given persons specified below, he unit identified in item S was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is El APPROVED 0 REJECTED FAA Flt. Standards Persons Approved by Canadian Manufacturer Maintenance Organization Department of Transport Inspector BY Other (S),een59 FAA Designee X Repair Station Inspection Authorizations Certificate or SignamrdDate of Authorized Individual Designation No. FAA CRS GR4R2 I 6M I Carlos A. Davila 03/08/2018 cm 3371mmem EQF 100 -(CG) 04/16 SDNY_GM_02757336 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244258 EFTA01329121 NOTICE Weight and balance or operating kmitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable sinronniness requirements. 8. Description of Work Accomplished more space is recurred. enact ackstronal shoots Identity with avatar nationarity and registration mark and date wore canna:Sod 01118.1201 8 Nstonalny and Raga:mon Mark Dale Reference: Gulfstream Aerospace Corporation Work Order No. SC521661 1. Installed JetConneX (ICA-Band) High Speed Data System with Satcom Direct Router in accordance with STC No. ST03238AT-D, under Index List No. GC41 3038007, Rev. R, using Configuration List Nos. GC5I 3038034, Rev. A and GC5I 3038035, Rev. NC, with minor deviations under Gulfstream Engineering Drawing List No(s). CE51 4960797, Rev. B-E. (electrical) and CE52 005173, Rev. C (mechanical). • Reference Gulfstream Document No. GC51 303A004, Rev. F for Maintenance Requirements — Instructions for Continued Airworthiness. • Airplane Flight Manual Supplement No. GC51 303M005, Rev. F applies and has been inserted into the Airplane Flight Manual. • Reference Gulfstream Document No(s). GC51 3030007, Rev. NC for the Ground Test Plan. • Reference Electrical Load Analysis No. GC5I 4696768, Rev. NC and GC41 429G002, Rev. NC for details of electrical loads from modifications accomplished under this work order. 2. Updated the Equipment List section of the Weight and Balance Manual. 3. Weight and Balance data has been revised and inserted into the Weight and Balance Manual. End ❑ Additional Sheets Are Attached FM Fpm 337 poos) EQF 100 - (CG) 04/16 SDNY_GM_02 757337 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244259 EFTA01329122 OMB No 2120.0020 7,800'91.nel 0_, mi. • MAJOR REPAIR AND ALTERATION (Airframe, Powerplant, Propeller, or Appliance) Eva'S/31/2014 FM FAA use eery US Depanmen ce 1qtnicefietcn hen,known Admaistrahon INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix El, and AC 43.9.1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. 46301(a)). Nationality and Registration Mark I Serial No. USA N415LM 5173 1. Aircraft Model Series Make GV-SP (G550) Gulfstream Aerospace Name (As shown on registration certificate) Address (As shown on registration certificate) ACI*••• 6100 Red Hook Quarter 83 2. Owner Plan 0 LLC car St Thomas slat Foreign nn 00Ma rn.nwViroin island% 3. For FAA Use Only 4. Type 6. Unit Identification Repair Altered° Unit Make Model Serial No. 0 0 AIRFRAME --------- (As described in Item 1above) -- e 0 POWERPLANT 0 0 PROPELLER APPLIANCE Tn. 0 0 tiwwww 6. Con entity Statement A. Agency's Name and Address B. Kind of Agency I Manufacturer International Jet Interiors U.S. Certificated Mechanic C. Certificate No. 2221 Smithtown Ave Foreign Certificated Mechanic Ronkonkoma, New York X Certificated Repair Station CRS I1JR439Y 11779 USA Certificated Maintenance D. I certify that the repair and/or alteration made to the unit(s) identified in item S above and described on the reverse or attachments here to have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of nowiedge. Extended range fuel per Signature/Date of Authori In idu 14 CFR Part 43 0 App. B Jay Massar 8/31/2017 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit Identified in item 6 was nspected in the manner prescribed by the Administrator of the Federal Aviation Administration and Is (8) APPROVED 0 REJECTED FAA Flt. Standards I Persons Approved by Canadian Inspector Manufacturer Maintenance Organization Department of Transport BY Other (Specify) FAA Designee X Repair Station Inspection Authorization Cent cute or Signature/Date of Autho ize ndivid Designation No. CRS I1JR439V Thomas Norden 8/3112017 IL\IV L-- FAA Form 337 , i, SDNYGtvl_02757338 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244260 EFTA01329123 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record An alteration must be compatible with all previous alterations to assure continued conformity with the appiscaM airworthiness requirements 8. Description of Work Accomplished (If more space is required. attach additional sheets. Identity with aircraft nationality and registration mark and date work accomplished) USA 'NM 5LM Date 8!1/2017 Nationality and Registration Mari I) Accomplished the following modifications/alterations/refurbishment as listed below to an existing executive interior in accordance with the below listed International Jo Interiors Drawings. All listed Structural drawings were approved via (attached) DRAWING NUMBER REV TITLE OR DESCRIPTION IMMOI13 IR INTERIOR MOD INSTL IRGSSOSIMA IR. ARMREST COVER INSTL•DIVAN CABINET UIGSSOSIMB IR LH FWD CREW GALLEY MOO INSTL IlIGSSOSIMC IR MONITOR MODINSII.LII FWD IlIGSSOSIMD IR SEAT MOD INSTL IIIGSSOSI TIE IR SWITCH MOD INSTIANVAN ARMREST LIICMOSILW IR LH AFT GALLEY MOO /NM UIGSSOSI73G IR MI AFT GALLEY MOD INSTL UIGSSOSIMH IR AST VANITY MOD INSTL UIGSSOSIM) IR PLACARD MOD INSTL 2) Reupholstered the eight (8) existing Single Cabin Seats with Spinneybeck leather: P/N 0457VPI 12235FT, Velluto Pelle Color 0457, D/L I12235FT. In accordance with Aviation Consulting & Engineering Solutions Inc. Substantiation Report No. A061917-03SR Rev IR dated 8252017, ACES drawing No. CV-010039 Rev A dated 2/28/2017 and ACES drawing A0100001 Rev R dated 1/23/13, and approved via FAA/DER 8110-3 dated 8/28/2017 (attached) by David S. Molnar (DERT-510260-CE). 3) Reupholstered the LH & RH Divan with Nobilis Fabric: 10493-05, Stella and Spinneybeck leather: P/N 0457VP112235FT, Velluto Pelle Color 0457, D/L I I2235FT. In accordance with Aviation Consulting & Engineering Solutions Inc. Substantiation Report No. A061917-03SR Rev IR dated 8252017, ACES drawing No. CV-010019 Rev H dated 2/28/2017 and ACES drawing A0100001 Rev R dated 1/23/13, and approved via FAA/DER 8110-3 dated 8282017 (attached) by David S. Molnar (DERT-510260-CE). 4) All eight (8) cabin single passenger seats, Two (2) divans, and one (I) observer scat cushions have been fireblocked in accordance with FAA Title 14 CFR 25.853 (a) (c) amendment 25.116. Reference Aviation Consulting & Engineering Solutions Inc. (ACES) fire blocking Test Plan report No. A061917-03FP Rev A dated 8/16/2017 and Oil Burner Tat Results report No. A061917-03-0I FR Rev IR dated 8/21/2017 approved via FAA/DER form 8110-3 (attached) dated 8/17/2017 and 8/21/2017 by Herschel E. Loepp (DERT-230453-CE). 5) The existing cockpit crew seats were reupholstered (outer cover only) with Spinneybeck Leather: PN 0457VPI12235FT- Velluto Pelle, Color 0457, D/L. 112235Ff Deadatus and Garrett Sheepskin: Shearling-White PN S510, D/L 85847. In accordance with Aviation Consulting & Engineering Solutions Inc. Substantiation Report No. A061917-03SR Rev IR dated 8/25/2017, and ACES drawing GVSP-090024 Rev IR dated 8/25/2017. and approved via FAA/DER 8110-3 dated 828/2017 (attached) by David S. Molnar (DERT-510260-CE). 6) All cabin PAX seats and Crew restraints have been re-webbed by C&M Marine Aviation Services Inc. (FAA/CRS V05R749Y) Reference 8130-3 dated 7/8/17 and 6/14/17. Each belt is tagged and identified as meeting FAA-MO-Cite, requirements. 7) The existing cockpit observer seat was reupholstered (outer cover only) with Spinneybeck Leather: PN 6043ADI I 2152FT- Andes Color 6043 D/L 11215217. In accordance with Aviation Consulting & Engineering Solutions Inc. Substantiation Report No. A0619I7-03SR Rev IR dated 8/25/2017, and ACES drawing GVSP-090024 Rev IR dated 8/25/2017, and approved via FAA/DER 8110-3 dated 828/2017 (attached) by David S. Molnar (DERT-510260-CE). 8) Stripped and recovered the existing Fwd Cabin Bulkheads, Fwd Cabin Pocket Door, Cabin Lower Side wall Panels, and Magazine Racks with Hermes Fabric: 211007 MI6 — Toile Decoration Grege. Burn report TPN 329681-17 Rev A dated 8/22/17 approved via FAA/DER Form 8110.3 dated 8/22/17 (attached) by Jane Biberstein (DERY-832780-CE). Skandia Inc. composite burn spec No. 4 and 18. 0 Additional Sheets Are Attached FAA Form 337 00-00 SDNY_GM_02757339 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244261 EFTA01329124 NOTICE Weight and belanCe or operating limitation changes shaft be entered in the appropnate aircraft record. An alteration must be compatible with aThowvious alterations to assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and date wont accomplished ) USA N 10415LAI Date 8/31/2017 Nationality and Registration Mark 9) Covered the existing veneered handrails on the PSUNalance Panels in the Cabin area with Tapis Ultraleather: YLIR3145 — Parchment, Lot: N, Roll #136. Bum report TP# 329681-17 Rev A dated 8/22/I7 approved via FAA/DER Form 81 10-3 dated 8/22/17 (attached) by Jane Biberstein (DERV-832780-CE). Skandia Inc. composite burn spec No. 13. le) Stripped and recovered the existing Fwd and Aft Lavatory Potty Seat with Spinneybeck leather: PN 0457VP I 12235FT - Velluto Pelle Color 0457 D/L I I2235Ff. Burn report TPH 329681-17 Rev A dated 8/22/I7 approved via FAA/DER Form • 8110.3 dated 8/22/17 (attached) by Jane Biberstein (DERY-832780-CE). Skandia Inc. composite burn spec No. 3. II) Stripped and recovered the existing Aft Lavatory Deck with Wisonan Laminate: I 573KF2133548120 - Frosty White. Burn report TN( 329681.17 Rev A dated 8/24/17 approved via FAA/DER Form 8110-3 dated 8/24/17 (attached) by Jane Biberstein (DERY-832780-CE). Skandia Inc. composite bum spec No. 15. 12) Upholstered the new Divan End Arm Covers with Spinneybeck leather: PM 0457VP1I 2235FT, Velluto Pelle Color 0457. D/L I I2235FT. Bum report TPN 329681-17 Rev A dated 8/22/17 approved via FAA/DER Form 81 10-3 dated 8/22/17 (attached) by Jane Biberstein (DERV-832780-CE). Skandia Inc. composite burn spec No. 3. 13) Installed new Replacement Floor Covering in the Entryway, Main Cabin, Galley, Lavatory, and Floor Ducts with Glen Eden Carpet: Custom 5201 Hand-Tufted and solid Cut Pile, Color: W037 Twilight-Wool. Burn report 'FPO 329681-17 Rev A dated 8/22/17 approved via FAA/DER Form 81 10-3 dated 8/22/17 (attached) by Jane Biberstein (DERV-832780-CE). Skandia Inc. composite burn spec No. 6 & 7. 14) Stripped and recovered the Entry Door/Airstair with AerMat ST/1003/1003/20R/54 Ribbed Black. Burn report IPM 329681.17 Rev A dated 8/22/I7 approved via FAA/DER Form 8110-3 dated 8122/17 (attached) by Jane Biberstein (DERV- 832780-CE). Skandia Inc. composite burn spec No. 2. 15) Fabricated a new replacement Mid and All Cabin Curtain with Hennes Fabric: 211007 M 16 - Toile Decoration Gregc. Burn report TIM 329681.17 Rev A dated 8/22/17 approved viaFAA/DER Form 8110.3 dated 8/22/17 (attached) by Jane Biberstein (DER Y-832780-CE). Skandia Inc. composite bum spec No. 5 and 17. 16) Modified the Fwd Crew Galley Sleeve to accommodate a Small Coffee Maker (loose Equipment). Installed a new IlOv/60Hz provisional outlet. Wiring was performed by Hawthorne Global Aviation Services (FAA/CRS EW7R379W) WO 24798 Logbook Supplement dated 8/25/2017. I7) Complied with BIE Service Bulletin No. SB-2524.524.25.355 Rev A. Title: "Replacement footrest with legrest" to the existing (2Ea) cabin scats P/N 2524.524.01-50809. SN 071219-07 and P/N 2524.524.01.5031A, SN 071219.04. IS) All affected areas of the aircraft interior have been placarded in accordance with applicable FAA regulations. 19) The aircraft's Weight & Balance Manual has been updated (report dated 8/31/2017) and has been provided to customer. 20) A logbook entry has been made reflecting this alteration. 21) this Refurbishment/Repair/Alteration to the existing Cabin Interior furnishings requires No Scheduled Maintenance Tasks or Airworthiness Limitations, refer to the OEM Maintenance Manual, and all other existing ICA's. The Aircraft's Scheduled Maintenance Program is not altered by this repair/refurbishment. 22) The work described, has been found to be in conformity with the above mentioned approved data and continues to meet the airworthiness criteria under which it was originally certificated. Work Order No. 17126, on file at this agency, covers the above described work. NO FURTHER ENTRIES Ea Additional Sheets Are Attached FAA Form 332 (10.061 SDNY_GM_02757340 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244262 EFTA01329125 SDNY_GM02757341 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244263 EFTA01329126 g. 5 U.S. DEPARTMENT OF TRANSPORTATION I. DATE I. FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS August 17, 2017 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE 3 MOOD NO. 4 TYPE Meese Enda,. Pap s... at) S NAME OF APPLICANT Gulfstream Aerospace GV-SP Aircraft International Jet Interiors Corporation 1ST OF DATA B. CERTIFICATION 7 TITLE REPORT: A061917-03FP FLAMMABILITY AND OIL BURNER TEST PLAN - INTERIOR REFURBISHMENT - Rev. A 08/16/17 GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP (G550) SN 5173 Note: 1. Approval of test results is required. END END _ _ = B. PURPOSE OF DATA Test plan approval only, in support of a major alteration to Gutfstrearn Aerospace Corporation Model GVSP (0550) SN 5173. 9 APPLICABLE REOUIREMENTS (List specAc sections) 14 CFR SS 25.853(a)(c) at Amendment 25-116 10. CERTIFICATION -Under onset vested by deecten dine AdintrosIndor and In accordance se tandems and Illyamreare ol appcliemonl wider 14 GEN Psi M. dRa ailed above and on aPeched sheets numbered None . have been examined In natant with established procedures and lows] to campy eel appireble reeve weer Owe Anneethiness Standards kited. 0 R•Ecennassri approval of these data i two Thonsem 0 Approve these data II. SIGNATURE(S)OF DES TED ENmsEERING R PIMSENTeuvElei 12 DESIGNATION NUMBERSIS) is. mASSiFICATIONIel oep a Aeabon Consulting idnc. Herschel E L p I DERT-230453-CE Structures C. anti) FAA Pone 01104 (03/10) SUPERSEDES PREVIOUS EDITION RLI SDNY_GM_02757342 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244264 EFTA01329127 SDNY_GM_02757343 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244265 EFTA01329128 U.S. DEPARTMENT OF TRANSPORTATION 1. DATE FEDERAL AVIATION ADMINISTRATOR STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS August 21. 2017 AIRCRAFT OR AIRCRAFT COMPONENT IDENT1FICATKM 2. MAKE 3 MODEL NO 4. TYPE (Aka**. Engine Propel, etc.) 5. NAME Of APPLICANT Gulfstream Aerospace GV-SP Aircraft International Jet Interiors Corporation UST OF DATA 6. IDENTIFICATION 7. TITLE REPORT: A081917-03FR FLAMMABILITY AND OIL BURNER TEST RESULTS - INTERIOR REFURBISHMENT - Rev. IR 08/21(17 GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP (6550) SN 5173 Notes: 1. The flammability aspects only of the above list&J data are approved herein. This approval is only for the engineering data. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements.' 2. This form does not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the entire aeration/repair. Compbance with additional regulations is required. == .c. =2=.11” saaaaaramalinazsavax3 m a mmm atazaza ......... END END ===vssessrvves ass= ==riiiir.unnsualv .. atri==a =C arc= O. PURPOSE OF OATA In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP (6550) SN 5173. 9 APPLICABLE REQUIREMENTS (Um specific actions) 14 CFR §§25.853(aXc) at Amendment 25-118 10 CERTIFICATION Under aufhority vested by *amen a/ the Ado narrator and in scccedance with ceneldnen and Imeallons Of appoternenl unece le CFR Prt 153, data Stied abaft and en scathed shams wawa! Rao° , have been ciamarl in accoMaxa wornMINIMS procedures and found to =trek we. MOWS. eknaresnefts of ihe einvonhinares Stantanis aped. ❑ Recommed approval of these data I (Wo ThowelOrt 0 Approve than data II. SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) 12 DESIGNATION NUMBERS(S) 13. CLASSEIGATIOM51 Amason Consulting re:n c itolibosa, InE. I) Herschel E Loops) DERT-230453-CE Structures I t. FAA Form $110.3 (03110) SUPERSEDES PREVIOUS EENTION Rio SDNY_GM_02757344 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244266 EFTA01329129 SDNY_GM_02757345 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244267 EFTA01329130 VS DEPAH imtN I OF TRANSPORTATON I DATE FEDERAL AAATION ADMINISTRATOR STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS August 28, 2017 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2 MAKE 3 MODEL NO 4. I TrE (Asa* Engine. Propels v, 04c) 5 NOISE OF APPLICANT Gulfstream Aerospace GV-SP Aircraft International Jet Interiors Corporation LIST OF DATA 0 IDENTIFICATION 7 WILE Report: A061917-03SR SUBSTANTIATION REPORT - SEAT CUSHION a DRESS COVER REPLACEMENT - SEATING Rev. IR 08/25/I7 PRODUCTS - GULFSTREAM AEROSPACE CORPORATION MODEL GV•SP SN 5173 Drawings: GVSP-090024 GULFSTREAM GV-SP DRESS COVER REPLACEMENT SEATING PRODUCTS Rev IR 0825/17 GV-010019 GULFSTREAM GV/GV•SP CUSHION ASSY 4 PLACE DIVAN Rev. H 02/28/17 CV-010020 GULFSTREAM GV CUSHION ASSY 4 PLACE DIVAN TOOLS Rev. A 11/30/12 (3V4110039 GULFSTREAM GV 8 UV-SP CUSHION ASSY PASSENGER SINGLE SEAT Rev. A 02/28/17 G1/010040 GULFSTREAM GV 8 GV-SP CUSHION ASSY TOOLS PASSENGER SINGLE SEAT Rev. IR 03/02/15 A0100001 PLACARDS Rev R 01/23/13 Notes: I. Structural approval of the seal installations is not included as pan of this 8110-3. 2. This aPPrOual is for engineering design data only. It indicates the data listed above demonstrates Compliance Only with the legUlahOns Speafiecl by paragraph and subparagraph listed below as • -Applicable Requirements." 3. This form does not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary,JequIrements for the entire allerationfrepair. Compliance with additional regulations such as 14 CFR §§ 25.803(a). 25.813(021). 25.815, 25.853(a)(c). 25.1411(b), and 25.1561(c) are beyond the scope of this design data. Additional approvals may De required. ..woo .s so ae END PND se . 37.xam:r.zacs= -- - - a. PURPOSE OF DATA In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP SN 5173. 9. APPLICABLE REOUIRE ME NTS (tsI Sosonit sonars) 14 CFR §§ 25.561(b1). .562(a1), .603(a). .785(b)(c). and .1541(a1)(b1)(02) through Amendment 25-98. lo Cenretcshou •lirter aultienly ,w.3“1by freCtion 01 the Arlin:Ws*, 3n.14., arityd4eiC4 will coodoons KO Imiabons ii apvontencoi Life( 14 (JR Pan 153. data kited NARK ono on aMthtO sheets numbered Ne • Ktve been enmir4:4 . OCC140JeWa' wtri 44.1.0600,1POCUIL49. 4430 bona ID WM* A4I, opplca14.9 teVollierrOMS a 33 Anon/5mm Standards kmans 0 RefOmmend approval of these data I fne.) Maeda gi Approve these data I1 SIGNATURE(S) OE DESIGNATED ENGINEERING REPRESENI Ai rvp(s) I2 DESIGNATION NUMSERS(S) U. CLASSIFICATONISI DAVID S MOLNAR Ca ..\ _ DERT-510260CE STRUCTURES - • b r i tsk...Th- --... FAA Form at les (031101 SUPERSEDES PREVIOUS EDITION SDNY_GM_02757346 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244268 EFTA01329131 SDNY_GM_02757347 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244269 EFTA01329132 U.S. DEPARTMENT Or MIANSPORTATICH 1 DATE FEDERAL AVIATION ADMIMSTPATION August 24, 2017 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS MRCRAFT OR MRCRAFT COMPONENT IDENTIFICATION 2. SAKE 3. MODEL NO. 4 TYPE OFF144. EnPnv. Pone. wai 6. NAME OF APPLICANT Gulfstream Aerospace GV-SP s/n 5173 Airplane International Jet Interiors Corporation Ronkonkona, NY LIST OF DATA 6 IDENTIFICATION 1 TIME Drawings: IJIG5505173A Rev IR Armrest Cover Inge - Divan Cabinet sht 1 -4 dated 07/06/17 IJIG55051738 Rev IR LH Fwd Crew Galley Mod Insti sht 1 -4 dated 07/06/17 IJIG5505173C Rev IR Monitor Mod Intl - LH Fwd sht 1 - 5 dated 07/06/17 Reports: IJIG5505173SA Rev IR Structural Analysis Divan Cabinet Armrest Cover Installation Gulfstream Aerospace Addendum A 08/22/17 Corporation GVSP IJIG5505173SA Rev IR Structural Analysis LH Fwd Crew Galley Mod Installation Gutfstream Aerospace Addendum B 08/22/17 Corporation GV-SP IJIG5505015SA Rev IR Structural Analysis LH Fwd Monitor Mod Installation Gulfstream Aerospace Corporation Addendum C 08/22/17 GV-SP Structures Note: 1) The structural aspects only of the above listed data are approved herein. This approval is only for the engineering data. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements". 2) This form does not constitute FAA approval of all the engineering design data necessary for substantiation of compliance to necessary requirements for the entire alteration. The requirements of Electrical Systems and Equipment and Flammabiity are not included in this approval and may require separate approval. 3) Satre interior compliance inspection is not included in this approval and requires separate approval. a. PURPOSE OF DATA To provide type data for FAA approval of structure In support of major alteration for Gulfitream OV-SP ski 5173. a AP/VC...MILE REDIAREMENTE (Larl Spica emPard) 14 CFR Part 25, Arndt 25-1 through 25-98 as specified in TCDS Al2EA; Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Amdt 25-23, 25.305(a, b) Arndt 25-54, 25.307(a) Amdt 25-72. 25.341 Arndt 25-0, 25.561 Arndt 25-23, 25.601 Amdt 25-0, 25.603 Arndt 25-46, 25.605(a) Arndt 25-46, 25.609(a) Amdt 25-0, 25.611 Arndt 25-23, 25.613(a. b, d) Arndt 25-72, 25.619 Arndt 25.23, 25.625(a-c) Amdt 25-72, 25.787(a, b) Arndt 25-51, 25.789(a) Amdt 25-46. 10. CERTIFICATC14 • Under audiattry vested by ditacdon a/ Ms Adrriammor end in &Call:WOO with conalbons and radiant d addffinnad andel 14 CFR PM 163. daft lad Wove and an Mailed WIWI Oufabelecl j hem been canned in accordance wan establahml precedunes end band lo comply Mn applicable dapandnard; alMe Anscrtnhess Stands/0s Wed 0 Recommend approval al these data 1Or/141) Therefore 23 Appian these data It. SIONATUFtE/SI OF DESIGNATED ENGINEERING REPRESENTATivEi31 12. OEM:NATION NUMBERSO) IF CIAERIFICATIONiF 1 Donald E. Shepherd, Jr. I DERT-230307-CE Structures 6..m.e.1/14,01.4.4c,77 FAA Form 6110.3 (03/10) SUPERSEDES PREVIOUS EDITOR Ist-INIO -A. SDNYGlvl02757348 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244270 EFTA01329133 SDNY_GM_02757349 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244271 EFTA01329134 VS DEPARTMENT OF11TANSPORTATION 1. DATE FEDERAL AVATIONADMNISTRATION August 23, 2017 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE 3. MODEL NO. 4. TYPE (Alm* Erre. ProteNo. No) & NAME OF APPLICANT Gulfstream Aerospace GV-SP s/n 5173 Airplane International Jet Interiors Corporation Ronkonkona, NY UST OF DATA 6. IDENTIFICATION 7 ?ME Drawings: IJIG5505173D Rev IR Seat Mod Instl sht 1 - 5 dated 08/04/17 IJIG5505173E Rev IR Switch Mod Ins!' - Divan sht 1 - 4 dated 07/31/17 IJIG5505173F Rev IR LH Aft Galley Mod Insti sht 1 - 4 dated 07/06/17 Reports: IJIG5505173SA Rev IR Structural Analysis Cabin Pallet Installation Gulfstream Aerospace Corporation GV-SP Addendum D 08/22/17 IJIG5505173SA Rev IR Structural Analysis Passenger Switch Relocation in Cabin of Gulfstream Aerospace Addendum E 08/18/17 Corporation GV-SP IJIG5505015SA Rev IR Structural Analysis LH Aft Galley Mod Installation Gulfstream Aerospace Corporation Addendum F 08/18/17 GVSP Structures Note: 1) The structural aspects only of the above listed data are approved herein. This approval is only for the engineering data. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements". 2) This form does not constitute FAA approval of all the engineering design data necessary for substantiation of compliance to necessary requirements for the entire alteration. The requirements of Electrical Systems and Equipment and Flammability are not included In this approval and may require separate approval. 3) Aircraft interior compliance inspection is not included in this approval and requires separate approval. PURPOSE OF DATA To provide type data for FM approval of structure in support of major alteration for Gulistream GV-SP sin 5173. to. AMICABLE REQUIREMENTS (IMMeta ) 14 CFR Part 25, Arndt 25-1 through 25-98 as specified in TCOS Al2EA Paragraphs: 25.301(a-b) Arndt 25-23. 25.303 Amdt 25-23, 25.305(a. b) Amdt 25-54, 25.307(a) Amdt 25-72. 25.341 Amdt 25-0, 25.561 Amdt 25-23, 25.601 Amdt 25-0, 25.603 Amdt 25-46, 25.605(a) Amdt 25-48, 25.609(a) Amdt 25-0, 25.611 Arndt 25-23, 25.613(a, b, d) Amdt 25-72. 25.619 Amdt 25-23, 25.625(a-c) Amdt 25-72, 25.787(a, b) Amdt 25-51, 25.789(a) Arndt 25-46. 10. CERTIFCATION - Meet whom vesle6 by doecur d the MeraNalmta and m acecederee MI maims an0 iteltaloas of aceoldnmni tat 14 CFR Ponies. dam Mad Move ana an visaed ahem nmewed Sa_ ham ten emend M accadanca MI establahad mamelures and lend to mayfly wah MIMS repuernane of Om Ma/oddness SUAdvds ad. 0 Racommand approval of that dab I vs) Thmiora 0 Approve that data II. SONATURE(3) OF DESIGNATED ENGINEERING REPRESENTATIVE(31 12. DESIGMADON tdulAKRIM(S) IS CIASSIFICATICMS, Donald E. Shepherd, Jr. DERT-230307-CE Structures leuditgeritad",./ . FM Fens 5110-3 (03/10) SUPERSEDES PREviOuSENTION SDNY_GM_02757350 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244272 EFTA01329135 SDNY_GM_02757351 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244273 EFTA01329136 U.S. DEPARTIAENT OF TRANSPORTATION 1. DATE FEDERAL AVIATICN ADIAINSTRATICte August 24, 2017 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS MRCRAFT OR MRCRAFT COMPONENT IDENTIFICATION Z MARE 3. MODEL NO. 4. TYPE (Ant•P. Eight Prom,* ea) 5. MIMEOF APPLICANT Gulfstream Aerospace GVSP s/n 5173 Airplane International Jet Interiors Corporation Ronkonkona, NY UST OF DATA t IDEMIFICATCM 7 TITLE Drawings: IJIG5505173 Rev IR Interior Mod Intl sht 1 - 3 dated 07/24/17 IJIG5505173J Rev IR Placard Mod Watt slit 1 - 5 dated 08/01/17 IJIG5505173G Rev IR RH Aft Galley Mod Intl slit 1 -5 dated 07/06/17 IJIG5505173H Rev IR Alt Vanity Mod Intl slit 1 -7 dated 08103/17 Reports: IJIG5505173SA Rev IR Structural Analysis Interior Mod Instl Gulfstream Aerospace Corporation GV-SP dated 08/23/17 IJIG5505173SA Rev IR Structural Analysis RH Aft Galley Mod Installation Gulfstream Aerospace Corporation Addendum G 08/22/17 GV-SP IJIG5505015SA Rev IR Structural Analysis Aft Vanity Mod Installation Gulfstream Aerospace Corporation GV- Addendum H 08/22/17 SP Structures Note: 1) The structural aspects only of the above listed data are approved herein. This approval is only for the engineering data. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements'. 2) This form does not constitute FAA approval of all the engineering design data necessary for substantiation of compliance to necessary requirements for the entire alteration. The requirements of Electrical Systems and Equipment and Flammability are not included in this approval and may require separate approval. 3) Aircraft interior compliance inspection is not included in this approval and requires separate approval. a. PURPOSE OF DATA To provide type data for FAA approval of structure in support of major alteration for Gulfstream GV-SP sin 5173. Et APPLICABLE RECRARVAENTS (UN Wale seellene) 14 CFR Part 25, Arndt 25-1 through 25-98 as specified In TCDS Al2EA: Paragraphs: 25.301(a-b) Amdt 25-23, 25.303 Amdt 25.23.25.305(a, b) Arndt 25-54, 25.307(a) Amdt 25-72, 25.341 Amdt 25-0, 25.561 Arndt 25-23, 26.601 Arndt 25-0, 25.603 Arndt 25-46, 25.605(a) Arndt 25-46. 25.609(a) Arndt 25-0, 25.611 Arndt 25-23, 25.613(a, 0. 0) Arndt 25-72, 25.619 Arndt 25-23, 25.625(a-c) Amdt 25-72, 25.787(a. b) Arndt 25-51. 25.789(a) Amdt 25-48, 25.1541(a, b) Amdt 25-0. 10. CERTIFICATION - Uncle DuPont,/ heated try datcp0a 0 Re Adrninarsafior and In acceedarce eld, Conlon. and *maroons Of apeoteneant are- II CFR PIK 103. data brad above and on atta:',ea 5heetsrumbeed jEd... have teen 'ammo In accoptanot wen eatablished Noce:Non and found ba comply wet boplabee rectiwnents of PO Ainsten -.ass Standards Latta H Recommend approval of thine data I (04TherelOre w Approve these data 11. SIGNATUREISI Of DESIGNATED ENGINEERING REPRESENTATNEIS) 12. DESIGNATION NUMBERS(S) 13. CLASSIFICATIONIS) Done E. d, DERT-230307-CE Structures dints( FAA Form 51104 (0110) SUPERSEDES PREVIOUS MOON ninP3 SDNY GM_02757352 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244274 EFTA01329137 SONY_GM02757353 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244275 EFTA01329138 U. S. DEPARTMENT OF TRANSPORTATION I. DATE FEDERAL AVIATION ADMINISTRATION 08/24/2017 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE 3. MODEL NO. 4. Type 049,44,4. fare. &cosh.. etc I 5. NAME OF APPUCANT Gulfstream Aerospace GV-SP Airplane International Jet Interiors UST OF DATA 9. IDENTIFICATION 7. TITLE TP 329681.17 Skandia, Inc. Flammability Test Report . Rev A Bunsen Burner Testing Dated 8/24/2017 Test Specimen Pan Number 15 (Represents Potty Deck) Notes: 1) Work accomplished under Skandia Inc. WO tg 329681.17. Ref Document ID 100619 2) Flammability test witnessing only, does not constitute installation approval of the materials. 8. PURPOSE OF DATA Demonstration al Compliance with matenal flammability requirements in support of Major Repair 8 Alteration for Sitil 5173 9. APPLICABLE REOUIREMENTS (List spec& sections) 14 CFR Pan 25.853 (a) Arndt 25.118 Appendix F Part I (8)(1)(0) 10. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Part 183. data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Airworthiness Standards hstcd. O Recommend approval of those data ( e) Therefore $,.. Approve these data it S NATURE(S) OF DE RATED NGINEERING REPRESEIMATIVE IL DESIGNATION NUMBERS) 13. CLASSIFICATION(S) A CA FAA Form - Ja o Bib°rstein P£RSEDES PREVIOUS EDITION LAL —ORRY-832790-CE Structural Special SDNY_GM_02757354 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0O244276 EFTA01329139 SDNY_GM_02757355 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244277 EFTA01329140 U. S. DEPARTMENT OF TRANSPORTATION 1. DATE FEDERAL AVIATION ADMINISTRATION 08/22/2017 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE 3. MOOEL NO. & Type (4mrils Err" Thaler. it) & NAME OF APPLICANT Gulf stream Aerospace GV-SP Airplane International Jet Interiors UST OF DATA 6. IDENTIFICATION E TITLE TP 329681.17 Skancha, Inc. Flammability Test Report Rev A Bunsen Burner Testing Dated 8/22/2017 Test Specimen Part Numbers 2 (Represents Airstair) 3 (Represents Potty Seats. Divan End Arms) 4 (Represents Lower Side Panels) 5 (Represents Mid Cabin Curtain) 6 (Represents Floor Covering) 7 (Represents Floor Covering - Ducts) 13 (Represents Handrails, Galley 8 Alt Lay and PSUs) 14 (Represents Galley 8 Lay Countertops) 16 (Represents Tables) 17 (Represents Aft Cabin Curtain) 18 (Represents Cabin Bulkhead Covers) Notes: 1) Work accomplished under Skandia Inc. WO II 329681-17, Ref Document ID 100611. 2) Flammability test witnessing only, does not constitute installation approval of the materials. S. PURPOSE OF DATA Demonstration 01 compliance with material flammability requirements in Support of Major Repair 8 Alteration for SiN 5173 9. APPLICABLE REOUREMENTS (Lisf spec& sections) 14 CFR Part 25.853 (a) Arndt 25-116 Appendix F Part I (a)(1)(i) 14 CFR Part 25.853 (a) Arndt 25-116 Apex F Part I (a)(1Kii) la CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Pail 183, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements Of the Airworthiness Standards listed. 0 Recommend approval of these data ON Thereon) ‘)3( Approve these data 11. SI TURE(S) OF Dian En ENGINEERING REPRESE ATIVE Ia.DESIGNATION NUMEIER(S) 13. CLASSIFICATION(S) i,4 )1/4t\> D ti an@ Biberstein \ CS : CAS) DERV-832780-CE Structural Special FAA Form (03/10) SUPcRSEDES PREVIOUS EDITION' SDNY_GM_02757356 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244278 EFTA01329141 SDNYGM02757357 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244279 EFTA01329142 ;)Me NO. 2120-0020 leiscooNo Troddrp Wirer MAJOR REPAIR AND ALTERATION ExpS/31/2014 ale (Airframe, Powerplant. Propeller, or Appliance) For FAA LIM 0otr US 0irotivorl ci Troosponolol Fidefill AVilififlei AdmInisiration INSTRUCTIONS Print or type all entries. See FAR 43.9 Appendix 8, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition o this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each well violation (49 U.S C. 48301(a)). Nationally and Registration Mark Serial No. USA N415LM 5173 1. Aircraft Model Series Make GV-SP G550 Gutfstream Aerospace Name (As shown on registration certificate) Address (As shown on registration militate) Mem 6100 Red Hook Quarter 83 2 Owner Plan D LLC city ST Thomas wax Virgin Islands to 00802 roux,. USA 3. For FAA Use Only 4. Type 6. Unit Identification Repair Alteration Unit Make Model Serial No. 0 0 AIRFRAME (As described in item 1 above) 0 0 POWERPLANT 0 0 PROPELLER APPLIANCE i s" CI CI Vatholas S. Con onnity Statement A. Agency's Name and Address B Kind of Agency Manufacturer International Jet Interiors U.S. Certificated Mechanic C. Certificate No 2221 Smithtown Ave Foreign Certificated Mechanic Ronkonkoma, New York x Certificated Repair Station CRS 11JR439Y 11779 USA Certificated Maintenance Organization D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on tne reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge Extended range fuel per Signature/Date of Authorized I I 14 CFR Pan 43 0 APR B Jay Massar 5/5/2017 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is ES) APPROVED 0 REJECTED FM Fil Standards Persons Approved by Canadian Inspector Manufacturer Maintenance Organization Department of Transport BY Other (Specify) FM Designee X Repair Station Inspection Authorization Cenifi ate or Signature/Date of Authorized In widual Designation No CRS I1JR439Y Thomas Norden 5/5/2017 FAA Form 337 'co. SDNY_Gli4_02757358 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244280 EFTA01329143 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft recoil/ An alteration must be compatible with all previous alterations to assure continued Conformity with the applicable airworthiness requirements 8. Description of Work Accomplished of more SpaCe is required. attach additional sheets. Identify with aircraft nationality and registration mark and date work accomplished USA N4151.M Date Nationality and Registration Mark 515i2017 I) Temporarily removed the RH Number 6 Passenger Single Seat for maintenance AMP P/N 2524.524.01(5067A). (GAC P/N GC522080749.05). 2) Calculated a new aircraft W & B report dated 5/5/2017 for the removal of the R/H Number 6 Passenger Single Seat. establishing new Basic Empty Weight and CG. 3) The airerafts updated Weight and Balance report has been provided to customer. 4) A logbook entry has been made reflecting this alteration. 5) Work Order No. 17124, on file at this agency, covers the above described work. No further entries. ❑ Additional Sheets Are Attached FAA Form 337 (10-06) SDNY_GM_02757359 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024428 I EFTA01329144 La* stain duet ,. CEPARTIOENT a TRANSPORTATICSFEDERAL AMMON ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE mthlealf, asd) I 1 IniNY.I It•SM 1•50. 101CAYT WU, • CARebb IMMO MIKAN Colinas GV.SP(65511) 5173 Triune 0 *daft •••,11a4 litulaCt ftisseinie slaw ••••••••••DIC IWNIPII•Va•t MONO. no.. * 1~ 4. 0 ...".""'"a""•••••••••••••••••••• •••••••••• ewes awn isa••••••••••••••••••allainaiscas mei.' Ike — OWN Coder•Mrenail Cat rilnoramanris Karin No. TM MU NOW Ist•••• Pommel, egg•Pirengsb 14,0 0 0. IN4 ISM OS. nee" Oilin tiepin Ha SIC MN IMO It* CONS • R•100•200001,04 anitimnine monla ars readenill•••Millas.•••••••• •••••••••••••Monat Sipiratogam•••••••• InSll 4•• inetoto fa Mil0111••• 1004401 (R.1497/21.511 Ands P. Low WP-27.0AN So mat ••••••1••••••••=adgat• opeagennall.lan • t•SCINWS• VA'S 1•10000•44:04ma Ind ~ASS Fgt.% sealiteMaall ba gairfrioelmf.•••411n SONY_GM_02757360 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244282 EFTA01329145 SDNY_GA4_02757361 ECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, at EFTA_00244283 EFTA01329146 .007.0 suns C. MOW DEPARTMENT OF GW4PORTATION-FEDEM. AVIATION ADMINSTPASON STANDARD AIRWORTHINESS CERTIFICATE :Pin We .....c.....Mo 14/Cla Min 01111.00. NMI KS: N4011.0 Golfstream GV-SP (GSSS) Tramper, API %Mai 4.1.11:4 • onimionna antinne ISC Faro,. lannunklinninne nal tonnund WM lining do art:fl 'Wm IS MY:NO fon Unit14•0•00:1/ din. ann.* anal Iv ME .M1 Lumpish TN. "a Senn planet tIMIPOn•011b Lapdog Ns. NW SY* Fakes OS'S Facapila?4. (t) Se Fain Obeli Inn In:I •OrmientlitO.0041.0%inflerainigt Ina*: nine n :One Nunn:ea/Mr • Yana (k) /26•8 Jostle P. Lea 27-OAK no/NM Sinn II In nteinfon WIN ••14 spiii/•=bation.MODJOXIINt MM. IMMO* e Tu Na Pan tower ••••••• SIM SONY GM 02757362 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244284 EFTA01329147 SONY_G6.4_02757363 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244285 EFTA01329148 SIC STOI822AT-D APU fire bottle I con Aaron., isactronclralting Nunts OM No 21204:020 I imam US Department FAA For MAJOR REPAIR AND ALTERATION Use Only Of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation ministration INSTRUCTIONS: Prin or type all entries. See Title 14 CFR § 43.9. Part 43 Appendix e. and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation (il9 U S C §48301(a)) Nationality and Registration Mark Serial No. N401HB 5173 1. Aircraft Make Model Series Gulfstream Aerospace GV-SP (G650) N/A Name (As shown on registration certificate) Address (As shown on registration certificate) CHEVRON USA INC. 7799 EARHART RD. 2. Owner OAKLAND, CA UNITED STATES 94621-4543 3. For FAA Us* Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. 0 0I AIRFRAME (As described in Item I above) 0 0 POWERPLANT ) 0 • PROPELLER Type 0 0 APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency U.S. Certificated Mechanic I Manufacturer Gulfstream Aerospace Corporation Foreign Certificated Mechanic C. Certificate No. 4150 Donald Douglas Drive X Certificated Repair Station FAA CRS EC3R470L Long Beach, CA Airframe Class 4, Limited Powerplant, 90808 USA Certificated Maintenance Organization Limited Accessory. Limited NOT, Radio Class 1.2.3 D. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance vrith the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range Signature/Date of Authorized rKlividUal fuel per 14 CFR 0 Part 43 App. B Calvin Lewis . June 28, 2013 ..-1.4 7. Approval for Rittu to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the federal Aviation Administration and is IXI Approved 0 Rejected FAA Ft Standards Persons Approved by Canadian Inspector Manufacturer Maintenance Organization et Department of Transport Designee X Repair Station Inspection Authorization Other (Specify) ( CenifieatF eMor Signature/Date o Authorized Individual Designation No. FAA CRS EC3R470L Rene Omelet; COr June 28, 2013 'arm I SDNV_GM_02757364 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244286 EFTA01329149 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft retonl. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. • 8. Description of Work Accomplished: (If more space q required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.) MODEL: GV-SP (G550) ACTT: 3,708.6 SERIAL NO.: 5173 ACTL: 816 TAIL NO.: N401HB DATE BEGUN: June 24, 2013 WORK ORDER NO.: SC12946 DATE COMPLETED: June 28, 2013 Relocated previously installed spare APU Fire Bottle in accordance with Gulfstream Aerospace Corporation Index List GC514428001 Rev 'P' (-507 Configuration) and STC ST01822AT-D amended July 13, 2011. Reference Gulfstream Aerospace Corporation CB 133A and ACB 10A • There are no cockpit procedural changes as a result of this installation. • Instructions for Continued Airworthiness contained in Gulfstream Aerospace Corporation document CE52442A000 Rev 'A' has been provide to the operator. The aircrafts weight and balance / equipment list has been revised. Reference Gulfstream Aerospace Corporation report no. CE550WR5173 Rev 'B'. The impact of this change on aircraft electrical load is negligible. This system found not to interfere with other existing onboard systems. THE END ❑ Additional Seems Aro Attached FAA Form 337 (1046) SDNY_GM02 757365 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244287 EFTA01329150 Nniteb Stales of America !nutriment of fEransportation - Xeberal Ablation Atuninistration Supplemental `Tuve Tertificate (giontittuation Sheet) ./Viendese ST01822AT-D Date Amended: July 31, 2011 ifsiejearthiv, The Certification Basis for Gulfstream Model CV is defined as: (I) Title 14 CFR Part 25 dated February I, 1965, including Amendments 25.1 through 25.81 as defined by the TCDS Al2EA for all areas not affected by the change. (2) Title 14 CFR Part 25 dated February I, 1965, including Amendments 25-I through 25.98 for the change and all areas affected by the change. The following lists the Federal Aviation Regulations complied with through Amendment Level 25.98: 25.1, 25.29, 25.301, 25.303, 25.305, 25.307, 25.561, 25.601, 25.603, 25.605, 25.609, 25.613, 25.619, 25.625, 25.901, 25.903 .25.1195, 25.1197, 25.1199, 25.1201, 25.B01,25.1309, 25.1316, 25.1321, 25.1322, 25.1351, 25.1353,25.1357,25.1431, 25.1438, 25.1519, 25.1529, 25.1541, 25.1581, 25.1585. The Certification Basis for Culfstream Model CV-SP is defined as: Title 14 CFR Part 25 dated February 1,1965, including Amendments 25-1 through 25-98 as defined by the TCDS Al2EA. ...END... Any alttr.ttw sun of ant • not • Mt I Y• • w tell, MA Pool alt0-3-3110-63) HMI 3 or 3 P Thin 07 b• Ceinfiffer•O In OCCONalia WICI. tM .31.43. SDNY_GM_02757366 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244288 EFTA01329151 SDNY_GM02757367 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244289 EFTA01329152 ,United Aloes of America Pepartmeot of Zrironsportntion AebernI cAbiation Aontinistratian Supplemental Zupe Certificate ..46mAie ST01822AT-D ..eks aen44ar.le 44valle Gulfstream Aerospace Corporation 500 Gulfstream Road Savannah, GA 31408 ceotra• (Aar is 44 pa dia.*•/ 4 , 44,4avaiwro4edwal 44 tanlahaa4 analaoaalhivaa 4(v tea w y "1; A arolatiVI nolo4 44 amore.-414,64"3,44,easaa4 Vglity o/.64 Federal Aviation gariet4a. ..9g. ti e 4 £la/s ..9revi A I 2EA rearle4, ca•hAteataw 444 astatagitteed.s.k. Ataakt. A 12EA _attack. Gulfstream *See Page 3 deiodrie GV & GV-SP given/44a.* a/Sre EZWira arearnyfll' Installation of an APU Fire Bottle in accordance with Gulfstream Aerospace Corporation Index List GC5 14428001 Rev 1, dated July 31, 2011 or later FAA approved revision. FAA accepted Airplane Flight Manual Supplement, GC51442M00I, dated April 8, 1999 or later FAA approved revision is required for fully operational configurations (non-spare). For the model GV, Instructions for Continued Airworthiness, GC51442A001, Revision C, dated September 28, 2010 or later FAA accepted revision is required, and must be made available to the operator at the time of installation. For the model GV-SP, Instructions for Continued Airworthiness, CE52442A000, Revision A, dated October 04, 2010 or later FAA accepted revision is required, and must be made available to the operator at the time of installation. ZeP14/0404.1 and feed4414,a4: I. The installer must determine whether this design change is compatible with previously approved modifications. 2. If the holder agrees to permit another person to use this certificate to alter a product, the holder must give the other person written evidence of that permission. (4.44ea/s cate44 ..ileyseohisfr dais ea4:14 444,.. sa/norataaerecnvada en 40174e/oelie 2649 al/Innattlialna' January 19, 1999 ge41, •o4aral eAl.ieurikaa. April 08, 1999 ark. eaie....4/ July 11, 2011 Javroa Jairsevosead nave a ionsenallea dale Ooteweil0 P.Volaate60 410 ../georthaaaateto vv. ,.4,. aaite.4tai 0/44./.5,i4,:”Lidaat• (Signarant) William S WhitIo Jr. ODA Lad Adminisntor. ODA-511'31.CE Gultsarcam Aerospace Coiperala Savannah. Georgia (Tide) Any OICerotle• Of Chin ceri177Z:iir it paalahabla by a lino or not fAceediag Al.000. or InprIonsinan nO) taCnOing ) mere. or Nth. .4 taw itte•ms•uo a.; cat* say ore bran err lame. SDNY_GM_02757368 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244290 EFTA01329153 SDNYGM02757369 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024429 I EFTA01329154 VAIL Vane Mena DEPARTMENT OF TFWGPORTADONfi(D91AL AVIATION ACOAINISIPATION STANDARD AIRWORTHINESS CERTIFICATE I I SWIJACIUM11410110X1 I ArralMiall. 4 taw,40“ litartIWOCONSICI man NMIHII GeNNyesis GV-SP (GSM M73 Tramped Elan:MT MO iffaii•Cf rs••••••••••••••ommisoon SOH OS nalloall as Vs darano.lo oohs* oloilliolsocaltorTatimS• Nolo olluirbroinals Imillurerob war. Slabs Ono bane wren toomono ailonuou. to aim "whomFro *not 40••••••• Cannon. roe. mac nun. 'ASKS, o. , 940 15.1113 K) Door Mime pornefler coops Monti • re prim %cc NM 13,1101 (I) Nagle taste ( stria Liar.* Ne.114,115001 Syr CrIttalt Its. AIDOTOTOIS Ulna moan( amola In nootailleolli 1.840.1604•0•14.1.411 4.•••• Islas Somas% nars.•••••••• ea4• 21. 41. 4 •flefolni Mar • miliolo k Met [...EdStoma umnoci.imam (N) 03/074001 Jut II'. Lmw wP-27-0NC Iasi "SI. • ole .0•WIN.I.maigliSown• limn\ r.4017 % , nr It ce.}.". WI. 414:101**),:ftlia troltatai~o0/00000/.. 2011 Taati.h*IiidolsionoawasIdiee SDNY_GM_02757370 I TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244292 EFTA01329155 SONY_Ghl_02757371 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244293 EFTA01329156 Of•Aftl•CO of • PAMICOZZ;01..1471MZ.4714,141/14 *COWIN,***** WWI STANDARD AIRWORTRINESS CERTIFICATE • •••••••••• ••• lo•ms.otant• Noe Well nuns. 1••••••••• Mt^ GnOnteinnGV•SINGISIft I.m Tension • ••••••••••• noon. P.. ,•••• w •••••••••••••••.••••••• ono. ••• own. • • ••• oloni mann Ow bail in SO Waal Ivo Ms S..n* a+, *wow. NO SM.= ow N. anew •••••4. In mo eanil000m aftge worse. al bet to. •••••••ooks ••••••••••• ••••••4 o•o•on•••• •••••• ow. •• NS. C- .•- • nn••••••ttn M ISSMO Deo Yawl mar, anonnemb beepone%a NM LUOI mina rant -60S 4.4.111•11l4nIne M940 N.JIM • ••••fax014.1•Tiese Oa*. •••••••••••••••••. wands.. ••••••d.o. • in•••••• lib.. Aar ii MM.* ••••••••• In •••••••.•••••• •••••••4 Ma S.W. Ion. inno.n.o.0.•••••••••• unto h. it 4. ewe fl ee Ow ••••••••••• eeeseieeS gloVell a nuptial the SOO. SW. eatt CO Ma.. I tea eintenvirl St Cl.te•••:* ..•••• • 114002007 Jain D. PM. $MIDV 4RTIOMINT or now.. ••••••••••••• ••••••• ••••• ••••• .• •••••••• • •••• e• S IS% Cie 'WI air N. &WAIT. Mg Iee ...Klan no MCOC• iLuCt Won •7011C•at MIMI. WIPIMOdi WOW FAAnallIM4,a. na...••••-•.”••• SDNY_GM 02757372 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244294 EFTA01329157 SONY_Ghl_02757373 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244295 EFTA01329158 Fece7Zmi 700 5 -0 • . . --.---Ow•TED y•TrirtS fl •• A rr OCP•OTMENT Or TrIANSOORTATION-rEOCRAL AVIATION ADPAINitifIl•TiON STANDARD AIRWORTHINESS CERTIFICATE • ...0.".• • ..2 , ... v ac ••••• •••2•001• II ••••c••• t ft , I (illytrAT ..:asisal•o• ..... num.* N401H8 Gulfstream GY-SP (G550) I 517.3 Transport s ni soa.i • no mic.is 100 iSyysatti li...• ...oak.... •••t.f•••• :•••••••• ••••••••• iv ••• 1•4••01 .4'. ar 0 ma 6. 4 1. 61••• 11•••. •• •1 •••• •••• •• ;,....... ••• ..•••••• i• •••• ..... hos %era .•mar.ni and faro. •• 4••••••• ' . 6. ••••• •••••/•••• .NN... . •• bo •• •••••"-••• 1. wry atinSa. as No• arra is... ea so ..,. .s........• .i at ow anal-sire ioss......;.• es eieS.is o..nner.sii an in renting 61 " sr. I ••• 0.0 C" .1^60" " ........ 4 ' 0 C: " I ••••••••• •••••• •• Prod 1••••••• 6 •••• 606.. Etenstkin No. 7946 26.111) (e) Door Snnen p ger consannie an . Carnation No. 8004 251101 (c) Slade Failure Crania raemption Ma. 8142 25.901 (C) Slagle fa tare Criteria • 11...5 •••0 tti.TI•0•.% y.k.„ ...... is,....,, A d ,.....da, ...OH . 2, . 1.•••••••••••• dogs •• 01...1•••••••10.0••4 IN •••• .1••••••••..... P., .....ik.•••• •••••1•••• .• •••••••• . long at s•••••••••••••• p• .... I v. ..., NI ^Ir. • 9.4, 6, :•••• ••• ern1.4.•4 4. ,110•40.1* wok ra.i. 71. 0. •••• 11. • 1k. I,.. 14...1..e., . •••••••••!.. .....•••••• .6. ....flak .• ••••••••••1 6. SA 1.1••••••,•••••• 11••• Or ISH•••(1 file+ airi.1500.1.1 Oe..c..A1•2•• ...WO RIO/31/2007 James D. Prentiss • DAPT100271WP •-• an.....••. •••••I...i.•. In ...orb* *I ts o..t ••••• be pi", •11. be • fat • ...... •••• I1.000. I.. ••• .,........,..• ... (1,.• •• 1•••/.. 1141% elf it Call nal II DiSrian0 , N 7.1 MOM" , IM A(COO •14(1 yells AIIitC•411 11D OM ret•ficry tity• fl 1.4% FAA Form 8100.2ov. or...cat.- na r o e "" ......... ....—............... I find that the aircraft meets the requirements for, and have reinstated the standard airworthiness certificate shown above in accordance with order 8130.29 dated June 29, 2007. SDNY_GM_02757374 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_OO244296 EFTA01329159 SDNY_GM02757375 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244297 EFTA01329160 Batman Safety Handle Fen ACOnY*4 ekOant Tatar, Mine OMB Ho 21/0.0020 0 11/30/7C07 US Department MAJOR REPAIR AND ALTERATION For FAA Use Onty Of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration INSTRUCTIONS: Prin or type all entries. See Title 14 CFR § 43.9. Part 43 Appendix D. and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty ter each such violation. (49 U.S.C. §46301(a)) Nationalityand Registration Mark Serial No. N401HB 6173 1. Aircraft Make Model Series Gulfstream Aerospace GV-SP (G660) N/A Name (As shown on registralion cerlicale) Address (As shown on regis(refionantbeele) Chevron USA Inc. 6001 Bollinger Canyon RD 2. Owner San Ramon, CA 94583-2324 United States 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. El gil AIRFRAME (As described in Item I above) 0 0 POWERPUVIT 0 0 PROPELLER Type 0 El APPUMCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency U.S. Certificated Mechanic I Manufacturer Gulfstream Aerospace Corporation Foreign Certificated Mechanic C. Certificate No. 4150 Donald Douglas Drive X Certificated Repair Station FAA CRS EC3R470L Long Beach, CA Airframe Class 4. Limited Powerplant. 90808 USA Certificated Maintenance Organization Limited Accessory, Limited NOT. Radio Class 1,2.3 D. I certify that the repair and/or alteration made to the unfts) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range Signature/Date of Authorized) . . ual • —.....2 B= - fuel per 14 CFR Part 43 App. B David A. Cecil, Airworthiness Inspector February 25, 2011 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the federal Aviation Administration and is El Approved 0 Rejected FAA Ft Standards Persons Approved by Canadian Manufacturer Maintenance Organization ay Inspector Department of Transport FAA Designee X Repair Station Inspection Aut • on (SPOCitY) Certificate or Signature/Date of Au hotized Individ <I Designation No. FAA CRS EC3R470L Ronald S. Reece, Quality Control Anal • February 25. 2011 FAA Form 337 (10-06) SONYGfil_02757376 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA _00/4-4198 EFTA01329161 NOTICE Weight and balance oroperaling limitation changes shall be entered in fhe appropnate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable sinvorthiness requirements. 8. Description of Work Accomplished: of more space is required. attach additional sheets. Identify with aircraft nationality and registratte mark and date work completed.) MODEL: GV-SP (G550) ACTT: 2.0.).).4 SERIAL NO.: 5173 ACTL: 457 TAIL NO.: N40 I FIB DATE BEGUN: February 19, 201 1 WORK ORDER NO.: SC9549 DATE COMPLETED: February 25, 2011 Accomplished modification to the Baggage Compartment to incorporate 2 new Safety Handles P/N: 682-3000 at fuselage stations 693.32 and 735.58 WL 106.08 in accordance with Gulfstream Aerospace Corporation FAA DER approved data list CE524960076 Rev. 'A', 'Data List — Interior /Avionics / Mechanical (Service,1'. Above structure modification (Baggage Compartment Safety Handle) data approved under ODA -511131-CE project no. TA-04-2011-0010. FAA form 8100-9 data approval by FAA AR-E- I 076, (Structure). Aircraft weight and balance has been revised and is contained in Gulfstream Aerospace Corporation Report No. CESSOWR5173 Rev. `--1. Aircraft equipment list remains unchanged. The impact of these changes on aircraft electrical load is negligible. These systems found not to interfere with other existing onboard systems. The End ❑ Additional Sheets Are Attached FAA Form 337 (1046) SDNY_GM_02757377 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244299 EFTA01329162 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATOR ADMINISTRATION FAA Prefect NO STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS TA-04-2011-0010 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Mane. Erne. Putonr, Mt) NAME OF AFFontrumffi4ONZATION In Gulfs tress CV-SP Aircraft Gulfsnen laarespaess Corporation ODA-511131-CE LIST OF DATA IDENTIFICATION TTTLE GAC Data 01524960076 Rev A Data List - Interior /Avionics / Mechanical 'Service) Dated: 2/24/11 End of Data mete: leas °airstream Organization Doslipeataan Authorisation approves tans data. This constitute. Plea lippreval of the sales alteration data listed and an not intallstion data. The systems an equipannt ninon on not inland . Valid only for adlatraas CV-SP all 51.71. Pont In structural, aspects only of the shove l lend data ass approvid herein. Rota: 7113.0 approval is any fox the toginserirq design data end is not instellatioe data. mote: Din alteration hap no impact on the in (structural spelt.). PURPOIII OF DATA Support of Major Alteration to Gulfstream GV-S? SN 5173 to accomplish the Safety Handle Installation in the Baggage Compartment. APPUCABLE REOUNIPATENTS Oat stink anon laCM Part 25, Paragraphs 25.301, 25.303, 25 .305 (a) (b) , 25.603, 25.605 and 25.607. &wept aa noted, all applicable requirements are to amendment 25-1 through 26.9E as established in SODS Allah, Pension 35. CERTIFICADM - At diNtlad by theAdmit/debtor ant In accordance .tan toe ocadkicoli and Imitators of auttionzatkm unit 1.1CFR. data Wed above ad on ettached note rumbaed None Inv boon oinantid In °cup/dam:Own eindshed procedures and found to canary WM usalcable requirements a the Airsortheates Standards Med. . Recommend approval of these data I (I4ITIntrafera: l: Apprise these data egonX.5) or aro Rineallawninvars) HAAR cintantaincere DAIS JJ AR-E-1076 Jon O. Nguyen rem 24,201: IP . Stiurtme pinta gam ODA-511131-CH FAA farm 81004 (242) SDNY_GM_02757378 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244300 EFTA01329163 SDNY_GM_02757379 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244301 EFTA01329164 (A* roan A.* rt.c Nevem. incite wire 0/40 No 21TO-0O20 0 11/30/007 US Department MAJOR REPAIR AND ALTERATION For FAA use Only Of Transponation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration INSTRUCTIONS: Print or type al entries. See Title 14 CFR § 43.9, Part 43 Appendix B. and AC 43.9.1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §463O1(a)) Nationality and Registration Mani Serial No. 4O1HB 5173 1. Akar* Make Model I Series GULFSTREAM AEROSPACE GV-SP (G55O) Name (As shown on registrabon certificate) Address (As show, on registration certificate) 6001 BOLLINGER CANYON RD 2. Owner CHEVRON USA INC SAN RAMON CA 94583.2324 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration tine Make Model Serial Nc O a NRFRAME (As described in Item 1 above' 0 0 wowEFtMANT 0 El PROPELLER Type • O APPLIANCE manufactufer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency U.S. Certificated Mechanic I Manufacturer Guifstream Aerospace Corporation Foreign Certificated Mechanic C. Certificate No. W6365 Discovery Drive X Certificated Repair Station Appleton, WI 54914 Certificated Maintenance G1FR1OOY Organization D. leerily that the repair anctior alteration made to the units) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Pan 43 of the U.S. Federal Aviation Regulations and that the hibernation furnished herein is true and correct to the best of my knowledge. Extended range Signature/Date of Authorized Individual fuel per 14 CFR O Part 43 App. B David L. Wellnitz i0, 46•2 1e,...ezi4) • 01722/2010 7. Approval for Return to vio Pursuant to the authority given persons specified below, the unit identified in item 5 was Inspected in the manner prescribed by the Administrator of the federal Aviation Administration and is tR1 Approved O Rejected FM Fit. Standards I Persons Approved by Canadian Manufacturer Maintenance Organization BY Inspector Department of Transport FAA Designee X Repair Station Inspection Authorization . Other (Specify) Certificate or Signature/Date of Authorized Individual Designation No. G1FR1OOY David L weenie44,4e-be h )814:-.. 07/2212010 FAA Farm 337 (10-06) SDNY_Givi02757380 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244302 EFTA01329165 NOTICE Weight and balance limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous aerations to assure continued conformity with the applicable airworthiness requirements. a Description of Work Accomplished (ti more soave is remised. attach additional sheets wen* with aircraft nationality and registration mark and one work completed; installed a HoneyweiVEMS HD-710 combined SATCOM Swill Broadband High Sneed Oata System in accordance with Gulfstream Aerospace STC ST03737AT-D issued 10/09/2009. Instructions for Continued Airworthiness Reference Gulfsrrearn Aerospace Corp instructions for Continued AirworMiness Document No. GCSI 303A011 dated 09/16/2009 Deviations are DER approved on the following listed GAC Drawing by Peter Jobe . AR-E-1063 on FAA 0100-B form dated 0122/2010. pRAWING SYSTEM GC51 1030304. key B SATCOM Modified Galley Cabinet Trash Container removing lid in accordance with GAC Engineering NIECO-A09371 - NIECO to GC528200509 - Placard Location and NIECO A09369 • NIECO to GPM30800158i -301 - Galley Assy. Aft Uri of WIWI are DER approved by Bill Riley. AR•E-1067 on FM 8100-9 form dated 01/22/2010. Reference GAC Fire Containment Similarity Report No. CE528023003 dated °Imam. Modified Cabin Audio System in accordance with GAC Engineering Drawing GC51 5010326, Rev. A - Cabin Audio of which are DER approved by Peter Jobe . AR-E-1063 on FAA 8100-9 form dated 01122/2010. Modified Cabin Drnvash and Downwash Lighting In accordance with GAC Engineering Drawing GC5810316. Rev. A - Cabin Effect Lights of which are DER approved by Peter Jobe , AR-E-1063 on FAA 8100-9 town dated 0122/2010. Reworked Cabin Curtain In accordance With GAC Engineering NIECO-L02208 - NIECO to GC522880035 (A) • Pnvacy Curtain Installation of which are DER approved by Sill Riley. AR•E-1067 on FM 8100-9 form dated 01/2212010. The Aircraft Weight & Balance is negligible. END Additions( Sheets are attached. SDNY_GM_02757381 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244303 EFTA01329166 P44 Form *won< I Bervoric Tradung NtOrtelf 0 OW No 1120-0020 US Depaiment MAJOR REPAIR AND ALTERATION 1,0207 For FAA Use Only OlTransponarior, (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration INSTRUCTIONS: Print or type at entries. See Titie 14 CFR § 43.9. Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (49 U.S.C. §46301(e)) Nationality and Registration Mark Serial No. 401HB 5173 1. Aircraft Make Model 1 Series GULFSTREAM AEROSPACE GV-SP (G550) Name (As shown on registration certificate) Address (As shown on registration certificate) 2. Owner 6001 BOLLINGER CANYON RD CHEVRON USA INC SAN RAMON CA 94583-2324 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. 0 0 AIRFRAME (As described in Rem 1 above) 0 0 POWERPLANT . O PROPELLER Type 0 0 APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency U.S. Certificated Media/tie I Manufacturer Gulfstream Aerospace Corporation i Foreign Certificated Mechanic C. Certificate No. W6365 Discovery Drive X I Certificated Repair Station Appleton, WI 54914 i Certificated Maintenance G1 FR1007 Organization O. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or attachments hereto hinfe been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knowledge. Extended range Signature/Date of Authorized Individual Pa r 14 CFR • .....--.. Part 43 App. B Tim Gorski 07/10/2009 T. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the Administrator of the federal Aviation Administration and is OM Approved 0 Rejected FAA Flt. Standards Persons Approved by Canadian Inspector Manufacturer Maintenance Organization BY i Department of Transport FM Designee I X Repair Station Inspection Authorization Other (Specify) Certificate or Signature/Date of Auth ' ed dividual Designation No. G1FR100Y Tim Gorski -7: 07/10/2009 FAA Form 337 (10-06) SDNY_GM_02757382 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244304 EFTA01329167 NOTICE Weight and balance limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements. 8 Description of Work Accomplished (It more space is required. attach additional sheets. Identify wen aircraft nationality and registration mark and date work completed) Removed existing Phone System Components installing an Aircell Axons II Iridium Satellite Telephone in accordance with Gulfstream Aerospace STC ST03633AT-D issued 04/02/2008. Airplane Flight Manual Supplement, GC51 203M002 Rev.- dated 04/022008 is required for this approval and is inserted in the applicable Airplane Flight Manual. Instructions for Continued Airworthiness: Reference Gulfstream Aerospace Corp. Instructions for Continued Airworthiness Document No. GC61 203A002 Rev.— dated 02/152008. Structural devialions are DER approved in accordance with Structural Drawing List CE520000082. Rev.- - Structural 8110- 3 Dive. List GV-SP SM 5173 of which the Structural aspects are DER approved by William T. Riley. DERV-831142-CE on FAA 8110.3 form dated 07/09/2009. Electrical deviations are DER approved in accordance with the following Electrical Dravnngs, of which are DER approved by Brent J. Cattanach DERT-410335-CE on FAA 8110-3 forms dated 07/09/2009. DRAWING SYSTEM CE51 2030052 SATCOM (IRIDIUM), Rev.- CE51 3910007 R EER CB Panel (MOD), Rev.- CE51 3940353 Aux CB Panel (MOD). Rev. B GC51 4270282 FAX Interface. Rev. A GC51 5040322 Cabin Display (AIRSHOW), Rev. A REPORT SYSTEM CE514693037 Electrical Load Supplement for S/N 5173. Rev.- Electronic Cable used complies with the bum testing requirements of FAR 25.889 (a)(4) Amendment 25-113 Appendix F Pan I (a)(3) which is DER approved by Gary Palmer, DERV-605430-CE on FAA 8110-3 form dated 08/28/2009 . Installed an Aircell Satellite Interface Unit (Stu) to interface the existing SATCOM System in accordance with Structural Drawing List CE520000082, Rev.- - Structural 8110-3 Drw. List GV-SP S/N 5173 of which the Structural aspects are DER approved by William T. Riley. DERY-831142-CE on FM 8110-3 form dated 07/092009. . Installed an Access Door for the existing Water System Valve in accordance with Structural Drawing List CE520000082, Rev.- - Structural 8110-3 Ong. List GV-SP S/N 5173 of which the Structural aspects are DER approved by William T. Riley. DERV-831142-CE on FAA 8110-3 form dated 07/09/2009. Weight and Balance is negligible. Installed a Logbook Holder located aft of Pilot's Seat in accordance with Structural Drawing List CE520000082, Rev.- - Structural 8110-3 Drw. List GV-SP S/N 5173 of which the Structural aspects are DER approved by William T. Riley. DERV-831142-CE on FM 8110-3 form dated 07109/2009. Weight and Balance is negligible. Relocated Cockpit Pencil Holders to left and right-hand Side Console in accordance with Structural Drawing List CE520000082, Rev.- - Structural 8110-3 Ong. List GV-SP S/N 5173 of which the Structural aspects are DER approved by William T. Riley, DERV-831142-CE on FM 8110-3 form dated 07/09/2009. Weight and Balance is negligible. Complied with ASC 080 dated 05/212009 - Wings (ATA 57) ModIfication-Wing Rear Beam-Flight Spoiler Actuator Attachment Point and ASC 080 AMD 1 dated 08/22/2009 Wings (ATA 57) Modification-Wing Rear Beam-Flight Spoiler Actuator Attachment Point. The Aircraft Equipment List has been revised. The Aircraft Weight d Balance has been recomputed and Weight and Balance Manual has been revised. ND O Additional Sheets are attached SDNY_GM_02757383 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244305 EFTA01329168 SORT% Approved 0 Pa B. P 2120-0018 APPLICATION FOR ...orsucsoto • FIN It IIP• 00 re was .n Armed teas. thee ire kw FAA 02 1; foe Oly seen c) race Ore a adhann4 FM Foe0seenver Feeney' or tuna AIRWORTHINESS efe• n eerie use an oreereift Fe socat not paints tonciato SERtan roan, Isluision CERTIFICATE ism. smell at weeds AbsdneSMINGS 1. REGSDTATOR RARE a ATITCRWT 0,ADERTATUIDATTAI 1 SACRIST a= DESIGNSTO4 N401HB Gulfstream Aerospace Corp. GV-SP (G550) 2007 ,Y1745O NOT CODE PER • 3 , WANT 389144. NO 6 V4D‘t RADOS Rue Wm) t DONE Weft CCSIGRATOR ORDER 8130.2r - 4 5173 Rolls Royce Deutschland EIR700-710D4-11 i WARR CC MONIS a. MADER RADER S AARE 04•TR 0. PRCPWER MODEL DESGRATICti •. TAUT D 0.0 744:4(494, TWO WA NIA RPM! APPuCARON elMar TRADE FOR: ?Cad RD4ca1SONTT) A I SIMEARDARgin"SSCEIneaThil.ti"4""fl 'KR'S .1 M r). I I ACSMATIC li " 4144:47 I 1COSitrre‘ I iltiaCel I P MCR B X . 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FE:MEM OMIER 04 Fes An alkali Ae eve neeetall V OUIJA DIECIOOK NA1AE ADDRESS Gulfstream Aerospace 500 Gulfstream Rd MSC 8.16 Savannah GA 31408-9843 g AIRCRAFT CFATFICATION OASIS IG0f100kede bee re/aspbelesit IS Ate. . ARCRAFT SPECTECATIONOR TYPE CERIVISASt DATA LiErWro ER ARRDRDTRESS OMITTED (CMS I 0 CORN ADS cosoloRto raps Re ttented ard React Re) the We ADSLIPREWIe Met* nitoteek0see as fee eft esetami [ X Al2EA Revision 29 X 2008-05 AOICRAFT LZIMG(GeelneeFFWel 1..PFTERETRa nsE CIRISCATE DalRota A SIC oactaibia WA i C. AMOUR 0.4311ATOIsao warrowa mass CICOTS RECORDER TON. MRFRAME RDAS @FERMENT.. ORO OW Aan bon soisnatioaka al COW•RIARCE MN 3 matI ctn..* X DI CsR samon 91 417 9.5 It 11011. I Neeby Oletiy NN I.. reeseefe On (0, Ns avail oT So worn dw04 *so. tM Marail Is reputed et the Fenn iAreen AerretnitOn V. a0:OrdanOt W. WY 49 el the Unneft Selo Cele 44101 tea MO leeablveRowe AnalOn RepalabOn• in0 the IN) alfrat he been meets, ere 4 Ihneet NN. ON. to, 04 eventoree apiefal• nine/Ned 1 COTE OF IFPLICATION 1444 AND Ma EFINONION SGRATLRE i goarec. - 3/7/2008 Jason Willis Quality Analyst 0 NE AMAMI OESCA40.1) OM IIAS BUresetC1F0 MO;Pea NAVORTiff BY (Cave. es Mae 04/ / II attrn I 1 , WM tic:SRPAM IS CERICCATE10.001(C4rn CERIFICeateeILCAANC (410 eRt0C4: TO las 1 FOI K....C.4km I TansTresat a fetes* NOI 4 1. 1 g mow's...hi/AC/6*ER ttswan Wm, a a 5 a YYYY DATE MS 5104011.1E KATO ALL 100u014 Wain leas A Me X mcesmonsteuessso ii. I (raga ea swat Saba a SalmIN V140141410.1041$14.1144 4 AWEICDERI CO KOACATIONCS swamAIRWOMAN= CERTFCAll 8 • "..“"WeC iar . ..PMWS ,540}1V1 FM PASPECTOR FAA CfSbITEE P WM CtedMAW I A 11POLDER CRON T a cni 0.1I 114CFR psi 121ce ITS INCH owl AT DATE CISTRCTIT.TICE EM s4PECTORS510.441DRE 4 I ... • 3/712008 ANM-108L E D. NTI DAS•1002714SM FAA Fenn 81304 ($01)SUFESECES PRENOUS EDITOR SCR OIMAATIDI IBM N6.2 03424 Ka SDNY_GM_02757384 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244306 EFTA01329169 IL WOREACTAER Pa ADDREss I • FFICOJC110.448/0.110*** Firof AKCAJCTION CERTIFICATE Ithertacrol Mks motel ME COOSICATE an //PROVED PRODUCVNINSPECTOI SYSTEM C. OW OUPATITICf CERTIFICATES RKUIDED FOR OPEAAMIG NEEDS DATED. Alstranote WYE MO intE IAFF WOW SAGFAATURE A. OFSOWTIONCOACCOFF /FOSTERED OMER /CORM NADIA NSW SEMIMAW REOSTRATADIF WAS IL 011501IFIDIC/ FUG. CUSTOM DECNSTILATDI FMCS I I Rad Oak** ROI TO AAA OBAAF11.11E DATE CAAATION 1 C. ye.mann,' WWI DE AMUR mons EOUPIADIT (MAT I ICO.PlOT I !NODMIAI I Onel Me* i A TIE MACAW MUNDT UM TI( *ROAM ARYFOADOCO REO.MEMENTS AS FOILOWS I E g i iA: 1 i le S E Olt Adll0rAIIG AfAIRCTEENS ARE CONSceREO NECESSARY FOR SAFE OPERATOR Aiso aNdere tecoore ... I F CERTIFICATION • I reedy osedd eel am Ire legoletle o.ner win apemen,. sUM oncreed tat VAC de SUM ol tegielted *MOO Filen, ANNion Adefeltreen en accedence eel TITAI, 490$ TIFF Orval Uses Coed 44010 Km and le Adfleate Flake ANEW, RdleAllICEIS. NW INA ihe SUER Tel tee nelelleileld a nate kw Mfr.. eaCTO00 DATE NNE no ITU Preto WO SOFOLOK X A. Owing talilon baseaosi isetname Mt 14 CFR I•001919, o. Slalomed°I Ceenet; Mom IIIM POWmammon," a IOW* N. Aver iniveas WOKS, b hwil Noel I 1 I X a CalelOwalt.Lilealat ASIAN tAtuonge wait i i C a OS Pk4OVIOA II deafer owed/ „ i. Mau Mranveas Caritas bagel in A:Orin se. a A ,S2 ti x El ConAllVdell VOSS° r/temile Nee* loPkv/A II DO md....21.113(a).____cm ON. Y. E. UmierReem W Atsallak FM Fan 331(Anenolos reatole0 J. Call Alellenal Cello* Made Faiden we X F. NI INEACISObanlol n heat Rest X 14CFR Inn 21.191 (b} tc000nceni FAA FOOT el 306 0-0119.01SEDES PFEN0.4 OXTION ECONRITER CLIFERA TED, PSI 0262.03424-7DX SDNYGA402757385 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244307 EFTA01329170 Ellar lird A • • ":03rilt11714Z/rin r i laratn{! A'. • .r.m 1,17 I. ralL1.17:aa 8 •UhU =Wen ' AC U. arra C riP4Staielil D Innial CaZnin In ..... EnLannurnain tarelia E InLIWIIVIR;.!Cr a sy M P-7 ifirralttit§gra laU *UMW SONY_GM_02757386. T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244308 EFTA01329171 A Ins arnweaWS$ *VMS.** 0044 — Weir Amway a re F *M Avaen Aa cl H9J Ird"'"W" .1.0" 001APaale •Il l Mwearronscoatittesonaasaismarramare nrsalr PinangOM loaceao 0, 00.0.C. Mir so atil Oat Ciac.c.” not sip oll cease nsoctove o, in rev* W B panen re/ orate faabelan %phi OM, unOM ,.t WIA0018 ill Cerra> pers:a. 0, 0, 00•ay *I cesonsi M*we wax:* (21 Claw. fairsom ...at wets io ire papal• 0 lie 1,0a c YMI alaaawlinanflaft " 00.n. Se W. .0D "Pd 0.1111.Inilnil vet is re pinan no. In Oka A Ma litAara. GM ant 1,4 on noatvetio enth area Nate. ospealdsed bund tOnitegne "a...n.0 int soaado TPA I helPM0 den MI a•*1two niaawnent. elIN amiable carontl•Wa End atlas ilinathnef. COWS A,A, Any AAA,. coo 9A co,404 An O., ammEora cE. amine.. No person may Oprava as inn% Oswalt CAIN POVIall t 01•000.In acsatunv. on.MO(O Ca* FAA We n ecoonilincoolateenceiantle.WaMataneaaa$0401.1WilyAa.valalaal/ Pan Cl Wt ways* al paw IA. Vt. , Carla v.,into Pe spec.i Mqrsdlt4OM CO SINS oxen, lin SCONIaaaninapad eaptelcieel or waled InalfirSaatal• nl. olectwnw E na&,ac, SAO l.ats. the an/ST.4M ptecraio E i on Pia 2i Sca4m 2l al a 2I 2a SDNY_GM_02757387 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244309 EFTA01329172 c • ...fllrl/5 —C77.72170 DEPARTMENT or I 11434SPORTATION—CCOECI•L AVIATION ACIMINeS/44 .3 ION STANDARD AIRWORTHINESS CERTIFICATE it•I•Oagaiii• mnsuf•Citl•l• 0 01331. 3 .04040 %Lao. c•ILLos, I. AliCallmalpet N Ne0lHa Gulfstream GV-SP (C550) 5173 'rranspon • Au. NOM. Ire •••.1 ISS•••CI •;........hiwen ....Awe it ...red prinvon. is She Iny& A.:•.;••• Al. •3 1918 e.4 .•.e.geo. of shy .1*.e N ii.•••••• • ION Onamil N. aka ...wed ••• beta twentiod and fe.ad .• tonleat vh• . .•:n.••• .K. be 051 , 45 •r••• .el. ognr•ison. *se M . book the.* Is owe ••• ...au:.••••5.. of Om ooplhabl• ••••••••••.;.•pd de.0.10.1••••••••••••••• cede ., •••••ded ••••• .• ••• C•5••••••• •.445, . .roc a. 5..red • ... . Eaemptlen Ne. 790 25.113 DI Door Brenta passenger compartments Et empiien No. $004 2././01 (e) Slagle Failure Criteria Esempoion No. /1el 25.901 (c) /Ingle Where Crheria • trans sw•Csos0.1•11.4 Valois .ern •••••••••d. • tyr.n.nelien de.• •••••1:0•0 Or .•• ...35.••••••••••• IN' piag•I• •• ION , . le lost Ike imei.BIN•olifst pp swo•ni •••el Olt • , •1•0.• ••• .5 ,.....edoste tre, on.1 111 •I /oder I . • MItyle..•5.. 5. 0110, 00•••• o•NI Ike •• letopPoir die 0.1101 4$1.1••BC ft welll 4 RIO/31/2007 I James D. PrenliSS ▪ • DARTI0027twp ••, .0goodychen, nl..". a ter..1". M 0,0...Nable b. • tow so eal•td...• {ILO), ^.• p a/nap, 3 wpm BA /ma hut CI. 1 C•01 Mull Bi DIBBIATIBI IN Inl MIK IWO IN asrlgsen a▪ rra Won Ani , C•IIII 010IPAI AVIATION trout FAA Form 8100.2g. /al tommteatv r•• CO 06? I find that the aircraft meets the requirements for, and have reinstated the standard airworthiness certificate shown above in accordance with order 8130.29 dated June 29, 2007. SDNY_GM_02 757388 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244310 EFTA01329173 SDNY_GM_02757389 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024131 I EFTA01329174 US Department of Transportation Los Angeles - Manufacturing Federal Aviation Administration Inspection District Office 3960 Paramount Blvd. Lakewood. CA 907124137 EXPERIMENTAL OPERATING LIMITATIONS SHOWING COMPLIANCE WITH REGULATIONS N40IHB S/N: 5173 MODEL: GV-SP (G550) 1. No person may operate this aircraft unless Form 8130-7 is displayed at the cabin or cockpit entrance and visible to passengers or flightcrew members. 2. No person may operate this aircraft for other than the purpose of Showing Compliance with Regulations, to accomplish the flight operation outlined in the program letter dated March 7, 2008 which describes compliance with Title 14 Code of Federal Regulations (14 CFR), section 21.193(d), and has been made available to the pilot in command of the aircraft. In addition, this aircraft must be operated in accordance with applicable air traffic and general operating rules of the 14 CFR part 91, any special NOTAMS and or temporary flight restrictions imposed, and all additional limitations herein prescribed under the provisions of § 91.319(i). 3. All flights must be conducted within the geographical area described as follows: In the warning areas identified as W291, W289 and restricted areas only if prior permission is obtained from the using or controlling agency as required by § 91.133 (a), also in a easterly direction to the Albuquerque, NM VOR waypoint and back to KLGB and in a northerly direction to the Point Reyes, CA VOR waypoint, not to exceed 1500 nautical miles of Long Beach Municipal Airport defined as the base of operations for flight tests conducted under this experimental special airworthiness certificate. The designated area must be over open water or sparsely populated areas having light air traffic. The size of the area must be that required to safely conduct the type of anticipated maneuvers and tests. Except for take-off and landings this aircraft must not be operated over densely populated areas or in congested airways. Alternate airports that may be used for takeoffs and landings are: Palm Springs, California (KPSP) and Victorville, California (KVCV). 4. When changing between operating purposes of a multiple-purpose certificate, the operator must determine that the aircraft is in a condition for safe operation and appropriate for the purpose intended. A record entry will be made by an appropriately rated person to document that finding in the aircraft logbook. 5. This aircraft must not be operated unless it is inspected and maintained in accordance with appropriate military technical publications and/or manufacturer's recommendations. The owner/operator must select, establish, identify, and use an inspection program as set forth in § 91.409(c), (f), (g), and (h). This aircraft is maintained in accordance with Gulfstream G550 Computerized Maintenance Program revision 10, in compliance with Title 14 CFR part 91.409(e), (f) (3) "a current inspection program recommended by the manufacturer." Inspections are recorded in the aircraft maintenance records. 6. The pilot in command of this aircraft must hold an appropriate category/class rating. If required for the type of aircraft to be flown, the pilot in command also must hold either an appropriate type rating or a letter of authorization issued by an FAA Flight Standards Operations Inspector. 7. This aircraft may be operated under VFR, day and/or night. 8. This aircraft may be operated under IFR, and must be properly equipped for instrument flight in accordance with § 91.205. All systems must be verified and tested under VMC prior to IMC operations. 9. No person may operate this aircraft for carrying persons or property for compensation or hire. 10. No person may be carried in this aircraft during flight unless that person is essential to the purpose of the flight. SDNY_GM_02757390 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244312 EFTA01329175 SDNYGM_02757391 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002443B EFTA01329176 EXPERIMENTAL OPERATING LIMITATIONS SHOWING COMPLIANCE WITH REGULATIONS N401HB S/N: 5173 MODEL: GV-SP (G550) I1. The pilot in command of this aircraft must advise each passenger of the experimental nature of this aircraft, and explain that it does not meet the certification requirements of a standard certificated aircraft. 12. This aircraft must contain the placards, markings, and flight manual supplements, etc., (or other operating instructions developed for an STC modification) required by § 91.9. 13. This aircraft is prohibited from acrobatic flight, that is, an intentional maneuver involving an abrupt change in the aircraft's attitude, an abnormal attitude, or abnormal acceleration not necessary for normal flight, except for stalls identified in Gulfstream's flight test document Quality Assurance Procedure QAP 9.5 revision 7. 14. This aircraft must not be used for glider towing, banner towing or intentional parachute jumping. 15. No person must operate this aircraft unless within the preceding 12 calendar months it has had a condition inspection performed in accordance with appendix D to part 43, or other FAA-approved programs, and was found to be in a condition for safe operation. This inspection will be recorded in the aircraft maintenance records. 16. Only FAA-certificated mechanics with appropriate ratings as authorized by § 43.3 may perform inspections required by these operating limitations. 17. Inspections must be recorded in the aircraft maintenance records showing the following, or a similarly worded statement: "I certify that this aircraft has been inspected on (insert date) in accordance with the scope and detail of appendix D to pan 43, or other FAA-approved programs and found to be in a condition for safe operation." The entry will include the aircraft's total-time-in-service, and the name, signature, certificate number, and type of certificate held by the person performing the inspection. 18. If aircraft, engine, or propeller operating limitations arc exceeded, an appropriate entry will be made in the aircraft records. 19. This aircraft must not be operated unless it is maintained and inspected in accordance with the requirements of part 43. 20. This aircraft must display the word "EXPERIMENTAL" in accordance with § 45.23(b). 21. The pilot in command of this aircraft must notify air traffic control of the experimental nature of this aircraft when operating into or out of airports with operating control towers. The pilot in command must plan routing that will avoid densely populated areas and congested airways when operating VFR. 22. This aircraft does not meet the requirements of the applicable, comprehensive, and detailed airworthiness code as provided by Annex 8 to the Convention on International Civil Aviation. The owner/operator of this aircraft must obtain written permission from another country's CAA prior to operating this aircraft in or over that country. That written permission must be carried aboard the aircraft together with the U.S. airworthiness certificate and, upon request, be made available to an FAA inspector or the CAA in the country of operation. 23. Aircraft instruments and equipment installed and used under § 91.205 must be inspected and maintained in accordance with the requirements of Part 43 and 91. Any maintenance or inspection of this equipment must be recorded in the aircraft maintenance records. SDNY_GM_02757392 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244314 EFTA01329177 SDNY_GM_02757393 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241315 EFTA01329178 EXPERIMENTAL OPERATING LIMITATIONS SHOWING COMPLIANCE WITH REGULATIONS N40IHB S/N: 5173 MODEL: GV-SP (G550) 24. Application must be made to the Los Angeles Manufacturing Inspection District Office for any revision of these operating limitations. 25. Section 47.45 requires that the FAA Aircraft Registry must be notified within 30 days of any change in the aircraft registrant's address. Such notification is to be made by submitting Form 8050-1 to AFS-750 in Oklahoma City, Oklahoma. 26. These limitations must be coordinated with the local Flight Standards District Office having responsibility for the geographical area of operation. 27. Special airworthiness certificate FAA form (8130-7) issued March 10, 2008 is invalid after date of April 10, 2008. q./40.04" lame. Prentiss, DAS INSPECTION AR Date Gu m Aerospace Corporation DA 271-NM SDNY_GM_02757394 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244316 EFTA01329179 SDNYGM02757395 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244317 EFTA01329180 Gulfstream MICA COMPANY March 7,2008 Gulfstream Aerospace Corporation Designated Alteration Station DAS-100271-NM 4150 Donald Douglas Drive Long Beach, CA 90808 Attention: Mr. James D. Prentiss. DAS Inspection AR Subject: Application for Special Airworthiness Certificate, Experimental Category, Show Compliance, Gulfstream Model GV-SP (G550). Sin 5173, NI 0411B Program Letter Reference: 14 CFR pans 21.35. 91.319. 91.407. 91.409, FAA Orders 8110.4. 8130.2, 8130.29 Dear Sir: This letter, along with FAA Form 8130-6 application, is our request for a special airworthiness certificate, experimental category for Gulfstream Aerospace model GV-SP (G550). serial number 5173. registration number N104110. The registered owner of the above is CULFSTREAM AEROSPACE CORP, 500 GULFSTREAM RD MSC B-I6, SAVANNAH CA 31408-9643. The reason for the experimental certificate is for showing compliance to Title 14 CFR pan 25 for the passenger cabin interior. A minimum of two (2) test flights will be required to accomplish the evaluation of the passenger cabin interior to include: I. A "Card Flight" that consists of a completion flight test in accordance with Gulfstream Quality Assurance Procedure QAP 9.5, Rev - 7" or later approved revisions, to satisfy the applicant's responsibilities under 14 CFR section 21.35 (a) (2). (3). The purpose of this flight is to validate the aircraft systems and IFR flight envelope, using only minimal crew (pilot/copilot/technician), to establish safe aircraft operation and to ensure the aircraft conforms to original type design following major alteration (i.e., cabin interior installation), prior to conducting the "Cold Soak Flight", carrying additional personnel. 2. A "Cold Soak Flight" that consists of: • EMI testing. • Passenger cabin sound evaluation. • Cabin temperature survey. • Fit, form and function evaluation of the cabin interior furnishings and systems. The test flights will be conducted over sparsely populated areas having light air traffic, as directed by ATC. Base of operations will be Long Beach Municipal Airport. Long Beach, CA, and test flights will be conducted within 1,500 nautical miles radius of the base of operation remaining within the borders of the United States. Alternate airports that may be used for take-offs and landings are: Palm Springs. CA (KPSP) and Victorville, CA (KVCV). The aircraft will be flown by appropriately rated pilots and will be operated in accordance with GV-SP (G550) Airplane Flight Manual Revision 23 dated 21 December 2007. The aircraft is maintained in accordance with 14 CFR pan 91.409 (I) (3), Gulfstream Aerospace Corporation computerized maintenance program. Aircraft is properly equipped for day or night IFR operation. Application for day or night IFR operation is requested. This certificate is to be in effect for 30 days from the date of issuance. Please do not hesitate to contact me regarding any matter relative to the above. Sincerely, la n Willis Qua ity Analyst Gulfstream Aerospace Corporation encls. 415C Donald Dodglas Drive. Long Beach. Goldoni.. 90808 • Telephone • gyi JJJJJ am.com SDNY_GM_02757396 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024131 EFTA01329181 SDNY_GM_02757397 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241319 EFTA01329182 VA ()AO, -- 0i MAJOR REPAIR AND ALTERATION rr l00' Coo f ameed 0141.4). 21200020 fiknanc Trukna tants US Department For FAA Use Only Of Tionsportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration INSTRUCTIONS: Pun or type an entries. See Title 14 CFR § 43.9, Part 43 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penalty for each such violation. (9 U.S.C. §46301(a)) Nationality and Registration Mark Serial No. N401HB 6173 1. Aircraft Make Model Series Gulfstream Aerospace CV-SP (6550) NIA Name (As shown on registration certificate) Address (As shown on registration certifcate) CULFSTREAM AEROSPACE CORP 500 CULFSTREAM ROAD MSC B-16 2. Owner SAVANNAH, GA 31408-9643 3. For FAA Use Only 4. Type 6. Unit Identification Repair Alteration Unit Make Model Serial No CI E AIRFRAME (As described in Item 1above) 0 0 POVVERPLANT 0 • PROPELLER Type 0 0 APPLIANCE Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency U.S. Certificated Mechanic I Manufacturer Gulfstream Aerospace Corporation Foreign Certificated Mechanic C. Certificate No. 4150 Donald Douglas Drive X Certificated Repair Station FAA CRS EC3R470L Long Beach, CA Airframe Class 4. Limited Powerplant, 90808 USA Certificated Maintenance Organization Limited Accessory. Radio Class 1.2.3 D. I certify that the repair andror alteration made to the un I(s) identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and correct to the best of my knovAedge. Extended range Si nature/Date of Individual fuel per 14 CFR E cc-7-7-v,-, / . Pan 43 App. B allies Rapp Senior a - 71eas Inspector / 03/21108 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in Hem 5 was inspected in the manner prescribed by the Administrator of the federal Aviation Administration and is 0 Approved CI Rejected FM Flt. Standards Persons Approved by Canadian Manufacturer Maintenance Organization el' Inspector Department of Transport FM Designee X Repair Station Inspection Authorization Other (Specify) Certificate or Sig /Date o A I ri Individual Designation No. -6-1 FAA CRS EC3R470L so Ilia CluaYty ARalyst / 03121/08 FAA Form 337110061 SONY_DM_02757398 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244320 EFTA01329183 NOTICE • Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previous alterations to assure continued conformity with the applieabie airworthiness requirements. 8. Description of Work Accomplished: (If more space Is required, attach lekkhonal sheets. Identify wah aircraft nabonakly and regisnakon mark and dale work completed.) MODEL: OV-SP (O550) ACTT: 17.8 SERIAL NO.: 5173 ACTL: 5 TAIL NO.: N401HB DATE BEGUN: November 15, 2007 WORK ORDER NO.: FP2471 DATE COMPLETED: March 21, 2008 THE FOLLOWING ITEMS WERE ACCOMPLISHED AT GULFSTREAM AEROSPACE CORPORATION, LONG BEACH, CA. UNDER THE ABOVE WORK ORDER NUMBER: The following systems were installed per the Supplemental Type Certificates shown. Minor deviations, where necessary, are shown on the deviation data indicated. The flight manual supplements were added to the airplane flight manual as required. ITEM ORIGINAL ORIGINAL DEVIATION SYSTEM R CERTIFICATION DATA ARMS DATA I. Emergency Vision Assurance System ST00892LA VSC Master N/A VSC Supplement (EV AS) (Vision Safe Corporation) Dwg List No. I dated Model 107 STC-049 & 107 STC-050 No. 127 Rev. 'K' Nov. 8, 2004 2. External Camera System (GAC) ST01373LA-D IL GC5I5058010 GC5 I 5056137 GC51505M007 -501, -503. -505 • 6C545056029 3. P.D.R. Quick Access Recorder (GAC) ST01775LA-D IL GC514208000 GC514206002 WA -501 4. Passenger Oxygen System ST026%AT-D IL GCS 14538000 GC527126168 GC51453M004 (GAC) -103 5. Interior Emergency Lighting (GAC) ST02697AT-D IL GCS 14868002 GC514866337 N/A GC528566064 6. Broad Band Multi-Link (BBML) (GAC) ST02796AT-D IL GCS 13038002 GCS 13036071 GC51303M003 -505• GC54303604 I 7. Alt Window Shade Installation (GAC) ST03290AT-D IL GCS 15068000 GC515066130 GCS I 506M002 -551 GC522 166040 8. 16-Passenger Cabin Interior (GAC) ST02083LA-D IL. 6C520008595 N/A GC52000M068 'The STC S1'02796AT-D for the -505 Installation is for Wireless LAN only. No wiring provisions have been installed for Broadband Multi-link (BBML) High Speed Data (HSD) system. Interior furnishing material as noted in TAR 25.853 & 25.855 Compliance Evaluation' no. 00528020290 Rev. 'B' installed as part of the cabin interior STC ST02083LA-D, meets the flammability requirements of 14 CFR Parts 25.853 and 25.855. All seat cushions as noted in Seandla, Inc. Fireblocking Flammability Test Report no. 17254, Rev. 'A' installed as part of the cabin interior STC ST02083LA-D meet the fire blocking requirements of 14 CFR Parts 25.853(C), ISO C-127 TYPE A & ISO C-39B TYPE 1. Note: Cleaning of interior fabrics and materials may affect the flame retardant characteristics required by CFR Title 14 Parts 25.853 and 25.855. Interior insulation materials installed in the fuselage as noted in Gulf stream engineering report 'Thermal / Acoustic Insulation Material FAR 25.856 Compliance Report' no. GC028020004 Rev. 'E' installed as part of STC ST02083LA-D, meets the flame propagation requirements of 14 CFR Part 25.856 (a). N Additional Sheets Are Attached FAA Form 137 (1045) SDNYGIvl_02757399 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244321 EFTA01329184 (FAA Form 337 continued) MODEL: GV-SP (6550) SERIAL NO.: 5173 TAIL NO.: 1,140111B WORK ORDER NUMBER: PP247 I Page 2 of 4 For maintenance requirements and Instructions for Continued Airworthiness in accordance with the 14 CFR Part 25.1529, consult the Gulfstream Aerospace Corporation GV-SP (G550) Maintenance Manuals, Completion Center Wiring Diagram Manual or below Gulfstream Aerospace Corporation document no's.: ITEM SYSTEM ORIGINAL STC DOCUMENT NO. I. Emergency Vision Assurance System (EVAS) (Vision Safe ST00892LA VSC Document Corporation) Model 107 STC-049 & 107 STC-050 No. 8017 2. External Camera System (GAC) ST0I373LA-D GC52916A008 3. F.D.R. Quick Access Recorder (GAC) ST01775LA-D GC5I420A000 4. ATG Window Shade Installation (GAC) ST03290AT-D GC5 1506A002 5. Oxygen System (GAC) ST02696AT-D GC51453A003 6. Emergency Lighting (GAC) ST02697AT-D GC51486A002 7. Broad Band Multi-Link (BBML) (GAC) (Wireless LAN Only) ST027%AT-D GC51303A002 8. 16-Passenger Cabin Interior (GAC) ST02083LA-D GC5280I A485 Installed the following modifications, including but not limited to the: entertainment system, lighting system, water & waste systems, cabin environmental control system, galley & lavatory amenities, cabin electrical system, and communications system in accordance with the following Gulfstream Aerospace Corporation Data Lists: 1. DL GC5 14960338 Rev. `H"Avionics /Electrical Wiring Diagrams' 2. DL GC544960033 Rev. `.1' Avionics / Mechanical' • FAA Form 8110-3 data approvals by FAA DER DERT-605009-NM (Systems & Equipment - Meth), FAA DER DERT-6061I6-NM (Systems & Equipment — Chart C2) and FAA DER DERY-606135-NM (Structures) • Reference Gulfstream Aerospace Corporation report no. GC52801A524 Rev. '--"Maintenance Requirements Instructions for Continued Airworthiness Form 337 Approval' for maintenance requirements and Instructions for Continued Airworthiness. The installed equipment is required to be operational unless otherwise specifically listed on the M.E.L. for the aircraft. • Reference the above listed Data Lists for the details of the modifications performed. Accomplished an evaluation of the changes in the cockpit configuration as required by T.C.D.S. AI2EA note 12, in accordance with the following Gulfstream Aerospace Corporation drawings: 1. Instrument Panel Layout, drawing no. GC514040324 Rev. 'N/C' 2. Pedestal Layout, drawing no. GC5 14050349 Rev. 'N/C' 3. Overhead Panel Layout, drawing no. GCS 14080339 Rev. `A' • FAA Form 8110.3 data approval by FAA DERY-606181-NM (Flight Test Pilot). Aircraft has been weighed, and the weight & balance manual and the equipment list have been revised. Reference Gulfstream Aerospace Corporation report no. GC550WR5173 Rev. `A'. Accomplished an electrical load analysis and structural stress analysis. Reference the following Gulfstream Aerospace Corporation report numbers: 1. GCS 14696362 Rev. - 'Electrical Load Analysis' 2. GC524965173 Rev. -' Stress Substantiation' SDNY_GM_02757400 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244322 EFTA01329185 (FM Form 337 continued) MODEL: GV-SP (G550) SERIAL NO.: 5173 TAIL NO.: N40IHB WORK ORDER NUMBER: FP2471 Page 4 of 4 Installations of the above listed modifications covered on Gulfstream Aerospace Corporation Master Index List IL GC514910271 Rev. 'O'. ....... Installed the following major Gulfstream Aerospace Corporation Aircraft Service Changes: I. A.S.C. 052 'Indicating/ Recording (ATA 3!) Planeview Avionics Enhancement' 2. A.S.C. 065 'Navigation (ATA 34) Runway Awareness Advisory System (RAAS)- Installation' 3. A.S.C. 906 'Recording/Indicating (ATA 3!) Plainview Master Operating System Software Update' Installed dual element antenna and associated system wiring provisions for XCVR, LRU's, Cabin Telecommunications Router, WiFi antennas, Airshow Update Interface, and Satcom Interface Unit for an Aircell Axxcess EZ System. Provisions are capped and stowed in accordance with drawing requirements. Modification accomplished in accordance with the following Gulfstream Aerospace Corporation Data List's: I. DL GC5 14960338 Rev. `H' Avionics/ Electrical Wiring Diagrams' 2. DL GC544960033 Rev. `I"Avionics / Mechanical' This installation consists of the following major component: Description Manufacture Part No. Part Approval Basis Antenna, Iridium Sensor Systems S67-1575-165 TSO CI 29a • Instructions for continued airworthiness contained in Gulfstream Aerospace Corporation report no. GC52801A524 Rev. '•-• has been provided to the operator. • FAA Form 8110-3 data approvals by FAA DER DERT-605009-NM (Systems & Equipment - Mech), FAA DER DERT-606I16-NM (Systems & Equipment — Chart C2) and FAA DER DERY-606135-NM (Structures) ------------------------------ ----- ----- Accomplished an evaluation of the inter-relationship between the systems listed above and the Type Certificated product in accordance with 14 CFR Parts 25.1301 (d), 25.1431 (c) and they have been found to be operating satisfactory and that there is no adverse effect on any other component, system, or the airworthiness of this aircraft. THE END SDNY_GM02757401 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244323 EFTA01329186 sib Attila Stein Of America glee rebnent of Sransparlation - Aateral Ablation franninistrutinn $upplemental Type (Jlertificate ..47/40143e ST00892LA .9?6.1 Sier,togae:mak. Vision Safe Corporation 46-217 Kahuhipa Street Kaneohe, HI 967445011 naciar drat44 aiisse. a t4 4".• eado..14 .04/geraw:nantawitmat tt. 4,...444......../...evaws yvansead riest Avon eseA4 et4 at,railithow "reamometi ./42wie • 0/64 Ynewl.ignediert.A,rarns. SiviseeliSrame 9.7ire 6,4,4w4 Aged". „Mode: * *See Attached FAA Approved Model List No. ST00892LA 11.-• in Iliev. "94 3 r7 fer•kis War Installation of Emergency Vision Assurance System (EVAS) in accordance with FAA Approved Vision Safe Corporation Master Drawing Lists. Master Drawing Lists and FAA approved Airplane Flight Manual Supplements required for the modification are listed on FAA Approved Model List No. ST00892LA or later FAA Approved Revisions. 2'enzemiens ta.seighssed..tos.i.- Flight Crew training requirements are listed on the Master Drawing List. The installation should not be incorporated in any aircraft unless it is determined that the interrelationship between this installation and any previously approved configuration will tot introduce any adverse effect upon the airworthiness of the aircraft. The approval of this modification applies to the above noted airplane model series only. If the bolder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission. .924 arystalevata .146 Jefratistr das. sys.tetsts Lf. 44“..- gerenewrf.teierANIPS;') a VAN aldolier • 1•13( 4334.34,d0.11CAMPAir.1170 OR Agninsaffnes slab eskeenmise.nolzIaseaC40.44.. Ada"- Scie nt/gridaleis Aisle eyeirsienay. • August 16, 1999 goo etalaali f . 3/14 1.14inal • December 15, 1999 eyet.4../Kiaa•alea- ..t6c1-y- (Signature) "<r4adIl agcr, Systems & Equipment Branch Los Angeles Aircraft Certification Office (Se.) 4 . 4.1./ Si cos :yowl es4 arah, 3 r ay or 41 nu mg. 3110•3,19-3111 Par of 3 lane. SONY_GM_02757402 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244324 EFTA01329187 .- . SDNY_GM_02757403 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244325 EFTA01329188 to co FAA Approved Model List (AML) No. ST00892LA VISION SAFE CORPORATION For H Installation of Emergency Vision Assurance System H Issued Date: December 15, 1999 Item Aircraft Make and Type I Certification FAA Approved Master Drawing List Amendment Model Certificate Basis FAA Approved AFM Supplement Date 3D Number Number Revision mate 20 AIRBUS A318 A28NM i FAR Part 25 Master Drawing List "F" / 01/138/04 or September I, 2004 Number 138 later FAA approved revision "B" / 10/16/03 or later 0 AFM Supplement No. FAA approved 3D I revision 21 GULFSTREAM AI2EA I FAR Part 25 Master Drawing List 9" / 05/10/04 or later November 10, 3D GV-SP Number 127 FAA approved 2004 -0 I revision 3D AFM Supplement No. "1" / 11/8/04 or later 1 FAA approved 3D revision -0 Vf 22 AVCRAFT A45NM I FAR 21.29, Master Drawing List "B" / 04/20/04 or later December 28, :*4 AEROSPACE GMBH Part 25, Number 402 FAA approved 2004; January 14, DORNIER 328-300 See Type revision 2005 Certificate Data 9D Sheet AFM Supplement No. "Original" / 12/10/04 Fi cn 1 or later FAA approved Oz revision 1-4 '0 tru = 4 m I_a Page 8 of 10 IJ p IN IJ EFTA01329189 SDNY_GM_02757405 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244327 EFTA01329190 3.11111O WI Auntie.. Pepurtment of ?Ernnspnrtatinn - Prebend Ablation Abininistration Supplemental `Type Tertificate fraTenleve ST01373LA-D rk.-.4,106 -zsaw.014. Gulfstream Aerospace Corporation 4150 Donald Douglas Drive Long Beach, California 90808 croeirAi the/ ar efoonate a. z6 4,0te demimAe Algreriewrer•rhoLl cora tearelotArvhi eta titortfeern a.€ .4 twfrearla•vos defier& me yterri moVerreogefirarou. nyerererresio (/Stn 25. Federal Aviation .A.,444.4kvs.. *Certification basis is set forth in Type Certificate Data Sheet TCDS 4.3.4-teconewv A l2EA Gulfstream GV-SP ghlertale." fylY3/71. .VANdia. Pi- 27,r e Installation of a Securaplane External Camera System in accordance with approved Gulfstream Aerospace Corporation Index List GC515058010, Revision "AL", dated October 3, 2006 or later FAA approved revision. ..c..&:yeastay.4 .7.9...1K;volathes• FAA Approved Airplane Flight Manual Supplement GC51505M007, original release, dated August 20, 2003 or later approved FAA approved revision, is required and must be carried in the aircraft on all flights. The installer must determine whether this design change is compatible with previously approved modifications. The approval of this modification applies to the above noted airplane model series only. A copy of this STC must be included in the permanent records of the modified aircraft. If the holder agrees to permit another person to use this certificate to alter a product, the holder must give the other person written evidence of that permission. • earepezecto era Jewrtoriteve 4.1a tra.terell de ease414e• eyyreerregederarreour rereheamowerierevre Jat+OIVII71,1 IrreettiOP a Ifterosiew.lires Flaa PeArefehle eadesiLe 40 ae4 • .4:61thgt446164e00 /de ../414thmalowienes .(14.(4- la r acia4c.... February 6, 2003 reds one:Jaarwe.• rAmmensov• August 20, 2003 Y.ta• wad: October 12, 2006 zger9.41.--4,an- • L/M;#9 (SMinn:we) , Randall A. Wood DAS Administrator. DAS-100271-NM (Tole) Any etailf1011 of thu eernfitarr LI ponoloabte by a fine of not afltilIV $1.000, or toopruontent not equity 1 'vars. 01 Sink SDNY_GM_02757406 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244328 EFTA01329191 SDNY_GM_02757407 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244329 EFTA01329192 • U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 19. 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE ()Implant. Radio. lielscopier. etc.) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC545056029 Rev. 8 Deviation Data List — External Camera System. Securaplane. Dated 02/19/08 This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements? . Compliance to additional regulations not listed here may be required. This form does not constitute FM approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alterationlrepair. (DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY) End of data. PURPOSE OF DATA In support of Form 337 Alteration. Securaplane Camera system Installation. Substantiate Deviations to STC ST01373LA-D. Aircraft SIN 5173 only. APPLICABLE REQUIREMENTS (Lin specific sections) 14CFR Part 25, Paragraphs 25.301, 25.303, 25.305(aXb), 25.307(a), 25.561, 25.603, 25.605. 25.607, 25.613. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered None have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. = Recommend Approval of these data I (SW) Therefore I=I Approve these data SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATiON n ititviey‘...m __ John D. Nguyen DERY-606135-NM Structures FAA Form 8110.3 (11.70)SUPERSEDES PREVIOUS EDITION GPO 901-613 SDNY_GM_02757408 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244330 EFTA01329193 SDNY_GM_02757409 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024433 EFTA01329194 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION Match 20, 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane, Radio, Helaeopier, ere ) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC51 505 6137 Rev. "A" Deviation Data List - External Camera System, Securaplane This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements". (Compliance to additional regulations not listed here may be required.) This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alterationkepair. (AVIONICS SYSTEMS DATA APPROVAL ONLY) PURPOSE OF DATA Substantiates minor wiring deviations to STC ST0I373LA-D. Aircraft S/N 5173 only. APPLICABLE REQUIREMENTS (lot specific stetsons) FAR 25.130I(a)(b)(c), 25.1309(b), 25.1353(a), and 25.1431(c) CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations. data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. P Recommend Approval of these data I (We) Therefore x Approve these data SIGNATURE(S) OF DESI TED E I RING EPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION DERT-606I I6-NM Systems & Equipment Michael B. Kambourian Chart C2 FAA Form 8110-3 (11.70) SUPERSEDES PREVIOUS EDITION GPO 9014313 SDNY_GM_02757410 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244332 EFTA01329195 SDNYGM_02757411 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244333 EFTA01329196 t. Short. Pmt atticrifil epartmcnt of gliransportaition - Li,cbcral A6intinn (Multittistration $upplemental Zgin aertifirzxte dirtitideve ST01775LA-D Gulfstream Aerospace Corporation 4150 Donald Douglas Drive Long Beach, California 90808 ntriciai dont, ewSve as £6 *vie eAvri enr ity4seartriv,reeor44,/ erria geos44z/.4nree awl Arveritieerse 46eyeenn OJ vser,Aratvw, meani4 fnernintaftne‘n ininnennffnal 0/Wietel 25* eyed. Federal Aviation .iftralr'..dev“. *Certification basis is set forth in Type Certificate Data Sheet TCDS 61-ejnotaltiantren/ .9,5-yrr no-101ren...460.4... Al2EA Gulfstream GV-SP falayalias °Acne ..6/4steinee ifetarre Installation of an Avionica Inc. Miniature Quick Access Data Recorder (miniQAR) in accordance with approved Gulfstream Aerospace Corporation Index List GC514208000, Revision "C", dated September 27, 2006 or later FAA approved revision. tiga ifesdawv..i.. The installer must determine whether this design change is compatible with previously approved modifications. The approval of this modification applies to the above noted airplane model series only. A copy of this STC must be included in the permanent records of the modified aircraft. If the holder agrees to permit another person to use this certificate to alter a product, the holder must give the other person written evidence of that permission. ,97.4 ententerArle. nad.6& etyyrerbery thda eat"ericht /4 t64eZtAre wrennyettettnernsonrear 906/ traleterzenwfarel Jernysesge/itri Annetitdew a kianaiialica rifle odayae8a tatairaViazi e •Ae‘aamWeratea• .Fainizejxualan ...g.snewasaitaztievii. §64. e/ryptentreave March 30, 2006 4?fre.4......eurernt4.- v.4. 414..easen• October 11, 2006 /M( e (Stinature) .Randall A. Wood ___ _ PAS Administrator. DAS-100271-NM (Inte) Any etteretoort of thu (twine:. is prnutudir 6y e fine of not eraninv 11,000. N rsprttononent not rerenfow S ran, or bout rY Von ntoa 410. in Pon I of •flu errtsfutatr mover trans!ernvi etinaente wIe 'Fig lee? SONY_GM_02757412 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244334 EFTA01329197 SDNY_GM_02757413 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244335 EFTA01329198 I U. S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 20, 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Radio. Helicopter. at) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS GCS! 420 6002 Rev. "--" Deviation Data List — F.D.R. Quick Access Recorder This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements". (Compliance to additional regulations not listed here may be required.) This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (AVIONICS SYSTEMS DATA APPROVAL ONLY) PURPOSE OF DATA Substantiates minor wiring deviations to SIC ST01775LA-D. Aircraft SIN 5173 only. APPLICABLE REQUIREMENTS gut specific inflow) FAR 25.1301(aftbftc), 25.1309(b), 25.1353(a), 25.1357(a)(c) and 25.1431(c) CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. C Recommend Approval of these data I (We) Therefore Approve these data SIGNATURE(S) OF D RATED N NEE G REPRESENTATNE(S) DESIGNATION NUMBER($) CLASSIFICATION ------.7 DERT-606116-NM Systems & Equipment Michael B. Kambourian — Chart C2 FAA Form 8110.3 (11-70) SUPERSEDES PREVIOUS EDITION GPO 90t-613 SDNY_GM_02757414 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244336 EFTA01329199 J A SDNY GM 02757415 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244337 EFTA01329200 thaittagatel ejAM= Department of Transportation — FederatAttittrign Alf/friniFtratiOn Supplemental'Type Certificate Number ST02696AT-13 This catificate Gulfstream Aerospace Corporation P.O. Box 2206 Savannah, Georgia 31402-2206 certifier Mat t& Mange in the type desiptfir btufoffourinayproduct with Mc antitations antcorufitions therefore as spec:fireIharem meets Me airworthiness requirements of Tart 25 of the FacileAviation Regufatitms Originalfindatt—Type Certificate *neer: Al2EA Make: Culture= Math GV-SP Description tf Type Dalin Chivvy Installation of a Passenger Oxygen System in accordance with Gulfstream Aerospace Corporation Index List GC51 4538000, Revision B, dated August 05, 2003,or later FAA approved revision. FAA approved Airplane Flight Manual Supplement, GCSI 453M003, Revision NC. dated August 19, 2003, or later FAA approved revision is required for the -101 configuration. FAA approved Airplane Flight Manual Supplement, GCS? 453M004, Rev. NC, dated September 21, 2004, or later FAA approvednvision is required for the -103 configuration. FAA approved Airplane Flight Manual Supplement, GCSI 453M005, Rev. NC, dated Dezember 20. 2004, or later FAA approved revision is required for the -105 configuration. Limitations and Contlitionr: Compatibility of this design change with previously approved modifications must be determined by the installer. If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person vnitten evidence of that permission. . . . . . 'Mit certificate and the supporting data which is the twister anrovalsisal/.remain in effect wititnavesufend suspended nooksi or a termination date is otherwise established by the Administrator subthricfrug. ifthefrandAviation Dateofapplication : February 17, 2003 Dow nissuuf Date of issuance : August 19, 2003 Date ammded: September 21, 2004, December 20, 2004 By direction of the Omar lose Mora-Vargas DAS Administrator DAS-511131-CE (Mk) y aft•est4.10 et Ma. Wein ccccc cc •••••••Gell-S • 5. 0 ..0.-IeLnaleast art IAA ti . 111.1•311•481 MI I at I Mae Tan nnitltlp ass 4 teaastemil N seed7 SDNY_GM_02757416 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244338 EFTA01329201 SDNY_GM_02757417 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244339 EFTA01329202 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 19, 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Radio. Helicopter. etc.) NAME OF APPLICANT Gulistream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC527 126168 Rev. S Deviation Index List - Oxygen System Dated 12/05/07 This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements.' . Compliance to additional regulations not listed here may be required. This form does not constitute FM approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteratioNrepair. (DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY) End of data. PURPOSE Of DATA In support of Form 337 Alteration. Oxygen Equipment Layout. Substantiate Deviations to STC ST02696AT-D. Aircraft SIN 5173 only. APPLICABLE REQUIREMENTS (List specific Seelion!) 14CFR Part 25. Paragraphs 25.301, 25.303, 25.305(a)(b), 25.307(a), 25.561, 25.603, 25.605. 25.607, 25.613, 25.789. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations• data listed above and on attached sheets numbered None have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. CD Recommend Approval of these data I erWe) Therefore n Approve these data SIGNATURE(S) OF DESIG TE? ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION John D. Nguyen _........../°.------- DERY-606135-NM Structures FAA Form 8110.3 I •701SIMERSEDES PREVIOUS EDITION GPO 901411 SDNY_GM_02757418 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244340 EFTA01329203 SDNY_GM_02757419 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244341 EFTA01329204 U S DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION 19-Mar-08 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Raw. Helicopter. etc.) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. (T.C. A I 2EA) LIST OF DATA IDENTIFICATION TITLE GAC DOCUMENT. GCS2 7126168 Rev "B" Deviation Index List — Oxygen System (Dated 05-Dec-07) This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements." (Compliance to additional regulations not listed here may be required.) This form (does not) constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (DETAIL DESIGN APPROVAL ONLY) PURPOSE OF DATA To support FAA form 337 for minor installation deviations to STC ST02696AT-D for Serial Number 5173 only. APPLICABLE REQUIREMENTS (WIspecific sections) 14 CFR §25.869(c), 25.1301(a), (b), 25.1309(a), 25.1441(b), 25.1453(a), (b) CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered N/A have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. NI Recommend Approval of these data I (We) Therefore n Approve these data SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION 4 2es—l— A a, _.,..c-,. Kelvin K. Arakaki DERT-605009-NM Systems and Equipment-Meth FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION GPO 901-613 SDNY_GM_02757420 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244342 EFTA01329205 SDNY_GM_02757421 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244343 EFTA01329206 thritd:taw ifAsesca alipartment el -tympana:km — Tedemolviation Mminutration SuppThmentarType Certricate Num6er Sr:32697*Lp 'This certificate issurAt to Gulfstream Aerospace Corporation P.O. Box 2206 Savannah, Georgia 31402-2206 amps-that the charyein the type desigtfor tfte.figrosvingproduct with tAt EllialtiollS and conditions thenfore at ipeafiedhereon man tie airworthintus aptinnear of Orr 25 of thy Itedsraolvtatton fauLattorts. OrigiegatPraefuez-Toe Certificate Warr:ben Al lEA 944 Gulfstream %odif GV-SP with Gulfstrearn ma certrin ef*pe Ouija awe Installation ofInterior Ernagency Lights in accordance Aerospace Corporation Index List GC51 4868002, Rev. B, dated August 06, 2003, as later FAA approved revision. Zasitatioar andansaftivir Compatibility of this design change with previously approved modifications certificate to must be determined by the installer. If the holder agrees to permit another person to use this product, the holder shall give the other person written evidence of that permission. • alter the 'This cen0Catee andcis support* ate whicCis the &sirfor cravatshaff remain in effect untifsurrnufered, napenefee4 mrohei or a termination Lau is otfunvise maraud by the Mideristnitor of the TelenstAviation ,Mminutrattan. Oats ofappacaticn Apnt 07,2003 Oat &sank Cate ofissuance : August 20, 2003 Oats sad: Guy twain! etas lose Mora-Varga DAS Administrator DAS-511131-CE 01110 mr altarnlae at via iiiiiii ett. I. pv•II.Serae wenn eat az:neite. h.e.)0.• • Ivrhaspee. awe ...Irons; t non. or Yti. ha pers saw.; isi-so nag t a I raina ••••Itzsate say** srostsreso Ls ansediar• ale na SDNY_GM_02757422 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244344 EFTA01329207 SDNYGMJI2757423 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244345 EFTA01329208 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 19, 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Radio. Helicopter. etc.) NAME OF APPLICANT Gulatream Aerospace GV-SP Airplane Cult-stream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC528566064 Rev. A Deviation Index List — Interior Emergency Lighting Dated 03/17108 This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements." . Compliance to additional regulations not listed here may be required. This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY) End of data. PURPOSE OF DATA In support of Form 337 Alteration, Interior Emergency Lighting Installation. Substantiate Deviations to STC ST02697AT-D. Aircraft S/N 5173 only. APPLICABLE REQUIREMENTS (List specific sections) 14CFR Part 25, Paragraphs 25.301, 25.303, 25.305(a)(b), 25.307(a), 25.561, 25.603, 25.605. 25.607, 25.613, 25.789. CERTIFICATION - Under authonty vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheen numbered None have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. I we Therefore CI Recommend Approval of these data EL Approve these data SIGNATURE(S) OF DESIGNA ED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION John D. Nguyen DERV-606135-NM Structures FAA Form 8110-3 ( 1-70) SUPERSEDES PREVIOUS EDITION GPO 901-613 SDNY_GM_02757424 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244346 EFTA01329209 SDNY_GM_02757425 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244347 EFTA01329210 • • U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION 19-Mar-08 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Radio. lklicopter. sic.) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. (T.C. AI2EA) LIST OF DATA IDENTIFICATION TITLE GAC DOCUMENT. GC52 8566064 Rev "A" Deviation Index List — Interior Emergency Lighting (Dated 17-Mar-08) This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements? (Compliance to additional regulations not listed here may be required.) This form (does not) constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (DETAIL DESIGN APPROVAL ONLY) PURPOSE OF DATA To support FAA form 337 for minor installation deviations to STC 5102697AT-D for Serial Number 5173 only. APPLICABLE REQUIREMENTS (Lot specific swoons) 14 CFR § 25.811(b).(c),(d).(eXI)(2Xii),(g), 25.812(a)( I ).(b)(1),(e), 25.1301(a),(b),(c) & 25.1309(a). CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered N/A have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. En Recommend Approval of these data I (We) Therefore ED Approve these data SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION DERT-605009-NM Systems and Equipment•Mech Kelvin . Arakaki FAA Form 8110.3 (11.70) SUPERSEDES PREVIOUS EDITION GPO 901413 SDNY_GM_02757426 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244348 EFTA01329211 SDNY_GM_02757427 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244349 EFTA01329212 U.S DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 20 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MARE MODEL NO TYPE (Airplane. Radio. Iklicopter. tic ) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GCSI 486 6337 Rev. "A" Deviation Data List — Interior Emergency Lighting r This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements". (Compliance to additional regulations not listed here may be required.) This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (AVIONICS SYSTEMS DATA APPROVAL ONLY) PURPOSE OF DATA Substantiates minor wiring deviations to STC ST02697AT-D. Aircraft SENA 5173 only. APPLICABLE REQUIREMENTS (Lot specific small FAR 25.1301(a)(144), 25.1309(b) and 25.1431(c) CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations. data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. CI Recommend Approval of these data 1 (We) Therefore Approve these data SIGNATURES) OF D IGNATE E INEERIN EPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION _ k • DERT-606116-NM Systems & Equipment Michael B. Kambourian Chart C2 FAA Form 8110-3 (11.70) SUPERSEDES PREVIOUS EDITION GPO 901-613 SDNY_GM_02757428 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244350 EFTA01329213 SDNY_OM_02757429 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244351 EFTA01329214 unitsums nInnena 'Department ofTransportation — Te&rallistrriation Administration SupplementalType Cert cate Number ST02796AT-D Tis certificate issue:Ito Gulfstreans Aerospace Corporation P.O. Box 2206 Savannah, Georgia 31402-2206 certifies that the change in the type denimfor thefolIonavrace with the Smitationt andconditions deafens as specifiedhereon meets the airworthiness requirements of an IS of the TederalAviation Itsguratioiu. Originateroduct-rrype Certificate Wunder: AI2EA 9iia& Gulfstrearn 2ioder ati.gp of macriptism Type aingn Change Installation of Broad Band Multi-Link (BBEL) System, in accordance with Gulfstream Aerospace Corporation Index List GC51 3038002, Revision N, dated May 31, 2006, or later FAA approved revision FAA approved Airplane Flight Manual Supplement, GCS] 303M006, Revision NC, dated hme 05, 2006, or later FAA approved revision is required for the -507 and -901 configuration. Limitations IntlCon&tionr Compatibility of this design change with previously approved modifications must be determined by the installer. If the holder agrees to permit another person to use this certificate to alter the product, the bolder shall give the other person written evidence of that permission. 'This certificate cage supporting &ea which is the 6asisfor approval:Eastmain in era waifsunning suspended nook,:f or a termination date is otherwise established6y as Administrator eche Tedezrat.AMatian Administration mate ofapplication : November 03, 2004 (Date ranged: 'Date oflung= r January 21, 2005 'Vase minuted: June 06, 2005, lime OS, 2006, Wy &section of ,Idissinistratos d a ti Jose Mora-Vargas oceZe DAS Administrator DAS-511131-CE alt mime at tau earUnnesL sualahabli by • (no of an act onal 0,00 • n hAW ninler roc aew4SW 1 yam. w meth. a NOY Tait o.nUint. an In stas•terrad L ravine with Pat 31.1f. SDNY_GM_02757430 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244352 EFTA01329215 SDNY_GM_02757431 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244353 EFTA01329216 U.S. DEPARTMENT OF TRANSPORTATION GATE FEDERAL AVIATION ADMINISTRATION March 19, 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Radio. I klicopter. etc.) NAME OF APPLICANT Culfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC543036041 Rev. B Deviation Data List — Broad Band Multi-Link (BBML) Dated 02/19/08 This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph liSted below as 'Applicable Requirements." . Compliance to additional regulations not listed here may be required. This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY) End of data. PURPOSE OF OATA In support of Form 337 AlteratiOn, BBML (Wireless LAN w/ high speed data) system Installation. Substantiate Deviations to STC ST02796AT-D. Aircraft S/N 5173 only. APPLICABLE REQUIREMENTS (Lill specific secgions) 14CFR Pan 25. Paragraphs 25.301. 25.303. 25.305(a)(b), 25.307(a). 25.561, 25.603, 25.605, 25.607, 25.613. 25.789. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered - None have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. 0 Recommend Approval of these data I Plie) Therefore 0 Approve these data SIGNATURE(S) OF DESIGN TED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION John D. Nguyen l AAOnn4"„_....--- ------ DERY-606135-NM Structures FAA Form 8110.3 (1140 SUPERSEDES PREVIOUS EDITION GPO 9014313 SDNY_GM_02757432 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244354 EFTA01329217 SDNY_GM_02757433 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244355 EFTA01329218 U S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 20, 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Ai?plane. Radio. fielocopter. ac) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC51 303 6071 Rev. "--" Deviation Data List - Broad Band Multi-Link (BBML) (Wireless LAN W/High Speed Data) This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements". (Compliance to additional regulations not listed here may be required.) This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire aherationfrepair. (AVIONICS SYSTEMS DATA APPROVAL ONLY) PURPOSE OF DATA Substantiates minor wiring deviations to STC ST02796AT-D. Aircraft S/N 5173 only. APPLICABLE REQUIREMENTS (List speak section) FAR 25.1301(a)(bXc), 25.1309(b), 25.B53(a), and 25.143I(c) CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pill 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. C] Recommend Approval of these data I (We) Therefore ri rove these data SIGNATURES) OF DESI TED E IN RING ESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION DERT-606 I 16-NM Systems & Equipment Michael H. Kamtourian Chart C2 FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION GPO 901.613 SDNY_GM_02757434 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244356 EFTA01329219 SDNYGMJ32757435 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244357 EFTA01329220 thittatatts °Pimento (Department of Transportation -- TederatAviation Administration Supp&mental'Type Certificate Number STO329OAT-D This catificate issued to Gulfstream Aerospace Corporation 500 Gulfstream Road Savannah, Georgia 31407 artifiesehat ths-cfgange in the type desitqnfor:thefoffowininduct with the hantationt andconditions therefore as specifiedhereon meets the airworthiness requirements of Tan 25 of the feleralitvistiort iteguktions. orgqinattPmetuct-tpe Certificate *Wither A 12EA 2fiset Gulfstream 9dloifst GIV-X & GV-SP 0ecription el)pe asign Cleave Installation of Cabin Window Shades (ATG) in accordance with Gulfstream Aerospace Corporation Index List GC51 5068000, Revision A, dated November 16, 2006, or later FAA approved revision. FAA approved Airplane Flight Manual Supplement, GC41506M004, Revision NC, dated November 21, 2006, or later FAA approved revision is required for -401, -403, -405, .407, -409, -411 and -413 configurations. FAA approved Airplane Flight Manual Supplement, GC51506M002, Revision NC, dated November 21, 2006, or later FAA approved revision is required for -501, -503, -505, -507 end -509 configurations. Limitations andContstiont The installer must determine whether this design change is compatible with previously approved modifications. If the holder agrees to permit another person to use this certificate to alter the product, the holder shall give the other person written evidence of that permission. Ihnerstificate emit& supporting data which it the boshforapproodshaft remain in effect urstifsgorersderaC suspetvfa4 revokedor a termination at. is otherwise atabasfied by the fishninisinsior of the farendfliiiaiiiii Administration pate cfapplication. June 08.2006 pate mingled: pate of issuance November 21, 2006 pate amended 12; tsisastwet armee M. Arthur ) 1111. DAS Administrator DAS-5111310E (ride) May elrenclaaotillla artitIcac• la possamw. baptism of *et emeolley 11.000. or Isapalmaisant no standby 1 non. oe both na Pa. •11.0.3(10.410) flea I el I par TO • c••11/ a•y ter trees tag SDNY_GM_02757436 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244358 EFTA01329221 SDNYGM_02757437 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244359 EFTA01329222 U S DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 20, 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE . MODEL NO. TYPE (Airplane. Radio. Helicopter. etc ) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gul (stream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC5I 506 6130 Rev. "Jr Deviation Data List - Electric Window Shade last, ATG This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements". (Compliance to additional regulations not listed here may be required.) This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (AVIONICS SYSTEMS DATA APPROVAL ONLY) PURPOSE OF DATA Substantiates minor wiring deviations to STC ST03290AT.D. Aircraft S/N 5173 only. APPLICABLE REQUIREMENTS (tut specific sections) FAR 25.1301(aXb)(c), 25.1309(b), 25.1353(a), 25.1357(aXc) and 25.1431(c) CERTIFICATION - Under authority vested by direction of the Adminisuator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. CI Recommend Approval of these data I (We) Therefore Approve these data SIGNATURE(S) OF DE RATED G EERI 'REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION a DERT-606116-NM Systems & Equipment Michael B. Kambounan Chan C2 AA Form 8110.3 (11-70) SUPERSEDES PREVIOUS EDITION GPO 901413 SDNY_GM_02757438 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244360 EFTA01329223 SDNY GM 02757439 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244361 EFTA01329224 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 19. 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Radio. Helicopter. etc.) NAME OF APPLICANT Gultstream Aerospace GV-SP Airplane Gulf-stream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC522166040 Rev. C Deviation Data List — Window Shade Installation — ATG Dated 03/17/08 This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements: . Compliance to additional regulations not listed here maybe required. This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY) End of data. PURPOSE OF DATA In support of Form 337 Alteration. Window Shade Installation. Substantiate Deviations to STC ST03290AT-D. Aircraft SIN 5173 only. APPLICABLE REQUIREMENTS (Liss specific section) 14CFR Part 25, Paragraphs 25.301, 25.303, 25.305(a)(b), 25.307(a), 25.561. 25.603. 25.605. 25.607. 25.613. 25.625. 25.789. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered None have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. C Recommend Approval of these data 1 (AVErTherefore 1=i Approve these data SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION John D. Nguyen gitvisnit z,,L__......_----- DERY-606135-NM Structures FAA Form 8110-3 (11.10) SUPERSEDES PREVIOUS EDITION GPO 901-613 SDNY_GM_02757440 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244362 EFTA01329225 SDNY_GM_02757441 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244363 EFTA01329226 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION I 9-Mar-OS STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Radio. Helicopter. etc.) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. (T.C. A I2EA) LIST OF DATA IDENTIFICATION TITLE GAC DOCUMENT: GC522 I 66040 Rev "C" Deviation Data List — Window Shade Ins!! - ATG (Dated 17-Mar-08) This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements.' (Compliance to additional regulations not listed here may be required.) This form (does not) constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (DETAIL DESIGN APPROVAL ONLY) PURPOSE OF DATA To support FAA form 337 for minor installation deviations to STC ST03290AT-D for Serial Number 5173 only. APPLICABLE REQUIREMENTS (Los specific section() 14 CFR §25.! 301(a),(b),(c). CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered N/A have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. CI Recommend Approval of these data 1(Ile) Therefore CI Approve these data SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION ,t# (f,. A (:4 2-2 Kelvin K. Arakaki DERT-605009-NM Systems and Equipment-Mech FAA Form 8110.3 (11.70) SUPERSEDES PREVIOUS EDITION GPO 901413 SDNY_GM_02757442 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244364 EFTA01329227 SDNY GM 02757443 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244365 EFTA01329228 !Midi States Of America Atpartmint of transportation - gliebtral Ablation glibministration $upplentental Type (I:Certificate Argentless ST02083LA-D .91;4 KY/94a* a.taantela Gulfstream Aerospace Corporation 4150 Donald Douglas Drive Long Beach, California 90808 conreAv tia‘a.; der to 44. ore damia aylca.° delblialliV1hand anze eevsoli/loraz es,,evr a t .3.9flayl.46~.4 tosteht dies teavonoathatz 25. 0/4Ch aretherneolo lane STNieltatleflatheY1 .1.R17.74.niva.4. 'Certification basis is set forth in Type Certificate Data Sheet Al 2EA. 641"." Sr. CCe4( 004" Al 2EA .4t5a4.- Gulfstream GV-SP, S/N 5173 Only eve/Oa:en /Re's g?iosixa Wave Installation of a 16-passenger cabin interior hi accordance with Gulfstream Aerospace Corporation Index List GC520008595, Revision "G", dated March 19, 2008 or later FAA approved revision. -Wundaiiivat and Wenddeers FAA Approved Airplane Flight Manual Supplement GC52000M068, original release, dated March 20, 2008 or later FAA approved revision, is required and must be carried in the aircraft on all flights. You cannot use descriptive data about this design change to duplicate other products. This approval is limited to only the installation made in Gulfstream Model GV-SP Serial No. 5173. This STC does not permit manufacturing of parts for multiple installations. A copy of this STC must be included in the permanent records of the modified aircraft. ceo-44 2eale and 14 or/we/hope (Zola etv6: ,- a a:, SWAM ."4000/WAY1/44;) *AV oteold J0000tworia. Joayonstiorz e ~tried er hvoosioerleen dale t'Ziaoso4to eatialeassi4,48 £6 Sol - " , "owley• VZo ,Welenti.,/biwirottivt ../grOaba:mboosa.s• dale tyelyys4oahive September 26, 2007 fSs no:motect".. ‘91.4. March 20, 2008 a4 amender!: oxviolimo Randall A. Wood DAS Administrator. DAS-100271-NM (Mk) Any amain of this a.e f net u plaWhhhh by a fine of not weeding 51,000, or totprinnuatto not coted1/2 3 year; or both[ PM Na @Ile-MO -NI Imp I of %u cm** multi trawl tort ot AICCOTOTIZI ltug Mae. SDNY_GM_02757444 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244366 EFTA01329229 Mayan CO TI19 tya jo anuoull!s _Rpm's jo ank3 .0uotuacau Su!suaoli JO Amotpny Jo wawa (oloo47pso Wolf (0.7) 0nfltptyprv4) °mural", ssv idG wyeaptit i jo MOW) wog (fontirfisD 'inc 10O) 0 n ini qinr1P0 (asafruni;jo nztyyk( naftura fo nut%) of nce.unm ontaggno inuowasIdns NI Jo dmsnumo alp nistrea INEW3SHOCIN3 1:13ASNIFILL tag co i! pzeouog put avogsno an go ;um alp m ontogoaa ail onssai yyg or:agog° xI41 iminwarldng $141 go agsuou ail go ooggo owoOka yyg aspdoaklo ail Amu 01 porn aq Amu mOpq auataliopuo MJSUlta ail, :SNO11OO211SNI SDNY_GM_02757445 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244367 EFTA01329230 LA LONG BEACH TETLE co AMBER REVISION LEFT Index List - Interior Passenger Cabin (STC) rn Gulfstreara NN a. omega PA • C S COMPANY t n WEE ARMEE [WEL EFEECOVITE GC52 0008595 G SERaL NUMBER LFMIAOW 1 of 2 PROJECT ROARER Gulfstream GV-SP 5173 DAS 3531A1 PROPRIETARY NOTCE., We data Rs lefonsita illicbsei basis la proprisumey ito Oaten Anise. Comerslitat RELY,RA Ewa EA she data tostabell &Ada As• be nyAmiseud , mat ar iLehLerl to ethers Alabama Anima eaRLO011es at -0 Cabers Amos CEE•nEloa. REV APPROVAL Mr and 7s EPALEE0 RAW DESCRIPTION OF CAWIORE 0 - K Naberman 07/30/07 Original Release rn —I A K. Naberman 10/09/07 1. GC51O008084 was rev —: 2. GC52O008596 was rev —; 3. Added GC52204K459; 4. 00028020004 was rev D; rn Es K. Naberman 11/01/07 1. GC5100O8084 was rev A; 2. GC5200O8596 was rev A; 3. Added GC52O0OKroa; ci rn C K Naberman 12/20/07 1. GC510O08084 was rev 8; 2. GC520O08596 was rev B; 3. Added GC528O2029O; 4. Added GC52000K525; -0 D K Naberman 01/24/08 1. GC520O08596 was rev C; 7s E K Naberman 02/19/08 1. GC510008084 was rev C; 2. GC52OO08596 70 was rev E; 3. GC528020290 was rev —; 4. Added 17254; -o F K. Naberman 03/10/08 1. GC5100O8084 was rev D; 2. GC52O0O8596 was rev F; 3. GC528020290 was rev A; G KACA— 03/19/08 1. GC510008084 was rev E; 2. GC52OO08596 was rev G; 3. GC52204K459 was rev —; 4. GC52000K526 0• 0 was GC52O00K525; 5. Added GC52000K529; 6. Added GC520 00K530; 7. Added GC520O0K533; lD F-1 w agate Aerospace Corponidon oz Long Beath. California 90808 '0 DA DAS TE 1 1 j ' 474litlin STC1 _4/20 ti 0_ i; DAS Fonn IJ p vt, EFTA01329231 SDNYGM02757447 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244369 EFTA01329232 L/1 TITLE NUMBER REVISION PEET CO Index List - Interior Passenger Cabin (STC) Gulfstrearo OVNAMICIE COMPANY GC52 0008595 G 2 of 2 H EllOPIECTSIDI NOTICE TENPs - lalws•IlLe dladmed Pats b pospiebry ECENINENE Straw. IPENEENN NODE PE Es set RN ENE EsonlaslPEPLla IQ NEEPENI. ad. w dlideNd to EWE wisoui wins INNEOPEENtElferson Amgen CLEEENEN 0 UST NUMBER REVISION TITLE OR DESCRIPTION DEO IIAL -O 0 GC51 000 8084 F G Data list - Avionics! Electrical Passenger Cabin (STC) GC52 000 8596 J G Data List - Interior Passenger Cabin (STC) ILSPOCNTE0 DOCULEMIS REPORT DESCRIPTION GC52 801 A485 — — Instructions for Continued Airworthiness 0 GC52 496 5173 - - Stress Substantiation GC55 0WS 5173 — — Weight & Balance Statement C GC51 000 E121 — — Electrical Load Statement po GC52 204 K459 A G 14 CFR Part 25 Compliance Evaluation Report C-5420 A -- FAR 25.853(e) Compliance Evaluation -O GC52 802 0290 B F FAR 25.853 & 25.855 Compliance Evaluation 17254 A E Skandla, Inc. Fireblocking Flammability Test Report GC02 802 0004 E A Thermal / Acoustic Insulation Flammability GC52 000 K491 — -- Functional Hazard Assessment po GC51 498 K061 — — Wire Routing Zonal Safety Assessment -O GC52 000 M068 — — Airplane Flight Manual Supplement - Cabin/Galley Master Switch Operation BC-5173 — — Aircraft Emergency Card Ln V-5173 — — Aircraft Egress Video GC51 496 6057 — — Ground Test Plan! Report Avionics / Electrical Drawing List GC51 468 G086 — — Ground Test Plan / Report EMI / EMC, Gulfstream GV-SP, SIN 5173 Co GC52 718 0000 F -- Ground Test Plan / Report Mechanical Systems .!-() GC52 000 K526 — G COTS Component Report - Router. US Robotics, USR8200 GC52 000 K529 — G COTS Component Report - Microwave Oven. Sharp, R-21LTF cn GC52 000 K530 - G COTS Component Report - Facsimile Transceiver, Brother, MFC-420CN P GC52 000 K533 - G COTS Component Report - External Hard Drive, US Robitcs, USR8800 Ul F DAS Form IL-1 Cp_ IJ y EFTA01329233 SDNY_GM_02757449 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244371 EFTA01329234 - U S DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION 19-Mar-08 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Radio, Helicopter. fie ) NAME OF APPLICANT Gulfstream Aerospace GV-SP Airplane Gulfstream Aerospace Corp. (T.C. Al2EA) LIST OF DATA IDENTIFICATION TITLE GAC DOCUMENT GC54 4960033 Rev IT' Data List — Avionics/Mechanical (Dated 18-Mar-08) This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as -Applicable Requirements' (Compliance to additional regulations not listed here may be required.) This form (does not) constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (DETAIL DESIGN APPROVAL ONLY) PURPOSE OF DATA To support FAA form 337 approval of the Avionics/Mechanical design data for Serial Number 5173 only. APPUCABLE REQUIREMENTS gin spec,* secant) 14 CFR § 25.1301(a),(b). CERTIFICATION - tinder authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan IS) of the Federal Aviation Regulations, data listed above and on attached sheets numbered N/A have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. - Recommend Approval of these data I (We) Therefore El Approve these data SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION 4 ,4<aci.=._.. Kelvin K. Arakaki - , DERT-605009-NM Systems and Equipment-Meth FAA Form 8110-3 (11-70) SUPERSEDES PREVIOUS EDITION GPO 90t413 SDNY_GM_02757450 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244372 EFTA01329235 SDNY_GM_02757451 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244373 EFTA01329236 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 20, 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE . MODEL NO. TYPE (Airplane. Radio. Helicopter. etc.) NAME OF APPLICANT Gullstream Aerospace GV-SP Airplane Gull-stream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC544960033 Rev. J Data List - Avionics / Mechanical Dated 03/18/08 GAC REPORT: GC524965173 Rev. -- Completion Stress Report for GV-SP Serial No. 5173 Dated 03/20/08 (Section 2.3 8 Section 3) This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements.' . Compliance to additional regulations not listed here may be required. This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (DETAIL DESIGN AND STRUCTURAL APPROVAL ONLY) End of data. PURPOSE OF DATA In support of Form 337 Approval of the Avionics / Mechanical design data for Serial Number 5173 only. APPLICABLE REQUIREMENTS (List specific section) 14CFR Part 25, Paragraphs 25.301, 25.303, 25.305(a)(b), 25.307(a), 25.365(a)(b)(d), 25.561, 25.571(a)(b), 25.603, 25.605, 25.607, 25.613, 25.619, 25.787(a)(b), 25.789. CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Part 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered None have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. M Recommend Approval of these data I pelerThaefore © Approve these data SIGNATURE(S) OF OESIGNAT 0 E GINEERING REPRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION John D. Nguyen I / A DERY-606135-NM Structures FAA Form 8110.3 (11.70) SUPERSEDES PREVIOUS EDITION GPO 901-613 SDNY_GM_02757452 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244374 EFTA01329237 I SDNY_GM_02757453 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244375 EFTA01329238 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION March 20, 2008 STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO TYPE (Airplane. Radio. Helicopter. etc) NAME OF APPLICANT Gulislream Aerospace GV-SP Airplane Gulatream Aerospace Corp. LIST OF DATA IDENTIFICATION TITLE SAC DRAWINGS: GC5 1 496 0338 Rev. "H" Data List - Avionics / Electrical Wiring Diagrams GAC REPORT: GCS I 469 6362 Rev. "--" Report - Electrical Load Analysis This approval indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements". (Compliance to additional regulations not lined here may be required.) This form does not constitute FAA approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. (AVIONICS SYSTEMS DATA APPROVAL ONLY) PURPOSE OF DATA Substantiates cockpit and cabin modifications. Aircraft SM 5173 only. APPLICABLE REQUIREMENTS Wig specific sections) FAR 25.1301(a)(b)(c), 25.1309(b), 25.1351(a), 25.1 353(a), 25.1352(a)(c)(dXe) and 25.1431(c) CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan 183 of the Federal Aviation Regulations, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. 1=1Recommend Approval of these data I (W.) Therefore EN Approve these data SIGNATURE(S) OF DESIG TED E N RING PRESENTATIVE(S) DESIGNATION NUMBER(S) CLASSIFICATION DERT-606116-NM Systems & Equipment Michael B. Kambourian Chart C2 FAA Form 8110-3 (11.70) SUPERSEDES PREVIOUS EDITION GPO 901.613 SDNY_GM_02757454 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244376 EFTA01329239 SDNY_GM_02757455 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244377 EFTA01329240 U.S. DEPARTMENT OF TRANSPORTATION DATE FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS -3-/41.• O6 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE MODEL NO. TYPE (Airplane. Radio. Helicopter. etc.) NAME OF APPLICANT Gulfstream GV-SP Airplane Gulfstream LIST OF DATA IDENTIFICATION TITLE GAC DRAWINGS: GC514040324 Rev. "N/C" Instrument Panel Layout - S/N 5173 (Dated 8/30107) GC514050349 Rev. "N/C" Pedestal Layout - S/N 5173 (Dated 9/25/07) GC514080339 Rev. "A" Overhead Panel Layout - S/N 5173 (Dated 11/13/07) This approval indicates the data listed above demonstrates compliance only with the regulations Specified by paragraph and subparagraph listed below as "Applicable Requirements1Compliance to additional regulations not listed here may be required.) This form (does not) constitute FM approval of all the data necessary for substantiation of compliance to necessary requirements for the entire alteration/repair. This includes verification that these deviations have no impact on crew workload, cockpit noise or lighting on S/N 5173. PURPOSE OF DATA To support FAA Form 337 Approval of Miscellaneous Modifications of Serial Number 5173. APPLICABLE REQUIREMENTS (List specc section) FAR 25.1301(a), (b), (c) and (d) (No Arndt), 25.1303(a), (b) and (c) (Amdt 25-90), 25.1307(a), (b), (c), (d) and (e) (Amdt 25-72), 25.1309(a) and (c) (Arndt 25-41), 25.1381(a) and (b) (Amdt. 25-72) and 25.1555(a) (No Amdt) CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under Pan In of the Federal Aviation Regulations, data listed above and on attached sheets numbered have been examined in accordance with established procedures and found to comply with applicable requirements of the Federal Aviation Regulations. MI Recommend Approval of these data I (We) Therefore 83 Approve these data SIGNATURE S) OF DESI TED ENGINEERING REPRESENTATIVE(S) DESIGNATION NUMBERS} ciAssicicAtioN — DERY-606181-NM Flight Test Pilot L. Blaine Hammond FAA Form 8110.3 (11-70) SUPERSEDES PREVIOUS EDITION GPO 901.613 SDNYGM_02757456 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244378 EFTA01329241 SDNY GM 02757457 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244379 EFTA01329242 Gulfstream A GENERAL DYNAMICS COMPANY MAINTENANCE REQUIREMENTS INSTRUCTIONS FOR CONTINUED AIRWORTHINESS FAA FORM 337 APPROVAL GV-SP (G550) S/N5173 Report No: GC52 801A524 PREPARED BY: (6 -- 4 03. t El, OS Robert E. Ebbat DATE Technical Writer APPROVED BY: /4 ./../4.1ri 87 5 7-1 f — Matthew W. Norton DATE Certification Project Specialist PROPRIETARY NOTICE: This data and information disclosed herein is proprietary data of Gulfstream Aerospace Corporation. Neither this data nor the data contained herein shall be reproduced, used, or disclosed to others without written authorization of Gulfstrearn Aerospace Corporation. SDNY_GM_02757458 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244380 EFTA01329243 SDNY GM 02757459 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241381 EFTA01329244 GC52 801A524 Gulfstream• A GENERAL DYNAMICS COMPANY Rev. - REV REV APPROVAL DATE REVISIONS AND/OR ADDITIONS LTR BY — — -- 03-18-08 Initial Release Effectivity: GV-SP (0550) March I8.2008 SDNY_GM_02757460 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244382 EFTA01329245 SDNY_GM_02757461 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244353 EFTA01329246 GC52 801A524 Gulfstream. A GENERAL DYNAMICS COMPANY Rev. - LIST OF EFFECTIVE PAGES PAGE DATE March 18/08 ii March 18/08 iii March 18/08 1 March 18/08 2 March 18/08 3 March 18/08 Effectivity: GV-SP (6550) ii March 18, 2008 SDNY_GM_02757462 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244384 EFTA01329247 SDNY_GM_02757463 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244385 EFTA01329248 GC52 801A524 Gulfstream- A GENERAL DYNAMICS COMPANY Rev. • TABLE OF CONTENTS PARAGRAPH PAGE 1.0 INTRODUCTION 1 2.0 DESCRIPTION 1 3.0 CONTROL, OPERATION INFORMATION 1 4.0 SERVICING INFORMATION 1 5.0 MAINTENANCE INSTRUCTIONS 1 6.0 TROUBLE SHOOTING INFORMATION 2 7.0 REMOVAL AND REPLACEMENT INFORMATION 2 8.0 DIAGRAMS 2 9.0 SPECIAL INSPECTION REQUIREMENTS 2 10.0 APPLICATION OF PROTECTIVE TREATMENTS 2 11.0 DATA 2 12.0 LIST OF SPECIAL TOOLS 2 13.0 COMMUTER CATEGORY AIRCRAFT 2 14.0 RECOMMENDED OVERHAUL PERIODS 2 15.0 AIRWORTHINESS LIMITATIONS 3 16.0 REVISIONS 3 Effectivity: GV-SP (G550) iii March 18, 2008 SDNY_GM_02757464 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244386 EFTA01329249 SDNY GM 02757465 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 002443R7 EFTA01329250 GC52 801A524 Gulfstream• A GENERAL DYNAMICS COMPANY Rev 1.0 Introduction: Modification of an aircraft by this FAA Form 337 obligates the Aircraft Operator to include the maintenance information provided by this document in the operators Aircraft Maintenance Manual and the operators Aircraft Scheduled Maintenance Program. The intent of these Instructions for Continued Airworthiness is to comply with FAR 25.1529 and 43.13(a) This modification consists of alterations that were accomplished in conjunction with the installation of a custom interior on SIN 5173. These alterations were done in accordance with Gulfstream Aerospace Corporation Data Lists. Avionics/Mechanical GC54 4960033 Rev. H. and Gulfstream Aerospace Corporation Data Lists. Avionics/Electrical Wiring Diagrams GC51 4960338 Rev. G This system has been analyzed by the MSG-3 Analysis process and has been determined to be Non- Maintenance Significant Items (Non-MSI). As a Non-MSI. there is no scheduled MSG-3 maintenance tasks associated with this installation. 2.0 Description: The following are part of these alterations: Installation of Securaplane Security 500 System UHF Antenna at GVFS 714.00 Installation of Aircell Indium Satellite Telephone Antenna at GVFS 346.00 3.0 Control, Operation Information: N/A 4.0 Servicing Information: There is no servicing required for this installation. 5.0 Maintenance Instructions: A General Visual Inspection of the Line Replaceable Units and associated wring for condition/deterioration will be performed as pan of the normal airplane zonal inspections as defined in Chapter 5 of the AMM. NOTE: Fatigue and Damage Tolerance structural inspection requirements are satisfied by the airplane structural inspections as defined in Chapter 5 of the AMM. Refer to the Gulfstream GIV Aircraft Maintenance Manual, ATA Chapter 5, Time Limits /Maintenance Checks. and GIV MRB Report - Structural Maintenance Program and Zonal Inspection Program (ZIP) for recommended periodic structural inspections. The Gulfstream GIV Corrosion Prevention and Control Manual should also be referenced for established corrosion prevention and control procedures. Effectivity: GV-SP (G550) Page I Febmary 22, 2008 SDNY_GM_02757466 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA ({)244388 EFTA01329251 SDNY_GM_027574B7 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244389 EFTA01329252 GC52 801 A524 Gulfstreams A GENERAL DYNAMICS COMPANY Rev. - 6.0 Trouble Shooting Information: Refer to the Completion Center Wiring Diagrams Manual 7.0 Removal and Replacement Information: MANUFACTURER PART NUMBER DESCRIPTION A. Securaplane 444-DMC-57.1 UHF Antenna Securaplane 500 Security System B. Sensor Systems S67.1575-165 Aircell Iridium Satellite Telephone Antenna For removal and installation procedures for above antennas, reference The Gulfstream G550 Maintenance Manual, ATA Chapter 23-12-03 VHF Antennas Removal/Installation. 8.0 Diagrams: The wiring diagrams associated with these alterations are contained in Appendix 1. 9.0 Special Inspection Requirements: None required. 10.0 Application of Protective Treatments: WA 11.0 Data: NIA 12.0 Ust of Special Tools: N/A 13.0 Commuter Category Aircraft: N/A 14.0 Recommended Overhaul Periods: N/A Effectivity: GV-SP (G550) Page 2 February 22, 2008 SDNY_GM_02757468 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241390 EFTA01329253 SDNY_GM_02757469 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244391 EFTA01329254 GC52 801A524 Gulfstream• A GENERAL DYNAMICS COMPANY Rev. - 15.0 Airworthiness Limitation: The Airworthiness Limitations Section is FAA approved and specifies maintenance required under §§ 43.16 and 91.403, of the Federal Aviation Regulation, unless an altemative program has been FAA approved. 'No airworthiness limitations associated with this type design change.' 16.0 Revisions: Revisions shall be recorded on the Log of Revisions sheet. The revised document will be distributed as required. Effectivity: GV-SP (G550) Page 3 February 22, 2008 SDNY_GM_02757470 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244392 EFTA01329255 SDNY_GM_02757471 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244393 EFTA01329256 UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION —FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE I NANOMAINT AM) tilAitUFACIUSTIS AND MODEL INGOTS/JON MARKS 3 AISICSArt SERIAL a CATEGORY HUNKS N401110 Callon sm CV-SP (G5501 5173 Transport S AUIHOPII V ANO HAMS TOP ISSUANCE TN; einrorthlmss antifireie is issued weave& to she lederol AYH' , Oil Act el 1934 ord ceor•res that, at dole el isteence. the &Tubb so alt‘ck ;mod hot teen Inspected of IN Itwinloa • to be in ceirdision I& sole operetien. end end Ectend le conform to Ow liP. teonciolii hot bees sheen to mem the ren,rements of M. noel...Ue nenerelmner• end derided oitwortNanits cede en provided by Anne. re the eel**lea ••cepl es mond herein. f Convenhen on I iihrri r e r ionol Cc••I Interaionsi Exemption No. 7946 25213 le) Door Between passenger comportments Exemption No. 5004 25.901 ic) Single Failure Criteria Farmntinn Nn RIA2 '14 OM lel clasp, feline firiterd. 6 1ERNS AND C0.40111EMS Unless sooner ornittidertd. rotpendrd. revolted. or o lefIlliPOPOS dole is orhenvise IN, ceemoothinett anolliese is rinittrive or long on the maintenance. pm. leave scant •sroblitivd by Ne Adminittc0100. nonce. end eltemilLons Of* esedermed in etrotelence mint Pons 21. 43. end 91 el elm redoccd Ay,. Intelationt. at OKHOOlcielt. end ten -' sale Is reeisiered in the United Slate, DatE Of dinfACT red STENICSONAIRT cl it .,,DOESiCHATICIAI NUMBER RIneit/2007 tartlet II Prentice Priseivirent Any oneresion. nurroduction. es masa* of this (*.like* y be IC We y • rne sot ecteed A !no 21.n c,: jta• r rt 0 not ••••••into 3 Veen. Or balk THIS CUT Alt MUST DISPLAYED IN THE AIKIAIT IN ACCOEET ANC. WIIP1 APPLICANT PI0 *Al AVIATION Afoul 1 S. FM Fern 1100-21, •ai restmoste IAA r %a ....••••••••••••••• SDNY_GM_02757472 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244394 EFTA01329257 SDNY_GM_02757473 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244395 EFTA01329258 Replacement Airworthiness Certificate I am requesting a replacement Airworthiness Certificate for the following aircraft: Descri.tion of Aircraft Registered Owner: GULFSTREAM AEROSPACE CORP 500 GULFSTREAM RD MSC B-16 SAVANNAH GA 31408-9643 Make: Gulfstream Model: GV-SP (G550) Serial Number: 5173 Registration Mark: N40I HB My Airworthiness Certificate: Was lost (explain the circumstances below) Is mutilated Is unreadable (certificate attached) Other ex lain the circumstances below Explain the circumstances. Certificate was reported to be on board aircraft after pre- flight the morning of March 27, 2008. On arrival to Boise Idaho, Gulfstream Transition Support personnel reported the certificate was not on the airplane. I hereby declare that all of the above statements are true. Marc Marc McCune, Quality Control Supervisor Date Name and Title (Print) Signs e SONY GM_02757474 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244396 EFTA01329259 SDNYGM_02757475 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244397 EFTA01329260 ICA MNrtCO 5 ono OI AMER ADMINISTRATION AL AVIATION TRANSPORTATION-FEDER DEPARTMENT OF CERTIFICATE STANDARD AIRWORTHINESS FT 1CMAL a CA (Doty 1 AIRCRA 1 YAM/FAG I Wed WO ROOT MoeMO 1 Naldmialv AND 14441.419001 PARRS 5173 Trasport N40114B Culbert= CV-SP (C550)_ • FOR e5SeaMt end ~fifes thee. Ot el the 5 AUNIORel v AND 1•14 Federal Aviglien Act el 195E cetbSces it tatted paw. , to the to <enlam to the Nye* This teinemenhaest c nikele to volvh bet been inspected end lend reeneremenes of the makable dote el inucoMe. the 'Swalelee tole (*.knot... end het been dews lo meal the alien en lemeatmeml Civil Ostler, te be in 0.00 by Anne. to the Con. j henen cede Os Mind ammehentive end cloalm Meane 1*,/... seiceiee. ••.••• es Awed compartment Eamemene Exemption No. 794625413 (e) Door Beinen pannier e Criteria Exempiion No. SOU 8.9011) S Mile Failur feller. reknit FormMion No A142 IS 901 IM SietIc . etleblitited by the Adatinlacatet A li inn AND fund1 105 emmannan dolt et efheetwim coteintenence, end elterco1enh ace suspended, ...eked, a 0 wassobie unless ~ea Maseelened. v• et 10.9 CI, the rackatettneet iL liteen, es oppeop acne. end the ably einverattnett tereittowe is •fiecet IN tide .On ENFolo milk Pont 21. 43. end 91 el lterletnted in ~sods* elm tleåted Seeta DTSKAM eon woman pinta, ii tediNtad et. FAA Aim«Pe Knee( DAIS Or r55Wence fIDARTIOCITTIM/P Ism.< n Prentlm May be ecoatheble by a fine SO Fauettellog 11.000 , m int. R10/31/2007 E1 IN ACCOME DISPLAYED IN TN! AIKRA on educe* e/ di. «VI. Any eleetetlen, teetedvattee. recta a hah. THIS Cl lit Alt MUST N Wawa. am •••emene 3 5. A1 AVIATION RCOUL TI ANC( WITH AFFKAIll PIDTR es •.~«..esiker .e. MS. 1142 FM Fn 8106211 Oil FORMERLY FAA FOR ' ' -• • • ' • - - •'• •- - '-. ' ' - .. ~TED PATESOf ~CA TION AVIATION ADMINISTRA SPORTATION—FEDERAL DIYARTMEW OF TRAN CERTIFICATE STANDARD AIRWORTHINESS MOKAMY 5Eauu a CATEGORY • MAMAACIUMR A10 tet013ER • MAI 11106TILMICA 5173 Transport N673GA en °laminae.en 5 AUTHORITY AHD BASS FON IMIES/5 amen as lead. We Tnneentonlaera cad< elm UPC etenea e be n COWens a ad ~Mee code a 10011 to am. mad •Cyy Maelelea and ea am ten Paten n ToMparlme Rana* be Was Ito fitz Ono" FIRER 4ItIlle Ilure Cri IM 4 TERMS NIO COMM, Ond by re Admaenato• And 0410en paaad Unless Vleder we en ern Ueda ereperumee rhea,. dean 01000 accomancesemPon1,4 ONE O< 6SUANCE A1031/2007 enmmno510». a ernomern rmml oreesemOem WITH Malta AMAINIale• rarOOULINn,e YE0 I AIRCRAFT IN ACCORDANCE Ton$ CERWICA e MUST SC DISIMA Men ce bom AWATtON REGULATIONS OFFICE 200E-46S443 USGOVERMAINT PORES FAA Fotin 8100-2 o-en G:DE . - GRAPHS 7, 8, 9, 10, 15 , 757476 SUBJECT TO PROTECTIVE ORDER PARA SDNY_Gta_02and 17 EFTA_00244398 EFTA01329261 SDNY_GM_02757477 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244399 EFTA01329262 FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE Form APProved 0 U9 0•914MAN ad Trarapprialon APPLICATION FOR U.S. AIRWORTHINESS itintICTIONS • FMTE a type Do nt4 wits In MASK net these WO lOt FAA UNE on,'' WPM orIgInal only to an IIIM0rtold FM RefAAVII/Ove II a09140nal UK* IS wart MN MInclvnenl. FIX petal IlOnI rill cornier S.aons II. VI end Errol AvlaU44 CERTIFICATE VII Rs EPPIPAISR. • Aermi raCaSIRATICY4 MARK if s, m N67T3G 54A ma 2 FACRAFT MADEITS NAME Ats* Gulfstream Aerospace Corp. t ENGINE SACERS more pier 3 AMOUR MOOR DESIONATIC14 7. Oat GV-SP (O550) ICOR DESIGNATOI 4, Mt MYR WONG 2007 -de/ Fg °120,2 3 5 !,1 , 5173 0F CRONES Rolls Royce BR700-710CA-1 I 9. PROPELLER RACER, NAmE Mel la PRCOELLER YODEL OESONATION Stic‘ 5 II. AIRCRAFT IS MmeSemIkaNO (2) N/A NIA SPORT APPLICATION 63 HEREBY1MA FOR: men appatarisrl A I / STANDARD MRWOFTENESS CERTIFICATE ..em Miamst I I mum‘ I Ile. I Irma"' 1•11 6 I PFA•FAI [Purr I fr it` B SAMOA AMWORTNINIESSCERTACATE FMNEN000.1• ENV T PRIMARY 9 WHY-SPORT penstar) .MANE I I ponEwFAACNOE I I nearreloarrwa I I sout I I SRA TWINE 2 LIMITEO I CLAM I 9 PROYESEMML Milml• CAM 0 2 CLASS II a I MACIATURE NO PEST CONTROL 2 AERIAL SURVEY 3 AERIAL saveenseo 3 RESTRICTEO Ors 40-040) RAISE Mapr.r. an tolesweall 4 9 PATRCRLING 6 WEARER ODETROL .0 01NEROANad I RESEARCHNO DEVELOPMENT 2 AMATEUR SUET 3 E109610301 2 4 AA RIMING 9 CIEs TWANG 6 MARKET SURvEY g EXPERIMENTAL nem 0 TO SNOW COMP man EATII TIE CFR 1 OPERATINCIMemyOmEmMEIT BURT uncrurr g 4 AmmsmO) NMMa* 0 OPERATING • 64 Ea tee Ferorims a snare tenfeen ft e OPYRROWNINMONIIM .03 . LKAT-SPORT IC reeenseraner............. issisMOO•elogeawyeersons•Pas a 1 21.1.0 I FERRY FLIGHT FOR REPAIRS. ALTERATONt IOAINTENNICE. OR STORAGE SPECIAL FLIGHT PERMIT 2 EVACUATE" FROM AREA OF P4PENDINGEIMCIER I nem onknws.tonaromsl 3 prcitATION IN EECM CC IA.ERMACERTIFCATED TAR WEIGHT 6.4 0.,.... oar wo.vT. spokete NANA. pfy, 4 DELIVERNIO CR ExPORTMO I 5I I PRODUCTION FURRY TESTING 6 CUSTOMER DEUONSTRATON FLOATS CI a MU TOLE MRWORTNINESS CERTIFICATE WyMmove vimmisOossireenefaserd'arTARIMPAMPINFM) A REGISTERED OWNER IM MAR momilmimerne ROMAN P SAME O * NOM I 1 Pt CUM Aerospace Corporation ACOR13$ 500 Gulfstream Rd.. Savannah. GA 31408.9643 . S AIRCRAFT CEA TIFICATION MEM fan stsimal.aNtAnAMOMINMARmi ammoo° AIRCRAFT SPEORCATON OR TYPE CERTIFICATE DATA MEMPPR Me me ..... NO A 12EA Roy. 29 1 -MIWORTIIINESS DIRECTIVES Cur Oldiesierar An overrappe neon Vs 16671Y8%SOPPAILINT•FMMO a Maiemmens• acernamtamrearn MCRAFT LISTING army rreell SUPPLEMENTAL rat CERT./CATE Arnmealood. SEC•rer.r.) N/A N/A C. MCKIM COMMA AND WartENANCE RECORDS CHECK F RECORDS PI TOTAL AIRFRAME 2$3uFt5 E(PERINIENTA ONLY Arsrun Ann Sr tasarks.Saes 1 COWES/a MAIM 14 OR 3 rum* Seam 91.41? 4:31 Hrs. N/A M 0. CERTACAnO14 - I MIME COME Mr I En Ss MISTS c•FAN OP a .g 4144 as ORS Soto J Sow. P.M Ur won Is onnicad WS Tie Fern/ *Mos MromMINCIOn R accolimm *Si Tae9 al in$ WAS EWA Cods 44OUL222 sr aptirre FedorMann FIMpallent WM AM PP MVO 00$ TMAIMPPAPS we Is PO 9491:44 IFF RR aNmstimmcwitate reqmolal, DATE OF APPUCATION SANE N6311119 /Pr or nor SIENAURE..... 10/31/2007 Tom Sesock, Production Manager A DIE NRCRAFT OESCROED MOVE NM SUN IFSPECTEO MO FOUNDAIRWORTHY BY: Marar Re ran Ars 4 overns.moo 14 CFR Mn 5210:RAMAT ROWER CERTIFICATED IFECHNIC AS tarroNo CERTIFICATED REPAIR STATIONrn. tsar NW Mr trani.N41 3 6 1 II I 5 2 G02R813X MRCRMT /4ANUFACTURER Reserr PAPE M DATE TITLE 31 744.0.4_. 10/31/2007 Paul D. Jacobs Certification Inspector FMNIALl maiMAMO Erm• eve TIE CIERTMOAL RE ED i A. I Ind Pr Pr Soul arra. N Sweat I of IV well retp•irOldi kw 4 1 AASCIENT OR minor CUMEHTAIMVOnnedeSSCIRMICATE 4 a kr I roar pm. war ticke Vilna I'm r4PECTOR FMDESIGNEE !I TarrINI INI CERT li MOWN I ,i a =Wit s OAR MACY OFFICE DESIGNEE'S SI NID IM U 4 I 10/31/2007 CEA2 Kevin Ni. Suhr ODARF100127CE arm 8130.8 (10.04) Provioua Edroon Dared 5/01 May be Used Until Depleted. Excepi for Wu -Sport Aircraft kimi ci g 7007 NSN: 0052 14 10 0 SDNY_GM_02757478 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244400 EFTA01329263 A SAMOACTUITER NAVE ADDRESS 0 PRODUCTION BASIS (CNN mama am( PRODUCTION CERTIFICATE layspmemNem ANN/ TYPE CERTFCATE ONLY . VI APPROVED PRODUCTION INSPECTION SYSTEM C OW OUAMITY Of CERT.-CATES REQUIRED FOR OPERATE.° NEEDS UM OI APt%tMCN ItsAtE MiD (ME per . Ofe) SIGRAluitE A DESCRIPTION Of, AIRCRAFT RECASIEREO OWNER Ai:OROS CARDER wow MODEL SERIAL RACER REGISTRATION MARA 0 °ESC/WT*1(0F RIGHT CUSTOMER DEMDMIRATiOA suGGIS O (GIA1 1 swam, / FROM TO AA DE ?ART uRE OATS DURATION i I 4 CREW RE0UMED TO OPERATE TIE AMMO, AND ITS EC/JIM/ENT I I PLOT I I CO.PIL07 I I FUGHT ENGINEER D. TIE AIRCRAFT DOES NOT /NET IRE APPUCATILE AJRWORTHINESS REOUIREMENIG AS FOLL °THER1 51.'klM 1 i 0 :I X I t E THE FOLLOWING RESTRICTIONS ARE CONSIDEREDNECESSARY FOR SASE OPERATION MeIIIVISIAI IAMMINGT i g g g JS F. CERTIFiCAnOM- MAAR,/ ones TANI Nn Re rogNend oww los Na apM) Cl No most clacnad Now tel SW S.. wAh Se Foss* Assam AOrersulton o Amway, me& TEN Mato Lima Sues, Ca% STICH gm, NW noses F•dovi AWNoL FlogAuloAs. wsd Mil Inkrall ANNo, Irepoolod &WYNN Tx Me It011doscAtort DATE NAME MC THE RIFT s• &pat SIGNATURE i• A Owasso LANUNGA NV Wrongs N OmplanonAh 14 CFR &Won 91O. O. Sraismom el CtalcaNty. FM Form 61104 MORA WWI NOANAT I es seminal* PI Folios AMATThess Celikelon lot Irma ANNA QaE 7 & Cunwi °Neap UrnNW* Alisthof (Moan — isigsres4 C Ca OMAN* EIWASESS. MC. gnacA sae swim/ i I. (*MLR Answins• Celfgal• PRAWNRomen• wan lis in (s1 1 D. Cu/SrlY00.11lad Balease It.mslen ANNOY OMAN* ia CFR Seam , I CM MT • I /812.21 • E. AWN ROO Ind AIRMAM. FM Fars 337 Are one oRNINI i ;I.4 GANS heavamin bevel In Accardsste MR Om ANNAN if IC TWA IMPIOIce RATRANd In ANNA ROM* K.1.01990.1ANSI Ssairrom Cl Cangsnes. FM Fan1130.1S (MUM Won Noteo) FAA Form 81304 (10.04) Previous Edam. OMed 5/01 May W Used 1AMII OE9WE0, except lot LIghtSport M : - SONY_GM_02757479 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024440 I EFTA01329264 COMTWOO OP TIM.414111i0:371:411/4 *Yung. samierftrigIN STANDARD AIRWORTHINESS CERTIFICATE • tOWIPIIII• AV/ Trugocce NOSCA • IA, Olig• NO/AN 0. 4/f, Onanamoun• ..0.00•••••••••••••••• non is •••••• ••••••• nismaeSe•falle ••••10 , ••• NEP •.1.1.•.~1.1.1000111 g•••••••••• cualmwera 2,1 na • nISI.•1.0 CO•Coran toss gine ••••••••••••• (MK. I. 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EFTA_00244404 EFTA01329267 SONY GM 02757483 I TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15 EFTA_00244405 EFTA01329268 FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE Form Approved C Asib if APPLICATION FOR INSTRUCTIONS • Print or typo. Do not write n snits; these an for FM use only. Submit coral Only ban Sulk•Xtted FM Rapressnralriy. II ElaticAal pace IA M GurvAmi U.S. AIRWORTHINESS required. um anischment. Foe spatial 5101 Formes consists 6•010ris II. VI AM AI Memoriam. NOVA ARITAMA CERTIFICATE VII as spituas. Asisnimpasan I. REGISTRATION WAX 2. MIERAFT SNIDER" NAME MOE 3 MICRO T MODEL DEMNATiON 4. YR. GER FM COMO N Gulfstrearn Aerospace Corp. GV-SP 2007 II S. MRC/SI ° SflM so. 6. ENGINEBLOWERS NAME Atm I. ENGINE MOOD. DESKNATION 5173 Rolls Royce BR700-7l0C4- l I _. E. MAKER OF ENGINES- NI PROPELLER OUTD/RS WM MN IC ARCINLIR PAGET OG31010,7,0/. II. MRCPArra ownsream (2) N/A N/A MIPORT APPLICATION IS HERE/3YMa FOR: MAR amkas1arm A I il STANDARD MITWORTNIESS CERTIFICATE pea NANO I F ella I I' n j w I I ,..,...m IiI "sew I I“....m.I I a I Imo a WON. AIRWORTHINESS CERTIFICATE I6.0,..'.MIIIMRA 7 PRIMARY 2 _ UGHTSPORT nom emu ?swat I 1 poveNaOcit I I vax•ruitsfrarstrn I I °Lout J I Kaa911101 41.1 2 WAITED I WM I 5 FROVROONAL Raker Ca•O 2 CLASS II It CERTIFICATION REOUTSTTO I AGRICIATURI AND PEST CONTROL 2 AIRIP4 RISKY 3 AERIAL ADVERTISING 3 RESINCTE0a••••••••ssaarS • FCRES2 Sam Ammo.* S PATIVZIM40 I MEATIER CORTEX Am /AMMO o OTHER *NM I RESEARCH MO ONELOPUENT 2 AMATEUR STILT 3 EXIMMION 4 AIR RAWO 6 CREW TANNIC 0 MARRO SURVEY a EXPERAIENTAL Rom. 0 TO SNOW COMPUNICII MTN NE CFR 7 OPERATING GommCANFASt KIT EMIT AIRCRARI wavy.. or Rama* M 044.24mal sem moNAAFTme emEN•40 mu .44.1RAI OPERATING 0 uORT•SPORT as c••••• vnins Ka. SC away Wales• pat*/ sae eaisa graissaaaelastaa• radars. 5 rims I FERRY NPR FOR PERMITS, ALIVIADONS. MAINTENMICE. OR STORAGE 2 EVACUATION FROU AREA OF ITIPENDPC DANGER SIEGAL MIGHT PERMIT a P4"" ...."" (4.14." 444 3 OPERATIONIN EXCESS Of MAXIMUM CERTIFICATEOTAREOFF WEIGHT am /me m seeMaInv mid i* enemy, acid 4 DIEUVIRING OR EXPORTING I DI I PRODUCTION FUONT TESTING 6 CUSTOMER OCACIRIIIGTEN FLIONTS CI 6 MAGEE AREORTNINESS CERTIFICATE µms MOW ItassICIAmilWAW Ws WAWA. SEAR A. AGAWAM OWNER (44mAsemmamaium.A.s....4 •µES. memME I It NAVE MORS Gulfgrearn Aerospace Corporation " 500 Gulfstream Rd.. Savannah, GA 31408-9643 S. ASICRAFTCERTFICATION SASISCreatatalmainiaesialeasassaasaanaR•M 'IMPACT SITEIGTICATION OR TYPE CERTIFICATE OATA MEET (Goa or AIRWORTHINESS DIRECTIVES'S/ma seamical•A03 magektemema Me Ammo Nol 1 foritigs0Svortbalwr•mmasistamentoginle•Mesanirai Al2EA Rev. 29 Wr•l AiRCRAF1 USING Sams •••••••• SuPOttuestra MPS CERT/Dealt mican•a•lask SIC nrower.1 N/A N/A 1 C. MEAT MAMMA ARO IAMITENAACE RECORDS , 04E0( IF RECORDS IN TOTM. 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