UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION - MIKE MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
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SIGNATURE Digitally Smiled by RICHARD MUNKVOLD I DATE ( te5 17.021
11)
TYPED/PORTED
Rchard MunkvolO A EI CFO of Frontier Finance Co its Member
NAME
SIGNATURE. DATE,
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JW019658 Conveyance Recorded Jul/30/2021 08:53
UNITED STATES OF AMERICA OW Control No. 2120.0042
Exp. 04/30/2017
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF $ 1.00 + OVC THE
UNDERSIGNED OWNER(S) OF THE FULL LEGAL
AND BENEFICIAL TITLE OF THE AIRCRAFT
DESCRIBED AS FOLLOWS:
UNITED STATES
REGISTRATION NUMBER
AIRCRAFT MANUFACTURER & MODEL
KEYSTONE HELICOPTER S-76C
AIRCRAFT SERIAL No.
DOES THIS in to,
DAY OF May
HEREBY SELL, GRANT, TRANSFER AND
. 2021
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO: Do Not Writs In This Block
FOR FM USE ONLY
NAME AND ADDRESS
(IF INDIVIDUAL(S), GIVE LAST NAME. FIRST NAME. AM) MIDDLE INMAL)
PURCHASER
M
y
Industrial Integrity Solutions , LLC
nano, a
DEALER CERTIFICATE NUMBER
AND TO ITS SUCCESSORS rwn-irranc•• • AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF:
IN TESTIMONY WHEREOF HAVE SET MY HAND AND SEAL THIS tattLy May, 2021
or
NAME(S) OF SELLER SIGNATURE(S) TITLE
(TYPED OR PRINTED) (IN NW) (IF EXECUTED FOR (TYPED OR PRINTED)
CO OWNERSHIP. ALL MUSTSIGN.
Hyperion Air LLC
d
ila necl LARRY VISOSKI Manager
ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES Of FMRECORDING: HOWEVER. MAY BE REQUIRED BY LOCAL LAW FOR
VALIDITY OF THE INSTRUMENT.)
ORIGINAL: TO FAA:
AC Form 8050-2 (01/12) (NSN 0052-004329-0E03)
211331018187
?/-5 DO 05/13/2021
SDNY_GM_02757943
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UNITED STATES OF AMERICA — DEPARTMENT OF TRANSPORTATION
FFIIEDu AMATION ADMINISTRATION - MUM MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
UNITED STATES
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SIGNATURE. DATE ( irs _ 11- II
1
TYPED/PRIMITO .
Lantrerwe P Sanaa Jrart MU Manager
DIANE
SKINATIME DATE
2
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FORM APPROVED O
oue NO. 212041042
UNITED STATES OF AMERICA 0
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION 0
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF $ THE 0
0
UNDERSIGNED OWNER(S) OF THE FULL LEGAL 0
AND BENEFICIAL TITLE OF THE AIRCRAFT DES-
CRIBED AS FOLLOWS:
0
UNITED STATES
REGISTRATION NUMBER: a0
AIRCRAFT MANUFACTURER & MODEL
Keystone (Sikorsky) model S-76C
AIRCRAFT SERIAL NO. O
O
DOES THIS II DAY OF June, 2019, 0
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
yn
IN AND TO SUCH AIRCRAFT • UNTO: Do HO WM In TM Mock
FOR FAA USE ONLY
NAME AND ADDRESS
PURCHASER
(iF INOMDUAL (S), GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL.)
Hyperion Air, LLC
6100 Red Hook Quarter, B3
St. Thomas, U.S. Virgin Islands 00802
DEALER CERTIFICATE NUMBER
AND TO ITS SUCCESSORS, EXECUTORS, ADMINISTRATORS, AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SPJD AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF.
IN TESTIMONY WHEREOF, THE UNDERSIGNED HAS SET ITS HAND THIS 13 DAY OF -344%-l- 2019.
NAME(S) OF SELLER SIGNATURE(S) TITLE
(TYPED OR PRINTED) (IN BLUE INK) (IF EXECUTED (TYPED OR PUNTED)
FOR CO-OWNERSHIP, ALL MUST
SIGN.)
SELLER
ASI WINGS LLC Senior Vice President,
By: Aetna Inc., its Managing Oso.Sure t
controller & Chief
Member Limits OAK Accounting Officer
James D. Clark
ACKNOWLEDGEMENT (NOT REQUIRED FOR PURPOSES OF FAA RECORDING: HOWEVER, MAY BE REQUIRED
BY LOCAL LAW FOR VALIDITY OF DE INSTRUMENT.)
ORIGINAL: TO FAA
orm 8050-2 (9/92) (NSN 0052-00429-0003) Supersedes Previous Edition
• and the following described engines: TURBOMECA model ARRIEL 2S2 bearing manufactmer's serial numbers 42285
and 42288.
191841014476
ADMW 35381002v: $5.00 08/13/2019
SDNY_GM_02757947
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244869
EFTA01329732
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SDNY_GM_02757948
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241870
EFTA01329733
OMB Comet Number 21264729
Etyma 0930'17
Paperwork Reduction Act Stalemate: The infcnnationcolkaed on els form Is necessary lo maintain aircraft 'Niehaus°. We eSlimate that it will take appronmaiey 30
minutes to complete de form. Pease note that an agency may not conduct or sponsor. and a person is ol eau' co to respond to. a ccriectco d irfonnation unless 4 asisays a
vale PAS control newer Form Approved, OMB No 2120-07/9 'Comments caxeming the accuracy of thin wrest) and sunscreens far (*drag the burden shoud be
directed to the FAA at 800 Independence Avenue SW. WaShinfilen, DC 20501. ATTN: won-re/on cotecton Csiararce Officer. AES-200.-
FAILURE TO RENEW REGISTRATION WILL
DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION RESULT INCANCELLATION OF REGISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION ARO REGISTRATIONNUMBER ASSIGNMENT
(See 14 CFR. §§ 47.15(1). 47.40 and 47.41)
AIRCRAFT REGISTRATION NUMBER NUMBER
N
MANUFACTURER MODEL
KEYSTONE HELICOPTER S-76C
DATE OF ISSUANCE DATE OF EXPIRATION TYPE Of REGISTRATION
08/16/2011 0111/31/2020 CORPORATION
ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE HELPFUL INFORMATION
(owner 1) ASI WINGS MC Review Aircraft Registration File Information for this aircraft
at: htID://recaStrYfaa.C/011/airCraftinClUiry.
(Owner 2)
WILL Enter any additional owner names on page two. Assistance may be obtained
at OW web page- haD;HregisInciaa.Q0Y/renewrecastration
/Address)
by Cr Masi a: faa.airaatreaiSlnifeinaa.00y. or
(Address) by telephone a! (866) 762. 9434 (toll free). or (405) 954 - 3116
City HARTFORD State CT rx, Osies000l
When mailing fees, please use a check or money order made
Camay UNTIED STATES payable to the Federal Ana,On Administration.
Physical Address: Required when mailing address is a P 0 Box or mail drop. Signature and Title Requirements for Common Registration Types:
(Address) - Inervidual owner non sign. tole would be -eAner.
- Partnership general partner signs showing 'general partner' as
(Adaress) title.
Cs Sate Z9 - Corporation corporate officer or manager signs. showing full title.
Country • Limited Liabilly Co authorized member. manager. a officer identified in
the LLC organization document mans. showing lull title.
- Co.oweer each Co owner must sign. showing "co owner as title.
TO RENEW REGISTRATION: REVIEW aircraft registrabon information. . I
autiatized penal must and show their fun title.
SELECT the appropriate statement, Erna any change in address In the
spaces below. 21,QB, Dem, a &la form with the $5 renewal fee to Ise: Noes: Al signatures must be In Ink, or other permanent media.
FAA Aircraft Registry. PO Box 25504. Oklahoma City OK 73125-0504.0r TO Correa entries: Draw a single line through error. Make correct entry in
by career to: 6425 S Denning Rm 118, Oklahoma City OK 73169-6937 remaining space. or complete the form onene. An application form will be
retracted if any entry is covered by correaicn tape or similarly obscured
p2 I (WE) CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FAA FILES
'' FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, CYNNERSHIP TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS CHECK /MI applicable block(s) below, COMM FTF. Bat DATE 4 MAIL
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. ihiS form with any fees to the: FAA Aircraft Registry.
PO Box 25504. Oklahoma City. OK. 73125-0504. or by courier to:
UPDATE THE MAILING r PHYSICAL ADDRESS AS SHOWN BELOW. 6425 S Denning Rm. 118. Oklahoma City OK 73169-6937
I (WE) CERTIFY 111E. NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF
THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP O CANCELLATION OF REGISTRATION IS REQUESTED.
REOUREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED
UNDER THE LAWS OF ANY FOREIGN COUNTRY. THE AIRCRAFT WAS SOLD TO:
(Show purchaser's name arid address.)
NEW MAILING ADDRESS
THE AIRCRAFT IS DESTROYED OR SCRAPPED.
NEW PHYSICAL ADDRESS: complete if physical address has changed. or THE AIRCRAFT WAS EXPORTED TO:
the now mailing address is a PO Box or Mail Drop.
OTHER, Specify
PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME
AND ADDRESS. The 510 reservation fee is enclosed.
SIGNATURE OF OwmER 1 (wouired red) PRINTED NAME CF SIGNER (required IBM) TITLE (required held) DATE
Erearoncany Crawled by RegStared Onners 3/28f2017
SIGNATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE
Use page 2 for additional signatures.
Fee paid: S5 (201703281152554432NB)
AC Form 8050-18 (04/12)
SDNY_GM_02757949
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024487 I
EFTA01329734
SDNY_GM_02757950
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244872
EFTA01329735
OMB Canal Numbe 21260729
Expcses WWI 7
Note: Twelve (12) owner names may be entered on this page. If you require more, enter the first 12 names and then print
this page by pressing the 'Print Page 2' button below. Next click the 'Reset' button to clear the data fields (from page 2
only) to add more names. Repeat action as needed.
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME Of OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
AC Form 8050-1B (04/12) REF N -NUM: n2JE
SDNY_GM_02757951
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244873
EFTA01329736
SDNY_GM_02757952
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244874
EFTA01329737
D
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B6 DEBEE GILCH KIST
- Al"fORNEVS & COUNSELORS
F.
a
0
August 4, 2014
Jana L. Hammer, Manager
Aircraft Registration Branch
Federal Aviation Administration
P.O. Box 25082
Oklahoma City, Oklahoma 73125
RE: Executive Jet Management;
One (1) Keystone He S-76C;
Serial Number U.S.
Registration Number
Our File Number: 5502.0015
Dear Ms. Hammer:
On behalf of ASI Wings LLC, as registered owner (or co-owner) of the above described
aircraft, we hereby request that a duplicate Certificate of Registration be issued for the above
referenced aircraft. The original was inadvertently returned to the FAA for mailing, but the
address listed is not the address where the helicopter is located.
Please deliver the duplicate Certificate of Registration to the attention of the undersigned
in the Public Documents Room.
We are enclosing $2.00, in payment for the duplicate certificate fee.
Very truly yours,
•
aihAft.4 7-/
Brandt S. Sterling
Legal Assistant
142161527019
$2.00 08/04)2014
• Oklahoma City, OK 73102-8609 • • Fax:
www.debeegilchrist.com
SDNY_GM_02757953
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244875
EFTA01329738
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SDNY_GM_02757954
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244876
EFTA01329739
V.S. Department Flight Standards Service P.O. Box 25504
of Transportation Aircraft Registration Branch, Oklahoma City, Oklahoma 73126-0504
AFS-760 (405)954-3116
Federal Aviation Toll Free: 1466-7624434
WEB Address: http://regisiry.faa.gov
Administration
Date of Issue: August 4, 2014
ASI WINGS LLC
HARTFORD, CT 06156-0001
111,1,81.16,011,1
HAND DELIVERED TO JGIL IN THE PD ROOM
T146046 This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
KEYSTONE HELICOPTER S-76C Serial =and is valid until Sep 03, 2014.
This is not an airworthiness certificate. For airworthiness information, contact the nearest
Federal Aviation Administration Flight Standards District Office.
S0eAlcbtili-et
for
Jana L. Hammer
Manager, FAA Aircraft Registry, AFS-750
Federal Aviation Administration
AFS-750-FAX-4 (01/14)
SDNY_GM_02757955
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244877
EFTA01329740
SDNY_GM_02757956
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244878
EFTA01329741
PRINT RAGE 1 PRIVACY ACT STATEMENT OMB Control Newby 2110-012"
Ens. c. 0513 u10 •
Paperwork Reducbon Act Staten". k The formation ozrodea on mo Icon a rosemary lo maintain alive registramn. We estirrate thal It we bare aperoximatoy 30 miniAcrs
be complete to lonn Picas" ere A tan weft, may na otinibm or apamor. end person is not recuice a respond to. to collection of inlexeraten WISMAR Morays a mild
OMB cower numece. Form Approved. OMB No. 2120-0729 'Comments concern no me accuracy of ms talon and suggestions for reflucIna the burden MOM be armed to
die FM at BOO indeFontianft Awing SW. WaShincren. DC 20591. ATTN: ink:Irma:ion Collect*, Clearance Officer. AES.200 •
FAMURE TO RENEW REGTSTRAWON WfLL
DEPARTMENT OF TRANSPORTATION • FEDERAL AVIATION ADMINISTRATION RESLRT WC.ANCELLAIION CW REGISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION AND REGISTRATION NUMBER ASSIGNMENT
(See 14 C.FF. if 47.15(1). 47.40 ant/47.41;
Al GISTRATION NUMBER SERIAL NUMBER
N
MANUFACTURER MODEL
Keystone Helicopter S-76C
DATE OF ISSUANCE DATE OF EXPIRATION TYPE OF REGISTRATION
August 16. 2011 August 31.2014 Corporation
ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE HELPFUL INFORMATION
(Owner 1) ASI Wings LLC Review Aircraft Registration File Information for this aircraft
at: htlofireaistry.faagovfaircrahinguiry
(Owner 2)
Nett: Enter any addeonal owner names on Page Imo. Assistance may be obtained
el our web bap" htiorireCielrY taa dOurrennwre0-Straten
(Address) e
by e-mar at. faa aircraft recistrottlfaanov or
(Address) by telephone al- (866) 762 • 9434 (loll free). m {405) 954 • 3116
City Hartford Stale CT zip 06156-0001 When mailing fees, deaf use a check or money order moft
Country payable 10 Me Federai Aviation Administration.
Physical Address: Required when mailing asklftrft is a P.O. Box or mile drop. Signature and Tine Requirements for Common Registration Types:
- Individual owner must sign, itue wOuld be 'Owned%
(Address) • Pannership general winner signs shaMng 'general panne( es title.
(Address) - Corporation corporate officer or manager signs. showing lull We.
City Stale Zip • Limbed Liliblity CO authorised member. manager. or °door nontaed n me
LIC organization document signs. sne.mg sus title
Country - CO-Owner each co-owner must sign. showing 'co-Owner as tee.
- Govemmem authorized person mast sign and show their to ten
TO RENEW REGISTRATION: IFAELV aircraft registration information. Nets: NI signatures must be In Ink, or ether permanent media.
SELECT the appropetate statement gaIgg. any Change in address in the
spaces below. AMI, DATE, & SEND form with the 55 renewal leo to the To correct entries: Draw a singe Aft through error Make Correct entry In
FM MOROI Registry. PO Box 25504. Oklahoma City OK 73125-0504. or remaking space. or complete the Kim onitne An application form was be
by Maude( 10: 6426 S Denning Room 118. Oklahoma City OK 731694937 rebooted b any envy is covered by correction tape or &misery obscured.
n I (WE) CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FM FILES
TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT. OWNERSHIP
MEETS CITIZENSHIP REOUREMENTS OF 14 CFR §47.3. AIRCRAFT IS Gl1fsd5 all applicable blocks below. ;OMR FTF Mil mu a htag. this
NOT REGISTERED UNGER THE LAWS OF ANY FOREIGN COUNTRY. form with any fees to the: FM Aircraft Registry.
PO Box 25504. Oklahoma City. OK, 731254504. or by courier to:
El UPDATE THE MAILiNG I PHYSICAL ADDRESS AS SHOWN BELOW. 6425 S Denning Rrn. 118. Oklahoma City OK 73169.6937
I (WE) CERTIFY THE, NAME(S) SHOWN MOVE FOR THE OWNER(S) OF
THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP MI CANCELLATION OF REGISTRATION IS REQUESTED.
REQUIREMENTS OF 14 CFR 847.3. AIRCRAFT IS NOT REGISTERED
VNDER THE LAWS OF MY FOREIGN COUNTRY.
O (Show
THE AIRCRAFT WAS SOLD TO:
purchaser's name sad address.)
NEW MAILING ADDRESS
O THE AIRCRAFT IS DESTROYED OR SCRAPPED.
NEW PHYSICAL ADDRESS: complete if PilYeleal address has changed. Of
the new mailing address is a PO Box or MOE Drop
O THE AIRCRAFT WAS EXPORTED TO:
• OTHER, Specify
O PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME
ADDRESS. The $10 reservation fee is encased.
AND
SIGNATURE OF Dwl 1 puled bee) PRINTED NAME OF SIGNER (l nuked held) TITLE Ireburcb Bold) GATE y ,
, Ammer Often Swan often• inc.
linda Westbrook
meow or AS. ADCS. LIC 7 ict Poi4
SIGNATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE
Use page 2 for additional signatures.
AC Form 8050-111(04/12)
SDNY_GM_02757957
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244879
EFTA01329742
VINONV1)I0
All° VflOillik0
9I IT IJId hI lfir
as Novi.
:I1S10.3.:1,V1..1Y1"
HilAi 0311.1
SDNY_GM_02757958
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244880
EFTA01329743
DOCUMENT LEVEL ANNOTATIONS
FFR -1B DOC ID 8018 5/1/14
141211307096 $5 5/1/14
SDNY_GM_02757959
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244881
EFTA01329744
SONY_GM_02757960
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244882
EFTA01329745
ta
V.S. Department
of Transportation
Flight Standards Service
furcraft Registration Branch. AFS-750
P.O. Box 25504
Oklahoma City. Oklahoma 73125-0504
Federal Aviation (405) 954-3116
Toll Free: 1.666-762.9434
Administration WEB Address: http://registry.faa.gov
December 11, 2012
ASI WINOS LW
151 FARMINGTON AVE
HARTFORD CT 06156-00)I
11110111
Dear Sirs:
An AC Form 8050-64, Assignment of Special Registration Numbers, was issued on September
16, 2011, as authorization to the change the regain number on a KEYSTONE
HELICOPTER S-76C aircraft, serial number from MMt o special number
This authorization was good for one year from the form's date of issue. The form was required
to be signed and returned to this office within five days after the special registration number was
permanently affixed to the aircraft. As of the date of this letter, no completed authorization has
been received by this office.
This authorization ex ired on September 16, 2012. Accordingly, the assignment of special
registration number to this aircraft was cancelled on December I I, 2012, and returned
to the pool of avails e -numbers.
You may apply to reserve any available N-number as a special number in your name, or request
an available N-number be assigned to an aircraft to change that aircraft's registration number.
Information about requesting the reservation or assignment of a special registration number may
be viewed on our web site, littp://registry.faa.gov.
If you have any questions, our toll free telephone number is I (866) 762-9434.
Walter L. Binkley
Manager, Aircraft Registration Branch, AFS-750
AFS-730-REREG-14 (09/10)
SDNY_GM_02757961
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244883
EFTA01329746
SDNY GM 02757962
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244884
EFTA01329747
ASSIGNMENT OF SPECIAL Special Registration Number
REGISTRATION NUMBERS
US. Depadraerd Aircraft Make and Model Present Registration Number
el Treamxtellon KEYSTONE HELICOPTER S-76C
Federal Aviation umber Issue Date:
Administration Sep 16. 2011
ICAO AIRCRAFT ADDRESS CODE FOR N162AE - 50174441 This is your authority to change
the United States registration
number on the above described
ASI WINGS LLC aircraft to the special
registration number shown.
HARTFORD CT 06156-0001
Cam' duplicate of this form in the
aircraft together with the
old mgiAration certificate as
interim authority to operate the
ain-raft pending receipt of revised
certificate of registration.
Obtain a revised certificate of
airworthiness from lour near-
est Flight Shuxkuds District
Olfice.
The latest FAA Form 8130-6,
Application For Airnorthiness
on Site is dated:
Dec 08. 2008
The airnorthiness classification
and category:
la) RANSP
INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Chit Aviation Registry. AFS-750. N.thin 5 days after the special
registration number is placed on the aircraft. A revised certificate will then be issued.
The authority to use the special number expires: Sep I& 2012
CERTIFICATION: I catty that the special registration numbs was placed RETURN FORM TO:
on the aircraft described above,
Civil Aviation Registry. AFS-750
P.O. Box 25504
Signature of Owner Oklahoma City. Oklahoma 73125-0504
Title of Ounce::
Date Placed on Aircraft:
AC FOR3111050-64 (5/2005) Supersede Preslou. Edition
SDNY_GM_02757963
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244885
EFTA01329748
SDNY_GM_02757964
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244886
EFTA01329749
Accepted
JP Doc/11/2012
A Insured Aircraft Title Service, Inc.
P.O. Box 19527 Oklahoma City, Ok 73144
4648 SW nth Street Oklahoma City, Ok 73159
T S e-mail address
FAX
web site: vemiv.ensuredwrixatt.com
FEDERAL AVIATION ADMINISTRATION
CENTRAL RECORDS DIVISION
OKLAHOMA CITY, OKLAHOMA
Datc: August 26, 2011
Dear Sir/Madam:
Please Reserve N in NAME ONLY for:
N# Change Request
Please Reserve N 162AE' and assign for the following aircraft:
N 722JE Make Keystone Helicopter Model S-76C Senal
Which is (1) being purchased by (2) registered to XX
ASI Wings LLC
820.00 08/26/2011
Payment of the required $10.00 fee per number to reserve/assign is attached. If the preferred N number is not
available. please contact the undersigned for a selection of a new number. Please send the confirmation of
reservation/8050-64 form to Insured Aircraft title Service, Inc. in the Public Documents room of the FM.
Additional Information: • please see attached relinquishment
Requested by: aka
Aun a Jones
Fee: $10.00
SDNY_GM_02757965
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244887
EFTA01329750
VHONV1)10
;/14 /10 Vi1OHY1)10
9S T Wd 92 ON 110?
HO 11011V21.131038 li9SOWN
V'03 HUM 0 Did
SDNY_GM_02757966
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241888
EFTA01329751
D.S. Department Flight Standards Service P.O. Box 25504
of Transportation Arcraft Registration Branch. AFS-750 Oklahoma City. Oklahoma 73125-0504
Federal Aviation (405) 954-3116
Toll Free: 1.666-762.9434
Administration WEB Address: httonreglatry.faa.gov
October 12, 2012
ASI WINGS LW
151 FARMINGTON AVE
HARTFORD CT 06156-0001
Ihillerilielliiilliirli IIrlrLrrrllrlrLl
Dear Sirs:
The FAA Aircraft Registration Branch (Registry) issued an Assignment of Special Registration
Numbers, AC Form 8050-64 on September 16, 2011. This form authorized a change of
registration number froa to to be completed within one sar of its issue date
for the KEYSTONE HELICOPTER S-76C aircraft with serial number Within five days
of placing an the aircraft a signed copy of this form showing the date of the change was
required to be returned to the Registry. The authorization to change registration numbers
expired on September 15, 2012, without a completed copy of the form being received by the
Registry. We ask that you confirm the status of this registration number change so that the
matter may be closed appropriately. If no response is received within 30 days from the date of
this letter, the number change will be cancelled and returned to the pool of available N-
numbers.
The attached form may be used to confirm the status of this registration number change. If
special registration number 'as been placed on this aircraft, then upon receipt of your
notification, the Registry will update our records and issue a revised registration certificate
showing the special registration number.
The attached form also may be used to confirm that the N-Number change was not made, to
it te
ae reservation of the special number in your name, or to make a new request for
o be assigned as special registration number to change the N-number of this or another
aircraft.
If we may be of any assistance, our toll free telephone number is I (866) 762-9434.
Walter L. Binkley
Manager, Aircraft Registration Branch, AFS-750
AFS-750-REREG-I3 (03/11)
SDNY_GM_02757967
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244889
EFTA01329752
SDNY_GM_02757968
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244890
EFTA01329753
Directions:
Select and complete the appropriate section below then send, with the indicated fee (if appropriate). to the FAA
Aircraft Registration Blanch.
U.S. Postal Service. Regular and Priority Mail Commercial Delivery Services:
FAA Aircraft Registration Branch FAA Aircraft Registration Branch
P.O. Box 25504 Registry Building. Rm. 118
Oklahoma City, OK 73125-0504 6425 South Denning
Oklahoma City. OK 731694937
Make fee payment by check or money order payable to the Federal Aviation Administration.
For additional infornation call toll free 1-866.762-9434. or visit htto://registrv.faa.gov
FAX No: (405) 954-3548
Dear Aircraft Registry:
❑ Special registration number was not painted on KEYSTONE HELICOPTER S-76C. serial
number
I/We do not wish to resent this number at this time.
❑ Please resent this N162AE in our name. The $10.00 special N-number resenation fee is
enclosed.
❑ Please assign N162AE to KEYSTONE S-76C
HELICOPTER
Male) oroux (SaidNumb&
for an N-number change. S20.00 is enclosed to cover both the special number request and
assignment foes.
On
❑ Special registration number was placed on KEYSTONE HELICOPTER S-76C, serial number
on ,na.an. Please issue a revised registration certificate.
❑ The completed and signed Assignment of Special Registration Numbers, AC Form 8050-64, is
enclosed.
❑ The Assignment of Special Registration Numbers. AC Form 8050-64. is lost or destroyed. Please
accept this as notice that the authorized N-number change has been completed.
Name of Owner
Signature/Title Date
AFS-750-REREG-I3 (03/II)
SDNY_GM_02757969
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024.4S9I
EFTA01329754
SDNY_GM_02757970
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244892
EFTA01329755
- - -
FORM APPROVED
OMBNo.21200Q
ONITE0 STATES OF eaReC.0 DEP0elmEra OF 74OO,SPORTATION 1
ffOttin. email AOSINISIIWION40.41•0•010.4.•ellom•UTIC•i. CV4Tto 1
micrurr REGISTRATION APPLICATION CERT: ISSUE DATE
ii
REGeriaN "" faleel N I
A/ROWT IVANUFAGPJRER &MOM '
i
Keystone (Sikorsky) S-76C
Na FOR FAA USE ONLY
1
i
• TYPE OF REGISTRCION Chem Ore ese)
O1.1RivIdual O 2. Partnership Hi 3. Corporatien 04. GO-OeMer O 5. Geventnint
O 8. NORCIeter, GOR)OffitOO O if. Non-Obien Gcepcfotion Co-Oener
MARION APPIJCANT plerseNst 00. an µIwo st serwsrup, ff names. give pal AIV flit nano. 4, O "ridolo 000I01
I I ASI Wings, LLC
TELEPHONE NUMBER.
/d)ORESS (Permanent no worm is, lnil VOlown O• ISOM PO. INOibuSt10. O/1yOGII•33O,8 most sec be ohosn p
erre,r srd stns.
Rural Route: P.O. Doc
CITY SW/ Zs* 000E
Hartford Connecticut 06156
O CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS
ATTENTION! Read the following statement before signing this application.
This portion MUST be completed.
A IS es damns., simmer to rev querbon es This aoc.C4I.O. me, DO OrOunCI> Ito chns,..-....t by I re o-do , nonscneteet
0., S Code. no. 10. Sec. Icon
0 wit C€RnWY
CERTIFICATION
(I) Thu Ow abode 4.1•010el IS 04,"0 by the ~NOVO appl•anl. oho IS I 011Ir trading 00.p0I•ont,
a/ Ole LIM•O Slate.
for ttang HMI. go* No* ol Ina* I. On
cll. g _K ONE AS P eliktII, '
• A mast air,. turn glen repliblition (Cal 1.151 a Form 1.551) No
New. Cape, Organ Ckurva bosons under tees a bled
and sod eget 4 wed Ins pivot), vs.:Hale Urges Seen Records of Or ran an enable II.
fropiptlion Ad
42) That the sin' *not negefinoct under Ifs ten of any levee cont. WV
Of lest legal 0.40seosceoweenfuo I altacsea at MS mon Rod min Me Hon Medan ACWE101036011.
NOTE: If executed b co-owneeshts all IMIKO:InIS inoIl KO WO revertO $0011 wow/.
TYPE OA PRINT NAME BELOW SIGNATURE
oat
/ wainE
2vell
1 a ' Bitstant Corporate
EACH PART OF THIS ecretary of Aetna Ins. ,7).-111/
SKIM Medaging Member of owe
APPLICATION MUST Melinda Westbrook ASI Wings, LLC
BE SIGNED IN INtc
SKPATURE YnLE ORE
NOTE Penile* we* of to Oelecet• Cl Andeft R•priabOn. On MOM May 00 000M1•0 In OWICCI no n excess el 00
dm amine ~Sem MPINK copy ail Vol •OpeCallon moll be awned In on nowt
At form 8030.1 (1/00I0e3N0052-00-821-90071SuixenOss PnovIcous Edlion
SDNY_GM_02757971
:T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244893
EFTA01329756
•
•
A 1113WiCH I NX0
• • -
93 lfir I103
118 NO11 V SISIONI IA V
• V V.A.H.LIM 03114
SONY_GM_02757972
:T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFFA_00244894
EFTA01329757
a
?•I
0
0
WARRANTY BILL OF SALE
a
2
The undersigned, FREEDOM AIR INTERNATIONAL, INC. ("Seller"), is the
owner of the full legal and beneficial title in and to that certain used Keystone (Sikorsk S-76C
helicopter (sometimes re s a S-76C++) bearing Manufacturer's Serial No. nd 8
U.S. Registration No. illwit (2) Turbomeca Arriel 2S2 engines ring
Manufacturer's Serial Nos. wand together with all avionics, equipment (including
loose equipment), systems, furnishings and accessories installed on, contained in or attached to
CZ
said helicopter and engines, all as is more particularly described in that certain Aircraft Purchase
Agreement dated as of July IR , 2011, between Seller and Purchaser, and also including all
airframe, engine and accessory logbooks, flight and operation manuals, maintenance and 2
overhaul records, checklists, drawings, any issued FAA Form 337's, warranty documents, and all
other records and paperwork relating to the above-described helicopter and engines in Seller's O
possession (collectively, the "Aircraft"); provided, that the term Aircraft as used herein does not
include airframe maintenance manuals and airframe illustrated parts catalogs as the same arc being
retained by Seller. 3
For and in consideration of the sum of Ten Dollars ($10.00) and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Seller
does hereby grant, bargain, sell, convey, transfer and deliver unto ASI WINGS, LLC
("Purchaser"), all of Seller's right, title and interest in and to the Aircraft.
Seller hereby warrants to Purchaser, its successors and assigns, that Seller is the
lawful owner of the Aircraft and that there is hereby conveyed to Purchaser good and marketable
title to the Aircraft, free and clear of any and all liens, claims and encumbrances whatsoever, and
Seller will warrant and defend such title forever, at the sole expense of Seller, against all claims
and demands whatsoever. EXCEPT FOR THE WARRANTIES OF SELLER SET FORTH IN
THE PRECEDING SENTENCE, THE AIRCRAFT IS HEREBY SOLD TO PURCHASER IN
ITS "AS IS, WHERE IS" CONDITION AND "WITH ALL FAULTS."
IN WITNESS WHEREOF, Seller has caused this Warranty Bill of Sale to be
executed by its duly authorized officer, as of this , day of July, 2011.
FREEDOM AIR INTERNATIONAL, INC.
112071217388
55.00 07/28/2011
SDNY_GM_02757973
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 002440195
EFTA01329758
VP40.11V 1 WO
xo
Alla `.11014V 1
BS it tJ N TIP IIDZ
0E NON': 01;:)101!': t
DOI1*
VV.:1 1-LUA; (3311j
SDNY_GM_02757974
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244496
EFTA01329759
FOAM APPROVED
OMB Na 212000/2
WMSIAM OF AMERICA OEPARTettfrt OF TRANSPORTATION
fess ensesas ADMINICTPATION41114100001•1010Y ACROWAITICIA. Cairn g
.0
AIR DI CERT: ISSUE DATE i
a mifi ATES
0
a /C0p
QQ
S keD 1 C el— >
c
0
FOR FAA USE ONLY N
TYRE OA reheat One bog Sr.
IS
01. Irdvicksal 0 2 PartnetsNo OndeilbOn OA. CO-Owner' 0 S. Obslenment 9
0 B. NOn-OltiZen Odepreaban 0 B. Nan-Citizen CoNparatian Ca-Owner 0
NANO OR APPIJCANT Peewee, Mown on Same el bAn•lbli. 016,AdV3I. 01111.1on em Nona and nolo NA/141
• Freaow, Air M-4-orvuttfrobtAl , rnc.... ..0
TELEPHONE BEA. ( I
ADDRESS Permanent mono address la Ann spencer* anise pi P.O. Boa is used. pfrestai address roue SO be Mead
MAIlbef arCI SIMI.
Nos Rano P.O Bo,
CITY STATE ZP 000E
\hi\ t W 44.561 0 let 'be 198O3
0 CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS
ATTENTION! Read the following statement before signing this application.
This portion MUST be completed.
A labs a 00.0.1rg n•VO' ID an, Sessions's., apstiestIon may be crowds for pawner, by try er•Viry aceeonent
(LI S. COSII. MO O. SOC. ICOI)
Ill CERTIFICATION
NYE CERTIFY
(1) Du: be six., aircraft is dad by Me seeinnwesepoSanl, ens is a dozen Smearsp osporalioNI
of eh* Unted States
(For sang (cull. pen .11110 of trustee leer
CffOliMIE.AsSANNOINZM
• A twelve. Wen seen *ben nostraticA fain I: MI a Form 1.551) Nee
5.
• non.ca an coconut.. ceseneed and doing boSess under etaIan NNW*
and said liCiallOONd gird pennly as in the UnNO SeaaM. Records es art MUM se~Se Ms
IMPOC110,1 A
Gil That ehe • n yaft b not repbtomel WNW the *Wit oil wry foreign cowers via
CA 1.6., *QM grAWCO 0. ~MN, Is Iltt•Ched C. Ma been DS win Ira Federal ASO:. ACIIMWIlileti.
NOTE: If assoetad lot Cd- OseneeaND all ep$CSMS Must sign. Use reverse side a necessary.
TYPE OR PRINT NAME BELOW SIGNATURE
SfORATIAle MI DATE i
EACH PART OF THIS
9MMATAE
t„: 34
\lite Vive.si ALA' sjaIio
APPLICATION MUST
DATE
102280834295
BE SIGNED IN INK.
SIONATu T^ -i5.00 08/16/2010 OAR
....,
MDR Pedro wave Nina Cerulean ot Atonal Repsitasers me siosit nos be opeems$ to. • priesnot in waned 90
dep.dun% sewn tsetse FINK COO, of ma apple's:a mum be COTS MI% MOW.
AC EarnIK/SO-I II/0?) (USN 0052-00.28:9007) Supersedes Pravda Ease
SDNY_GM_02757975
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244897
EFTA01329760
SDNY GM 02757976
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244898
EFTA01329761
DOCUMENT LEVEL ANNOTATIONS
name change
rev/doi 022709
SDNY_GM_02757977
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244899
EFTA01329762
SONY_GM_02757978
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244900
EFTA01329763
•
D
AMCRAFTMLESEUKNES Aero Records & tilde Co.
RECORDING SERVICES
2
AIRMENRUMODINRAMPOION
°Idaho= acv. OK 73144 a
-I
February 11, 2010
Hand Delivered
To: FM
Oklahoma City, Oklahoma
FORM 8050-64 URGENTLY
O
Attention: NEEDED! PLEASE ISSUE AS
QUICKLY AS POSSIBLE. THANK YOU!!!
Gentlemen:
On behalf of our client:
AIR GHISLAINE INC.
Wilmington, DE 19803-3742
Please initiate the following action:
Please ASSIGN special registration number N722JZ, which is
reserved for our client, to the following described aircraft which
is registered in their name:
KEYSTONE HELICOPTER S-76C
SERIAL NUMBER
CURRENTLY
PLEASE HAND THE ORIGINAL FORM 8050-64 TO ARTC - P.D. ROOM.
Thank you.
100431322318
$10.00 02/12/2010
0 PLEASE HAND CONFIRMATION OF RESERVATION LETTER TO ARTC - PUBLIC DOCUMENTS ROOM.
ink PLEASE NAND ORIGINAL FORM 8050-64 TO ARTC - PUBLIC DOCUMENTS ROOM.
you,
AERO RECOTSETME OC
L56 -0 LaC
Er LISA THke;Ateg/Tenior Administrator, Special Services
/lg
Fee Attached: $10.00
CC: Christopher Shurkus
Sikorsky Aircraft
SDNY_GM_02757979
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244901
EFTA01329764
VP4OHrINO
TMOH1 1)10
07 T bid ZI 933 OW?
82 NOUVUISIIM ling3HIV
"VIO.ariu
SDNY_GM_02757980
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244902
EFTA01329765
n
Regisitation Number
0 ASSIGNMENT OF SPECIAL a
REGISTRATION NUMBERS Present Registration Number
Aircraft Make and Model
u s. Deplatitild
al TIMAPAIMm KEYSTONE HELICOPTER S-76C
Issue Dale:
F•Onl Aviation i iumbet Mar 10, 2010
Araranietnraon This is your Anthony to change 0
N722IE - 52325707
ICAO AIRCRAFT ADDRESS CODE FOR the United States reristration 0
raster on the above described
antrall to the special
AIR GHISLA1NE INC regimetioti number shown.
WILMINGTON DE 19803-3742 Cary duplicate of tat ken in die
llislill1 aircraft together wilt the
ImIllarilill.11 lliullanshlrilill 11.1rile old Le on cerattate as
interim authority loop:raw the
aircraft pad* =rapt of revised
conflate ofregistatica
Obtain a revised ectifirrate of
eat horn your new-
est Flight Standard:Diana
Office.
The lawn FAA Fore 81344,
Applkatke For ralrentttleess
N Misdated:
Jan 14, 2010
The elrwerehInew diralfiredon
sad category:
EXPERIMENT
INSTRUCTIONS:
tie Special
the Civil Aviation Registry. AFS-750, within 3 days Ala
SIGN AND RETURN THE ORIGINAL of this Teem to be issued.
certifica te will then
Tegrantion manta is pineal on the aircraft. A revised
2011
The authority to use the special number esparto: Mar 10,
regim.doo =ober was placed RETURN FORM TO:
CERTIFICATION: I ea* that
on the Sault denaitot a
Civil Aviation Registry. AFS-730
for Shmitka Air, P.O. Boa 25304
_T T1c Oklahoma City, Oklahoma 73125-0504
Signature of 1
of Operations of
.D rect r
Tided-O%m,, Shmitka Air, Inc. f/k/a - '
Aix cnistatne, inc.
Dale Placed mAllusftinail 2/1,/ 5ri 2oln
AC FORM w50--M (5/2016) SepornAm Prevlom Fart
SDNY_GM_02757981
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244903
EFTA01329766
VI.Z01O1);0
All0 V:0HT1N0
Si i Lid 91 IiUt4 010Z
US NiltliSiD31:1
VV. HUM 0311i
SDNY_GM_02757982
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244904
EFTA01329767
ECORDEDCONVEYANCE FILED IN:
U.S. DEPARTMENT OF TRANSPORTATION 'NUM:
Illy R V. AVIATION ADMINISTRATION SERIAL NUM:
IFR:
CROSS-REFERENCE-RECORDATION IODEL:
AIR CARRIER:
This form is to be used in cases where a conve)ance cowers several aircraft and engines, propellers, or locations. File original of this fort
with the recorded conveyance and a copy in each aircraft folder involved.
TYPE OF CONVEYANCE DATE EXECUTED
NAME CHANGE FEBRUARY II. 20I0
FROM DOCUMENT NO.
AIR GHISLAINE MC
TOOR ASSIGNED TO DATE RECORDED
SHMITKA AIR INC
MARCH 17, 2010
THE FOLLOWING COLLATERAL IS COVERED BY THE CONVEYANCE:
Total Aircraft: Total Engines: Total Props: Total Spare Parts:
WS-7.50-23R(0MIS)
SONY_GM_02 757983
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244905
EFTA01329768
SDNY_GM_02757984
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244906
EFTA01329769
RAW APPROAD
all Ns. MIMS!
Lae= STATES OF AMERICA OEFARTITEMT OF TRMSPONTATION
MERU NIS* ACessistriuneiesse NOISION• S Car=
AIFICAAFT REOSTIVSON APPUMON
CERT. ISSUE DATE
IMITE0 sums
REOPITRATKIN NUMMI
AMAMI IMAIJMCTURER • r eys4one Nel.cop4er
-54-Iver-s4p,444-reraft S-76C-2
MIKAAFT SUVA N.
FOR FM USE ONLY
TYPE OF araangnota lake. ba
O t. Naar O 2. Panneneep LI 3. CaP3m00 O & Cromer O Eh 000. o IT kteiCam
ACME OF APPUGmer (am) taw a irdltin 01 ._..J. . EIS MOM. Ira SI a. Elm a re mete ma )
• Air Ghislaine, Inc.
TILEPTIONE MAMA I
ADORES& Champion anima okk••• Ow IM. apelciet all CP • 0 BOA It uml.IMITAMma a all Mewl)
ate ond ial
al R.M. PO 0
WY STATE I ZIP GOOF
Wilmington DE 19803
---- ---
D CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS
ATTENTION I Read the following tatealent Wont Signing this Application.
This portion MUST be completed.
A len, a rievelei rennin, eaten e a reeican ,•-.., To smom rot errlienri b fl . Ana CO im, ^1.aml
(US CaM TIM It Sec •00t,
III
WM CERTIFY
CERTIFICATION
Tel r• atom sere ), owes M NO WidiVelged •PPICIIM. W. *ocean eta, Oagereall
(I) M Pm Unese Sete
pot ere tan cam nom of maim I. Cr
CHECK ONE AS APPROPRIATE
a C A Nees- S AIM Sin Naas (Foal 1.131 of a lall Na
tt CI A mane eetmeallan OESPCIed eV erg RATS Pale re Si. al ISO)
we ere resit ts mem en Immo( .Seem RP Oar, %Re RPReen a ROI TOSS re nays d
vopecten r
(2) TIM Po Oa le no ouglalsEd Weer Ile lens ci ry been corer: Pm
a MN lead rano' ol etrasem r rm.° a Ne bun Net .Cl M Faders Amnon Aawnomem
NOTE: I exsoao ke tocrewehe al eepatete 'hal met UN reverse Km I canary
TYPE OR ARMY NAME TURF
V MU DATE I
lig
041 ososg., i la te 0 1° Li thek
.,
/ 02/ 2 97 ;
III
a IT
g(iI SEINA1UM MIA 090481439131
56.00 02/17/2000
DUI
NOTE Priene 'roe al MA Cola 0 MM. FilamiSm. IN Masi oh to Moriad Ice • prof no in ward SO
dsm. an a a so a °moll* maim null e. Caned In as small
AC Fro !0561(507) (:0324X4200307)
SONY_GIA_02757985
:T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244907
EFTA01329770
•
•
' •F'.0
• ,:v.1:11 V•
50. Wd Li 933 60E
VVA i.. ..•113
SONY_GM_02757986
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00244908
EFTA01329771
13
0
0
FORM APPROVED
UNITED STATES OF AMERICA OMB NO 2120-0042
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION OW312008 0
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF $ 14-orC_ THE 2
UNDERSIGNED OWNER(S) OF THE FULL LEGAL AND
BENEFICIAL TITLE OF THE AIRCRAFT DESCRIBED AS 0
FOLLOWS:
UNITED STATES
REGISTRATION NUMBER
0
AIRCRAFT MANUFACTURER 8 MODEL
Sikorsky Aircraft S-76C-2
0
AIRCRAFT SERIAL No. 0
DOES THIS S0 DAY OF December , 2008 A
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS. TITLE, AND INTERESTS
Do Na Free in This BM"
IN AND TO SUCH AIRCRAFT UNTO: FOR FM USE ONLY
NAME AND ADDRESS
(IF INDR/IDUALIS), GIVE LAST NAME. FIRST NAME. AND NICOLE INITIAL.(
PURCHASER
Air Ghislaine, Inc.,
Wilmington, DE,
19803
083651547221
$5.00 12/30/2008
DEALER CERTFIC.ATE NUMBER
ANO TO cs sucassco EnelltatasolNISWIIRS. MD ASSIGNS TO HAVE MO TO HOLD
SINGULARLY THE SAO AIRCRAFT FOREVER AND WARRANTS THE TIRE THEREOF:
IN TESTIMONY WHEREOF I HAVE ET HAND AND SEAL THIS 3 DAY OF December. 2008
NAME(S) OF SELLER SIGNATURE(S) TITLE
(TYPED OR PRINTED) (IN INK) (F EXECUTED FOR (TYPED OR PRINTED)
CCIOWNERSHIP A MUST SIGN. )
Sikorsky Aircraft Con:colon 5-78 Program Manager
cc
Chils Snurkus
cr)
ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FAA RECORDING OWEVER. MAY BE REQUIRED BY LOCAL LAW FOR
VALIDITY OF THE INSTRUMENT.)
ORIGINAL TO FAA
AC Form 8050.2 (9/92) (NSN 0052-00-629-0003) Supersedes Previous Edition
(CA>I N
CER
SDNY_GM_02757987
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00241909
EFTA01329772
SFi 0092°6001
it,g(\ t
000 ‘ w "v
‘re o‘
c6
VI4014V1)10
ALIO Vinfirni0
Oh C Wd OC 330 900?
NOILVESID3el EIVZIDUIV
V114 HAIM 0311i
SDNY_GM_02757988
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244910
EFTA01329773
DOCUMENT LEVEL ANNOTATIONS
ORIG DOC ID #0070 FFR 12-30-08 RET TO C&D
SDNY_GM_02757989
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002449 I I
EFTA01329774
SDNY_GM_02757490
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002449 I 2
EFTA01329775
0
O
FORM APPROVED
UNITED STATES OF AMERICA OMB NO 2120-0042 0
U.S DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION 08/31/2008
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF $ THE 2
UNDERSIGNED OWNER(S) OF THE FULL LEGAL AND a0
BENEFICIAL TITLE OF THE AIRCRAFT DESCRIBED AS O
FOLLOWS. a
UNITED STATES I.
REGISTRATION NUMBER
AIRCRAFT MANUFACTURER & MODEL Z.4
Keystone Helicopter Corporation S-76C 0
T SERIAL No. 0
MI DOES THIS So DAY OF Levis,
HEREBY SELL. GRANT. TRANSFER AND
DELIVER ALL RIGHTS. TITLE, AND INTERESTS
Do Not WW•In TN. Sock
IN AND TO SUCH AIRCRAFT UNTO: FOR FM USE ONLY
NAME AND ADDRESS
OF ININVIDuAL(SL GIVE LAST NAME, FIRST NAME. AND MIDDLE INITIAL.)
PURCHASER
Sikorsk Aircraft Corporation
Stratford, CT 06614
DEALER CERTIFICATE NUMBER
AND TO ITS. StAa eSSOO. r.r ADMINTSVIONFORG. AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SAID AIRCRAFT FOREVER ANO WARRANTS THE TITLE THEREOF.
IN TESTIMONY WHEREOF NAVE SET my NANO AND SEAL TM '- DAY Of ke, ,2-vo
NAME(S) OF SELLER SIGNATURE(S) TITLE
ITYPED OR PRINTED) INN) (IF EXECUTED FOR (TYPED OR PRINTED)
COXYANERSHIP, ALL MUST SIGN.)
Keystone Helicopter Corporation Presdent
— David A. Ford
IL)
ACKNOWLEDGMENT (NOT REQUIRE° FOR PURPOSES Cf FAA RECORDING HOWEVER. MAY SE REQUIRED BY LOCAL LAW FOR
VALIDITY OF THE INSTRUMENT.)
ORIGINAL TO FM
AC Form 8050-2 (9/92) (NSN 0052420429-0003) Supersedes Pre,ous Edition
CER p(
SDNY_GM_02757991
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244913
EFTA01329776
YHOHV1k0
VI1OHn)10
Oh C Lid OE 030 1302
110 tiOlIVESIO3i/ 1.1V83}111/
17V3 HAIFA U3111
SDNY_GM_02757992
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244914
EFTA01329777
DOCUMENT LEVEL ANNOTATIONS
ORIG DOC ID #0068 FFR 12-30-08 RET TO C&D
SDNY_GM_02757993
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00244915
EFTA01329778
SONY_GM_02757994
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244916
EFTA01329779
r-
Dec 22 2008 3:24PM HP LASERJET FAX P• 2
a
3
a
Keystone Helicopter z
ASkys4Cmparty Coatesville PA, 19320
0
O
O
December 22, 2008
Flight Standards Service
Aircraft Registration Branch, AFS-150
CAN FAX
homa
Okla City, Oklahoma 73125-0504
incorrectly
Keystone Helicopter Corporation is requesting the correction of aircraft that where
from our facility where registered as MODEL: S-76C-2,
registered. Some of the aircraft that have been registered as S-
our type certificate data sheet (NINE); the aircraft should have been registered
this is not in accordance with any
be corrected. We apologize for
76C. As the Aircraft manufacturer we an requesting that these please
N Number are affected
inconvenience this may cause. The following A/C Serial Numbers with the corresponding
by this error, they include:
Aircraft Serial Number rc ft N amber
Regards,
Shaun M. Gabbard
S76 Quality Assurance Production Supervisor
Keystone Helicopter Corporation
Coatesville PAT
Mobile
Desk.
Fax
SDNY_GM_02757995
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002449 17
EFTA01329780
140F17 1 510
.L WM V1)(0
00 C bid 22 ON) RIO?
SDNY_GM_02757996
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00241918
EFTA01329781
V.S. Department Flight Standards Service P.O. Box 25504
of Transportation Arcraft Registration Branch. AFS-750 Oklahoma City. Oklahoma 73125-0504
Federal Aviation (405) 954-4206
Toll Free: 1.666-704.4715
Administration WEB Address: httpfiregistry.faa.gov
September 9, 2008
KEYSTONE HELICOPTER CORP
Dear Sirs:
United States identification mark has been assigned to KEYSTONE HELICOPTER
CORP S-76C-2, serial numbs Mode S Transponder CodeMl eas requested by
you. This manufacturer's assignment of special registration number cannot used as an
authorization for a number change.
If we may be of further assistance, please contact the Aircraft Registration Branch at
(405) 954-4206 or toll free 1-866-704-4715.
Sincerely,
Legal Instruments Examiner
Aircraft Registration Branch
AFS-750-SUPPORT-5 (9/04)
SDNY_GM_02757997
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244919
EFTA01329782
SDNY_GM_02757998
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244920
EFTA01329783
a
I
0
0
9/4/08
8
Federal Aviation Administration
Civil Aviation Registry
Aircraft Registration Branch
Attention: Central Records
Reference: Request for Manufacturer's
Registration Number Assignments
Gentlemen/Ladies:
This is written to request reservation
assignment of the following special registration
numbers to the aircraft described below which are
presently under manufacture:
ALL ARE KEYSTONE HELICOPTER CORP.,
MODEL S-76C-2
REGISTRATION NO. SERIAL NO.
Thank you.
Sincerely,
KEYSTONE HELICOPTER CORPORATION
By:
Carl Kress
S76 Program Manager
SDNY_GM_02757999
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 0024492!
EFTA01329784
viyo
A1.1:1
•Livimo
•!.9IS It S d3S m
SDNY_GM_02758000
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244922
EFTA01329785
AIRCRAFT TITLE SEARCHES 2>
Aero IsSile Co.
RECORDING SERVICES
AIRMEN RECORD INFORMATION Oklahoma City, OK 73144 a
L
September 5, 2008
Hand Delivered 0
To: FAA
Oklahoma City, Oklahoma 0
Attention: Central Records
8
'72,11,--
77
Gentlemen: .'it awsatri4air
On behalf of our client:
KEYSTONE H L
Please initiate the following action:
Please RESERVE and assign the following NINE (9) special
registration numbers to the aircraft listed below which are
presently under manufacture:
ALL ARE KEYSTONE HELICOPTER CORP.,
MODEL S-76C-2
REGISTRATION NO.
PLEASE ISSUE FORM AFS-750-SUPPORT-5 TO THE MANUFACTURER, KEYSTONE
HELICOPTER CORP., AT THE ADDRESS SHOWN ABOVE. PLEASE HAND COPIES
OF THE MANUFACTURER ASSIGMENT LETTERS TO ARTC - P.D. ROOM.
Note: Enclosed is a "fax" letter by the manufacturer,
confirming their need for these assignments.
Thank you.
0824;1214:2
.,C1 ?in egiti;f02308
PLEASE HAND CONFIRMATION OF RESERVATION LETTER TO ARTC - PUBLIC DOCUMENTS ROOM.
PLEASE HAND SR
C 8050-84 TO ARTC - PUBLIC DOCUMENTS ROOM.
Thank you,
AERCTECO S TITLE CO. EL
By: LI THOMAS GASKIN/Senior Administrator, Special Services
/lg
Fee Attached: ) 1 °L)
CC: Carl Kress
Keystone Helicopter Corp.
SDNY_GM_02758001
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244923
EFTA01329786
A I13 vs, .iiviNG
TS TT WU S d3S BOW
a loamy
VVA Nt +3lsd
SDNY_GM_02758002
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244924
EFTA01329787
MEMORANDUM TO THE FILE
JINNY ROSALES 09/9/2008
ID DATE
A Prior Record sand was performed for KEYSTONE HELICOPTER CORP S-76C-2=on 9/9/2008. Search
results:
No Prior Record
Assigns'
SDNY_GM_02758003
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244925
EFTA01329788
SDNY_GM_02758004
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00244926
EFTA01329789