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SDNY_GM_02762711
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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SDNY_GM_02762712
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EFTA_00249561
EFTA01262050
DocuSIgn Envelope ID: 7C213436F•MCC 4M° 9CCI-70330CCOFSS4
FORM APPROVED
OMB NO 21204042
Do WWI* in ThIt Block
FOR
UNDERSIGNED
AND
CRIBED
AND IN CONSIDERATION OF $
THE
AS FOLLOWS:
UNITED STATES
N722JE
Keystone (Sikorsky) model S-76C
AIRCRAFT SERIAL NO. 760750
DOES THIS
1
DAY OF June, 2019,
AND
INTERESTS
IN AND TO SUCH AIRCRAFT • UNTO:
PURCHASER
(IF INDIVIDUAL (S). GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL.)
Hyperion Air, LLC
8100 Red Hook Quarter, B3
St. Thomas, U.S. Virgin Islands 00802
IN TESTIMONY WHEREOF, THE UNDERSIGNED HAS SET ITS HAND THIS t3
DAY OF 31.44V-
2019.
W
-J
—a
iu
co
(TYPED OR PRINTED)
SIGNATURE(S)
(IN BLUE INK) OF EXECUTED
SIGN.)
TITLE
(TYPED OR PRINTED)
ASI WINGS LLC
By: Aetna Inc., its Managing
Member
Olteapl4bY
@lama (Lark
710•000MASI
Senior Vice President,
controller & Chief
Accounting Officer
James D. Clark
AC Form 8050-2 (9/92) (NSN 0052-00-829-0003) Supersedes Previous Edition
• and the following described engines: TURBOMECA model ARRIEL 2S2 bearing manufacturers serial numbers 42285
and 42288.
ADAM 35381002v1
191641014476
55.00 08/13/2019
SDNY_GM_02762713
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
0
N
0
0
0
0
0
0 a
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0
0
0
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£I NIT 6I07.
88 N0IIVILLSID3el
1O83IIIV
Vliq HUM 03114
SDNY_GM_02762714
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249563
EFTA01262052
OMB Carrel Ameba 21204729
roses 063017
Paperwork Reduction Act Statement: The intorrration wisdom on this form is recessary to marroath wirer regottallon. We °mirrors that a wll take awe:Kersey 30
minutes 10 °empire° the form Pease notedly' an agency may rot conduct ce sponse', and a person b nor required to respond to. a collection cor Own:~ unless a erspays a
rad OMB control rums, Fenn Approved. OMB No. 71:r: 07? r 'Comments coscerrirg the exuracy dMis Peden and suggestions for reducing the burden 'bete be
settee ro the FAA at BOO Insescence Avers, SW. Washington. DC 20591 AT TN Ironical Cotection Clearance Officer. AES-200.'
DEPARTMENT OF TRANSPORTATION • FEDERAL AVIATION ADMINISTRATION
FAILURE TO RENEW REGISTRATION Writ
RESIA r IN CANCELLATION OF REGISMATION
(See U CF.R ft§ 47.1SM 47.40 and 4 tau
N 722JE
SERIAL NUMBER
760750
MANUFACTURER
KEYST0hE HELICOPTER
MODEL
S.76C
08,16/2011
08/31/2020
CORPORAL ION
(0erner 1)
ASI WINGS LLC
Review Aircraft Registration File Information for this aircraft
at: htto://reqistry.faamov/aircraftinauiry.
(OATS' 2)
Assistance may be obtained
at our web page: http://moistry.faa.govirenewreoistration.
Hyde; Enter any additional owner names on page two.
(Address)
151 FARMINGTON AVE
by entail at
faa aircraft.reaistryafaa.00v. or
(Address)
by telephone at:
(866) 762' 9434 (toll free). Or (405) 954' 3116
When mailing foes, please use a check or money order made
payable to the Federal Simon Administration
Signature and Title Requirements for Common Registration Typos:
- Individual
eviler rust Kn, title would be 'owner.
• nonmetal*
general Pans' sirs showing 'general Partner. AS
:isle.
- Corporation
corporals officer or manager signs. showing ful title
- Limited Liability Co authorized member. manager. a officer identified in
the LLC organization doormen, signs, showing full title.
"Co-owner
each Menne, must sign: showng 'co-owner as role.
- Government
authonzed person must sin and show their full title
Note: MI signatures must be In Ink, or other permanent media.
To cornet
or Draw a stole line through error Make cared entry it
remainirg space. or complete the form cc-line. An applicasc form will be
rejected
d
any entry is covered by correction tape or similarly obscured.
City HARTFORO
State CT
Zip 06156-0001
Country
UNITED STATES
Physical Address: Required when mailing address is a P.O. Box or mail drop.
(Address)
(AddreSS)
City
State
Zip
Country
TO RENEW REGISTRATION: REVIEW aircraft registration informatinet
apjaaj the appropriale statement FRIER any change in address in the
spaces
FM
by courier
ilg
NEW
below, Ira. asig, $ sis
form with the 55 renewal leek) tho
Antall Registry. PO Box 25504. Oklahoma City OK 73125-0504, a
to: 6425 S Dennlig Rm 118. Oklahoma City OK 731694937
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §97.3. AIRCRAFT IS
UPDATE THE MAKING! PHYSICAL ADDRESS AS SHOWN BELOW.
REQUIREMENTS OF 14 CFR $472, AIRCRAFT IS NOT REGISTERED
K
MAILING ADDRESS
CMS& Al snob:able block(s) below. r.OhIPLE rt. 20., QM & Mal
this Ion., with any fees to the: FM Aircraft Registry.
PO Box 25504, Manama City, OK, 731260504. or by courier to
6425 S Denning Rm. 118. Oklahoma City OK 731694937
(Shoe purchaser's name and eildreSS.I
O
NEW PHYSICAL ADDRESS: complete if physical address has changed. a
the new main° address is a PO Box or Mail Drop.
O OTHER. Specify
O
PLEASE RESERVE NAUMBER IN THE OWNER'S NAME
AND ADDRESS. The $10 reservation lee is enclosed.
SIGNATURE OF OWNER 1
posse sad)
Eleanore-say Carted by Reg Stared Owners
(required Oex)
TITLE
(required Seth
DATE
372872017
SIGNATURE OF OWNER 2
TITLE
DATE
Use page 2 lor ackfitional signatures.
AC Form 8050.18 (04/12)
Fee paid: $5 (201703281152554432NB)
SDNY_GM_02762715
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249564
EFTA01262053
SDNY_GM_02762716
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249565
EFTA01262054
OMB Ccagrol Mamba" 2I200729
Expires 0LI0:It
Note: Twelve (12) owner names may be entered on this page. If you require more, enter the first 12 names and then print
this page by pressing the 'Print Page 2' button below. Next click the 'Reset' button to clear the data fields (from page 2
only) to add more names. Repeat action as needed.
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
NAME OF OWNER
DATE
SIGNATURE
TITLE
AC Fomi 8050.18 (00/12)
REF N-NUM:
SDNY_GM_02762717
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249566
EFTA01262055
SDNY_GM_02762718
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249567
EFTA01262056
D
ATTORNEYS
& COUNSEI
ORS
1€
6 a
co
August 4, 2014
0 >
9.co
iii
Jana L. Hammer, Manager
ia
O
Aircraft Registration Branch
is
Federal Aviation Administration
P.O. Box 25082
Oklahoma City, Oklahoma 73125
RE:
Executive Jet Management;
One (1) Keystone Helicopter S-76C;
Serial
Number
760750;
U.S.
Registration Number N722JE;
Our File Number: 5502.0015
Dear Ms. Hammer:
On behalf of AS1 Wings LLC, as registered owner (or co-owner) of the above described
aircraft, we hereby request that a duplicate Certificate of Registration be issued for the above
referenced aircraft. The original was inadvertently returned to the FAA for mailing, but the
address listed is not the address where the helicopter is located.
Please deliver the duplicate Certificate of Registration to the attention of the undersigned
in the Public Documents Room.
We are enclosing $2.00, in payment for the duplicate certificate fee.
Very truly yours,
AhAitigit4-
11 7
Brandt S. Sterling
Legal Assistant
100 North Broadway Ave. • Suite 1500 • Oklahoma City, OK 73102-8609
www.debeegiichrist.com
142161527010
82.00 08/04/2014
SDNY_GM_02762719
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249568
EFTA01262057
VHOHV1)10
A.1.10 VP1011V1U0
91 C Lid h Oflu
ss riouveisio3?.13V
Vid H.LIM 03114
SDNY_GM_02762720
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249569
EFTA01262058
U.S. Department
of Transportation
Federal Aviation
Administration
Date of Issue: August 4, 2014
ASI WINGS LLC
151 FARMINGTON AVE
HARTFORD, CT 06156-0001
Flight Standards Service
Aircraft Registration Branch.
AFS.760
P.O. Box 25504
Oklahoma City. Oklahoma 73126.0604
Toll Free: 1466-762-9434
WEB Address: http:Hregistry.faa.gov
HAND DELIVERED TO 'GIL IN THE PD ROOM
T146046
This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
N722JE KEYSTONE HELICOPTER S-76C Serial 760750 and is valid until Sep 03, 2014.
This is not an airworthiness certificate. For airworthiness information, contact the nearest
Federal Aviation Administration Flight Standards District Office.
Soexbutu-et.
for
Jana L. Hammer
Manager, FAA Aircraft Registry, AFS-750
Federal Aviation Administration
AFS-7545FAXA (01/14)
SDNY_GM_02762721.
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00249570
EFTA01262059
SDNY_GM_02762722
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024957 I
EFTA01262060
_ .
PRINT PAGE 1
OMBComet Number 2120-0729
Emma 053 1/2014
Paperwork Reduction Act Statement: The racrrnmon coaecice on Ma Sorm fs no essery b manal aircraft regatraben We intimate that k volt take a9ProernetNY TO mfMAOS
to complete the lorm Pease au that an agency may not conduct of sponaor, end o person is n01 MO 00010 respond 10. a 000e Men a inlermabon unless it deploys a eatel
OMB control runts.. Form Approved. OMR No. 2120-0721 'Comments ohicernno me accuracy of Ms burden and supposilms for redoOng la burden &MAO be &mod to
Me FM at 000 ham:entente Avenue SW wee/rote& CC 20691. ATTN. imam-wan Cosa/won Clearance Oboe., AES-200"
(See 14 CFR if 47.15(4), 1240 end 47.41)
N 722JE
MANUFACTURER
Keystone Helicopter
August 16. 2011
SERIAL NUMBER
760750
MODEL
S•76C
August 31. 2014
ENTER REGISTERED OWNEFt(S)& ADDRESS FROM FAA FILE
(Crimer 1)
ASI Wings LLC
(Owner 2)
Mei Enter any traditional on nemes on page two.
(Address)
151 Farmington Avenue
(Address)
cry Hartford
Siete CT Zip 06156-0001
Country
Physical Address: Reolfed when mating address tea P.O. Boa c4 mss drop.
(Address)
(Address)
City
Stale
Zip
County
TO RENEW REGISTRATION: REVIEW aircraft reejstration information.
261.6.01 the appropriate Statemeet. EOM. any Change M address on the
spaces below. SIGN. DATE. b mg_ form wile the SS renewal fee to the:
FM Suers Registry. PO Box 25504. Oklahoma City OK 73125.0504. or
by courier to 6425 S Denning Room 118. Oklahoma City OK 731694937
M
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3. AIRCRAFT IS
K
REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED
NEW PHYSICAL ADDRESS: complete if physical address has charged, Or
Me new mailing Address is a PO Box or Mail Drop.
Corporation
Review Aircraft Registration Filo Information for this aircraft
at: ettolketeStrtfaasevraircraftmouire.
Assistance may be obtained
at cur web page here //registry IPA ilenerenevereoleatiOn
by e-mail al
fee duet redistrydiVaa coy. Or
by tercaaone at. (Oa) T62. 9434 (ton hook aµ05)954 . 3116
When mailing fees, please use a check or money order made
payable lo the Fedora; Aviation Admineveson.
Signature and Tide Requirements for Common Registration Types:
• Individual
owner must sign. 11110 womb 0o 'ohne" .
Ponnorshp
general panne( Signs showing -genera Winer' as Lilo
- Corporation
corporate ORION a manager IrgnS. showing kill tin)
• limited Liability Co authorized member. manager, or MAW identified n me
LLC aganizeban cicomenl slam. showing full [kb
• Co-owner
each commer must Sign. SnOwn9 .00-ownef as het
GOYCitnrnOnl
autriara•O parson must Sign and SAO* MOY full 1.
.
Note: AK signatures must be In Ink, or other permanent media.
To correct entries: Drew a singe line thrown OfrOr. Make correct entry in
remainng space. or complete tip form on-line. M applitatnn FOrm will be
maieled if any envy is covered by correction tape a similarly obscured.
CHECK all applicable blocks below. calMIN FTF r41G.N. DMZ & gal this
form with any fees to the FM Aircraft Regisiry,
PO Box 25504. Oklahoma Gay. OK. 73125-0504, or by courier to:
6425 S Donning Rm. 118, Oklahoma City OK 731694937
0
(Show purchasw's name and addreSal
El
K
K
OTHER. SP•bl7Y
I71 PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME
AND ADDRESS. The 510 reservation fee is endosed.
SIGNATURE 0F Dolt
1
wed Gem
(rewired dell)
Westbrook
SIGNATURE Of OWNER 2
TITLE
0040.400 WO)
MamaniCarene Sacanary et Mem Inc.
'Marcy ce
TITLE
°A; 79 Lao 4
OATE
Use page 2 for additional signatures.
AC Form 8050-I B (04/I2)
SDNY_GM_02762723
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
a z
C
C
C
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EFTA01262061
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ADD VIY0117 lUn
91 [I LIU WI if r hIPZ
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SDNY_GM_02762724
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249573
EFTA01262062
DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE006014974
FFR -18 DOC ID 8018 5/1/14
141211307096 $5 5/1/14
SDNY_WA_02762725
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249574
EFTA01262063
SDNY_GM_02762726
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249575
EFTA01262064
U S DePartn'ent
(>,
Federal Aviation
Administration
December 1 1, 2012
MI WINOS LLC
131 FARMINGTON AVE
HARTFORD Cr6614o-000i
111//1111
Dear Sirs:
Flight Standards Service
Arcratt Registration Branch. AFS-750
P.O. Box 25504
klahcfna 73125.0504
Toll Free 1.866.762.9434
WEB Address http//registry faa gov
An AC Form 8050-64, Assignment of Special Registration Numbers, was issued on September
16, 2011, as authorization to the change the registration number on a KEYSTONE
HELICOPTER S-76C aircraft, serial number 760750, from N722JE to special number N162AE.
This authorization was good for one year from the form's date of issue. The form was required
to be signed and returned to this office within five days after the special registration number was
permanently affixed to the aircraft. As of the date of this letter, no completed authorization has
been received by this office.
This authorization expired on September 16, 2012. Accordingly, the assignment of special
registration number NI 62AE to this aircraft was cancelled on December 11, 2012, and returned
to the pool of available N-numbers.
You may apply to reserve any available N-number as a special number in your name, or request
an available N-number be assigned to an aircraft to change that aircraft's registration number.
Information about requesting the reservation or assignment of a special registration number may
be viewed on our web site htto://registry.faa.gov.
If you have any questions, our toll free telephone number is 1 (866) 762-9434.
Walter L. Binkley
Manager, Aircraft Registration Branch, AFS-750
AFS-750-REREG-14 (09/10)
SDNY_GM_02762727
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00249576
EFTA01262065
SDNY_GM_02762728
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249577
EFTA01262066
U S GePartn'en!
(>1 "'ans:>::•-ta'ic-
Federal Aviation
Administration
October 12, 2012
Flight Standards Service
Avcratt Regrstration Branch. AFS-750
ASl WINGS Lie
151 FARMINGTON AVE
IRRTFORD(1 0614441001
11111.111i....11.I.I..11..11...Ill.,Ill,..”11,1.1,...11.1.1,1
Dear Sirs:
P.O. Box 25504
Oklahoma 73125.0504
Toll Free 1.861.702.9434
WEB Address httpfiregustry faa gov
The FAA Aircraft Registration Branch (Registry) issued an Assignment of Special Registration
Numbers, AC Form 8050-64, on September 16, 2011. This form authorized a change of
registration number from N722JE to N I 62AE to be completed within one year of its issue date
for the KEYSTONE HELICOPTER S-76C aircraft with serial number 760750. Within five days
of placing N162AE on the aircraft a signed copy of this form showing the date of the change was
required to be returned to the Registry. The authorization to change registration numbers
expired on September 15, 2012, without a completed copy of the form being received by the
Registry. We ask that you confirm the status of this registration number change so that the
matter may be closed appropriately. If no response is received within 30 days from the date of
this letter, the number change will be cancelled and N162AE returned to the pool of available N-
numbers.
The attached form may be used to confirm the status of this registration number change. If
special registration number N162AE has been placed on this aircraft, then upon receipt of your
notification, the Registry will update our records and issue a revised registration certificate
showing the special registration number.
The attached form also may be used to confirm that the N-Number change was not made, to
request the reservation of the special number in your name, or to make a new request for
N162AE to be assigned as special registration number to change the N-number of this or another
aircraft.
If we may be of any assistance, our toll free telephone number
filf:s ie
re'r-eary
Walter L. Binkley
Manager, Aircraft Registration Branch, AFS-750
AFS-750-REREG-13 (03/11)
SDNY_GM_02762729
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00249578
EFTA01262067
SDNY_GM_02762730
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249579
EFTA01262068
Directiont:
Select and complete the appropnatc section below then send. with the indicated fee (if appropriate). to the FAA
Aircraft Registration Branch.
U.S. Postal Service. Regular and Priority Mail
FAA Aircraft Registration Branch
P.O. Box 25504
Oklahoma City. OK 73125-0504
Commercial Delivery Services:
FAA Aircraft Registration Branch
Registry Building. kin. 118
6425 South Denning
Oklahoma City. OK 73169-6937
Make fee payment by check or money order payable to the Federal Aviation Administration.
For additional information call toll free 1-866.762.9434. or visit htto://reaistrvfaa.eov
FAX No: (405) 954-3548
Dear Aircraft Registry:
0
Special registration number N162AE was not painted on KEYSTONE HELICOPTER S-76C. serial
number 760750.
O I/We do not wish to reserve this number at this time.
O Please reserve this N I62AE in our name. The SI0.00 special N-number reservation fee is
enclosed.
O Please assign N162AE to
KEYSTONE
S-76C
760750
HELICOPTER
On
(Fiefs)
I Male!
'Saul Ntnhnp
for an N-number change. $20.00 is enclosed to cover both the special number request and
assignment fees.
0
Special registration number N162AE was placed on KEYSTONE HELICOPTER S-76C serial number
760750 on
(cued., Please issue a revised registration cenificate.
O The completed and signed Assignment of Special Registration Numbers. AC Form 8050-64. is
enclosed.
O The Assignment of Special Registration Numbers. AC Form 8050-64. is lost or destroyed. Please
accept this as notice that the authorized N-number change has been completed.
Name of Owner:
Signatureffitle
Date
AFS-750-REREG-13 (03/11)
SDNY_GM_02762731
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249580
EFTA01262069
SDNY_GM_02762732
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249581
EFTA01262070
V.S Dot:oilmen'
of Transportation
Federal Avlalon
Administration
Aircraft Make and Model
KEYSTONE HELICOPTER S-76C
Serial Number
760750
ICAO AIRCRAFT ADDRESS CODE FOR N162AE - 50174441
ASI WINGS LLC
151 FARMINGTON AVE
HARTFORD CT 06156-0001
Dirndl
Special Registration Number
N162AE
Present Registration Number
N722JE
Issue Date:
Sep 16. 2011
This is your authority to change
the United Stales registration
number on the above described
aircraft to the special
registration number shorn.
Can duplicate of this form in the
aircrall together midi the
old registration certificate as
interim authority to operate the
aircraft pending receipt of revisal
cenilicate of registration.
Obtain a revised certificate of
ainsorthiniwr from your 1101.
ca Flight Standards District
Office.
The latest FAA Fonts
Application For Ainsorthincss
on tile is dated:
Dec OR, 200R
The airnorthiness classification
and category:
STD TRANSI'
INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, AFS-750, within 5 days after the special
registration number is placed on the aircraft. A revised certificate will then be issued.
The authority to use the special number expires: Sep 16, 2012
CERTIFICATION: I certify that the special registration number was placed
on the aircraft described above.
Signature of Owner
Tide of Cutter.
Date Placed on Aircraft:
RETURN FORM TO:
Civil Aviation Registry. AFS-750
P.O. Box 25504
Oklahoma City. Oklahoma 73125-0504
AC FORM 81$0-6-1 (9400) super-wilt, Pry. kW% FglItIon
SDNY_GM_02762733
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240582
EFTA01262071
SDNY_GM_02762734
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249583
EFTA01262072
A
Insured Aircraft Title Service, Inc.
[Li
S
P.O. Box 19527
Oklahoma City, Ok 73144
4848 SW 36th Street
Oklahoma City, Ok 73159
e-mail address
FA
web site: veww. su eclai c all com
Date:
August 26, 2011
Dear Sir/Madam:
Please Reserve N
in NAME ONLY for:
Please Reserve N 162AE'
N# Change Request
and assign for the following aircraft:
N 722JE
Make
Keystone Helicopter_ Model
S-76C
Serial #
760750
Which is (1) being purchased by
ASI Wings LLC
(2) registered to
XX
112381430476
520.00 08/26/2011
Payment of the required $10.00 fee per number to reserve/assign is attached. If the preferred N number is not
available. please contact the undereigned fore selection of a new number. Please send the confirmation of
reservation/8050-64 form to Insured Aircraft title Service. Inc. in the Public Documents room of the FM.
Additional Information: • please see attached relinquishment
Requested by:
ChM
aka
Au
a Jones
Fee:
$10.00
SDNY_GM_02762735
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
V
'0
0
O
EFTA 00249584
EFTA01262073
VHOW/1)10
1110 VHOHT-1)10
9S T Lid 929liti
allOILVILS1038 131/40d1V
V'03 HIM 03112
SDNY_GM_02762736
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249585
EFTA01262074
FORM APPROVED
OMB No. 2120-0042
renew. AVIATION ADIPAINISTRATIONAAINS IWONPONST AERONAUTICAL CENTER
1
;
I '
REGISTRATION 12ABER II
722JE
Keystone
(Sikorsky)
S -76C
AIRCRAFT SERIAL. No.
760750
i
TYPE OF REGISTRATION (Check One box)
I
O 1. Individual
O2. Partnership
O 3. Corporation
04. Co-Owner
0 5. Government
O 8. Non-Citizen Corporation
O 9. Non-Citizen Corporation Co-Owner
NAME OR APPLICANT (Person(s) shown on evidence of ownership. If individual. give last name. Met name. and middle initial.)
III
ASI
Wings,
LLC
ADDRESS (Permanent mailing address for first applicant on list) (It P.O. Box Is used. physical address must also be shown.)
siumbentind street:
151
Farmington
Avenue
Rural Route:
P.O. Box:
CITY
Hartford
STATE
Connecticut
2IP CODE
06156
O
ATTENTION! Read the following statement before signing this application.
This portion MUST be completed.
A false or dishonest answer to any question in this application may be grounds for punishment by line and/or imprisonment
(U.S. Code. Title IS. Sec. 1001).
III
CERTIFICATION
PINE CERTIFY:
(1) That the above aircraft is owned by the undersigned applicant. who Is a citizen (including corporation)
of the United States.
(For voting trust. give name of trustee:
I Or:
O.
A resident alien. with alien registration (Form 1.151 or Form 1-551) NO.
b.
A non-citizen corporation organized and doing business under the laws of (state)
and said aircraft is based and primanly used in the United States. Records or flight hours are available for
inspection at
(2) That the aircraft is not registered under the laws of any foreign country: and
(3) That legal evidence of OwnerShIp IS attached or has been filed with the Federal Aviation Administration.
NOTE: If executed for co-ownership all applicants must sign. Use reverse side It necessary.
SI NATURE
\
•
YiTLE
Assistant
Corporate
ecretary
of
Aetna
Inc.
DATE
,7
a
'
a
SIGMA ugE
Melinda
Westbrook
MISAaging
Member
of
ASI
Wings,
LLC
DATE
SIGNATURE
TITLE
DATE
NOTE Pending recelpi of the Certificate of Aircraft Registration, the /Scroll may be operated for a period not in excess of 90
days. during which time the PINK copy of this application must be carried In the aircraft.
AC Form 8050-1 (1/09) (NSN 0052.00-828.9007) Supersedes Previous Edition
S0NY_GM_02762737
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249586
EFTA01262075
AltoQHv1
VW1?-viNnxO
8S TT 1113
9Z 11W 110?
tie Nouvt.sisioits J.dvsloalv
V VA HUM 03113
SDNY_GM_02762738
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249587
EFTA01262076
The undersigned, FREEDOM AIR INTERNATIONAL, INC. ("Seller"), is the
owner of the full legal and beneficial title in and to that certain used Keystone (Sikorsky) S-76C
helicopter (sometimes referred to as a S-76C++) bearing Manufacturer's Serial No. 760750 and
U.S. Registration No. N722JE, with two (2) Turbomcca Arricl 2S2 engines bearing
Manufacturer's Serial Nos. 42285 and 42286, together with all avionics, equipment (including
loose equipment), systems, furnishings and accessories installed on, contained in or attached to
said helicopter and engines, all as is more particularly described in that certain Aircraft Purchase
Agreement dated as of July I R
, 2011, between Seller and Purchaser, and also including all
airframe, engine and accessory logbooks, flight and operation manuals, maintenance and
overhaul records, checklists, drawings, any issued FAA Form 337's, warranty documents, and all
other records and paperwork relating to the above-described helicopter and engines in Seller's
possession (collectively, the "Aircraft'); provided, that the term Aircraft as used herein does not
include airframe maintenance manuals and airframe illustrated parts catalogs as the same are being
retained by Seller.
For and in consideration of the sum of Ten Dollars ($10.00) and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Seller
does hereby grant, bargain, sell, convey, transfer and deliver unto ASI WINGS, LLC
("Purchaser"), all of Seller's right, title and interest in and to the Aircraft.
Seller hereby warrants to Purchaser, its successors and assigns, that Seller is the
lawful owner of the Aircraft and that there is hereby conveyed to Purchaser good and marketable
title to the Aircraft, free and clear of any and all liens, claims and encumbrances whatsoever, and
Seller will wan-ant and defend such title forever, at the sole expense of Seller, against all claims
and demands whatsoever. EXCEPT FOR THE WARRANTIES OF SELLER SET FORTH IN
ITS "AS IS, WHERE IS" CONDITION AND "WITH ALL FAULTS."
IN WITNESS WHEREOF, Seller has caused this Warranty Bill of Sale to be
executed by its duly authorized officer, as of this )L' day of July, 2011.
112071217388
$5.00 07/28/2011
SDNY_GM_02762739
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
a
O
O
•
0
0
a
0
a
0
a
a a
ru
EFTA ())249588
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9S it WU 92 iv no?
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OdIV
V V:11-{11A; 03114
SDNY_GM_02762740
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249589
EFTA01262078
FORM APPROVED
OMB No. 2120-0042
FEDERAL AVIATION ADMINISTRATION-MIKE MONRONEY AEFIONAuliCAL CENTER
6 G
Ti
REGMYRAticiaaitiABER 14 - 7 ?TE .
a
a
Al
MANUFACTURE." MODEL n tit*
Net / cop ‘et-,
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AIRCRAFT SERIAL No.
c
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01. Individual
02. Partnership
. Corporation
04. Co-Owner •
O S. Government
S
-.
O 8. Non-Citizen Corporation
0 9. Non-Citizen Corporation Co-Owner
0
NAME OR APPLICANT (Porson(s) shown on evidence of ownership. If Individual. give HSI name. first name. and middle initial.)
rre...C.c9CAAA.,
Aci
C . MOO 4.—CA r fie leCi101.4.C5_ ( J
=lin
C- •
ail
)
ADDRESS (Permanent mailing address for first applicant on list) (It P.O. Box Is used. physical address must also be shown.)
Number and street' I (3 3
F -(3 01. V Rama. 4 SCAB' ile
ac>...D_
Rural Route:
P.O. Box:
CITY
\
st
.) \ k viAJ "talk t...
SIAM
*--b)e..
ZIP CODE
(9 203
O
ATTENTION! Read the following statement before signing this application.
This portion MUST be completed.
A false or dishonest answer to any question in this application may be grounds for punishment by fine and/or imprisonment
(U.S. Code. Title 18. Sec. 1001).
Il.
CERTIFICATION
I/WE CERTIFY:
(1) That the above aircraft Is owned by the undersigned applicant. who is a citizen (Including corporations)
of filo United States.
(For voting trust. give name of trustee:
), Or:
SHECK ONF AS APPROPRIATE'
a.
A resident alien. with alien registration (Form 1-151 or Form 1.551) No.
b.
A non-Citizen COrpOratiOn organized and doing business under the iaws of (state)
and Said aircraft is based and primarily used in the United States. Records or flight hours are availed° for
inspection at
(2) Thal the aircraft IS not registered under the laws of any foreign country: and
(3) That legal evidente of ownership Is attached Or hag been filed with the Federal Aviation Administration.
NOTE: II executed for co-ownership all applicants must sign. Use reverse side if necessary.
APR CATION MUST
SIGNATURE
TITLE
;tom ii )V
CO
+
DATE
'tail°
SIGNATURE
.e._
TITLE
102280834295
DATE
SIGNATURE
TM-E55, QC 03/18/2010
DATE
... ..._....--
.
NOTE Pending receipt of the Certificate of Aircraft Regis ration• the aircraft may be operated for a period not in excess of 90
days. during which time the PINK copy of tie OPP Kellen must be carried in the aircraft.
.
AC Form 8050.1 (MOS) (NSN 0052-00.828.9007) Supersedes Previous Edition
SDNY_GM_02762741
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249590
EFTA01262079
SDNY_GM_02762742
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249591
EFTA01262080
DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE001916668
name change
rev/doi 022709
SDNY_WA_02762743
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249592
EFTA01262081
SDNY_GM_02762744
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249593
EFTA01262082
CROSS-REFERENCE—RECORDATION
NNUM:
SERIAL NUM:
CDR'
lured
kik C \KKR R
This form is to be used in cases where a conveyance covers several ai craft and amines. propellers. or locations. File original of this form
with the monied conveyance and a cop) in each aircraft folder invol 'ed.
'FITE OF CONVEYANCE
NAME CHANGE
DATE ENICUTED
FEBRUARY I L 2010
FROM
DOCUMENT NO.
SHMITKA AIR INC
DATE RECORDED
MARCH 17. 2010
Total Airmail:
Total Engines:
Total Props:
Total Sparc NILS:
APS-750-23R (02/0/0
SDNY_GM_02762745
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249594
EFTA01262083
SDNY_GM_02762746
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249595
EFTA01262084
0
U s °SWIMS
d Tainasetaaen
Federal Aviation
Adiranistratkon
Special Registration Number
N7221E
Aircraft Make and Model
KEYSTONE IfEJCOPTER S-76C
Present Registration Number
N750A
Serial Number
760750
Issue Date:
Mar 10, 2010
ICAO AIRCRAFT ADDRESS CODE FOR N7223E - 52325707
103 FOUUC RD
WILMINGTON DE 19803.3742
iiiI
iiiiIIIIIiiIiikil
liii
iielikiliii.Iliiiikiniklil
This is your authoriy to change
the United Stain Inititilaten
number on the atom described
airmail to the spxial
mein:ratios number shown
Cony duplicate of ttis form in the
airmail together Mt the
old tegistrition ealificate as
interim alba* temperate the
Mash pending reaipt of revised
certitiCAle of intention.
Obtain a revised ertiterde of
at
from you near.
ea flight Standard: Dinner
Oflice
TM latest FAA Form at30-6.
Apathetic* For Airworthiness
as The Is tied:
Jan I4.2010
The aleworibiane dassillemloo
sad easiginyi
ExPfflumna
INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, AFS•750. within 3 days after etc special
inastration number is *cal on the sacra. A revised certificate will then be Soot
The authority to use the special Danaher expires: Mar 10, 2011
CERTWICATICti: I way that
mrstrthee ourista vas Owed
on the aircraft described a
for Skunitka Air,
Signal= of
i
Olt.
RETURN FORM TO:
Civil Aviation Registry. AFS-750
P.O. Box 25504
Oklahoma City. Oklahoma 731254504
D rest
r
of Operations
of
nut or 0.„,a. Ohmitka Air,
Inc.
f/k/a
•
'
Air onisiaine,
/no.
Oath awed en hihesh:tnan eli . 151 zato
AC FORM IOW" (112005) SOWN.", Pontoon tatitoa
SDNY_GM_02762747
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
0
O
EFTA_00249596
EFTA01262085
Vr:OHV1%0
Ai,y2 v?:OHVii0
Si
Lid 91 HU 0107.
sAVaTdii
%-liv4 031U
SDNY_GM_02762748
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249597
EFTA01262086
AIRCRAFT TTtE SEAROWIE
mawrnitmottemnmw4now
February 11, 2010
Hand Delivered
To:
FAA
Oklahoma City, Oklahoma
Attention:
Gentlemen:
On behalf of our client:
103 Foulk Rd.
Wilmington, DE 19803-3742
Please Initiate the following action:
Aero Records
& Title Co.
P.O. Box 19246
FORM 8050-64 URGENTLY
QUICKLY AS POSSIBLE. THANK YOU!!!
Please ASSIGN
special
registration
number
N722.7E,
which is
reserved for our client, to the following described aircraft which
is registered in their name:
KEYSTONE HELICOPTER S-76C
SERIAL NUMBER 760750
CURRENTLY N750A
PLEASE HAND THE ORIGINAL FORM 8050-64 TO ARTC
ROOK.
Thank you.
100431322310
$10.00 02112/2010
Cl PLEASE HAND CONFIRMATION OF RESERVATION LETTER TO ARTC - PUBLIC DOCUMENTS ROOM.
PLEASE HAND ORIGINAL FORM 8050-64 TO ARTC - PUBLIC DOCUMENTS ROOM.
ank you.
AERO RECORDS & TITLE C4
By:
LISA THOMAS Gkgkej7genior Administrator, Special Services
/1g
Fee Attached: *10.00
Sikorsky Aircraft
SDNY_GNIp2762749
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
0
EFTA_00249598
EFTA01262087
VP101.1V-1)10
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00 i Lid ZI 833 OIOZ
11£1 NOLINLILS103/111010k11V
v74.114,Im 03113
SDNY_GM_02762750
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249599
EFTA01262088
FORM APPROVED
OMB No. 2120.0042
FEIOURAL irteriATXPIT Aeesseennurnorrc sabooKINFT ASISCOMiniCAL Pans
UNITED STATES
750A
AIRCRAFT MANUFACTURER a MODEL
Kest $4
i-karsai A4rertft
one 14ercop-oe r
S -76C -2
AIRCRAFT SERIAL No.
760750
O
1. Individual
O
2. Partnership ri
3. Corporation
boa)
O 5. Gov't
O
8. °n-atinn
Corporation
(Check one
0
4. CO-owner
NAME
ID
TELEPHONE
OF APPLICANT (Petson(e) sown on evidence of
Air Ghislaine,
ownership. If individual.
teat
first
and middle initial.)
give
name.
name.
Inc.
NUMBER:
ADDRESS
Number
Rural
(Pemienent mailing address for first applicant listed.)
and street'
103 Faulk Road
P.O. BOX S
address must also be
(If
used. physical
s)Own.)
Route:
P.O. Boa:
CITY
Wilmington
STATE
DE
ZIP CODE
19803
ATTENTION? Read the following statement before signing
This portion MUST be completed.
or dishonest answer to any question in this applicaticm may be /reads for punishment
Code. Rile IS. Sec. 1001).
CERTIFICATION
OF ADDRESS
this application.
by One and, or inifinadroment
CorlisftetiOne)
I or'
•
A Wee
(U.S.
III
RYE
(I) That
of
(For
CHECK
CERTIFY:
the above aircraft Is owned by the undersigned •00•••Or. *10 is a down (ndudi•xo
the United States.
mango Ma
name of trustee:
give
1-151
business
or Form 1.551) No.
a.
O.
(2) That
(3) Thal
TYPE
O
A resident alien. with alien registration (Form
i D A nonidazim corporation organized and doing
and said aircraft is based and primartty used en
inspection at
under the laws of (Mate)
the United States. Records or flight hours are available for
Administration.
side if necessary.
the aircraft is not registered under the taws of any foreign Country: end
Noel evidence of ownership is attached or has been Red with the Federal Aviator,
NOTE: If executed for co-ownership all applicants must sign. Use reverse
OR PRINT NAME
E
SI NATURE
APPUCATCH MUST
SIGNATURE
cm ,
1650S
t
TITLE
pkte74(..41 willitki
DATE
I
42429 og
RONA
E
L.P941.9
1.1%.1305b“.
TITLE
DATE
SIGNATURE
TITLE
UW1481439/31
$5.00 02/17/2009
DATE
NOTE Pending recto' of the Certificate of Aircraft Registration. Fie aircraft may be operated for a period not in excess of 90
<WA during which time the PINK oopy of Ines application mart be ranted in the almvall.
AC FPTA 80504 (5/03) (0052-00.628.8007)
S0NY_GM_02762751
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
2
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SDNY_GM_02762752
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249601
EFTA01262090
U.S. DEPARTMENT OF TRANSPORTATION FECERN. AVIATOR A0AlinISTFLATION
FOR AND IN CONSIDERATION OF $
+Ore.- THE
FOLLOWS:
UNITED STATES
N 750A
Sikorsky Aircraft S-76C-2
AIRCRAFT SERIAL No.
760750
DOES THIS
DAY OF
December
, 2008
FORM APPROVED
OMB NO 2120-0042
08/310008
Do No. Wino In This Block
FOR FM USE ONLY
PURCHASER
Air Ghislaine, Inc.,
103 Foulk Rd., #202
Wilmington, DE,
19803
083651547221
S5 OD 12/30/2008
AND TO ns sucuuors
EIS.
I
HAVE ET
PRI
"(AND AND SEAL THI
DAY OF December. 2009
c[
LU
(TYPED OR PRINTED)
SIGNATURE(S)
(IN INK) VP EXECUTED FOR
CCI‘OwNERSHIP A
MUST SIGN )
Sikorsky Aircraft Corporation
TITLE
(TYPED OR PRINTED)
5.76 Program Manager
GM1ns ShurkuS
ORIGINAL TO FAA
AC Form 80502 (W92) (NSN 0052-00-629-0003) Supersedes Previous Edition
cERT/S
-0
0
0
O
N
a
a
0
NJ
O
SDNY_GM_02762753
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 49602
EFTA01262091
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VV4 HIIM 031IJ
SDNY_GM_02762754
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 49603
EFTA01262092
DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE000740071
ORIG DOC ID M0070 FFR 12-30-08 RET TO CM)
SDNY_WA_02762755
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249604
EFTA01262093
SDNY_GM_02762756
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 49605
EFTA01262094
FOR AND IN CONSIDERATION OF S lark/ e THE
FOLLOWS:
UNITED STATES
N 750A
Keystone Helicopter Corporation S-76C
AIRCRAFT SERIAL No.
760750
DOES THIS
D 0
DAY OF
FORM APPROVED
OMB NO 2120-0042
08/3102008
Do Hal VHS In This BloC
FOR FM USE ONLY
PURCHASER
(IF INOmDuAL(S). GIVE LAST NAME. FIRST NAME. ANO MIDDLE INITIAL )
Sikorsky Aircraft Corporation
6900 Main Street
Stratford, CT 06614
AND TO
113, states-sou
AXECEIEDAS. ADWIRTS1WWFOR6. AND ASSIGNS TO HAVE AND TO HOLD
303i#
DAY OF tp
, alibg
IN TESTIMONY
(X
Lii
fn
WHEREOF
(TYPED OR PRINTED)
NAVE SET wr
SIGNATURE(S)
(IN INK) (IF EXECUTED FOR
TITLE
(TYPED OR PRINTED)
KeyStene EIBIOOpler GOrpOSIIOR
(74
President
David A. Ford
AC Form 8050-2 (9/92) (NSN 0052-00-629-0003) Supersedes Previous Edition
SDNY_GM_02762757
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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SDNY_GM_02762758
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 49607
EFTA01262096
DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE000740069
ORIG DOC ID #0068 FFR 12-30-08 RET TO C&D
SDNY_WA_02762759
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249608
EFTA01262097
SDNY_GM_02762760
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002 49609
EFTA01262098
Dec 22 2008 3:24PM
HP LASERJET FAX
Keystone Helicopter
A Sikorsky Company
December 22, 2008
Flight Standards Service
Aircraft Registration Branch, AFS-150
PO Box 2550
Oklahoma City, Oklahoma 73125-0504
110 E. Stewart Huston Drive, Coatesville PA, 19320
Keystone Helicopter Corporation is requesting the correction of aircraft that where incorrectly
registered. Some of the aircraft that have been registered from our facility where registered as MODEL: S-76C-2,
this is not in accordance with our type certificate data sheet (NINE); the aircraft should have been registered as S-
76C. As the Aircraft manufacturer we are requesting that these please be corrected. We apologize for any
inconvenience this may cause. The following A/C Serial Numbers with the corresponding hl Number am affected
by this error, they include:
Aircraft Serial Number
Aircraft N Number
U 760686
718P
4760690
' 759P
760704
231Y
760708,G, '
415Y
6073.1
757Y
- 60714
714Y
60717
767J
anoo-rzo
720G
ca/760723
723Y
lli1760726
753P
6760729
799Y
,Sa,O60731
781K
760741
741A
03743
743N
S
-7760745
745G
60744
746K
60747
747Y
1/46760748
748A
Q5760750
750A
/ /6760751
751E
(±)760753
753V
Regards,
Shaun M. Gabbard
S76 Quality Assurance Production Supervisor
Keystone Helicopter Corporation
110 E. Stewart Huston Dr.
Coatesville PA 19320
Mot/
Des
Fax
SDNV_GM_02762761
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0024% I I
EFTA01262100
JINNY ROSALES
09/9/2008
ID
DATE
A Prior Record search 111Is performed for KEYSTONE HELICOPTER CORP S-76C-2. 760750 on 9/9/2008. Search
results:
No Prior Record
Assigned N750A
SDNY_GM_02762763
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249612
EFTA01262101
SDNY_GM_02762764
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249613
EFTA01262102
U S Department
of Transportation
Federal Aviation
Administration
September 9, 2008
1:41/S1O‘1 III I !Cori I R Coln,
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CO %I I. to. 11 I I I'
19420
Dear Sirs:
Flight Standards Service
Accra Registration Branch. AFS-750
P.O. Box 25504
i
iiiraileklahoma 73125-0504
Toll Free 1-866-704-4715
WEB Address hap //registry faa.gov
United States identification mark N750A has been assigned to KEYSTONE HELICOPTER
CORP S-76C-2, serial number 760750, Mode S Transponder Code 5241501 1 as requested by
you. This manufacturer's assignment of special registration number cannot be used as an
authorization for a number change.
If we ma y be of further assistance, please contact the Aircraft Registration Branch at
or toll free 1-866-704-4715.
Sincerely,
Cg -ackS)-(5-
Legal Instruments Examiner
Aircraft Registration Branch
AFS-750-SUPPORT-5 (9/O4)
SDNY_GM_02762765
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_002496 14
EFTA01262103
SDNY_GM_02762766
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249615
EFTA01262104
9/4/08
Federal Aviation Administration
Civil Aviation Registry
Aircraft Registration Branch
Attention: Central Records
Reference: Request for Manufacturer's
Registration Number Assignments
Gentlemen/Ladies:
This is written to request reservation 6
assignment of the following special registration
numbers to the aircraft described below which are
presently under manufacture:
MODEL S-76C-2
SERIAL NO.
N741A
760741
14743N
760743
N745G
760745
14746K
760746
N747Y
760747
N748A
760748 /
N750A
760750V
N751E
760751
N753V
760753
Thank you.
Sincerely,
By:
Carl Kress
576 Program Manager
SDNY_GM_02762767
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
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SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00249617
EFTA01262106
September 5, 2008
Hand Delivered
To:
FAA
Oklahoma City. Oklahoma
Attention:
Gentlemen:
On behalf of our client:
Central Records
110 East Stewart Huston Drive
Coatesville, PA 19320
Please initiate the following action:
Aero Recotclis-S. Title Co.
P.O. Box 19248
Oklahoma City. OK 73144
4'72140r7kr.-. .
C711r.±cascr_
Please
RESERVE
and
assign
the
following
NINE (9)
special
registration numbers to the aircraft listed below which are
presently under manufacture:
MODEL 5-76C-2
SERIAL NO.
I N741A
760741
1 N743N
760743
S 14745C
760745
It N746K
760746
C N747Y
760747
N748A
760748
dp N750A
760750
4 N751E
760751
q N753V
760753
PLEASE ISSUE FORM AFS-750-SUPPORT-5 TO THE HMHUMACTURER, KEYSTONE
Note: Enclosed is a "fax" letter by the manufacturer,
confirming their need for these assignments.
Thank you.
082491212072
't90 00 09/05/2008
)ef PLEASE HAND CONFIRMATION OP RESERVATION LETTER TO ARTC - PUBLIC DOCUMENTS ROOM.
\is PLEASE HAND
Thank you.
AER
RECO
S
TITLE CO.
By: LIS7C THOMAS GASKIN/Senior Administrator, Special Services
/lg
emsAttached:$434). ‘")
Keystone Helicopter Corp.
SD N Y_G M_027 62769
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249618
EFTA01262107
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SDNY_GM_02 762770
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00249619
EFTA01262108