Case File
sd-10-EFTA01334323Dept. of JusticeOtherEFTA Document EFTA01334323
Date
Unknown
Source
Dept. of Justice
Reference
sd-10-EFTA01334323
Pages
276
Persons
0
Integrity
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Summary
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5 7 232:
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Aker printing this label.
1. Use the Print' button on this page to print your label to your laser or inkjet printer
2. Fold the printed page along the horizontal line.
3. Race label in shipping pouch and affix it to your shipment so that the barcode porton of the label can be read and scanned.
purposes is fraudulent and could result in
Use of this system constitutes year agreement to tne service conditions in tho current FedEx Sorrier; Guide. available on ledex.com.FedEx will not
be responsible for any claim in excess of $100 per packago. whether the result of loss. damage. delay. nonaelivery.miSdelivery.or misinformation,
unless you declare a higher value. pay an additional Vargo. document your actual loss and file a timely clam limitations found in the current FedEx
Service Gude apply. Your rght to recover from FodEx for any loss. including intrinsic value of the package, loss of sales, income interest, profit,
attorneys fees costs, and other forms of damage whether direct. incidentalconsequential, or special is limited to the greater of S100 or the
authorized declared value. Recovery cannot exceed actual documented lossistaximum for items of extraordinary value is $1.000. e.g jewelry.
precious metals. negotiable instruments and other items listed in our SecoceGuide. Written claims must be filed within strict time knits. see current
FedEx Service Gude
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1.1
S0NY_GM_02765289
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252097
EFTA01334323
May 7, 2021
Melissa Koboldt
AIC Title Service
6350 W. Reno
Oklahoma City, OK 73127
Re:
N722JE Purchase
Dear Melissa,
Enclosed you will find the Exemption of Aircraft Sold for Removal based upon our potential
acquisition of the helicopter N722JE.
Please let me know if you have any questions.
Sincerely.
Rich Munkvold
Chief Financial Officer
Industrial Integrity Solutions, LLC
SDNY_GM_02765290
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252098
EFTA01334324
Suggested Format for Affidavit for Exemption of Aircraft Sold for
Removal from the State of Florida by a Nonresident Purchaser
01-500002
N. 05/02
The following is a suggested formal of an affidavit to be completed by the purchaser and furnished to the
sealing dealer. In order to satisfy the requirements for exemption, the affidavit must contain all of this
Information and be completed in full.
Florida
STATE OF
COUNTY OF
Broward
*** READ CAREFULLY BEFORE SIGNING '*
Before me this day appeared the affiant named beiovri wno being duly sworn, states that:
1. I have read Rule 12A-1.007(10), Florida Administrative Code, and § 212.05, Florida Statutes; and
2. I am not a resident of the State of Florida and did not make my permanent place of abode in Florida at the
time of taking delivery of the aircraft described below; and
-3. I am not engaged in Florida In any employment, trade, business, or profession for which the described aircraft
will be used in Florida; and
4. I do not represent a corporation which has any officer or director who is a resident of Florida, or makes his
or her permanent place of abode in Florida; and
5. I do not represent an artificial entity other than a corporation which has any Individual vested with authority to
participate in the management, direction, or contrd of the affairs of the entity who is a resident of Florida or
makes his or her permanent place of abode in Florida; and
6. I agree to furnish the Florida Department of Revenue (within 30 days of the date of departure) written proof
that this aircraft was licensed, titled, or registered outside Florida; and
7. I agree to furnish the Florida Department of Revenue (within 10 days of the date of departure) invoices for
fuel, be-down or hangar charges, repairs, or other similar documentation issued by an out-of-state vendor or
supplier which identifies this aircraft and its timely removal (Including the FAA registration number).
PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION:
Industrial Integrity Solutions, LLC
Name of purchaser
SSN
If purchaser Is a corporation or partnership, list officers or partners
Purchasers permanent address (Street)
2151 E Convention Center Way Ste 222
Ontario
(City)
(State/
try)
CA
91764
Coun
(ZIP)
Purchaser's daytime telephone number ( 91°9
Purchasers driver's license number and state of issuance
Purchasers passport or visa number
) 354 8002
aO.B.
N/A
Name of selling dealer or broker
Address of selling dealer (Street)
(City)
(State/Country)
(MP)
Selling dealer or broker's Florida certificate of registration number
Selling dealer or brokers telephone number (
Date of sale (Month)
MAY
(Day)
(Year)
2021
(continued on reverse side)
SDNY_GM_02765291
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252099
EFTA01334325
Description of Aircraft
Make
Serial number
760750
SIKORSKY
(Check one)
New O
Used a
Purchase
price $
1,800,000.00
Primary location of aircraft while in Florida
KFXE AIRPORT
Trade-in $
Model
876C++
Year
2008
FAA registration number
N722JE
Net purchase
price S
I claim exemption from Florida sales and use tax on the purchase price of the aircraft described herein under
s. 212.05(1Xa)2, Florida Statutes. for the following reason (clock one):
O
The aircraft will be removed from Florida within 10 days of the date of purchase.
Xi
The aircraft requires repairs, additions, or alterations and it will immediately be taken to a repair facility and
will be removed from Florida within 20 days (excluding tolled days) after completion of the work.
Under penalty of perjury, I declare that I hales read the foregoing and the facts alleged are true to the best of my
knowledge and belief. I understand that if I fall to comply with the requirements of this affidavit, I will be liable for
payment of the tax and a mandatory penalty equal to the tax.
Signature of affianVpurchaser
Sworn to (or affirmed) and subscribed before me this day of
Signature of Notary
Print, type, or stamp name of Notary
3
Personalty known
L) Produced Identification
Type of Identification:
Distribution of Do • ments
The original affidavit and a copy of the sales invoice, bill of sale, or dosIn
Department of Revenue. Aircraft Enforcement Unit, P.O. Box 6417, Tallaha
date of sale.
69
peefi
ce6
ocument must be sent to the Florida
Fl 32314-6417 within five (5) days of the
A copy of the affidavit must be retained by the selling dealer and made a part of the de
s records.
The selling dealer or broker should provide the purchaser with a copy.
Notice To Dealers
Affidavits not flied within five (5) days of the date of sale may not be accepted by the Department o
avenue and
the selling dealer or broker may be billed for tax, penalty, and interest due.
SDNY_GM_02765292
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252100
EFTA01334326
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of SAM 'BSR.NARAIND
on mAk.‘
, 1.O24
before meaUt4/4 CAELOt Gotruxec,i‘Lai 114.1/41
(insert name and title of the officer)
personally appeared
(.4442-O
AUhlk--VOLD
who proved to me on the basis of satisfactory evidence to be the person
whose namekslis/pri
subscribed to the within instrument and acknowledged to me that he/Weitlity executed the same in
his/Velpieir authorized capacity(yeS). and that by his/pet/94r signature(gon the instrument the
personce, or the entity upon behalf of which the persorracted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
(Seal)
NUM n , Of GOMIS
COMM. y2353114
Stay NS • Cebtotras
Rankle Courk
Ca
an
SDNY_GM_02765293
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252 I 0 I
EFTA01334327
SECOND AMENDMENT TO AIRCRAFT PURCHASE AGREEMENT
This SECOND AMENDMENT TO AIRCRAFT PURCHASE AGREEMENT
(this "Second Amendment") is made and entered into as of the 7th day of May, 202 I (the
"Effective Date"), by and between Hyperion Air, LLC ("Seller") and Industrial Integrity
Solutions, LLC ("Purchaser"), and amends that certain Aircraft Purchase Agreeement by and
between Seller and Purchaser entered into as of April 16, 2021 (the "Original Agreement"), as
the same was previously amended by that certain First Amendment to Aircraft Purchase
Agreeement by and between Seller and Purchaser made and entered into as of April 20, 2021
(said Original Agreement, as so amended, the "Agreement"), governing the purchase and the
sale of that certain 2008 Keystone Helicopter (Sikorsky) model S-76C++ aircraft, bearing
manufacturer's serial number 760750, and currently registered with the United States Federal
Aviation Administration as N722JE. All capitalized terms used but not otherwise defined
herein shall have the meanings ascribed to those terms in the Agreement.
WHEREAS, Section 4(a) of the Agreement provides in relevant part that ". . .in no event
shall the Closing take place later than May 7, 2021 (the "Closing Date")";
WHEREAS, the Parties desire to extend the May 7, 2021 Closing deadline provided for
in Section 4(a) until May 13, 2021, so that May 13, 2021 is the absolute final and latest date
by which Purchaser must close under the Agreement; and
WHEREAS, Seller is willing to extend the May 7, 2021 Closing deadline until May 13,
2021, effective when and on the condition that immediately upon execution of this Second
Amendment Purchaser increases the Deposit by delivering to the Escrow Agent an additional
One Hundred Thousand Dollars (S100,000), and provided further that Purchaser agrees herein
that the full amount of the Deposit, as so increased, is non-refundable and immediately,
absolutely, and unconditionally due and payable to Seller regardless of whether or not the
Closing occurs, and immediately instructs Escrow Agent to disburse the Deposit, as so
increased, to Seller in accordance with Seller's disbursement instructions;
NOW, THEREFORE, in consideration of these premises and the mutual covenants
and agreements herein contained, the parties agree as follows:
1.
Subject to the provisions of Paragraph 2 of this Second Amendment and
effective if and only if Purchaser fully complies with such provisions, Section 4(a) of the
Agreement is hereby amended in its entirety to read as follows:
(a) The closing of this transaction ("the Closing") and delivery of the
Aircraft to Purchaser shall take place at Fort Lauderdale Executive Airport KFXE,
Florida ("the Closing Place") by not later than the Closing Date (as hereinafter defined),
SDNV_GM_02765294
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252102
EFTA01334328
unless the parties subsequently agree upon a later date in writing, in which case such
agreed upon date shall be deemed the "Closing Date". The Closing shall take place
promptly after: (i) Purchaser's delivery of the Certificate of Technical Acceptance
indicating Purchaser's Unconditional Acceptance of the Aircraft in accordance with
Sections 3(t) and (h) hereof; and (2) confirmation from the Escrow Agent that the
Escrow Agent has received the Purchase Price Balance from Purchaser and all Escrow
Documents (as defined below), but in no event shall the Closing take place later than
May 13, 2021 (the "Closing Date"). Seller and Purchaser hereby acknowledge that the
passing of title, possession and delivery of the Aircraft shall take place within the state
in which the Closing Place is located. The fuel costs and the expenses of Seller's flight
crew, if any, in flying the Aircraft from the Inspection Facility to the Closing Place
shall be the sole responsibility of and paid for by Purchaser.
2.
Immediately following Purchaser's and Seller's execution of this Second
Amendment, Purchaser shall increase the amount of the Deposit by delivering an additional
One Hundred Thousand Dollars ($100,000) to the Escrow Agent, whereupon the full amount
of the Deposit, as so increased (Le., Two Hundred Thousand Dollars (5200,000), hereinafter
referred to as the "Increased Deposit"), shall be non-refundable and immediately, absolutely
and unconditionally due and payable to Seller, regardless of whether or not a Closing shall
thereafter occur. Concurrently with Purchaser's delivery of the additional amount of the
Deposit to the Escrow Agent, Purchaser shall deliver to the Escrow Agent (and send a copy of
the same to Seller) a signed written instruction directing the Escrow Agent to immediately
disburse the Increased Deposit to Seller in accordance with Seller's disbursement directions,
without any further writing or approval from Purchaser being required and without any
requirement that a Closing occur. If and only if Seller receives the full amount of the Increased
Deposit in accordance with Seller's disbursement instructions, the amount of the Purchase
Price Balance required to be paid by Purchaser under the Agreement shall decrease to One
Million Six Hundred Thousand Dollars ($1,600,000). The provisions of Paragraph 1 of this
Second Amendment will
t be effective unless and until Seller receives the full amount of
the Deposit in accor
ic with Seller's disbursement instructions.
Lesnerci4.. J. san
3.
In the e kni of any inconsistencies between the provisions of the Agreement and
the provisions of this Second Amendment, the provisions of this Second Amendment shall
control in all respects. Except as expressly amended hereby, the provisions of the Agreement
shall remain unchanged, valid and in full force and effect.
4.
This Second Amendment may be fully executed in separate counterparts by each
of the parties hereto. Any signatures on this Second Amendment may be transmitted via
facsimile or e-mail (in pdf format), which signatures shall be deemed originals for all purposes.
[Signatures on the following page]
2
SDNY_GM_02765295
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252103
EFTA01334329
UV WITNESS WHEREOF, the parties hereto have executed this SECOND
AMENDMENT TO AIRCRAFT PURCHASE AGREEMENT as of the day and year first
written above.
Seller:
Hyperion Air, LLC
By: ---1c2iv11.-tn
Print Darren Indyke
Title: Authorized Representative
Purchaser:
Industrial Integrity Solutions, LLC
By:
Print: Mich Munkvold
Title: Chief Financial Officer
3
SDNY_GM_02765296
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252104
EFTA01334330
DELIVERY RECEIPT
2008 KEYSTONE (SIKORSKY) S-76C++ HELICOPTER
Manufacturer's Serial No. 760750
U.S. Registration No. N722JE
Pursuant to provisions of that certain Aircraft Purchase Agreement dated April
, 2021 (the
"Agreement") by and between HYPERION AIR, LLC, a U.S. Virgin Islands limited liability
company ("Seller"), and INDUSTRIAL INTEGRITY SOLUTIONS, LLC, a New Mexico limited
liability company ("Purchaser"), Purchaser hereby acknowledges the delivery and acceptance of one
used 2008 Keystone (Sikorsky) model S-76C-hr helicopter, bearing manufacturer's serial number
760750, and currently registered with the United States Federal Aviation Administration (the "FAA")
as N722JE, together with said aircraft's two (2) Turbomeca S.A. model Arriel 2S2 engines bearing
Manufacturer's Serial Nos. 42285TE and 42286TEC, and with all avionics, equipment systems,
furnishings and accessories installed on, contained in or attached to said aircraft and engines, all as is
more particularly described on Exhibit A, and also including all airframe, engine and accessory
logbooks, flight and operation manuals, maintenance and overhaul records, and all other records and
paperwork relating to the above-described aircraft and engines in Seller's possession (collectively, the
"Aircraft").
Purchaser accepts the Aircraft at
p.m., on
Is, Where Is" condition and "With all Faults" at
subject to the waivers and disclaimers set forth in the Agreement.
, 2021 in an "As
, Florida and
TOTAL TIME ON AIRFRAME AT DELIVERY:
hours
TOTAL TIME ON ENGINES AT DELIVERY:
Engine No. 1 (MSN 42285TEC):
Engine No. 2 (MSN 42286TEC):
TOTAL LANDINGS AT DELIVERY:
INDUSTRIAL INTE
By:
Name:
,e,c,,,„tt frip.,,„„,„„a
C
Title:
coo
S-i 3- 2.
hours/cycles
hours/cycles
TIONS, LLC
25
SDNY_GM_02765297
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252105
EFTA01334331
DELIVERY RECEIPT
2008 KEYSTONE (SIKORSKY) S-76C++ HELICOPTER
Manufacturer's Serial No. 760750
U.S. Registration No. N722JE
Pursuant to provisions of that certain Aircraft Purchase Agreement dated April
, 2021 (the
"Agreement") by and between HYPERION AIR, LLC, a U.S. Virgin Islands limited liability
company ("Seller"), and INDUSTRIAL INTEGRITY SOLUTIONS, LLC, a New Mexico limited
liability company ("Purchaser"), Purchaser hereby acknowledges the delivery and acceptance of one
used 2008 Keystone (Sikorsky) model S-76C-fr helicopter, bearing manufacturer's serial number
760750, and currently registered with the United States Federal Aviation Administration (the "FAA")
as N722JE, together with said aircraft's two (2) Turbomeca S.A. model Arriel 2S2 engines bearing
Manufacturer's Serial Nos. 42285TE and 42286TEC, and with all avionics, equipment systems,
furnishings and accessories installed on, contained in or attached to said aircraft and engines, all as is
more particularly described on Exhibit A, and also including all airframe, engine and accessory
logbooks, flight and operation manuals, maintenance and overhaul records, and all other records and
paperwork relating to the above-described aircraft and engines in Seller's possession (collectively, the
"Aircraft").
Purchaser accepts the Aircraft at
p.m., on
Is, Where Is" condition and "With all Faults" at
subject to the waivers and disclaimers set forth in the Agreement.
, 2021 in an "As
, Florida and
TOTAL TIME ON AIRFRAME AT DELIVERY:
hours
TOTAL TIME ON ENGINES AT DELIVERyaat
Engine No. 1 (MSN 42285TEC):
2641 9 Cycle: NI -11152.6 N2-3188.2 hours/cycles
Engine No. 2 (MSN 42286TEC):
2641.9 Cycles NI•31379.? / N2.3197.4 hours/cycles
TOTAL LANDINGS AT DELIVERY:
5472
INDUSTRIAL rNTE
TIONS, LLC
By:
Name:
e na,,„tt
Title:
ens
S-i 3- a f
25
SDNY_GM_02765298
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252106
EFTA01334332
*** NO MATCHES FOUND ***
ARCOLPO1
AIRCRAFT REGISTRATION SYSTEM
05/13/21
ARCOLM01
COLLATERAL INQUIRY
09:04
TYPE-COLL
SEARCH CRITERIA
Type-Coll
: 1
(Required)
1
2,3,9
4
5
N-Number
: 722JE
Mfr Name
Model Name
Serial Number:
Air Carrier :
Air Carr City:
Air Carr Loc :
Recording Nbr:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
PREV
SDNY_W_02765299
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252107
EFTA01334333
ARNNIP03
ARNNIM03
AIRCRAFT REGISTRATION SYSTEM
05/13/21
MASTER N-NUMBER INQUIRY - ASSIGNED
09:04
AIRCRAFT DESCRIPTION
DATES-STATUS
Reg-Number : 722JE
Pending Chg:
Serial Num : 760750
Year-Make : 2008 KEYSTONE HELICOPTER
Model
: S-76C
Mode-S-Code: 52325707
Uniq-id: 01014797
REGISTERED OWNER INFORMATION
Cert Issue:
Act Issue :
Last Act
Expir Date:
Type Req
Status
Reason
07/17/2019
07/17/2019
07/17/2019
07/31/2022
LLC
VALID
FINST REJ
LIMITED LIABILITY: HYPERION AIR LLC
Street
: 6100 RED HOOK QUARTER B3
PACKET INFORMATION
City
: ST THOMAS
Phase/Queue:
State-Zip
: VI
00802
Pkt Status :
County
Stat Date
Country-Zip
: VIRGIN ISLANDS USA
Susp/D1r/IR: NO NO YES
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
OPT
MAIN
PREV IMAGE
SDNY_GM_02765300
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252108
EFTA01334334
ARNNIP03
Additional Options
05/13/21
ARNNIM03
M
1. View Airworthiness Info
09:04
2. View Cross-Reference
AIRCRAFT DE
3. View Previous Registered Owners
Reg-Number : 722JE
9
Pending Chg:
9
Serial Num : 760750
9
Year-Make : 2008 KEYST
2
Model
: S-76C
Mode-S-Code: 52325707
REGISTERED OWN
LIMITED LIABILITY: HYP
Street
: 610
MATION
City
: ST
State-Zip
: VI
OPTION:
County
Country-Zip
: VIR
NO YES
Enter-PF1---PF2---PF3---PF4---PFS---PF6---P£7---PF8---P£9---PF10--PF11--PF12---
CONT
PREY
SDNY_GNA_02765301
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252109
EFTA01334335
GFGIIP03
GFGIIM09
N-Number
Serial Num
Mfr Name
Model Name
AIRCRAFT DOCUMENT CONTROL SYSTEM
REGISTRATION IMAGES
Page
1 of
4
7223E
760750
KEYSTONE HELICOPTER
S-76C
DOCUMENTS
05/13/21
09:04
Document Description
Status
Doc ID
Doc Date
laigs
* 1. APPLICATION FOR REGISTRATION
ACCEPTED
8485
06/13/2019
2
2. EVIDENCE OF OWNERSHIP
JD020475
8484
06/13/2019
2
3. REG RENEWAL APP(ONLINE)
ACCEPTED
9377
03/28/2017
4
4. RQST DUP/EXTENSION/TEMPORARY
ACCEPTED
9736
08/04/2014
2
5. TEMPORARY CERTIFICATE
ACCEPTED
9084
08/04/2014
2
6. REGISTRATION RENEWAL APP
ACCEPTED
4974
07/14/2014
2
WINDOW 1 :
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CONT
MAIN A/W
+PAGE PREV
+DOC
SDNY_Gh/1_02765302
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252110
EFTA01334336
GFGIIP03
GFGIIM09
N-Number
Serial Num
Mfr Name
Model Name
AIRCRAFT DOCUMENT CONTROL SYSTEM
REGISTRATION IMAGES
Page
2 of
4
722JE
760750
KEYSTONE HELICOPTER
S-76C
DOCUMENTS
05/13/21
09:04
Document Description
Status
Doc ID
Doc Date
tPgs
•
1. N-NUM CHANGE CANC. NOTICE
ACCEPTED
1736
12/11/2012
2
2. FORM 8050-64
ACCEPTED
5077
09/16/2011
2
3. N-NUMBER CHANGE REQUEST
ACCEPTED
3932
08/26/2011
2
4. N-NUM CHANGE EXP NOTICE
ACCEPTED
4012
10/12/2012
4
5. APPLICATION FOR REGISTRATION
ACCEPTED
7391
07/26/2011
2
6. EVIDENCE OF OWNERSHIP
DT007148
7390
07/26/2011
2
WINDOW 1 :
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CONT
MAIN A/W
-PAGE +PAGE PREV
-DOC +DOC
SDNY_GNA_02765303
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252III
EFTA01334337
GFGIIP03
GFGIIM09
N-Number
Serial Num
Mfr Name
Model Name
AIRCRAFT DOCUMENT CONTROL SYSTEM
REGISTRATION IMAGES
Page
3 of
4
7223E
760750
KEYSTONE HELICOPTER
S-76C
DOCUMENTS
05/13/21
09:04
Document Description
Status
Doc ID
Doc Date
Digs
* 1. APPLICATION FOR REGISTRATION
ACCEPTED
6668
08/16/2010
2
2. N-NUMBER CHANGE REQUEST
ACCEPTED
0725
02/12/2010
2
3. N-NUMBER CHANGE REQUEST
ACCEPTED
3902
03/16/2010
2
4. NAME CHANGE TEMPLATE
ACCEPTED
4696
03/17/2010
2
5. APPLICATION FOR REGISTRATION
ACCEPTED
2985
02/17/2009
2
6. EVIDENCE OF OWNERSHIP
PH001657
0071
12/30/2008
2
WINDOW 1 :
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CONT
MAIN A/W
-PAGE +PAGE PREV
-DOC +DOC
SDNY_GM_02765304
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252112
EFTA01334338
GFGIIP03
GFGIIM09
N-Number
Serial Num
Mfr Name
Model Name
AIRCRAFT DOCUMENT CONTROL SYSTEM
REGISTRATION IMAGES
Page
4 of
4
7223E
760750
KEYSTONE HELICOPTER
S-76C
DOCUMENTS
05/13/21
09:04
Document Description
Status
Doc ID
Doc Date
Digs
* 1. EVIDENCE OF OWNERSHIP
PH001656
0069
12/30/2008
2
2. MISCELLANEOUS-SUPPORT
ACCEPTED
0752
12/23/2008
2
3. ASSIGNMENT LETTER
ACCEPTED
8161
09/09/2008
2
4. ASSIGNMENT OF N-NUMBER
ACCEPTED
5061
09/05/2008
2
5. ASSIGNMENT OF N-NUMBER
ACCEPTED
5060
09/05/2008
2
6. MEMO TO FILE
ACCEPTED
8211
09/09/2008
2
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-PAGE
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-DOC +DOC
SDNY_Gh/1_02765305
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252II3
EFTA01334339
*** NO ASG RECORDS EXIST FOR N-NUMBER 722.1E ***
GFGIIP02
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM02
IMAGE INQUIRY - ADMINISTRATIVE
09:06
Doc Type : ASG
Required Search Criteria
N-Number
: 722.1E
Serial Number
Name
Control Number
: 2021 -
F7
E-Number
Date
Billing Number
•
Recording Number
•
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_Gh/1_02765306
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252114
EFTA01334340
*** NO NCG RECORDS EXIST FOR N-NUMBER 722JE ***
GFGIIP02
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM02
IMAGE INQUIRY - ADMINISTRATIVE
09:06
Doc Type : NCG
Required Search Criteria
N-Number
: 722JE
Serial Number
Name
Control Number
: 2021 -
F7
E-Number
Date
Billing Number
•
Recording Number
•
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_Gh/1_02765307
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252115
EFTA01334341
*** NO RECORDS ***
GFGIIP02
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM02
IMAGE INQUIRY - ADMINISTRATIVE
09:07
Doc Type : RSV
Required Search Criteria
N-Number
: 722.1E
Serial Number
Name
Control Number
: 2021 -
F7
E-Number
Date
Billing Number
•
Recording Number
•
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_W_02765308
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252II6
EFTA01334342
*** NO RECORDS ***
GFGIIP02
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM02
IMAGE INQUIRY - ADMINISTRATIVE
09:07
Doc Type : RSV
Required Search Criteria
N-Number
: 722JE
Serial Number
Name
Control Number
: 2021 -
F7
E-Number
Date
Billing Number
Recording Number
Enter-PF1---P£2---PF3---PF4---PF5---PF6---PF7---PF8---P£9---PF10--PF11--PF12---
CONT
MAIN
PREV
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
09:07
IR Authorization Code :
OR
Name
OR
N-number
: 722JE
OR
Type
Serial Number:
Enter-PF1---PF2---PF3---PF4---PFS---PF6---P£7---PF8---P£9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_GNA_02765309
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252117
EFTA01334343
GFGIIN11
AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM36
IMAGE INQUIRY - ADMINISTRATIVE
Page
1 of
1
05/13/21
09:07
Doc Description: INTERNATIONAL REGISTRY
N-Number
:
722JE
IR Auth Code
N-Number
Date
I Pgs
1. IRN20190613101517 722JE
06/14/2019
2
2. IRN20110726120229 722JE
07/27/2011
2
3.
4.
5.
6.
7.
8.
9.
10.
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+DOC
SDNY_GM_02765310
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252II8
EFTA01334344
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
09:07
IR Authorization Code :
OR
Name
OR
N -number
OR
Type
: 1
Serial Number: 760750
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_GM_02765311
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252119
EFTA01334345
GFGIIN12
AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM36
IMAGE INQUIRY - ADMINISTRATIVE
Page
1 of
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:
1 760750
IR Auth Code
Collateral
Date
I Pgs
1. IRN20190613101517 722JE 760750 KEYSTONE HELICOPTER S-7 06/14/2019
2
2. IRN20110726120229 722JE 760750 SIKORSKY S-76
07/27/2011
2
3. IRN20081230154204 750A 760750 SIKORSKY S-76
12/31/2008
2
4.
5.
6.
7.
8.
9.
10.
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SDNY_Gh/1_02765312
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252120
EFTA01334346
ARCOLPO1
AIRCRAFT REGISTRATION SYSTEM
05/13/21
ARCOLM01
COLLATERAL INQUIRY
09:07
TYPE-COLL
SEARCH CRITERIA
Type-Coll
: 2
(Required)
1
N -Number
2,3,9
Mfr Name
Model Name
Serial Number: 42285
4
Air Carrier :
Air Carr City:
Air Carr Loc :
5
Recording Nbr:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
PREV
SDNY_Gh/1_02765313
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252121
EFTA01334347
*** NO MATCHES FOUND ***
ARCOLPO1
AIRCRAFT REGISTRATION SYSTEM
05/13/21
ARCOLM01
COLLATERAL INQUIRY
09:08
TYPE-COLL
SEARCH CRITERIA
Type-Coll
: 2
(Required)
1
N -Number
2,3,9
Mfr Name
Model Name
Serial Number: 42285
4
Air Carrier :
Air Carr City:
Air Carr Loc :
5
Recording Nbr:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
PREV
SDNY_Gh/1_02765314
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252)22
EFTA01334348
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
09:08
IR Authorization Code :
OR
Name
OR
N -number
OR
Type
: 2
Serial Number: 42285TE
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_W_02765315
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252123
EFTA01334349
*** NO RECORDS FOUND ***
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
05/13/21
09:08
IR Authorization Code :
Name
N -number
OR
OR
OR
Type
Serial Number:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_Gh/1_02765316
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252124
EFTA01334350
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
09:08
IR Authorization Code :
OR
Name
OR
N -number
OR
Type
: 2
Serial Number: 42285
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_GM_02765317
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252125
EFTA01334351
GFGIIN12
AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM36
IMAGE INQUIRY - ADMINISTRATIVE
Page
1 of
1
Doc Description: INTERNATIONAL REGISTRY
05/13/21
09:08
Collateral
: 2 42285
IR Auth Code
Collateral
Date
I Pgs
1. IRN20190613101517 42285 TURBO ARRIEL 2S2
06/14/2019
2
2. IRN20110726120229 42285 TURBO ARRIEL 2S2
07/27/2011
2
3.
4.
5.
6.
7.
8.
9.
10.
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SDNY_GM_02765318
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252126
EFTA01334352
*** NO MATCHES FOUND ***
ARCOLPO1
AIRCRAFT REGISTRATION SYSTEM
05/13/21
ARCOLM01
COLLATERAL INQUIRY
09:08
TYPE-COLL
SEARCH CRITERIA
Type-Coll
: 2
(Required)
1
N -Number
2,3,9
Mfr Name
Model Name
Serial Number: 42286
4
Air Carrier :
Air Carr City:
Air Carr Loc :
5
Recording Nbr:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
PREV
SDNY_Gh/1_02765319
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252127
EFTA01334353
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
09:09
IR Authorization Code :
OR
Name
OR
N -number
OR
Type
: 2
Serial Number: 42286TEC
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_W_02765320
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252128
EFTA01334354
*** NO RECORDS FOUND ***
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
05/13/21
09:09
IR Authorization Code :
Name
N -number
OR
OR
OR
Type
Serial Number:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_Gh/1_02765321
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252129
EFTA01334355
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
09:09
IR Authorization Code :
OR
Name
OR
N -number
OR
Type
: 2
Serial Number: 42286TEC
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
00NT
MAIN
PREV
SDNY_GNA_02765322
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252130
EFTA01334356
*** NO RECORDS FOUND ***
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
05/13/21
09:09
IR Authorization Code :
Name
N -number
OR
OR
OR
Type
Serial Number:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT
MAIN
PREV
SDNY_Gh/1_02765323
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252131
EFTA01334357
GFGIIP07
AIRCRAFT DOCUMENT CONTROL SYSTEM
05/13/21
GFGIIM43
IMAGE INQUIRY - ADMINISTRATIVE
09:09
IR Authorization Code :
OR
Name
OR
N -number
OR
Type
: 2
Serial Number: 42286
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
00NT
MAIN
PREV
SDNY_GM_02765324
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252132
EFTA01334358
GFGIIN12
AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM36
IMAGE INQUIRY - ADMINISTRATIVE
Page
1 of
1
Doc Description: INTERNATIONAL REGISTRY
05/13/21
09:09
Collateral
: 2 42286
IR Auth Code
Collateral
Date
I Pgs
1. IRN20190613101517 42286 TURBO ARRIEL 2S2
06/14/2019
2
2. IRN20110726120229 42286 TURBO ARRIEL 2S2
07/27/2011
2
3.
4.
5.
6.
7.
8.
9.
10.
WINDOW 1 :
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COLL
PREV
+DOC
SDNY_GM_02765325
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252133
EFTA01334359
UNITED STATES OF AMERICA
U.S. DEPARTMENT OF TRANSPORTATION FFnrial 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
N 722J E
AIRCRAFT MANUFACTURER & MODEL
KEYSTONE HELICOPTER S-76C
AIRCRAFT SERIAL No.
760750
DOES THIS
%Th
DAY OF May
, 2021
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO:
OMB Control No. 2120-0042
Exp. 04402017
Do Not WAR In Tit elock
FOR FM USE ONLY
co
a.
NAME AND ADDRESS
(W INDMDUAL(S). GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL.)
Industrial Integrity Solutions , LLC
2151 E. Convention Center Way #222
Ontario, Ca 91764
DEALER CERTIFICATE NUMBER
MC TO ITS SUCCESSORS
TATEGUTQRS-ACNINISTFMTGFIS. AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SAID AIRCRAFT FOREVER MO WARRANTS THE TITLE THEREOF
IN TESTIMONY WHEREOF
I
HAVE SET
lY
LLI
U)
MY
HAM AND SEAL THIS )
DAy OF May. 2021
NAME(S) OF SELLER
SIGNATURE(S)
TITLE
(TYPED OR PRINTED)
(IN INK) (IF EXECUTED FOR
(TYPED OR PRINTED)
CO-OWNERSHIP. ALL MUSTSIGN.
Hyperion Air LLC
D0Ity
LARRY VISOSKI
Me /1, T
ZWII4a0V104
Manager
ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER. MAY BE < QUIRED BY LOCAL LAW FOR
VALIDITY OF THE INSTRUMENT.)
ORIGINAL: TO FAA.
AC Form 8050-2 (01112) (NSN 0052-064294)003)
SDNY_GM_02765326
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252134
EFTA01334360
UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION - MIKE MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPUCATION
Il
UNWED STATES
REGISTPATICTI
N 722JE
NIABER
CI
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KEYSTONE HELICOPTER S-76C
ANC I•XEL
SI NRCRAFT
SERIN.
760750
NIAIBER
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ihr~bb Cgs WI ~NI. fl
an rd Inn* wIlml I
Industrial Integrity Soluttons. LLC
R !On
NUMBER (GOG )
3548000
It MNAING
~ABER
Rteb.N.
or,
ACORESS "nail
wing Si«
ta, kit ~cart ant. I
AND STREET
2t51 E. Convenbon Center Weyill222
Rain
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Ontario
STATE CA
zip
9176E
Cl PINSICAl
NURSER
DESCRIPTION
LOCATION
CITY
ADDRESSACCATION f PC1 BOX GAL DROP OR MAN Miff
BOX INFO FOR u...1 air AnnFert.a
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OF
STATE
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REPORTING A CHANGE OF ADOiMSS
WIC CERTIFY:
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MY MO Au SIGNATORIESOF TMS APPLICATION MED REM) TIE fOLLCMING AND UNDERSTAND THAT. BY APR YING
A SIGNATURE TO THIS DOCUMEM. THEY AM SUBJECT TO THE REFERENCE 0 STATUTES MO ASSOOATED PENALTIES.
hereby WON eta, ate ebony) row= r ard IT My Mairent as, tesagran Br 61reEreFITETC6 2 fla Wale re °Ina IS IN IMMIX frTOF
me teel we ~Bang mat Ite FAA anent< eill Mice ire nagest We groyne n weng
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(IS U SC %ICI)) and 3$71) ive unaersona Pai at known* are eel* a) limy re senneal a maal get or e) use a (bawn! Norma e centans a We
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of me SI
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NOTE: If mama Tor coemtershe. ea 'opium Trust sap. Use am
and add pap) 1 necessary.
11,
SIGNATURE Digitallyil?ed by RICHARD MUNKVOLD
'at Nu";
nEang~ NNW
DATE
5-
I 3 ,x-A
TYPE DPRINTED
RAW
Fbeharg MØ
CFO of Frontier Finance Co its Member
TITLE
12)
SIGNATURE
I DATE
TyPEWPFITNTE0
NAME
TITLE
NOTE: DENCE TINCO Ihe (r95/ rem! Nostiaben
Walea revert o eau, er Ceti
CER173146 Yost
Tor m TE~
US aircraft to be operated kir se To ea days stein tne United Sues thwart:toy aUp sped aka) moist/an /mambas is red
r the escrie Mee wrong issuance aro mew of the welt/es/ma cenecate.
AC rome05n1 III02C.
PAW
SDNY_GM_02765327
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252 I 35
EFTA01334361
Complete name of the Applicant:
State in which LW is organized:
Effective date of formation of the LLC:
Ober 7.2016
Name of each member of the LW:
Name of Member:
Statement in Support of Registration of a United States Civil Aircraft
in the Name of a Limited Liability Company
Industrial Intregrity Solutions, LLC
New Mexico
Type of Entity
(ie: individual, corporation.
partnership, etc.)
James L. Previti
Individual
Frontier Finance Co
Calitomia Corp
(Please use additional sheets if additional space is required)
LLC is managed by:
K
Manager(s)
If LLC is managed by Manager(sktifficer(s)
Name of MIIIISSICO
Type of Entity
Officer(s)
(ie: individual, corporation,
partnership, etc.)
ember(s)
(Please use additional sheets if additional space is 'required)
Can the managers, members or officers of this LW act independently?
L. S. Citizenship Verification
1 0
NIl
1 Ej
D Officer(s)
U.S. Citizenship Verification
The undersigned certifies that the Applicant is a citizen of the United States since, to the best knowledge and
belief of the undersigned, at least 2/3rds of the managers, officers or managing members qualify as citizens of
the United States as defined in 49 U.S.C. 40101(a)(I5) and at least 75% of the voting interest or units is owned
or controlled by persons who qualify as citizens of the United States as defined in 49 U.S.C. 40102(aX I 5).
49 U.S.C. Section (aXI5): Citizen of the United States means: (1) An individual who is a citizen of the United
States or one of its possessions; or (2) A partnership of which each member is such an individual; or (3) A
corporation or association created or organized under the laws of the United States or of any State, Territory,
or possession of the United States, of which the president and 2/3 or more of the board of directors and other
managing officers thereof are such individuals and in which at least 75% of the voting interest is owned or
controlled by persons who are citizens of the United States or of one of its possessions.
If any member, officer or manager of the LLC is not a citizen of the United States as defined in U.S.C.
40102(aXI5) please attach an additional sheet for explanation to substantiate that the LW qualifies as a citizen
of the United States.
,citAO Awe,/
hs.
nap FIsMouCal. Ofer Wet
Dated.
(title) sto-ai
SDNY_GM_0276S328
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFIA_00252136
EFTA01334362
WARRANTY BI LL OF SALE
Pursuant to that certain Aircraft Purchase Agreement, dated April "
2021 (the
"Agreement"), by and between HYPERION AIR, LLC, a U.S. Virgin Islands limited liability
company ("Seller"), and INDUSTRIAL INTEGRITY SOLUTIONS, LLC, a New Mexico limited
liability company ("Purchaser"), for and in consideration of the sum of Ten Dollars (510.00) and
other good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged by Seller, and being the owner of the full legal and beneficial title in and to that
certain used 2008 Keystone (Sikorsky) model S-76C++ helicopter, bearing manufacturer's serial
number 760750, and currently registered with the United States Federal Aviation Administration
(the "FAA") as N722JE, together with said aircraft's two (2) Turbomeca S.A. model Arriel 2S2
engines bearing Manufacturer's Serial Nos. 42285TE and 42286TEC, and with all avionics,
equipment systems, furnishings and accessories installed on, contained in or attached to said aircraft
and engines, all as is more particularly described on Exhibit A, and also including all airframe, engine
and accessory logbooks, flight and operation manuals, maintenance and overhaul records, and all
other records and paperwork relating to the above-described aircraft and engines in Seller's
possession (collectively, the "Aircraft"),
Seller does hereby grant, bargain, sell, convey, transfer and deliver unto Purchaser,
its successors and assigns, 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 full legal, record and beneficial owner of 100% 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 leases,
liens, claims, encumbrances and rights of third parties 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 SET FORTH IN THE IMMEDIATELY
PRECEDING PARAGRAPH (THE "EXPRESS WARRANTIES"), THE AIRCRAFT AND
EACH PART THEREOF IS BEING SOLD TO PURCHASER HEREUNDER IN ITS "AS IS,
WHERE IS" CONDITION AND "WITH ALL FAULTS" EFFECTIVE AT THE CLOSING.
EXCEPT FOR THE EXPRESS WARRANTIES, NEITHER SELLER NOR ITS AGENTS,
REPRESENTATIVES OR EMPLOYEES MAKE ANY WARRANTIES, EXPRESS OR
IMPLIED, OF ANY KIND OR NATURE WHATSOEVER TO PURCHASER. WITHOUT
LIMITING
THE
GENERALITY
OF
THE
FOREGOING
DISCLAIMER
OF
REPRESENTATIONS AND WARRANTIES, THERE IS (I) NO WARRANTY BY SELLER,
ITS AGENTS, REPRESENTATIVES OR EMPLOYEES AS TO THE AIRWORTHINESS OR
PHYSICAL CONDITION OF THE AIRCRAFT, (II) NO IMPLIED WARRANTY BY SELLER,
ITS AGENTS, REPRESENTATIVES OR EMPLOYEES OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE OF THE AIRCRAFT, (III) NO IMPLIED
WARRANTY BY SELLER, ITS AGENTS, REPRESENTATIVES OR EMPLOYEES ARISING
FROM COURSE OF PERFORMANCE, COURSE OF DEALING OR USAGE OF TRADE,
AND (IV) NO WARRANTY BY SELLER, ITS AGENTS, REPRESENTATIVES OR
EMPLOYEES AGAINST PATENT INFRINGEMENT OR THE LIKE.
(Signature on following page]
22
SDNY_GM_02765329
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00252137
EFTA01334363
IN WITNESS WHEREOF, Seller has caused this Warranty Bill of Sale to be
executed by its duly authorized representative, this ) r
day of tit, 2021.
HYPERION MR, LLC
DADDY by LARR:IVISOSKI
•
By:
Name:
Lawrence Vateaki
Title:
ma"9.0
SONY_GM_02765330
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFIA_00252138
EFTA01334364
INPAP, 414T
OP RIVINIA
I
Suggested Format for Affidavit for Exemption of Aircraft Sold for
Removal from the State of Florida by a Nonresident Purchaser
GT-500002
The following is a suggested format of an affidavit to be completed by the purchaser and furnished to the
selling dealer. In order to satisfy the requirements for exemption. the affidavit must contain all of this
Information and be completed In full.
Florida
STATE OF
COUNTY OF
Broward
N. 05/02
*** READ CAREFULLY BEFORE SIGNING '
Before me this day appeared the of
named below. wno being duly sworn, states that
1.
I have read Rule 12A-1.007(10), Florida Administrative Code, and § 212.05, Florida Statutes; and
2. I am not a resident of the State of Florida and did not make my permanent place of abode in Florida at the
time of taking delivery of the aircraft described below; and
-3. I am not engaged in Florida in any employment, trade, business, or profession for which the described aircraft
will be used in Florida; and
4. I do not represent a corporation which has any officer or director who Is a resident of Florida, or makes his
or her permanent place of abode in Florida; and
5. I do not represent an artificial entity other than a corporation which has any Individual vested with authority to
participate in the management, direction, or control of the affairs of the entity who is a resident of Florida or
makes his or her permanent place of abode in Florida; and
6. I agree to furnish the Florida Department of Revenue (within 30 days of the date of departure) written proof
that this aircraft was licensed, titled, or registered outside Florida; and
7. I agree to furnish the Florida Department of Revenue (within 10 days of the date of departure) invoices for
fuel, tie-down or hangar charges, repairs, or other similar documentation issued by an out-of-state vendor or
supplier which identifies this aircraft and its timely removal (Including the FAA registration number).
PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION:
Industrial Integrity Solutions, LLC
Name of purchaser
SSN
If purchaser is a corporation or partnership, list officers or partners
T.I.N. sr-231 Coor
Purchaser's permanent address (Street)
(City)
Ontario
(StatetCountry)
CA
(ZIP)
91764
Purchaser's daytime telephone number ( 909.
) 354.8002
D.O.B.
Purchaser's driver's license number and state of issuance
Purchaser's passport or visa number
2151 E Convention Center Way Ste 222
N/A
Name of selling dealer or broker
Address of selling dealer (Street)
(City)
(State/Country)
(ZIP)
Selling dealer or broker's Florida certificate of registration number
Selling dealer or broker's telephone number (
Date of sale (Month)
MAY
(Day) I
(Year)
2021
(continued on reverse side)
SDNY_GM_02765331
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252139
EFTA01334365
Description of Aircraft
Make
SIKORSKY
Model
S76C++
Year
2008
Serial number
760750
FM registration number
N722JE
(Check one)
New O
Used IA
Purchase
Net purchase
price $
1,800,000.00
Trade-in $
price $
Primary location of aircraft while In Florida
KFXE AIRPORT
I claim exemption from Florida sales and use tax on the purchase price of the aircraft described herein under
s. 212.05(1 Xa)2, Florida Statutes, for the following reason (check one):
O
The aircraft will be removed from Florida within 10 days of the date of purchase.
Xi
The aircraft requires repairs, additions, or alterations and it will immediately be taken to a repair facility and
will be removed from Florida within 20 days (excluding tolled days) after completion of the work.
Under penalty of perjury, I declare that I have read the foregoing and the facts alleged are true to the best of my
knowledge and belief. I understand that If I fall to comply with the requirements of this affidavit, I will be liable for
payment of the tax and a mandatory penalty equal to the tax.
Signature of affiant/purchaser
Sworn to (or affirmed) and subscribed before me this day of
Signature of Notary
Print, type, or stamp name of Notary
3
Personally known
O Produced Identification
Type of Identification:
Distribution of D
monis
69
poo
cee
The original affidavit and a copy of the sales Invoice, bill of sale, or closln
ocument must be sent to the Florida
Department of Revenue, Aircraft Enforcement Unit, P.O. Box 6417, Tallahass
FL 32314-6417 within five (5) days of the
date of sale.
A copy of the affidavit must be retained by the selling dealer and made a part of the de
's records.
The selling dealer or broker should provide the purchaser with a copy.
Notice To Dealers
Affidavits not filed within five (5) days of the date of sale may not be accepted by the Department o
avenue and
the selling dealer or broker may be billed for tax, penalty, and Interest due.
SDNY_GM_02765332
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252140
EFTA01334366
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of ZAN teRrIARDIND
on NAMtf 1 °Z
before me,aUtt4 CONA..,Ut ElleenCita,Nbal914•14(--
(insert name and title of the officer)
personally appeared V-ickutkeo Aunikvou)
who proved to me on the basis of satisfactory evidence to be the person(al whose nameAsl is/art
subscribed to the within instrument and acknowledged to me that hetre/tkiey executed the same in
hisiOelpeir authorized capacityfje≤), and that by his/Det/jAtir signatureision the instrument the
person(yr, or the entity upon behalf of which the persoracted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
JULIAN CARLOS GONZALES
Public • Warns
COMM. o2353114
Row* County
-
Comm
lato
SDNY_GM_02765333
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252141
EFTA01334367
DELIVERY RECEIPT
2008 KEYSTONE (SIKORSKY) S-76C++ HELICOPTER
Manufacturer's Serial No. 760750
U.S. Registration No. N722JE
Pursuant to provisions of that certain Aircraft Purchase Agreement dated April JIL, 2021 (the
"Agreement") by and between HYPERION AIR, LLC, a U.S. Virgin Islands limited liability
company ("Seller"), and INDUSTRIAL INTEGRITY SOLUTIONS, LLC, a New Mexico limited
liability company ("Purchaser"), Purchaser hereby acknowledges the delivery and acceptance of one
used 2008 Keystone (Sikorsky) model S-76C++ helicopter, bearing manufacturer's serial number
760750, and currently registered with the United States Federal Aviation Administration (the "FAA")
as N722.1, together with said aircraft's two (2) .furbomeca S.A. model Arriel 2S2 engines bearing
Manufacturer's Serial Nos. 42285TE and 42286TEC, and with all avionics, equipment systems,
furnishings and accessories installed on, contained in or attached to said aircraft and engines, all as is
more particularly described on Exhibit A, and also including all airframe, engine and accessory
logbooks, flight and operation manuals, maintenance and overhaul records, and all other records and
paperwork relating to the above-described aircraft and engines in Seller's possession (collectively, the
"Aircraft").
AyrsCor
Purchaser accepts the Aircraft at "l•
DAD., on len goi
L3 , 2021 in an "As
Is, Where Is" condition and "With all Faults" at Fornaudermas Executive airport KFXE , Florida and
subject to the waivers and disclaimers set forth in the Agreement
TOTAL TIME ON AIRFRAME AT DELIVERY:
2641.9
hours
TOTAL TIME ON ENGINES AT DELIVERrdiaj
Engine No. 1 (MSN 42285TEC):
2641 g Cycle NI-38526 / N2.31882 hours/cycles
Engine No. 2 (MSN 42286TEC):
2641.9
Cycles Nie3879 7/ N24197.4 ho
cycles
TOTAL LANDINGS AT DELIVERY:
5472
INDUSTRIAL INTE v Y SOLj ONS, LLC
By:
Name:
,wed,
Title:
Cores
.5-r 3- 2 /
7E
SDNY_GM_02765334
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252142
EFTA01334368
,01).%1 C
TITLE SERVICE
6350 Vi Reno, Oklahoma Cl), OK 73127
l
il- 02- t
Phone: 1-800-288-2519. EXT 321
Outside the US: 1-405-948.1811
Fax: I-405.948.1869
FEDERAL AVIATION ADMINISTRATION
O
%
71 -n
IT
-2_-;
AIRCRAFT REGISTRATION BRANCH
O
S
...J.,,
s
r
en •'..c.
..
3.•
OKLAHOMA CITY, OK
sr•
-c
vo
r7:
--
X) 0
Re: Keystone Helicopter S-76C, N722JE. SN: 760750
DO
Las
L i
nori Zi
=
SF:
O1.•
7'
cr"
Ladies and Gentlemen:
C
s
=
pun-
-4 -n
CO
IP
P.
---t
We are enclosing the following documents for your review and recordation:
-C
O
70
.O
Bill of sale
Seller: Hyperion Air LLC
Purchaser: Industrial Integrity Solutions, LLC
Aircraft registration application by Industrial Integrity Solutions. LLC
LLC support statement by Industrial Integrity Solutions, LLC
Please record the certified copies of the documents and return recorded originals and/or digitally signed
recorded documents and ORIGINAL REGISTRATION CERTIFICATE to AIC Title Service in the Public
Documents Room. If for any reason you find any of these documents to be unacceptable for recordation
or not needed for FM records, please return them to AIC Title Service, LLC in the Public Documents
Room.
Sincerely.
M at:ma Koboi.d.t-
Melissa Koboldt
AIC Title Service, LLC Staff
FM FEE: $5.00
Filing time
SDNY_GM_02765335
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA ({1252143
EFTA01334369
NOT TRAWF RAMS
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SDNY_GM_02765336
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252 I 44
EFTA01334370
Fwscr CF NIEGISIMMON
a.4$ U s C 44101e1,101•••••• 'F. ones* semponsin «us e,Y 'News. n M %NSW. el
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FPI (CT FOR ASS ReASCN WIDeR 14 C FR 4/ 4.010 I roar 4Tl 11)00.).) • Croi•••1•••
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SDNY_GM_02765337
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252 I 45
EFTA01334371
ORIGINAL INVOICE
SIKORSKY COMMERCIAL INC'
124 QUARRY ROAD
TRUMBULL CT 06611
USA
Pagel of I
Invoice Number: 8117788
Invoice Date: February 04. 2021
Customer No.
301290
Sales Order
Sales Order Date
22278585
February 04, 2021
Customer Contract or P/O No.
S76D12297PAP
Remit To:
Ship To:
SIKORSKY COMMERCIAL INC
LOCKHEED MARTIN CORPORATION
EFTrACHAVIRE CITIBANK ABA 021000089
CITIBANK ACCT 31079882 SWIFT CITIUS33
CHECKS JP MORGAN CHASE PO BOX 26149
CHICAGO, IL 60673-6149 US
HYPERION AIR, LLC
6100 RED HOOK QUARTERS, B3
ST. THOMAS 00802
Ama.Virgin Is.
Ultimate
End User:
HYPERION AIR. LLC
3800 SOUTHERN BOULEVARD
SUITE 204
WEST PALM BEACH FL 33406
USA
Payment Hill HYPERION AIR, LLC
Be made by: 6100 RED HOOK QUARTERS, B3
ST. THOMAS 00802
AMER.VIRGIN IS.
Terms: Net 30 days
Shipped from: on: Via: CALI Bill of Lading: FCA:sellcm place
Airway Bill Number:
Item No. StocIdPart Bs%
Description Condition
it tat
Unit UnitPriceIUSED
NetAmountIUSDI
76C_MAIN_GEAR_BOX
76C_Main
8.30
EA
137.49
1.141.17
Gear Box
r ren
SN 760750
Date: December 31, 2020
76C_INTER_GEAR_BOX 76C_Inte
r Gear_Box
8.30
EA
9.24
76.69
AIRCRAFT SN 760750
Reponing Date: December 31. 2020
76C_TAIL_GEAR_DOX
76C Tail
8.30
EA
18.48
153.38
Gear_Box
AIRCRAFT SN 760750
Reporting Date: December 31, 2020
SUBTOTAL:
1.371.24
TAXES:
0.00
NET TOTAL:
1.371.24
TOTAL AMOUNT DUE:
1.371.24
•Stkomt.y t ommercial. Inc. is a regist..-n.-d trade name of Helicopter Support. Inc. (also referred to as *HSI') in the t onnecticut toxin of Shelton. North Haven. Stratford
and Trumbull. and a registered fictitious name of I lelicopter Support. Inc in the State of Slar)land and the Commonwealth of Pennsyl‘ama
SDNY_GM_02765338
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252146
EFTA01334372
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