EFTA00075689.pdf

UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION PPM! AVIATION ADMINISTRATOR - MIKE MONRONEY AERONAUTICAL CENTER AIRCRAFT REGISTRATION APPLICATION 1 UNITED STAS REGISTRATIO TEN N 722JE HUMBER ° i hitt TYRE OF O a Penenhp REGISTRATION O 3. corprom ° 4 Co-Ote (Chen one bat) O 5 Gotten, 0 7 Leon Unity Catty (Lit) a a Non-Otton Carport., O 9 NonGeteen Canton CoOner NRCRAFT Sikorsky S-76C NOM. NANUFACTUREM MD ASKRAFT sena/ 760750 NUMBER NAILS) OF NVIJGAMT(S) (Penon(e) -Hyperion not on wets or/ oaten I rental, doe Ind an fit fat we fate feel hi r L-1-t TELEPHONE NUMBER ( -4149. ) PAPoR"PaR IMAM NUNDER RURAL CRY ADDRESS (Pentrit tang ant era ice En Naomi "^ " "n• - as I P O. BOX ANO STREET. ROUTE. -.tattyest STATE ZIP Meets PHYSICAL NUNBER DESCRIPTION LOCATION CITY ACCRESSA.00ATION 0 BO AND STREET Of STATE- VP • CHECK HERE IF YOU ARE Jakr REPORTING A CHANGE OF ADDRESS AVE (1) (2) (9) (4) I hereby be walker= burg* sib 3571) CERTIFICATION by to t.4. .n webs a no re Mar CIIEGR ARMOR ODIEFIETE Alf nate CURVY. The Pe tee nth a tned Ei • Ad/:tendon Urine St endered by 49 USC 40102(15L tett (I on, 1-S51) No. . m A tents a nth SCSI El o A not®, oaten to Need at Fatty aµrved and amp buskin* air the nos tents Weed Shit Records al Met hoes of (to) it sad acre lot rano admen are -ranee et (amid mann Ott O' A =paten nen it very tnat to cyfelty Enter rein d Inane Mt c or d dawn a deli seek tral rezIstton a bN Ted te noel b on reganned Thor let emote d senate MR MID ALL SICIPIATORIES A SIGRAIURE TO TIOS cetera Out the alternator dm inaladpe ad bad for own regeirston and es terries, core:etas I. Pe toe aced. feel the I an IfeeNted cI re art and tient pint the ere at Ihe ban of a Baer ate)- and le ended or has been reek elh the Feat OF THIS APPLICATION MUST READ DOCUMENT, THEY ARE SUBJECT TO THE proofed hen) ard ri any roadrrerds to the I uncersand ON to r der MAW proveled by I urdersard that Weser to arry meter otos a oseers up (by airy rick scheme a drew) entry, nary Ire ford up to 3250000 or minsorof orestenally pollee ay meats a tube eauear tar , all applicants must bfeetePlea at,..t tonere:nett Ante innantnew THE FOIIONING REFEIZENCED apphsetran rne el be 'ad the prothaton a rnatmel net rue Sea nealf to FRo oolaa da r n a t° ARO ISICIMSTAND THAT BY APPLYING STATUTES AND ASSOCIATED PENALTIES- to amid rugs:maw e true, accurffie Mid Mena SI St al by to FM ateristrator is rasher *terraces a/ of any departnara a mercy d the Uneed Satre, la:torero makes wry tease. rrteleaang a Iraudtant den fee (5) years ar beds (18 U S C Smarts 1001 aid of to sand satin may be revoked mod page and add pagers) it necessary. Cr I up. us rt.:icos or I =Sots-% tat. should NOTE 11 <aoudad .. regershan sign. Use 1 , SIGNATURE: DATE: (.0_. 1/.1 Ei TYPED/PRINTED *WE: Lawrence P. Visoski, R. TIRE. µ any 2 SIGNATURE: DATE TYPED/PRWTED HARE TITLE- 1107£ Except when the most recent nredstrabon el the sae abode is expired of amcensd, 14 CFR 47 31(c) rides for an airworthy U.S. arra to to operated for up to 93 drys within the WWII States when a copy of the %grad application for Its mistrytkei mated in the draelt rs eyeing Issuance and receipt at the row registrstion cortalta. 0 0 o) AC Form ao50.1 (101 9) EFTA00075689 FILED-WITH FAA AIRCRAFT REGISTRATION BR 1014 JUN I 3 AN 12 OKLAHOMA CITY , OKLAHOMA EFTA00075690 OocuSign Envelope ID: 7C21388F-7DCCA,O6B-9CC1-7C830CC9F594 FORM APPROVED OMB NO. 2120-0042 UNITED STATES OF AMERICA U. S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRCRAFT BILL OF SALE Do Not Witte In This Block FOR FAA USE ONLY FOR UNDERSIGNED AND CRIBED AND IN CONSIDERATION OF $ THE OWNER(S) OF THE FULL LEGAL BENEFICIAL TITLE OF THE AIRCRAFT DES- AS FOLLOWS: UNITED STATES REGISTRATION NUMBER: N722JE AIRCRAFT MANUFACTURER & MODEL Keystone (Sikorsky) model S-76C AIRCRAFT SERIAL NO. 760750 DOES THIS l3 DAY OF June, 2019, AND INTERESTS HEREBY SELL, GRANT, TRANSFER DELIVER ALL RIGHTS, TITLE, AND IN AND TO SUCH AIRCRAFT • UNTO: PURCHASER NAME AND ADDRESS (IF INDIVIDUAL (S). GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL ) Milli m. DEALER CERTIFICATE NUMBER AND TO ITS SUCCESSORS, EXECUTORS, ADMINISTRATORS, AND ASSIGNS TO HAVE AND TO HOLD SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF. IN TESTIMONY WHEREOF, THE UNDERSIGNED HAS SET ITS HAND THIS t3 DAY OF "SLASA- 2019. SELLER NAME(S) OF SELLER (TYPED OR PRINTED) SIGNATURE(S) (IN BLUE INK) (IF EXECUTED FOR CO-OWNERSHIP, ALL MUST SIGN) TITLE (TYPED OR PRINTED) ASI WINGS LLC By: Aetna Inc., its Managing Member DocuSigned by: Ejo.skt-S a,,t ?IC 7.OO072EMSI Senior Vice President, controller & Chief Accounting Officer James D. Clark ACKNOWLEDGEMENT (NOT REQUIRED FOR PURPOSES OF FAA RECORDING: HOWEVER, MAY BE REQUIRED BY LOCAL LAW FOR VALIDITY OF THE INSTRUMENT.) ORIGINAL: TO FAA AC Form 8050-2 (9/92) (NSN 0052.00-629.0003) Supersedes Previous Edition • and the following described engines: TURBOMECA model ARRIEL 2S2 bearing manufacturers serial numbers 42285 and 42286. ADMIN 35381002v1 191641014476 55.00 06/13/2019 O O 0 0 0 0 a 0 O O CO 0 (.4 EFTA00075691 FILED WITH FAA AIRCRAFT REGISTRATION BR 1019 JUN 13 AU 10: 12 OKLAHOMA CITY OKLAHOMA EFTA00075692 OMB Control Number 21204729 apices 0480/1 7 Paperwork Reduction Act Statement: The information collected on this form is necessary to maintain aircraft registration. We estimate that it will take approximately 30 minutes to complete the form. Please note that an agency may not conduct or sponsor, and a person is not requited to respond to. a collection of information unless it displays a valid OMB control number. Form Approved, OMB No. 2120,0774 'Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800 Independence Avenue SW. Washington. DC 20591. ATTN: Information Collection Clearance Officer. AES-200.' DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION AIRCRAFT REGISTRATION RENEWAL APPLICATION FAILURE 7O RENEW REGISTRATION WILL FtESULT W CANCELLA DON OF REGISTRATION AND REGISTRATION NUMBER ASSIGNMENT (See Id C.F.R. §§ 47.15(0, 47.40 and 47.49 AIRCRAFT REGISTRATION NUMBER N 722JE SERIAL NUMBER 760750 MANUFACTURER KEYSTONE HELICOPTER MODEL S.76C DATE OF ISSUANCE 08/16/2011 DATE OF EXPIRATION 08/31/2020 TYPE OF REGISTRATION CORPORATION ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE (Owner 1) ASI WINGS LLC HELPFUL INFORMATION Review Aircraft Registration File Information for this aircraft at: http://reeistry.faa.ciovfaircrattinquirv. (Owner 2) Assistance may be obtained at our web page: http:/freclistry.faa.qOWrenewreqiStratiOn Hai Enter any additional owner names on page two. (Address) bye-mad at: by telephone at:: When mailing fees, please use a check or money order made payable to the Federal Aviation Administration. Signature and Title Requirements for Common Registration Types: - Individual owner must sign, title would be 'owner'. - Pannership general partner signs showing -general partner' as title. - Corporation corporate officer or manager signs, showing lull title. - Limited Liability Co authorized member, manager, or officer identified in the LLC organization document signs. showing full title. - Co-ownernment authorized person must sign and show their full title. each co-owner must sign: showing 'co-owner-as title. . ve Note: All signatures must be In ink, or other permanent media. To correct entries: Draw a single line through error. Make correct entry in remaining space, or complete the form on-line. An application form will be rejected if any entry is covered by correction tape or similarly obscured. (Address) City State a Zip Country UtorEo STATES Physical Address: Required *nen mailing address is a P.O. Box or mai drop. (Address) (Address) City State Zip Country TO RENEW REGISTRATION: REVIEW aircraft registration information. SELECT the appropriate statement, fiNTER any change in address in the spaces below aritl, pia. a SEND form with the $5 renewal fee to the: FAA by courier i O NEW Aircraft Registry, PO Box 25504. Oklahoma City OK 73125-0504. or to: 6425 S Denning Rm 118, Oklahoma City OK 73169-6937 I (WE) CERTIFY: THE NAME(S) AND ADDRESSES FROM THE FAA FILES FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, OWNERSHIP MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. UPDATE THE MAILING I PHYSICAL ADDRESS AS SHOWN BELOW. I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3. AIRCRAFT IS NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. MAILING ADDRESS TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT: CHECK All pplicable block(s) below r.OMPiFTF alath DATE & M611. .8 tli CANCELLATION OF REGISTRATION IS REQUESTED. THE AIRCRAFT WAS SOLD TO: (Shaw purchaser's name and address.) THE AIRCRAFT IS DESTROYED OR SCRAPPED. THE AIRCRAFT WAS EXPORTED TO: NEW PHYSICAL ADDRESS: complete if physical address has changed, or the new mailing address is a PO Box or Mail Drop. OTHER, Specify PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME AND ADDRESS. The 510 reservation fee is enclosed. SIGNATURE OF OWNER 1 (required field) Electroncally Certified by Registered Owners PRINTED NAME OF SIGNER (required field) TITLE- 111.t., id field) DATE 3/28/2017 SIGNATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE Use page 2 for additional signatures. Fix paid: $5 (201703281I52554432NB) ..1( • Form 5051 - I B (04:12) EFTA00075693 EFTA00075694 OMB Control Number 2120-0729 apices 04/30/I 7 Note: Twelve (12) owner names may be entered on this page. If you require more, enter the first 12 names and then print this page by pressing the 'Print Page 2' button below. Next click the 'Reset' button to clear the data fields (from page 2 only) to add more names. Repeat action as needed. NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE I PRINTED NAME OF SIGNER TITLE AC Form 8050-113 (04/12) REF N-NUM: 122.IE EFTA00075695 EFTA00075696 > DEBEE GILCH RIST E 6 g 12 AI I ORNEYS Ed COUNSELORS lb a co August 4, 2014 c 9. O V2 Jana L. Hammer, Manager N o Aircraft Registration Branch t Federal Aviation Administration 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, A SrPKA417 Brandt S. Sterling Legal Assistant 142161527019 $2.00 08/04/2014 • Oklahoma City, OK • • Fax: www.debeegilchrist.com EFTA00075697 FILED WITH FAA 4IRM%Fr ;.ECISTRATION BR 2014 RUG 4 PITI 3 26 OKLAHOMA CITY OKLAHOMA EFTA00075698 S Deparf• of Tta-spooation Federal Aviation Administration Date of Issue: August 4, 2014 ASI WINGS LLC Flight Standards Service Aircraft Registration Branch, AFS-750 HAND DELIVERED TO 'GIL IN THE PD ROOM ress: httpwreglstry.taa.gov 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. Manager, FAA Aircraft Registry, AFS-750 Federal Aviation Administration AFS-750-FAX4 (01/14) EFTA00075699 EFTA00075700 PRINT PAGE 1 r PRIVACY ACT STATEMENT] OMB Control Noway 2120.0129 Empires 05.51/2014 Paperwork Reduction Act Statement: The inl0miali0N COSeCted on the form is necessary to maintain aircraft registration. Wo estimate that it wW lake approximately 30 minutes to complete the form. Please note that an agency may not conduct or sponsor. and a person is not require() to respond lo. a collection of information unless II displays a wthd OMB oentroi number. Form Approved. OMB No. 2120-0729 'Comments concerning the accuracy of this burden and suggestions for reducing the burden srbauld be directed to the FAA M: BOO Independence Avenue SW. Washington. DC 20591. AlTN: Inform:ion Collection Clearance Ottrcer.AES-200.' DEPARTMENT OF TRANSPORTATION • FEDERAL AVIATION ADMINISTRATION AIRCRAFT REGISTRATION RENEWAL APPUCATION FAILURE TO RENEW REGISTRATION WILL RESULT IN CANCELLATION OF REGISTRATION AND REGISTRATION NUMBER ASSIGNMENT (See 14 C.F.R. §§ 47.15(9, 47.40 end 47.41) AIRCRAFT REGISTRATION NUMBER N 722JE MANUFACTURER Keystone Helicopter DATE OF ISSUANCE August 16.2011 SERIAL NUMBER 760750 MODEL S-76C DATE OF EXPIRATION August 31, 2014 ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE (Owner 1) ASI Wings LLC (Owner 2) Was Enter any additions owner names on page two. (Address) (Address City State ■ Zip Country Physical Address: Required when mating address is a P.O. Box or mail drop. (Address) (Address) City State Zip Country TO RENEW REGISTRATION: REVIEW aircraft registration information. SELECT the appropriate statement, FNTER any change in address in the spaces below. M. DATE & SENO form with the $5 renewal fee to the: FAA Aircraft Registry, PO Box 25504, Oklahoma City OK 73125-0504, or by courier to: 6425 S Denning Room 118, Oklahoma City OK 73169.6937 a I (WE) CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FM FILES FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, OWNERSHIP MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR S47.3. AIRCRAFT IS NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. El UPDATE THE MAILING I PHYSICAL. ADDRESS AS SHOWN BELOW. I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP REQUIREMENTS OF 14 CFR S47.3. AIRCRAFT IS NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. NEW MAILING ADDRESS NEW PHYSICAL ADDRESS: complete if physical address has changed, or the new mailing address is a PO Box or Mail Drop. TYPE OF REGISTRATION Corporation HELPFUL INFORMATION Review Aircraft Registration Fite Information for this aircraft at: httolireoistry.faa.cov/aircraftinouirV. Assistance may be obtained at our web page: It 1/re ist yfr never I it ti n by e-mail at: by telephone al: When mailing fees, please use a check or money order made payable to the Federal Aviation Administration. Signature and Title Requirements for Common Registration Types: • Individual owner must sign, title would be -owner. Partnership general panne( signs showing 'general partner as Ctle. Corporation corporate officer or manager signs, showing fun title. - Limited Liability Co authorized member, manager, or officer identified In the LLC organization document signs. showing full title. • Co-owner each co-owner must sign; showing 'co-owner es title. • Government authorized person must sign and show their rue title. Note: All signatures must be in Ink, or other permanent media. To correct entries: Draw a single line through error. Make correct entry in remain'Ag space, or complete the form on-iine. An application form will be rejected If any entry is covered by correction tape or similarly obscured. TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT: gifEcK 011 applicable Necks below, COMPLETE, $1o. DATE a tag. this loan with any fees to the: FAA Aircraft Registry. PO Box 25504, Oklahoma City, OK, 73125-0504, or by courier to: 6425 S Denning Rm. 118, Oklahoma City OK 73169-6937 a CANCELLATION OF REGISTRATION IS REQUESTED. ▪ THE AIRCRAFT WAS SOLO TO: (Show purchaser's name and address.) K THE AIRCRAFT IS DESTROYED OR SCRAPPED. K THE AIRCRAFT WAS EXPORTED TO: OTHER, Specify PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME AND ADDRESS. The $10 reservation tee is enclosed. SIGNATURE OF OWt 1 puked field) PRINTED NAME OF SIGNER linda Westbrook (required field) TITLE (required geld) Ass Mani Capon/Is Sean, 01 Aetna Inc, Minn.( of AS! WINGS. tic DATE SIGNATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE Use page 2 for additional signatures. 8 V a a mm L C R.1 O AC Form 8050-I B (04/12) EFTA00075701 FILED WITH FAA IIRCF!ar PEGISTRATION 6R NH JUL 14 FYI 11 16 I OKLAHOMA CITY OKLAHOMA EFTA00075702 DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE006014974 FFR -1B DOC ID 8018 5/1/14 141211307096 $5 5/1/14 EFTA00075703 EFTA00075704 V S Department of Transportation Federal Aviation Administration December 11, 2012 111 Dear Sirs: Flight Standards Service Aircraft Registration Branch. AFS-750 WEB Address: httpfiregistry.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 N162AE 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 http://registry.faa.gov. If you have any questions, our toll free telephone number i Manager, Aircraft Registration Branch, AFS-750 AFS-750-RE1tEG-14 (09/10) EFTA00075705 EFTA00075706 V S Department of Transportation Federal Aviation Administration October 12, 2012 Dear Sirs: Flight Standards Service Aircraft Registration Branch. AFS-750 ..m...„,nimmilmim WEB Address: ettp:firegistry.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 N162AE 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 is Manager, Aircraft Registration Branch, AFS-750 AFS-750-REREG-13 (03/11) EFTA00075707 EFTA00075708 Directions: Select and complete the appropriate 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 Scn•icc@: FAA Aircraft Registration Branch Registry Building. Rim 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 hurrfiregistrv.faa.gov FAX No: (405) 954-3548 Dear Aircraft Registry: K Special registration number N162AE. was not painted on KEYSTONE HELICOPTER S-76C serial number 760750. K I/We do not wish to reserve this number at this time. K Please reserve this N162AE in our name. The $10.00 special N-number reservation fee is enclosed. K Please assign N162AE to KEYSTONE S-76C 760750 HELICOPTER On (Mate) Maki I Saul Number) for an N-number change. $20.00 is enclosed to cover both the special number request and assignment fees. K Special registration number N162AE, was placed on KEYSTONE HELICOPTER S-76C serial number 760750 on Luc,. Please issue a revised registration certificate. K The completed and signed Assignment of Special Registration Numbers. AC Fonn 8050-64. is enclosed. K The Assignment of Special Registration Numbers. AC Fonn 8050-64. is lost or destroyed. Please accept this as notice that the authorized N-number change has been completed. Name of Owner: Signature/Title Date AFS-750-REREG-13 (03/11) EFTA00075709 EFTA00075710 0 U.S. Department of Transporlation Federal Aviation Administration ASSIGNMENT OF SPECIAL REGISTRATION NUMBERS Special Registration Number N162AE Aircraft Make and Model KEYSTONE HELICOPTER S-76C Present Registration Number N722JE Serial Number 760750 Issue Date: Sep 16, 2011 ICAO AIRCRAFT ADDRESS CODE FOR N162AE - 50174441 nu I I II II w m This is your authority to change the United States registration number on the above described aircraft to the special registration number shown. Carry duplicate of this fonn in the aircraft together with the old registration certificate as interim authority to operate the aircraft pending receipt of revised certificate of registration. Obtain a revised certificate of airworthiness from your near- est Flight Standanls District Office The latest FAA Form 8130-6, Application For Airworthiness on file is dated: Dec 08.2008 The airworthiness classification and category: STD TRANSP 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: RETURN FORM TO: Civil Aviation Re 'sin, AFS-750 Title of Owner: Date Placed on Aircraft: AC FORIN 8050-64 (5/2005) Supersedes Pen ion, Edition EFTA00075711 EFTA00075712 LI Insured Aircraft Title Service, Inc. Oklahoma City, Ok Oklahoma City, Ok e-mail address: web site: www.insure airs .com FEDERAL. AVIATION ADMINISTRATION CENTRAL RECORDS DIVISION OKLAHOMA CITY, OKLAHOMA Date: August 26, 2011 Dear Sir/Madam: Please Reserve N in NAME ONLY for: FAX 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 112381430478 $20.00 08/26/2011 Payment of the required $10.00 fee per number to reserve/assign is attached. If the preferred N number is not available, please contact the undersigned for a selection of a new number. Please send the confirmation of reservation/8050-64 form to Insured Aircraft title Service, Inc. in the Public Documents room of the FAA. Additional Information: • please see attached relinquishment Requested by: Nikala Aun a Jones Fee: $10.00 EFTA00075713 FILED WITH FAA AIRCRAFT RECISTRATI011 DR 2011 AUG 26 NI 1 56 OKLAHOMA CITY OKLAHOMA EFTA00075714 FORM APPROVED OMB No. 2120-0042 UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION-MIKE MONRONEY AERONAUTICAL CENTER AIRCRAFT REGISTRATION APPLICATION I I1 CERT: ISSUE DATE i I I ' UNITED STATES REGISTRATION NUMBER N 722JE AIRCRAFT MANUFACTURER & MODEL Keystone (Sikorsky) S-76C AIRCRAFT SERIAL No. 760750 FOR FAA USE ONLY TYPE OF REGISTRATION (Chock One box) I i O1. Individual O 2. Partnership IZSI 3. Corporation 0 4. 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, first name, and middle Initial.) ID ASI Wings, LLC TELEPHONE NUMBER: ADDRESS Number Rural Route: (Permanent mailing address for first applicant on list) (If P.O. Box is used, physical address must also be shown.) and street: P.O. Box: CITY O A false 11 1 I/WE CERTIFY: (1) That of the (For CHECK STATE CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE ATTENTION! Read the following statement before signing This portion MUST be completed. or dishonest answer to any question In this application may be grounds for punishment (U.S. Code. Title 18. Soc. 1001). CERTIFICATION ZIP CODE OF ADDRESS this application. by fine and/or imprisonment corporations) ) or: the above aircraft is owned by the undersigned applicant, who Is a citizen (Including United States. voting trust, give name of trustee: ONE AS APPROPRIATE: or Fonn 1-551) No. a. b. (2) That (3) That TYPE A resident alien, with alien registration (Form 1-151 A non-citizen corporation organized and doing and said aircraft is based and primarily used in inspection at business under the laws of (state) the United States. Records or Eight hours are available for the aircraft is not registered under the laws of any foreign country: and legal evidence of ownership is attached or has been filed with the Federal Aviation Administration. NOTE: It executed for co-ownership all applicants must sign. Use reverse side it necessary. OR PRINT NAME BELOW SIGNATURE EACH PART OF THIS APPLICATION MUST BE SIGNED IN I . SI NATURE. Allstant Corporate ecretary of Aetna Inc. DATE ,7;210 - 0 SIGNA Melinda Westbrook MaAaging Member of ASI Wings, LLC DATE SIGNATURE TITLE 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 this application must be carried in the aircraft. AC Form 8050-1 (1/09) (NSN 0052-00-628-9007) Supersedes Previous Edition EFTA00075715 FILED WITH FA A AIRCR t.FT REGISTRATION BR 2011 JUL 26 811 11 58 OK L A HOP1A CITY OK I A FCOMA • go EFTA00075716 WARRANTY BILL OF SALE 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-H-) bearing Manufacturer's Serial No. 760750 and U.S. Registration No. N722JE, with two (2) Turbomcca Arriel 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 IR , 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 warrant and defend such title forever, at the sole expense of Seller, against all claims and demands whatsoever. EXCEPT FOR THE WARRANTIES OF SELLER SET FORTH IN THE PRECEDING SENTENCE, THE AIRCRAFT IS HEREBY SOLD TO PURCHASER IN ITS "AS IS, WHERE IS" CONDITION AND "WITH ALL FAULTS." IN WITNESS WHEREOF, Seller has caused this Warranty Bill of Sale to be executed by its duly authorized officer, as of this )(,. day of July, 2011. FREEDOM AIR INTERNATIONAL, INC. By: flAJC.0-.A.V . ,, Name: O. O...t Title: Vi .te ci 112071217388 $5.00 07/26/2011 0 O N a CO 0 0 3 3 0 ro a EFTA00075717 FILED WITH FAA AIRCRAFT RLc STR ATION BR 2011 JUL 26 RIl 11 58 OXLAHOOA CITY OKLAHOMA EFTA00075718 FORM APPROVED OMB No. 2120-0042 UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION FEDERAL. AVIATION ADMINISTRATION-MIKE MONRONEY AERONAUTICAL CENTER AIRCRAFT REGISTRATION APPLICATION CERT: ISSUE DATE 6 ft) -0 Er a. a > c co N cn I1.) O-. O UNITED STATES REGISTRATION NUMBER N —7 a e-- Al • RAFT MANUFACTUR 5c (S i Vows Vti 8 MODEL +ode lie/ copkr Cam- -7 AIRCRAFT SERI No. -7 6 C -7 SO FOR FAA USE ONLY TYPE OF REGISTRA O1. Individual O 2. Partnership 0 8. Non-Citizen Corporation heck One box) . Corporation 04. Co-Owner ' 0 5. Government Co-Owner NM 9. Non-Citizen Corporation NAME OR APPLICANT (Person(s) shown on evidence of Ferec a o,,,,_ Ai r TELEPHONE NUMBER: ( ) ownership. If individual, give last +--tv-vtecf-iobtct.( name. first name, and middle initial.) ..... k ran c • mar, ADDRESS (Permanent mailing address for first applicant on list) (If P.O. Box is used, physical address must Number and street: Rural Route: P.O. Box: also be shown.) CITY O CHECK HERE ATTENTION! Read A Nese or dishonest answer to I/WE CERTIFY: (1) That the above aircraft is owned of the United States. (For voting trust, give name " CHECK ONE AS APPROPRIATF• IF YOU ARE ONLY the following This portion any question In this application (U.S. Code, CERTIFICATION STATE ZIP • • ADDRESS - imprisonment 1. Or: REPORTING A CHANGE statement before signing MUST be completed. may be grounds for punishment Title 18. Sec. 1001). OF this application. by fine and/or corporations) by the undersigned applicant, who is a citizen (including of trustee: or Form 1-551) No. a. b. (2) That (3) That TYPE A resident alien, with alien registration (Form 1-151 A non-citizen corporation organized and doing and said aircraft is based and primarily used in inspection at business under the laws of (state) the United States. Records or flight hours are available for the aircraft Is not registered under the laws of any foreign country; and legal evidence of ownership Is attached or has been tiled with the Federal Aviation Administration. NOTE: If executed for co-ownership all applicants must sign. Use reverse side if necessary. OR PRINT NAME BELOW SIGNATURE EACH PART OF THIS APPLICATION MUST BE SIGNED IN INK. SIGNATURE \ TITLE \A re SPv ac,i cke 4 - DATE a io SIGNATURE .c_ TITLE 102280834295 DATE SIGNATURE TITLES& DO 0-8/16/2010 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 this application must be carried in the aircraft. . AC Form 8050-1 (1/09) (NSN 0052.00.628-9007) Supersedes Previous Edition EFTA00075719 . . • EFTA00075720 DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE001916668 name change rev/doi 022709 EFTA00075721 EFTA00075722 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION CROSS-REFERENCE—RECORDATION RECORDED CONVEYANCE FILED IN: NNUM: SERIAL NUM: MFR: MODEL: MR CARRIER: This form is to be used in cases where a conveyance covers several aircraft and engines. propellers, or locations. File original of this form with the recorded conveyance and a copy in each aircraft folder involved. TYPE OF CONVEYANCE NAME CHANGE DATE EXECUTED FEBRUARY 11, 2010 FROM AIR OHISLAINE INC DOCUMENT NO. TO OR ASSIGNED TO SHMITKA AIR INC DATE RECORDED MARCH 17. 2010 THE FOLLOWING COLLATERAL IS COVERED BY THE CONVEYANCE: Total Aircraft: Total Engines: Total Props: Total Spare Pans: tES-750-23R (ODOR) EFTA00075723 EFTA00075724 0 u.s. OfeatenWat a row spoloon Federal Aviation Adrninistratioo ASSIGNMENT OF SPECIAL REGISTRATION NUMBERS Special Registration Number N7221E Aircraft Make and Model KEYSTONE HELICOPTER S-76C Present Registration Number N750A Serial Number 760750 Issue Date: Mar 10, 2010 ICAO AIRCRAFT ADDRESS CODE FOR N722JE - 52325707 AIR GH1SLAINE INC Inellli sr ii I HI i Ise I 8' to s I teltio This is your authoity to change the United States on/oration number on the above described anaaft to the special the C reentrance number shoves. (OM in arly duplicate orbit llsIll aircraft together wit the old registration certificate as interim authority cooperate the aistraft pending reaipt of revised certificate of regisontice. Obtain a revised outificate of airworthiness from your nod- est Flight Standard :Disoiu Office. The latest FAA Form 81304, Application For Airworthiness on file Is dated: Jan 14, :010 The airworthiness classification sad category: FJCPERIMENU INSTRUCTIONS: SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, AFS-750, van= 3 clays alter the spxial registration number is placed on the aircraft. A revised certificate will then be issued. The authority to use the special number expires: Mar 10, 2011 CERTIFICATION: I certify on the aircraft denibed abo Signature of that registration number "3 placed for Shrnitka Air, 1 Jai_ RETURN FORM TO: Civil Aviation Re ' , AFS-750 D reel TittedOwner 0hmitka -Ktr—snisIaineffric. r of Operations of Air, Inc. f/k/a - ' Date Placed on Aircraft: 2k / 5, 20/0 AC FORM •050-64 (5/2005) Saptnedes Previous &Man 8 0 0 a 0tr N EFTA00075725 FILED WITH FAA AIRCRAFT RECISTRATICq CR 2010 f9118 16 Pfl 1 15 OKLAHOMA CITY OKLAHOMA EFTA00075726 OP. Amcruwrnme SEARCHES MECORDINGSEMMUM AIRMEN RECORD INFORMATON February 11, 2010 Hand Delivered To: FAA Oklahoma City. Oklahoma Attention: Gentlemen: On behalf of our client: INS Please initiate the following action: FORM 8050-64 URGENTLY NEEDED! PLEASE ISSUE AS QUICKLY AS POSSIBLE. THANK YOU!!! tie Co. Please ASSIGN special registration number N722.71C, which is reserved for our client, to the following described aircraft which is registered in their name: KEYSTONE HELICOPTER 8-76C SERIAL NUMBER 760750 CURRENTLY N750A PLEASE HAND THE ORIGINAL FORM 8050-64 TO ARTC - P.D. ROOM. Thank you. 1004313223/8 $10.00 02/1212010 CI PLEASE HAND CONFIRMATION OF RESERVATION LETTER TO ARTC - PUBLIC DOCUMENTSROOM. \it' PLEASE HAND ORIGINAL FORM 8050-64 TO ARTC - PUBLIC DOCUMENTIIIROOM. ankyou. AERO RECORDS &TITLECC eit L--S ij leka By: LISA THOMAS GASKIN/Senior Administrator, Special Services /1g Fee Attached' $10.00 CC: Christopher Shurkus Sikorsky Aircraft O a 3 7:4 O EFTA00075727 FILED.WITWIFAA AIRCRAFT REGISTRATION aR 2010 FEB 12 P19 1 20 OKLAHOMA CITY OKLAHOMA EFTA00075728 FORM APPROVED OMB No. 2t20-0042 UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION FEDERAL AVLEIVON aDawasTRATION-SE aliCeladinee ruarteatainiCAL Castrate AIRCRAFT REGISTRATION APPLICATION CERT. ISSUE DATE UNITED STATES SI REGISTRATION NUMBER 750A AIRCRAFT MANUFACTURER & MODEL Key 54 o n e f-iff /0 CO p -pie (- --5 -444e -r-s -k-1, - A -4- rertrFt S -76C -2 AIRCRAFT SERIAL No. 760750 FOR FAA USE ONLY TYPE OF REGISTRATION (Check one box) 0 1. Individual O 2. Partnership 19 3. Corporation O 4. Co-owner O 5. Gov't. O 8. Pe°^Calizerl Corpwallon NAME OF APPLICANT (Person(s) shown on evidence of ownership. ft individueJ, give last name, first name, and middle Initial.) Air Ghislaine, Inc. TELEPHONE NUMBER ADDRESS Number Rural (Permanent mailing address for first applicant listed.) (If P.O. BOX is used, physical address must also be shown.) and street Route PO. Box CTTY O A false (U.S. ID VWE (1) That of (For CHECK STATE CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE ATTENTION! Read the following statement before signing This portion MUST be completed. or dishonest answer to any question in th-s application may be grounds for punishment Code, lltht 18. Sec 1001). CERTIFICATION this application. by fine corporations) ZIP CODE OF ADDRESS and / or imposonment ) or: CERTIFY: the above Wendt is owned by the undersigned applicant, who is a citizen (including the United States. voting trust, give name of trustee: ONE AS APPROPRIATE: 1-151 or Form 1.551) No. a. b. (2) That (3) That TYPE O A resideM alien, with allen registration (Form O A non-citizen commotion organized and doing and said aircraft is based and prfmadly used in inspection at business under the laws of (state) the United States Records or flight hours are available for Administration. side if necessary. the aircraft is not registered under the laws of any foreign country: and legal evidence of ownership is attached or has been filed with the Federal Aviation NOTE: If executed for co-ownership all applicants must sign. Use reverse OR PRINT NAME :E a:LISIGNATURE EACH PART CF THIS APPLICATION MUST BE SIGNED IN INIC SIGNATUR a ITLE T 1 P;i fete jA AL teA) DAT E / i 432429 dog 7 6 - SIGNA a TITLE DATE SIGNATURE TITLE OO541Fir-39131 $5.OO 02/17/2009 GTE NOTE Pending receipt of the Certificate of Aircraft Registration. Me aircraft may be operated for a period not in excess of 90 days, during which lime the PINK copy of this application must be carried in the aircraft. AC Form 8050.1 (5/03) (0052-00-628-9007) EFTA00075729 ••• '711, C• • "In • !vimo 130. "?: Wd Ll-'933 8002 31)%"...; 1.O1,220UIV \WA ad EFTA00075730 UNITED STATES OF AMERICA U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRCRAFT BILL OF SALE FOR AND IN CONSIDERATION OF $ THE UNDERSIGNED OWNER(S) OF THE FULL LEGAL AND BENEFICIAL TITLE OF THE AIRCRAFT DESCRIBED AS FOLLOWS: UNITED STATES REGISTRATION NUMBER N 750A AIRCRAFT MANUFACTURER 8 MODEL Sikorsky Aircraft S-76C-2 AIRCRAFT SERIAL No. 760750 DOES THIS 304.4- DAY OF December 2008 HEREBY SELL. GRANT. TRANSFER AND DELIVER ALL RIGHTS, TITLE, AND INTERESTS IN AND TO SUCH AIRCRAFT UNTO: FORM APPROVED OMB NO 2120-0042 08/31/2008 Do Not Write In This Block FOR FM USE ONLY PURCHASER NAME AND ADDRESS OF INDIVIDUAL(S), GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL.) Air Ghislaine, Inc., 083651547221 $5.00 12/30/2008 DEALER CERTIFICATE NUMBER AND TO its successors gnetaltibesreS. AND ASSIGNS TO HAVE ANO TO HOLD SINGULARLY THE SAID AIRCRAFT FOREVER AND WARRANTS THE TITLE THEREOF: IN TESTIMONY WHEREOF HAVE SET MY HAND AND SEAL THIS DAY OF December. 2008 LU -1 -1 U) NAME(S) OF SELLER (TYPED OR PRINTED) SIGNATURE(S) (IN INK) (IF EXECUTED FOR CCILOWNERSHIP, MUST SIGN Sikorsky Aircraft Corporation TITLE (TYPED OR PRINTED) S-76 Program Manager Chns Shurkus ACKNOwLEDGPAENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER. MAY BE REQUIRED BY LOCAL LAW FOR VALIDITY OF THE INSTRUMENT.) ORIGINAL TO FAA AC Form 8050-2 (9/92) (NSN 0052-00.629.0003) Supersedes Previous Edition '0 0 0 N 01 0 •i< 0 n 0 8 a L. co 0 8 A Lit EFTA00075731 FILED WITH FAA AIRCRAFT REGISTRATION BR 2008 DEC 30 HI 3 40 OKLAHOMA CITY OKLAHOMA ocis Ir n 1s S. sa too'. "0\ Neo \co ovofreu, .430 01:0 1)° ;1.‘de3 EFTA00075732 DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE000740071 ORIG DOC ID #0070 FFR 12-30-08 RET TO C&D EFTA00075733 EFTA00075734 UNITED STATES OF AMERICA U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRCRAFT BILL OF SALE FOR AND IN CONSIDERATION OF $1fiatre THE UNDERSIGNED OWNERS) OF THE FULL LEGAL AND BENEFICIAL TITLE OF THE AIRCRAFT DESCRIBED AS FOLLOWS: UNITED STATES REGISTRATION NUMBER N 750A AIRCRAFT MANUFACTURER & MODEL Keystone Helicopter Corporation S-76C AIRCRAFT SERIAL No. 760750 DOES THIS J u HEREBY SELL, GRANT, TRANSFER AND DELIVER ALL RIGHTS, TITLE, AND INTERESTS IN AND TO SUCH AIRCRAFT UNTO: DAY OF ( • . FORM APPROVED OMB NO. 2120-0042 08/31/2008 Do Not Write In This Block FOR FM USE ONLY PURCHASER NAME AND ADDRESS (IF INDWIDUAL(S), GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL.) Sikorsky Aircraft Corporation DEALER CERTIFICATE NUMBER AND TO StateSSOLS farsGAZORS. monnorMtmleR6. AND ASSIGNS TO HAVE AND TO HOLD SINGULARLY THE SAID AIRCRAFT FOREVER AND WARRANTS THE TITLE THEREOF: IN TESTIMONY WHEREOF HAVE SET my HAND ANO SEAL THIS O DAY OF L.CC. 211U LU -1 LLI (/) NAME(S) OF SELLER (TYPED OR PRINTED) SIGNATURE(S) (IN INK) (IF EXECUTED FOR CO-OWNERSHIP. ALL MUST SIGN ) TITLE (TYPED OR PRINTED) Keystone Helicopter Corporation fraC7.74 President David A Ford ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING HOWEVER. MAY RE REQUIRED BY LOCAL LAW FOR VALIDITY OF THE INSTRUMENT.) ORIGINAL' TO FM: AC Form 8050-2 (9(92) (NSN 0052-00-829-0003) Supersedes Previous &MICR B- '0 O O UI 0 0 a CD L EFTA00075735 FILED WITH FAA AIRCRAFT REGISTRATION BR 2008 DEC 30 HI 3 40 OKLAHOMA CITY OKLAHOMA EFTA00075736 DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE000740069 ORIG DOC ID #0068 FFR 12-30-08 RET TO C&D EFTA00075737 EFTA00075738 Dec 22 2008 3:24PM HP LASERJET FAX P • 2 Keystone Helicopter A Sikorsky Canpany December 22, 2008 Flight Standards Service Aircraft Re 'suasion Branch, AFS-I50 Keystone Helicopter Corporation is requesting the correction of aircraft that what 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 (HINE); 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 N Number are affected by this error, they include: Aircraft Serial Number Aircraft N Number u2760686 718P C31,760690 759P (j2760704 23W 4151' 7571' 714F 767.1 (,760720 720G 723Y 753P 799V 781X 741A 743N 7456 746K 747Y 748A 750A 75 E 753V Regards, Shaun M. Gebhard S76 Quality Assurance Production Supervisor no Helicopter Corporation g'760704...,s> e 60711 760714 60717 y1,160723 Q.6760726 G760729 W/760731 ,760741 60743 60745 60746 1'760747 60748 (6760750 7W E,0751 Ce,760753 00 EtSV Mobile: Desk: Fax fel re blif FIMA EFTA00075739 EON DEC 22 IT( 3 00- OKLAHOMA CITY • • OKLAHOMA EFTA00075740 MEMORANDUM TO THE FILE 09/9/2008 ID DATE A Prior Record search was performed for KEYSTONE HELICOPTER CORP S-76C-2, 760750 on 9/9/2008. Search results: No Prior Record Assigned N25DA EFTA00075741 EFTA00075742 V S Department of Transportation Federal Aviation Administration September 9, 2008 KEYSTONE HELICOPTER CORP COATEN'. ii l I' PA Dear Sirs: Flight Standards Service Aircraft Registration Branch. AFS-750 WEB Address: httpfiregistry.faa.gov United States identification mark N750A has been assigned to KEYSTONE HELICOPTER CORP S-76C-2, serial number 760750, Mode S Transponder Code 52415011 as requested by you. This manufacturer's assignment of special registration number cannot be used as an authorization for a number change. If we may f further assistance. please contact the Aircraft Registration Branch at Sincerely, Legal Instruments Examiner Aircraft Registration Branch AFS-750-SUPPORT-5 (9/04) EFTA00075743 EFTA00075744 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 & assignment of the following special registration numbers to the aircraft described below which are presently under manufacture: ALL ARE KEYSTONE HELICOPTER CORP., MODEL S-76C-2 REGISTRATION NO. SERIAL NO. N741A 760741 N743N 760743 N745G 760745 N746K 760746 N747Y 760747 N748A 760748 / N750A 760750j N751E 760751 N753V 760753 Thank you. Sincerely, KEYSTONE HELICOPTER CORPORATION By: S76 Program Manager CAFI-\ COPY; EFTA00075745 VIVOL:V13/0 ADO yr 1V1)10 TS IT Wb S d3S SOO? as NOI.MIC •.; 1.1VUOUIV EFTA00075746 AIRCRAFT TITLE SEARCHES RECORDING SERVICES AIRMEN RECORD INFORMATION September 5, 2008 Hand Delivered To: FAA Oklahoma City, Oklahoma Attention: Gentlemen: On behalf of our client: Central Records 4:.‘- '7,44.-Ifr:"?:" • 4l.fr t eak.c.,,--3,r- -7 le- CTION Please initiate the following action: Please RESERVE and assign the following NINE (9) special registration numbers to the aircraft listed below which are presently under manufacture: ALL ARE KEYSTONE HELICOPTER CORP. , MODEL S -76C-2 REGISTRATION NO. I N741A A N743N N745G 4 N746K N747Y N748A N750A N751E q N753V SERIAL NO. 760741 760743 760745 760746 760747 760748 760750 760751 760753 PLFACE ISSUE FORM AFS-750-SUPPORT-5 TO THE MANUFACTURER, KEYSTONE HELICOPTER CORP. , AT THE ADDRESS SHOWN ABOVE. PLEASE HAND COPIES OF THE MANUFACTURER ASSIGMENT LETTERS TO ARTC - P.D. ROOM. Note: Enclosed is a "fax" letter by the manufacturer, confirming their need for these assignments. Thank you. 0824g1212072 590.00 09/0512008 XI PLEASE HAND CONFIRMATION OF RESERVATION LETTER TO ARTC - PUBLIC DOCUMENTS ROOM. CC-7:12. — tctett-- 9r--0 - \X5 PLEASE HAND OR401 -050-e4 TO ARTC - PUBLIC DOCUMENTS ROOM. Thank you. AERO RECO By: LI THOMAS GASKIN/Senior Administrator, Special Services /19 • FeeAUSOMW:$94),‘";) CC: Carl Kress Keystone Helicopter Corp. ro L A y 0 § EFTA00075747 FILE!: .8 11.1 FAA AIRCRAFT E .: V.;TRATICM RR 2008 SEP 5 API 11 51 OKLAH . ..IA CITY OKLAFIUMA EFTA00075748