EFTA00075749.pdf
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Extracted Text (OCR)
U S Departure's
Aviation Safety
of Tra-spolation
Federal Aviation
Administration
Date of Issue: November 20, 2019
HYPERION AIR LLC
WEB Address: http://registry.faa.gov
Fax
ATTENTION: IATS
1198748
This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
N331JE BELL 430 Serial 49078 and is valid until Dec 20, 2019.
This is not an airworthiness certificate. For airworthiness information, contact the nearest
Federal Aviation Administration Flight Standards District Office.
Manager, Aircraft Registration Branch
Federal Aviation Administration
REGAR-FAX-4 (07/IS)
EFTA00075749
EFTA00075750
CocoSin Fnvelope I0. E5C6A6E4-9060-4500-6306-660872CA7OSE
UNITED STATES OF AMERICA
- DEPARTMENT
OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION - MIKE MON RONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
UNITED STATES
REGISTRATION
331JE
RAISER
O1. Inch*Owl
TYPE OF
02 ParraTip
REGISTRATION
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(Gran cer DOA)
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CI 9 Nonarson Capaliem Co.Otaw
AIRCRAFT
IANt-FACIURER
Boll 430
AHD MODEL
AIRCRAFT
SERIAL
49078
NUMBER
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CAMBER At40 STREET.
DESCRIPTION OF
LOCATION
CITY
STAYS-
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CHECK HERE IF YOU ARE MX REPORTING A CHANGE OF ADDRESS
CERTIFICATION
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ANY AND ALL SIGNATORIES OF THIS APPLCATI0N MUST READ THE FOLLOWING AND UNDERSTAND THAT. BY APPLYING
A SIGNATURE TO THIS DOCUMENT, THEY ARE SUBJECT TONE REFERENCED STATUTES AND ASSOC IATEDPFJIALTES.
I hereby <Willy Matte mlormaton provided nerais and in any *Can
lo tie applcaton Ice Wall regestzeon re We, accurate and ocerea to the
best of my Vontedoe and tele I underslard Mateo mlormaton g OM by me ad be r eked on by to FMadmnstrator in Paw CIPIPIWISPIOI
pv2LIPOCel TO, Aircraft roam:ratan I &nauseam ear Maya. PI any maser mho tie paisnon of any derann•ni or ncor ti t R VIAted Cent
Mewl ,/ r 4 warn taiLles, =tea
or covets op (Dy any VEA. SatIllt Of &WOO a MAIril lade P.63 Mai eery fate. essleaenp a fraucblInt
staterrents a represent*" a entry. may be Med vp to $250.000 or roamed not more than the (Shears or bath (18 U $ C. Samna IOW ard
3571) Indented that shPlId I mientiOnaly prude any inaccurate or rate ritormanon. Maraca or to suttob merit may be revoked
NOTE: If executed for co-arm
biepellicents must sign. Usenerd pen sad odd page(s) If necessary.
1
SIGNATURE'.
LoWit•LALL VISOSC
DATE: November 10. 2019
0449, 2002f 4AC9
TYPED/PRINTED
NAME.
Lawrence \Mosel
TITLE. Manager
2
SIGNATURE
DATE
TYPED/PRINTED
NAME
TITLE
MOM Lsoct when aid merino
reektrzeon of OM eubitcteaaael imalrtd a candled, 14 CFR 47.31(c) provides for an ainvortil US.
Smelt to be operated for up to 90 dm within the Undo! States when a copy of the stoned &pollution to ts noolstrMlon le earned In the aircraft
OM **Meng Mona and leapt of ale now replembon certikate.
193231523223
$5.00 11/19/2019
2
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AC rem 15030-1 (MI 0)
EFTA00075751
FILED
FAA
AIRCRAFT
REGISTPIIION BR
70I9 NOY 19 NI 3: 21
OKLAHOI:LA CITY
OKLAH07,SA
EFTA00075752
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION — CIVIL AVIATION REGISTRY — AIRCRAFT REGISTRATION RENEWAL
•
Aircraft Registration has EXPIRED • N-Number Pending Cancellation
U.S. Registration Number
Aircraft Manufacturer and Model
N 331JE
BELL 430
Aircraft Serial No.
49078
REGISTRATION MAILING ADDRESS
PHYSICAL LOCATION OF HOME OR OFFICE
N/A
November 1, 2019
Dear Aircraft Owner:
The registration of the aircraft shown above expired on September 30, 2019.
The aircraft's registration and airworthiness certificates no longer support the aircraft's operation.
The N-number is no longer authorized for use and its assignment to this aircraft will be cancelled 60 days
from the date of this notice.
We ask that you return the registration certificate to the FAA Aircraft Registration Branch as established in
14 C.F.R. Section 47.41(b).
Aircraft registration renewal every third year was established in Title 14 Code of Federal Regulations, Section 47.40(c)
on October 1, 2010, as published in the Federal Register on July 20, 2010, page 41968. The changes made at this
time will keep the U.S. Civil Aircraft Register up-to-date, to provide reliable support to users of the registration system.
N-NUMBER RESERVATION: If an aircraft registration will not be renewed, its owner may reserve the N-
number by sending the Registry the first year's $10.00 reservation fee with a request to cancel the aircraft's
registration and to reserve the N-number in the owner's name. If no request is made within 60 days of the
date of this notice, the N-number will be canceled and become unavailable for five years.
AIRCRAFT REGISTRATION: The owner of an unregistered aircraft may apply for registration at any time.
Application for registration must be made in accord with 14 CFR Section 47.31(a), which requires an Aircraft
Registration Application, AC Form 8050-1, evidence of ownership (unless it is already on file at the Aircraft
Registration Branch), and the $5 registration fee. Please note, if application for registration is made after
the aircraft's N-number has been canceled, the aircraft may not use the temporary operation authority
provided for in 47.31(c) because the aircraft was not last previously registered in the U.S.
OTHER CHANGES: Aircraft owners are still required to notify the FAA Aircraft Registration Branch when
their aircraft have been sold, exported, or destroyed, etc. These reports may be made by returning the
Certificate of Aircraft Registration AC Form 8050-3 with the reverse side filled-out and signed. If the
certificate is not available a letter may be sent. It should fully describe the aircraft and report the aircraft's
change of status. If the aircraft has been sold, please provide the purchaser's name and address.
FEE PAYMENT by mail should be by check or money order payable to the Federal Aviation Administration.
FAA Aircraft Registration Branch: Regular mail:
Overnight delivery or commercial courier:
Aircraft Registration website: http://wvmdaa.govIlicenses certificateskircraft..certiticationiaircraftiegistry/
Telephone Numbers:
S a
0
0
O
O
REGAR-RENEW 18 (06-19)
EFTA00075753
EFTA00075754
OMB Control Number 2120-0729
apices Oa/30i 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 cOrection of information unless it displays a
valid OMB control number. Form Approved, OMB No. 2120,0778 'Comments concerning the accuracy of this burden and suggestions for reducing the burden shoed be
directed to the FAA at: 800 Independence Avenue SW. Washington. DC 20591. ATTN: Information Collection Clearance Offizer,AES-200.-
DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION
FAILURE TO RENEW REGISTRATION WILL
RESULT IN CANCELLATION OF REGISTRATION
AND REGISTRATION NUMBER ASSIGNMENT
(See 14 C.F.R. §§ 47.15(0, 47.40 and 47.41)
AIRCRAFT REGISTRATION NUMBER
N 331,1E
MANUFACTURER
BELL
DATE OF ISSUANCE
09/0612013
SERIAL NUMBER
49078
MODEL
430
DATE OF EXPIRATION
09/3012019
TYPE OF REGISTRATION
CORPORATION
ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE
(Owner 1)
(Owner 2)
Not Enter any additional owner names on page two.
(Address)
(Address
City
Country
State I. Zip
HYPERION AIR LLC
Physical Address: Required when 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, ENTER any change in address in the
spaces below =I.
OR, 8 SEND 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 Rm 118, Oklahoma City OK 73169-6937
I (WE) CERTIFY. THE NAME(S) AND ADDRESSES FROM THE FAA FILES
1-1 FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, OWNERSHIP
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR 947.3, 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 947.3, 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 a Mall Drop.
HELPFUL INFORMATION
Review Aircraft Registration File Information for this aircraft
at: http://reeistry.faa.cpv/aircraftinqUiTY.
Assistance may be obtained
at our web page: htt ://re is
.faa. ov/renewre iStratiOn.
by e-mail 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 fun title.
- Co-owner
each co-owner must sign: showing *co-owner" as tole.
Government
authorized person must sign and show their full 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
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.
TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
CHECK All applicable block(s) below pomptFTF alcia. QATE& MAIL
this form with an fees to the: FM Aircraft R 's
D CANCELLATION OF REGISTRATION IS REQUESTED.
•
THE AIRCRAFT WAS SOLD TO:
(Shaw 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 510 reservation fee is enclosed.
SIGNATURE OF OWNER 1
(required field)
Electroncally Certified by Registered Owners
SIGNATURE OF OWNER 2
PRINTED NAME OF SIGNER
(required field)
TITLE
(recured held)
DATE
4113/2016
DATE
PRINTED NAME OF SIGNER
TITLE
Use page 2 for additional signatures.
Fee paid: $5 (201604131624324776NB)
..1(' Form 8050- I B (04:12)
EFTA00075755
EFTA00075756
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: 331JE
EFTA00075757
EFTA00075758
S Deparf•
of Tia•spooation
Federal Aviation
Administration
Date of Issue: September 9, 2013
Flight Standards Service
Aircraft Registration Branch,
AFS-750
WEB Address: http://registry.faa.gov
Fax
ATTENTION: HYPERION AIR LLC, MANAGER
TI36229
This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
N331JE BELL 430 Serial 49078 and is valid until Oct 09, 2013.
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-FAX-4 (03/10)
EFTA00075759
EFTA00075760
•
DECLARATION
of
INTERNATIONAL OPERATIONS
•
•
•
. 033IIC
The undersigned Owner Or aiierill N 33i Je
MOnuraCturer Efen
az .4 •
MOdel
L-tpo •
Sthal Number 49076 ____4610
•
•
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Coonnianriiii7.
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.
kipediled regisvatiowin supped [Anis intnmaliOnd illgb; is registered rhI
'
. 30 iCwith Itowledge 0,r:
.1.91toever, in any matter within the jurisdiction *idle niece:tire branch of /be
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, • ; 004eirdnem ofdw.Unked Sutes, knoivinglyand wiliMly mikes or uses' any .
sz:
unitingor document knowing the same w matian any materially
ficsitious:or.fittalukm suiemeni of.gwesenulion sfinli.bd fined Underline 18
ticked:Subs Code or imprisoned nen more shod pmts. or kith. 'It
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EFTA00075761
FILED WITH FAA
AIRCRAFT REGISTRATM DR
2013 SEP 9 All 9 45
OKLAHOMA CITY
OKLAHOMA
EFTA00075762
FORM APPROVED
OMB No. 2120-0042
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION
ireoenid. AVIATION AOMINISTRATiOnmiKe MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
C
CO
1:1
CERT: ISSUE DATE
ill.0 c
7
(./ it 7.
UNITED STATES
REGISTRATION NUMBER II ag3 lje-
AIRCSMAN
It
UFIA\TUREFI4mcgL
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AIRCRAFT SERIAL No. 149 0 7 a
FOR FAA USE ONLY
S
TYPE OF REG
TION (Cher* One boy) ,, i
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Ca>
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eg:
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0 2. Partnership
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4. Co-0;vrfer
LJ 5. Coven/orient
0
0
8. Non-Citizen Corporation
0
9. Non-Citizen Corporation Co-Owner
NAME OR APPUCANT (Person(s) shown on evidence of
Rt
ownership. If individual, give last name, first name.
i"
C)
t I -r
and middle initial.)
ID
VA
i ii Pe.
0
T4
TELEPHONE NUMBER: (
)
ADDRESS (Permanent mailing address for first applicant on list) (If P.O. Box IS used, physical address must also be shown.)
Number and street:
Rural Route:
P.O. Box:
CITY
STATE
ZIP CODE
0
CHECK
HERE IF YOU ARE ONLY REPORTING
A CHANGE
OF ADDRESS
ATTENTION!
Read the following
statement
before signing this application.
This portion MUST be completed.
A false or dishonest answer to any question in this application may bo grounds for punishment by fine and/or imprisonment
(U.S. Code, Title 18. Sec. 1001).
II"
CERTIFICATION
I/VVE CERTIFY:
(1) That the above aircraft is owned by the undersigned applicant, who is a citizen (including corporations)
of the United States.
(For voting trust, give name of trustee:
) or:
CHECK ONE AS APPROPRIATt
a. CI A resident alien, with alien registration (Form 1-151 or Form 1-551) No
b.
business under the laws of (state)
.
•
A non-citizen corporation organized and doing
and said aircraft is based and primarily used in the United States. Records or flight
inspection at
hours are available for
(2) That the aircraft Is not registered under the laws of any foreign country: and
(3) That legal evidence of ownership is attached or has been filed with the Federal Aviation Administration.
NOTE: It executed for co-ownership all applicants must sign. Use reverse side if necessary.
r V i Lrjt 4-.V. V
TYPE OR PRINT NAM BE
SIB Mittiliit .. . 1 • -
EACH PART OF THIS
APPLICATION MUST
BE SIGNED IN INK.
SIGNATURE
‘..: I,
.
trite
DATE
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SIGNATURE
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DATE
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et, ttc r 3; :.; (,) C11: `..
NOTE Pending receipt of the CerlificatetrAIrcran Regis ration, the aircraft may be operated for a period not In excess of 90
days. during which time the PINIccogy• ofithiS;VPpOc'Etior't must be carried in the aircraft.
Dm
AC Form 8050-1 (5/12) (NBN..cl
j1
2 0Q-4128-900D
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1r
or
•
EFTA00075763
2013 RUG 13 Arl 7 39
OKLAHOMA CITY
•KLAHOMA
FILED WITH FAA
AIRCRAFT RECISTRATIerl DR
203 AUG 1.3
AIM
39
OKLAHOMA CITY
•KLAHOMA
•
•
EFTA00075764
UNITED STATES OF AMERICA
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF S I&OVC THE UNDERSIGNED OWNER(S) OF THE
FULL LEGAL AND BENEFICIAL TITLE OF THE AIRCRAFT DESCRIBED AS FOLLOWS:
UNITED STATES
REGISTRATION NUMBER
I N331
JE
Ptircrati riturigentSures
t Knentyi
130i I 430
AIRCRAFT SERIAL NUMBER
49078
DOES THIS
IV II
DAY OF AUGUST, 2013,
HEREBY SELL, GRANT. TRANSFER AND DELIVER ALL RIGHTS. TITLE. AND
INTERESTS IN AND TO SUCH AIRCRAFT UNTO:
PURCHASER
NAME AND ADDRESS
(IF INDIVIDUAL(S), GIVE LAST NAME, FIRST NAME, AND MIDDLE INITIAL)
Min
DEALER CERTIFICATE NUMBER
AND TO ITS SUCCESSORS -ANWASSIGNS TO HAVE AND TO HOLD SINGULARLY THE SAID AI RC RA FT FOREVER, AND
WARRANTS THE TITLE THEREOF.
IN TESTIMONY WHEREOF WE HAVE SET OUR
HAND AND SF.A L THIS
t7'
DAY OF AUGUST, 2013.
SELLER
NAME(S) OF SELLER
(TYPED OR PRINTED)
SIGNATURE(S)
(IN INK) (IF EXECUTED FOR CO-
OWNERSHIP, ALL MUST SIGN.)
TITLE
(TYPED OR PRINTED)
HYPERION AIR, INC.
-1MCOWAd•c.
Vice President
•
•
ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FAA RECORDING: HOWEVER, MAY BE
REQUIRED BY LOCAL LAWARORyAUIDITY.O.E.THE INSTRUMENT.)
•-•-• :.%:.i.4...4.v %
132250804062
ORIGINAL: TO FAA
$5.00 08/13/2013
0
0
0
0
2
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0
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AC FORM 8050-2 (9/92) (NSN 0052.00.629-0003) SUPERSEDES PREVIOUS EDITION
EFTA00075765
FILED WITH FAA
AIRCRAFT RECISTRATIOI1 BR
1013 AUG 13 AM 7 39
OKLAHOMA CITY
OKLAHOMA
EFTA00075766
0
L: S Depdo.
of Tta•s:•roOdfo)o
Federal Aviation
Administration
Date of Issue: June 28, 2012
III
I II II I
III
I III I II II I
I II I III I 11
Flight Standards Service
Aircraft Registration Branch,
AFS.750
HAND DELIVERED TO IATS IN THE PD ROOM
WEB Address: http:llregistry.faa.gov
T124248
This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
N331JE BELL 430 Serial 49078 and is valid until Jul 28, 2012.
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-FAX-4 (03/10)
EFTA00075767
EFTA00075768
DECLARATION
of
INTERNATIONAL OPERATIONS
The undersigned owner of aircraft N 331JE
Manufacturer Bell
Model 430
Serial Number 49078
declares that this aircraft is scheduled to make an international flight' on July 3rd, 2012 ,
(date)
as flight Number Private
(City/State)
with a destination of St Thomas, U.S.V.I. TIST/STT
departing West Palm Beach. Florida KPBI
(City/Country)
•[If required route between Iwo points in the United States involves international navigation, explain under
Comments below, c.g. "partly over Canada" or "partly in international airspacc". I
Expedited registration in support of this international flight is requested this
2nd
day of July
20 12
with knowledge that:
Whoever, in any matter within the jurisdiction of the executive branch of the
Government of the United States, knowingly and willfully makes or uses any
false writing or document knowing the same to contain any materially false,
fictitious or fraudulent statement of representation shall be fined under Title 18
United States Code or imprisoned not more than 5 years, or both. 18 U.S.C.
§1001(a).
Hyperion Air Inc
Name of Owner
Lawrence t
t
itTchtlY a
vieth e n
Signature
tiQS/
Typed Name and Title of Signer
Director of Aviation
Phone:
Fax:
Comments:
This is a ferry flight from West Palm Beach Florida, with stops in Nassau Bahamas, Great
Exuma, Bahamas, Grand Turk, Dominican Republic, Puerto Plata, and Punta Cana,. and final
destination of St Thomas, USVI,.
tau( sviu KW to I ViS
Return Certificate of Registration ti;
1.A.T.S.
AF S-750-O1O- (02/ l 2)
Return Certificate of Registration to
LA.T
EFTA00075769
FILED WITH FAA
AIRCRAFT REGISTRATION BR
2012 JUN 28 fill 8 29. !:
OKLAHOMA CITY
OKLAHOMA
EFTA00075770
0
U.S. Cloportmort
of Tnnsportolion
Fatima Aviation
Admiithitrason
ASSIGNMENT OF SPECIAL
REGISTRATION NUMBERS
Special Ftegistration Number
N331JE
Airmail Make and Model
BELL 430
Present Registration Number
N901RL
Serial Number
49078
Issue Date:
Jun04. 2012
ICAO AIRCRAFT ADDRESS CODE FOR N33 LIE - 50715123
III
I II II I
III
1 III
I II II I IIIIIIIIIIIIIIII
This is your authority to change
the United States registration
number on the above desaibed
aircraft to the special
registration number shown.
Carry duplicate of this form in die
aircraft together with the
old regimation certificate as
interim authority to operate the
aircraft paling receipt of revised
certificate of regisbation.
Obtain a revised certificate of
airworthiness from your new-
est Flight Standards District
Office.
The latest FAA Forst 81314,
Application For Airworthiness
on file b dated:
Apr 26, 2001
The airworthiness classification
and category:
SID 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 that be issued.
The authority to use the special number expires: Jim 04, 2013
CERTIFICATION: I catify that the special registration number wes placed
on the Said described above
Signature of Owner
-
RETURN FORM TO:
Civil Aviation • :4_1_, o AFS-750
Title of Owner. a2,simi-0,2
047
wThild,r3
Date Raced on Aircraft 06 / nt 5- r9 d /2
AC FORM S050-64 (52oos) SO nags ?rein Waco
ctettim Certificate at
Registration to
Usej.s.
8 •
0 •
a'
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CO
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EFTA00075771
FILED WITH FAA
AIRCRAFT REGISTRATION BR
2012 JUN 28 All 8 29
OKLAHOMA CITY
OKLAHOMA
EFTA00075772
A
Insured Aircraft Title Service, Inc.
T
Oklahoma City, Ok
Oklahoma City, Ok
e-mail address:
web site: www.insure mom .com
FEDERAL AVIATION ADMINISTRATION
CENTRAL RECORDS DIVISION
OKLAHOMA CITY, OKLAHOMA
Date:
Dear Sir/Madam:
Please Reserve N
May 22, 2012
in NAME ONLY for:
FAX
N# Change Request
Please RGfserve N 331JE*
and as
for the following aircraft:
N 901RL Make
Bell
Model
430
Serial #
49078
Which is (1) being purchased by
(2) registered to
XX
Hyperion Air Inc.
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: ' See attached relinquishment
Requested by: &pi
Angie Risley
121431558307
$20.00 05/22/2012
0
0
ao
EFTA00075773
FILED WITH FAA
AIRCRAFT REGISTRATION OR
2012 MY 22 PM 3 38
OKLAHOMA CITY
OKLAHOMA
EFTA00075774
FORM APPROVED
OM8 No. 2120-0042
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION
setorotAL AVAMMIll AOSIIIMISTIMATIONAUPLE MIPOSOINIEY AIEROISWICAL CE/41VJI
AIRCRAFT REGISTRATION APPLICATION
C
fC
CERT. ISSUE DATE
a c
-I
a
UNITED STATES
REGISTRATION NUMBER N
90 IRL,
AIRCRAFT MANUFACTURER & MODEL
Bell
430
AIRCRAFT SERIAL No.
49078
-
FOR FAA USE ONLY
h
EACH PART OF THIS
APPLICATION MUST
BE SIGNED IN INK.
O
OF REGISTRATION (Check one box)
n.
C
0
I. indhfidUal
0
2. Partnership (2s 3. Corporation
0
4. Co-owner
O
S. Gov't.
0
8. /44°" -
zen
Corporation
R
NAME OF APPLICANT (Person(*) shown on evidence of ownership. It Individual. give last name. first name. and middle initial.)
0
Hyper ion Air,
Inc.
TELEPHONE NUMBER: (
)
ADDRESS (Permanent mailing address for first applicant listed.) (If P.O. BOX is used, physical address must also be shown.)
Number and street:
Rural Routs:
P.O. Box:
CITY
STATE
ZIP CODE
CD
CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS
ATT1ENTIONI Read the following statement before signing this application.
This portion MUST be completed.
A false or dishonest answer to any question in this application may be grounds tor punishment by fine and/ or imprisonment
(U.S. Code. Title 18. Sec 1001).
III
I
CERTIFICATION
UWE CERTIFY:
(I) That the above aircraft is owned by the undersigned applicant, who Is a citizen (including corporations)
of the united States.
(For voting trust, give name of trustee:
) or'
CHECK ONE AS APPROPRIATE:
a. CI A resident alien. with alien registration (Form 1.151 or Form 1.551) No.
b. 0
A non-citizen corporation organized and doing business under the laws of (state)
and said aircraft is based and primarily used In the United States. Records or flight hours are available for
Inspection at
(2) That the aircraft is not registered under the laws of any foreign country; and
(3) That legal evidence of ownership is attached or has been filed with the Federal Aviation Administration.
NOTE: If executed for co-ownership all applicants must sign. Use reverse side if necessary.
TYPE OR PRINT NAME BELOW SIGNATURE
SIGNATURE
TITLE
DATE
a.)1/•lifa ,..-
Gra
a• See-re-4 -ctiei
5
SIGNATURE
ITTL
DATE
yavvtn Ma
V..e.,
SIGNATURE
TITLE
DATE
NOTE Pending receipt of the Certificate of Aircraft Registration, 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 (5/03) (0052-00-828-9007)
EFTA00075775
FLED WITH, FAA
.
REGISTRATION BR
.
• '
2012 nan 6. RP1 11 16
•OKLAHOMA CITY
OKLAHOMA
EFTA00075776
UNITED STATES OF AMERICA
U.S DEPARTNIENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF S I.O0 & OTHER VALUABLE
CONSIDERATIONS THE UNDERSIGNED OWNER(S) OF AN
UNDIVIDED INTEREST IN THE LEGAL AND BENEFICIAL TITLE
OF THE AIRCRAFT DESCRIBED AS FOLLOWS:
UNITED STATES
REGISTRATION NUMBER
McWIRL.
AIRCRAFT MANUFACTURER & MODEL BELL 4:- C)
AIRCRAFT SERIAL No.
100-1g
S THIS
V
DAY OF
4Nte
DOE
ck , 201 2
HEREBY SELL GRANT. TRANSFER ND DELIVER ALLRIGHTS,
TITLE, AND INTERESTS IN AND TO AN UNDIVIDED 100%
INTEREST IN SUCH AIRCRAFT UNTO:
DO Not writ, H DNS MOM
FOR FAA USE ONLY
FORMAPPROVED
OMB NO 2120-CO2
O
I
O
CO
O
0
O
C
0
O
0
0
O
a
0 a
a.
NAME AND ADDRESS
IIF INDIVIDVAMS). GIVE. LAST NAME. FIRST NAME. AND MIDDLE INITIAL /
WIPE EtkON ema, \NC_
OWNING
an undivided 100% Interest
gra
ZO Z L OZ/9Z
'0
m
DEALER CERTIFICATE NUMBER
AND Cy
1:LISCYXDR.VADAILWWICILTOFIS, AND ASSIGNS TO HAVE AND TO HOLD SINGUI.ARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS TFIE TITLE THEREOF.
its successors
\AUCk
2012
IN TESTIMONY WHEREOF WE HAVE SET OUR HAND /WSW. THIS t.9
DAY OF
SELLER
NAME (S) OF SELLER
(TYPE OR PRINTED>
SIGNATURE (S)
IIN INN) (IF EXECUTED
TOR CO-OWNERSHIP. ALL MUST
SM. I
TITLE
i TYPED OR PRINTED)
aompos-DEvci_o?r,E
w NP. 1-12‘.1
i.srs kNc
Co
E
5rE E)
"4:2
A.
Director
William P Merriam Jnr
"
17
ACKNOWLEDGEMENT (NOT REOUIRED FOR PURPOSES OF FAA RECORDING: HOWEVER. MAY BE REOUIRED BY LOCAL LAW FOR VALIDITY OF THE INSTRUMENT )
ORIGINAL: TO FAA
120661116435
55.00 03./06/2012
EFTA00075777
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| Filename | EFTA00075749.pdf |
| File Size | 1714.3 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 29,555 characters |
| Indexed | 2026-02-11T10:26:42.251581 |