EFTA00151025.pdf
PDF Source (No Download)
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 681-9299
ATTENTION: 1ATS
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.
anager, Aircraft Registration t3ranc
Federal Aviation Administration
REGAR-FAX-4 (07/IS)
EFTA00151025
EFTA00151026
DocuSin Fnvelope I0. E5C6A6E4-9060-4500-6306-660872tA7OSE
UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION - MIKE MON RONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
UNITED STATES
REGISTRATION
331JE
PRAISER
0 1 MGRloll
TYPE OF
02 PerriItaly
REGISTRATION
0 1 CO.Panba
0 4 CM0ease
(Con me Doe)
0
S. ekrovresed
0
7 Lovie0 Unity Cesepail (IIC.
0
t Nonce:en Cerparanai
0 9 NoriOtion Capernim CmOtmer
AIRCRAFT
10AtJACIURER Boll 430
AHD MOCEL
AIRCRAFT
SERIAL
49078
NUMBER
NAM E15) OF APPLICANT IS) (Perior(s) *bomb bm PRame• es om'entsP • recenlie 9se 'seiner*. 'to mint and 01.00, inel I
Hyyx.rIon Air L LC
TELEPNOPa NUMBE
NAILING ADDRESS Osemaissre rang gam for ant woes* on Is. I
NUMBER AFC STREET.
RLPAL ROUTE
PO Box
CITY
STATE
No
PKTSICAL ACORESSAOCATON IF p 0 DOA CA RURAL ROUTE ODA Negri mg Tam ANA A1AFFRR
!RAWER AND STREET.
CESCRIPTION OF
LOCATION
CITY
STAYS-
ZIP.
K
CHECK HERE rF YOU ARE MX
REPORTING A CHANGE OF ADDRESS
crfanfreAD21
ME COUTO Y:
(1)
Tom me 'Wye orwort ii ~ow or Me .(oleos2.3•3 *rant yea -s (MST Cl/LCKARD/CR C CRP/ F TEAJT.b or al
fa • Aut.:ono, Me Unto/ Stan is 00.W by 42 USC 4010.053
O b A resort s74,nrti awl rag Wince, (Form 145 1) No
OC A nonce:on torporabon croon/ea and dong Mayo* under Ow ron or (UWE
al ISd twat
(spina end ImmiesT used el me UM." Sees Patti a trir. WS an eRiteNe TO espriCtiOn it (worlds complete physkel adOess.
O a A copata' usng • wog uvu 10 OHIO), ENS rate Kinn
(2)
ii Mica 0 WA* Is checked I. Ma betas Wei. only Mariam atharlad, by me scram ShoO41 atom. lo a9n co
-pan doormen end to
seek smelt ripaslion ci. ERN" or tie Vey VD Mahal Of WOO re en euxettinca I rentieuett
(3)
ma no ague a rd Wilted srelor Ihe Ian al wry bSGI gouty. as
(4)
That IRO esteleeC•010imerirsp is eniched or has bee lied MINIM (SR AnlibtiO ASTOristratIOn
ANY AND ALL SIGNATORIES OF THIS APPLCATKIN MUST READ THE FOLLOWING AND UNDERSTAND THAT. BY APPLYING
A SIGNATURE TO THIS DOCUMENT, THEY ME SUBJECT TONE REFERENCED STATUTES AND ASSOCIATEDPFJIALTES
I hereby cenly matte inlormmon provided herein and in any *Can
lo tie agolcaton her Wan rept:Mon re auk accurate rid ante to the
beat of my VcIttectoe one teat( I understard that tee 0.0fM310.12909693 by me *A be Maid on Dy tie FM arimmetralor in hater aerterrrmacc of
Cival•03001 her aircraft wise-Eon I undoes:arm Pat Mawr. In any nines within Pc DrTssictron of anyOR:snood a offinfolthoL.R.e.. CAMes-
lueseto919 ad ma* talon COCWIS or covers up (Dy any voi. scheme or dime) a male(MO (add MO Males eery lase. inslemOnp a frauctlent
'Caterer% co representatrans or way. may be ene0 w to $250.000 or rrorisceed not more than fine (Shears or tett (18 U S C. Samna IOW ate
3571) I uncerstatr) that should I
leradnal)y proode any inaccurate or late rnormafOrLiaStetralcrtol Ole suteml airo-st may be weed
NOTE: If executed for co
-arm b
Y
ratsmusteIn. Usenerd age and add page(s) If necessary.
1
SIGNATURE:
DATE: November 19. 2019
TYPED/PRINTED
TITLE' Manager
NAME.
2
SIGNATURE
DATE
TYPEINPRINTED
NAME
TITLE
MOM Lsoct when 919 merino re:imam of Om Mien pecraftleuert4 or canape( 14 CFR 47.31(c) proekke for en ainvorew US.
Smolt to be operated for tiptoe° dm within N UMW States when a copy of Me started &volution to ts nuelstrMlon It caTled In Me alrerell
while **Ant Mona and leapt of Me nee rents:eon cerebrate.
193231523223
$5.00 11/19/2019
2
a
0
0
S.
AC ram e0501 (MI6)
EFTA00151027
FILED
FAA
AIRCRAFT
REGISTPIIION BR
70I9 NOY 19 NI 3: 21
OKLAHOI:LA CITY
OKLAH07,SA
EFTA00151028
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
HYPERION AIR LLC
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://www.faa.govIncenses certificateskircraft certification/aircraft registry/
Telephone Numbers:
S a
0
0
O
O
REGAR-RENEW 18 (06-19)
EFTA00151029
EFTA00151030
OMB Control Number 21204729
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 coirection of infommtion unless it displays a
valid OMB control number. Form Approved, OMB No. 2120,0775 '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 Officer, MS-200.-
DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION
FtESULT W CANCELLA DON OF REGISTRATION
AND REGISTRATION NUMBER ASSIGNMENT
(See Id C.F.R. §§ 47.15(0, 47.40am:147.4N
AIRCRAFT REGISTRATION NUMBER
N 3313E
SERIAL NUMBER
49078
MANUFACTURER
BELL
MODEL
430
DATE OF ISSUANCE
09/06/2013
DATE OF EXPIRATION
09/30/2019
TYPE OF REGISTRATION
CORPORATION
ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE
(Owner 1)
HYPERION AIR LLC
HELPFUL INFORMATION
Review Aircraft Registration File Information for this aircraft
at: http://reCliStntfaa.C1Ov/aireraftinClUirif.
(Owner 2)
Assistance may be obtained
at our web page: http://registry.faa.gov/renewregistration,
la
Enter any additional owner names on page two.
(Address)
(Address)
by e-mail at:
by telephone at::
When mailing fees, please use a check or money order made
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 full title.
Limited Liability Co authorized member, manager, or officer identified in
the LLC organization document signs. showing full title.
-
Co-ownerment
authorized person must sign and show their full title.
east co-owner must sign: showing *co.owner" as 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.
City
State in
Zip
Country
payable
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 SIGN. OM. & SEND form with the $5 renewal fee to the:
FAA
by courier
,./
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 FM 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 / 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.
MAILING ADDRESS
TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
CHECK NI applicable block(s) below r.OMPIFTF SIGN.DATE & MIL
t
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
(recui•ed held)
DATE
4/13/2016
SIGNATURE OF OWNER 2
PRINTED NAME OF SIGNER
TITLE
DATE
Use page 2 for additional signatures.
Fee paid: $5 (201604131624324776NB)
..1( • Form 5051 - I B (04:12)
EFTA00151031
EFTA00151032
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
EFTA00151033
EFTA00151034
S Deparf•
of Tia•spooation
Federal Aviation
Administration
Date of Issue: September 9, 2013
HYPERION AIR LLC
Flight Standards Service
Aircraft Registration Branch,
AFS-750
WEB Address: http://registry.faa.gov
Fax 646-350-0954
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)
EFTA00151035
EFTA00151036
LLC
•
.
•
•
• •
Algal en !Vat
•
•
•
• :DECLARATION
of
INTERNATIONAL OPERATIONS
•
'Me undersigned Ovirter oi•aiierillN
MOnuraClUter Efa
BC('
•
.
Model .30
L-tpo •
Suttl Sumba: 49076 ____46101i • .
•
"., • dteb!cs chi; dila oirerafl h scheduicd to mat :di inlemtaional
on JAIII02013 'Jr (.° I
' se Riau Number Print* ill
dtpurtingSt fazetan tiSVI flS7. SELThiti4 IA VI
•
,closiea •
. . •
with a destination of ti t iocestaii BaitsOrmay.o fl ed .$91.1
.
. v
.r..
rtallud last Otraes no ppm, in thy tailed9mo intone, ir wanted 4C79,664.44.:I.44
0 77794699417:7•44•14671949; 6444.1C 4r`pardy o.innuntisralor, c...I .
kipodiled regi.tvation..in sapped ortitis ithcmatiOnal filen isxgoetted 0110 '
• , pa •
. day of Sactonbor
• 20 14;':With knowledge ihau.
•
Anima:, in any roams within the jurisdiction of the executive butpch of
•
• coitiorrann ofdx.Unhed Sutes, knoivinglyand will/Idly eddies or uses' any .
false "Bangor document knowing the same io suntan any manually false.'
. faxitiouinactiOduknt sutiemeni of repeesepution shall* fined tinder *hie 18
UniiicEStans Code or imprisoned not more thui yits. or With. 'It
•
• '
Phone:
•
•
.
Coeimeiltr
Pitasais.04eipassirse:
, .
4.750.Dio
photo- I.JPO (°PEG Image, 2592 x 1936 pixels) - Scaled (44%)
OCUME— I /user/LOCALS-1 /Temp/photo- I ..IPG
8
0
0
O
to/
EFTA00151037
FILED WITH FAA
AIRCRAFT REGISTRATM DR
2013 SEP 9 All 9 45
OKLAHOMA CITY
OKLAHOMA
EFTA00151038
FORM APPROVED
OMB No. 212O-OO42
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION
ireoenid. AVIATION AOMINISTRATiOnmiKe MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
e
a
'C
CERT: ISSUE DATE
a
C c
7
0
a 7.
STATES
REGISTRATION NUMBER II a3l3
—e—
AIRCSMANUFIATUREFI4MgL
Me
X
0
AIRCRAFT SERIAL No. 149 0 7 a
FOR FAA USE ONLY
S
TYPE OF REG
TION (Cher* One bov) , i
i _as
eg:
s'
nrme
m;
Id Ca. • t .
C-0 .44°1 IP as^- tir ko
r r"
r ' FC
0 1. Individual
0 2. Partnership
3.
4. Co-O;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
4.
VA
i ii Pe.
Rt
0
T4
TELEPHONE NUMBER: (
)
ownership. If individual, give last name, first name.
i"
C)
t I -r
and middle initial.)
ADDRESS
Number
Rural
(Permanent mailing address for first applicant on list) (If P.O. Box IS used, physical address must
and street:
also be shown.)
Route:
P.O. Box:
CITY
0
A false
IIII
I/VVE 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 bo grounds for punishment
N.S. Code, Title 18. Sec. 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 Form 1-551) No
a.
b.
(2) That
(3) That
TYPE
0
A resident alien, with alien registration (Form 1-151
business under the laws of (state)
the United States. Records or flight
•
A non-citizen corporation organized and doing
and said aircraft is based and primarily used in
Inspection at
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 If necessary.
- • • r1,.? :1 rt ..', Iii
OR PRINT NAM BE 6
SIG ATU
- . .
EACH PART OF THIS
APPLICATION MUST
BE SIGNED IN INK.
SIGNATURE
TRUE"
tkcitsa
DATE
- 12
- 13
SIGNATUR
TITLE
DATE
SIGNATURE
kirED Mil -tot v
11. II •
DATE
NOTE Pending receipt of the CertilicatraVAL-11,kitiocri Teflon, the aircraft may be operated for a period not In excess of 90
days. during which time the PINIccoby• ofithi
Pplic'Etior't must be carried in the aircraft.
AC Form 8050-1 (5/12) 8•18N..cl
j1
2 0Q-4128-900D
iF•J
1r
or
•
EFTA00151039
2013 RUG 13 Arl 7 39
OKLAHOMA CITY
•KLAHOMA
FILED WITH FAA
AIRCRAFT RECISTRATIerl DR
203 AUG 1.3
AIM
39
OKLAHOMA CITY
•KLAHOMA
•
•
EFTA00151040
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)
HYPERION AIR LLC
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
a
8 -pa
0
Lip
AC FORM 8050-2 (9/92) (NSN 0052.00.629-0003) SUPERSEDES PREVIOUS EDITION
EFTA00151041
FILED WITH FAA
AIRCRAFT RECISTRATIOI1 BR
1013 AUG 13 AM 7 39
OKLAHOMA CITY
OKLAHOMA
EFTA00151042
0
L: S Depdo.
of Tta•s:•roOdfo)o
Federal Aviation
Administration
Date of Issue: June 28, 2012
HYPERION AIR INC
m 1 111
11 I. I I II I III IIII
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)
EFTA00151043
EFTA00151044
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 two 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 i
t
itTchtlY a
vieth o n
Signature
/dos/
Typed Name and Title of Signer
Director of Aviation
Phone: 917-868-6145
Fax: 561-328-7963
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
a.
D.
a
CP 0
O
EFTA00151045
FILED WITH FAA
AIRCRAFT REGISTRATION BR
2012 JUN 28 fill 8 29. !:
OKLAHOMA CITY
OKLAHOMA
EFTA00151046
0
U.S. 0epertmeat
of Tnersportmion
Fatima Aviation
AdninkstaliOn
ASSIGNMENT OF SPECIAL
REGISTRATION NUMBERS
Special Ftegistration Number
N331JE
Airesali Make and Model
BELL 430
Present Registration Number
N901RL
Serial Number
49078
Issue Date:
fun 04. 2012
ICAO AIRCRAFT ADDRESS CODE FOR N33 LIE - 50715123
lariiirirrilliiii
Iirailliatitiniulr.r.uirlaillirl
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 form in the
aircraft together with the
old registration certificate as
interim authority to operate the
aircraft paling receipt of revised
certificate of regishation.
Obtain a revised certificate of
airworthiness from your near-
est Flight Standards District
Office.
The latest FAA Form 81314,
Application For Airworthiness
on file b dated:
Apr 26.2001
The airworthiness classification
and category:
SID TRANSP
INSTRUCTIONS:
SIGN AND RETURN TIlE 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: km 04, 2013
CERTIFICATION: 1 catify that the special registration number was placed
on the aircraft desaibed above
•
Signature of Owner
RETURN FORM TO:
Civil Aviation
'
AFS-750
Tine of Owner. azsm142 12
60
f//r3 sild,r3
Date Raced on Aircraft 06 h 5- r9 d /2
AC FORM S050-64 (52oos) SO nags Previous Waco
ctettim Certificate at
Registration to
Usej.s.
8 •
0 •
a'
a
C
ik) 0
EFTA00151047
FILED WITH FAA
AIRCRAFT REGISTRATION BR
2012 JUN 28 All 8 29
OKLAHOMA CITY
OKLAHOMA
EFTA00151048
T
A
Insured Aircraft Title Service, Inc.
web site: wbwiinsuredaircraft.com
FEDERAL AVIATION ADMINISTRATION
CENTRAL RECORDS DIVISION
OKLAHOMA CITY, OKLAHOMA
Date:
Dear Sir/Madam:
Please Reserve N
May 22, 2012
in NAME ONLY for:
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
O
O
ao
EFTA00151049
FILED WITH FAA
AIRCRAFT REGISTRATION OR
2012 MY 22 PM 3 38
OKLAHOMA CITY
OKLAHOMA
EFTA00151050
FORM APPROVED
OMB No. 2120-0042
UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION
sattIMAL Avianow AOSIIIMISTIMATIONAUPLE MIPOSONIEY AIEROISWICAL CE/41VJI
AIRCRAFT REGISTRATION APPLICATION
C
fC
CERT. ISSUE DATE
a c
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
O
1. IndhfidUal C) 2. Partnership (2s 3. CorpOratiOn
CI 4. Co-owner ID S. Gov't.
p
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 Ilated.)(if P.O. BOX is used, physical address must also be shown.)
Number and street:
Rural Route:
P.O. Box:
CITY
STATE
ZIP CODE
CI
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 18130 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
VINE 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. 0
A resident slam. with alien registration (Form 1.151 or Form 1.551) No.
b. O
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/•,fiti ,..-
Gra
a• Secre-4
-cti•-•-i
5
SIGNATURE
Trrl
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)
EFTA00151051
FLED WITH, FAA
.
REGISTRATION BR
.
• '
2012 nan 6. RP1 11 16
•OKLAHOMA CITY
OKLAHOMA
EFTA00151052
UNITED STATES OF AMERICA
U.S DEPARTNIENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF S I.00 & 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.
4A0-1 g
DOES THIS
DAY OF tItt
201 2
HEREBY SELL GRANT. TRANSFERND DELIVER ALLRIGHTS,
TITLE, AND INTERESTS IN AND TO AN UNDIVIDED 100%
INTEREST IN SUCH AIRCRAFT UNTO:
Do NOI wrno In This Mock
FOR FAA USE ONLY
FORM APPROVED
OMB NO 2I20-0t2
I
0
0
CO
0
0 0
C
7
0
0
0
a
0
a
a
at
O.
NAME AND ADDRESS
IIF INDIVIDVALISI. GIVE. LAST NAME. FIRST NAME. AND MIDDLE INITIAL /
HYPE RkoN c:hp \Nc_
OWNING
an undivided 100% Interest
DEALER CERTIFICATE NUMBER
AND
li.IMODEZIELVADMLION.RXIO$6, AND ASSIGNS TO HAVE AND TO HOLD SINGUI.ARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS TFIE TITLE THEREOF.
1
s
successors
IN TESTIMONY WHEREOF WE HAVE SET OUR HAND fic0040AL THIS t.9
DAY OF k
ti - C\k
,
2012
SELLER
NAME (S) OF SELLER
(TYPE OR PRINTED/
SIGNATURE (S)
IIN rim (IF EXECUTED
TOR CO-OWNERSIIIP. ALL MUST
SIG. I
TITLE
i TYPED OR PRINTED)
aompos-DEvci_o?r,E
w NP.
1-11‘.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
EFTA00151053
Document Preview
PDF source document
This document was extracted from a PDF. No image preview is available. The OCR text is shown on the left.
This document was extracted from a PDF. No image preview is available. The OCR text is shown on the left.
Extracted Information
Dates
Phone Numbers
Document Details
| Filename | EFTA00151025.pdf |
| File Size | 1703.2 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 29,316 characters |
| Indexed | 2026-02-11T10:55:28.404931 |