EFTA00310737.pdf
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EFTA00310737
UNIVERSAL`®
%%leather& Aviation, Inc.
February 4, 2003
Darren Indyke
Hyperion Air, Inc.
457 Madison Avenue, 4th Floor
New York, NY 10022
Dear Darren Indyke,
Enclosed you will find the I-94W forms that I ordered for you and are specific to
your company. I have also included a copy of an E-Ticket. Each time you utilize
the VWPP contract, have the passenger fill out one of the I-94W forms as well as
an E-Ticket. (either a copy of the one enclosed or one similar)
Give me a call whenever you get the opportunity and we will go over the process
of utilizing all of the information.
If there is anything else that I can do for you please do not hesitate to call me,
I look forward to hearing from you soon.
Sincerel
Laura W. Even ton
International Fl ht Status
Universal Weather & Aviation, Inc.
World Headquarters: Houston, TX. U.S.A. U.S. Offices: White Plains, NY UVglobal Network Members: Antigua / Argentina / Australia / Bahamas / Bangladesh /
Bolivia / Cambodia / Chile / China / Colombia / Costa Rica / Czech Republic / Ecuador / Egypt I El Salvador / France / Greece / India / Indonesia / Italy / Jamaica I Japan /
Jordan / Korea / Malaysia / Mexico / Myanmar / New Zealand / Pakistan Peru / Phimpinos / Poland / Puerto Rico / Russia / Singapore / Spain / Syne / Taiwan / Mariana
United Kingdom / Venezuela / Vietnam
EFTA00310738
U.S. Department of Justice
Immigration and Naturalization Service
National Fines Office
70/30
Suite 425
1525 Wii3OIT Boulevard
Arlington, VA 22209
January 22, 2003
Laura Everington
Universal Weather & Aviation, Inc.
0
7061
Dear Ms Everington:
Enclosed is the signed copy of the Visa Waiver Pilot Program (VWPP) Carrier Agreement (Form 1-775) for
Universal Weather & Aviation, Inc for Hyperion Air, Inc. This document should be retained by the carrier as
evidence of its having been approved by the Immigration and Naturalization Service (INS) for VWPP participation.
The carrier is subject to monetary penalties under the Immigration and Nationality Act (INA) if conditions of the
VWPP are not met.
As a reminder, in order to ensure timely payment of fines and liquidated damages by carriers, the
Immigration and Naturalization Service (INS) requires satisfactory fines, liquidated damages, and user fee payment
records as a condition precedent to approval of contracts. Carriers must have satisfactory payment records before
agreements will be approved by the INS and must maintain satisfactory payment records in order to retain the
benefits of existing agreements. A satisfactory payments record assumes the INS has no delinquent fines, liquidated
damages, or user fee claims against a carrier, unless subject of timely-filed administrative appeals. The INS retains
the right to cancel contracts, upon thirty (30) days notice, for carriers with delinquent payment records.
If
u have an further uestions or concerns re
in the VWPP, please contact Immigration Fines
Officer
. For information relating to fines, li uidated
damages, or user fee payment records, contact the Debt Collection and Cash Management Branch at
Sincerely,
Enclosure
cc: Contract File
EFTA00310739
U.S. Department of Justice
Immigration and Naturalization Service
Visa Waiver Pilot Program Agreement
AGREEMENT
Between
HYPERION AIR, INC.
A Carrier operating between foreign territory and the United States of America
and
The United States of America
Entered into pursuant to Sections 103 and 217
Immigration and Nationality Act
WHEREAS, Section 217 of the Immigration and Nationality Act of 1952, as amended, (Section 1187 of Title 8,
United States Code] authorizes the establishment of a Visa Waiver Pilot Program and requires agreements between
carriers and the Attorney General, on behalf of the United States of America, in conjunction with the transport of
certain nonimmigrant visitors to the United States and the waiver of the requirement of nonimmigrant visas for the
admission of such nonimmigrant visitors into the United States under a Visa Waiver Pilot Program;
WHEREAS, the Attorney General and the Secretary of State have established a Visa Waiver Pilot Program pursuant
to Section 217 of the Immigration and Nationality Act of 1952, as amended;
I. The carrier will not transport to the United States any alien for admission as a nonimmigrant visitor under the
Visa Waiver Pilot Program unless such alien: (a) is a national of and is in possession of a valid passport issued
by a country listed in Section 217.2 of Title 8 of the Code of Federal Regulations; (b) has been provided with a
Visa Waiver Information Form; (c) seeks admission into the United States for ninety (90) days or less; (d) has a
valid, mundtrip, nontransferable ticket (except in the country of issuance or nationality or residence of the
alien), that is valid for one year for purposes of deportation or exclusion, issued by a carrier signatory on Form
1-775, Visa Waiver Pilot Program Carrier Agreement, or by authorized agents who are sub-contractors to such a
carrier, and guaranteeing transportation from the United States; (e) agrees that the return portion of each ticket
may be used to effect his or her removal from the United States based on a finding of excludability or
deportability under 8 CFR 217.4; (0 appears otherwise admissible to the United States.
2. The carrier will unconditionally honor and transport from the United States any alien presenting a ticket as set
forth in subparagraph (d) of paragraph I of this Agreement and 8 CFR 231.
3. The carrier will issue only tickets that are roundirip, nontransferable, nonrefundable (except in the country of
issuance or nationality or residence of the alien), that are valid for one year for purposes of deportation and
exclusion and guaranteeing transportation from the United States to aliens seeking transportation to and
admission into the United States under the Visa Waiver Pilot Program;
4. At the time of departure from the United States, the carrier will lift the Form 1-94W, Nonimmigrant Visa
Waiver Arrival/Departure Record of all departing passengers who were admitted to the United States under the
Visa Waiver Pilot Program; will annotate the required departure data on each Form 1-94W; and will submit the
collected 1-94W daily to the Immigration and Naturalization Service at the place of departure.
5. The carrier will remove from the United States (on the first available means of transportation to the alien's point
of departure to the United States) any alien transported by the carrier to the United States for admission under
the Visa Waiver Pilot Program in the event that the alien is determined by an immigration officer at the Port of
Entry to be not admissible to the United States or is determined by an immigration officer to have remained
unlawfully in the United States beyond the 90•day period of admission under the Visa Waiver Pilot Program.
The carrier will carry out the responsibilities under this paragraph in a manner that does not impose on the U.S.
expenses related to the transportation of such alien from the point of arrival in the United States.
Poem 1.775 (Rev. 5.1244) N
OMB Approved No. 1115-0149
EFTA00310740
6. The carrier will reimburse within 30 days of notice (not pay as a penalty) the Immigration and Naturalization
Service for any and all costs and expenses incurred in the transportation (from the point of arrival in the United
States) of an alien described in paragraph 5 of this Agreement in the event that the carrier fails to abide by said
paragraph 5.
7. The Immigration and Naturalization Service will notify the carrier as quickly as possible and within 24 hours
following a determination that an alien is to be removed from the United States under paragraph 5 of this
Agreement.
8. The initial transporting carrier is not relieved of any obligations or responsibilities should an alien admitted
under the Visa Waiver Pilot Program depart temporarily for a visit to foreign contiguous territory or an adjacent
island during his or her visit to the U.S. under the program.
9. This Agreement cancels and supersedes any prior agreements between the parties hereto with respect to the
subject matter but does not alter or affect any rights and liabilities already accrued under any prior agreements
between the parties.
10. This Agreement is subject to termination by the Commissioner on five (5) days notice in writing for failure of
the carrier to abide by the provisions of this agreement, but such termination shall neither alter nor affect any
liabilities or responsibilities of the carrier that have already accrued under this Agreement.
II. This Agreement shall be subject to cancellation by either party for any reason upon fifteen day's notice in
writing to the other party, but such cancellation shall not terminate any rights or liabilities already accrued under
this Agreement.
12. This agreement shall be effective upon the date of execution hereof by the Commissioner.
Public reporting burden for this collection of information is estimated to avenge as follows: I) learning about the form, 45 minutes: 2)
completing and as
or
assembling and mailing of the form, I5 minutes, for a total of 1 hour per response. If you have comments regarding the accuracy .,
of this estimate.
suggestion for making this form simpler, you can write to both the U.S. Depart iiwnt of Justice, Immigration and Naturalization -
I... .:,
.:; .._
.7.)
Service (Room 5304). Washington. DC 20536: and to the Office of Management and Budget. Paperwork Reduction Project: OMB No. k,P).5. ;J
0149, Washington, DC 20503.
.::
,_,....
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Signed this t
day oliawarant
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By:
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P ited Name
Rats kaoth
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United States of America
By:
Commisaini
nu, ifion and Mu
Fonn 1.775 (Rev. 5.12.94) N
OMB Approved No. 1115-0149
EFTA00310741
Hyperion Air, Inc.
E-TICKET
Trip Number:
Trip Dates:
Tail Number:
Type:
Description:
Requestor:
Contact Phone:
THIS TICKET IS NONTRANSFERABLE, NONREFUNDABLE, AND IS VALID FOR ONE YEAR FROM THE
DATE OF DEPARTURE.
THIS TICKET MAY BE USED TO REMOVE THE PASSENGER FROM THE
UNITED STATES BASED ON A FINDING OF EXCUDABILITY OR DEPORTABILITY UNDER 8 CFR 217.4.
Leg
Time +/-
Local Time
Distance
ETE
Pax
Crew
Pilot
Pilot
Addl Crew
From Terminal:
To Terminal:
Phone:
Phone:
Passenger Notes
Leg Notes
Nbr
Passenger Name
Passengers
Leg
Time +1-
Local Time
Distance
ETE
Pax
Crew
Pilot
Pilot
Addl Crew
From Terminal:
To Terminal:
Phone:
Phone:
Passenger Notes
Leg Notes
Nbr
Passenger Name
Passengers
EFTA00310742
JEGE, INC.
E-TICKET
Trip Number:
Trip Dates:
Tail Number:
Type:
Description:
Requestor:
Contact Phone:
THIS TICKET IS NONTRANSFERABLE, NONREFUNDABLE, AND IS VALID FOR ONE YEAR FROM THE
DATE OF DEPARTURE. THIS TICKET MAY BE USED TO REMOVE THE PASSENGER FROM THE
UNITED STATES BASED ON A FINDING OF EXCUDABILITY OR DEPORTABILITY UNDER 8 CFR 217.4.
Leg
Time +/-
Local Time
Distance
ETE
Pax
Crew
Pilot
Pilot
Addl Crew
From Terminal:
To Terminal:
Phone:
Phone:
Passenger Notes
Leg Notes
Nbr
Passenger Name
Passengers
Leg
Time +/-
Local Time
Distance
ETE
Pax
Crew
Pilot
Pilot
Addl Crew
From Terminal:
To Terminal:
Phone:
Phone:
Passenger Notes
Leg Notes
Nbr
Passenger Name
Passengers
EFTA00310743
imes
emmomma........m........o
ra
lU
weather
NI
V 8t EAvRiation
SA I
incs
la
.e,
FAX COVER
SHEET
COMPANY:
Ann.
DARREN ENDYKE
Phone:
Fax ,tone:
Date:
21 aug 2003
Number of pages including cover sheet:
3
From: Universal Weather and Aviation
SHAWN LEAVELL-
YELLOW TEAM
Phone:
Fax hone:
REMARKS:
0
Urgent
IS3 For your review
0
Reply ASAP
Please review, sign and return to the yellow team if acceptable.
K
Please comment
cfAerkmi mi/
(7)14
EFTA00310744
I.
TSA
ivetLitysst Form
(Yemen N-29-02)
Date Waiver Needed
(Specify reason if needed prior to flight date)
Processing takes approximately 7 days
Send Waiver Confirmation to:
er and Aviation
Fax Nuinbe
COMPANY/AIRCRAFT INFORMATION:
Mailing Address
Name of Compan II
'
Ind Air Ghislaine Inc. (all have the same parent company)
Company Telephone No.: JIMSend
Waiver Confirmation to:
Purpose of Flight: Pleasur
SIncss
Please specify whether flight is Cargo, Passenger or Both passenger
Name and Telephone Number of Requesto
Type of Aircraft N9 0 9 JE -
GUI PS TRZAIL 2
N908aN-
B727-100
N491624- DELL 407 HELICOPTER
State of Aircraft Registry and Tail Number - all American N9 0 9JR , N9 0 8
. N4 91014—
aircraft Maximum Certified Takeoff Gross Weight: N909IE- 69,700 lbs N90SJE- 171000 lbs N491OM- 25981bs
(basic operating weight)
II.
CREW AND PASSENGER INFORMATION:
Name. SSN or Passport Number, and Nationality of Crewmembers and Passengers: (Attach information if occonary)
CREW INTO t
NAME
DOB
PPN
=PDT
laTIOICOLITY
RATHUEB
PETE
PASSENGER INYO t
NAME
DOB
PPN
EXP DT
NATIONALITY
E P STE IN
JEFFREY E
20 -JAN-53
15 - LTD L - 03 AME
C
MAXWELL, GH/SLAINE
FLIGHT ITINERARY;
List all legs of flight (4 letter identifiers only) with dates of travel: (Ex: Feb 14— 23. KMIA-L1113-KMIA)
"Request fleet waiver"
Pagc I of 2
EFTA00310745
It
•
eiorir
zte
0.24
) t Form
(Vas
TSA SECURITY STATEMENT
Aircraft Registration Number: N909,72, 14908JE. 144919W-
Type Aircraft: 11909t7E- OTJLYSTREAM 2
21908J13-
B727-100
N491Cal- MILS 407 EZLICOPM
I.
AFFIRMATION: RequestoriSignator must affirm to each of the following:
(Please check (X) each criteria.)
Access to the aircraft has been properly controlled by company representative(s).
A senior company representative has verified the identity and
authorization of each crewmember and passenger.
_K.
Only authorized passengers are on board the aircraft.
The aircraft will not deviate from the approved air traffic flight plan.
s x
The preflight inspections include a search of the cargo and cabin areas
to ensure no foreign objects, explosives, etc. have been placed on board.
II.
Row is the aircraft secured when not operational? (Locked hanger, fenced area
with gate access, security guards, etc...)
Aircraft locked/ aircraft security system
III.
How are the personnel on board vetted/positively identified/security reviewed before
boarding the aircraft?
Passenger Access forward Airstairs only, greeted by crew member, passport identification
IV.
Additional security measures taken (if any) are:
Aircraft never left unattended while forward entry open
V.
SIGNATURE OF CORPORATE SECURITY DIRECTOR, COMPANY
PRESIDENT, EQUIVALENT OR DESIGNEE.
Signature
Date
Title
Contact Number
Page 2 of 2
EFTA00310746
U.S. Department of Justice
Immigration and Naturalization Service
Visa Waiver Pilot Program Agreement
AGREEMENT
Between
JEGE, INC.
A Carrier operating between foreign territory and the United States of America
and
The United States of America
Entered into pursuant to Sections 103 and 217
Immigration and Nationality Act
WHEREAS, Section 217 of the Immigration and Nationality Act of 1952, as amended, [Section 1187 of Title 8,
United States Code] authorizes the establishment of a Visa Waiver Pilot Program and requires agreements between
carriers and the Attorney General, on behalf of the United States of America. in conjunction with the transport of
certain nonimmigrant visitors to the United States and the waiver of the requirement of nonimmigrant visas for the
admission of such nonimmigrant visitors into the United States under a Visa Waiver Pilot Program;
WHEREAS, the Attorney General and the Secretary of State have established a Visa Waiver Pilot Program pursuant
to Section 217 of the Immigration and Nationality Act of 1952, as amended;
I. The carrier will not transport to the United States any alien for admission as a nonimmigrant visitor under the
Visa Waiver Pilot Program unless such alien: (a) is a national of and is in possession of a valid passport issued
by a country listed in Section 217.2 of Title 8 of the Code of Federal Regulations; (b) has been provided with a
Visa Waiver Information Form; (c) seeks admission into the United States for ninety (90) days or less; (d) has a
valid, roundtrip, nontransferable ticket (except in the country of issuance or nationality or residence of the
alien), that is valid for one year for purposes of deportation or exclusion, issued by a carrier signatory on Form
1-775, Visa Waiver Pilot Program Carrier Agreement, or by authorized agents who are sub-contractors to such a
carrier, and guaranteeing transportation from the United States; (e) agrees that the return portion of each ticket
may be used to effect his or her removal from the United States based on a finding of excludability or
deportability under 8 CFR 217.4; (0 appears otherwise admissible to the United States.
2. The carrier will unconditionally honor and transport from the United States any alien presenting a ticket as set
forth in subparagraph (d) of paragraph I of this Agreement and 8 CFR 231.
3. The carrier will issue only tickets that are roundtrip, nontransferable, nonrefundable (except in the country of
issuance or nationality or residence of the alien), that are valid for one year for purposes of deportation and
exclusion and guaranteeing transportation from the United States to aliens seeking transportation to and
admission into the United States under the Visa Waiver Pilot Program;
4. At the time of departure from the United States, the carrier will lift the Form I-94W, Nonimmigrant Visa
Waiver Arrival/Departure Record of all departing passengers who were admitted to the United States under the
Visa Waiver Pilot Program; will Annotate the required departure data on each Form I-94W; and will submit the
collected 1-94W. daily to the Immigration and Naturalization Service at the place of departure.
5. The carrier will remove from the United States (on the first available means of transportation to the alien's point
of departure to the United States) any alien transported by the carrier to the United States for admission under
the Visa Waiver Pilot Program in the event that the alien is determined by an immigration officer at the Port of
Entry to be not admissible to the United States or is determined by an immigration officer to have remained
unlawfully in the United States beyond the 90-day period of admission under the Visa Waiver Pilot Program.
The carrier will carry out the responsibilities under this paragraph in a manner that does not impose on the U.S.
expenses related to the transportation of such alien from the point of arrival in the United States.
Fonn1-7751Rev. 5-12-941 N
OMB Appioval No. 1115.0149
EFTA00310747
6. The carrier will reimburse within 30 days of notice (not pay as a penalty) the Immigration and Naturalization
Service for any and all costs and expenses incurred in the transportation (from the point of arrival in the United
States) of an alien described in paragraph 5 of this Agreement in the event that the carrier fails to abide by said
paragraph 5.
7. The Immigration and Naturalization Service will notify the carrier as quickly as possible and within 24 hours
following a determination that an alien is to be removed from the United States under paragraph 5 of this
Agreement.
8. The initial transporting carrier is not relieved of any obligations or responsibilities should an alien admitted
under the Visa Waiver Pilot Program depart temporarily for a visit to foreign contiguous territory or an adjacent
island during his or her visit to the U.S. under the program.
9. This Agreement cancels and supersedes any prior agreements between the parties hereto with respect to the
subject matter but does not alter or affect any rights and liabilities already accrued under any prior agreements
between the parties.
10. This Agreement is subject to termination by the Commissioner on five (5) days notice in writing for failure of
the carrier to abide by the provisions of this agreement, but such termination shall neither alter nor affect any
liabilities or responsibilities of the carrier that have already accrued under this Agreement.
II. This Agreement shall be subject to cancellation by either party for any reason upon fifteen day's notice in
writing to the other party, but such cancellation shall not terminate any rights or liabilities already accrued under
this Agreement.
12. This agreement shall be effective upon the date of execution hereof by the Commissioner.
Public reporting burden for this collection of information is estimated to average as lotion: I) learning about the form. 45 minutes: 2)
completing and assembling and mailing of the form. 15 minutes. for a total of 1 hour per response. If you have comments regarding the accuracy
of this estimate. or suggestion for making this form simpler. you can mite to both the U.S. Department of Just ice, Immigration and Naturalization
Service (Room 5304). Washington. DC 20536; and to the Office of Management and Budget. Paperwork Reduction Project: OMB No. II'S
0149. Washington. DC 20503.
Signed this
day ofr
iarnsusiti aa
$
Signed this
day of
At: kits.sal %task
4.?
Print - f/ante
is irke
Title
At:
United Stares of America
By:
Commissioner
Inunignition and Natunitiattion Service
Form 1-775Item 5-I 2-94i N
OMB Approved No. I I 15-0149
EFTA00310748
US. Department of Justice
Immigration and Naturalization Service
Visa Waiver Pilot Program Agreement
AGREEMENT
Between
JEGE, INC.
A Carrier operating between foreign territory and the United States of America
and
The United States of America
Entered into pursuant to Sections 103 and 217
Immigration and Nationality Act
WHEREAS, Section 217 of the Immigration and Nationality Act of 1952, as amended, [Section 1187 of Title 8,
United States Code) authorizes the establishment of a Visa Waiver Pilot Program and requires agreements between
carriers and the Attorney General, on behalf of the United States of America. in conjunction with the transport of
certain nonimmigrant visitors to the United States and the waiver of the requirement of nonimmigrant visas for the
admission of such nonimmigrant visitors into the United States under a Visa Waiver Pilot Program;
WHEREAS, the Attorney General and the Secretary of State have established a Visa Waiver Pilot Program pursuant
to Section 217 of the Immigration and Nationality Act of 1952, as amended;
1. The carrier will not transport to the United States any alien for admission as a nonimmigrant visitor under the
Visa Waiver Pilot Program unless such alien: (a) is a national of and is in possession of a valid passport issued
by a country listed in Section 217.2 of Title 8 of the Code of Federal Regulations; (b) has been provided with a
Visa Waiver Information Form; (c) seeks admission into the United States for ninety (90) days or less; (d) has a
valid, roundtrip, nontransferable ticket (except in the country of issuance or nationality or residence of the
alien), that is valid for one year for purposes of deportation or exclusion, issued by a carrier signatory on Form
1.775, Visa Waiver Pilot Program Carrier Agreement, or by authorized agents who are sub-contractors to such a
carrier, and guaranteeing transportation from the United States; (e) agrees that the return portion of each ticket
may be used to effect his or her removal from the United States based on a finding of excludability or
deportability under 8 CFR 217.4; (f) appears otherwise admissible to the United States.
2. The carrier will unconditionally honor and transport from the United States any alien presenting a ticket as set
forth in subparagraph (d) of paragraph I of this Agreement and 8 CFR 231.
3. The carrier will issue only tickers that are roundtrip, nontransferable. nonrefundable (except in the country of
issuance or nationality or residence of the alien), that are valid for one year for purposes of deportation and
exclusion and guaranteeing transportation from the United States to aliens seeking transportation to and
admission into the United States under the Visa Waiver Pilot Program;
4. At the time of departure from the United States, the carrier will lift the Form I-94W, Nonimmigrant Visa
Waiver Arrival/Departure Record of all departing passengers who were admitted to the United States under the
Visa Waiver Pilot Program; will annotate the required departure data on each Form 1-94W; and will submit the
collected 1-94W daily to the Immigration and Naturalization Service at the place of departure.
5. The carrier will remove from the United States (on the first available means of transportation to the alien's point
of departure to the United States) any alien transported by the carrier to the United States for admission under
the Visa Waiver Pilot Program in the event that the alien is determined by an immigration officer at the Port of
Entry to he not admissible to the United States or is determined by an immigration officer to have remained
unlawfully in the United States beyond the 90-day period of admission under the Visa Waiver Pilot Program.
The carrier will carry out the responsibilities under this paragraph in a manner that does not impose on the U.S.
expenses related to the transportation of such alien from the point of arrival in the United States.
I, un 1.775 112c% 5-17-941N
()NIB Appeovo4 No. 1I 15.11134
EFTA00310749
6. The carrier will reimburse within 30 days of notice (not pay as a penalty) the Immigration and Naturalization
Service for any and all costs and expenses incurred in the transportation (from the point of arrival in the United
States) of an alien described in paragraph 5 of this Agreement in the event that the carrier fails to abide by said
paragraph 5.
7. The Immigration and Naturalization Service will notify the carrier as quickly as possible and within 24 hours
following a determination that an alien is to be removed from the United States under paragraph 5 of this
Agreement.
8. The initial transporting carrier is not relieved of any obligations or responsibilities should an alien admitted
under the Visa Waiver Pilot Program depart temporarily for a visit to foreign contiguous territory or an adjacent
island during his or her visit to the U.S. under the program.
9. This Agreement cancels and supersedes any prior agreements between the parties hereto with respect to the
subject matter but does not alter or affect any rights and liabilities already accrued under any prior agreements
between the parties.
10. This Agreement is subject to termination by the Commissioner on five (5) days notice in writing for failure of
the carrier to abide by the provisions of this agreement, but such termination shall neither alter nor affect any
liabilities or responsibilities of the carrier that have already accrued under this Agreement.
II. This Agreement shall be subject to cancellation by either party for any reason upon fifteen day's notice in
writing to the other party, but such cancellation shall not terminate any rights or liabilities already accrued under
this Agreement.
12. This agreement shall be effective upon the date of execution hereof by the Commissioner.
Public reputing burden for this collection of information is estimated to average as follows: I) learning about the form, 45 minutes: 2)
completing and assembling and mailing of the form. I5 minutes. for a total of I hour per response. If you have comments regarding the accuracy
of this estimate. or suggestion for making this form simpler. you can write to both the U.S. Department of Justice. Immigration and Naturalization
Service (Room 5304). Washington. DC 20536: and to the Office of Management and Budget. Paperwork Reduction Project OMB No. II IS-
0149. Washington. DC 20503.
Signed this
v
day °Zit/Wall
. and
Signed this
day of
At: 11/41
teg let t (1/4.1 Y
At:
zE G E 'trice .
Signantre
C3G—
S&L
VA
1 Princelr Name
"ert-s
Title
United Stares of Anterwit
By:
Conunissioner
Immigration and Natteralizatiem Seth(
Pone I-775 (l<cv 3.12.14 II N
()MB Appmwil No. I I I5.1/I44
EFTA00310750
HYPERION AIR, INC.
E-TICKET
Trip Number:
Trip Dates:
Tail Number:
Type:
Description:
Requestor:
Contact Phone:
THIS TICKET IS NONTRANSFERABLE, NONREFUNDABLE, AND IS VALID FOR ONE YEAR FROM THE
DATE OF DEPARTURE. THIS TICKET MAY BE USED TO REMOVE THE PASSENGER FROM THE
UNITED STATES BASED ON A FINDING OF EXCUDABILITY OR DEPORTABILITY UNDER 8 CFR 217.4.
Leg
Time +/-
Local Time
Distance
ETE
Pax
Crew
Pilot
Pilot
Addl Crew
From Terminal:
To Terminal:
Phone:
Phone:
Passenger Notes
Leg Notes
Nbr
Passenger Name
Passengers
Leg
Time +/-
Local Time
Distance
ETE
Pax
Crew
Pilot
Pilot
Addl Crew
From Terminal:
To Terminal:
Phone:
Phone:
Passenger Notes
Leg Notes
Nbr
Passenger Name
Passengers
EFTA00310751
U.S. Department of Justice
Immigration and Naturalization Service
Visa Waiver Pilot Program Agreement
AGREEMENT
Between
HYPERION AIR, INC.
A Carrier operating between foreign territory and the United States of America
and
The United States of America
Entered into pursuant to Sections 103 and 217
Immigration and Nationality Act
WHEREAS, Section 217 of the Immigration and Nationality Act of 1952, as amended, [Section 1187 of Title 8.
United States Code' authorizes the establishment of a Visa Waiver Pilot Program and requires agreements between
carriers and the Attorney General, on behalf of the United States of America, in conjunction with the transport of
certain nonimmigrant visitors to the United States and the waiver of the requirement of nonimmigrant visas for the
admission of such nonimmigrant visitors into the United States under a Visa Waiver Pilot Program;
WHEREAS, the Attorney General and the Secretary of State have established a Visa Waiver Pilot Program pursuant
to Section 217 of the Immigration and Nationality Act of 1952, as amended;
I. The carrier will not transport to the United States any alien for admission as a nonimmigrant visitor under the
Visa Waiver Pilot Program unless such alien: (a) is a national of and is in possession of a valid passport issued
by a country listed in Section 217.2 of Title 8 of the Code of Federal Regulations; (b) has been provided with a
Visa Waiver Information Form; (c) seeks admission into the United States for ninety (90) days or less; (d) has a
valid, roundtrip, nontransferable ticket (except in the country of issuance or nationality or residence of the
alien), that is valid for one year for purposes of deportation or exclusion, issued by a carrier signatory on Form
1-775, Visa Waiver Pilot Program Carrier Agreement, or by authorized agents who are sub-contractors to such a
carrier, and guaranteeing transportation from the United States; (e) agrees that the return portion of each ticket
may be used to effect his or her removal from the United States based on a finding of excludability or
deportability under 8 CFR 217.4; (f) appears otherwise admissible to the United States.
2. The carrier will unconditionally honor and transport from the United Statcs any alien presenting a ticket as set
forth in subparagraph (d)of paragraph I of this Agreement and 8 CFR 231.
3. The carrier will issue only tickets that are roundtrip, nontransferable. nonrefundable (except in the country of
issuance or nationality or residence of the alien), that are valid for one year for purposes of deportation and
exclusion and guaranteeing transportation from the United States to aliens seeking transportation to and
admission into the United States under the Visa Waiver Pilot Program;
4. At the time of departure from the United States, the carrier will lift the Form I-94W, Nonimmigrant Visa
Waiver ArrivaVDeparture Record of all departing passengers who were admitted to the United States under the
Visa Waiver Pilot Program; will annotate the required departure data on each Form I-94W; and will submit the
collected I-94W daily to the Immigration and Naturalization Service at the place of departure.
5. The carrier will remove from the United States (on the first available means of transportation to the alien's point
of departure to the United States) any alien transported by the carrier to the United States for admission under
the Visa Waiver Pilot Program in the event that the alien is determined by an immigration officer at the Port of
Entry to he not admissible to the United States or is determined by an immigration officer to have remained
unlawfully in the United States beyond the 90-day period of admission under the Visa Waiver Pilot Program.
The carrier will carry out the responsibilities under this paragraph in a manner that does not impose on the U.S.
expenses related to the transportation of such alien from the point of arrival in the United States.
Form 1.775 (Rev. 5-1240 N
OMB Appnwed No. 1115-0149
EFTA00310752
6. The carrier will reimburse within 30 days of notice (not pay as a penalty) the Immigration and Naturalization
Service for any and all costs and expenses incurred in the transportation (from the point of arrival in the United
States) of an alien described in paragraph 5 of this Agreement in the event that the carrier fails to abide by said
paragraph 5.
7. The Immigration and Naturalization Service will notify the cagier as quickly as possible and within 24 hours
following a determination that an alien is to be removed from the United States under paragraph 5 of this
Agreement.
8. The initial transporting carrier is not relieved of any obligations or responsibilities should an alien admitted
under the Visa Waiver Pilot Program depart temporarily for a visit to foreign contiguous territory or an adjacent
island during his or her visit to the U.S. under the program.
9. This Agreement cancels and supersedes any prior agreements between the parties hereto with respect to the
subject matter but does not alter or affect any rights and liabilities already accrued under any prior agreements
between the parties.
10. This Agreement is subject to termination by the Commissioner on five (5) days notice in writing for failure of
the carrier to abide by the provisions of this agreement, but such termination shall neither alter nor affect any
liabilities or responsibilities of the carrier that have already accrued under this Agreement.
I I. This Agreement shall be subject to cancellation by either party for any reason upon fifteen day's notice in
writing to the other party, but such cancellation shall not terminate any rights or liabilities already accrued under
this Agreement.
12. This agreement shall be effective upon the date of execution hereof by the Commissioner.
Public reporting burden for this collection of information is estimated to average as follows: I) learning about the form. 45 minutes: 2)
completing and assembling and mailing of the form, Is minutes. for a total of I hour per response. If you have comments regarding the accuracy
of this estimate, or suggestion for making this fora simpler, you can write to both the IJ.S. Department of Justice, Immigration and Naturalization
Service (Room 5204). Washington. DC 20536; and to the Office of Management and Budget. Paperwork Reduction Project: OMB No. I I
0149, Washington. DC 20503.
Signed this i
f day of 4 1140-r t
At: as /40 Yaw lc N Y
Teral
4
4Sk iin
Printed Name
-R r-eStS t ala+
Title
4.14ses;
Signed this
day of
At:
United Slates of America
By:
Commissioner
Immixrigion and Ninundizatim Service
F
1.775
5-12-90 N
()MB Approved No. II15-014Y
EFTA00310753
U.S. Department of Justice
Immigration and Naturalization Service
Visa Waiver Pilot Program Agreement
AGREEMENT
Between
HYPERION AIR, INC.
A Carrier operating between foreign territory and the United States of America
and
The United States of America
Entered into pursuant to Sections 103 and 217
Immigration and Nationality Act
WHEREAS, Section 217 of the Immigration and Nationality Act of 1952, as amended, [Section 1187 of Title 8.
United States Code] authorizes the establishment of a Visa Waiver Pilot Program and requires agreements between
carriers and the Attorney General, on behalf of the United States of America, in conjunction with the transport of
certain nonimmigrant visitors to the United States and the waiver of the requirement of nonimmigrant visas for the
admission of such nonimmigrant visitors into the United States under a Visa Waiver Pilot Program;
WHEREAS, the Attorney General and the Secretary of State have established a Visa Waiver Pilot Program pursuant
to Section 217 of the Immigration and Nationality Act of 1952, as amended;
I. The carrier will not transport to the United States any alien for admission as a nonimmigrant visitor under the
Visa Waiver Pilot Program unless such alien: (a) is a national of and is in possession of a valid passport issued
by a country listed in Section 217.2 of Title 8 of the Code of Federal Regulations; (b) has been provided with a
Visa Waiver Information Form: (c) seeks admission into the United States for ninety (90) days or less; (d) has a
valid, roundtrip, nontransferable ticket (except in the country of issuance or nationality or residence of the
alien), that is valid for one year for purposes of deportation or exclusion, issued by a carrier signatory on Form
1-775, Visa Waiver Pilot Program Carrier Agreement, or by authorized agents who are sub-contractors to such a
carrier, and guaranteeing transportation from the United States; (e) agrees that the return portion of each ticket
may be used to effect his or her removal from the United States based on a finding of excludability or
deponability under 8 CFR 217.4; (I) appears otherwise admissible to the United States.
2. The carrier will unconditionally honor and transport from the United States any alien presenting a ticket as set
forth in subparagraph (d) of paragraph I of this Agreement and 8 CFR 231.
3. The carrier will issue only tickets that arc roundtrip, nontransferable, nonrefundable (except in the country of
issuance or nationality or residence of the alien), that are valid for one year for purposes of deportation and
exclusion and guaranteeing transportation from the United States to aliens seeking transportation to and
admission into the United States under the Visa Waiver Pilot Program;
4. At the time of departure from the United States, the carrier will lift the Form 1-94W, Nonimmigrant Visa
Waiver Arrival/Departure Record of all departing passengers who were admitted to the United States under the
Visa Waiver Pilot Program; will annotate the required departure data on each Form I-94W; and will submit the
collected I-94W daily to the Immigration and Naturalization Service at the place of departure.
5. The carrier will remove from the United States (on the first available means of transportation to the alien's point
of departure to the United States) any alien transported by the carrier to the United States for admission under
the Visa Waiver Pilot Program in the event that the alien is determined by an immigration officer at the Port of
Entry to be not admissible to the United States or is determined by an immigration officer to have remained
unlawfully in the United States beyond the 90-day period of admission under the Visa Waiver Pilot Program.
The carrier will carry out the responsibilities under this paragraph in a manner that does not impose on the U.S.
expenses related to the transportation of such alien from the point of arrival in the United States.
Ilona 1-775 (Rev. 3.12-94iN
OMB Approved No. 1115.0149
EFTA00310754
6. The carrier will reimburse within 30 days of notice (not pay as a penalty) the Immigration and Naturalization
Service for any and all costs and expenses incurred in the transportation (from the point of arrival in the United
States) of an alien described in paragraph 5 of this Agreement in the event that the carrier fails to abide by said
paragraph 5.
7. The Immigration and Naturalization Service will notify the carrier as quickly as possible and within 24 hours
following a determination that an alien is to be removed from the United States under paragraph 5 of this
Agreement.
8.
The initial transporting carrier is not relieved of any obligations or responsibilities should an alien admitted
under the Visa Waiver Pilot Program depart temporarily for a visit to foreign contiguous territory or an adjacent
island during his or her visit to the U.S. under the program.
9. This Agreement cancels and supersedes any prior agreements between the parties hereto with respect to the
subject matter but does not alter or affect any rights and liabilities already accrued under any prior agreements
between the parties.
10. This Agreement is subject to termination by the Commissioner on five (5) days notice in writing for failure of
the carrier to abide by the provisions of this agreement, but such termination shall neither alter nor affect any
liabilities or responsibilities of the carrier that have already accrued under this Agreement.
II. This Agreement shall be subject to cancellation by either party for any reason upon fifteen day's notice in
writing to the other party, but such cancellation shall not terminate any rights or liabilities already accrued under
this Agreement.
12. This agreement shall be effective upon the date of execution hereof by the Commissioner.
Public reporting burden for this collection of information is estimated to average as follows: I) learning about the form, 45 minutes: 2)
completing and assembling and mailing of the form. 15 minutes, for a total of I hour per response. If you have comments regarding the accuracy
of this estimate. or suggestion for making this form simpler, you can write to both the U.S. Department of Justice. Immigration and Naturalization
Service (Room 5304). Washington. DC 20536; and to the Office of Management and Budget. Paperwork Reduction Project: OMB No. I I 15-
0149, Washington. DC 20503.
Signed this O
day ofar496.61
Signed this
day of
At: ars.)
Ile 4.
11, VI
At:
United States of America
By:
Sty
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1
P tied Mane
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Title
By:
Immigration and Naturalization Sent,
Nem 1.775 (Rev. 5-12-9•ON
OMB Approved No. 1115-0149
EFTA00310755
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EFTA00310756
Blank
Page 1 of
Subj:
VWPP Information
Date:
1/8/2003 9:59:58 AM Eastern Standard Time
From:
To:
CC:
File:
BlankBkgrd.zip (25964 bytes) DL Time (TCP/IP): < 1 minute
Sent from the Internet (Details)
The following attachments are as follows:
1. A sample e-ticket. One of the requirements for entry under the VWPP is for the passenger to have proof of
a return ticket.
This one is just a sample. It is one that you can use, or if you have a scheduling software that prints
something similar it just needs to include the three line disclaimer you see below the first section.
2. A contract. I would need two separate contracts sent back to me with original signatures.
3. Information on the Visa Waiver Pilot Program.
Call me if you have any questions at all. Once completed, fed-ex the two signed contract to my attention to:
Houston, Texas 77061
I hope to talk to you soon...
Laura W. Everington
Universal Weather & Aviation. Inc
Fl hi Status Department / Border Over% ht Exemptions
leveringtoneuniv-wea.com
Wednesday, January 08, 2003 America Online: Guest
EFTA00310757
UNIVERSAL Ls
Weather & Aviation, (no,.
„
„
e
FAX COVER
SHEET
COMPANY:
ATTN:
DARREN ENDYKE
Phone:
Pax phone:
Date:
26 aug 2003
Number of pages including cover sheet:
7
From: Universal Weather and Aviation
SHAWN LEAVELL-
YELLOW TEAM
Phone:
Fax hone:
REMARKS:
K
Urgent
23 For your review
K
Reply ASAP
K
Please comment
REF- N909JE, N908JE AND N491GM
The following are waiver forms broken down individually. I am not sure this is the wisest way to
request the waiver since the address is the same on all the requests, the crew and passenger
information Is the same on every request etc. I am fearful TSA may have a problem with our
request. If this is the way you would like to submit the request it would be better if each
individual company would have a different address, different phone numbers so TSA will not
have so many questions. The information and addresses in our database are the same for each
aircraft.
I would recommend that waiver be requested per my first fax sent to you earlier with a letter of
explanation on company letterhead explaining the relationship between the three companies.
EFTA00310758
08/26/2003 14:41
YELLOW TEAM
PAGE
06
TSA Waiver Request Form
Wawa 08-29-02)
Date Waiver Needed
(Specify reason if needed prior to flight date)
Processing takes approximately 7 days
Send Waiver Confirmation to: Universal Weather and Aviation
Fax Number:
1.
COMPANY/AIRCRAFT INFORMATION:
Name of Company: Hyperion Air Inc (FAA WAIVER k8389.)
Mailing Address :
Company Telephone No.:
Send Waiver Confirmation to:
Purpose of Flight: Pleasure/ business
Please specify whether flight is Cargo, Passenger or Both passenger
Name and Telephone Number of Requestoa
Type of Aircraft DI9 093E- carunniuses 2
State of Aircraft Registry and Tail Number - American N9096718
aircraft Maximum Certified Takeoff Gross Weight: 69,700 lbs
II.
CREW AND PASSENGER INFORMATION:
Name, SSN or Passport Number, and Nationality of Crewmembers and Passengers: (Attach nitonmatice if neccasarY)
CREW INFO;
DOB
PPN
KXPDT
NATIONALITY
ROXBURGH GARY
INFO:
NAME
DOS
PPN
TAP DT NATIONALITY
EPSTEIN, JEFFREY E
20-JAN-53
15-JUL-03 AMERICAN
fn.
FLIGHT ITINERARY:
List all legs of flight (4 letter identifiers only) with dates of travel: (Er Feb 14 — 23. KMIA-LFPB-KMIA)
"Request fleet waiver"
Page I of 2
EFTA00310759
08/26/2003 14:41
YELLUW ILAM
TSA Waiver Request Form
(Version 08-29-02)
ruin
CU
TSA SECURITY STATEMENT
Aircraft Registration Number: N909JE
Type Aircraft: N909.78- auLawriaram 2
I.
AFFIRMATION: Requestor/Signator must affirm to each of the following:
(Please check (X) each criteria.)
Access to the aircraft has been properly controlled by company representative(s).
A senior company representative has verified the identity and
authorization of each crewmember and passenger.
_x
Only authorized passengers are on board the aircraft.
The aircraft will not deviate from the approved air traffic flight plan.
The pre-flight inspections include a search of the cargo and cabin areas
to ensure no foreign objects, explosives, etc. have been placed on board.
II.
How is the aircraft secured when not operational? (Locked hanger, fenced area
with gate access, security guards, etc...)
Aircraft locked/ aircraft security system
III.
How are the personnel on board vetted/positively identified/security reviewed before
boarding the aircraft?
Passenger Access forward Airstairs only, greeted by crew member, passport identification
IV.
Additional security measures taken (if any) are:
Aircraft never left unattended while forward entry open
V.
SIGNATURE OF CORPORATE SECURITY DIRECTOR, COMPANY
PRESIDENT, EQUIVALENT OR DESIGNEE.
Signature
Title
Date
Contact Number
Page 2 oft
EFTA00310760
es/26/2003 13:33
YLLLU& I LAM
rAtze.
oz
TSA Waiver Request Form
(Vatioe 08-29-02)
Date Waiver Needed
(Specify reason if needed prior to flight date)
Processing takes approximately 7 days
Send Waiver Confirmation to: Universal Weather and Aviation
Fax Number:
I.
COMPANY/AIRCRAFT INFORMATION:
Name of Company: Hyperion Air Inc
(FAA WAIVER #8389.)
Mailing Addres
Company Telephone No.:
Send Waiver Confirmation to:
Purpose of Flight: Pleasure/ business
Please specify whether flight is Cargo, Passenger or Both passenger
Name and Telephone Number of Requestor:
Type of Aircraft N909JE - GULPS TREAM 2
State of Aircraft Registry and Tail Number - American N909JH
aircraft Maximum Certified Takeoff Gross Weight: 69,700 lbs
IL
CREW AND PASSENGER DEFORMATION:
Name. SSN or Passport Number, and Nationality of Crewmembers and Passengers: (Ansa information u necessary)
CREW INPOI
Kat
DOB
PPN
CDT
NATIONALITY
RATHGEB PITS
ROXBURGH GARY
PASSENGER INFO:
NAME
DOB
PPM
EXP DT NATIONALITY
EPSTEIN JET IRBY E
20-JAN-53
15 - JUL -03 AMERICAN
FLIGHT ITINERARY:
List all legs of flight (4 letter identifiers only) with dates of travel: (Er Feb 14 — 23. KMIA-LFPB-KMIA)
"Request fleet waiver'
Page I of 2
EFTA00310761
Mt 'Lb/
/1774740712
YtLLUW I tHril
VAC*.
127
TSA Waiver Request Form
(Version 08-2942)
TSA SECURITY STATEMENT
Aircraft Registration Number: N909JE
Type Aircraft: 11909n- GIILFsTRtabf 2
I.
AFFIRMATION: Requestor/Signator must affirm to each of the following:
(Please check (X) each criteria.)
Access to the aircraft has been properly controlled by company representative(s).
__,x
A senior company representative has verified the identity and
authorization of each crewmember and passenger.
__x
Only authorized passengers are on board the aircraft.
x
The aircraft will not deviate from the approved air traffic flight plan.
_x
The pre-flight inspections include a search of the cargo and cabin areas
to ensure no foreign objects, explosives, etc. have been placed on board.
U.
How is the aircraft secured when not operational? (Locked hanger, fenced area
with gate access, security guards, etc...)
Aircraft locked/ aircraft security system
III.
How are the personnel on board vetted/positively Identifled/security reviewed before
boarding the aircraft?
Passenger Access forward Airstairs only, greeted by crew member, passport identification
IV.
Additional security measures taken (if any) are:
Aircraft never left unattended while forward entry open
V.
SIGNATURE OF CORPORATE SECURITY DIRECTOR, COMPANY
PRESIDENT, EQUIVALENT OR DESIGNEE.
Signature
Title
Date
Contact Number
Psse 2 of 2
EFTA00310762
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| Filename | EFTA00310737.pdf |
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| Indexed | 2026-02-11T13:25:57.376982 |