EFTA00010625
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.....
. .
AMOHATAO
AA3 HTIM 03317
สิริ ที่ตัวลี้มีความสิ่น
สินค้า ที่มีในสาราชอาณา
Federal Aviation Administration
Oklahoma Ci . Oklahoma 73125.0504
Toll Free:
WEB Address:
Date of Issue: February 24, 2021
N550GP LLC
ONTARIO, CA 91764-5496 II.I.,...III,..1.II,,,I..l.l.l..I..11.l...11,.1.1..1.1.....111
I cIN
HAND DELIVERED TO IN THE PD ROOM
T211438 This facsimile must be carried in the Aircraft as a Temporary Certificate of Registration for
N212JE GULFSTREAM AEROSPACE GV-SP (G550) Serial 5173 and is valid until Mar 26, 2021.
This is not an airworthiness certificate. For airworthiness information, contact the nearest Federal Aviation Administration Flight Standards District Office.
for
Acting Manager, Aircraft Registration Branch Federal Aviation Administration
### LETTER OF EXTENSION (For Authority to Operate an Aircraft Pending Registration )
The authority to operate Aircraft N212JE. GULFSTREAM AEROSPACE GV-SP (G550). SIN 5173 is extended for 120 days from the date stamped below, or until the Certificate of Aircraft Registration (AC Form 8050-3) is issued, whichever date occurs first.
| | DATE |
|----|--------------|
| CF | Feb 24, 2021 |
This Letter of Extension must be carried in the aircraft with a copy of the aircraft registration application as temporary authority to continue to operate the aircraft without registration within the United States. This is not an authorization to operate the aircraft without an appropriate Airworthiness Certificate (FAA Form 8100-2 or 8130-7), or its equivalent.
of Transportation Federal Aviation Administration
| | ReglStfg101-1 to |
|---------------------------------|------------------|
| Getliiicaieof
Return
%0N5 | A |
| 202/2/202 |
|-----------|
|-----------|
### DECLARATION of INTERNATIONAL OPERATIONS
| | The undersigned owner of aircraft N212JE | , Manufacturer Gulfstreem Ararseee |
|-------------------------|---------------------------------------------|--------------------------------------------------------------------------------------------------------|
| Model 6550 | (;v-So | Serial Number 5173 |
| | | ,
declares that this aircraft is scheduled to make an international flight* on 02-26-2021
(date) |
| as flight Number N212JE | | departingChlno/Califomla |
| | | (City/State) |
| | with a destination of Cabo San Lucas/Mexico | |
| | | (City/Country) • |
required route between two points in the United States involves international navigation, explain under Comments below, e.g. "partly over Canada" or "partly in international airspace".)
Expedited registration in support of this international flight is requested this 17 day of February 20 21 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).
| Name of Owner | N550GP, LLC |
|--------------------------------|---------------------------|
| Signature | CAR COPY |
| Typed Name and Title of Signer | CFo Ov
I11, rivexAziar |
| Phone: | Fax: |
Comments:
*[If required route between two points in the United States involves international navigation, explain under comments below, e.g. "partly over Canada" or "partly in international airspace".]
Comments: Please fax the flying time wire to Insured Aircraft Title Service Inc. at ■
| Filed b : | |
|---------------------------------------------|--|
| Insured Aircraft Title Service LLC
Phone | |
# AMOHAMOHATA
的电子 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
RO :II MA ES 837 ISOS
: 12
| A
Insured
Aircraft Tide Service, | LLC |
|----------------------------------------------------------------------------------------------------|------------------|
| T | |
| FEDERAL AVIATION ADMINISTRATION
CENTRAL RECORDS DIVISION
OKLAHOMA CITY, OKLAHOMA | |
| Date:
February 11, 2021 | |
| Dear Sir/Madam: | |
| Please Reserve N
in NAME ONLY for: | |
| | |
| | |
| elk***
N# CHANGE REQUEST
550GP"
Please Regrve N
and asssgn for the following aircraft: | fi t |
| | |
| N
212JE Make
Gulfstream Aerospace
Model
GV-SP (G550) | 5173
Serial # |
| Which is (1) being purchased by
(2) registered to
XX | XX |
| N550GP LLC | |
| Ontario, CA 91764 | |
| | |
| | |
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, LLC in the Public Documents room of the FAA.
Additional Information: **Relinquishment Attached
| | | 2lett:"14.1.0,137 |
|-------------|------|-------------------|
| Requested b | Fee: | \$20.00 |
0 גרעת מערב משמעות מ 20 :2 M9 11 837 1202 คลจา HTM ตัวเล่นค้า
สิต พัดเป็นสาธิราช ﺍﻟﻤﺘ
2017-02-20 の中古車
#### UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION - MIKE MONRONEY AERONAUTICAL CENTER
### AIRCRAFT REGISTRATION APPLICATION
| 1) | UNITED STATES
212JE
REGISTRATION
NUMBER | 4) TYPE OF REGISTRATION | | 1. Individual
2. Partnership |
|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------|-------|---------------------------------------------------------------------------------------------------------|
| ਸ | AIRCRAFT
MANUFACTURER
GULFSTREAM AEROSPACE, GV-SP (G550)
AND MODEL | (Check one box ) | | 3. Corporation
4, Co-Owner
5. Government |
| 3) | AIRCRAFT
SERIAL
5173
NUMBER | | | 7, Limited Liability Company (LLC)
8. Non-Citizen Corporation
9. Non-Citizen Corporation Co-Owner |
| 6) | NAME(S) OF APPLICANT(S) [Parson(s) shown on evidence of ownership. If individual, give last name, frst name and middle innial.) | | | |
| | N550GP, LLC | | | |
| | | | | |
| | | | | |
| | TELEPHONE NUMBER: ( 909 | | | |
| n | MAILING ADDRESS (Permanent mailing address for first applicant on list.) | | | |
| | NUMBER AND STREET: | | | |
| | RURAL ROUTE: | P.O. BOX | | |
| | Ontario
STATE
CITY: | ZIP | 91764 | |
| 8) | PHYSICAL ADDRESSILOCATION IF PO BOX. MAIL DROP OR RURAL ROUTE BOX.USED FOR MAILING ADORESS | | | |
| | NUMBER AND STREET: | | | |
| | DESCRIPTION OF
LOCATION: | | | |
| | CITY:
STATE | ZIP | | |
| | CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS | | | |
| | 10) | CERTIFICATION | | |
| (1) | IWE CERTIFY:
That the above arcraft is owned by the undersigned applicant who is: (MUST CHECK ANDIOR COMPLETE a, b, c, or d) | | | |
| | A citizen of the United States as defined by 49 USC 40102(a)(15); | | | |
| | A resident alien with alien registration (Form 1-551) No. | | | |
| | A non-citizen corporation organized and doing business under the laws of (state)
is based and prinanty used in the United States. Records of fight hours are available for insection at (provide complete physical address) | | | and said aircraft |
| | | | | |
| | A corporation using a voting trust to qualify. Enter name of trustee | | | |
| (2) | If box or d above is checked. I, the below signed, contry that I am authorized, by the againant shown above, to sign corporate and to | | | |
| (2) | seek aircraft registration on behalf of the entity and that I will provide the same authorization if requested,
That the aircraft is not registered under the laws of any foreign country; and | | | |
| (4) | That legal evidence of ownership is attached or has been filed with the Federal Aviation Administration. | | | |
| | ANY AND ALL SIGNATORIES OF THIS APPLICATION MUST READ THE FOLLOWING AND UNDERSTAND THAT, BY APPLYING
A SIGNATURE TO THIS DOCUMENT, THEY ARE SUBJECT TO THE REFERENCED STATUTES AND ASSOCIATED PENALTIES. | | | |
| | Ilwe hereby ordly that the information provided in, and in any attachments to, this application for accuration is true, accurate and correct to the best of myour | | | |
| | knowledge and belief. I've understand hat the F-A admisistance will the provide in deleming mylour qualification for aircraft registration. I we
understand that whoever, in any mater within the jurised of the United States, inceinigh and willially falshills, conceals, or covers up by | | | |
| | any trick, scheme, or device any material fact(s), statement(s), moresentation(s) or entry(es) may be fined up to \$50,000 or imprisoned for not more than five (5) years or
both (18 U.S.C. §§ 100 and 357), I live understand that to knowingly and will bly a conceal a material fact, or b) use a document knowing it contains a false, | | | |
| | fetifous of fraudulent statemently or c) provide any inacurate, false statement information can subject me lo criminal prosecution (49 U.S.C. § 4500), and the | | | |
| | registration of the subject aircraft may be delayed, danied and/or revoked. | | | |
| | NOTE: If executed for co-ownership, all applicants must sign. Use next page and add page(s) if necessary. | | | |
| 11) | SIGNATURE: | | DATE: | 12-22-2020 |
| | TYPED/PRINTED
NAME: | TITLE: | | Manager of Frontier JV LLC, its Member |
| 12) | SIGNATURE: | | DATE: | |
| | TYPED/PRINTED | | | |
| | NAME: | TITLE: | | |
U.S. aircraft to be operated for up to 90 days within the United States when a copy of the signed aircraft registration is carried in the aircraft while awaiting issuance and receipt of the new registration certificate. .
.
:
. .
FAA WITH FILED AIRCRAFT BR REGISTRATION 22 DEC 2020 53 ID ;14
CITY OKLAHOMA OKLAHOMA
| Exp. 04/30/2017
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF \$ 1.00 + OVC THE
UNDERSIGNED OWNER(S) OF THE FULL
LEGAL
AND BENEFICIAL TITLE OF THE AIRCRAFT
DESCRIBED AS FOLLOWS:
N 212JE
UNITED STATES
REGISTRATION NUMBER
AIRCRAFT MANUFACTURER & MODEL
GULFSTREAM AEROSPACE, GV-SP (G550)
AIRCRAFT SERIAL No.
5173
DOES THIS
22nd
DAY OF December
2020
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO:
Do Not Writs In This Block
FOR FAA USE ONLY
NAME AND ADDRESS
R
(IF INDMDUAL(S). GIVE LAST NAME. FIRST NAME, AND MIDDLE INITIAL.)
E
N550GP LLC
S
A
Ontario, CA 91764
H
C
R
U
P
DEALER CERTIFICATE NUMBER
AND TO ITS SUCCESSORS
E.W.GOLCAL-ADMSNISZRATQRS. AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TIRE THEREOF.
DAY OF Dec., 2020
MY
22nd
IN TESTIMONY WHEREOF
HAVE SET
HAND AND SEAL THIS
NAME(S) OF SELLER
SIGNATURE(S)
TITLE
(TYPED OR PRINTED)
(IN INK) (IF EXECUTED FOR
(TYPED OR PRINTED)
CO-OWNERSHIP, ALL MUSTSIGN.
Six G Aviation LLC
Di stagy signeuaill |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| Manager |
| |
| |
| |
| ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER, MAY BE REQUIRED BY LOCAL LAW FOR |
| VALIDITY OF THE INSTRUMENT.) |
| |
| ORIGINAL' TO FAA'
AC Form 8050-2 (01/12) (NSN 0052-00429-0003) |
000 000 22 000 0002 AA3 หมาย คริสต์ ครั้งที่ 2017 ค.ศ. 1344 ค.ศ. 1344 ค.ศ. 1344 ค.ศ. 1344 ค.ศ. 1344 ค.ศ. 1375 ค.ศ. 1375 ค.ศ. 1375 ค.ศ. 1375 ค.ศ. 1375 ค.ศ. 1375 ค.ศ. 1375 ค.ศ. 1375 ค.ศ. 1375 ค.
AMOHAJAO
:
| | UNITED STATES OF AMERICA | | OMB Control No. 2120-0042
Exp. 04/30/2017 |
|-------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|-----------------------------------------------|
| | U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION | | |
| | AIRCRAFT BILL OF SALE | | |
| | UNDERSIGNED OWNERS) OF THE FULL
AND BENEFICIAL TITLE OF THE AIRCRAFT
DESCRIBED AS FOLLOWS: | FOR AND IN CONSIDERATION OF \$ 1.00 + OVC THE
LEGAL | |
| | UNITED STATES
REGISTRATION NUMBER | N 212JE | |
| | AIRCRAFT MANUFACTURER & MODEL
GULFSTREAM AEROSPACE, GV-SP (G550) | | |
| 5173 | AIRCRAFT SERIAL No. | | |
| | DOES THIS
22nd
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO: | DAY OF December
2020 | Do Not Wnte In This Block
FOR FAA USE ONLY |
| R
E
S
A
H
C
R
U
P | NAME AND ADDRESS
(IF INDIVIDUAL(S). GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL.)
Six G Aviation LLC
DEALER CERTIFICATE NUMBER | | |
| | AND TO ITS SUCCESSORS
SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF: | rvcriroin t DAn'ASTENT414. AND ASSIGNS TO HAVE AND TO HOLD | |
| IN TESTIMONY WHEREOF | | MY | 22nd DAY OF Dec
2020 |
| | HAVE SET
NAME(S) OF SELLER
(TYPED OR PRINTED) | HAND AND SEAL THIS
SIGNATURE(S)
(IN INK) (IF EXECUTED FOR
CO-OWNERSHIP, ALL MUSTSIGN. | TITLE
(TYPED OR PRINTED) |
| | Plan D, LLC | Digitally signed by LAWRENCE VISOSKI
itysivihmagdmpaskikcp000mx | Manager |
| en | | | |
| | VALIDITY OF THE INSTRUMENT.) | ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER. MAY BE REQUIRED BY LOCAL LAW FOR | |
#### ORIGINAL: TO FAA
AC Form 8050-2 (01/12) (NSN 0052-00429-0003)
020 DEC 22 22 24 10: 53 AA3 HT1W 03313
ค8 ที่จัดสิริสต์ที่อัลบั้ม
สมัคม พ.ศ. 255 คน 2017 ค.ศ. 255 ค.ศ. 255 ค.ศ. 256 ค.ศ. 256 ค.ศ. 256 ค.ศ. 256 ค.ศ. 256 ค.ศ. 256 ค.ศ. 256 ค.ศ. 256 ค.ศ. 256 ค.ศ. 256
AMOHAJAO
:
Agency Tracking ID: 76060977022 \$5.00 12-22-2020
PRINT PAGE 1
PRIVACY ACT STATEMENT
OMB Control Number 2120-0729 Expires 05/31/2014
Payers Review et Statement The Irest of the Instalates (registed. "Ne strate be the the besperativit in the apperiately is ninte be porculation of include in the mains in lea
| DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION | | | | RESULT IN CANCELLATION OF REGISTRATION | FAILURE TO RENEW REGISTRATION WILL
AND REGISTRATION NUMBER ASSIGNMENT
(See 14 C.F.R. §§ 47.15(i), 47.40 and 47.41) | |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------|------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------|---------------------------------------------|
| AIRCRAFT REGISTRATION NUMBER
N 212JE | SERIAL NUMBER
5173 | | | | | |
| MANUFACTURER
MODEL
Gulfstream Aerospace
GV-SP (G550) | | | | | | |
| DATE OF ISSUANCE
3-31-2017 | DATE OF EXPIRATION
3-31-2020 | | TYPE OF REGISTRATION
LLC | | | |
| ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE | | | | | HELPFUL INFORMATION | |
| Plan D LLC
(Owner 1)
(Owner 2) | | | Review Aircraft Registration File Information for this aircraft
at: http://registry.faa.gov/aircraftinquiry. | | | |
| Note: Enter any additional owner names on page two. | | | Assistance may be obtained | | | |
| (Address) | | | at our web page:
http://registry.faa.gov/renewregistration,
by e-mail at:
faa aircraft registry@faa.gov. or | | | |
| (Address) | | | by telephone at: | (866) 762 - 9434 (toll free), or | | |
| St. Thomas
City
Virgin Islands USA
Country | Zip 00802
State VI | | When mailing fees, please use a check or money order made
payable to the Federal Aviation Administration. | | | |
| Physical Address: Required when mailing address is a P.O. Box or mail drop.
(Address)
(Address)
State
City
Zip
Country
TO RENEW REGISTRATION: REVJEW aircraft registration information,
SELECT the appropriate statement, ENTER any change in address in the
spaces below, SIGN. DATE, & SEND form with the \$5 renewal fee to the:
FAA Aircraft Registry.
Oklahoma City OK 73125-0504, or
by courier to: 6425 S Denning Room 118, Oklahoma City OK 73169-6937
I (WE) CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FAA FILES
FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, OWNERSHIP
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY.
V
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 \$47.3, AIRCRAFT IS NOT REGISTERED
UNDER THE LAWS OF ANY FOREIGN COUNTRY.
NEW MAJLING ADDRESS C/o Kellerhals Ferguson Kroblin PLLC
St. Thomas USVI 00802 | | | Signature and Title Requirements for Common Registration Types:
- Individual
owner must sign, title would be "owner".
- Partnership
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-owner
each co-owner must sign; showing "co-owner" as title.
· 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 blocks below, COMPLETE, SIGN, DATE & MAIL this
form with any fees to the: FAA Aircraft Registry,
Oklahoma City, OK, 73125-0504, or by courier to:
Oklahoma City OK 73169-6937
CANCELLATION OF REGISTRATION IS REQUESTED.
THE AIRCRAFT WAS SOLD TO:
(Show purchaser's name and address.) | | | |
| | | | | | | |
| NEW PHYSICAL ADDRESS: complete if physical address has changed, or
the new mailing address is a PO Box or Mail Drop. | | | THE AIRCRAFT IS DESTROYED OR SCRAPPED.
THE AIRCRAFT WAS EXPORTED TO: | | | |
| c/o Kellerhals Ferguson Kroblin PLLC | | | OTHER, Specify | | | |
| | St. Thomas USVI 00802 | | | | | PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME |
| | | | | AND ADDRESS. The \$10 reservation fee is enclosed. | | |
| SIGNATURE OF OWNE | PRINTED NAME OF SIGNER | (required fleid) | ULTE | | (required field) | DATE |
| | Lawrence Visoski | | Manager | | | 2-21-2020 |
| SIGNATURE OF OWNER GEB 12002F44 | PRINTED NAME OF SIGNER | | TULLE | | | DATE |
| Use page 2 for additional signatures. | | | | | 200521518371 | |
| Return Certificate of Registration to 02/21/2020 | | | | | | |
| LA.T.S
AC Form 8050-1B (04/12) | | | | | | |
WITH FILED FAA AIRCRAFT REGISTRATION BR FEB 2020 PM 21 12 3: OKLAHOMA CITY OKLAHOMA
| | ASSIGNMENT OF SPECIAL
REGISTRATION NUMBERS | | Special Registration Number
N2IZIE |
|---------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| S Orparenerr
of Tranapontorn | Aircraft Make and Model
GULFSTREAN1 AEROSPACE GV-SP (G550) | | Present Registration Number
N415LM |
| Federal Aviation
Admndstrabon | Serial Number
5173 | | Issue Date:
Aug 23, 2017 |
| PLAN D LLC
ST THOMAS VI VI 00802 | ICAO AIRCRAFT ADDRESS CODE FOR N212TE - 50340675 | | This is your authority to change
the United Slain registration
number oo the above described
aircraft to ihe special
registration number shown.
Carry duplicate of this form in the
aircraft together with the
old registration certificate as
irderim authority to operate the
aircraft pent,* receipt of revised
certificate of registration.
Obtain • revised certificate of
airworthiness from your near
est flight Standards Districl
Office.
The West FAA Form 8130-6,
Application For Airworthiness
on fie is dated:
Mar 07, 2008 |
| | | | The airworthiness dassilication
and category:
SID TRANS? |
| | INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, AFS-750, within 5 days after the special
registration number is placed on the aircraft. A revised certificate will then be issued
The authority to use the special number expires: Aug 23, 2018 | | |
| CERTIFICATION; I certify that the spec.
on the aircraft described above.
Signature of Owner | istration number was placed
0s*X;I:
444/46;oc-E
/ | RETURN FORM TO:
Civil Aviation Registry, AFS-750
Oklahoma City, Oklahoma 73125.0504 | |
| Title of Owner /}2.47v,4
Date Placed on Aircraft (Li | . PAN 1), LL
c
aaer
0? O /
g
" | | |
AC FORM MS0-64 (5/7005) Sapereedes PrtMoin Ulnae
## 0 גרש מסו rtico Around corri Short T Wa S S Net 8002 หล แต่เรีย คริส ความส์ ตัวลิต สารความความค
พลาย
## PLAN D, LLC Gulfstream G550 Serial #5173
## as U.S.V.I. Quarters B3 00802
08/07/2017
To Whom it may concern / Ms Nancy, FAA Registry,
At this time I'm requesting approval to apply N number N212JE to our Gulfstream G550 which is currently N4151.M. I have already pay the \$10.00 Fee from past ooncspondence,.
Please mail the 8050-64 / Assignment of Special Registration Numbers to my airport address below if possible: Plan D LLC do Visoski Atlantic Aviation
West Palm Beach, FL 33406
Thank you.
Visoslu Manager, .1 lan D mLLC
CITY OKLAHOMA OKLAHOMA
05 11 API 9 AUG 2017
FAA WITH FILED BR REGISTRATION AIRCRAFT
#### DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE008895928
Receipt # 171881203014 \$10.00 07/07/2017
Federal Aviation Administration
Date of Issue: March 31, 2017
PLAN D LLC
ST THOMAS, VI VI 00802
Flight Standards Service Aircraft Registration Branch, AFS-760
Oklahoma City, Oklahoma 73125-0604
WEB Address:
Toll Free:
HAND DELIVERED TO IATS IN THE PD ROOM
T 172058 This facsimile must be carried in the Aircraft as a Temporary Certificate of Registration for
N4I5LNI GULFSTREAM AEROSPACE GV-SP (G550) Serial 5173 and is valid until Apr 30, 2017.
This is not an airworthiness certificate. For airworthiness information, contact the nearest Federal Aviation Administration Flight Standards District Office.
IME for
Manager, Aircraft Registration Branch, AFS-750 Federal Aviation Administration
### DECLARATION of INTERNATIONAL OPERATIONS
| The undersigned owner of aircraft N 415 LM | , Manufacturer GulFStatem Acrossace |
|--------------------------------------------|-------------------------------------------------------------------------------------------|
| Model GV-3P (G550) | Serial Number
5/73 |
| | declares that this aircraft is scheduled to make an international flight® on APAIL 3 2017 |
| as flight Number 41.5 LM | (EB)
departing
FETERBERD |
| with a destination of [] | 1) 5! Themias L'SVIRGINISLANDS |
| | (City/Country) |
®[If required route between two points in the United States involves international navigation, explain under Comments below, e.g. "partly over Canada" or "partly in international airspace".]
Expedited registration in support of this international flight is requested this 29 th day of minkeh 20 /7 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, ficutious 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).
Phone:
| Name of Owner | | |
|--------------------------------|---------|--|
| Signature | | |
| Typed Name and Title of Signer | AWRENCE | |
| Dhona: | L'au: | |
Comments:
lease send the Fly Time Wire to IATS via fax number
lease return the Certificate of Registration to IATS via the PD Room a
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| રે | |
|------------------------------------------------------------------------------------|--|
| U.S. Department of Transportation Federal Aviation Federal Aviation Administration | |
.
.
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.
## UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration - Mike Monronoy Aeronautical Center
OMB Control No, 2120-0042
Collection Expires 4/30/2017
a comments of the comments
100 - 100
#### AIRCRAFT REGISTRATION APPLICATION
| | UNITED STATES
REGISTRATION
NUMBER | TYPE OF REGISTRATION (Check gon box)
1. Individual |
|----------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------|
| | AURCRAFT
MANUFACTURER Gulfstream Aerospace GV-SP (G550)
AND MODEL | 2. Partnership
3. Corporation (Includes LLC's)
4. Co-Own |
| | AIRCRAFT
5173
SERIAL
NUMBER | 5. Gevernme
8. Non-Citizen C
oration Co-Owner |
| | Plan D, LLC | NAME(S) OF APPLICANT(S) [Person(s) shown on oridence of ownership. If individual, pho last name and middle bitlas I |
| | TELEPHONE NUMBER: | |
| | MAILING ADDRESS (Permanent mailing address for first applicant listed above.)
6100 Red Hook Quarter, B3
NUMBER AND STREET: | |
| | RURAL ROUTE: | P.O. BOX |
| CITY: | St. Thomas
STATE: | USVI
00802 |
| | PHYSICAL ADDRESSILOCATION JE PO BOX OR RURAL ROUTE BOX USED FOR MA L NG ADDREISS | |
| | NUMBER AND STREET: | |
| | DESCRIPTION OF LOCATION: | |
| CTY: | STATE: | |
| | | CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS |
| | (U.S. Code, Title 18, Section 1001)
CERTIFICATION
INVE CERTIFY:
That the alronil registed by the undersion is collection who information of the manufact of the United St. OR mosts the simmit registerior clicensity resultsments of 14 CFR P
A resident allen with allers registration (Form 1-551) No. | |
| | A non-clizen corporation organized and doing business under the laws of (state) | |
| | Inspection a | and said alreatly is based and primarly used in the United States. Records of flight hours are available for |
| | c. A corporation using a voting trust to quality | Enter name of trustee |
| (2)
0 | That the sircraft is not registentid under the lews of any foreign country, and
That legal evidence of ournamly is attached or has been filed with the Federal Aviation Administration. | |
| | NOTE: If executed for co-ownership, all epplicants must sign. Use next page If necessary. | |
| | SIGNATURE: | DATE: March 29, 2017 |
| 1 | TYPED/PRINTED
awrence Visoski
NAME: | TILE: Manager |
| | SIGNATURE: | DATE: |
| 2 | TYPED/PRINTED
NAME: | TITLE: |
| | | |
| | SIGNATURE: | DATE: |
| 3 | TYPED/PRINTED
NAME: | TITLE: |
1
1
. . .
- AC Form 8050-1 (03/18)
:
::
.
.
.
ないのです。 2017年20 . : 11 - 12 - 11 .............................................................................................................................................................................. .
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and the comments of the
: :
a marka ta katika ke mengan di ้อย เมื่อ . 100 - 100 -
3 NOVA and the comments of Sep 1 2017 อน 1 .
EFTA00010655
.
| | UNITED STATES OF AMERICA
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION | OMB Control No. 2120-0042
Exp. 04/30/2017 |
|-------|-------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------|
| | AIRCRAFT BILL OF SALE | |
| | FOR AND IN CONSIDERATION OF \$ 1.00 & OVC THE
UNDERSIGNED OWNER(S) OF THE FULL
LEGAL
AND BENEFICIAL TITLE OF THE AIRCRAFT
DESCRIBED AS FOLLOWS: | |
| | UNITED STATES
N 415LM
REGISTRATION NUMBER | |
| | AIRCRAFT MANUFACTURER & MODEL
Gulfstream Aerospace GV-SP (G550) | |
| | AIRCRAFT SERIAL No.
5173 | |
| | DOES THIS
29
DAY OF March
, 2017
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO: | Do Not Write In This Block
FOR FAA USE ONLY |
| | NAME AND ADDRESS
(IF INDIVIDUAL(S), GIVE LAST NAME, FIRST NAME, AND MIDDLE INITIAL.) | |
| RCHAS | Plan D. LLC
St. Thomas, USVI 00802 | |
| | | |
ing main 1 a for hoster from the contribution the contribution deliver services the later the later see in to to to to to to to to to to to to to to to to to to to to to to t
| | IN TESTIMONY WHEREOF WO
HAVE SET | our
HAND AND SEAL THIS Q9 | DAY OF March 2017 |
|-------|------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------|-----------------------------|
| | NAME(S) OF SELLER
(TYPED OR PRINTED | SIGNATURE(S)
(IN INK) (IF EXECUTED FOR
CO-OWNERSHIP, ALL MUSTSIGN. | TITLE
(TYPED OR PRINTED) |
| | Chevron U.S.A., Inc. | | 7 Fact |
| SELLE | | | |
| | | | |
| | ACKNOWLEDGMENT INCT REQUIRED FOR PURPOSES OF FAA RECORDING: HOWEVER MAY BE REQUIRED BY LOCAL LAW FOR | | |
VALIDITY OF THE INSTRUMENT.)
ORIGINAL: TO FAA:
AC Form 8050-2 (01/12) (NSN 0052-00-629-0003)
170880913227 \$5.00 03/29/2017
できることでするとするときできるときできるとなるときになるとことを思いますようとなる
A MA ƏS:80 TI 02/12/18M bəb1029Я ອວກສຽງຈາກວ
FILED WITH FAA AIRCRAFT REGISTRATION OR NAR.29 2011 A 09 OKLAHOMA CITY OKLAHOMA
| | ASSIGNMENT OF SPECIAL | | Special Registration Number | |
|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| | REGISTRATION NUMBERS | | N415LM | |
| U.S. Department | Aircraft Make and Model | | Present Registration Number | |
| of Transportation | GULFSTREAM AEROSPACE GV-SP (G550) | | N401HB | |
| Federal Aviation | Serial Number | | Issue Date: | |
| Administration | 5173 | | Feb 01, 2017 | |
| CHEVRON U.S.A. INC. | ICAO AIRCRAFT ADDRESS CODE FOR N415LM - 51163671 | | This is your suthority to change
the United States registration
number on the above described
aircraft to the special
registration number shown. | |
| 94621-4543
OAKLAND CA
ال الساعة الللسطولية التي التقديم الله المسلم المسلسل المسلسل ال | | | Carry duplicate of this form in the
aircraft together with the
old registration certificate as
interim authority to operate the
aircraft pending receipt of revised
certificate of registration.
Obtain a revised certificate of
airworthiness from your near-
est Flight Standards District
Office. | |
| | | | The latest FAA Form 8130-6,
Application For Airworthiness
on file is dated:
Mar 07, 2008 | |
| | | | The airworthiness classification
and category:
STD TRANSP | |
| INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, AFS-750, within 5 days after the special
registration number is placed on the aircraft. A revised certificate will then be issued.
The authority to use the special number expires: Feb 01, 2018 | | | | |
| on the
Signat | CERTIFICATION: I certify that the special registration mumber was placed | RETURN FORM TO:
Civil Aviation Registry, AFS-750
Oklahoma City, Oklahoma 73125-0504 | | |
| Title of Owner: Assistant Secretary | | | | |
| Date Placed on Aircraft: | march 7, 2017 | | | |
AC FORM 8050-64 (5/2005) Supersedes Previous Edition
, I
* Please reserve N401 HB Back to Chevron V.S.A. Inc.
### 410.00 is attached
170661345326
\$10.00 03/07/2017
טערענטשטאַטאַטאַטאָרץ פֿאַרענער פֿאַר אין דער פֿאַר
100000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
:
នៅជាជាជាចំណាយ ដោយ នេះ
| <
ACTION
/
1--
Insured Aircraft Title Service, Inc.
Oklahoma City. Ok 73144
psi
I'
Oklahoma City. Ok 73139
FEDERAL AVIATION ADMINISTRATION
CENTRAL RECORDS DIVISION
OKLAHOMA CITY, OKLAHOMA
Jaunary 30, 2017
Date:
Dear Sir/Madam:
Please Reserve N
in NAME ONLY for.
••••••• • 4114 •• 01fri.• • OAP** ••••••••••
*lb I. •
• • *tee***
•••••••
*MI
Ntchange Request
Please Reserve N 4151.1A
andTs-sign for the following aircraft:
Serial*
N 401HB
Model
5173
Make Gultstream Aennlace
GV-SP (G550)
(2) registered to
Which is (1) being purchased by
x
nChevro
Oakland, CA 94621
Payment of the required \$10.00 fee per number to reserve/assign is attached. If the preferred N number is not
available, please contact the undersigned for a selection of a new number. Please send the confirmation of
reservation/8050-64 form to Insured Aircraft title Service,. Inc. in the Public Documents room of the FAA
Additional Information: Please reserve and assign t4415O416 N401HB
Requested by:
Fee:
170300828400
\$20.00 01/30/2017 | | |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|---------|
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
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| | | |
| | | \$20.00 |
| | | |
| | | |
## 98 ตุล ค.ศ. 4 ค.ศ. 17 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม. 19 ม
## IE 8 A FOE VIAL FIBS ·
## រ ជា១ មាសម្រួចអង្គ អាច
Paperwork Reduction Act Statement: The information COSOCtlid on this form 6 necessary to mental) aircraft registration. We estimate Mal it will lake approximately 30 minutes to complete the form. Pease note that an agency may not conduct or sponsor. and a person is not required to respond to. a collection of information unless it displays a valid C4A8 control number. Form Approved, OMB No. 2120-0729 'Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FM al: 800 Independence Avenue SW, Washington. DC 20591. ATTN: Information Collection Clearance Officer. AES-200.-
| DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION | | | FAILURE TO RENEW REGISTRATION WILL
RESULT IN CANCELLATION OF REGISTRATION
AND REGISTRATION NUMBER ASSIGNMENT
(Se* 10 C.F.R. 59 47.15(5, 47.40 and 47.41) | | | |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------|--------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------|---------------------------------------------------------------------------------------------------|--|
| AIRCRAFT REGISTRATION NUMBER | | | SERIAL NUMBER | | | |
| N 40111B | | 5173 | | | | |
| MANUFACTURER | | MODEL | | | | |
| GULFSTREAM AEROSPACE | | GV-SP (G550) | | | | |
| 04/02/2008 | DATE OF ISSUANCE
DATE OF EXPIRATION
04/30/2020 | | | TYPE OF REGISTRATION
CORPORATION | | |
| ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE | | | HELPFUL INFORMATION | | | |
| (Owner i)
CHEVRON USA INC | | | Review Aircraft Registration File Information for this aircraft
at: htto://registry.faa.00v/aircraltinouiry. | | | |
| (Owner 2)
Mit Enter any adationel owner names on page two. | | | | | | |
| | | | | | Assistance may be obtained
at our web page: http://registry.faa.coy/renewregistration, | |
| (Address) | | | by e-mail at: | | faa.aircraft.reoistivaraa.•Ov or | |
| (Address) | | | | | by telephone at.: (866) 762 - 9434 (toll free). C4 | |
| Gay OAKLAND
Stale CA | rip 944321-4543 | | | | When mailing fees, please use a check or money order made | |
| UNITED STATES
Country | | | | | payable to the Federal Aviation Administration. | |
| Physical Address: Required when mailing addresS Is a P.O. Box or mail drop.
(Address) | | | Signature and Title Requirements for Common Registration Types:
owner must sign, title would be 'Ginner".
Individual | | | |
| (Address) | | | - Partnership | | general partner signs showing "general partner" as
title. | |
| City
State | Zip | | - Corporation | | corporate officer or manager signs. showing full title. | |
| Country, | | | - Limited Liability Co authorized member, manager, or officer identified in
the LLC organization document signs. showing full title. | | | |
| TO RENEW REGISTRATION: REVIEW aircraft registration information.
mica the appropriate statement. ENTER any change in address in the
spaces below, SIGN DATE. 8 SEND form with the \$5 renewal fee to the:
Aircraft R
ist
Oldahoma City OK 73125-0504, or
FAA
by courier
to:
. Oklahoma City OK 73169-6937 | | | each co-owner must sign; showing 'mourner as tile
- Cgt:
rnTnel.
t
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. | | | |
| ,,,
I (WE) CERTIFY. THE NAME(S) AND ADDRESSES FROM THE FAA FILES
FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT. OWNERSHIP
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY.
UPDATE THE MAILING I PHYSICAL ADDRESS AS SHOWN BELOW.
I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF
THIS AIRCRAFT IS CORRECT, OWNERSHIP MEETS THE CITIZENSHIP
REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED
UNDER THE LAWS OF ANY FOREIGN COUNTRY. | | | TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
CHECK All applicable block(s) below, cOMPI FTF, ajetl OM & fda,g.
this form with an fees to the: FAA Aircraft Registry,
Oklahoma City, OK, 73125-0504, or by courier to
. Oklahoma City OK 73169-6937
CANCELLATION OF REGISTRATION IS REQUESTED.
❑
THE AIRCRAFT WAS SOLD TO:
❑
(Show purchasers name and address.) | | | |
| MAILING ADDRESS
NEW | | | | | | |
| | | | | | | |
| | | | | | | |
| NEW PHYSICAL ADDRESS: complete if physical address hes changed. a
the new mailing address is a PO Box or Mail Drop. | | | THE AIRCRAFT IS DESTROYED OR SCRAPPED.
❑
❑
THE AIRCRAFT WAS EXPORTED TO: | | | |
| | | | | | | |
| | | | ❑ | | OTHER, Specify | |
| | | | | | PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME
AND ADDRESS. The \$10 reservation fee is enclosed. | |
| SIGNATURE OF OWNER 1
(required field) | PRINTED NAME OF SIGNER | | (roqueod lied) | | (required field)
DATE
TITLE | |
| Electroncaity Certified by Registered Owners | | | | | 12t2/2016 | |
| SIGNATURE OF OWNER 2 | PRINTED NAME OF SIGNER | | | | DATE
TITLE | |
| | | | | | | |
Use page 2 for additional signatures.
Fcc paid: \$5 (20161202135647433214B)
AC Form 8050- I B (04 12I
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 Z 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 | I 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 |
| 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 |
| 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 |
Paperwork Reduction Act Statement: The information COSOCtlid on this form 6 necessary to maigain aircraft registration. We estimate Mal it will lake approximately 30 minutes to complete the form. Pease note that an agency may not conduct or sponsor. and a person is not required to respond to. a collection of information unless it displays a valid C4.1B control number. Form Approved. OMB No. 2120-0729 'Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA al: 800 Independence Avenue SW, Washington, DC 20591. ATTN: Information Collection Clearance Officer. AES-200.-
| DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION | | | | FAILURE TO RENEW REGISTRATION WILL
RESULT IN CANCELLATION OF REGISTRATION
AND REGISTRATION NUMBER ASSIGNMENT
(See 10 C.F.R. 59 17.150, 47.40 and 47.41) | | | |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------|------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------|--|--|
| AIRCRAFT REGISTRATION NUMBER | | | SERIAL NUMBER | | | | |
| N 401HB
5173 | | | | | | | |
| MANUFACTURER
MODEL | | | | | | | |
| GULFSTREAM AEROSPACE | | GV-SP (G550) | | | | | |
| DATE OF ISSUANCE
04/02/2008 | DATE OF EXPIRATION
04/30/2017 | | TYPE OF REGISTRATION
CORPORATION | | | | |
| ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE | | | HELPFUL INFORMATION | | | | |
| CHEVRON USA INC
(Owner 1) | | | Review Aircraft Registration File Information for this aircraft
at: htto://registry.faa.00v/aircraftinauirv. | | | | |
| (Owner 2) | | | | | | | |
| Mt
Enter any adcitionel owner names on page two. | | | | | Assistance may be obtained | | |
| (Address) | | | | | at our web page: htto://registry.faa.govirenewreeistration, | | |
| (Address) | | | by e-mail at: | | faa.aircraft.reaistivafaa., ov. or
by telephone at: (866) 762 - 9434 (toll free). C4 | | |
| City OAKLAND | rip 948214543
State CA | | | | | | |
| Country
UNITED STATES | | | | | When mailing fees, please use a check or money order made
payable to the Federal Aviation Administration. | | |
| Physical Addaxes: Required when mailing address Is a P.O. Box or mail drop.
(Address) | | | Signature and Title Requirements for Common Registration Types:
owner must sign, title would be 'ovine'',
Individual | | | | |
| (Address) | | | - Partnership | | general partner signs showing "general partner" as
title | | |
| City
State | rip | | - Corporation | | corporate officer or manager signs. showing full title. | | |
| Country | | | - Limited Liability Co authorized member, manager, or officer identified in
the LLC organization document signs. showing full title. | | | | |
| TO RENEW REGISTRATION: REVIEW aircraft registration information.
SELECT P the appropriate statement. ENTER any change in address in the
spaces below, SIGN DATE. & SEND form with the \$5 renewal fee to the:
Aircraft R
Oklahoma City OK 73125-0504, or
FAA
rat
by courier
to:
, Oklahoma City OK 73169-6937 | | | Kith co-owner must sign; showing -co-owner' as tine
- CStern
t
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
imagining space. or complete the form on-line. An application form will be
rejected if any entry is covered by correction tape or similarly obscured. | | | | |
| I (WE) CERTIFY. THE NAME(S) MID ADDRESSES FROM THE FAA FILES
,./
FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT. OWNERSHIP
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3. AIRCRAFT IS
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY.
UPDATE THE MAILING I PHYSICAL ADDRESS AS SHOWN BELOW.
I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF
THIS AIRCRAFT IS CORRECT, OWNERSHIP MEETS THE CITIZENSHIP
REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED
UNDER THE LAWS OF ANY FOREIGN COUNTRY. | | | TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
CHECK All applicable bl0Ck(S) below, cOMPI FTF, ajett. OM & MI.
this form with an fees to the: FAA Aircraft Registry,
Oklahoma City, OK, 73125-0504, or by courier to.
. Oklahoma City OK 73169-6937
CANCELLATION OF REGISTRATION IS REQUESTED.
❑
THE AIRCRAFT WAS SOLD TO:
❑
(Show purchasers name and address.) | | | | |
| MAILING ADDRESS
NEW | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | THE AIRCRAFT IS DESTROYED OR SCRAPPED.
❑ | | | | |
| NEW PHYSICAL ADDRESS: complete if physical address hes changed. a
the new mailing address is a PO Box or Mail Drop. | | ❑
THE AIRCRAFT WAS EXPORTED TO: | | | | | |
| | | | ❑ | | OTHER. Specify | | |
| | | | | | PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME
AND ADDRESS. The \$10 reservation fee is enclosed. | | |
| SIGNATURE OF OWNER 1
(required field) | PRINTED NAME OF SIGNER | | (requirnd find) | | (required field)
DATE
TITLE | | |
| | | | | | | | |
| Electron arty Certified by Registered Owners | | | | | 12/4/2013 | | |
| SIGNATURE OF OWNER 2 | PRINTED NAME OF SIGNER | | | | DATE
TITLE | | |
Use page 2 for additional signatures.
Fcc paid: \$5 (2013120416283705 I NB)
AC Form 8050-113 (04 121
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 Z 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 | I 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 |
| 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 |
| 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 |
| PRINT PAGE 1 | | PRIVACY ACT STATEMENT | | | | | UMB Control Humber 2 120-0 / 28
Expires 2/29/2012 | |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------|----------------------------------|---------------------------------------------------------------------------------------------------|------------------------------------------------------|--|
| Paperwork Roduction Act Statement. The internation of this form is necessary to other and to it will the assimale bot It will the approximately 30
minutes to com. Plass note that ary agency may not conduct or sponse, and a person is not required to respond to a collection of information unless in displays
a valid OMB control number. Form Approved, OMB No. 2120-0729
Comments consering this burden and suggestions for result to burden should be directed to the FAA at BOS independence Averue SV, Washington, CC
20591. ATTN: Information Collection Clearance Officer, AES-2007 | | | | | | | | |
| DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION
AIRCRAFT RE-REGISTRATION APPLICATION | | | FAILURE TO RE-REGISTER WILL RESULT
IN CANCELLATION OF REGISTRATION
AND REGISTRATION NUMBER ASSIGNMENT
(See 14 C.F.R. §§ 47.15(i), 47.40 und 47.41) | | | | | |
| AIRCRAFT REGISTRATION NUMBER | | | | SERIAL NUMBER | | | | |
| N 401HB | | | 5173 | | | | | |
| MANUFACTURER
GULFSTREAM AEROSPACE | | | MODEL | | | | | |
| DATE OF ISSUANCE | | DATE OF EXPIRATION | | GV-SP (G550)
TYPE OF REGISTRATION | | | | |
| APRIL 02, 2008 | | JUNE 30, 2011 | | | | CORPORATION | | |
| NAME AND MAILING ADDRESS OF REGISTERED OWNER
(If individual, give last name, first name and middle initial) | | | | | | INFORMATION FOR COMPLETION | | |
| CHEVRON USA INC
(Owner 1) | | | | | | Additional information may be obtained at our web page | | |
| (Owner 2) | | | | | | http://rogistry.faa.qov/renewreqistration or by phone at 866-762-9434. | | |
| Note: Enter any additional owner names on page two of this document. | | | | | | Aircraft Registration Information may be reviewed at :
http://registry.faa.gov/aircraftinguiry | | |
| (Address) | | | | | | Please pay fees with a check or money order payable to the | | |
| (Address) | | | | | Federal Aviation Administration. | | | |
| SAN RAMON
City | State | 94583-2324
CA Zip | | | | Signature Requirements for Listed Registration Types: | | |
| UNITED STATES
Country | | | | Individual
Partnership | | owner must sign.
a general partner must sign. | | |
| PHYSICAL ADDRESS (REQUIRED WHEN MAILING ADDRESS IS A P.O. BOX
OR MAIL DROP) | | | | Corporation
= | | a corporate officer or managing official must sign. | | |
| (Address) | | | | a member, manager, or officer who is authorized to
Limited Liability Co.
manage the LLC must sign. | | | | |
| (Address) | | | | each co-owner must sign, continuing as necessary.
Co-owner | | | | |
| City | State | Zip | | on page number two.
any authorized person may sign.
Govermment | | | | |
| Country | | | | | | Note: All signatures must be in ink. | | |
| TO RE-REGISTER AIRCRAFT: REVIEW REGISTRATION INFORMATION,
ENTER CORRECTIONS IN BLANKS PROVIDED, CHECK APPLICABLE
BLOCK BELOW. SIGN, DATE, & MAIL WITH THE \$5 FEE, To: The FAA
Aircraft Registration Branch,
Oklahoma City, OK, 73125-0504.
I (WE) CERTIFY THE: NAME(S) AND MAILING ADDRESS SHOWN ABOVE
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. | | TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
THE LAST REGISTERED OWNER MUST: MARK THE APPLICABLE
BLOCK(S). COMPLETE, SIGN, DATE & Mail with any fees to: The
FAA Aircraft Registration Branch,
Oklahoma City, OK,
73125-0504.
CANCELLATION OF REGISTRATION IS REQUESTED FOR THE
REASON MARKED BELOW, | | | | | | |
| 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 \$47.3. AIRCRAFT IS NOT REGISTERED
UNDER THE LAWS OF ANY FOREIGN COUNTRY. | | 1. THE AIRCRAFT WAS SOLD TO:
Show purchaser's name and address) | | | | | | |
| MAILING ADDRESS | | | | | | | | |
| OAKLAND, CA 94621 | | | | | | | | |
| | | 2. THE AIRCRAFT IS DESTROYED OR SCRAPPED. | | | | | | |
| | | 3. THE AIRCRAFT WAS EXPORTED TO: | | | | | | |
| PHYSICAL ADDRESS: COMPLETE IF PHYSICAL ADDRESS HAS
CHANGED, OR NEW MAILING ADDRESS IS A PO BOX OR MAIL | | | | | | | | |
| DROP. | | | | | | | | |
| | | | | | 4. OTHER, Specify | | | |
| | | | UPON CANCELLATION, PLEASE RESERVE THE N-NUMBER
IN OWNERS' NAME. The \$10 check or money order for the N-
number reservation fee is enclosed. | | | | | |
| | | | | | TITLE | | DATE | |
| | | | | | | Assistant Secretary | | |
| SIGNATURE OF OWNER 2 | | PRINTED NAME OF SIGNER | | | TITLE | | DATE | |
| | | | | | | | | |
| | | | | | | | | |
110660826086
\$5.00 03/07/2011
AC Form 8050-1A (10/10)
. .
.
rozisi və qalında ilə bir və qalında çıxır və qalınmışdır. Bu mənist
AMOHAJXO ORLAMOHA CITY
. .
i.
A Comment Comments รีย หัวหมวย คำพิพิธีราชวิต รัฐ พันธุ์ พันธุ์ พันธุ์ พันธุ์ พันธุ์ พันธุ์ พันธุ์ พันธุ์ พันธุ์ พันธุ์ พันธุ์ พันธุ์ พร ионтаятайтайгаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаагаага
1. 14
#### DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE002412672
REV/DOI - 4/2/2008
Federal Aviation Administration
Date of Issue: April 2, 2008
### CHEVRON U S A INC
SAN RAMON, CA 94583-2324
### HAND DELIVERED TO ARTC IN THE PD ROOM
1082390 This facsimile must be carried in the Aircraft as a Temporary Certificate of Registration for
N401HB GULFSTREAM AEROSPACE GV-SP (G550) Serial 5173 and is valid until May 02, 2008.
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
Flight Standards Service Aircraft Registration Branch, AFS•760
Toll Free: WEB Address:
| खि |
|--------|
| ਲ ਵਿੱ |
| ్లీలోన |
| gi |
| Cili |
| ਿੰਗ |
| | ASSIGNMENT OF SPECIAL REGISTRATION NUMBERS | | Special Registration Number | | |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|--|--|
| | Aircraft Make and Model | | N
401HB | | |
| US. Department | GULFSTREAM AEROSPACE | GV-SP (G550) | Present Registration Number | | |
| of Transportation
Federal Avlation | Serial Number | | | | |
| Administration | 5173 | 3960203 | N
673GA | | |
| | ICAO AIRCRAFT ADDRESS CODE | Issue Date: | NOVEMBER 14, 2007 | | |
| | FOR N401H3 =
51130411 | | This is your authority to change the United States registra-
tion number on the above described aircraft to the special | | |
| | GULFSTREAN AEROSPACE CORP | | | | |
| | | registration number shown. | | | |
| | SAVANNAH GA 31408-9643 | | Carry duplicate of this form in the aircraft together with the
old registration certificate as interim authority to operate the | | |
| | | | aircraft pending receipt of revised certificate of registration.
Obtain a revised certificate of airworthiness from your near- | | |
| | | est Flight Standards District Office. | | | |
| | | The latest FAA Form 8130-6, Application | | | |
| | | | For Alrworthiness on file is dated: | | |
| | | | The airworthiness classification and category: | | |
| | | | | | |
| INSTRUCTIONS: | | | | | |
| SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, AFS-750, within 5 days after the special registration number is
placed on the aircraft. A revised certificate will then be issued. | | | | | |
| | The authority to use the special number expires: ' ! | | NOVEMBER 14, 2008 | | |
| | IFICATION: I certify that the special registration number was placed on the | RETURN FORM TO: | | | |
| aircraft described above: | | | | | |
| | 4 €
1: | Civil Aviation Registry, AFS-750 | | | |
| Signature of Ow | | Oklahoma City, Oklahoma 73125-0504 | | | |
| Title of Owner: | | | | | |
| | | | | | |
| Date Placed on Aircra | | | | | |
| AC Form 8050-64 | Supersedes Previous Edition | | | | |
.
-1
| | and the country of the status the first the first of the first of the first of the first of | | | | |
|--|---------------------------------------------------------------------------------------------|----------------------------------|--|-----------------------------------|--|
| | | State Children Children Children | | Children Market Children Children | |
| | and the same of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments o | |
|--|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| | | |
| | | |
| | | |
| | | |
ang mandi sa manu 1992 113 ...
and the country of the country of the county of 1 2007 Post 10
11.12.24
ੰਡੀਵਾ ਕੀ ਕਿ 1984 - 19
不得到底的角度
months and characterial with the
and the country of the country of
11 11 11 11
טענאמאסאס ORTAMONA CLITY
1 11/2 ARRETT T REGISTRATION BR - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
. Page . . .
AIRCRAFT TITLE SEARCHES RECORDING SERVICES
AIRMEN RECORD INFORMATION
To: Hand Delivered
FAA Oklahoma City. Oklahoma
Attention: Central Records
Gentlemen:
410/1/5 4,736A is NOV 1 4 2007
On behalf of our client: GULFSTREAM AEROSPACE CORP.
October 25, 2007
Savanna
'lease initiate the following action:
- 1. Please RESERVE the following special registration number:
N4O1HB
PLEASE HAND THE CONFIRMATION OF RESERVATION LETTER TO ARTC IN THE PUBLIC DOCUMENTS ROOM.
- 2. Please ASSIGN N4O1HB to the following described aircraft which is registered to our client above:
GULFSTREAM AEROSPACE GV-SP (G550) SERIAL NUMBER 5173 CURRENTLY N673GA
PLEASE HAND THE ORIGINAL FORM 8050-64 TO ARTC IN THE PUBLIC DOCUMENTS ROOM.
Thank you.
072981539402 \$10.00 10/25/2007
### )(PLEASE HAND CONFIRMATION OF RESERVATION LETTER TO ARTC - PUBLIC DOCUMENTS ROOM.
\X PLEASE HAND ORIGINAL FORM 8050-64 TO ARTC - PUBLIC DOCUMENTS ROOM.
erospace Corp.
Thank you,
By:
AERO
Special Services
Fee Attached• \$ in 00
CC:
រ ជា១ គឺអាចអនុគម TT ។ 82 8 09 25 88 A A A A A S A T T C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C
· Station and Children
### DECLARATION OF INTERNATIONAL OPERATIONS
The undersigned owner of aircraft N401HB, Manufacturer Gulfstream Aerospace Corporation Model No. GV-SP (G550) Serial No. 5173 declares that this aircraft is scheduled to make an international flight on April 14, 2008 departing Oakland, California, USA, with a destination of London, England, United Kingdom.
Expedited registration in support of this international flight is requested this 27th day of
March, 2008 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 or 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).
| Owner:
of
Name | U.S.A.
Inc.
Chevron | | | |
|---------------------------------|-----------------------------|--|--|--|
| and
Name
Typed | Operations
anager Flight | | | |
| Signature: | | | | |
| Comments: | | | | |
| | | | | |
| | | | | |
| | M
I
P | | | |
| RECORDS
AERO
by:
Filed | CO.
TITLE
& | | | |
## A 110 A H O H A 1 A C A 1 1 A 1 1 A 1 1 A 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 និទ្ធ I รรคชการศาสตร์ ออนไล
. :
and the control of the country of the county of
100000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
and the comments of the country
and the consideration of the country
1
:
100 million in the state
.
100000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
:
:
:
.
14 11 11 11 11 11 11
| | | FORM APPROVED
OMB No. 2120-0042 |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------|------------------------------------|
| UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION-MIKE MONROMEY AEPONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION | | |
| UNITED STATES
401
нв | | CERT. ISSUE DATE |
| REGISTRATION NUMBER
AIRCRAFT MANUFACTURER & MODEL | | |
| AEROSPACE
GULFSTREAM | GV-SP
(G550) | |
| AIRCRAFT SERIAL No.
5173 | | |
| | | FOR FAA USE ONLY |
| 1. Individual
2. Partnership
[x 3. Corporation | TYPE OF REGISTRATION (Check one ans ax) | Non-Citizen |
| OF APPLICANT (Person(s) shown on evidence of ownership. If Individual, give last name, and middle initial.) | | |
| CHEVRON | INC.
U.S.A. | |
| TELEPHONE NUMBER: (
ADDRESS (Permanent mailing address for first applicant listed, (If P.O. BOX is used, physical address must also be shown.) | | |
| L | | |
| Number and street | | |
| Rural Route: | P.O. Box: | |
| CITY
RAMON
SAN | STATE | ZIP CODE
94583 |
| | CA | |
| A false or dishones answer to any question may be grounds for punishment by fine and or implasment
(U.S. Code, Title 18, Sec. 1001). | | |
| | | |
| IWE 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: _
CHECK ONE AS APPROPRIATE: | | ), or: |
| a. [] A resident alien registration (Form 1-151 or Form 1-551) No. _ | | |
| A non-citizen corporation organized and doing business under the laws of (state)
o. []
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. | | |
| TYP | | |
| | TITLE | DATE |
| | | |
| SIGNATURE | TITLE | |
| | | |
| SIGNATURE | TITLE | DATE |
| Pending receipt of the Certificate of Aircraft Rogistration, the aircraft may be operated for a period not in excess of 90
NOTE
days, during which time the PINK copy of this application must be carried in the aircraft. | | |
| | | |
| AC Form 8050-1 (5/03) (0052-00-628-9007) | | |
FILED•WITH A FA EG!SYR AFT BR TtOtJ A FIN 2008 PM 27 25 1 OKLAHOMA CITY OKLAHOMA
•
| | | | | FORM APPROVED
OMB NO. 2120-0002 | | |
|--------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------|------------------|--|------------------------------------------------|--|--|
| | UNITED STATES OF AMERICA
U. S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
AIRCRAFT BILL OF SALE | | | | | |
| FOR AND IN CONSIDERATION OF 51.00 & OVC THE
UNDERSIGNED OWNER(S) OF THE FULL LEGAL
AND BENEFICIAL TITLE OF THE AIRCRAFT
DESCRIBED AS FOLLOWS: | | | | | | |
| | UNITED STATES | | | | | |
| | REGISTRATION NUMBER N
401HB | | | | | |
| | AIRCRAFT MANUFACTURER & MODEL | | | | | |
| | Gulfstream Aerospace GV-SP (G550) | | | | | |
| | AIRCRAFT SERIAL NO.
5173 | | | | | |
| | DOES THISejeAd DAY OF
HEREBY SELL, GRANT, TRANSFER AND | int/et
)2008, | | | | |
| | DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO: | | | Do Not Write In This Block
FOR FAA USE ONLY | | |
| w
u)
<
x
0
cc
a. | Chevron U.S.A. Inc.
San Ramon, CA 94583 | | | | | |
| | DEALER CERTIFICATE NUMBER | | | | | |
| | AND TO ITS SUCCESSORS, EXECLI-TORST-AOMMISTRATORST
SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF. | | | AND ASSIGNS TO HAVE AND TO HOLD | | |
| | IN TESTIMONY WHEREOF WE HAVE SET OUR HAND AND SEAL THIS CSR4 DAY OF | | | indict
,2008 | | |
| j | NAME (S) OF SELLER
(TYPED OR PRINTED) | SIGNATURE (S) | | TITLE
(TYPED OR PRINTED) | | |
| R
SELLE | Gulfstream Aerospace Corporation | | | Manager | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| ACKNOWLEDGEMENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER, MAY BE REQUIRED
BY LOCAL LAW FOR VALIDITY OF THE INSTRUMENT.) | | | | | | |
| | ORIGINAL: TO FAA | | | | | |
| | AC Form 8050-2 (9/92) (NSN 0052-00-629-0003) Supersedes Previous Edition | | | | | |
080871324467 \$5.00 03/27/2008
EFTA00010684
.0 O O O O
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rD
O O
0
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វាជាទឹកប្រើអ្នកអ្នកអ៊ី 23 I Wa L2 Hall B00S A A 3 HT I W 3 AT 21 23 3 3 3 3 3 3 3 3 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
100000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
and the same of the states
and the comments of
:
Consistential Comments of the
1
.
100 - 100 - 100 -
Caroline Comers
. . .
.....
.
A .. . . . . . . . . . . . . . . . . . . . .
.
.
.
U.S Department of Transportation
Federal Aviation Administration
March 1, 2007
SAVANNAH GA 31408
Dear Sirs:
United States identification mark N673GA has been assigned to Gulfstream Aerospace GV-SP (G550), serial number 5173, Mode S Transponder Code 52163564 as requested by you. This manufacturer's assignment of special registration number cannot be used as an authorization for a number change.
If we ma be of further assistance lease contact the Aircraft Registration Branch at or toll free
Sincerely,
Legal Instruments Examiner Aircraft Registration Branch Flight Standards Service Aircraft Registration Branch, AFS•750
ee: WEB Address:
AFS-750-SUPPORT-5 (04/06)
February 15, 2007
Federal Aviation Administration FAA Aircraft Registry
Oklahoma City, OK 73125
### ATTENTION: CENTRAL RECORDS DIVISION
Dear Madam/Sir:
Please reserve and assign the enclosed special registration numbers for Gulfstream Aerospace Corporation.
Once these numbers have been reserved and assigned in the name of Gulfstream Aerospace Corporation, please hand confirmations to ARTC in the PD P.oom. If the above requested numbers are not available, please contact Lisa Thomas at ARTC immediately.
Thank you for your assistance with this request.
Very truly yours.
Enclosure
070471458332 \$420.00 02/18/2007
### CITY OKLAHOMA OKLAHOMA
### 53 2 PM 16 FEB 2007
FAA WITH FILED RR RECISTRATION
rve• Asaian to•
| 1. | N | 494 | GA | (6350)
GIV-X
Model
Gulfstream | S/N | 4094 |
|-----|---|------|----|-----------------------------------------|-----|------|
| 2. | N | 495 | GA | (6450)
Model
GIV-X
Gulfstream | S/N | 4095 |
| 3. | N | 496 | GA | (G450)
Model
GIV-X
Gutfstream | SM | 4096 |
| 4. | N | 397 | GA | (G450)
Model
GIV-X
Gutfstream | S/N | 4097 |
| 5. | N | 398 | GA | (G450)
GIV-X
Model
Gulfstream | SM | 4098 |
| 6. | N | 199 | GA | (G450)
Model
GIV-X
Guffstream | S/N | 4199 |
| 7. | N | 120 | GA | (G450)
Model
GlV-X
Gulfstream | S/N | 4100 |
| 8. | N | 401 | GA | (G450)
GIV-X
Model
Gulfstream | S/N | 4101 |
| 9. | N | 702 | GA | (G450)
Model
GIV-X
Gulfstream | SM | 4102 |
| 10. | N | 603 | GA | (G450)
GIV-X
Model
Gulfstream | S/N | 4103 |
| 11. | N | 704 | GA | (6450)
GIV-X
Model
Gulfstream | S/N | 4104 |
| 12. | N | 405 | GA | (6450)
GIV-X
Model
Gulfstream | S/N | 4105 |
| 13. | N | 606 | GA | (G450)
GIV-X
Model
Gulfstream | S/N | 4106 |
| 14. | N | 607 | GA | (G450)
GIV-X
Model
Gulfstream | S/N | 4107 |
| 15. | N | 608 | GA | (G450)
GIV-X
Model
Guffstream | S/N | 4108 |
| 16. | N | 609 | GA | (6450)
GIV-X
Model
Gutfstream | S/N | 4109 |
| 17. | N | 610 | GA | (G450)
GIV-X
Model
Guffstream | S/N | 4110 |
| 18. | N | 131 | GA | (6350)
GIV-X
Model
Gulfstream | S/N | 4111 |
| 19. | N | 612 | GA | (G450)
GIV-X
Model
Gulfstream | S/N | 4112 |
| 20. | N | -913 | GA | (G450)
GIV-X
Model
Guffstream | S/N | 4113 |
| 21: | N | 614 | GA | (G450),
GIV-X
Model
Guffstream | S/N | 4114 |
| 22. | N | 815 | GA | (G450)
GIV-X
Model
Gulfstream | S/N | 4115 |
| | | | | | | |
| 23. | N | 764 | GA | (6550)
GV-SP
Model
Gulfstream | S/N | 5164 |
| 24. | N | 965 | GA | GV-SP
Model
(G550)
Guffstream | SIN | 5165 |
| 25. | N | 966 | GA | (G550)
Model.GV-SP
Gutfstream | SIN | 5166 |
| 26. | N | 967 | GA | (G550)
GV-SP
Model
Gutfstream | SIN | 5167 |
| 27. | N | 668 | GA | (G550)
GV-SP
Model
Gulfstream | SM | 5168 |
| 28. | N | 569 | GA | GV-SPIG550)
Model
Gulfstream | S/N | 5169 |
| 29. | N | 770 | GA | (6550)
GV-SP
Model
Gulfstream | S/N | 5170 |
| 30. | N | 971 | GA | (G550)
GV-SP
Model
Guffstream | SM | 5171 |
| 31. | N | 972 | GA | (G550)
GV-SP
Model
Gulfstream | S/N | 5172 |
| 32. | N | 673 | GA | (G550)
GV-SP
Model
Gulfstream | S/N | 5173 |
| 33. | N | 974 | GA | (6550)
GV-SP
Model
Gutfstream | S/N | 5174 |
| 34. | N | 975 | GA | (G550)
GV-SP
Model
Gulfstream | S/N | 5175 |
| 35. | N | 476 | GA | (6550)
GV-SP
Model
Guffstream | S/N | 5176 |
| 36. | N | 977 | GA | (G550)
GV-SP
Model
Gulfstream | S/N | 5177 |
| 37. | N | 978 | GA | (G550)
GV-SP
Model
Gulfstream | S/N | 5178 |
| 38. | N | 979 | GA | (6550)
GV-SP
Model
Gutfstream | S/N | 5179 |
| 39. | N | 980 | GA | (6550)
GV-SP
Model
Gulfstream | SM | 5180 |
| 40. | N | 181 | GA | (G550)
GV-SP
Model
Guffstream | S/N | 5181 |
| 41. | N | 782 | GA | (G550)
GV-SP
Model
Gulfstream | S/N | 5182 |
| 42. | N | 983 | GA | 1G550)
GV-SP
Model
Gutfstream | SIN | 5183 |
| | | | | | | |
'41
คย พุกาสมารถออส 1 รัสสอัสเก FILED WITH FAA
1
## CS S MA 81 637 8005
יי 0 מרבע אוטאג כונג
100 - 100 -
. . . . . . : .
.
1
### Aero Records & Title Co. Post (Ace Box 19246. Oklahoma City. OK 73 44
3
Aircraft Title Searches ASSIGNMENTS
Professional Escrow and Closing Services
Recording Services
Reservation and Assignment of Special Registration Numbers
Aircraft Title insurance
§1031 Like-Kind Exchange Services
Phone • Fax Escrow. Toll Free February 16, 2007 REQUEST FOR MANUFACTURER
N#
h.
Federal Aviation Administration Civil Aviation Registry Aircraft Registration Branch Attention: Central Records
Reference: (42) Registration Number Assignments
Gentlemen/ Ladies:
On behalf of our client: GULFSTREAM AEROSPACE
Physical address for courier deliveries
Oklahoma City. OK 73179
WWW.aerorecords corn
## SAVANNAH, GA 31407
Please reserve & assign forty-two (42) special registration numbers as listed on Gulfstream's enclosed letter. Please issue 8050-7 forms to Gulfstream at the address shown above. PLEASE HAND COPIES OF THE ASSIGNMENT LETTERS TO ARTC IN THE P.D. ROOM.
T he necessary \$420.00 fee for reservation of the d.
Aero Records & Co is Ji a subsidiary of Fidelity National / lg Title Insurance Company._ bb Fidelity National Financial Inc
peciai s ervices minis ra or
a member of the Enclosures: letter by Gulfstream & check for \$420. family ol companies C: Carol Rowley /Gulfstream
### CITY OKLAHOMA OKLAHOMA
### 53 2 Pfq 16 FEB 2007
FAA WITH FILED BR REGISTRATION AIRC.RArr