| U.S. Desartmant of Transportation Federal Aviation Administration | Aircraft Make and Model GULFSTREAM AEROSPACE GV-SP (G550) Serial Number | Present Registration Number N415LM | ||
|---|---|---|---|---|
| 5173 | ||||
| PLAN D LLC 6100 RED HOOK QUARTER B3 ST THOMAS VI VI 00802 | ICAO AIRCRAFT ADDRESS CODE FOR N212JE - 50340675 | Aug 23, 2017 This is your authority to change the United States registration number on the above described sircraft to the special registration number shown. Carry duplicate of this form in the aircraft together with the old registration certificate as interim authority to operate the aircraft pending receipt of revised certificate of registention. Obtain a revised certificate of airworthiness from your near- est Flight Standards District Office. The Intest FAA Form 8130-6. Application For Airwarthiness 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 aireraft. A revised certificate will then be issued. The authority to use the special number expires: Aug 23, 2018 | ||||
| on the aircraft described above. Signature of Owner Title of Owner. MANAGER Date Placed on Aircraft: | CERTIFICATION: 1 certify that the special.registration mumber was placed | RETURN FORM TO: Civil Aviation Registry, AFS-750 P.O. Box 25504 Oklahoma City, Oklahoma 73125-0504 | ||
| AC FORM 8050-64 (5/2005) Supersedes Previous Edition |
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6100 Red Hook St Thomas U.S.V.I. uarters B3 00802¶
0&07/2017¶
To Man it may concern l %Nulty. FAA Kerry,¶
Al this time I’m messecting approval ro apply N number N212.1E tone Culture= 0550 which ti oneml. N1151 At 1 have already pay the $1000 Fee from pad eceresportdenee..¶
Please mail the 1050-64 / Assignment of Special Recursion Numbers to my airport address below if rsumbk Plan D. 1.1.0 l any Virtual Atlantic Aviation 3800 South= Blvd. Suite Were Palm Beach. FL 33406¶
Thank you.¶
..- Musseur,¶
| DECLARATION ----- | |
|---|---|
| of | |
| INTERNATIONAL OPERATIONS | |
| A A A |
| The undersigned owner of nireraft N +1 3 ( . Manufacturer S ULF J+1664 M Arosque | |
|---|---|
| Model GV-3P (G550) Serial Number 5173 | |
| declares that this aircraft is scheduled to make an international flight® on APRil 3 2017 | |
| as flight Number 41.5 LM departing (KTEB) TETERBERO AUJ. | |
| (City/State) with a destination of (T) 57) 57 ] hemas 1 SV URGIN Is laws S | |
| (City), mustry) |
*[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 € day of mprch 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, fictious 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¶
Signature¶
Typed Name and Title of Signer¶
Phone: 405.¶
Comments:¶
Please send the Fly Time Wire to IATS via fax number 405-684-5074.¶
Please return the Certificate of Registration to IATS via the PD Room at the¶
A. Briakontande alle the some to the the later to the see in the¶
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| U.S. Departme of Transportation Paderal Aventon | AIRCRAFT REGISTRATION APPLICATION | ||
|---|---|---|---|
| Administration UNITED STATES N 415LM REGISTRATION HUMBER AIRCHUITT WANIFACTURER Guttstream Aerospace GV-SP (G550) AND MODEL AIRCRAFT 5173 SPAL NUMBER | TYFE OF REGISTRATION (Check one box) 1. Industrial 2. Partnership 3. Corporation (Includes I, 04. Clo-Owler O S. Gevernment 8. Non-Olizies Corpora 9. Non-Cittzen Corporation Ca | ||
| Plan D, LLC | MANEED) OF APPLICANT(S) Person(s) shown on extence of ovniently. If individual, che list name, find name and ref | ||
| TELEPHONE NUMBER: | |||
| NUMBER AND STREET- 6100 Red Hook Quaiter, B3 | MAJUNG ADDRESS (Permanent mailing address for first equilcare listed above.) | ||
| RUPAI, ROLLE | P.O. BOX | ||
| St. Thomas CITY | USM STATE | 00802 | |
| PHYSICAL ADDRESSION OCATION IF PO BOX OR RUBAL HOUTE BOX USED FOR HA L YO ADDRESS | |||
| NUMBER AND STREET | |||
| DESCRIPTION OF LOCATION are | STATE | ||
| CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS | |||
| MWE CERTIFY: A non-clizion corpo | (U.S. Code, Title 18, Section 1001) CERTIFICATION Off maste the aironif regionation citanning migulare who diter is a cliter (internet of the United Colors) and on the A resident adon with allers registration (Fixers 1-561) Me adon arganized and doing b | ||
| and said alreast in ha Insuction a | d and primarily used in the United | ||
| C. A ecroomston using a voling trust lo quality | |||
| (2) That the sixtand is not negistered under the less of any foreign co | (II) This lagal evalues of cremaration is attached or has been filled with the Fredulal Ariallant | ||
| NOTE: If executed for co-ownership, all epplicants must sign. Use next page II nocessary. | |||
| SIGNATURE: 1 | DATE: March 29, 2017 | ||
| TYPED PRINTED NAME | Lawrence Visoski | TITLE: Manager | |
| SIGNATURE: | CATE: | ||
| 2 TYPEDIPRINTED NAME: | TITLE | ||
| SIGNATURE: | DATE: | ||
| 3 TYPED PRINTED NAME | ULLE: | ||
| NOTE: Whose curred in the aboved with an appropriate corrent alsose cortificate or a special light persuit, a capy of this completed application provides unitority to spensity in the United States for up to 90 days. | |||
| AC Form 8090-1 (00/18) | 1 | ||
Accept¶
| UNITED STATES OF AMERICA U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVATION 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 | ||
| DAY OF March DOES THIS . 2017 ત્વે HEREBY SELL, GRANT, TRANSFER AND DELIVER ALL RIGHTS, TITLE, AND INTERESTS | ||
| IN AND TO SUCH AIRCRAFT UNTO: NAME AND ADDRESS (IF INDIVIDUAL(5), GIVE LAST NAME, FIRST NAME, AND MIDDLE INITIAL.) | Do Not Write In This Block FOR FAA USE ONLY | |
| IRCHAS | Plan D, LLC 6100 Red Hook Quarter, B3 St. Thomas, USVI 00802 | |
| DEALER CERTIFICATE NUMBER AND TO its SUCCESSOFS EXECUTIOns, ADMINISTRATIONS, AND ASSIGNS TO HAVE AND TO HOLD SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF | ||
| IN TESTIMONY WHEREOF | we our HAND AND SEAL THIS QY HAVE SET | DAY OF March 2017 |
| NAME(S) OF SELLER SIGNATURE(S) (TYPED OR PRINTED) (IN INK) (IF EXECUTED FOR CO-OWNERSHIP, ALL MUSTSIGN, | TITLE (TYPED OR PRINTED) | |
| m | Chevron U.S.A., Inc. K. U | Atturney Fact |
| ACKHOYSLEDGMENT (NOT REQUIRED FOR PURPOSES OF FAA RECORDING: HOWEVER, MAY BE REQUIRED BY LOCAL LAW FOR VALIDITY OF THE INSTRUMENT.) | ||
| DRIGINAL: TO FAA | AC Form 8050-2 (01/12) (NSN 0052-00-629-0003) | |
. .¶