EFTA00085968 |
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# Statement in Support of Registration of a United States Civil Aircraft in the Name of a Limited Liability Company

Complete name of the Applicant:

State in which LLC is organized:

Effective date of formation of the LLC: October 7, 2016

Name of each member of the LLC:

Name of Member:

Type of Entity

(ie: individual, corporation, partnership, etc.)

U. S. Citizenship Verification

(Please use additional sheets if additional space is required)





Manager(s)



LLC is managed by:



✓ Member(s)





Officer(s)



If LLC is managed by Manager(s)/Officer(s)

Type of Entity

(ie: individual, corporation, partnership, etc.)

U. S. Citizenship Verification

(Please use additional sheets if additional space is required)





Can the managers, members or officers of this LLC act independently?





The undersigned certifies that the Applicant is a citizen of the United States since, to the best knowledge and belief of the undersigned, at least 2/3rds of the managers, officers or managing members qualify as citizens of the United States as defined in 49 U.S.C. 40101(a)(15) and at least 75% of the voting interest or units is owned or controlled by persons who qualify as citizens of the United States as defined in 49 U.S.C. 40102(a)(15).

49 U.S.C. Section (a)(15): Citizen of the United States means: (1) An individual who is a citizen of the United States or one of its possessions; or (2) A partnership of which each member is such an individual; or (3) A corporation or association created or organized under the laws of the United States or of any State, Territory, or possession of the United States, of which the president and 2/3 or more of the board of directors and other managing officers thereof are such individuals and in which at least 75% of the voting interest is owned or controlled by persons who are citizens of the United States or of one of its possessions.

If any member, officer or manager of the LLC is not a citizen of the United States as defined in U.S.C. 40102(a)(15) please attach an additional sheet for explanation to substantiate that the LLC qualifies as a citizen of the United States.

By:

Its: CHEF FINANCIAL OFFICER

Dated: 5-6-21