HOUSE_OVERSIGHT_004321¶
FltPlan.com eAPIS Departure Manifest N331JE Date Submitted: 07/29/2019 Aircraft Registration: N331JE - (B430) Time Submitted: 05:27:55 Aircraft Color: BK CHARLOTTE AMALIE to HIGUEY Confirmation #: EAPIS-11312528 Decal Number: 9532746 Departure Airport Information: Airport ID: TIST City Name: CHARLOTTE AMALIE State: VI Local Departure Date: 07/29/2019 Local Departure Time: 16:30 Estimated Border Crossing Location/Time: AGUADILLA PR AT 2126 UTC Arrival Airport Information: Airport Ident: MDPC City: HIGUEY Country Code: DOM Local Arrival Date: 07/29/2019 Local Arrival Time: 17:58 Foreign Airport(s) Landing at within 24 hrs of U.S.A. departure: None Aircraft Operator Information Aircraft Operator’s Company Name: HYPERION AIR INC Street: 103 FOULK ROAD Apartment or Suite #: 202 City: WILMINGTON State: DE Zip Code: 19803 Country Code: USA Phone: 9178686145 Fax: N/A Email: LVJET@AOL.COM Aircraft Owner Information Aircraft Owner’s Company Name: HYPERION AIR, LLC. Street: 6100 RED HOOK B3 Apartment or Suite #: P.O. BOX City: ST. THOMAS State: VQ Zip Code: 00802 Country Code: VIR Phone: 9178686145 Fax: 5613500954 Email: LVJET@AOL.COM Total Number Of Crewmembers: 2 Name: DARREN LEE ROTHELL Crew Catagory: CREW Sex: MALE Date Of Birth: City Of Birth: PALM BEACH State Of Birth: FL Country Of Birth: USA Country Of Residence: USA Country Of Citizenship: USA Crewmember’s Permanant Address: Street: City: State Crewmember’s Address While In U.S. Zip Code: Document 1: PASSPORT Document 1 Number: Zip Code: Document 1 Exp.: 11/28/2028 Document 1 Country.: USA Document 2 Exp.: N/A Document 2 Country.: USA Name: LAWRENCE PAUL VISOSKI Crew Catagory: PILOT Sex: MALE Date Of Birth: City Of Birth: BERWYN State Of Birth: IL Country Of Birth: USA Country Of Residence: USA Country Of Citizenship: USA Crewmember’s Permanant Address: Street: 1132 SAN MICHELE WAY City Crewmember’s Address While In U.S: Street: City Document 1: PASSPORT Document 1 Number: Document 2: PILOT LICENSE Document 2 Number: Total Number of Passengers: 1 Name: MARK ALEXANDER CHUNG • Sex: M Date Of Birth: Country Of Residence: USA Country Of Citizenship: USA Passenger’s Address While In U.S: Document 1: PASSPORT Document 1 Number No 2nd Document Provided https://ww10.fltplan.com/APIS2SubmittedPrintout.exe?a=4 State: Zip Code: State :_ Zip Code: | Document 1 Exp.: 04/21/2021 Document 1 Country.: USA • Document 2 Exp.: N/A Document 2 Country.: USA Document 1 Exp.: 03/25/2029 Document 1 Country: USA 1/25/20, 12:33 PM Page 1 of 2 HOUSE_OVERSIGHT_004322¶
Emergency Contact Information Contact Name: Phone: Email: https://ww10.fltplan.com/APIS2SubmittedPrintout.exe?a=4 1/25/20, 12:33 PM Page 2 of¶