HOUSE_OVERSIGHT_004527 FltPlan.com eAPIS Departure Manifest N331JE Date Submitted: 12/31/2012 Aircraft Registration: N331JE - (B430) Time Submitted: 08:44:29 Aircraft Color: BK Departure Airport Information: Airport ID: TIST City Name: CHARLOTTE AMALIE State: VI Local Departure Date: 12/31/2012 Local Departure Time: 11:30 Estimated Border Crossing Location/Time: N18.366 W64.719 VI AT 1549 UTC Arrival Airport Information: Airport Ident: TFFJ City: ST BARTHELEMY Country Code: FRA Local Arrival Date: 12/31/2012 Local Arrival Time: 12:38 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, INC Street: 103 FOULK ROAD Apartment or Suite #: P.O. BOX City: WILMINGTON State: DE Zip Code: 19803 Country Code: USA Phone: 9178686145 Fax: 5613287963 Email: LVJET@AOL.COM Total Number Of Crewmembers: 1 Name: LAWRENCE PAUL VISOSKI Crew Catagory: PILOT Sex: MALE Date Of Birth: acroortoo City Of Birth: BERWYN State Of Birth: IL Country Of Birth: USA Country Of Residence: USA Country Of Citizenship: USA Crewmember's Permanant Address: CHARLOTTE AMALIE to ST BARTHELEMY Confirmation #: EAPIS-3885181 Decal Number: 509405 Document 1: PASSPORT Document 1 Number: Document 2: PILOT LICENSE Document 2 Number: Total Number of Passengers: 2 Name! Sex: F Date Of Birth: Country Of Residence: USA Country Of Citizenship: USA Passenger's Address While In U.S: Street: / Document 1: PASSPORT Document 1 Number: No 2nd Document Provided Document 1 Exp.: 04/21/2021 Document 1 Country.: USA Document 2 Exp.: N/A Document 2 Country.: USA City: State: Zip Code: Document 1 Exp.: 07/07/2014 Document 1 Country: USA Name: Sex: F Date Of Birth: Country Of Residence: RUS Country Of Citizenship: RUS Passenger's Address While In U.S: Street: City: State: Zip Code: Document 1: PASSPORT Document 1 Number: Document 1 Exp.: 02/02/2015 Document 1 Country: RUS Document 2: U.S. ALIEN REGISTRATION CARD Document 2 Number: Document 2 Exp.: 07/24/2014 Document 2 Country.: USA Emergency Contact Information Contact Name: Phone: Email: https://ww10.fltplan.com/APIS2SubmittedPrintout.exe?a=4 1/20/20, 9:49 PM Page 1 of 1 HOUSE_OVERSIGHT_004528 https://ww10.fltplan.com/APIS2SubmittedPrintout.exe?a=4 1/20/20, 9:49 PM Page 2 of