HOUSE_OVERSIGHT_004575¶
FItPlan.com eAPIS Arrival Manifest Date Submitted: 06/15/2011 Aircraft Registration: N491GM - (B407) Departure Airport Information: Airport ID: MDPC City Name: HIGUEY Country: DOM Local Departure Date: 06/15/2011 Local Departure Time: 14:00 Estimated Border Crossing Location/Time: AGUADILLA PR AT 1847 UTC Arrival Airport Information: City: CHARLOTTE AMALIE State: VQ Local Arrival Date: 06/15/2011 Local Arrival Time: 15:54 Foreign airports) landing at within 24 hrs of U.S.A. arrival: MYEF, MDPP, MDPV Aircraft Operator Information Aircraft Operator’s Company Name: FREEDOM AIR INTERNATIONAL Street: 3800 SOUTHERN BLVD Apartment or Suite #: 204 City: WEST PALM BEACH State: FL Zip Code: 00802 Country Code: USA Phone: 9178686145 Fax: N/A Email: LVJET@AOL.COM Aircraft Owner Information Aircraft Owner’s Company Name: FREEDOM AIR INTERNATIONAL, INC Street: 3800 SOUTHERN BLVD SUITE 204 Apartment or Suite #: City: WEST PALM BEACH State: FL Zip Code: 33406 Country Code: USA Phone: 917-868-6145 Fax: Email: LVJET@AOL.COM Total Number Of Crewmembers: 2 Name: NICOLAS GERARD ROBERT VAN HEURCK Crew Catagory: CREW Sex: MALE Date Of Birth: City Of Birth: WILRYK State Of Birth: BE Country Of Birth: BEL Country Of Residence: USA Country Of Citizenship: BEL Crewmember’s Permanant Address: N491GM Time Submitted: 08:18:03 Aircraft Color: BLUE YELLO WHITE HIGUEY to CHARLOTTE AMALIE Confirmation #: EAPIS-2556406 Decal Number: 1513870 Document 1: PASSPORT Document 1 Number: Document 2: PILOT LICENSE Document 2 Number_ Name: LAWRENCE PAUL VISOSKI Crew Catagory: PILOT Sex: MALE Date Of Birthi City Of Birth: BERWYN State Of Birth: IL Country Of Birth: USA Country Of Residence: USA Country Of Citizenship: USA Crewmember’s Permanant Address: Document 1 Exp.: 06/14/2015 Document 1 Country.: BEL Document 2 Exp.: N/A Document 2 Country.: USA Document 1: PASSPORT Document 1 Number:I Document 2: PILOT LICENSE Document 2 Number: Total Number of Passengers: 0 Emergency Contact Information Contact Name: Phone: Document 1 Exp.: 04/21/2021 Document 1 Country.: USA Document 2 Exp.: N/A Document 2 Country.: USA Email: https://ww10.fltplan.com/APIS2SubmittedPrintout.exe?a=4 1/20/20, 9:33 PM Page 1 of 1 HOUSE_OVERSIGHT_004576¶
https://ww10.fltplan.com/APIS2SubmittedPrintout.exe?a=4 1/20/20, 9:33 PM Page 2 of 1 HOUSE_OVERSIGHT_004577¶
FltPlan.com eAPIS Departure Manifest Date Submitted: 06/14/2011 Aircraft Registration: N491GM - (B407) Departure Airport Information: Airport ID: KMIA City Name: MIAMI State: FL Local Departure Date: 06/14/2011 Local Departure Time: 14:00 Estimated Border Crossing Location/Time: KEY BISCAYNE FL AT 1840 UTC Arrival Airport Information: Airport Ident: MYEF City: EXUMA Country Code: BHS Local Arrival Date: 06/14/2011 Local Arrival Time: 16:19 Foreign Airports) Landing at within 24 hrs of U.S.A. departure: None Aircraft Operator Information Aircraft Operator’s Company Name: FREEDOM AIR INTERNATIONAL Street: 3800 SOUTHERN BLVD Apartment or Suite #: 204 City: WEST PALM BEACH State: FL Zip Code: 00802 Country Code: USA Phone: 9178686145 Fax: N/A Email: LVJET@AOL.COM Aircraft Owner Information Aircraft Owner’s Company Name: FREEDOM AIR INTERNATIONAL, INC Street: 3800 SOUTHERN BLVD SUITE 204 Apartment or Suite #: City: WEST PALM BEACH State: FL Zip Code: 33406 Country Code: USA Phone: 917-868-6145 Fax: Email: LVJET@AOL.COM Total Number Of Crewmembers: 2 Name: NICOLAS GERARD ROBERT VAN HEURCK Crew Catagory: CREW Sex: MALE Date Of Birth: City Of Birth: WILRYK State Of Birth: BE Country Of Birth: BEL Country Of Residence: USA Country Of Citizenship: BEL Crewmember’s Permanant Address: N491GM Time Submitted: 12:41:03 Aircraft Color: BLUE YELLO WHITE MIAMI to EXUMA Confirmation #: EAPIS-2554476 Decal Number: 1513870 Document 1: PASSPORT Document 1 Number: Document 2: PILOT LICENSE Document 2 Number: | 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: Document 1 Exp.: 06/14/2015 Document 1 Country.: BEL Document 2 Exp.: N/A Document 2 Country.: USA Document 1: PASSPORT Document 1 Number: Document 2: PILOT LICENSE Document 2 Number:I Total Number of Passengers: 0 Emergency Contact Information Contact Name: Phone: Document 1 Exp.: 04/21/2021 Document 1 Country.: USA 1 Document 2 Exp.: N/A Document 2 Country.: USA Email: https://ww10.fltplan.com/APIS2SubmittedPrintout.exe?a=4 1/20/20, 9:32 PM Paqe 1 of 1¶