0 S Depal•.e.71 Aviation Safety
0 S Depal•.e.71 Aviation Safety
of Tor'sportfition
Federal Aviation
Administration
Date of Issue: July 22, 2021
N550GP LLC
ONTARIO, CA 91764-5496
Ilili,...III,..1.II.,.I..I.I.I..I.illil...II,.1.1..1.1.....111
Fa \
ATTENTION: IATS Oklah ma i , Oklahoma 73125-0504
Toll Free:
WEB Address:
T216269 This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
N550GP GULFSTREAM AEROSPACE GV-SP (G550) Serial 5173 and is valid until Aug
21, 2021.
This is not an airworthiness certificate. For airworthiness information, contact the nearest
Federal Aviation Administration Flight Standards District Office.
for
Acting Manager, Aircraft Registration Branch
Federal Aviation Administration
REGALFAX-4 (02/21)
EFTA00010620
EFTA00010621
eva\vz)‘\
;€ peg
ries ‘S‘c,2'"
P" • DECLARATION
of
INTERNATIONAL OPERATIONS
The undersigned owner of aircraft N 55c4P , Manufacturer Gulfstream ilense-te
Model 6 V SP Serial Number 5173
declares that this aircraft is scheduled to make an international flight' on 7- 2S ata21•(due)
as flight Number departing awl-Grua it..1.42en 0(20
(City/Sate)
with a destination of Ai/spies I tn.l9 (L/ RN) •
(City(CountrY)
•urrequired 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".i
Expedited registration in support of this international flight is requested this
A) sf- day of 20 21 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 wilting or document knowing the same to contain any materially false,
fictitious 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:
Comments: N550GP, LLC
Fax: cit CAR COPY
Inarla-5Ce
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".l
Comments: Please fax the flying time wire to Insured Aircraft Title Service inc. at IN
Filed b :
Insured Aircraft T ervice LLC
Phone Accepted CF Jul/22/2021
EFTA00010622
FILED WITH FM
AIRCRAFT
REGISTRATION SR
2021 JUL 22 AM 8: 10
OKLAHOMA CITY OKLAHOMA
EFTA00010623
Q
Depertnani ASSIGNMENT OF SPECIAL
REGISTRATION NUMBERS Special Registration Number
N550GP
Aircraft Make and Model
GULFSTREAM AEROSPACE GV-SP (G550) Present Registration Number
N212IE u.s,
of Traesponaton
FORM Aviation
Administration Serial Number
5173 Issue Date:
Feb 24, 2021
ICAO AIRCRAFT ADDRESS CODE FOR NSS0GP - 51600017
N550GP LW This is your authority to change
the United States registration
number on the above described
aircraft to the special
registration number shown.
ONTARIO CA 917645496 Carty duplicate of this form in the
III IIIIIIIIILIIIIIMIIIIIIMILIIIIIIIII.IIII 111 aircraft together with the
old registration certificate as
mtaim authority to operate the
aircraft pending receipt of revised
certificate of aircraft registration.
The 'ant FAA For. Si 30-6,
Applicadon For Airworthiness
on file h dated:
Mx 07, 2008
The airworthiness classification
and category:
STD TRANSP
INSTRUCTIONS:
SIGN AND RETURN THE ORIGINAL of this form to the Civil Aviation Registry, Aircraft Registration Branch, within 5 days
after the special registration number is placed on the aircraft. A revised certificate of aircraft registration will then be issued.
Obtain a revised certificate of airworthiness from your nearest Flight Standards District Office.
The authority to ate the special number expires: Feb 24, 2022
CERTIFICATION: I ratify that the special registration number was placed RETURN FORM TO:
on the surfeit descnbal above.
Civil Aviation Registry
Signature of Ovoser:./-7— - -----agaliation Branch
Oklahoma City, Oklahoma 73125-0504
roam a-5 cir Tide of Owner C-AsiittCaeratatk-fit-649Firse_
Date Placed as Austell: 3 -1 9 -aoa i
AC FORM 105044 (5/2105) Stowneelet Prevents ttillioa
Return Certificate of Registration to
OA.JnSAccepted CF Jul/22/2021
EFTA00010624
..
•
FILED WITH FAA Ameac
.(21 JUL 20 1119 7 31
OKLAHOMA CITY OKLAhOMA FILED WITH FAA AIRCRAFT
REGISTRATION BR
21121 BAR 26 AN S 32
OKLAHOMA CITY OKLAHOMA
EFTA00010625
S Departure -t Aviation Safety
of 1 ra-spolation
Federal Aviation
Administration
Date of Issue: February 24, 2021
N550GP LLC
ONTARIO, CA 91764-5496
II.I.,...III,..1.II,,,I..l.l.l..I..11.l...11,.1.1..1.1.....111 Oklahoma Ci . Oklahoma 73125.0504
Toll Free:
WEB Address:
I cIN
HAND DELIVERED TO IN THE PD ROOM
T211438 This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
N212JE GULFSTREAM AEROSPACE GV-SP (G550) Serial 5173 and is valid until Mar
26, 2021.
This is not an airworthiness certificate. For airworthiness information, contact the nearest
Federal Aviation Administration Flight Standards District Office.
Acting Manager, Aircraft Registration Branch
Federal Aviation Administration for
REGAR•FAX4 (02/21)
EFTA00010626
EFTA00010627
LETTER OF EXTENSION
(For Authority to Operate an Aircraft Pending Registration )
The authority to operate Aircraft N212JE. GULFSTREAM AEROSPACE GV-SP
(G550). SIN 5173 is extended for 120 days from the date stamped below, or until the
Certificate of Aircraft Registration (AC Form 8050-3) is issued, whichever date occurs
first.
CF DATE
Feb 24, 2021
This Letter of Extension must be carried in the aircraft with a copy of the aircraft
registration application as temporary authority to continue to operate the aircraft without
registration within the United States. This is not an authorization to operate the aircraft
without an appropriate Airworthiness Certificate (FAA Form 8100-2 or 8130-7), or its
equivalent.
U.S. Department
of Transportation
Federal Aviation
Administration Civil Aviation Registry
Oklahoma City, Oklahoma 73125-0504
REGAR-37 (08/19)
EFTA00010628
EFTA00010629
Return Getliiicaieof ReglStfg101-1 to
%0N5 A
DECLARATION
of
INTERNATIONAL OPERATIONS
The undersigned owner of aircraft N212JE , Manufacturer Gulfstreem Ararseee...
Model 6550 (;v-So Serial Number 5173
declares that this aircraft is scheduled to make an international flight* on 02-26-2021 , (date)
as flight Number N212JE departingChlno/Califomla
(City/State)
with a destination of Cabo San Lucas/Mexico
(City/Country) •
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
17 day of February 20 21 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,
fictitious 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:
Comments: N550GP, LLC
Fax: CAR COPY
CFo O v I11.., rivexAziar
*[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".]
Comments: Please fax the flying time wire to Insured Aircraft Title Service Inc. at ■
Filed b :
Insured Aircraft Title Service LLC
Phone
EFTA00010630
FILED WITH FAA AIRCRAFT REGISTRATION BR
Zell FEB 23 AN II: 09
OKLAHOMA CITY OKLAHOMA
EFTA00010631
A ACTION
J Nco-
Insured Aircraft Tide Service, LLC
T
FEDERAL AVIATION ADMINISTRATION
CENTRAL RECORDS DIVISION
OKLAHOMA CITY, OKLAHOMA
Date: February 11, 2021
Dear Sir/Madam:
Please Reserve N in NAME ONLY for:
elk*** fit
N# CHANGE REQUEST
Please Regrve N 550GP" and asssgn for the following aircraft:
N 212JE Make Gulfstream Aerospace Model GV-SP (G550) Serial # 5173
Which is (1) being purchased by XX (2) registered to XX
N550GP LLC
Ontario, CA 91764
Payment of the required $10.00 fee per number to reserve/assign is attached. If the preferred N number is not
available, please contact the undersigned for a selection of a new number. Please send the confirmation of
reservation/8050-64 form to Insured Aircraft Title Service, LLC in the Public Documents room of the FAA.
Additional Information: **Relinquishment Attached
2lett:"14.1.0,137
Requested b
Fee: $20.00
TZ0Z/ZZ/Tne JO Pold000V
EFTA00010632
FILED WITH FAA AIRCRAFT REGISTWION BR
1011 FEB I I PM 2:02
OKLAHOMA CITY OKLAHOMA
EFTA00010633
UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION - MIKE MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPLICATION
I) (INTED STATES
REGISTRATION N 212.1E
NUMBER O 1 i nctoeuel
4) TYPE OF REGISTRATION O 2 PorIPO.NO
O 3 cocornon
4 GoutMANUFACTURER O 3 Gorr/rant ,C1,ock ono tot, 07 Lto] Unday Crowe ILLCI
O 8en
Nan-CAten Capweean
ID 9. nanCistenCorpcoacnCo-O•xxx a) AIRCRAFT
GULFSTREAM AEROSPACE. GV-SP (G550) AND 10000.
3) NRCRAn
SEMI 5173 NUMBER
it NAME(S) OF APPLICANT(S) persor(s) stow, ch than* at [Ann If inavotei gow last nano !IC nfl ale mem) 'mai I
MSSOGR, LLC
I) TELEPHONE NUMBER ( 909 ) 354.8000
7) NAILING
NUMBER
RURAL
ore, ADDRESS (Pernerent no; nee, fan Nan IFIIML)
AND Si REE I _
ROUTE P.O. 00x
Ontario STATE CA ZIP: 917#34
II) PHYSICAL
NUMBER
OESCRIPTION
LOCATION
are ACCRESSA.00ATIONf PO ROY MAIL WPM: Mau ea RE w‘x town FIR feed, IN4 ATORFM
AND STREET
OF
STATE ZIP
I) • CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS
Woe
(I) TM
(2) If
sanest
(3) That
(4) Trott
Bre
knoMeclae
understand
any
belt
folaiOus
registraten 10) CERTIFICATION
I. b. c. of 9) CERTIFY:
the nye mitre is 00300 by Me trenniappkare WV It MOT CHECKANII'OR COVPLETE
a a A nen a le Urns an as defnaa by 49 USC 4e1O2(4)(15).
• b A rilLOOnt Mr von Mon recesenon (Fan 1.561) NO.
• C. A rmAcezen oxpooton Denied and en bursa under the In don) end sod toe
is ten end Mtn LAW In me untied Stn. Recut of light hours we rein Ay Inspection at (geode complete physical seeress)
O 4 A *Onion viong • KAN mm lo quaff. En Mae of Imes*
bocce' a to. 9 awaked. I. MOS. signed, whey relish 0.010r1ra by TO appeal shown took to or 0:41X4Ot ocetaterwa Be 10•eg. mat on on tine a Po Wily Be 'MIAMI prows* the in authOreinon fl fettuesIed.
Pe a •.;y4P is act renared wider TO Ian of any %mon 03urOy. mad
legal nem* of comenhp 3 sena of Nee On flee Awl the Fen AwMon Artnnsesool.
ANY MO ALL SIGNATORIES OF THIS APPLICATION MUST READ THE FOLLOWING AND UNDERSTAND THAT. BY APPLYING
A SIGNATURE TO MS DOCUMENT. THEY ARE SUBJECT TO THE REFERENCED STATUTES AND ASSOCIATED PENALTIES.
hereby certify tat the Prrionnalon provided to &envoy acaolynent to, the appicaton br aircraft registration Is PUB, emirate and Ored to the best of mybur
and tekd. Pee understand that the FM adminurabr wi rely cn the irlormalen Owe proyde in damning my.bur cwal 'cal& for araaft registrator. two
that:nom:4x. n any mars *igen the lueedtton of any degartmcol or agency*: the UMW Stales, basin* end *telly latifes. conceals. oe cows up by
ea stherre, or demo any mama' fac(s), statement(s), tic esentalon(s) or entryies) may be And up to $500,000 or imp-soled for rot more Than Ave (5) )ears cc
(18 U.S.C. §§ 1001 and 3571). INN understand that le knewagly and *Italy a) falsify or corceal a material fact orb) use a dsaimeni krowng it con Ons a false.
or fratekileet shthernententry, ore) provide any inaccurate. false slaterentinfonnahan can sJbject me to cannel prosen,4tion 149 U.S.C. § 46336). and the
dee subset amen may be delayed, denied ander renoked.
NOTE: If executed to co-OrMerShip. all applicants must Sc'. Use next pay and add page(s) A necessary.
11) SIGNATURE: Digital& 91 Fled liVillMli
MINN .,..febT4PFT90 DATE 12-22-2020
TYPED/PRINTED
NAME: TITLE: Manager of Frontier JV LLC, its Member
12) SIGNATURE: DATE
TYPED/PRINTED
NAME TIE'
NOTE: Fame when the most Mehl fe361/SO011 of the sonata aircraft Is expired or Cancelled 14 CFR 41.31(c) provides for an airworthy
U.S. amsraft to be operated for up to 90 days Welt, the Untied States when a copy of the signed airaah registration am:Mr-aeon is carried
in the aircraft whet awaiting issuance and receipt of the new registraton certifKate. Accepted GC Feb/24/2021
AC Form eceo-i (oW20) ?age I
EFTA00010634
FILED WITH FAA
AIRCRAFT
REGISTRATION BR
2020 DEC 22 ;14 ID 53
OKLAHOMA CITY
OKLAHOMA
EFTA00010635
UNITED STATES OF AMERICA
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
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
REGISTRATION NUMBER N 212JE AIRCRAFT MANUFACTURER & MODEL
GULFSTREAM AEROSPACE, GV-SP (G550)
AIRCRAFT SERIAL No.
5173
DOES THIS 22nd DAY OF December 2020
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO: OMB Control No. 2120-0012
Exp. 04/30/2017
Do Not Writs In This Block
FOR FAA USE ONLY PURCHASER NAME AND ADDRESS (IF INDMDUAL(S). GIVE LAST NAME. FIRST NAME, AND MIDDLE INITIAL.)
N550GP LLC
Ontario, CA 91764
DEALER CERTIFICATE NUMBER
AND TO ITS SUCCESSORS E.W.GOLCAL-ADMSNISZRATQRS. AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TIRE THEREOF.
IN TESTIMONY WHEREOF HAVE SET MY HAND AND SEAL THIS 22nd DAY OF Dec., 2020
NAME(S) OF SELLER
(TYPED OR PRINTED) SIGNATURE(S)
(IN INK) (IF EXECUTED FOR
CO-OWNERSHIP, ALL MUSTSIGN. TITLE
(TYPED OR PRINTED)
Six G Aviation LLC Di stagy signeuaill Manager
ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER, MAY BE REQUIRED BY LOCAL LAW FOR VALIDITY OF THE INSTRUMENT.)
ORIGINAL' TO FAA'
AC Form 8050-2 (01/12) (NSN 0052-00429-0003) GC009140 Conveyance Recorded Feb/24/2021 04:21 PM FAA
EFTA00010636
FILED WITH FAA
AIRCRAFT
REGISTRATION BR
2020 DEC 22 VI lO: 53
OKLAHOMA WI?
OKLAHOMA
EFTA00010637
UNITED STATES OF AMERICA
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
AIRCRAFT BILL OF SALE
FOR AND IN CONSIDERATION OF $ 1.00 + OVC THE
UNDERSIGNED OWNERS) OF THE FULL LEGAL
AND BENEFICIAL TITLE OF THE AIRCRAFT
DESCRIBED AS FOLLOWS:
UNITED STATES
REGISTRATION NUMBER N 212JE AIRCRAFT MANUFACTURER & MODEL
GULFSTREAM AEROSPACE, GV-SP (G550)
AIRCRAFT SERIAL No.
5173
DOES THIS 22nd DAY OF December 2020
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO: OMB Control No. 2120-0042
Exp. 04/30/2017
Do Not Wnte In This Block
FOR FAA USE ONLY PURCHASER NAME AND ADDRESS (IF INDIVIDUAL(S). GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL.)
Six G Aviation LLC
DEALER CERTIFICATE NUMBER
AND TO ITS SUCCESSORS rvcriroin t DAn'ASTENT414. AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SAID AIRCRAFT FOREVER, AND WARRANTS THE TITLE THEREOF:
IN TESTIMONY WHEREOF HAVE SET MY HAND AND SEAL THIS 22nd DAY OF Dec 2020
en NAME(S) OF SELLER
(TYPED OR PRINTED) SIGNATURE(S)
(IN INK) (IF EXECUTED FOR
CO-OWNERSHIP, ALL MUSTSIGN. TITLE
(TYPED OR PRINTED)
Plan D, LLC Digitally signed by LAWRENCE VISOSKI
itysivihmagdmpaskikcp000mx Manager
ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER. MAY BE REQUIRED BY LOCAL LAW FOR
VALIDITY OF THE INSTRUMENT.)
ORIGINAL: TO FAA
AC Form 8050-2 (01/12) (NSN 0052-00429-0003) GC009139 Conveyance Recorded Feb/24/2021 04:20 PM FAA
EFTA00010638
FILED WITH FAA
AIRCRAFT
REGISTRATION BR
2020 DEC 22 Al IO 53
OKLAHOMA CITY
OKLAHOMA
EFTA00010639
DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE012112330
Agency Tracking ID: 76060977022 $5.00 12-22-2020
EFTA00010640
EFTA00010641
ClocuSIgn Envelope ID: 7E781336-7F28-41F4-9361.8283DC960592
PRINT PAGE 1 PRIVACY ACT STATEMENT OMR Caere, Helga 2120-0729
auras 0531/2014
Paperwork Reduction Act Statement The trtorrnautsn collected on tins form Is necessary to maintain Moan regletration. We estimate that it we take approximately 30 minutes to complete the form Please note that an agency rosy not conduct or sponsor, and • person isnot required lo respond to. • collection of informaton unless n *Splint • gelid OMB control number. Form Approved, OMB No. 2120-0721 'Comments concemMg the easurecy of this bwden and suggestions for reducing me Ihrderi should be directed to the FAA at 400 Independence Menus SW. mishaps.. DC 20591. ATTN: irdormation Colleceon Clearance Censer. AES•200.'
DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION FAILURE TO RENEW REGISTRATKW WNL
RESULT IN CANCELLATION OF REGISTRATION
AND REGISTRATION NUMBER ASSIGNMENT
(Sae 14 C.F.R yg 47.15(i), 47.40 end 47.49
AIRCRAFT REGISTRATION NUMBER
N 212JE
MANUFACTURER
Gulfstream Aerospace
DATE OF ISSUANCE DATE OF EXPIRATION
3-31-2017 3.31-2020 SERIAL NUMBER
5173
MODEL
GV-SP (G550)
ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE
(owns, 1) Plan 0 LLC
(Owner 2)
t121L Enter any addle:mar owner names on page two
(Address)
(AddresS)
City St. Thomas State VI Zip 00802
Country Virgin Islands USA
Physical Address: Required when mailing address is a P.O Box or mm drop
(Address)
(Address)
City State Zip
Celsetly
TO RENEW REGISTRATION: Rnisvy awcrafl reg.stratIon information.
SELECT ter eppropdate statement FNTFR any change In address in the
spaces below. Eat form with the 35 renewal fee to the:
FAA Aircraft Registry. Oklahoma City OK 73125-0504. or by courier to: 8425 S mg oom 118, Oklahoma City OK 73189-5937
O I (WE)CERTIFY, THE !SECS) AND ADDRESSES FROM THE FM FILES
FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, OWNERSHIP
MEETS CITIZENSHIP REQUIREMENTS Of 14 CFR 547.3, AIRCRAFT IS
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY.
UPDATE THE MAILING / PHYSICAL ADDRESS AS SHOWN BELOW.
I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF
THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP
REQUIREMENTS OF 14 CFR 547.3. AIRCRAFT IS NOT REGISTERED
UNDER THE LAWS OF ANY FOREIGN COUNTRY.
NEW MNUNG AD Go Kellerhals Ferauson Kroblin PLLC
St. Thomas USVI 00802
NEW PHYSICAL ADDRESS: complele if physical address has changed, or
the new mailing address is a PO Box or Mall Drop.
C1O Kellerhals Ferguson Kroblin PLLC
St. USVI 00802 TYPE OF REGISTRATION
LLC
HELPFUL INFORMATION
Review Aircraft Registration File Information for this aircraft
at: httplireigistry.faaiovrairoraftitxtuini.
Assistance may be obtained
al our web pep: htti ffrectietry fga govireritmeoiggegoo,
by e-mad et
by te'epnore at ta2SIL"gilliWna221(846) 162 • 9434 (toll free). or
When mailing fees, pease um a check or money order made
payabe to the Federal AvIabon Administration.
Signature and Tills Requirements for Common Registration Types:
• Individual owner must sign. title would be 'owner'.
Pertrnesne general partner signs showing 'general garbler' as title.
• Corpormice corporate officer or manager signs, showing full title.
- Limited liability Co aultronzed member. manager. or officer identiSed in the
LLC orgaruevon document signs, stewing kit We.
Co-owner each co-owner must sign. showing 'meaner as NW
• Government authorized person must sign and showtheirMIMe.
Note: All signatures must be In Ink, or other permanent media.
To correct Draw a angle line through error. Mike correct entry In
remaining space, or complete the form online. An application form wdl be
rejected if any entry is covered by corrector, tape or similarly obsosed
TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
CHECK as applicable blocks below. COMPLETE AIGh. DATE 8 MAIL INS
form with any fees to the FAA Ascraft Registry.
ON. OK, 73125-O504, or by courler to:
Oklahoma City OK 73169-6937
D CANCELLATION OF REGISTRATION IS REQUESTED.
O THE AIRCRAFT WAS SOLD TO:
(Show purchasers rams and address.)
ED THE AIRCRAFT IS DESTROYED OR SCRAPPED.
❑ THE AIRCRAFT WAS EXPORTED TO:
O OTHER, Specify
❑ PLEASE RESERVE 14-NUMBER IN THE OWNER'S NAME
AND ADDRESS. The $10 reservallon fee Is enclosed.
SIGNATURE OF O oftlefamsd IWdI
taturumt- Usesti SIGNATURE OF O Feited2Fases PRINTED NAME OF SIGNER
Lawrence Visoski PRINTED NAME OF SIGNER (required Said) TITLE (requred held)
Manager
TITLE DATE
2-21-2020DATE
Use page 2 for additional signatures.
AC Form 8050-1B (04/12) 200521518371
Return Certificate of Registration tii3Q° 02/21/2°20
LASTS Accepted CW Feb/27/2020
EFTA00010642
FILED WITH FAA AIRCRAFT REGISTRATION BR
2020 FEB 21 PM 3: 12
OKLAHOMA CITY OKLAHOMA
EFTA00010643
S Orparenerr of Tranapontorn
Federal Aviation
Admndstrabon ASSIGNMENT OF SPECIAL
REGISTRATION NUMBERS Special Registration Number
N2IZIE
Aircraft Make and Model
GULFSTREAN1 AEROSPACE GV-SP (G550) Present Registration Number
N415LM
Serial Number
5173 Issue Date:
Aug 23, 2017
This is your authority to change
the United Slain registration
number oo the above described
aircraft to ihe special
registration number shown. ICAO AIRCRAFT ADDRESS CODE FOR N212TE - 50340675
PLAN D LLC
ST THOMAS VI VI 00802 Carry duplicate of this form in the
aircraft together with the
old registration certificate as
irderim authority to operate the
aircraft pent,* receipt of revised
certificate of registration.
Obtain • revised certificate of
airworthiness from your near-
est flight Standards Districl
Office.
The West FAA Form 8130-6,
Application For Airworthiness
on fie is dated:
Mar 07, 2008
The airworthiness dassilication
and category:
SID TRANS?
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 aircraft. A revised certificate will then be issued
The authority to use the special number expires: Aug 23, 2018
CERTIFICATION; I certify that the spec. istration number was placed
on the aircraft described above.
444/46;oc-E / 0..s*X;I: Signature of Owner
Title of Owner /}2.47v,4 . PAN 1), LLc
Date Placed on Aircraft (Li aaer g " 0? O /
AC FORM MS0-64 (5/7005) Sapereedes PrtMoin Ulnae RETURN FORM TO:
Civil Aviation Registry, AFS-750
Oklahoma City, Oklahoma 73125.0504
EFTA00010644
FILED WITH FM AIRCRAFT RES'ISTs.T9.71!! !IR
2018 JAN S Pa 11 95 OKLAHOMA CITY OKLAHOMA
EFTA00010645
PLAN D, LLC Gulfstream G550 Serial #5173
as U.S.V.I. Quarters B3 00802
08/07/2017
To Whom it may concern / Ms Nancy,
FAA Registry,
At this time I'm requesting approval to apply N number N212JE to our Gulfstream G550 which is currently N4151.M.
I have already pay the $10.00 Fee from past ooncspondence,.
Please mail the 8050-64 / Assignment of Special Registration Numbers to my airport address below if possible:
Plan D LLC do Visoski Atlantic Aviation
West Palm Beach, FL 33406
Thank you.
Visoslu
Manager,
.1mlan D LLC
81.0e/Vtiuer
EFTA00010646
FILED WITH FAA
AIRCRAFT REGISTRATION BR
2017 AUG 9 API 11 05
OKLAHOMA CITY
OKLAHOMA
EFTA00010647
DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE008895928
Receipt # 171881203014 $10.00 07/07/2017
EFTA00010648
EFTA00010649
U S Department
of Transportation
Federal Aviation
Administration
Date of Issue: March 31, 2017
PLAN D LLC
ST THOMAS, VI VI 00802 Flight Standards Service
Aircraft Registration Branch,
AFS-760
HAND DELIVERED TO IATS IN THE PD ROOM Oklahoma City, Oklahoma 73125-0604
Toll Free:
WEB Address:
T 172058 This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
N4I5LNI GULFSTREAM AEROSPACE GV-SP (G550) Serial 5173 and is valid until Apr
30, 2017.
This is not an airworthiness certificate. For airworthiness information, contact the nearest
Federal Aviation Administration Flight Standards District Office.
IME for
Manager, Aircraft Registration Branch, AFS-750
Federal Aviation Administration
MS-730-FAX-4 (01 141
EFTA00010650
EFTA00010651
• r 'insnititr. 'A • DECLARATION
of
INTERNATIONAL OPERATIONS
The undersigned owner of aircraft N 4 I 5 Manufacturer 6 uLFs446-4.,-k. AerodfaCe
Model av- 3__e ( G 550 ) Serial Number 5/ 73
declares that this aircraft is scheduled to make an international flight* on AP ;t 3"2917
. (date)
as flight Number t/ 15 L Adk departing OCTE13) lee,-ree/e0 NJ
[Cir)
with a destination of Cl/ 571 s")- ty/slu
OS If 14*4/7-assa S
(City1Counvy)
'tilt required route between two points in the United States involves international navigation. explain under
Comments below. e.g. "partly over Canada" or "panty in international airspace".]
Expedited registration in support of this international flight is requested this
,779 " day of ,mn./....11 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 arty materially false,
fictitious or fraudulent statement of representation shall be fined under Title 18
United States Code or imprisoned not mote than 5 years, or both. I8 U.S.C.
§1001(a).
Name of Owner
Signature
Typed Name and Title of Signer
Phone: _
Comments: ?Lilo
LiwaLee. dsase
Fax:
Please seed the Fly Time Wire to TATS via fax number /k1A,infif.be
r•-• •• Please return the Certificate of Registration to IATS via the PD Room at the FAA.
Return Certificate Reiistrtion to:
•
EFTA00010652
A.113W 1011117110
VPONV7E0 110 :11 V eta?! Ile
NOIIVIIIS193e1
AdVt1.78!? tete RIM 031Id
EFTA00010653
U.S. Department
of Tramoortaten
Frame *ease
1.4a4aNdroto UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration -Mite Mortrormy Aeronautical Center
AIRCRAFT REGISTRATION APPLICATION
LIPIREDSWita n
namn N 4t5Lal
lest TYPE OF REWSTRATION (Qark eta)
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co ATTENTION] Reed the following statement before
'This portion must be completed.
A false a dishonest answer to ony question
may be pounds Ix punishrnen! by Me and/or
(U.S. Code, Tale 18, Section
CERTIFICATION signing this application.
In Rio alienation
impiisonment.
1001)
San MAalO ancallaadad ea tat ••••• as PIM ADO Man a. Is. le al CERTIFY:
nee to ease anon whenmo imam:and ecobare sea es la •
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OM II—AS to is all extras% met sign. Use net pelf nocessey.
1 SIGNATURE: i. DATE: Moran 2$ 2017
Puma L wrence Visoski rims: Manager
2 9/EiNATLIRE: DATE:
TYPE:M0WED
MIAS: TITLE:
3 SIGRAIIRE DATE:
TYPED/PROMO
NAME: TITIE:
NOM Inn =Med la *a eirentts win to appropriate canal alroarthbas .at iv • web* slot pent.
• can 44 Ode oneplated application provides motherly to ant the aircraft la Me Vatted Stases far op ea 90 clan.
AC Farm $0304 MIMS OW Cored No 2120-0042
Casale, EsprOt 4102017 8 V
a a
aO
EFTA00010654
Alla NOUCI
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NOI1V81SID3Z1 IdteU0111`; Intl RIM 03114
EFTA00010655
'"%te"c^:s'!" —f. '4Agre}tel.r . .
0
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UNITED STATES OF AMERICA
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
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
REGISTRATION NUMBER N415LM AIRCRAFT MANUFACTURER & MODEL
Gulfsicearn Aerospace GV-SP (G550)
AIRCRAFT SERIAL No.
5173
DOES THIS a9 DAY OF March 2017
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO: OMB Cortrci No 2120.0042
Exp 04,30,2017
Do Not Write In This Block
FOR FM USE ONLY PURCHASER NAME AND ADDRESS (IF INDNIDUAL(S). ONE LAST NAME. FIRST NAME. AND MIDDLE INITIAL )
6116.111
t. Thomas, USVI 00802
DEALER CERTIFICATE NUMBER
AND TO its successors ExcculOttro. • fai ,swmOita AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SAID AIRCRAFT FOREVER. AND WARRANTS THE TIRE THEREOF:
IN TESTIMONY WHEREOF we HAVE SET GUIHAND AMISSEAL THIS DAY OF March 2017
cc w -J NAME(S) OF SELLER (TYPED OR PRINTED) SIGNATURE(S) (IN INK) (IF EXECUTED FOR
CO-OWNERSHIP. ALL MUSTSION. TITLE
(TYPED OR PRINTED)
Chevron U.S.A., Inc.
ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER, MAY SE REQUIRED BY Locfra. LAW FOR
VALIDITY OF THE INSTRUMENT.)
ORIGINAL: TO FAA
AC Form 8050-2 (01/12) (NSN 0052-00-629-0003)
170880913227
$5.00 03/29/2017 a
0 3
*.0
tO
3
8 73
a
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O a a
EFTA00010656
FILED WITH FAA AIRCRAFT REGISTRATION
OR 2011 NAR.29 A 09 OKLAHOMA CITY OKLAHOMA
EFTA00010657
0
us Deowinws ot Transported*"
Federal Aviation
Adminatration ASSIGNMENT OF SPECIAL
R EGISTRATION NUMBERS Special Registration Number
N415LM
Aircraft Make and Model
GULFSTREAM AEROSPACE GV-SP (G550) Present Registration Number
N40 IHB
Serial Number
5173 Issue Date:
Feb 01, 2017
ICAO AIRCRAFT ADDRESS CODE FOR N4151M - 51)63671
iC.
OAKLAND CA 94621-4543
11.1iiilellolliiiililisilliliililtltiliillillilili iliiiliill This is yew stab:city to change
the United States registration
number on the above daaibed
aircraft to the special
regiunthou number soat.
Carry duplicate of this form in the
aircraft together ,ith the
old registration certificate as
interim anttaity to operas. the
aircndt pending roceipt of revised
certificate of registration.
Obtain a revised certificate of
tints from your near-
est Flight Stirdards District
Office.
The Writ FAA Farm 8130-6,
Applkstioa For Airworthiness
ea file b dated:
Mar 07,2008
The alrwarIttleen dassIfindiam
mad eategery:
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 aircraft A revised certificate will then be issued.
The authority to use the special member expires: Feb 01, 2018
CERTIFICATION: lee that tie • ' ration comber was placed
on ale
Si RETURN FORM TO:
Civil Avi . Registry, AFS-750
Oklahoma City, Oklahoma 73125-0504
Tine of Owner Assistant Secretary
Date Mend on Aircraft: Mar ci-r7 , a•zb 1 i
AC FORM M34-64 (SriliCtS) Sapwoods. Preview. Edirlea
Plea re 9 arvt P4-0 tt b Back— it. Chevron 0.S.4. Inc.
♦ tO .0 0 i s ailachwel
170881345320
$10.00 03/072017
EFTA00010658
FILED WITH FAA MRCRAFT REGISTRATION RR
P I: Il
CALAHOMA CITY OKLAHOMA
EFTA00010659
< ACTION 1-- /
I' psiInsured Aircraft Title Service, Inc.
FEDERAL AVIATION ADMINISTRATION
CENTRAL RECORDS DIVISION
OKLAHOMA CITY, OKLAHOMA
Date: Jaunary 30, 2017
Dear Sir/Madam: Oklahoma City. Ok 73144
Oklahoma City. Ok 73139
Please Reserve N in NAME ONLY for.
Please Reserve N 4151.1A ••••••• *MI • • *tee*** ••••••• • 4114 •• 01fri.• • OAP** •••••••••• *lb I. •
Ntchange Request andTs-sign for the following aircraft:
N 401HB Make Gultstream Aennlace Model GV-SP (G550) Serial* 5173
Which is (1) being purchased by x (2) registered to
Chevron
Oakland, CA 94621
Payment of the required $10.00 fee per number to reserve/assign is attached. If the preferred N number is not
available, please contact the undersigned for a selection of a new number. Please send the confirmation of
reservation/8050-64 form to Insured Aircraft title Service,. Inc. in the Public Documents room of the FAA
Additional Information: Please reserve and assign t4415O416 N401HB
Requested by:
Fee: $20.00
170300828400
$20.00 01/30/2017 0
EFTA00010660
FILED WITH FAA AIRCRAFT REGISTRATION BR
• BA JAN 301 A & 31
OKLAHOMA CITY OKLAHOMA
EFTA00010661
OMB Control Number 2120.0729
Expires01/30/17
Paperwork Reduction Act Statement: The information COSOCtlid on this form 6 necessary to mental) aircraft registration. We estimate Mal it will lake approximately 30
minutes to complete the form. Pease note that an agency may not conduct or sponsor. and a person is not required to respond to. a collection of information unless it displays a
valid C4A8 control number. Form Approved, OMB No. 2120-0729 'Comments concerning the accuracy of this burden and suggestions for reducing the burden should be
directed to the FM al: 800 Independence Avenue SW, Washington. DC 20591. ATTN: Information Collection Clearance Officer. AES-200.-
DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION FAILURE TO RENEW REGISTRATION WILL
RESULT IN CANCELLATION OF REGISTRATION
AND REGISTRATION NUMBER ASSIGNMENT
(Se* 10 C.F.R. 59 47.15(5, 47.40 and 47.41)
AIRCRAFT REGISTRATION NUMBER
N 40111B SERIAL NUMBER
5173
MANUFACTURER
GULFSTREAM AEROSPACE MODEL
GV-SP (G550)
DATE OF ISSUANCE
04/02/2008 DATE OF EXPIRATION
04/30/2020 TYPE OF REGISTRATION
CORPORATION
ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE
(Owner i) CHEVRON USA INC HELPFUL INFORMATION
Review Aircraft Registration File Information for this aircraft
at: htto://registry.faa.00v/aircraltinouiry. (Owner 2)
Assistance may be obtained
at our web page: http://registry.faa.coy/renewregistration, Mit Enter any adationel owner names on page two.
(Address)
by e-mail at: faa.aircraft.reoistivaraa.•Ov or
(Address) by telephone at.: (866) 762 - 9434 (toll free). C4
When mailing fees, please use a check or money order made
payable to the Federal Aviation Administration.
Signature and Title Requirements for Common Registration Types:
Individual owner must sign, title would be 'Ginner".
- Partnership general partner signs showing "general partner" as
title.
- Corporation corporate officer or manager signs. showing full title.
- Limited Liability Co authorized member, manager, or officer identified in
the LLC organization document signs. showing full title.
- Cgt:Tnrn el. t authorized person must sign and show their full title. each co-owner must sign; showing 'mourner as tile
Note: All signatures must be In Ink, or other permanent media.
To correct entries: Draw a single line through error. Make correct entry in
remaining space. or complete the form on-line. An application form will be
rejected if any entry is covered by correction tape or similarly obscured. Gay OAKLAND Stale CA rip 944321-4543
Country UNITED STATES
Physical Address: Required when mailing addresS Is a P.O. Box or mail drop.
(Address)
(Address)
City State Zip
Country,
TO RENEW REGISTRATION: REVIEW aircraft registration information.
mica the appropriate statement. ENTER any change in address in the
spaces below, SIGN DATE. 8 SEND form with the $5 renewal fee to the:
FAA
by courier
,,,
NEW Aircraft R ist Oldahoma City OK 73125-0504, or
to: . Oklahoma City OK 73169-6937
I (WE) CERTIFY. THE NAME(S) AND ADDRESSES FROM THE FAA FILES
FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT. OWNERSHIP
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY.
UPDATE THE MAILING I PHYSICAL ADDRESS AS SHOWN BELOW.
I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF
THIS AIRCRAFT IS CORRECT, OWNERSHIP MEETS THE CITIZENSHIP
REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED
UNDER THE LAWS OF ANY FOREIGN COUNTRY.
MAILING ADDRESS TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
CHECK All applicable block(s) below, cOMPI FTF, ajetl.. OM & fda,g.
this form with an fees to the: FAA Aircraft Registry,
Oklahoma City, OK, 73125-0504, or by courier to
. Oklahoma City OK 73169-6937
❑ CANCELLATION OF REGISTRATION IS REQUESTED.
THE AIRCRAFT WAS SOLD TO: ❑ (Show purchasers name and address.)
❑ THE AIRCRAFT IS DESTROYED OR SCRAPPED.
❑ THE AIRCRAFT WAS EXPORTED TO: NEW PHYSICAL ADDRESS: complete if physical address hes changed. a
the new mailing address is a PO Box or Mail Drop.
❑ OTHER, Specify
PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME
AND ADDRESS. The $10 reservation fee is enclosed.
SIGNATURE OF OWNER 1 (required field)
Electroncaity Certified by Registered Owners PRINTED NAME OF SIGNER (roqueod lied) TITLE (required field) DATE
12t2/2016
SIGNATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE
Use page 2 for additional signatures.
AC Form 8050- I B (04 12I Fcc paid: $5 (20161202135647433214B)
EFTA00010662
EFTA00010663
OMB Comm) Number 2120.0729
Experts0430M
Note: Twelve (12) owner names may be entered on this page. If you require more, enter the first 12 names and then print
this page by pressing the 'Print Page Z button below. Next click the Reset' button to clear the data fields (from page 2
only) to add more names. Repeat action as needed.
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
AC Form 8050- I B (04/12) REF N•NUM: 401118
EFTA00010664
EFTA00010665
OMB Control Number 2120-0729
Expires 2,29/15
Paperwork Reduction Act Statement: The information COSOCtlid on this form 6 necessary to maigain aircraft registration. We estimate Mal it will lake approximately 30
minutes to complete the form. Pease note that an agency may not conduct or sponsor. and a person is not required to respond to. a collection of information unless it displays a
valid C4.1B control number. Form Approved. OMB No. 2120-0729 'Comments concerning the accuracy of this burden and suggestions for reducing the burden should be
directed to the FAA al: 800 Independence Avenue SW, Washington, DC 20591. ATTN: Information Collection Clearance Officer. AES-200.-
DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
AIRCRAFT REGISTRATION RENEWAL APPLICATION FAILURE TO RENEW REGISTRATION WILL
RESULT IN CANCELLATION OF REGISTRATION
AND REGISTRATION NUMBER ASSIGNMENT
(See 10 C.F.R. 59 17.150, 47.40 and 47.41)
AIRCRAFT REGISTRATION NUMBER
N 401HB SERIAL NUMBER
5173
MANUFACTURER
GULFSTREAM AEROSPACE MODEL
GV-SP (G550)
DATE OF ISSUANCE
04/02/2008 DATE OF EXPIRATION
04/30/2017 TYPE OF REGISTRATION
CORPORATION
ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE
(Owner 1) CHEVRON USA INC HELPFUL INFORMATION
Review Aircraft Registration File Information for this aircraft
at: htto://registry.faa.00v/aircraftinauirv. (Owner 2)
Assistance may be obtained
at our web page: htto://registry.faa.govirenewreeistration, Mt Enter any adcitionel owner names on page two.
(Address)
by e-mail at: faa.aircraft.reaistivafaa. , ov. or
(Address) by telephone at: (866) 762 - 9434 (toll free). C4
When mailing fees, please use a check or money order made
payable to the Federal Aviation Administration.
Signature and Title Requirements for Common Registration Types:
Individual owner must sign, title would be 'ovine'',
- Partnership general partner signs showing "general partner" as
title
- Corporation corporate officer or manager signs. showing full title.
- Limited Liability Co authorized member, manager, or officer identified in
the LLC organization document signs. showing full title.
Kith co-owner must sign; showing -co-owner' as tine - CStern t authorized person must sign and show their full title.
Note: All signatures must be In Ink, or other permanent media.
To correct entries: Draw a single line through error. Make correct entry in
imagining space. or complete the form on-line. An application form will be
rejected if any entry is covered by correction tape or similarly obscured. City OAKLAND State CA rip 948214543
Country UNITED STATES
Physical Addaxes: Required when mailing address Is a P.O. Box or mail drop.
(Address)
(Address)
City State rip
Country
TO RENEW REGISTRATION: REVIEW aircraft registration information.
PC SELECT the appropriate statement. ENTER any change in address in the
spaces below, SIGN DATE. & SEND form with the $5 renewal fee to the:
FAA
by courier
,./
NEW Aircraft R rat Oklahoma City OK 73125-0504, or
to: , Oklahoma City OK 73169-6937
I (WE) CERTIFY. THE NAME(S) MID ADDRESSES FROM THE FAA FILES
FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT. OWNERSHIP
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3. AIRCRAFT IS
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY.
UPDATE THE MAILING I PHYSICAL ADDRESS AS SHOWN BELOW.
I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF
THIS AIRCRAFT IS CORRECT, OWNERSHIP MEETS THE CITIZENSHIP
REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED
UNDER THE LAWS OF ANY FOREIGN COUNTRY.
MAILING ADDRESS TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
CHECK All applicable bl0Ck(S) below, cOMPI FTF, ajett. OM & MI.
this form with an fees to the: FAA Aircraft Registry,
Oklahoma City, OK, 73125-0504, or by courier to.
. Oklahoma City OK 73169-6937
❑ CANCELLATION OF REGISTRATION IS REQUESTED.
THE AIRCRAFT WAS SOLD TO: ❑ (Show purchasers name and address.)
❑ THE AIRCRAFT IS DESTROYED OR SCRAPPED.
❑ THE AIRCRAFT WAS EXPORTED TO: NEW PHYSICAL ADDRESS: complete if physical address hes changed. a
the new mailing address is a PO Box or Mail Drop.
❑ OTHER. Specify
PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME
AND ADDRESS. The $10 reservation fee is enclosed.
SIGNATURE OF OWNER 1 (required field)
Electron arty Certified by Registered Owners PRINTED NAME OF SIGNER (requirnd find) TITLE (required field) DATE
12/4/2013
SIGNATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE
Use page 2 for additional signatures.
AC Form 8050-113 (04 121 Fcc paid: $5 (2013120416283705 I NB)
EFTA00010666
EFTA00010667
OMB Control Number 2120-0729
Expires •2/29!15
Note: Twelve (12) owner names may be entered on this page. If you require more, enter the first 12 names and then print
this page by pressing the 'Print Page Z button below. Next click the Reset' button to clear the data fields (from page 2
only) to add more names. Repeat action as needed.
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE PRINTED NAME OF SIGNER TITLE
NAME OF OWNER DATE
SIGNATURE I PRINTED NAME OF SIGNER TITLE
AC Form 8050- I B (04/ I 2) REF N-NUM: 401HEI
EFTA00010668
EFTA00010669
PRINT PAGE 1 PRIVACY ACT STATEMENT ova owed Nunn/ zizoorn
coves wzionoin
Peponverk Reduction Act Statement: TM irtormation cceeded on this form is necessary to obtain even re-regetrallon. VVe *Ornate taut a wallahs epprosimately 30
minutes le complete the form. Please note that any agency may not conduct a sponsor. anis a person I not required to respond to. a coteakin of Inkrmalion unless it displays
a valid OMB contrel number Fenn Approved. OMB No. 2120-0729
'Cisme-ems concerning the act-unity et tits burden end suggestions for reducing me burden snood be directed to the FAA St 600 irdepondence Avenve SW. Washington. CC
20591 ATTN: Information Collection Clearance Officer. AES-200
DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION
AIRCRAFT RE-REGISTRATION APPLICATION FAILURE TO REREGISTER WILL RESULT
IN CANCELLATION OF REGISTRA77GV
AND REGISTRATION NUMBER ASSIGNMENT
(Set i4 C.F.R. 0 .O.O10.17.404oul 47.41)
AIRCRAFT REGISTRATION NUMBER
N 401HB SERIAL NUMBER
5173
MANUFACTURER
GULFSTREAM AEROSPACE MODEL
GV-SP (G550)
DATE OF ISSUANCE
APRIL 02, 2008 DATE OF EXPIRATION
JUNE 30, 2011 TYPE OF REGISTRATION
CORPORATION
NAME AND MAILING ADDRESS OF REGISTERED OWNER
(If Individual, give last name, Brat name and middle Initial)
(Owner 1) CHEVRON USA INC INFORMATION FOR COMPLETION
Additional information may be obtained al our web page
660762-9434.
(Owner 2) intallrooluntles oovirenewrealstratIon or ty phone al
Hal Enter sr 'lin I ill:
(Address)
(Address) Aircraft Registration InImmalion may be reviewed at :
glizi/reolstrvitaassovfaircraftlnaulry
Please pay lees with a check or money order payable to Ihe
Federal Aviation Administration.
City SAN RAMON state CA zip 94583-2324 Signature Requirements lot Listed tration Types:
County UNITED STATES . Individual owner must sign.
BOX PHYSICAL ADDRESS (FIEOUIRED WHEN MAILING ADDRESS IS A P.O.-
OR MAIL DROP)
(Address) Partnership a general partner must sign. . bon a corporate taco or nap% offinal mat sign. Coro
- Limited Liao
Co. • meinber. manager. Or officer whil IS authorized to
menage the LLC meat sign.
(Address) - Co-owner nth co-owner must sign. continuing as necessary.
City Stale 20 on page number two.
Government any authorized person may sign.
Country Note: All signatures must be in Ink.
TO
ENTER
BLOCK
Aircraft
n RE-REGISTER AIRCRAFT: REVIEW REGISTRATION INFORMATION.
CORRECTIONS IN BLANKS PROVIDED. CHECK APPLICABLE
BELOW. SIGN, DATE. 4, MAIL WTH THE S5 FEE. To: The FM
Registration Branch. Oklahoma City. OK, 73125-0504.
i (WE) CERTIFY THE: NAME(S) AND MAIUNG ADDRESS SHOWN ABOVE
FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT. OWNERSHIP
MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3. AIRCRAFT IS
NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY.
UPDATE THE MAILING I PHYSICAL ADDRESS AS SHOWN BELOW. I
(WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(5) OF
THIS AIRCRAFT IS CORRECT. OWNERSHIP MEETS THE CITIZENSHIP
REQUIREMENTS OF 14 CFR §47.3. AIRCRAFT IS NOT REGISTERED TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT:
THE LAST REGISTERED OWNER MUST: MARX THE APPLICABLE
BLOCK(S). COMPLETE. SIGN. DATE &Mall with any tees to: The
FM Aircraft Registration Branch. . Oklahoma City. OK.
73125.0504.
CANCELLATION OF REGISTRATION IS REQUESTED FOR THE
REASON MARKED BELOW,
0 1. THE AIRCRAFT WAS SOLD TO:
(Shove purchasers name and address)
UNDER THE LAWS OF ANY FOREIGN COUNTRY.
MAILING ADDRESS .
. OAKLAND, CA 94821
El i THE AIRCRAFT IS DESTROYED OR SCRAPPED.
PHYSICAL ADDRESS: COMPLETE IF PHYSICAL ADDRESS HAS
CHANGED. OR NEW MAILING ADDRESS IS A PO BOX OR MAIL III 3. THE AIRCRAFT WAS EXPORTED TO:
DROP.
4. OTHER, Specify
O UPON CANCELLATION, PLEASE RESERVE THE N-NUMBER
IN OWNERS' NAME. The 510 check or money order for the N-
number reservation lee Is enclosed.
TITLE
Assistant Secretary OAT,
p'1126(/
ONATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE
AC Form 8050-1A (10/10) 110660825086
$5.00 03/07/2011
EFTA00010670
FILED WITH FAA
AIRCRAFT REGISTRATION BR
2011 rifiR 7 61'1 8 39
OKLAHOMA CITY
OKLAHOMA
EFTA00010671
DOCUMENT LEVEL ANNOTATIONS FOR DOCUMENT ARE002412672
REV/DOI - 4/2/2008
EFTA00010672
EFTA00010673
U.B. Department
of Transportation
Federal Aviation
Administration
Date of Issue: April 2, 2008
CHEVRON U S A INC
SAN RAMON, CA 94583-2324 Flight Standards Service
Aircraft Registration Branch,
AFS•760
HAND DELIVERED TO ARTC IN THE PD ROOM Oklahoma City, Oklahoma 71125-0501
Toll Free:
WEB Address:
1082390 This facsimile must be carried in the Aircraft as a Temporary Certificate of
Registration for
N401HB GULFSTREAM AEROSPACE GV-SP (G550) Serial 5173 and is valid until May
02, 2008.
This is not an airworthiness certificate. For airworthiness information, contact the nearest
Federal Aviation Administration Flight Standards District Office.
Manager, FAA Aircraft Registry, AFS-750
Federal Aviation Administration
AFS:750-FAX4 (10/05)
EFTA00010674
EFTA00010675
OO t.rt
lft
US.Deportment
of Ticnsportatbn
Federal wake
Admintskallon ASSIGNMENT OF SPECIAL REGISTRATION NUMBERS Special Registration Number
N 401HB Aircraft Make and Model
GULFSTREAM AEROSPACE GV-SP (G550) Present Registration Number—
N 673GA Serial Number
5173 3960203
0 ICAO
FOR
GULFSTREAM
SAVANNAH AIRCRAFT ADDRESS CODE
N401H3 = 51130411
AEROSPACE CORP
GA 31408-9643
NUMBER.E.,:,;:,0 TO____RL/LL .
DATE le RR 05 2008 Issue Date: NOVEM3ER 14, 2007
This is your authority to change the United Slates registra-
tion number on the above described aircraft to the special
registration number sh
📷 Images in this document (74 detected; 6 largest described)
AI-generated factual descriptions of embedded images (llava:13b). These are searchable across the corpus.
[Image 1] The image shows a document that appears to be an application form for an airport security clearance. The form is titled "AIRPORT SECURITY FEDERAL REGISTRATION APPLICATION" and includes sections for personal information, employment history, and a section for the applicant's signature. There are checkboxes for various types of clearance, such as "Unescorted Access" and "Restricted Area Access." The
[Image 2] The image shows a document with a table of numbers. The table appears to be a list of serial numbers, possibly related to a model or inventory. The numbers are arranged in columns, with each row containing a unique serial number. The document is a scan, and there are no visible names, dates, places, or logos that can be discerned from the image. The content of the document is factual and appears t
[Image 3] The image shows a document that appears to be a declaration or certification from the International Air Transport Association (IATA). The document is titled "DECLARATION" and includes sections for "Priority," "Declarant," "Airline," "Flight Number," "Date," and "Signature." There are fields for the name of the person or entity declaring, the name of the airline, the flight number, the date of the
[Image 4] The image shows a document that appears to be an application form for an aircraft registration. The form includes sections for the applicant's name, address, and contact information. There are checkboxes for various types of aircraft and a section for the applicant's signature. The form also includes a section for the applicant's FAA number and a section for the FAA's signature. The document is a
[Image 5] The image shows a document titled "AIRCRAFT REGISTRATION REVIVAL APPLICATION." It appears to be a form with various sections and fields to be filled out, including "Aircraft Registration Number," "Aircraft Make and Model," "Aircraft Year of Manufacture," and "Aircraft Serial Number." There are checkboxes for "New Value," "Revised Value," and "Calculation of Ownership Interest." The form also inclu
[Image 6] The image shows a document titled "AIRCRAFT REGISTRATION REVIVAL APPLICATION." It appears to be a form with various sections and fields to be filled out, including "Aircraft Registration Number," "Aircraft Make and Model," "Aircraft Year of Manufacture," and "Aircraft Serial Number." There are checkboxes for "New Value" and "Overall Value," and a section for "Signature of Authorized Official." The