0 MAJOR REPAIR AND ALTERATION USOwarteen or (Airframe, Powerplant, Propeller, or Appliance) haniiponiu,. . rent Amp.
0 MAJOR REPAIR AND ALTERATION USOwarteen or (Airframe, Powerplant, Propeller, or Appliance) haniiponiu,. . rent Amp.
mimmiratim Ord to 2120<<20
Ed tr31 ICI B Electron Track ng Eiveitet
For FAA Use Only
INSTRUCTIONS: Print or type all entries. See Title 14 CFR §43.9, Pan 43 Appendix B. and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can result in a civil penally for each such violation. (49 U.S.C. §46301(a))
I. Aircraft Naeorekty end Registration Mark! N120JE Setter NI: 10aS
Make. GULFSTREAM Model! OW Sykes: WA
2. Owner Name (As shown on reoisration cerlificare)
JEGE LLC Address (As shown on reoistratiOn cortittafe)
Ad*a.a: MOO RED R.304 DARTER 03
Oty ST. TMOWS SW. CORDON
Sc 00002 go.roy VIRGIN MINOS
3. For FM Use Only
• 4. Type & Unit Identification
Regsr Meseta. UM Make Model Sorel Number
O 0 AIRFRAME (As descnbed if teem I abOYO)
• O POWERPLANT
o O PROPELLER
El . APPLIANCE 1taa
wituraceser
S. Conformity Statement
A. Annoys Name and Address B. K nd 01 Agency
Name Stevens AdItC4p8O• Ma Delostir System. SC
se 103 Ent Din
City Mow Sum GoOrom
Sc St2te Coeds United &Stela Amente a U.S. Certificated Mechanic 0 Manacturer
O Foreign Certificated Mechant C. Cent-ante No.
0 Certificated Repak Swam
VIB8368K O Careficated Maintenance Organdatcn
0.1i:entry dal the repair erclror alteration made kr tie unti(.) 'denoted In item 5 above and OW..nbild on the reverse or aeactrnents hereto
new been nestle In accordance with die rettirements of Pant) 430! the US. Federal Anton Regulatans and that the Intrinabon
Ravished herein is true and correct iti tie best of my knowtedge.
Extended rarqe Fuel
Per 14CFR Pan 43
App. B O Sionstvernate of &Shafted kedual
Mike Shaw , • June 03, 2019
. —7 , 4.1141
7. Approval fof cum to Service
Pursuant to the autharity green persons specified below. the twit Identified in item
AdminIStrator el the Federal Adidas Adrnindliaten ard IS 0 APPROVED 5 was
. irepected n tie manner peSSOIbed by the
REACTED
BY FM FP Standards Manufacturer Maintenne Orgarizaban Person APING'S by Canadian
Department of Transport inspect&
FM D esignee X Repair Stamm Inspecton Aulltarizettm Otter (50900.7
Carthate Of
Oesqnsuco No. CRS$ VII18388K Signature/Date of ALthonzed IntS4dual
Dendall Wood
iatAuttlat w609.0 June 03.2019
FM Form 337 oo-om
SDNY_Glil_02753702
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240624
EFTA01326217
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An a,Yeration must be
cornpabble with all previous atterahons ro assure continued conformity with the applicable airworthiness requirement&
8. Description of Work Accomplished
(If more space Is required, attach additional sheets. Identify with se-craft nationakly and registration mark and date work completed.)
N120JE
Nationality and Registration Mark
KaiserAir, Inc STC ST03422CH June 03-2019
Dale
1. Installed KalserAt, Inc. SIC ST03422CH - by installation of a Universal Avionics UNS•I Espw flight management system oath
Unlink UL•801 datalink system and CVR-120A cockpit voice recorder to meet airworthiness requirements for FANSUA+ and
optional Automatic Surveillance — Broadcast (ADS-B) Out in accordance with Master Data List. Document No. JRW1279-MDL.
Revision A dated October 26. 2018 or later FAA approved revision.
2. The following FM approved Flight Manual Supplements: Universal Avionics Systems Corporation CVR-120A Codtpit Voice
Recorder. Document No. JRW1280.FMS-01, Revision A. dated May 25. 2015. Automatic Dependent Surveillance Broadcast Out
(ADS-B Out). Document No. JRW1260-FMS-03, Revision A. dated October 06. 2015. Universal Avionics UNS•tEspw FMS and UL•
801 Unlink Datalink Communication System, Document No. JRW1280-FMS-04. Revision IR. dated October 30. 2018 and the
Unvemal Avionics Corporation CVR Operation Report No. 23-70-08-01, Rev. 2. Dated March 10. 2016. has been inserted Into the
Aircraft Flight Manual.
3. Instructions for Continued Airworthiness Document No. JRW1283-ICA Revision E. Appendix A Svu E. dated June 18. 2018 has
been inserted into the Customer's Supplemental Maintenance Manual.
FM 8110-3 Approvals:
Iridium Antenna Instalati08
FM 8110.3 • CI 490-490 indium Antenna Doubler Design B Inslalabon, Identification No. N120JE-052310-1-ECNOI. Revision N/C. dated
May 23.2019 and Damage Tolerance Analysis for the Gulfstream Cy-IV CI 490-490 Iridium Antenna Doubler Insulation, Repot
No. N120JE-052319-OT01, Revision N/C. dated May 23. 2019. Approved by FM Structures DERT-605818.NAL Trevor J.
Sarong. Instructions for Continued Airworthiness Document No. N120JE-ICAW-052319, Revision IR. dated May 23. 2019
LED Cabin Effects Liohting
FM 8110-3 - installed direct replacement LEO Caton Lighting. Identification No. Drawing No. 06-328-W03 Rev IR pages 1.9. dated May 30.
2019. Approved by FM Systems & Equipment DERT-832582-CE. Michael Casper.
VHF/Comm Antenna Installation and LH Mfd Foul**. Feadthru Installation
FM 81101 - VHF/Communication Antenna Installation. Drawing No. 06-560-001. Revision IR. dated May 16.2019 and LH Feed•thru
installation 06-560-002, revision IR. dated May 23. 2019. Approved by FM Structures DERT-605818-Mil. Trevor J. Strong.
'es Performed aircraft reweigh. updated Equipment List and inserted data into the Weight 8. Balance Manual and Flight Manual as
required. FAA-8110-3 and dramngs have been inserted into the Stevens Aerospace. Customer's Supplemental Maintenance Manual.
ENO
cg Additional Sheets Are Attached
FM Form 337 110-06)
SDNY_GM_02753703
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240625
EFTA01326218
KAISERAIR,
May 14, 2019 Letter Of Authorization
KaiserAir, Inc. authorizes Stevens Aerospace and Defense Systems LLC the one time use of
KaiserAir, Inc STC ST03422CH for the installation of Universal Flight Management System,
Unilink and CVR for the requirements for FANS In Guifstream Model IV Serial Number
1085 current Tail Number N120JE.
AndreaJtujan
Chief Inspector
KaiserAir, Inc.
2240 Airport Blvd.
Santa Rosa. CA. 95492
707.528.7400
SDNY_GM_02753704
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240626
EFTA01326219
SDNY_GM_02753705
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240627
EFTA01326220
numb Shan of America
Ptparhttent of tgrausportntion — Acbcral Attention Abittinistration
Supplemental Zgpe Certificate
AGnien, ST03422CH
.Y/ti fly/Awn KaiserAir, Inc.
8735 Emhart Road
Oakland, CA 946214547
rent//J 441.44, doer e:s ensi4.../ewhet /-14-wsillys-siwy/wva t averaieh.d rowirebierboo4
//muter frJ 4aareleadaCarytva ~NJ de reterreete:ionw private -Si 1:4e/ 25 r/46 Federal Aviation
.W.cownchb..4. (See Page 3 of 4 for complete certification basis)
/1;yjyafcci:Oww4w/. • .-3,2,y vely/Awn Wwweer.• Al2EA
Oulfstraan
04V. GV
CerlierOdeava 1.4*.iowe P.r.ifivor
Installation of a Universal Avionics C/NS-IDPW night management system "WI UnilAnk UL-1501datalink system and CVR-120A
cockpit voice record". to moat aim:inhalant requirements for FANS 1/A+ and optional Automatic Depaulan Surveillana —
Broadassi (ADS-3) Oct in accordance with KaiscrAir, Inc. Master Dula List JR9/1279-MDL. Revision J, dated October 30.2018. or
later FAA approved revision.
Vatenthe/tiva owegveativaa:
1. The installa must determine nib:Ilia this design change is compatible with previoirdy approved modifications.
2. FAA approved Hight Manual Supplements, KaiscrAir, Inc. !bemoan No. JRW 1280-FMS-0 I RevisMn A, approved May 25,
2015, JRW I280-FMS-02. Revision B. anwoval Octoba 6, 2015. JRW 12804MS-03, Revision A dated October 6, 2015 and
JRW 12804-MS414, Revision -. dated Octoba 30. 2018 or later FAA approved revisions me required onboard the modified
aircraft
3. The modified aircraft must be maintained in Accordance with Ainvorthinois Limitations containedin KairerAir.'Ine. Document
No. JRW1 283-ICA, Chapter 10 0 Airworthiness Limitations. Revision approved October 30, 20 I It, or later FAA approval
revision, in addition to the basic aircmft niaintenance manuals.
4.11the holder agrees to permit another person to int this certificate to alts the product, the hoWer must give the other paron
written evidence of that pimnbsion.
arronwayt snide 4.yerretiese AA, evf he a. I p, A, 4440nweeir fir Werbeehrite
Josavvmdarei mawavoini: errnevire or Arneriteehave .4,4 r Arebrib ouleinatin," /dr •Alaimaivaillow/or
.Zialetv/. Zivie/navo . tefitraidasalaira.
late Vor,r4;whiv. :July23.2014. Jamey 27. 2015
Vark et:maaaanry• :WWI 03. 2015 lir* wecbavy/..
Vark 'naval May 25. 2015. °ciao 30.20t8
/Ay" r//4. Zetintividnv/er
Armature)
Brenda L. tilditickl
ODA Admiiiigralor
ElflOy Aerospace. LIZ
OCA431240-CE
Aar afopiat too et iris aaa• It!.?.,. 1, itsnirbrd• ay a fib of b. brridler ropirioonset not onallag 1 bars, or tot".
TM raw PAGI I at I PARS Ibis .vat/lean ay b canasta In better* with ratt ZI.47.
SDNY_Glvl_02753706
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240628
EFTA01326221
SDNY_GM_02753707
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240629
EFTA01326222
ltnite Stoke of Aumito
pepa r bumf of transportation - Adorn( A0 butitt ist t ion
Suppletztental type ffertifirate
Mantinuation Ailed)
...441t/10,17 0 ST03422CH
firok rAZatoovor: March 03, 2015
%eft smov4, May 25, 2015
miww4./ October 30, 2018
eitAwlint .92w4:
The certification basis for the changed Gulfstream G4 V aircraft as described in this certificate is as follows:
a. The type certification basis for Gulfstrenm G4V ninslanes is shown on TCDS Al2EA for parts not changed or not
affected by the change.
b. The certification basis for parts changed or affected In the change since the reference dai of application, July 23,
2014, is shown on TCDS Al2EA. In addition. the npphcant has complied with 14 CFR Part 25 as specified in the
sections listed below.
Regulations as shown on TCDS Al2EA [Amendment 25-0 through 25-56i:
25.301(a), (b); 25.303; 25.305(a), (b); 25.307(a); 25.341(a); 25.365(a), (b), (O, (d); 25.561(e); 25.581(a), (b), (e);
25.601: 25.60300. (b). (a); 25.606(a); 25609(a). (b): 25.611; 25.613(a). (b). (d): 25.615(a); 25.619(a), (b). (c);
25.625(a). 25.771(a); 25.777(a), (e); 25.789(a); 25.1301(a), (b), (o), (d); 25.1309(a), (b), (e), (d), (a), (g);
25.1322(a), 0O, (e). (d); ;5.1333(a). (b), (c): 25.1353(a), (b); 25.1357(a), (e); 25.1431(a), (b), (e); 25.1501(a), (b);
25.1523(n), (b); 25.1529; 25.1585(a), (b).
Regulations at a later amendment level than specified In TCDS Al2EA:
23.29 [Am& 25.721; 2.5.571(a). (b) [Arndt 25-45j; 25.86900(4) [Arndt 25.1131; 25.1307(e) [Arndt 25-721;
25.1329(e), (i) [Arndt 25.1191: 25.1351(a) [Muth 25.721: 25.138100, (b) (Amdt 25-72); 25.1457(a), (b), (c),
(d)(1)0),(2),(3).(6), (e), (g) 'Arndt 25-124); 25.1581(a), (b), (d)(Amdt 25-72), 25.1583(h) (Am& 23-72).
Spotlit Conditions
25-665-SC, Special Conditions: Gulfstream Aerospace Cotpomtion, Model GV-SP Airplane; Non-Rechargeable
Lithium Battery Installations, Docket No. FAA-2017-0367 (Applicability Limited to Universal Avionics UNS-
'Espy Flight Management System installed in Configurations -04 and -05).
The certification basis for the changed Gulfstream GV aircraft as described in Ibis certificate is as follows:
a. The type certification basis for Gulfstream GV airplanes is shown on TCDS Al2EA for pans not changed or not
affected by the change.
b. The certification basis for pans changed or affected by the change since the reference date of application. January
27, 2015, is shown on TCDS AI2EA. In addition, the applicant has complied with 14 CFR Pad 25 as specified in
the sections listed below.
(Continued on µage 4)
Any eltorotion of this artlelooco Is panish.41* by • has of eat Oireupelaf $1.000. or trivisaist Inc Inroatizoo 3 rues, w Cerra.
DA Tam 0110.:.1(30.4,) IASI 3 of I PAGES This corcltleat• wy b• troduncroci Zr. 110741tifill,W ZAR 21.47.
SDNY_GM_02783708
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240630
EFTA01326223
I SDNY_GM_02753709
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240631
EFTA01326224
%Whit *Ws of pAmerita
!apartment of ggranspo dation - eberati Ablation Abministration
$upplementui Zgpe Certificate
(Continuation Alpe°
Verk r/f:"MeMet: March 03, 2015
%ter- 07.4.:4;44se May 25, 2015
rink ittivowtf./ October 30, 2018
en.e0;w4;34 • 4.4.46rvi/4w”.9.-
Regulations as shown oa TCDS Al2EA 'Amendment 254 through 25411:
25.29; 2$.301(a), (b); 25.303; 25.305(a). (b); 25.307(a); 25.341(a); 25.365(x), (b), (c), (d); 25.561(e), (d); 25.571(a),
(b); 25.581(a), (b), (e); 25.601; 25.603(a), (b). (a); 25.60500; 25.60900. (b); 25.611; 25.613(a), (b), (c), (d);
25.610(a). (b), (c); 2362500: 2527100; 25177(4 (a); 25.789(a); 25.1301(a), (b) K2 (d); 25.1307(c); 25.1309(0),
(b), (e), (d), (e), (0, (g% 25.B16(b), (a); 25.1322(a), (6), (e). (d); 25.1333(4 (b), (o); 25.1351(a); 25.135300. (b);
25.1357(a), (a); 25.138100, (b); 25.1431(a), (b), (c); 25.1501(a), (b); 25.1523(o), (b); 25.1529; 25.1581(o), (b), (d);
25.158309; 25.1585(a), (b).
Regulations at a later amendment level than specified In TCDS A l2EA:
25.869(ng4) [Am& 25.113); 25.1329(c), (i) (Arndt 25.1191: 25.1457(a), 00, (c), (d)(IX0,(2),(3).(6), (a), (0, (g)
[Arndt 25-124)
Special Conditions
25-ANM-I08, Special Conditions; Gulfstream Aerospace Corporation, Model Gulfstream CV, High Altitude
Operations. Docket No. NM-112; Paragraphs 1(aXbX4
25465-SC, Special Conditions:. Gul fstream Aerospace Coq/oration, Model GV-SP Airplane, NonIFIechargeabk
Lithium Battery Installations. Picket No. FAA-20I7-0367. (Applicability Limited to Universal Avionics UNS-
lEspw Flight Management System installed in Configurations 44 and .05).
—END--
My ****** tam of ells cortlelomo L puelaluebe by • tine or we 114*.enril *Lear or IsprUpon tut esesollag I imam. or both.
FM Feu I110-2-10.4•11 Pia 4 of 4 Pal This corn/lost* ,say to trossferrod Is *mordant Ida yet 11.0.
SDNY_GM_02753710
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240632
EFTA01326225
SDNY_GM_02753711
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240633
EFTA01326226
0US Dremnort MAJOR REPAIR AND ALTERATION
e Ting:futon (Airframe, Powerplant, Propeller, or Appliance) &woe esaotion
Ads1risibton feetemee
21100010
wagon Eliontne crew, ream
sot eiliA uneasy
INSTRUCTIONS hull or type as entries. See Title 14 CFR §43.9. Part 43 Appendix 8. and AC 4194 (or subsequent foremen thereof) for
instructions and disposition of this form This report is required by law (49 U.S.C. §44701). Failure to report can road? in a ovil penaky for each
such violation. (49 U.S.0 §46301(a))
1. Aircraft Nationality and Registration Mark
N120JE Serial No.
1085
Make
Gulfstream Aerospace Model
G-IV Sores
a. Owner Name (As shown on regostraDon certificate)
JEGE LLC Address (As Shown on registration carnivore)
Morin 6100 RED HOOK QUARTER 83
cry St. Thomas sm. Foreign
be 00802 cage, Virgin Islands
3. For FAA Use Only
4. Type 6. Unk Identlfkatifin
Repair AllefillIOn Unit Make Model Serial NO.
al 0 AIRFRAME (As CIOSChbed ifl MINI I I above)
0 ID POWERPLAt4T
0 0 PROPELLER
0 0 APPLIANCE Type
Alenutectiger
I. Conformity Statement
A. Agency's Name and Address B Kind of AgenCy
isms Gunstream Aerospace Services COrpOration U S Collated Mecherie I laerulacturer
&Ss 7 Char Drive Fetal:, Centagel Methane C. Certificate No.
cie Westfield am MA i Coble: al Repair Sieben
LEGRO39G be 01085 own, USA Cans:sew maintenance Organs/bon
D. I candy that he repair andlor alteration made to the unit( ) identified in item S above and described on the reverse or attachments hereto
have been made in accordance with the requiremee4s of Pan 43 of the U.S. Federal Aviation Regulations and that the information
Nmished herein is true and cared to the best of my knowledge.
re
Extended range fuel
Per 14 CFR Pin 43 0
APP. 8 Signature/0mo of Authorized Intkviduat ,
Benjamin Thomas Jones z .....4—.... -- 09 November 2018
7. Approval fo Wurn to Se
Pursue I to the authority given persons &Pealed below, the unit identified in item 5 was nseecteo in the manner presorted by Me
Administrator of the Federal Aviation Administration and is 2 Approved 0 Rejected
BY FAA Flt Standards
Inspect« Maintenance Organization Persons Appeared by Canavan
Department or Transport
FM Designee I Repair Station Inspection Au cation Other (Specify)
Corti ale Of
Designation No.
LEGRO39G Signature/Date of Aumon 1101
Dean Mathew Dickman c.... --09_November 2018
FAA Fenn 3370041i
SDNY _ GM_ 02753712
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240634
EFTA01326227
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record An alteration must be
Compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.
S. Description of Work Accomplished
Minor° space is ragweed attach addrional shears Idenlify min soccer nahonabty and regOkation mark and dale work comaierca)
N120JE 159 November 2018
Nationale), and Registration Mark Date
Performed Major Repair to the Forward Lower Side of the Baggage Door in accordance with 1159RD13459-3 and
Forward Upper Side of the Baggage Door in accordance with 1159RDB459.5 Standard Repair Intl - Frame
Cracks. Baggage Door.
Gulfstream Standard Repair Drawing 1159RDB459 Rev. J is FAA Approved per Gulfstream GIV SRM 52-00-02
Rev. 16 Dated December 15. 2017 and Engineenng Disposition 50019580.1.1 by Stephen Alois Dated
November 7, 2018.
This Repair Does Not Impact Aircraft Weight and Balance or the ICA.
END
Additional Sheets Are Attached
FAA Fenn 137 (Wai
SDNY_GM_02753713
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240635
EFTA01326228
ee us oftwonn MAJOR REPAIR AND ALTERATION
et Orntoenol on (Airframe, Powerplant. Propeller, or Appliance) Federal Aviation
winawasten 1/4....,77703 core
2.21/2011Eleceobc Weeny Nun.
erFAA UN Only
INSTRUCTIONS: Pnnt or type all entnes. See Tele 14 CFR $43.9. Parl 43 APperdix B, and AC 43.9-1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is requred by law (49 V.S.C. $44701). Fatale report can resiA in a civil penalty for each
such holabcn. (49 U S C §46301(a))
1. Aircraft Nationality and NegntrabOn Mark
N120JE Serer No.
1085
Make
GULFSTREAM AEROSPACE Model
G-IV Senes
N/A
t. Owner Name (As shown on teolfration cerflficate)
JEGE LW Address (As shown on/migration contralto)
Meese 8100 RED HOOK QUARTER 83
G., ST THOMAS sew FOREIGN
z,,, 00802 cony VIRGIN ISLANDS
3. For FAA USO 0 ly
4. Type a Unit Identification
Repair Alteration Unit Make Model Serial NO.
IZI O AIRFRAME (As descnbect in nem 1 above)
O O PON£RPLANT
El CI PROPELLER
O . APPLIANCE Type
mraacia ,
6 Conformity Statement
A. Agency: Name and Address B. Kind of Agency
an Galmmargigaenaces ration
man. 7 Char Drive u 5 corencesee Mechanic I lAanuhaurer
Foreign CerlaCated Mechem C. Certificate No.
cq Westfield Sine MA / Cannoties Raper 3NbOn
LEGRO39G a. 01085 Canty USA Certif.:ad atenterence Organzatan
O. [certify that tne repair and/or aeration made to the unlit ) identified in item 5 above and described on the reverse or attachrnems hereto
have been made in accordance with the restatements of Part 43 of the U.S. Federal Aviation Regulahons and that the intortnatson
furnished herein is Ina and correct to the heft of my knowledge.
Extended range fuel
per 14 CFR Part 43
App. B • SignaturerDate of Authorized Ince/ -1
Benjamin T. Jones 26/JUIJ2018 „.,..--t_--_...
- . pproval for R talcs
Pursuant to the authority given persons specified below. the Linn identified in item 5 was inspected n the manner prescribed by the
Administrator of the Federal Aviation Administration and is 2 Approved O Rejected
BY FM Fit. Standards
inspector manufacturer Maintenance Organization Person, ANNOYS by Censaen
orpartmen of Transport
FM Designee 1 Repar Station Inspection Authorization Other (Sporty)
Certificate or
Designation No.
LEGRO39G Signature/Date reed indwismil
26/JUL/2018 Dean M. Di ___
FAA Forrn 337 rioter
SDNYGM02753714
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240636
EFTA01326229
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record An alteration must be
compatible with all previous alterations to assure continued contort* with the applicable einvorthiness requirements.
a. Description of Work Accomplished (It more space is required. attach additional sheets. Identify wen aircraft nationality and reetstrabon mark and date work completed.)
N120JE
Nationality and RegitratiOn Mark 26/JUU2018
Date
1.) Reworked the LH Thrust Reverser P/N 1159P41460-3 S/N A088 LH Fwd Mount Holes 2L - 4L and 7L - 11L.
Installed The Following Repair Bushing Part Numbers In Locations Listed;
21. - GSL405420001.11-5474
31. - GSL405420001-11-5312
4L - GSL405420001-11-5474
7L - GSL405420001.11-5312
8L - GSL405420001.11-5940
9L - GSL405420001-11-5312
10L - GSL405420001-11.5940
11L - GSL405420001-11.5312
2.) Reworked the RH Thrust Reverser P/N 1159P41460-4 S/N A088 RH Fwd Mount Holes 3R,7R,13R -10R.
Installed The Following Repair Bushing Pan Numbers In Locations Listed;
2R - GSL405420001.11.5746
3R - GSL405420001.11.5320
4R - GSL405420001-11-5781
5R - GSL405420001-11-5322
7R - GSL405420001-11-5312
BR - GSL405420001-11-5946
9R - GSL405420001-11-5312
10R - GSL405420001-11-5754
11R - GSL405420001-11-5312
Repairs Accomplished in Accordance with and Substantiated By Gulfstream General Service Letter
GSL405420001 Rev B., Engineering Disposition SC18934.14.9.1.1 and SC18934.16.1.1.1
This Repair Does Not Impact Aircraft Weight And Balance. Or The ICA.
3.) Reworked the LH Inlet P/N 1159P41100-69 S/N A086 LH Fwd Mount Holes 13L. 151. - 20L and 231. - 25L
then Installed Repair Bushings PIN GSDD405411001-11 as required.
4.) Reworked the RH Inlet PIN 1159P41100-71 SIN A086 RH Fwd Mount Holes 6R, 12R, 17R - 19R and 24R
then Installed Repair Bushings PIN GSDD405411001.11 as required.
Repairs Accomplished in Accordance with and Substantiated By Gulfstream General Service Letter
GSL405411001 Rev C., Engineering Disposition SC18934.14.10.1.1 and SC18934.16.11.1.1
This Repair Does Not Impact Aircraft Weight And Balance. Or The ICA.
END
Addnional Sheets Are Attached
FAA Form 337 {torn
SDNY_GM_02753715
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240637
EFTA01326230
91Ilbf
vs oromurer MAJOR REPAIR AND ALTERATION
a transponsess (Airframe, Powerplant. Propeller, or Appliance) From Annie,
Aantatistration Fr, Amos!
pre No 1000020
moonElena"K Treaing Nuen:
.. FAS Use Puy
INSTRUCTIONS: Pont or type aN entries. See Tele 14 CFR §43.9. Pan 43 Appendix 8. and AC 43.9.1 (or subsequent revision thereof) for
instructions and disposition of this form. This report is required by law (49 U.S.C. 544701). Failure to report can result in a civd penalty for each
suCh violation. (49 U.S.C. §46301(a))
1. Aircraft Nationality and Registration Mark
N120JE $erial No.
1085
Make
GULFSTREAM AEROSPACE Model
G4V N/A
2. Owner Name (As shown on mixers:ion certracate)
JEGE LLC Address (As shown on registration certificate'
Mann 6100 RED HOOK QUARTER B3
cc, ST THOMAS sm. FOREIGN
20 00802 cowry VIRGIN ISLANDS
3. For FAA Use Only
4. Type S. Unit Identification
Reis* Alteration Unit I Make Model Serial No
Z 0 AIRFRAME (As clescncecl on Item 1 above)
El • POWERPLANT
El • PROPELLER
El 0 APPLIANCE type
Merestectiew
6. Conformity Sta ernent
A. Agency's Name and Address B. Kind of Agen y
ere Gulfstream Aerospace Services Corporation u. s. Garlaraterl Meehan I Sran...ackrer
Mons 7 Char Drive Foreign Cathcatee Mechanic G Certificate No
Ger Westfield Si." MA i Certificated Repair Staten
LEGR039G a• 01085 cwwv USA Coreficateo Ulaimenance OrgarCakin
O. I certify that the repair andior alteration made to the unit( ) id nofied in item 5 above and described on the reverse or attachments hereto
have been made in accordance vett the requirements of Part 43 of the U.S Federal Aviation RegAations and that the information
furnished herein is true and Coned to the best of my knowledge.
Extended range fuel
per 14 CFR Part 43
n00. B El &puha Authorized Indi
mint e-j;----T---" 26/JUN/2018
7. Approval for Return to Service
Pursuant to the authority g ven persons specified below. the unit identified in item 5
Adnwestralor 01 the Federal Aviation Administration and is 9 Approved was
IMI -nspected in the manner prescnbed by the
Rejected
BY FAA Fn. Standards
Inspedor Manufacturer MeintenanMaintenanceOrganization Persons Approved by Gainsays
Department of Transport
FAA Designee I Repair Station Inspection Autnonzation Other (Savory)
Ceti Kate or
Designation No.
LEGR039G Signature/Date of Authorized Individual
Wiliam Stucklen 26/JUN/2018
FAA Form 337 norm
SDNY_GM_02753716
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_0O240638
EFTA01326231
NOTICE
Weight and balance or operating limitation changes shall be entered in the appropnate aircraft record. An alteration must be
compatible with all previous alterations to assure continued conformity with the applicable airworthiness requirements.
I. Description of Work Accomplished (II more space is required, attach additional sheets. Identify with aircraft nationality and registration mark and date work completed.)
N120JE 26/JUN/2018
Nationality and Registration Mark Date
Performed rework of rudder actuator forward attach fitting - F.S. 757.562 in accordance with Gulfstream drawing
No. 1159RDB729, No Revision, -901 inst.
This major repair is substantiated by FAA form 8100-9. dated 06/15/2018, Project No. TR-07-2018-0014. from
Gulfstream Savannah Authorization# ODA-511131-CE. cert 0336099.
This repair has no effect on current ICA.
Weight and Balance effect: None
AFM Supplement: None
Performed the following repairs to flight control hinge fittings in accordance with Gulfstream drawing No.
SE05000102. Rev. E. STD. Repair - Control Surface Hinge Fittings:
1) Performed repair SE05000102-913D6-20 to UH #3 Aileron hinge fitting P/N 1159WM20202-5. Bore
measures .4065", installed 5E05000901 -913D6-20 bushing.
2) Performed first increment 0/S repair to UH Aileron #1 hinge holes (3 places). Bores measure .3280". installed
NAS6605D4OX. NAS6605D54X, AND NAS6605066X 0/S hardware.
3) Performed repair SE05000102-911P5-21 to UH Elevator hinge #4. Bores measure .3906" - .3911", installed
SE05000102-911P5-21 repair sleeve.
4) Performed repair SE05000102-912S88-1 to UN Elevator trim tab hinge# 1 inboard lug. bore measures 3905".
installed SE05000102-912588.1 bushing.
5) Performed repair SE05000102-911P2-5 to UH Elevator trim tab hinge# 1 outboard lug, bore measures .4063",
installed SE05000102-911P2-5 sleeve.
6) Performed repair SE05000102-911P1-5 to R/H Elevator trim tab hinge# 1 outboard lug, bore measures .3905",
installed SE05000102-911P1-5 bushing.
7) Performed repair SE05000102-911P1-5 to R/H Elevator trim tab hinge# 2 outboard lug, bore measures .3905",
installed SE05000102-911P1.5 bushing.
8) Performed repair 5E05000102 -914P1-28 to Rudder top hinge and fitting. bores measure .389r. installed
5E05000901.914P1-28 bushing.
9) Performed repair SE05000102.914P1-27 to Rudder middle hinge and fitting, bores measure .3898", installed
SE05000901.914P1.27 bushing.
Et Additional Sheets Are Attached
FAA Form 337 i loos)
SDNY_GM_02753717
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240639
EFTA01326232
DEPARIWO CR TRASSPC*TAIX.4410IIPLU. AY.A7O.1•ZAI0SSTRAT 1O4
STANDARD AIRWORTHINESS CERTIFICATE
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SDNY_GM_02753718
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EFTA_00240640 test Raw.
EFTA01326233
_
SONY_GA.4_02753719
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA 0024064I
EFTA01326234
0.40 VS/ I CO illOisca
CEPARTMEN1 Of TRANSPORTATION MEWL AVIATOIMMISTRATION
STANDARD AIRWORTHINESS CERTIFICATE
ialevort op I sntiniCitata NO litCtl I MOW/ KRA& I unwire
WSTWO. 11100. Walla
N212JE Gultatreas G-IV 1085 Tramline t
AVICW,MOVISI
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SDNY_GM_02753720
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EFTA_00240642
EFTA01326235
SDNY_GM_02753721
T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15,
EFTA_00240643
EFTA01326236
to
co
UNITED STATES OF AMERICA
m
pA
apH 0
Xl o 1 NATIONALITY AND
H REGISTRATION MARKS
N120JE DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION
STANDARD AIRWORTHINESS CERTIFICATE
2 MANUFACTURER AND MODEL . - ft.. ..;.:
GULFSTREAM AEROSPACE -a:IV 3 AIRCRAFT SERIAL NUMBER
1085 4 CATEGORY
Transport
5 AUTHORITY AND BASIS FOR ISSUANCE / c:"..-\ ••• - ..„. , . t / • ,
m This airworthiness certificate is issued pursuant to 49 U.S.C. § 44704 and certifies that, as of the date otissuance, this aircraft has been inspected and found to
O conform to its type certificate and be in a condition for safe operation. This aircraft meets the requirementief the applicable airworthiness standards in Annex 8
Civil Xi to the Convention on International Ariabon. except as fellows:
CI .i. •
1
;f t'fl 70
Xl
C)70
6 TERMS AND CONDITIONS
LE) NONE
ea.
Unless sooner surrendered, suspend, revoked, or a termination date is otherwise established by the FAA, this airworthiness
certificate is effec ive as long as maintenance, preventative maintenance, and alterations are performed per the applicable
FederatAviation Regulations and the. aircraft is registered in the United States.
DATE OF ISSUANCE FAA REPRESENTATIVE
.10 R 05/23/2000 PZ-L: ag t. cm a Any alteration, misuse, or reproduction of this certificate for a fraudulent purpose may be punishable by certificate revocation, fine,
and I or imprisonment
UT oTHIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT PER THE APPLICABLE FEDERAL AVIATION REGULATIONS.
;AA Form 8100.2 (11-2016) Previous Edition Dated 0.4-11 May be Used Until Depleted
La,
CL 1,3 Co DESIGNATION NUMBEF
AEA-FSDO-25
EFTA01326237
VIIONV1)10
Alto VINOHY1)10
Se Tr WEI 6 90U Uhl US NOUNii/S10311 141,210WV V114 HIIA1 031Id
SDNY_GM_02753723
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00240645
EFTA01326238
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••-•1 • tr • , - UNITED STATES OF AMERICA
DEPARTMENT OF TRANSPORTATION -FEDERAL AVIATION ADMINISTRATION . STANDARD AIRWORTHINESS CERTIFICATE
, mr,e,m„, I., NC ractorionar Doty
N 1 20JE . a IMOSACTU.0 NO Oa ,'...........—•
0," -C ' • GULFSTREAM AE, RDSFACE —G:IV -rinvie,..—:: roes 17 A • . cartoore
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AffiNnim eat a twneosio. at IN* was, Poe Wsam Mi ts eing. by ream, motion rm. Ardis Inebsellent ..."-....-....._.,.....-.-
DIM CERTIFICATE 41ST IIE OiSPLAYED ti ME PaalAFT PER THE APPLICAKI FECtIV4 AVIATION REGULA11048.
ftham II1C04 01401M Orwais San Ofted04.116,/ tio UndUndlOsprobill
EFTA01326239
All0 V1)40
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as N • lignSI0311 14 8W
Ind HAIM 031Id
SDNY_GM_02753725
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA _00240647
EFTA01326240
MAJOR REPAIR AND ALTERATION ' 0 (Airframe, Powerplant, Propeller, or Appliance) Orni APPOY00
OMB 0,2007 No. 2120-0020
117on< Ime.00 ionow
For Pm um OW
US Deortmont of Tronsocnssol 'Odin, Animon
mminstroson
INSTRUCTIONS: Pnnt or type as entries. See FAR 43.9 Appendix B. and AC 43.9-1 (or subsequent revision thereof) for
and disposition o this form This report is required by law (49 U S C 44701) Failure to report can result in a civil penalty
violation (49 U.S C. 46301(a)) instructions
for each such
1. Aircraft Nationally and Registration Mark
USA N212JE Serial No.
1085
Model
G-IV Series
Make
GULFSTREAM AEROSPACE
2. Owner Name (As storm on registration certificate)
JEGE LLC Address (As shown on registration certificate)
Mans 6100 Red Hook Quarter 83
ay ST Thomas Stud
Zo 00802 ciikrov Virgin Islands
3. For FAA Use Only
4. Type 5. Unit Identification
Repair Alteration Unit Make Model Serial No.
0 9 AIRFRAME (As described in item 1 above)
0 0 POWERPLANT
0 0 PROPELLER
0 0 APPLIANCE is
Maitaciett
6. Conformity Statement
A Agency's Name and Address B Kind of Agency I Manufacturer
International Jet Interiors
2221 Smithtown Ave
Ronkonkoma, New York
11779 USA Certificated Mechanic C. Certificate No.
'Mc _U.S.
Foreign Certificated Mechanic
CRS I1JR439Y Certificated Repair Station
Certificated Maintenance Organization
D. I certify that the repair and/or alteration made to the unit s) identified in item 5 above and described on the reverse or attachments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge.
Extended range fuel per
14 CFR Part 43 0
App B Signature/Date of Authorized Individual .
Thomas Norden Date. 2/20/2014
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the
Administrator of the Federal Aviation ACITiniSIta000 and is tE) APPROVED 0 REJECTED
FM Fit. Standards
Inspector Manufacturer Maintenance Organization Persons Approved by Canadian
Department of Transport
BY
FM Designee X Repair Station Inspection Authorization Other (Specify)
r...\
Certificate or
Designation No.
CRS I1JR439Y Signature/Date of Authorized Indrodual
Thomas Norden Date: 2/20/2014 • ,Kl acae....4._
FAA Form 337 rio-osi
SDNY_GM_02753726
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240648
EFTA01326241
NOTICE
Weight and balance or operating limitalico changes shall be entered in the appropriate aircraft record An alteration must be compatible with
all previous alterations to assure continued conformity with the applicable airworthiness requirements.
8. Description of Work Accomplished
(If more space is required, attach additional sheets, Identify with aircraft nationality and registration mark and dale work accomplished.)
USA N212JE
Nationality and Registration Mark
KGS ELECTRONICS II5VAC, 60FIZ, I000VA INVERTER
SYSTEM INSTALLATION DATE
2/20/2014
I.) Removed 20. PIN: AK-55140M 28-I2VDC converters. 2ca. PIN: XD600-1 amplifiers, lea. P/N: XD600-6 amplifier, and lea. P/N:
BBK-2AH keep alive battery. Installed a KGS Electronics I I SVAC, 60HZ, 1000VA inverter system in accordance with DB Integrations,
LLC document No. 140121001 titled I I5VAC 60HZ Inverter Wiring Diagram, revision (0), dated February 5, 2014 which was approved
under FAA form 8110.3 dated Febuary 11, 2014 (attached) for systems and equipment.
2.) The structural aspects of the inverter installation were accomplished in accordance with DB Integrations, LLC document No.
140205001 titled 60HZ Inverter Structural Installation, revision (0), dated February 5.2014 which was approved under FAA form 11110-3
dated February 13.2014 (attached) for structures.
3.) The structural aspects of the outlet and circuit breaker installations arc deemed a minor alteration, which were performed in
accordance with applicable sections of AC43.13-I B and AC43.13.2G.
4.) The equipment list has been revised.
5.) The weight and balance has been revised.
6.) An electrical toad analysis has been performed and found not to exceed 80% of the full generator capacity.
7.) Instructions for Continued Airworthiness (ICA) are incorporated into DB Integrations. LLC document No. 140213002. revision
(IR.). dated February 13, 2014 and have been provided to the operator for incorporation into the aircraft inspection/maintenance
program.
8.) A Logbook entry has been made reflecting this modification.
9.) The work described, has been found to be in conformity with the above mentioned approved data and continues to meet the
airworthiness criteria under which it was originally certificated. Work Order No. 14104, on file at this agency, covers the above described
work.
No Further Entries
CEI Additional Sheets Are Attached
FM Form 337 (10-06)
SDNY_GM_02753727
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240649
EFTA01326242
U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS 1. DATE
February 11.2014
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION
2. MAKE
Gultstream Aerostat. 3. MODEL NO.
G.IV 4. TYPE MeV* E Sint PMCOSIV. arc I
Airplane 5 NAME OF APPLICANT
DS mtegraiions. I.LC
LIST OF DATA
6. IDENTIFICATION 7. TITLE
Report:0000214.1085. Rev. Wt.
Dale: 02/11/2014 130 Hz T50 Invader Modification'
NOTES:
t. This approval coven Medial. design aspects onhr on Airplane Model G-IV. sin I 065 ands not
intalialion approval.
2. The au0lorted agency retumng the Wadi to sena is responsible to determine compeance *II the
above data.
3. This approval is lot ele*foal engineering design data only. It indraiNs IS data listed above densanstees
coerces** or* with the regubtions specified by paragraph and subparagraph listed below as 'Applies*
Rechirernents"
8. PURPOSE OF DATA
To support Major Alteration FM Form 337 for sin 1065. The approval is design data approval only and Is not instate* approval.
O. APPLICABLE REQUIREMENTS (List specific sectcas)
14 CFR Pan 25.0; 25.135100M Nerd 25:72; 25.1357 (aKb)(c)Ard 25.123
10. CERTIFICATION • Under authority vested by direction of the
appointment under 14 CFR Part 183. data listed above and an alleChed
in accordance with established procedures and found to comply
0 Recommend approval of these data
I (1M0) Therefore a Approve Mose data Administrator and in accordance with conditions and limitations of
sheets numbered have been examined
with applicable reenactments of the Airworthiness Standards fisted.
II. SIGNATURES) OF DESIGNATED ENG7RING 'SENTATivE(SI 12 DESIGNATION NUMBER(S) 13. Cl ASSiFICATION(S) 5
, f
David J Richards (.2..............t.k.., 42.../DERT 955091-NE Systems and Ethripnera Eleclncal
FAA Form 8110-3 (01,10) SUPERSEDES PREVIOUS EDITION
SDNY_GM_02753728
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240650
EFTA01326243
SDNY_GM02753729
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240651
EFTA01326244
U.S. DEPARTMENT OF TRANSPORTATION
FEOMAL AVtATiOn ADMINISTRATION
STATEMENT OF COMRUANCE WITH AIRWORTHINESS STANDARDS I DATE
2/13/2014
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION
2. MAKE
Gulfstream
Aerospace
Corporation 3. MODEL
G-IV a TYPE (Aircraft. Engine. Propeller. etc.)
Aircraft S. NAME OF APPLICANT
DB Integrations
UST OF DATA
6. IDENTIFICATION 7. TITLE
140205001 60 Hz Inverter Structural Installation, Sheets I through 4, Initial Release, dated February
5, 2014.
Notes:
1. This approval is for engineering design data only. It indicates the data listed above
demonstrates compliance only with the "Applicable Requirements." Compliance with
additional regulations not listed here may be required. This form does not constitute
FAA approval of all the engineering data necessary for substantiation of compliance to
necessary requirements for the entire alteration.
2. TCDS is Al2EA.
8. PURPOSE Of DATA:
Drawing 140205001 installs a 60 Hz inverter on an existing shelf on Gulfstream Aerospace Corporation Model G-
IV, A/C S/N: 1085, as a major alteration.
9. APPLICABLE REQUIREMENTS (List specific sections):
14 CFR dated February 1, 1965, including Amendments 25-1 through 25.56: 25.301 Loads, 25.303 Factor of
safety, 25.305 Strength and deformation, 25.561 Emergency Landing Conditions —General, 25.601 Design and
Construction —General, 25.603 Materials, 25.605 Fabrication methods, 25.607 Fasteners, 25.789 Retention of
items of mass in passenger and crew compartments.
10. CERTIFICATION -Under authority vested by direction of the AdrniMstrator and in accordance with conditions and limitations of appointment under 14
CFR Part 183, data listed above and on attached sheets numbered have been ermined in accordance with established procedures and found to
comply with applkable requirements of the Airworthiness Standards listed.
O ROCOMMadd SPINOVil of these data
I (We) therefore a Approve these data
11. SIGNATURE(S) Of DESIGNATED ENGINEERING REFIIESENTATIVE(S1 12. 0CSIGNATION NUMEIER(S) 13. ClASSIFICATION(S)
CAT \ CLVN ICii)m)liN-DERT-831129-CE STRUCTURES
FAA Fpm $110.3 (O3/1O1SUPERCEDES PREVIOUS REVISION
SDNCGM_O275373O
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240652
EFTA01326245
SDNY_GM02753731
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240653
EFTA01326246
U. S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I DATE
2/18/2014
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION
2.MAKE
Gulfstream 3.MODEL NO.
• G-IV 4.TYPEfAhOwre. Craw. Propellor. It)
Airplane sNAME OF APPLICANT
International Jet Interiors
LIST OF DATA
tit IDENTIFICATION 7,11TLE
TP 268821-14
Rev A
Dated 02/18/2014 Skandia. Inc. Flammability Test Report
Bunsen Burner Testing
Test Specimen P/N's
1 (represents floor covering)
2 (represents floor ducts)
3 (represents seat bases)
4 (represents cockpit. sidewalls & pedestal)
Notes:
1) Work accomplished under Skandia Inc. WO 0 268821.14, Ref Document ID 94995.
2) Flammability test witnessing only, does not constitute installation approval of materials.
8.PURPOSE OF DATA
Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for SIN 1085
9.APPLICABLE REQUIREMENTS dist specific sections)
14 CFR Pan 25.853 (a) Arndt 25-116 Appendix F Pad I (a)(1Xi) Amdt 25-111
14 CFR Part 25.853 (a) Arndt 25-116 Appendix F Pan I taxixie
10.CERTIFICATION - Under authority vested by direction of the Administrator
of appointment under 14 CFR Pail 183. data listed above and on attached
examined Si accordance with established procedures and found to comply
Standards listed.
0 Recommend approval of these data I (ibb)Therefore )tiaprove these data ,and in accordance with conditions and imitations
sheets numbered have been
with applicable requirements of the Airworthiness
I I.SIGNATURE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE 12.DESIGNATION NUMBER(S) 13.ctASSIFicATiOmS)
)4Q \bObit 'xi 1 gl
Ja-Biberstein -FAA DER DERY-832780-CE Structural Special
orm 8110-3 (03ile)•SUPERSEDES PREVIOUS EDITION
SDNY_GM_02753732
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240654
EFTA01326247
SDNY_GM02753733
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240655
EFTA01326248
0 MAJOR REPAIR AND ALTERATION
(Airframe, Powerplant, Propeller, or Appliance)
US Doperonant
of Trecepflon
Fedenl Avladon
Adminievetion ram Approved iEllevonc
OMB
iirk NO 2120-0020
oncor Trseiro Noce'
Fee FArtUe•Only
INSTRUCTIONS Print or type all entries See FAR 43 9 Appendix B. and AC 43.9.1 (or subsequent revision thereof) for instructions
and disposition o this form. This report is required by law (49 U.S.C. 44701). Failure to report can result in a civil penalty for each such
violation (49 U.S C. 46301(a)).
1. Aircraft Nationality and Registration Mark
USA N212JE Serial No.
1085
Model
G-IV Series
Make
GULFSTREAM AEROSPACE
2. Owner Name (As shown on registration certificate)
JEGE LLC Address (As shown on registration certificate)
Aedess 6100 Red Hook Quarter
cay St Thomas sine
A, 00802 corm Virgin Islands
3. For FAA Use On
4. Type 6. Unit Identification
Repair Alteration Unit Make Model Serial No
El i7i AIRFRAME (As described in item 1 above)
0 0 POWERPLANT
0 PROPELLER
0 • APPLIANCE T10F
hiestellOlaW
6. Conformity Statement
A. Agency's Name and Address B Kind of Agency I Manufacturer
International Jet Interiors
2221 Smithtown Ave
Ronkonkoma, New York
11779 USA U.S. Certificated Mechanic C. Certificate No.
Foreign Certificated Mechanic
CRS I1JR439Y k Certificated Repair Station
Certificated Maintenance Organization
D. looney that the repair and/or alteration made to the unit(s) identified in item 5 above and described on the reverse or enactments hereto
have been made in accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information
furnished herein is true and correct to the best of my knowledge.
Extended range fuel per
14 CFR Part 43 0
APP. 8 Signature/Date of Authorized Individual
Thomas Norden Date: 9/19/2013 C---- IlaelAl .t)elra -....1
7. Approval for Return to Service
Pursuant to the authority given persons specified below, the unit identified in item 5 was inspected in the manner prescribed by the
Administrator of the Federal Aviation Administration and is (2) APPROVED 0 REJECTED
FM
ect« Fit. Standards
InspManufacturer Maintenance Organization Persons Approved by Canadian
Department of Transport
Y
FM Designee X Repair Station Inspection Authorization Other (Specify)
Certificate or
Designation No.'Signature/Date of Authonzed Individual
CRS I1JR439Y ", .
Thomas Norden Date: 9/19/2013 kil a eir
FM Form 337 0005)
SDNY_GM_02753734
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240656
EFTA01326249
NOTICE
Weight and balance or operating limitation changes snail be entered in the appropriate aircraft record. An alteration must be compatible with
all previous alterations to assure continued conformity with the applicable airworthiness requirements.
8. Description of Work Accomplished
(If more space is required. attach additional sheets, Identify with aircraft nationality and registration mark and date worn accomplished)
USA N212JE
Nationality and Registration Mark DATE
9/19/2013
Modified the existing Cabin Entertainment System in accordance with Electrical Drawing listed below ( Note: reference
FAAIDER approved Structural Drawings for provisions for all Audio and Video equipment installed at this time on FAA 337
Form, this date).
Dwe No. Date Rev Title
PA-G1V-1085.2501 8/21/13 B CABIN ENTERTAINMENT SYSTEM (MOD) ELECTRICAL
DRAWING
The above listed wiring diagram is FAA/DER approved by W.C. Janzer (DERT-510187-CE), Systems and Equipment,
Electrical Equipment via FAA Form 8110-3 dated 8f2 I /13, attached to this 337 Form.
Electrical Load Change is negligible & dots not exceed the 80% electrical power generating system on the aircraft.
Complied with a EMI-RFI Test Flight, there were no adverse effects on any other systems.
The Aircraft's Scheduled Maintenance Program is not altered by this installation. The cabin entertainment system
components are considered to be "On Condition Items".
A supplement to the aircraft equipment list and copies of the wiring diagrams listed above has been provided to customer
and must be added to the aircraft's records. The work described, has been found to be in conformity with the above
mentioned approved data and continues to meet the airworthiness criteria under which it was originally certificated. Work
Order No. 13127, on file at this agency, covers the above described work.
A Logbook entry has been made reflecting this modification.
No Further Env'
0 Additional Sheets Are Attached
FM Form 337(10-06)
SDNY_GM_02753735
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00240657
EFTA01326250
us CenOnigetir CO MAKSPCIOAHON
rECERAL AVIATION ADWNGTRATIO11
STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS T. WI:
AUG 21, 2013
AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION
2. MAKE
GULFSTREAM 2. MODEL NO.
G-IV 4. TYPE (Aircraft &Kant Aromatic. ate.)
AIRPLANE S. NAME OF APPLICANT
PRODIGIOUS AVIONICS
LIST OF DATA
S. menwicknon 7. DILE
PRODIGIOUS AVIONICS
PA-GIV-1085-2501
9 SHTS
REV: B
DATE: 8.21.2013 DRAWING:
CABIN ENTERTAINMENT SYSTEM (MOD) ELECTRICAL DRAWING
NOTES:
I- THIS APPROVAL IS FOR THE ELECTRICAL ASPECTS ONLY.
2- THIS APPROVAL IS FOR THE DESIGN ASPECTS ONLY AND DOES NOT CONSTITUTE
INSTALLATION OR OPERATIONAL APPROVAL.
📷 Images in this document (607 detected; 6 largest described)
AI-generated factual descriptions of embedded images (llava:13b). These are searchable across the corpus.
[Image 1] The image appears to be a document or photograph with a heavily distorted and pixelated quality, making it difficult to discern specific details. The central focus seems to be a figure or object with a large, dark, irregular shape that could be interpreted as a person or an object, but the distortion obscures clear identification. There is text at the top of the image, but it is not legible due to
[Image 2] The image appears to be a photograph of a document with the word "VOID" prominently displayed in the center. The document has a watermark pattern that obscures the details, making it difficult to read the text or identify any specific content. The visible text includes "Subject to protective order paragraph 7.5.1.1.7.5.1.1.7.5.1.1.7.5.1.1.7.5.1.1.7.5.1.1.7.5.1.1.7.5.1.1.7.5.1.1.7.5.1.1.7.5.1.1.7.5
[Image 3] The image appears to be a photograph of a sign with the word "VOID" prominently displayed in large, bold letters. The sign has a textured background that resembles a metal surface, and there are some scratches and marks on it, suggesting it has been used or handled roughly. The edges of the sign are slightly curled, indicating it may not be affixed securely to a surface. The sign is placed against
[Image 4] The image shows a document that appears to be a letter or a report. It contains text and is printed on a piece of paper. The document is slightly blurred and the text is not entirely clear, but it seems to be discussing some form of order or instructions. There are no visible names, dates, places, or logos that can be confidently described. The document is not a photograph, but rather a scan or a
[Image 5] The image shows a document that appears to be a letter or a report. It contains text and a table with columns and rows. The visible text includes phrases such as "Subject: Protective Order," "Plaintiff," "Defendant," and "Plaintiff's Counsel." There are also references to "Plaintiff's Exhibit," "Defendant's Exhibit," and "Defendant's Counsel." The document is dated "5/10/97" and is addressed to a
[Image 6] The image shows a document that appears to be a letter or a report. It contains text, which is partially obscured by a black mark or stain. The visible text includes phrases such as "Subject: Protective Order," "Paragraph 7," and "Paragraph 8." There are also references to "Plaintiff," "Defendant," and "Plaintiff's Exhibit 1." The document is dated "5/10/97." The visible text is too small and blur