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1. Use the Print' button on this page to print your label to your laser or inkjet printer
2. Fold the printed page along the horizontal line.
3. Race label in shipping pouch and affix it to your shipment so that the barcode porton of the label can be read and scanned.
purposes is fraudulent and could result in
Use of this system constitutes year agreement to tne service conditions in tho current FedEx Sorrier; Guide. available on ledex.com.FedEx will not
be responsible for any claim in excess of $100 per packago. whether the result of loss. damage. delay. nonaelivery.miSdelivery.or misinformation,
unless you declare a higher value. pay an additional Vargo. document your actual loss and file a timely clam limitations found in the current FedEx
Service Gude apply. Your rght to recover from FodEx for any loss. including intrinsic value of the package, loss of sales, income interest, profit,
attorneys fees costs, and other forms of damage whether direct. incidentalconsequential, or special is limited to the greater of S100 or the
authorized declared value. Recovery cannot exceed actual documented lossistaximum for items of extraordinary value is $1.000. e.g jewelry.
precious metals. negotiable instruments and other items listed in our SecoceGuide. Written claims must be filed within strict time knits. see current
FedEx Service Gude
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S0NY_GM_02765289
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252097
EFTA01334323
May 7, 2021
Melissa Koboldt
AIC Title Service
6350 W. Reno
Oklahoma City, OK 73127
Re: N722JE Purchase
Dear Melissa,
Enclosed you will find the Exemption of Aircraft Sold for Removal based upon our potential
acquisition of the helicopter N722JE.
Please let me know if you have any questions.
Sincerely.
Rich Munkvold
Chief Financial Officer
Industrial Integrity Solutions, LLC
SDNY_GM_02765290
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252098
EFTA01334324
Suggested Format for Affidavit for Exemption of Aircraft Sold for
Removal from the State of Florida by a Nonresident Purchaser 01-500002
N. 05/02
The following is a suggested formal of an affidavit to be completed by the purchaser and furnished to the
sealing dealer. In order to satisfy the requirements for exemption, the affidavit must contain all of this
Information and be completed in full.
Florida
STATE OF COUNTY OF Broward
*** READ CAREFULLY BEFORE SIGNING '*
Before me this day appeared the affiant named beiovri wno being duly sworn, states that:
1. I have read Rule 12A-1.007(10), Florida Administrative Code, and § 212.05, Florida Statutes; and
2. I am not a resident of the State of Florida and did not make my permanent place of abode in Florida at the
time of taking delivery of the aircraft described below; and
-3. I am not engaged in Florida In any employment, trade, business, or profession for which the described aircraft
will be used in Florida; and
4. I do not represent a corporation which has any officer or director who is a resident of Florida, or makes his
or her permanent place of abode in Florida; and
5. I do not represent an artificial entity other than a corporation which has any Individual vested with authority to
participate in the management, direction, or contrd of the affairs of the entity who is a resident of Florida or
makes his or her permanent place of abode in Florida; and
6. I agree to furnish the Florida Department of Revenue (within 30 days of the date of departure) written proof
that this aircraft was licensed, titled, or registered outside Florida; and
7. I agree to furnish the Florida Department of Revenue (within 10 days of the date of departure) invoices for
fuel, be-down or hangar charges, repairs, or other similar documentation issued by an out-of-state vendor or
supplier which identifies this aircraft and its timely removal (Including the FAA registration number).
PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION:
Industrial Integrity Solutions, LLC
Name of purchaser SSN
If purchaser Is a corporation or partnership, list officers or partners
Purchasers permanent address (Street) 2151 E Convention Center Way Ste 222
Ontario (City) (State/ try) CA 91764 Coun (ZIP)
Purchaser's daytime telephone number ( 91°9
Purchasers driver's license number and state of issuance
Purchasers passport or visa number ) 354 8002
aO.B.
N/A
Name of selling dealer or broker
Address of selling dealer (Street)
(City) (State/Country) (MP)
Selling dealer or broker's Florida certificate of registration number
Selling dealer or brokers telephone number (
Date of sale (Month) MAY (Day) (Year) 2021
(continued on reverse side)
SDNY_GM_02765291
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252099
EFTA01334325
Description of Aircraft
Make
Serial number 760750 SIKORSKY
(Check one) New O Used a
Purchase
price $ 1,800,000.00
Primary location of aircraft while in Florida KFXE AIRPORT Trade-in $ Model 876C++ Year 2008
FAA registration number N722JE
Net purchase
price S
I claim exemption from Florida sales and use tax on the purchase price of the aircraft described herein under
s. 212.05(1Xa)2, Florida Statutes. for the following reason (clock one):
O The aircraft will be removed from Florida within 10 days of the date of purchase.
Xi The aircraft requires repairs, additions, or alterations and it will immediately be taken to a repair facility and
will be removed from Florida within 20 days (excluding tolled days) after completion of the work.
Under penalty of perjury, I declare that I hales read the foregoing and the facts alleged are true to the best of my
knowledge and belief. I understand that if I fall to comply with the requirements of this affidavit, I will be liable for
payment of the tax and a mandatory penalty equal to the tax.
Signature of affianVpurchaser
Sworn to (or affirmed) and subscribed before me this day of
Signature of Notary
Print, type, or stamp name of Notary
3 Personalty known
L) Produced Identification
Type of Identification:
Distribution of Do • ments
The original affidavit and a copy of the sales invoice, bill of sale, or dosIn
Department of Revenue. Aircraft Enforcement Unit, P.O. Box 6417, Tallaha
date of sale. 69 peefi ce6
ocument must be sent to the Florida
Fl 32314-6417 within five (5) days of the
A copy of the affidavit must be retained by the selling dealer and made a part of the de s records.
The selling dealer or broker should provide the purchaser with a copy.
Notice To Dealers
Affidavits not flied within five (5) days of the date of sale may not be accepted by the Department o avenue and
the selling dealer or broker may be billed for tax, penalty, and interest due.
SDNY_GM_02765292
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252100
EFTA01334326
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of SAM 'BSR.NARAIND
on mAk.‘ , 1.O24 before meaUt4/4 CAELOt Gotruxec,i‘Lai 114.1/41
(insert name and title of the officer)
personally appeared (.4442-O AUhlk--VOLD
who proved to me on the basis of satisfactory evidence to be the person whose namekslis/pri
subscribed to the within instrument and acknowledged to me that he/Weitlity executed the same in
his/Velpieir authorized capacity(yeS). and that by his/pet/94r signature(gon the instrument the
personce, or the entity upon behalf of which the persorracted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature (Seal) NUM n, Of GOMIS
COMM. y2353114
Stay NS • Cebtotras
Rankle Courk
Ca an
SDNY_GM_02765293
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252 I 0 I
EFTA01334327
SECOND AMENDMENT TO AIRCRAFT PURCHASE AGREEMENT
This SECOND AMENDMENT TO AIRCRAFT PURCHASE AGREEMENT
(this "Second Amendment") is made and entered into as of the 7th day of May, 202 I (the
"Effective Date"), by and between Hyperion Air, LLC ("Seller") and Industrial Integrity
Solutions, LLC ("Purchaser"), and amends that certain Aircraft Purchase Agreeement by and
between Seller and Purchaser entered into as of April 16, 2021 (the "Original Agreement"), as
the same was previously amended by that certain First Amendment to Aircraft Purchase
Agreeement by and between Seller and Purchaser made and entered into as of April 20, 2021
(said Original Agreement, as so amended, the "Agreement"), governing the purchase and the
sale of that certain 2008 Keystone Helicopter (Sikorsky) model S-76C++ aircraft, bearing
manufacturer's serial number 760750, and currently registered with the United States Federal
Aviation Administration as N722JE. All capitalized terms used but not otherwise defined
herein shall have the meanings ascribed to those terms in the Agreement.
WHEREAS, Section 4(a) of the Agreement provides in relevant part that "...in no event
shall the Closing take place later than May 7, 2021 (the "Closing Date")";
WHEREAS, the Parties desire to extend the May 7, 2021 Closing deadline provided for
in Section 4(a) until May 13, 2021, so that May 13, 2021 is the absolute final and latest date
by which Purchaser must close under the Agreement; and
WHEREAS, Seller is willing to extend the May 7, 2021 Closing deadline until May 13,
2021, effective when and on the condition that immediately upon execution of this Second
Amendment Purchaser increases the Deposit by delivering to the Escrow Agent an additional
One Hundred Thousand Dollars (S100,000), and provided further that Purchaser agrees herein
that the full amount of the Deposit, as so increased, is non-refundable and immediately,
absolutely, and unconditionally due and payable to Seller regardless of whether or not the
Closing occurs, and immediately instructs Escrow Agent to disburse the Deposit, as so
increased, to Seller in accordance with Seller's disbursement instructions;
NOW, THEREFORE, in consideration of these premises and the mutual covenants
and agreements herein contained, the parties agree as follows:
1. Subject to the provisions of Paragraph 2 of this Second Amendment and
effective if and only if Purchaser fully complies with such provisions, Section 4(a) of the
Agreement is hereby amended in its entirety to read as follows:
(a) The closing of this transaction ("the Closing") and delivery of the
Aircraft to Purchaser shall take place at Fort Lauderdale Executive Airport KFXE,
Florida ("the Closing Place") by not later than the Closing Date (as hereinafter defined),
SDNV_GM_02765294
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252102
EFTA01334328
unless the parties subsequently agree upon a later date in writing, in which case such
agreed upon date shall be deemed the "Closing Date". The Closing shall take place
promptly after: (i) Purchaser's delivery of the Certificate of Technical Acceptance
indicating Purchaser's Unconditional Acceptance of the Aircraft in accordance with
Sections 3(t) and (h) hereof; and (2) confirmation from the Escrow Agent that the
Escrow Agent has received the Purchase Price Balance from Purchaser and all Escrow
Documents (as defined below), but in no event shall the Closing take place later than
May 13, 2021 (the "Closing Date"). Seller and Purchaser hereby acknowledge that the
passing of title, possession and delivery of the Aircraft shall take place within the state
in which the Closing Place is located. The fuel costs and the expenses of Seller's flight
crew, if any, in flying the Aircraft from the Inspection Facility to the Closing Place
shall be the sole responsibility of and paid for by Purchaser.
2. Immediately following Purchaser's and Seller's execution of this Second
Amendment, Purchaser shall increase the amount of the Deposit by delivering an additional
One Hundred Thousand Dollars ($100,000) to the Escrow Agent, whereupon the full amount
of the Deposit, as so increased (Le., Two Hundred Thousand Dollars (5200,000), hereinafter
referred to as the "Increased Deposit"), shall be non-refundable and immediately, absolutely
and unconditionally due and payable to Seller, regardless of whether or not a Closing shall
thereafter occur. Concurrently with Purchaser's delivery of the additional amount of the
Deposit to the Escrow Agent, Purchaser shall deliver to the Escrow Agent (and send a copy of
the same to Seller) a signed written instruction directing the Escrow Agent to immediately
disburse the Increased Deposit to Seller in accordance with Seller's disbursement directions,
without any further writing or approval from Purchaser being required and without any
requirement that a Closing occur. If and only if Seller receives the full amount of the Increased
Deposit in accordance with Seller's disbursement instructions, the amount of the Purchase
Price Balance required to be paid by Purchaser under the Agreement shall decrease to One
Million Six Hundred Thousand Dollars ($1,600,000). The provisions of Paragraph 1 of this
Second Amendment will t be effective unless and until Seller receives the full amount of
the Deposit in accoric with Seller's disbursement instructions.
Lesnerci4.. J. san
3. In the e kni of any inconsistencies between the provisions of the Agreement and
the provisions of this Second Amendment, the provisions of this Second Amendment shall
control in all respects. Except as expressly amended hereby, the provisions of the Agreement
shall remain unchanged, valid and in full force and effect.
4. This Second Amendment may be fully executed in separate counterparts by each
of the parties hereto. Any signatures on this Second Amendment may be transmitted via
facsimile or e-mail (in pdf format), which signatures shall be deemed originals for all purposes.
[Signatures on the following page]
2
SDNY_GM_02765295
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252103
EFTA01334329
UV WITNESS WHEREOF, the parties hereto have executed this SECOND
AMENDMENT TO AIRCRAFT PURCHASE AGREEMENT as of the day and year first
written above.
Seller:
Hyperion Air, LLC
By: ---1c2iv11.-tn
Print Darren Indyke
Title: Authorized Representative
Purchaser:
Industrial Integrity Solutions, LLC
By:
Print: Mich Munkvold
Title: Chief Financial Officer
3
SDNY_GM_02765296
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252104
EFTA01334330
DELIVERY RECEIPT
2008 KEYSTONE (SIKORSKY) S-76C++ HELICOPTER
Manufacturer's Serial No. 760750
U.S. Registration No. N722JE
Pursuant to provisions of that certain Aircraft Purchase Agreement dated April , 2021 (the
"Agreement") by and between HYPERION AIR, LLC, a U.S. Virgin Islands limited liability
company ("Seller"), and INDUSTRIAL INTEGRITY SOLUTIONS, LLC, a New Mexico limited
liability company ("Purchaser"), Purchaser hereby acknowledges the delivery and acceptance of one
used 2008 Keystone (Sikorsky) model S-76C-hr helicopter, bearing manufacturer's serial number
760750, and currently registered with the United States Federal Aviation Administration (the "FAA")
as N722JE, together with said aircraft's two (2) Turbomeca S.A. model Arriel 2S2 engines bearing
Manufacturer's Serial Nos. 42285TE and 42286TEC, and with all avionics, equipment systems,
furnishings and accessories installed on, contained in or attached to said aircraft and engines, all as is
more particularly described on Exhibit A, and also including all airframe, engine and accessory
logbooks, flight and operation manuals, maintenance and overhaul records, and all other records and
paperwork relating to the above-described aircraft and engines in Seller's possession (collectively, the
"Aircraft").
Purchaser accepts the Aircraft at p.m., on
Is, Where Is" condition and "With all Faults" at
subject to the waivers and disclaimers set forth in the Agreement. , 2021 in an "As
, Florida and
TOTAL TIME ON AIRFRAME AT DELIVERY: hours
TOTAL TIME ON ENGINES AT DELIVERY:
Engine No. 1 (MSN 42285TEC):
Engine No. 2 (MSN 42286TEC):
TOTAL LANDINGS AT DELIVERY:
INDUSTRIAL INTE
By:
Name: ,e,c,,,„tt frip.,,„„,„„aC
Title: coo
Date: S-i 3- 2. hours/cycles
hours/cycles
TIONS, LLC
25
SDNY_GM_02765297
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252105
EFTA01334331
DELIVERY RECEIPT
2008 KEYSTONE (SIKORSKY) S-76C++ HELICOPTER
Manufacturer's Serial No. 760750
U.S. Registration No. N722JE
Pursuant to provisions of that certain Aircraft Purchase Agreement dated April , 2021 (the
"Agreement") by and between HYPERION AIR, LLC, a U.S. Virgin Islands limited liability
company ("Seller"), and INDUSTRIAL INTEGRITY SOLUTIONS, LLC, a New Mexico limited
liability company ("Purchaser"), Purchaser hereby acknowledges the delivery and acceptance of one
used 2008 Keystone (Sikorsky) model S-76C-fr helicopter, bearing manufacturer's serial number
760750, and currently registered with the United States Federal Aviation Administration (the "FAA")
as N722JE, together with said aircraft's two (2) Turbomeca S.A. model Arriel 2S2 engines bearing
Manufacturer's Serial Nos. 42285TE and 42286TEC, and with all avionics, equipment systems,
furnishings and accessories installed on, contained in or attached to said aircraft and engines, all as is
more particularly described on Exhibit A, and also including all airframe, engine and accessory
logbooks, flight and operation manuals, maintenance and overhaul records, and all other records and
paperwork relating to the above-described aircraft and engines in Seller's possession (collectively, the
"Aircraft").
Purchaser accepts the Aircraft at p.m., on
Is, Where Is" condition and "With all Faults" at
subject to the waivers and disclaimers set forth in the Agreement. , 2021 in an "As
, Florida and
TOTAL TIME ON AIRFRAME AT DELIVERY: hours
TOTAL TIME ON ENGINES AT DELIVERya at
Engine No. 1 (MSN 42285TEC): 2641 9 Cycle: NI -11152.6 N2-3188.2 hours/cycles
Engine No. 2 (MSN 42286TEC): 2641.9 Cycles NI•31379.? / N2.3197.4 hours/cycles
TOTAL LANDINGS AT DELIVERY: 5472
INDUSTRIAL rNTE TIONS, LLC
By:
Name: ena,,„tt
Title: ens
Date: S-i 3- a f
25
SDNY_GM_02765298
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252106
EFTA01334332
*** NO MATCHES FOUND ***
ARCOLPO1 AIRCRAFT REGISTRATION SYSTEM 05/13/21
ARCOLM01 COLLATERAL INQUIRY 09:04
TYPE-COLL SEARCH CRITERIA
Type-Coll : 1 (Required)
1
2,3,9
4
5 N-Number : 722JE
Mfr Name
Model Name
Serial Number:
Air Carrier :
Air Carr City:
Air Carr Loc :
Recording Nbr:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT PREV
SDNY_W_02765299
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252107
EFTA01334333
ARNNIP03
ARNNIM03 AIRCRAFT REGISTRATION SYSTEM 05/13/21
MASTER N-NUMBER INQUIRY - ASSIGNED 09:04
AIRCRAFT DESCRIPTION DATES -STATUS
Reg-Number : 722JE
Pending Chg:
Serial Num : 760750
Year-Make : 2008 KEYSTONE HELICOPTER
Model : S-76C
Mode-S-Code: 52325707 Uniq-id: 01014797
REGISTERED OWNER INFORMATION Cert Issue:
Act Issue :
Last Act
Expir Date:
Type Req
Status
Reason 07/17/2019
07/17/2019
07/17/2019
07/31/2022
LLC
VALID
FINST REJ
LIMITED LIABILITY: HYPERION AIR LLC
Street : 6100 RED HOOK QUARTER B3 PACKET INFORMATION
City : ST THOMAS Phase/Queue:
State -Zip : VI 00802 Pkt Status :
County Stat Date
Country -Zip : VIRGIN ISLANDS USA Susp/D1r/IR: NO NO YES
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
OPT MAIN PREV IMAGE
SDNY_GM_02765300
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252108
EFTA01334334
ARNNIP03 Additional Options
05/13/21
ARNNIM03 M 1. View Airworthiness Info 09:04
2. View Cross -Reference
AIRCRAFT DE 3. View Previous Registered Owners
Reg-Number : 722JE 9
Pending Chg: 9
Serial Num : 760750 9
Year-Make : 2008 KEYST 2
Model : S-76C
Mode-S-Code: 52325707
REGISTERED OWN
LIMITED LIABILITY: HYP
Street : 610 MATION
City : ST
State -Zip : VI OPTION:
County
Country -Zip : VIR NO YES
Enter-PF1---PF2---PF3---PF4---PFS---PF6---P£7---PF8---P£9---PF10--PF11--PF12---
CONT PREY
SDNY_GNA_02765301
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252109
EFTA01334335
GFGIIP03
GFGIIM09
N-Number
Serial Num
Mfr Name
Model Name AIRCRAFT DOCUMENT CONTROL SYSTEM
REGISTRATION IMAGES
Page 1 of 4
7223E
760750
KEYSTONE HELICOPTER
S-76C
DOCUMENTS 05/13/21
09:04
Document Description Status Doc ID Doc Date laigs
* 1. APPLICATION FOR REGISTRATION ACCEPTED 8485 06/13/2019 2
2. EVIDENCE OF OWNERSHIP JD020475 8484 06/13/2019 2
3. REG RENEWAL APP(ONLINE) ACCEPTED 9377 03/28/2017 4
4. RQST DUP/EXTENSION/TEMPORARY ACCEPTED 9736 08/04/2014 2
5. TEMPORARY CERTIFICATE ACCEPTED 9084 08/04/2014 2
6. REGISTRATION RENEWAL APP ACCEPTED 4974 07/14/2014 2
WINDOW 1 :
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CONT MAIN A/W +PAGE PREV +DOC
SDNY_Gh/1_02765302
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252110
EFTA01334336
GFGIIP03
GFGIIM09
N-Number
Serial Num
Mfr Name
Model Name AIRCRAFT DOCUMENT CONTROL SYSTEM
REGISTRATION IMAGES
Page 2 of 4
722JE
760750
KEYSTONE HELICOPTER
S-76C
DOCUMENTS 05/13/21
09:04
Document Description Status Doc ID Doc Date tPgs
• 1. N-NUM CHANGE CANC. NOTICE ACCEPTED 1736 12/11/2012 2
2. FORM 8050-64 ACCEPTED 5077 09/16/2011 2
3. N-NUMBER CHANGE REQUEST ACCEPTED 3932 08/26/2011 2
4. N-NUM CHANGE EXP NOTICE ACCEPTED 4012 10/12/2012 4
5. APPLICATION FOR REGISTRATION ACCEPTED 7391 07/26/2011 2
6. EVIDENCE OF OWNERSHIP DT007148 7390 07/26/2011 2
WINDOW 1 :
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CONT MAIN A/W -PAGE +PAGE PREV -DOC +DOC
SDNY_GNA_02765303
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252III
EFTA01334337
GFGIIP03
GFGIIM09
N-Number
Serial Num
Mfr Name
Model Name AIRCRAFT DOCUMENT CONTROL SYSTEM
REGISTRATION IMAGES
Page 3 of 4
7223E
760750
KEYSTONE HELICOPTER
S-76C
DOCUMENTS 05/13/21
09:04
Document Description Status Doc ID Doc Date Digs
* 1. APPLICATION FOR REGISTRATION ACCEPTED 6668 08/16/2010 2
2. N-NUMBER CHANGE REQUEST ACCEPTED 0725 02/12/2010 2
3. N-NUMBER CHANGE REQUEST ACCEPTED 3902 03/16/2010 2
4. NAME CHANGE TEMPLATE ACCEPTED 4696 03/17/2010 2
5. APPLICATION FOR REGISTRATION ACCEPTED 2985 02/17/2009 2
6. EVIDENCE OF OWNERSHIP PH001657 0071 12/30/2008 2
WINDOW 1 :
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CONT MAIN A/W -PAGE +PAGE PREV -DOC +DOC
SDNY_GM_02765304
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252112
EFTA01334338
GFGIIP03
GFGIIM09
N-Number
Serial Num
Mfr Name
Model Name AIRCRAFT DOCUMENT CONTROL SYSTEM
REGISTRATION IMAGES
Page 4 of 4
7223E
760750
KEYSTONE HELICOPTER
S-76C
DOCUMENTS 05/13/21
09:04
Document Description Status Doc ID Doc Date Digs
* 1. EVIDENCE OF OWNERSHIP PH001656 0069 12/30/2008 2
2. MISCELLANEOUS -SUPPORT ACCEPTED 0752 12/23/2008 2
3. ASSIGNMENT LETTER ACCEPTED 8161 09/09/2008 2
4. ASSIGNMENT OF N-NUMBER ACCEPTED 5061 09/05/2008 2
5. ASSIGNMENT OF N-NUMBER ACCEPTED 5060 09/05/2008 2
6. MEMO TO FILE ACCEPTED 8211 09/09/2008 2
WINDOW 1 :
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CONT MAIN A/W -PAGE PREV -DOC +DOC
SDNY_Gh/1_02765305
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252II3
EFTA01334339
*** NO ASG RECORDS EXIST FOR N-NUMBER 722.1E ***
GFGIIP02 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM02 IMAGE INQUIRY - ADMINISTRATIVE 09:06
Doc Type : ASG
Required Search Criteria
N-Number : 722.1E
Serial Number
Name
Control Number : 2021 - F7
E-Number
Date
Billing Number •
Recording Number •
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_Gh/1_02765306
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252114
EFTA01334340
*** NO NCG RECORDS EXIST FOR N-NUMBER 722JE ***
GFGIIP02 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM02 IMAGE INQUIRY - ADMINISTRATIVE 09:06
Doc Type : NCG
Required Search Criteria
N-Number : 722JE
Serial Number
Name
Control Number : 2021 - F7
E-Number
Date
Billing Number •
Recording Number •
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_Gh/1_02765307
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252115
EFTA01334341
*** NO RECORDS ***
GFGIIP02 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM02 IMAGE INQUIRY - ADMINISTRATIVE 09:07
Doc Type : RSV
Required Search Criteria
N-Number : 722.1E
Serial Number
Name
Control Number : 2021 - F7
E-Number
Date
Billing Number •
Recording Number •
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_W_02765308
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252II6
EFTA01334342
*** NO RECORDS ***
GFGIIP02 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM02 IMAGE INQUIRY - ADMINISTRATIVE 09:07
Doc Type : RSV
Required Search Criteria
N-Number : 722JE
Serial Number
Name
Control Number : 2021 - F7
E-Number
Date
Billing Number
Recording Number
Enter-PF1---P£2---PF3---PF4---PF5---PF6---PF7---PF8---P£9---PF10--PF11--PF12---
CONT MAIN PREV
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 09:07
IR Authorization Code :
OR
Name
OR
N-number : 722JE
OR
Type
Serial Number:
Enter-PF1---PF2---PF3---PF4---PFS---PF6---P£7---PF8---P£9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_GNA_02765309
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252117
EFTA01334343
GFGIIN11 AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM36 IMAGE INQUIRY - ADMINISTRATIVE
Page 1 of 1 05/13/21
09:07
Doc Description: INTERNATIONAL REGISTRY
N-Number : 722JE
IR Auth Code N-Number Date I Pgs
1. IRN20190613101517 722JE 06/14/2019 2
2. IRN20110726120229 722JE 07/27/2011 2
3.
4.
5.
6.
7.
8.
9.
10.
WINDOW 1 :
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
WIN 1 FB MAIN COLL PREV +DOC
SDNY_GM_02765310
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252II8
EFTA01334344
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 09:07
IR Authorization Code :
OR
Name
OR
N -number
OR
Type : 1
Serial Number: 760750
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_GM_02765311
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252119
EFTA01334345
GFGIIN12 AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM36 IMAGE INQUIRY - ADMINISTRATIVE
Page 1 of 1
Doc Description: INTERNATIONAL REGISTRY 05/13/21
09:07
Collateral : 1 760750
IR Auth Code Collateral Date I Pgs
1. IRN20190613101517 722JE 760750 KEYSTONE HELICOPTER S-7 06/14/2019 2
2. IRN20110726120229 722JE 760750 SIKORSKY S-76 07/27/2011 2
3. IRN20081230154204 750A 760750 SIKORSKY S-76 12/31/2008 2
4.
5.
6.
7.
8.
9.
10.
WINDOW 1 :
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
WIN 1 FB MAIN COLL PREV +DOC
SDNY_Gh/1_02765312
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252120
EFTA01334346
ARCOLPO1 AIRCRAFT REGISTRATION SYSTEM 05/13/21
ARCOLM01 COLLATERAL INQUIRY 09:07
TYPE-COLL SEARCH CRITERIA
Type-Coll : 2 (Required)
1 N -Number
2,3,9 Mfr Name
Model Name
Serial Number: 42285
4 Air Carrier :
Air Carr City:
Air Carr Loc :
5 Recording Nbr:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT PREV
SDNY_Gh/1_02765313
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252121
EFTA01334347
*** NO MATCHES FOUND ***
ARCOLPO1 AIRCRAFT REGISTRATION SYSTEM 05/13/21
ARCOLM01 COLLATERAL INQUIRY 09:08
TYPE-COLL SEARCH CRITERIA
Type-Coll : 2 (Required)
1 N -Number
2,3,9 Mfr Name
Model Name
Serial Number: 42285
4 Air Carrier :
Air Carr City:
Air Carr Loc :
5 Recording Nbr:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT PREV
SDNY_Gh/1_02765314
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252)22
EFTA01334348
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 09:08
IR Authorization Code :
OR
Name
OR
N -number
OR
Type : 2
Serial Number: 42285TE
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_W_02765315
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252123
EFTA01334349
*** NO RECORDS FOUND ***
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 05/13/21
09:08
IR Authorization Code :
Name
N -number OR
OR
OR
Type
Serial Number:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_Gh/1_02765316
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252124
EFTA01334350
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 09:08
IR Authorization Code :
OR
Name
OR
N -number
OR
Type : 2
Serial Number: 42285
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_GM_02765317
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252125
EFTA01334351
GFGIIN12 AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM36 IMAGE INQUIRY - ADMINISTRATIVE
Page 1 of 1
Doc Description: INTERNATIONAL REGISTRY 05/13/21
09:08
Collateral : 2 42285
IR Auth Code Collateral Date I Pgs
1. IRN20190613101517 42285 TURBO ARRIEL 2S2 06/14/2019 2
2. IRN20110726120229 42285 TURBO ARRIEL 2S2 07/27/2011 2
3.
4.
5.
6.
7.
8.
9.
10.
WINDOW 1 :
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
WIN 1 FB MAIN COLL PREV +DOC
SDNY_GM_02765318
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252126
EFTA01334352
*** NO MATCHES FOUND ***
ARCOLPO1 AIRCRAFT REGISTRATION SYSTEM 05/13/21
ARCOLM01 COLLATERAL INQUIRY 09:08
TYPE-COLL SEARCH CRITERIA
Type-Coll : 2 (Required)
1 N -Number
2,3,9 Mfr Name
Model Name
Serial Number: 42286
4 Air Carrier :
Air Carr City:
Air Carr Loc :
5 Recording Nbr:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT PREV
SDNY_Gh/1_02765319
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252127
EFTA01334353
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 09:09
IR Authorization Code :
OR
Name
OR
N -number
OR
Type : 2
Serial Number: 42286TEC
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_W_02765320
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252128
EFTA01334354
*** NO RECORDS FOUND ***
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 05/13/21
09:09
IR Authorization Code :
Name
N -number OR
OR
OR
Type
Serial Number:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_Gh/1_02765321
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252129
EFTA01334355
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 09:09
IR Authorization Code :
OR
Name
OR
N -number
OR
Type : 2
Serial Number: 42286TEC
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
00NT MAIN PREV
SDNY_GNA_02765322
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252130
EFTA01334356
*** NO RECORDS FOUND ***
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 05/13/21
09:09
IR Authorization Code :
Name
N -number OR
OR
OR
Type
Serial Number:
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
CONT MAIN PREV
SDNY_Gh/1_02765323
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252131
EFTA01334357
GFGIIP07 AIRCRAFT DOCUMENT CONTROL SYSTEM 05/13/21
GFGIIM43 IMAGE INQUIRY - ADMINISTRATIVE 09:09
IR Authorization Code :
OR
Name
OR
N -number
OR
Type : 2
Serial Number: 42286
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
00NT MAIN PREV
SDNY_GM_02765324
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252132
EFTA01334358
GFGIIN12 AIRCRAFT DOCUMENT CONTROL SYSTEM
GFGIIM36 IMAGE INQUIRY - ADMINISTRATIVE
Page 1 of 1
Doc Description: INTERNATIONAL REGISTRY 05/13/21
09:09
Collateral : 2 42286
IR Auth Code Collateral Date I Pgs
1. IRN20190613101517 42286 TURBO ARRIEL 2S2 06/14/2019 2
2. IRN20110726120229 42286 TURBO ARRIEL 2S2 07/27/2011 2
3.
4.
5.
6.
7.
8.
9.
10.
WINDOW 1 :
Enter-PF1---PF2---PF3---PF4---PF5---PF6---PF7---PF8---PF9---PF10--PF11--PF12---
WIN 1 FB MAIN COLL PREV +DOC
SDNY_GM_02765325
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252133
EFTA01334359
UNITED STATES OF AMERICA
U.S. DEPARTMENT OF TRANSPORTATION FFnrial 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 722J E AIRCRAFT MANUFACTURER & MODEL
KEYSTONE HELICOPTER S-76C
AIRCRAFT SERIAL No.
760750
DOES THIS %Th DAY OF May , 2021
HEREBY SELL, GRANT, TRANSFER AND
DELIVER ALL RIGHTS, TITLE, AND INTERESTS
IN AND TO SUCH AIRCRAFT UNTO: OMB Control No. 2120-0042
Exp. 04402017
Do Not WAR In Tit elock FOR FM USE ONLY
co
a. NAME AND ADDRESS (W INDMDUAL(S). GIVE LAST NAME. FIRST NAME. AND MIDDLE INITIAL.)
Industrial Integrity Solutions , LLC
2151 E. Convention Center Way #222
Ontario, Ca 91764
DEALER CERTIFICATE NUMBER
MC TO ITS SUCCESSORS TATEGUTQRS-ACNINISTFMTGFIS. AND ASSIGNS TO HAVE AND TO HOLD
SINGULARLY THE SAID AIRCRAFT FOREVER MO WARRANTS THE TITLE THEREOF
IN TESTIMONY WHEREOF I HAVE SET
lY
LLI
U) MY HAM AND SEAL THIS ) DAy OF May. 2021
NAME(S) OF SELLER SIGNATURE(S) TITLE
(TYPED OR PRINTED) (IN INK) (IF EXECUTED FOR (TYPED OR PRINTED)
CO-OWNERSHIP. ALL MUSTSIGN.
Hyperion Air LLC D0Ity LARRY VISOSKI
Me /1, T ZWII4a0V104 Manager
ACKNOWLEDGMENT (NOT REQUIRED FOR PURPOSES OF FM RECORDING: HOWEVER. MAY BE < QUIRED BY LOCAL LAW FOR
VALIDITY OF THE INSTRUMENT.)
ORIGINAL: TO FAA.
AC Form 8050-2 (01112) (NSN 0052-064294)003)
SDNY_GM_02765326
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252134
EFTA01334360
UNITED STATES OF AMERICA - DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION - MIKE MONRONEY AERONAUTICAL CENTER
AIRCRAFT REGISTRATION APPUCATION
Il UNWED STATES
REGISTPATICTI N 722JE
NIABER CI
4> TYPE OF REGISTRATION a
O
O
(Cmck ens tom) O
9
a a ~Roil
Porninr•P
CONCIOTO
CROANY
GiNInNe•
Una ~Tv CoNbinv Ill2I
Non-C4ananznecn
~Ca Cowmen ~bee 21 AIRCRAFT
141"-eACTIgin KEYSTONE HELICOPTER S-76C ANC I•XEL
SI NRCRAFT
SERIN. 760750 NIAIBER
M RAMOS) Cf ANIXICANTIS~Al Van NI OGfl at ~sap ihr~bb Cgs WI ~NI. flan rd Inn* wIlml I
Industrial Integrity Soluttons. LLC
R !On NUMBER (GOG ) 3548000
It MNAING
~ABER
Rteb.N.
or, ACORESS "nail wing Si« ta, kit ~cart ant. I
AND STREET 2t51 E. Convenbon Center Weyill222
Rain PQX
Ontario STATE CA zip 9176E
Cl PINSICAl
NURSER
DESCRIPTION
LOCATION
CITY ADDRESSACCATION f PC1 BOX GAL DROP OR MAN Miff BOX INFO FOR u...1 air AnnFert.a
~STREET
OF
STATE Dr
q 0 CHICK NERE! YOU AR! gar REPORTING A CHANGE OF ADOiMSS
WIC CERTIFY:
II) Taw
(2) I
TS
Ob TIM
(I) The
wre
incrage
ungerstina
rf
Kt
Ewers
regent.» 10) =al=
aeon an HT ceneaq re owner« moan Are e BST CHECK Twat Commit I I c ov o
Ei a Annear urea pa e• ~nee erg usc KKK« IST
O b Am...Mow eth obvi N•panno ,IT~ 1-551) No
O C A an meablon agarumi radon); banes (rev 111~11011/11111,)
tamed GM ~My ~id in IN UMW Stan ~nice kri ran re~ MI MI nsft
traipecbb , al (p~de compIMI ble~amlymp
O a A oncelai web • ~2 WWI »W" Olt Fa «FAIN
Ix« cc a Mow )( 0,12.1103 OW 0~ 191.2 only OM I ii. ~old by PA moønnt Vona Mow to Pr ()Arbon., acne) eV lo
nab Inn« on b ll of hi (o.ty ~emu sli ~MPS stew Ashonzabb( ilibbauci
Pons, I. r(2 r191~1 ~if OW ~Of 8/2 WII.N(~62.1latI
bogal ~ea. Gwyn.) aterns nib mob RIO 'AT err F110•11MIOCA ACITIMITIFYAI
MY MO Au SIGNATORIESOF TMS APPLICATION MED REM) TIE fOLLCMING AND UNDERSTAND THAT. BY APR YING
A SIGNATURE TO THIS DOCUMEM. THEY AM SUBJECT TO THE REFERENCE 0 STATUTES MO ASSOOATED PENALTIES.
hereby WON eta, ate ebony) row= r ard IT My Mairent as, tesagran Br 61reEreFITETC6 2 fla Wale re °Ina IS IN IMMIX frTOF
me teel we ~Bang mat Ite FAA anent< eill Mice ire nagest We groyne n weng -ye., straikaxn ti anal regenton Ne
ma yaw. n any ma versn iv Are!~ am SS gi KIIM 01 Ne ETWIT Slats. InainVY Mo AMTEr OrsAes ØØ 01 MORO 4 by
Pea screw cr &we ry magi (30)(e) swatf moresenlalonti)a elry(es) -ato De Treg 910 1§00 .COD or ccriscreg br not -ere man te ID years cr
(IS U SC %ICI)) and 3$71) ive unaersona Pai at known* are eel* a) limy re senneal a maal get or e) use a (bawn! Norma e centans a We
a ly.Mbri StilembIlirty. 2 c) Taw iry flange hase stalemarionnalon cal atea re 10 crmnai groseefer 119 U S C §46325) ans te
of me SI moat mar te Pate ~ea arena Teelexl
NOTE: If mama Tor coemtershe. ea 'opium Trust sap. Use am and add pap) 1 necessary.
11, SIGNATURE Digitallyil?ed by RICHARD MUNKVOLD 'at Nu"; nEang~ NNW DATE 5-
I 3 ,x-A TYPE DPRINTED
RAW Fbeharg MØ CFO of Frontier Finance Co its Member TITLE
12) SIGNATURE I DATE
TyPEWPFITNTE0
NAME TITLE
NOTE: DENCE TINCO Ihe (r95/ rem! Nostiaben Walea revert o eau, er Ceti CER173146 Yost Tor m TE~
US aircraft to be operated kir se To ea days stein tne United Sues thwart:toy aUp sped aka) moist/an /mambas is red
r the escrie Mee wrong issuance aro mew of the welt/es/ma cenecate.
AC rome05n1 III02C. PAW
SDNY_GM_02765327
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA_00252 I 35
EFTA01334361
Complete name of the Applicant:
State in which LW is organized:
Effective date of formation of the LLC: Ober 7.2016
Name of each member of the LW:
Name of Member: Statement in Support of Registration of a United States Civil Aircraft
in the Name of a Limited Liability Company
Industrial Intregrity Solutions, LLC
New Mexico
Type of Entity
(ie: individual, corporation.
partnership, etc.)
James L. Previti Individual
Frontier Finance Co Calitomia Corp
(Please use additional sheets if additional space is required)
LLC is managed by: ❑ Manager(s)
If LLC is managed by Manager(sktifficer(s)
Name of MIIIISSICO Type of Entity
Officer(s) (ie: individual, corporation,
partnership, etc.) ember(s)
(Please use additional sheets if additional space is 'required)
Can the managers, members or officers of this LW act independently? L. S. Citizenship Verification
1 0 NIl
1 Ej
DOfficer(s)
U.S. Citizenship Verification
The undersigned certifies that the Applicant is a citizen of the United States since, to the best knowledge and
belief of the undersigned, at least 2/3rds of the managers, officers or managing members qualify as citizens of
the United States as defined in 49 U.S.C. 40101(a)(I5) and at least 75% of the voting interest or units is owned
or controlled by persons who qualify as citizens of the United States as defined in 49 U.S.C. 40102(aX I 5).
49 U.S.C. Section (aXI5): Citizen of the United States means: (1) An individual who is a citizen of the United
States or one of its possessions; or (2) A partnership of which each member is such an individual; or (3) A
corporation or association created or organized under the laws of the United States or of any State, Territory,
or possession of the United States, of which the president and 2/3 or more of the board of directors and other
managing officers thereof are such individuals and in which at least 75% of the voting interest is owned or
controlled by persons who are citizens of the United States or of one of its possessions.
If any member, officer or manager of the LLC is not a citizen of the United States as defined in U.S.C.
40102(aXI5) please attach an additional sheet for explanation to substantiate that the LW qualifies as a citizen
of the United States.
,citAO Awe,/
hs. nap FIsMouCal. Ofer Wet
Dated. (title)
sto-ai
SDNY_GM_0276S328
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFIA_00252136
EFTA01334362
WARRANTY BI LL OF SALE
Pursuant to that certain Aircraft Purchase Agreement, dated April " 2021 (the
"Agreement"), by and between HYPERION AIR, LLC, a U.S. Virgin Islands limited liability
company ("Seller"), and INDUSTRIAL INTEGRITY SOLUTIONS, LLC, a New Mexico limited
liability company ("Purchaser"), for and in consideration of the sum of Ten Dollars (510.00) and
other good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged by Seller, and being the owner of the full legal and beneficial title in and to that
certain used 2008 Keystone (Sikorsky) model S-76C++ helicopter, bearing manufacturer's serial
number 760750, and currently registered with the United States Federal Aviation Administration
(the "FAA") as N722JE, together with said aircraft's two (2) Turbomeca S.A. model Arriel 2S2
engines bearing Manufacturer's Serial Nos. 42285TE and 42286TEC, and with all avionics,
equipment systems, furnishings and accessories installed on, contained in or attached to said aircraft
and engines, all as is more particularly described on Exhibit A, and also including all airframe, engine
and accessory logbooks, flight and operation manuals, maintenance and overhaul records, and all
other records and paperwork relating to the above-described aircraft and engines in Seller's
possession (collectively, the "Aircraft"),
Seller does hereby grant, bargain, sell, convey, transfer and deliver unto Purchaser,
its successors and assigns, all of Seller's right, title and interest in and to the Aircraft.
Seller hereby warrants to Purchaser, its successors and assigns, that Seller is the
lawful full legal, record and beneficial owner of 100% of the Aircraft and that there is hereby
conveyed to Purchaser good and marketable title to the Aircraft, free and clear of any and all leases,
liens, claims, encumbrances and rights of third parties whatsoever, and Seller will warrant and
defend such title forever, at the sole expense of Seller, against all claims and demands whatsoever.
EXCEPT FOR THE WARRANTIES SET FORTH IN THE IMMEDIATELY
PRECEDING PARAGRAPH (THE "EXPRESS WARRANTIES"), THE AIRCRAFT AND
EACH PART THEREOF IS BEING SOLD TO PURCHASER HEREUNDER IN ITS "AS IS,
WHERE IS" CONDITION AND "WITH ALL FAULTS" EFFECTIVE AT THE CLOSING.
EXCEPT FOR THE EXPRESS WARRANTIES, NEITHER SELLER NOR ITS AGENTS,
REPRESENTATIVES OR EMPLOYEES MAKE ANY WARRANTIES, EXPRESS OR
IMPLIED, OF ANY KIND OR NATURE WHATSOEVER TO PURCHASER. WITHOUT
LIMITING THE GENERALITY OF THE FOREGOING DISCLAIMER OF
REPRESENTATIONS AND WARRANTIES, THERE IS (I) NO WARRANTY BY SELLER,
ITS AGENTS, REPRESENTATIVES OR EMPLOYEES AS TO THE AIRWORTHINESS OR
PHYSICAL CONDITION OF THE AIRCRAFT, (II) NO IMPLIED WARRANTY BY SELLER,
ITS AGENTS, REPRESENTATIVES OR EMPLOYEES OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE OF THE AIRCRAFT, (III) NO IMPLIED
WARRANTY BY SELLER, ITS AGENTS, REPRESENTATIVES OR EMPLOYEES ARISING
FROM COURSE OF PERFORMANCE, COURSE OF DEALING OR USAGE OF TRADE,
AND (IV) NO WARRANTY BY SELLER, ITS AGENTS, REPRESENTATIVES OR
EMPLOYEES AGAINST PATENT INFRINGEMENT OR THE LIKE.
(Signature on following page]
22
SDNY_GM_02765329
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EF1'A_00252137
EFTA01334363
IN WITNESS WHEREOF, Seller has caused this Warranty Bill of Sale to be
executed by its duly authorized representative, this ) r day of tit, 2021.
HYPERION MR, LLC
DADDY by LARR:IVISOSKI •
By:
Name: Lawrence Vateaki
Title: ma"9.0
Date:
SONY_GM_02765330
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFIA_00252138
EFTA01334364
INPAP,414T
OP RIVINIA I Suggested Format for Affidavit for Exemption of Aircraft Sold for
Removal from the State of Florida by a Nonresident Purchaser GT-500002
The following is a suggested format of an affidavit to be completed by the purchaser and furnished to the
selling dealer. In order to satisfy the requirements for exemption. the affidavit must contain all of this
Information and be completed In full.
Florida
STATE OF COUNTY OF Broward N. 05/02
*** READ CAREFULLY BEFORE SIGNING '
Before me this day appeared the of named below. wno being duly sworn, states that
1. I have read Rule 12A-1.007(10), Florida Administrative Code, and § 212.05, Florida Statutes; and
2. I am not a resident of the State of Florida and did not make my permanent place of abode in Florida at the
time of taking delivery of the aircraft described below; and
-3. I am not engaged in Florida in any employment, trade, business, or profession for which the described aircraft
will be used in Florida; and
4. I do not represent a corporation which has any officer or director who Is a resident of Florida, or makes his
or her permanent place of abode in Florida; and
5. I do not represent an artificial entity other than a corporation which has any Individual vested with authority to
participate in the management, direction, or control of the affairs of the entity who is a resident of Florida or
makes his or her permanent place of abode in Florida; and
6. I agree to furnish the Florida Department of Revenue (within 30 days of the date of departure) written proof
that this aircraft was licensed, titled, or registered outside Florida; and
7. I agree to furnish the Florida Department of Revenue (within 10 days of the date of departure) invoices for
fuel, tie-down or hangar charges, repairs, or other similar documentation issued by an out-of-state vendor or
supplier which identifies this aircraft and its timely removal (Including the FAA registration number).
PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION:
Industrial Integrity Solutions, LLC Name of purchaser SSN
If purchaser is a corporation or partnership, list officers or partners
T.I.N. sr-231 Coor
Purchaser's permanent address (Street)
(City) Ontario (StatetCountry) CA (ZIP) 91764
Purchaser's daytime telephone number ( 909. ) 354.8002 D.O.B.
Purchaser's driver's license number and state of issuance
Purchaser's passport or visa number 2151 E Convention Center Way Ste 222
N/A
Name of selling dealer or broker
Address of selling dealer (Street)
(City) (State/Country) (ZIP)
Selling dealer or broker's Florida certificate of registration number
Selling dealer or broker's telephone number (
Date of sale (Month) MAY(Day) I (Year) 2021
(continued on reverse side)
SDNY_GM_02765331
SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17
EFTA 00252139
EFTA01334365
Description of Aircraft
Make SIKORSKY Model S76C++ Year 2008
Serial number 760750 FM registration number N722JE
(Check one) New O Used IA
Purchase Net purchase
price $ 1,800,000.00 Trade-in $ price $
Primary location of aircraft while In Florida KFXE AIRPORT
I claim exemption from Florida sales and use tax on the purchase price of the aircraft described herein under
s. 212.05(1 Xa)2, Florida Statutes, for the following reason (check one):
O The aircraft will be removed from Florida within 10 days of the date of purchase.
Xi The aircraft requires repairs, additions, or alterations and it will immediately be taken to a repair facility and
will be removed from Florida within 20 days (excluding tolled days) after completion of the work.
Under penalty of perjury, I declare that I have read the foregoing and the facts alleged are true to the best of my
knowledge and belief. I understand that If I fall to comply with the requirements of this affidavit, I will be liable for
payment of the tax and a mandatory penalty equal to the tax.
Signature of affiant/purchaser
Sworn to (or affirmed) and subscribed before me this day of
Signature of Notary
Print, type, or stamp name of Notary
3 Personally known
O Produced Identification
Type of Identification:
Distribution of D monis 69
poo cee
The original affidavit and a copy of the sales Invoice, bill of sale, or closln ocument must be sent to the Florida
Department of Revenue, Aircraft Enforcement Unit, P.O. Box 6417, Tallahass FL 32314-6417 within five (5) days of the
date of sale.
A copy of the affidavit must be retained by the selling dealer and made a part of the de 's records.
The selling dealer or broker should provide the purchaser with a copy.
Notice To Dealers
Affidavits not filed within five (5) days of the date of sale may not be accepted by the Department o avenue and
the selling dealer or broker may be billed for tax, penalty, and Interest due.
SDNY_GM_02765332
SUBJECT TO PRO
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[Image 1] The image shows a document with text, which appears to be a legal or official document. The text is in English and includes various sections with headings such as "Personal Information," "Agreement," and "Signature." There are also sections with dates and references to laws and regulations. The document is structured with numbered paragraphs and includes a footer with a reference number. The text
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[Image 6] The image shows a document with text, which appears to be a form or a notice. The document is titled "NOTICE TO AIRMEN" and includes a logo at the top left corner. The text on the document is a list of instructions or warnings, which include phrases such as "READ CAREFULLY BEFORE SIGNING," "BE AWARE OF THE FOLLOWING," and "BE SURE TO READ THE ENTIRE NOTICE." The document also includes a section fo