EFTA Document EFTA01326217

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 w6 09.0 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/wvat 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/10,170 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 0 US Dremnort MAJOR REPAIR AND ALTERATION e Ting:futon (Airframe, Powerplant, Propeller, or Appliance) &woe esaotion Ads1risibton feeteme e 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 -- 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 2.21/2011 Eleceobc 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 - . 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 9 1 Ilbf vs oromurer MAJOR REPAIR AND ALTERATION a transponsess (Airframe, Powerplant. Propeller, or Appliance) From Annie, Aantatistration Fr, Amos! pre No 1000020 moon Elena"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 cowr y 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 min t e - j 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 Meintenan MaintenanceOrganization 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 polinounams a ists/if Fearempalk N$201 1 OUUSTREMINEM (SAGE MN K••••••21 . tiSileteerna•laillsnois• a SC 114111.••••••• • I es -Owe linsennisini•••• atininte.nto ow in owl•••••••••• 'Mb s ••••••••••••Manlailatermal••• One •INtent••••••••••Ytaii•leeniss • I sow!. Maus revert NONE •••teratem• MOS Maori* 90./00 ROSIV2CCO az:Az, waste Flews, ZarSer2S as, wealle 11•SCOMICATIMST “ClUth/0•11•11A/00// reit,e ~Jig rtptivi sturtrattildratil SDNY_GM_02753718 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, 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 i alevort op I sntiniCitata NO litCtl I MOW/ KRA& I unwire WSTWO.11100. Walla N212JE Gultatreas G-IV 1085 Tramline t AVICW, MOVISI Twessaim sea maw •••••••14C 6001011.140••••••••••••sto nil DSO /anat. mad Dan leadele YM st= Imintossis ern ant* pep is 0.0moiningapsiOnlialson•Ina innate nem es • plait wits NONE • toms mensal** b1101 bFYKI It 05/23/2000 A.S.S•ppla • Arm minus". 4.* nese. V rwisms• an" henna marital WE MI IPMAPVIIIIJAMPL PIP PallaW06 nal aphigypelpiakki owns mini — —a at ®yeti h. wit Pete. Wel teSOIP.M.5w S019 1.0.• non 4 9141$1,1 SDNY_GM_02753720 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, 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 a p H 0 Xl o 1 NATIONALITY AND H REGISTRATION MARKS N120JE DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE 2 MANUFACTURER AND MODEL GULFSTREAM AEROSPACE-a:IV 3 AIRCRAFT SERIAL NUMBER 1085 4 CATEGORY Transport 5 AUTHORITY AND BASIS FOR ISSUANCE / , . 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 o THIS 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 co m -o 0 n m 0 m -0 -o 9° 9) E p a) •@, P, ••-•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 -rinv i e,. . — : : roes 1 7 A • . cartoore Transport / eLs,, ...en. ri ,.. Mt ennnesarteceb b WI Fame faille i "Ma menu Wee annet Si eye ha tan ithAtm eaWV in b le basalts Wide art No Sint telleillitit tor liplcatio inners II Cotten Owe mica skl se zurdn•kne. . b as-wets, a" irinabv Oil sall • law % NONE • IteallmOccoarail • • ,.' UMW MOW el lontate. skis is ~So ~ALSO try to FM. Ea suntnar rye.; • entrthepose ands is Seiko bie Wawa al Sett a mm' grey., on pricaned serfs woke* ireplrithissal anion aim nil irre0.10. 1 . as Wiwi Stela . WM CI illiatba 80523/2000 OA. etitsemera ' f,, . 0....:I.Alle. PONS AEA.FSDO-25 cajt, •J; • OS.i • 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 so u nu LIU 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 117 on< 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 aca e....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 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---- Il aelAl .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 Insp Manufacturer 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. 3- IF THIS APPROVAL IS PROVIDED FOR A FOREIGN REGISTERED AIRCRAFT, ACCEPTANCE OF THIS APPROVAL IS AT THE DISCRETION OF THE CIVIL AVIATION AUTHORITY OF THE STATE OF REGISTER. 4- THE INSTALLER MUST DETERMINE THE COMPATIBILITY OF THIS DATA WITH THE AIRCRAFT CONFIGURATION. S. PURPOSE OF DATA TO APPROVE THIS MAJOR ALTERATION ON GULFSTREAM AEROSPACE G-IV AIRCRAFT N423TT SERIAL NUMBER 1085 IN SUPPORT OF FAA FORM 337. I. APPLICABLE REOURIEMENTS (UM *milk IMKtioas) 14CFR25.603(b) Arndt. 25-46 14CFR25 1301(a)(b) Arndt. 25-123 14CFR25.869(a) Arndt. 25-123 14CFR25.1309(a)(b)(c)(e)(g) Arndt 25-123 14CFR25 1353(x) Amdt. 25-123 ID CERTIFICATION - Under authority vested by direction of the Administrator and in accordance with conditions and limitations of appointment under 14 CFR Pan 183, data listed above and on attached sheets numbered XXXXXXXXX have been examined in accordance with established listed. I (We) Therefore O L procedures and found to comply with applicable requirements of the Airworthiness Standards Recommend approval of these data Approve these data 11. SIONATUREIS) OF DESIGNATED ENONEEMNG REPRESENTATIMM D. DESRVIATON NUMSER(S) 13. MASSiFiCATC/410) W.C. Janzer DERT-5 I CH 87-CE Systems & Equipment Electrical Equipment GULFSTREAM FAV-ENTERTAINMENT-N42317- ISM FAA Form 81104 SOnteM41ERSEDES PABACus EDTIC•I SDNY_GM_02753736 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA ())24(X158 EFTA01326251 SDNY_GM_02753737 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240659 EFTA01326252 MAJOR REPAIR AND ALTERATION eji (Airframe, Powerplant, Propeller, or Appliance) us Oningren1 01 Trartgelab3n Federal Mit., AdmInIstralon Form Approved CUB No 2120-0020 1100/2007 .astitonic Trion; NW OP For FAA On On, INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (or subsequent revision thereof) for and disposition of 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 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) Pants 6100 Red Hook Quarter B3 on ST Thomas sw. zo 00802 co.my Virgin Islands 3. For FAA Use Only 4. Type 5. Unit Identification Repair Altmann Unit Make Model Serial No. 0 Er AIRFRAME (As described in item 1 above) 0 0 POWERPLANT • 0 PROPELLER • 0 APPLIANCE n" OilaMaconer 6. Con ormi Statement A. Agency's Name and Address B. Kind of Agency Manufacturer International Jet Interiors 2221 Smithtown Ave Ronkonkoma, New York 11779 USA U.S. Certificated Mechanic C. Certificate No. Foreign Certificated Mechanic CRS I1JR439Y x 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 have been made in accordance with the requirements of Pan 43 of the U.S. Federal Aviation Regulations and that t furnished herein is true and correct to the best of my knowledge. attactrnents • hereto tMn Extended range fuel per Signature/Date of Authorized Individual Date: 9/19/2013 7. Approval for Return to Sento. Pursuanl to the authority given persons specified below. the unit identified in item 5 was invected in the manner prescribed Administrator of the Federal Aviation Administration and is el APPROVED 0 REJECTED by the FM FN. Standards Inspector Manufacturer Maintenance Organization Persons Approved Department of Transport by Canadian BY FM Designee X Repair Station Inspection Authorization Other (Specify) Certificate or Designation No. Signature/Date of Authorized Individual CRS I1JR439Y Thomas Norden Date: 9/19/2013 e\INWIS FM Form 337 most SDNY_GM_02753738 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240660 EFTA01326253 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft record. An alteration must be compatible with all previota 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 work accomplished.) USA N212JE DATE Nationality and Registration Mark 9/19/2013 (I) Fireblocked and reupholstered Six (6) existing single cabin chain, two (2) existing double cabin chairs and one (1) existing jump seat with Edelman Leather: Royal Hide RH32. Fireblocked and upholstered one (I) new replacement (Goodrich PN 960014.49) divan with Brentano Fabric: Simplicity- Carrara 1010-01. Rewebbed the existing PAX seat and shoulder harness belts by C&M Marine Aviation Services Inc., CRS V05R749Y, under W.O. 5006. 8130-3 dated 8/8/13. Aircraft seat cushions have been fireblocked as pa the requirements of tine 14 CFR, 25.853(c) Amendment 25 - 116 Appendix F Part II and 14 CFR, 25.853(a) Amendment 25- 116 Appendix F Pan l(aK I x ) Results of Oil Boma Testing arc documented on (attached)Skandia Inc. FAA/D.E.R. approved 8110-3, dated 9/19/13, document ID 94288, WON 25830443, Test Flan 122867 Rev B, dated 8/01 /2013, by Jennifer Paluza FAA/DER (DERV-832779-CE). (2) The Crew Scats were snipped and reupholstered with Edelman leather. "Royal Hide, RH32, Dead White" and Aircraft Sheep Skin Co.: Sheepskin 3CCOOI, White. Rewebbed two (2) crew seal Spt seat and shoulder harness belts by C&M Marine Aviation Services Inc, CRS V05R749Y, under W.O. 4991, 8130-3 dated 8/13/13. Flammability Testing (Spec 12) was approved via Skandia Inc. (WO 1257726-13. Test Plan 0 21306) Vertical Flammability Test Results Report dated 6/24/13(attached) by PANDER lane Biberstein. (3) Stripped and recovered Baggage Area / Jeppesen Storage Box in Tapis, Grospoint Black 0091, Lot R. Flammability Testing (Spec /land Spec II) was approved via Skandia Inc. (WON 257726-13, Test Plan SI 21306) Vertical Flammability Test Results Report dated 6124/13 (attached) by FAA/DER Jane Biberstein, (4) Stripped and recovered Forward Closet and Aft Lavatory Storage in Tapis Fabric Grospoint, Muse Blue-FR, 0018. Flammability Testing (Spec (5) was approved via Standee Inc. (WO 0 257726-13. Test Plan N 21306) Venice! Flammability Test Results Report, dated 6/24/13 (attached) by FAA/DER lane Bibermein (5) Fabricated new Entry Rain Curtain in Willowtex list Leather Snow, FR2250A/SKD-I and Ebony Izit Leather, FR2250Bakd-7. Flammability Testing (Spec 0) was approved via Skandia Inc. (WON 257726-13, Test Plan 121306) Vertical Flammability Test Results Report dated 6/24/13 (attached) by FAA/DER lane Bibastein. (6) Recovered the Existing Forward/ Aft Lavatory Side Panel Bulkheads in Willowy Fabric: Snow hit Enhanced A. FR2250A/SKD-L Flammability Testing (Spa N 7) was approved via Skandia Inc. (WON 257726-13, Test Plan N 21306) Vertical Flammability Test Results Report, dated 6/24/13 (attached) by PANDER lane BibersIcin. (7) Recovered the Existing Headliners. Valances and PSU's and Hand Rails in Tams- Ullrasue0e, 3723 Pak Beige. Flammability Testing (Spec 19 and 10) was approved via Skandia Inc. (WON 257726-13. Test Plan a 21306) Vertical Flammability Test Results Report, dated 6/24/13 (attached) by FAA/DER lane Bibersitin (8) Stripped and recovered the existing Window Line Panels and Aft Lay Side Wall panels in Brentano Fabric: Simplicity-Cara 1010-01. Flammability Testing (Spec II l) was approved via Skandia Inc (WO N 257726-13. Test Plan 0 21306) Vertical Flammability Test Results Report, dated 6/24/I) (attached) by PANDER lane Biberstein. (9) Stripped and recovered the existing Lower Side Wall Panels in Edelman Woven Leather. WVNC50. Flammability Testing (Spa 012) was approved via Skala. Inc (WON 257726-13, Test Plana 21306) Vertical Flammability Test Results Report, dated 6/24113 (attached) by FAA/DER Jane Biberstein. (I0) Stripped and recovered the existing Aft Cabin Bithd and Fwd Aft Galley Mild in Acrospecialtia..125 Polycarbonate Minor, 16004102. Flammability Testing (Spec NI 5) was approved via Skandia Inc (WON 257726-13. Test Plan 0 21306) Vertical Flammability Test Results Report. dated 6/24/13 (attached) by PANDER Jane Blear:win. (1 1) Stripped and recovered the existing Divan End Arms. Divan Lower Doors and Lower Side Walls in Edelman Leather: Royal Hide. RH32, Dead White. Flammability Testing (Spec 116) was approved via Skandia Inc. (WOI 25772643, Test Plan 121306) Vertical Flammability Test Results Report. dated 6/24/13 (attached) by FAA/DER hale Biberstein. (18) Stripped and recovered the Entry Area and Baggage Compartment Floor in A1P: Aermat, 37R/SV/1000/985/20R/54. Flammability Testing (Spec N20) was approved via Skandia Inc. (WON 257726-13. Test Plan 21306) Venial Flammability Test Results Report. dated 6/24/13 (attached) by FAA/DER lane Bibentein. (19) Installed new nplacanau Aft Galley and Lay Countertops with Evans & Paul..187, Designer White Corian. Flammability Testing (Spec121) was approved via Skandia Inc. (WO 125772613, Test Plan It 21306) Vertical Flammability Ten Results Report, dated 6/24/13 (attached) by FAA/DER /the Biberslea. (20) Stripped and recovered the existing Aft Lay Closet Sliding Doers in ACt0SpeCiallieS, .125 Polycarbonate Clear. Minor and Tpis,0018 Muse Blue-FR Grogram, Fabric. Flammability Testing (Spec 122) was approved via Skandia Inc. (WON 257726-13. Test Plan 1 21306) Vertical Flammability Test Results Report, dated 6024/I) (attached) by FAA/DER lane 8ibasttin. Additional Sheets Are Attached FM Form 337 (10-C6) SDNY_GM_02753739 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240661 EFTA01326254 NOTICE Weight and balance or operating limitation Changes shall be entered in the appeopnate 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, Mealy with aircraft nationality and registration mark and date work ished) USA N212JE Nationality and Registration Mark DATE 9/192013 (21) Fabricated and Installed new replacement Baggage Flap in MP. Hematite Red, /80, 0001,Vinyt. Flammability Testing (Spec /23) was approved via Skandia Inc.(W01 257726-13, Test Plans 21306) Vertical Flammability Test Results Report, dated 6/24/ I 3 (attached) by FAA/DER lane Biberslein. (22) Stripped and recovered the existing FWD Cabin Bulkheads in Brentano Fabric: Simplicity-Carrara 1010-01. Flammability Testing (Spec N24) was approved via Skandia Inc. (WO a 257726-13. Test Plan /1 21306) Venial Flammability Test Results Report, dated 6/24/13 (attached) by FAA/DER Jane Biberstein. (23) Stripped and recovered the existing FWD and AFT Potty Seats and Shrouds with Edelman: Woven Leather, WVNC50. AM 3FL. Flammability Toting (Spec I8, N I4) was approved via Skandia Inc. (WON 260097-13, Test Nana 21306) via FAA Form 8110-3 (attached) dated V I V I 3 by FAA/DER lane Biberstein (DERV-1)2780-CE). (24) Fabricated new Conference Table Top using Indiana Architeautal Plywood, laminated with Makore Pom, Veneer. Flammability Testing (Spec 113) was approved via Skandia Inc. (WO N 260097-1). Test Plan N 21306) via FAA Form 8110-3 (attached) dated 8/13/13 by FAA/DER Jim Biberstein (DERY-832780-CE). (25) Installed a new Carpet throughout the cockpit, main cabin. and Floor Ducts areas using ABC Carpet - Wootston Plaid Shoreline. Flammability Testing (Spec I 17./18, 119) was approved via Skandia Inc. Rcfacnce (anached) Skandia Inc. FAA/D.E R. approved 8110-3. dated 9/18/13. document ID 94212, WON 261824-13, Test Plan II 21306 Rev UR by Jennifer Paluzzi FAA/DER (DERV-832779-CE). (26) Modified the following existing cabinetry in accordance with the following FAA/DER approved Drawings ' ;:rtimNo... ! :. A . ter .2", • WIGIVIMS IR INFERIOR INSTL UIGIVIOSSA IR MONITOR MOD INSTL4tH FWD UIGIVII0858 A CONFERENCE TABLE MOD INSTL LIIGIV1085C IR DIVAN INSTL-LH AFT LIIGIV1085D IR LH AFT CLOSET MOD INSTL IJIGIV1085E IR DIVAN ARMREST INST1.4.11 AFT IJIGIV1085F A ENTERTAINMENT EQU1PT MOD INSTL-CREDENZA UIGIVI0850 IR MONITOR MOD INSTL414 AFT UIGIVI08511 IR RH GALLEY MOD INSTL UIGIV101151 IR LH GALLEY MOD INSTL LIIGIVI085K IR VANITY MOO INSTL UIGIVIMI5L IR PSU MOD MIL All above listed structural drawings were approved via attached; FAA PRIM 8110-3, doted Mg 22,2013 Tin Sept 16.2013 by FAA/DER Brian C Adamson, DERT-830137-CE and Donald E. Shepherd. Jr. DERT-230307-CE. Passenger ante width maintained per Title I4 CFR 25.815. A supplemental equipment list has been supplied. A logbook entry has been made reflecting this alteration. All Cabin Interior Fumishings listed above have been Bum Tested in accordance with Title 14 CFR Pan 25.853 (a) Amdl. 25-116 Appendix F Part I (IXI MO Arndt 25-III and Tide 14 CFR Pan 25.853 (a) Am& 25-116 Appendix F Part I (a)( IRO as applicable . This Modification/Repair to the existing Cabin Interior furnishings requires No Scheduled Maintenance Tasks or Ainvonhiness Limitatiens, refer to the Gulfuream Maintenance Manual, and all other existing aircraft ICA's. The Aircraft's Scheduled Maintenance Program is not altered by this installation. The work described, has been found to be in conformity with the above mentioned approved data and continues to meet the airworthiness aitcna under which it was originally certificated Work Order No. 13127, on file at this agency, covers the above described work. No Further Entries 0 Additional Sheets Are Attached FAA Form 337 (10-06) SDNY_GM_02763740 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240662 EFTA01326255 SDNY_GM_02753741 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240663 EFTA01326256 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIANON ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 1. DATE August 22 2013 AIRCRAFT OR AIRCRAFT COMPONENT umanncAnort 2 MAKE Gulfstream 3 MODEL NO. G-IV sin 1085 4. TYPE Wreak Env* Ropey Pt) Airplane 5 NAME OF APPLICANT International Jet Interiors, Inc. Ronkonkoma. NY UST of DATA 6 I3DRIFICATION 7 TITLE Drawing: IJIGR/1085 Rev (IR) 05/13/2013 IJIGN1005D Rev (IR) 06/11/2013 Report: IJIGIV1065DSA Rev (IR) 013/22/2013 Structures Note: Interior !me sht 1 - 4 LH Aft Closet Mod Instl slit 1 - 5 Structural Analysis LH Aft Closet Mod Intl Gulfstream G-IV Aircraft 1) The structural aspects only of the above listed data are approved herein. This approval is only for the engineering data. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements". 2) This form does not constitute FAA approval of all the engineering design data necessary for substantiation of compliance to necessary requirements for the entire alteration. The requirements of Flammability are not included in this approval and require separate approval. 3) Aircraft interior compliance inspection is not included in this approval and requires separate approval. S. PURPOSE Of DATA. To provide type data for FAA approval of structure in support of a Major AJteration for Gulfstream G-IV sin1085. A ApPUC48LE REOUREMENTS OM Wed& ma** 14 CFR Part 25, Amdt 25-1 through 25-56 as specified in TCDS Al 2EA; Paragraphs: 25.301(a-b) Amdt 25-23.25.303 Arndt 25-23, 25.305(a, b) Amdt 25-54, 25.307(a. b) Arndt 25-54, 25.341 Arndt 25-0, 25.561(a-c)Amdt 25-23, 25.601 Arndt 25-0.25.603(8c) Arndt 25-46, 25.605(a) Arndt 25-46, 25.609(a) Arndt 25-0, 25.611 Arndt 25-23, 25.613(a, b, d, e) Arndt 25-46, 25.615(a) Arndt 25-23, 25.619(a-c) Arndt 25.23, 25.623 Arndt 25-0, 25.625(8c) Arndt 25-23, 25.769(a) Arndt 25-46. 10. CERTIFICATON - Uncle, autalty vested by Onettlan of the Adrrenstmer and in ecconlinca Me ceetalens and limiteen Pat 189. dm Wed abOva end on attached sheets numbered 91a._. nate been exarened h accedence we* esistashed 440 apploalatt readramens of the Airtrolhoen Stilr4Srd, INGO K Recommend approval of those dab I OVIOThetefcce 0 Approve these Oat/ 14 CFR of *papered under loved to ceacelotes and co.rVy 11. SIGNATURE/S)OF DESCANTED ENGINEERNG REPRESENTATIVE(S) 12. DESSIATON MAMMAS(S) 13. (1 ASSLTICATOMS) Brian C. Adamson ofe seLc.0 DERT-830137-CE Structures FAA Refs 11104 (131I0) SUPERSEDES PREVIOUS EIXT04 3-494-4 SDNY_GM_02753742 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240664 EFTA01326257 SDNY_GM_02753743 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240665 EFTA01326258 U.S. DEPARTMENT OF TRANSPORTATICN FEDERAL AV1ATION ADIAMSTRATICN STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS i. (»TE September 16, 2013 AIREFtAFT OR AIRORAFT COMPONENT IDEN TIFICATION 2. MAKE Gulfstream t IACIDEL MD. G-IV s/n 1085 4. TYPE Sttrorali Eniiva Pitrosim. ec.) Airplane i MANE OF "CM« International Jet Interiors, bc. i Ronkonkoma. NY UST OF DATA S VENTIRCAT 04 2 lime Drawing: IJIGIV1085F Rev (A) 09/13/2013 Report IJIGIV1085FSA Rev (A) 09/16/2013 Structures Note: Entertainment Equipt Mod Instl-Credenza slit 1 - 6 Structural Analysis Entertainment Equipt Mod Instl. Credenza Gulfstream G-N Aic i ,.: fi 1) The structural aspetts only of the above listed data are approved herein. Tres approval is oSy for the engineering data. It indicates the data listed above demonstratas compliance onty with the regulations specifled by paragraph and subparagraph listed below as "Applicable Requirements". 2) This form doer not constitute FAA approval of all the engineering design dala necessary for substantiation of compliance to necessary requirements for tie ente alteration. The requirements of Electrical Systems and Equipment and Flammabityae ,- not induded in this approval and require separate approval. 3) Aircraft kilenot compliance inspection is not included m this approval and netaines separate approval. 8. PUFtPOSE OF DATA To provide type data for FAA approval of structure in support of a Major Alteration for Gulfstream 6-1V ski:DE& 9...APPLICABIE REOUIRENENTS (UR Nedla inceini) 14 CFR Part 25, Arndt 25-1 through 25-56 as specified in TCDS AI2EA; Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Arndt 25-23, 25.305(a, b) Arndt 25-54, 25.307(a, b) Anst r)-54. 25.341 Arndt 25-0, 25.561(a-c) Arndt 25-23, 25.601 Arndt 25-0, 25.603(a-c) Arndt 25-46, 25.605(a) Ami 25-65, 25.609(a) Arndt 25-0, 25.611 Arndt 25-23, 25.613(a. b, d, e) Arndt 25-48, 25.615(a) Arndt 25-23, 25.619(wcikatt 25-23. 25.623 Arndt 25-0, 25.625(a-c) Arndt 25-23, 25.789(a) Arndt 25-48. 10. OERTIRCATION • under suNortry vred by terecloe d Om Administrator and In aeccidence trim condMons and IiiraMOrd d SCI2 e Ill Pan 183. CM* mel *hove and on *trad sheMs nemt:sed uta vere bal dernned in scoordanca sei estioddied eveceatra sed bed t =ME iiai apeacotro requirements ot IMAinvortrinees Standard, 4,164. 0 ReCommend approval of til I (pq? Therekn ISI APprove tinn. data 11. SIGNATIMEiS)OF CESIGNATED ENGINEERNG REPRESENTAI~ 12. DESIGNA/KN NULIBERS(S) 13. EIASSIF~E4 Donald E. Shepherd, Jr. den eid r..$4.4År - DERT-230307-CE Structures FM Fordi $1104 (03110) SUPERSEDES PREVIOUS EDITION i 3 - Mat SDNV_GM_02753744 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240666 EFTA01326259 SIDNYGM 02753745 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240667 EFTA01326260 U.S. DEPARnair OF TRANSPORTATION FEDERAL AviimoesOliveSTRAMON STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I. DATE August 30.2013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE Gulfstream 3 MODEL NO. G-IV sin 1085 4. TYPE To0110. Engu* Moran a) Airplane 3. NAME OF APPLICANT International Jet Interiors, Inc. Ronkonkoma. NY UST OF DATA 6 DemncAnoN 7. TITLE Drawing: IJIGIV1085B Rev (A) 08/29/2013 Report UIGIV10858SA Rev (A) 08/30/2013 Structures Note: Conference Table Mod InstI see 1 - 5 Structural Analysis Conference Table Mod InstJ Gulfstream G-IV Aircraft 1) The structural aspects only of the above listed data are approved herein. This approval is only for the engineering data. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements'. 2) This form does not constitute FM approval of all the engineering design data necessary for substantiation of compliance to necessary requirements for the entire alteration. The requirements of Flammability are not included in this approval and require separate approval. 3) Aircraft interior compliance inspection is not included in this approval and requires separate approval. 4) See sheet 2 for additions drawings supporting drawing WIGIV10858 Rev (A). & PURPOSE OF DATA To provide type data for FM approval of structure in support of a Major Alteration for Gulfstream G-IV s/n1065. 9. APPLICABLE Reotsserts its walk wen) 14 C0R. Part 25, Amdt 25-1 through 25-56 as specified in TCDS Al 2EA: Paragraphs: 25.301(a-b) Amdt 25-23, 25.303 Amdt 25.23, 25.305(a, b) Amdt 25-54, 25.307(a, b) Amdt 25-54, 25.341 Amdt 25-0, 25.561(a-c) Amdt 25-23, 25.601 Amdt 25-0, 25.603(a-c) Amdt 25-46.25.605(a) Arndt 25-46, 25.609(a) Arndt 25-0. 25.611 Amdt 25-23, 25.613(a, b, d, e) Arndt 25-46, 25.615(a) Amdt 25-23, 25.619(ac) Amdt 25-23, 25.623 Amdt 25-0, 25.625(a-c) Amdt 25-23, 25.789(a) Arndt 25-46. 10. CERTRCATON . Under au/berity reeled by direction of the Adoatnitor and in accordance vats condition rd irmamea of wren oaf la CFR Pan 133. date Wed above and on ached sheets nurnbered 2 o12 haTo poor eom-.ed In woo/dare.. An, esttlAbbed procodufee and bind b comply well applealio requirements of De Alfocoddnesa Standards lama. O Recommend approval of these data I tWo)Therefae 0 Approve Thee data II. 304ATUROSIOF DESIGNATED ENCNEER1NG REPRESENT/LINOS) 12. DESIGNATION fiUMBETASOI 13 CLASSIFICATIONS) Brian O. Adamson ( Oa ts_ DERT-830137-CE Styr:tures FAA Fern, 1110-3 OW SURERscr-Fs PREVIOUS EDITION r2 -001-9 SDNY_GM_02753748 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240668 EFTA01326261 SDNY_GM_02753747 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240669 EFTA01326262 VS. IMPART ENT OF TRANSPORTATION FEDERAL AVIATION ADIANiSTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I. DATE August 19.2013 AIRCRAFT Oft AIRCRAFT COMPONENT IDENTIFICATION Z. IMRE Gulfstream 3. MODEL NO. G-IV s/n 1085 4. TYPE (Alta Engine. Propstaef, era) Airplane S. NAME OF APPLICANT Intemabonal Jet Interiors, Mc. Ronkonkoma, NY UST OF DATA IL IDENTIFCAPON T TIRE Drawing: LlIGIV1085J Rev (IR) 07/16/2013 IJIGIV1085H Rev (IR) 07/16/2013 Report: IJIGIV1085JSA Rev (IR) 08/12/2013 IJIGIV1085HSA Rev (IR) 08/12/2013 Structures Note: LH Galley Mod Insti sht 1 - 4 RH Galley Mod Instl sht 1 • 4 Structural Analysis LH Galley Mod InsU Gulfstream G-IV Aircraft Structural Analysis RH Galley Mod Inst1Gulstream G-IV Aircraft 1) The structural aspects only of the above listed data are approved herein. This approval is only for the engineering data. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and ' subparagraph listed below as "Applicable Requirements". 2) This form does not constitute FAA approval of all the engineering design dab necessary for substantiation of compliance to necessary requirements for the ate alteration. The requirements of Flammability are not included in this approval and require separate approval. 3) Aircraft interior compliance inspection is not included in this approval and rterSas separate approval. & PURPOSE OF DATA To provide type data for FM approval of structure in support of a Major Alteration for Guttstream G4V sen10135. ; i tcAPPUCABLE REOUIRDAENFS ,. speak mama) 14 CFR Part 25, Arndt 25-1 through 25-56 as specified In TCDS Al2EA: Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Amdt 25-23, 25.305(a, b) Amdt 25-54, 25.307(a, b) Arndt 25-&-.. 25.341 Arndt 25-0, 25.561(a-c) Arndt 25-23, 25.601 Amdt 25-0, 25.603(a-c) Arndt 25-46, 25.605(a) AMA 254B. - 25.609(8) Arndt 25-0, 25.611 Arndt 25-23, 25.613(a, b, d, e) Arndt 25-46, 25.615(a) Arndt 25-23, 25.619(a-4A:sit I 25-23, 25.623 Arndt 25-0, 25.625(a-c) Amdt 25-23, 25.789(a) Arndt 25-46. i 10. CERTIFICATION • Una( authority pee Ity, maa ems !bore end On wth Amicable reatfiemama a/ the vaned by claccton of the Admidaastm we In madam, MP unarm and InglatIceeMigeeetrma area -A OR may sea ri,mbcod Mi... Mae been sominad In eccoMance 4eth antennae Resmeares ltd tete C =ate .. Atwanfiness Standards fisted apetovel of ems* deb thin data • Recommend I (/ft) Thereby Cll APPFave II. SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTATTVELS) 12 DES/GMMONNUMBERS(S) 13. CLASSIRCATOCS Brian C. Adamson _ C...- DEBT-630137-CE Structures FM Form $110.3 (03110) SUPERSEDES PREVIOUS EDITION 13-002-4. SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240670 EFTA01326263 SDNY_GM_02753749 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240671 EFTA01326264 STATEMENT OF U.S. DEPARTMENT OF TRANSPORTATION AIRWORTHINESS STANDARDS 1. DATE August 22 2013 FEDERAL AVIATION ApiEUSSTRATTON COMPLIANCE WITH AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. LAKE Gulfstream 3. Meal NO. G-IV s/n 1085 A TYPE (Alma EVAN. PNE4407, n7c) Airplane 5. NAME OF APPLICANT International Jet Interiors, Inc. Ronkonkoma, NY UST OF DATA 6 CEINIFICATION 7 TRIE Drawing: IJIGIV1085A Rev (IR) 07(16/2013 Report: LIIGIV1085ASA Rev (IR) 08/21/2013 Structures Note: Monitor Mod Instl-RH Fwd slit 1 - 3 Structural Analysis Monitor Mod Intl-FtH Fwd Gulfstream G-IV Aircraft 1) The structural aspects only of the above listed data are approved herein. This approval is only for the engineering data. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as "Applicable Requirements". 2) This form does not constitute FM approval of all the engineering design data necessary for substantiation of compliance to necessary requirements for the entire alteration. The requirements of Flammability are not included in this approval and require separate approval. 3) Aircraft interior compliance inspection is not included in this approval and requires separate approval. S. PURPOSE OF DATA To provide type data for FAA approval of structure In support of a Major Alteration for Gulfstream G-IV s/n1085. 9. APPLICABLE REQUIREMENTS MN soma sceftm) 14 CFR Part 25, Amdt 25-1 through 25-56 as specified in TCDS Al 2EA; Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Amdt 25-23, 25.305(a, b) Amdt 25-54, 25.307(a. b) Amdt 25-54, 25.341 Amdt 25-0. 25.561(a-c) Amdt 25-23, 25.601 Amdt 25-O. 25.603(a-c)Amdt 25.46.25.605(a) Amdt 25-46, 25.609(a) Amdt 25-0, 25.611 Amdt 25-23, 25.613(a, b, d, e) Amdt 25-46, 25.615(a) Arndt 25-23. 25.619(a-c) Arndt 25-23, 25.623 Amdt 25-0, 25.625(a-c) Amdt 25-23. 25.789(a) Aral 25-46. 10. CEITDREADON • UM* nullinAly moo, by atecncA of the PM I83. On GAM ken end on abed abs nettled oiM me** roodienwers ol to Almalltwas Damara Wed 0 RoOmmooltd oPproyol Sews@ don I DVIN TAMEN, 0 APPloys those data AdminNINsar end ale nave been in a:Godard MA oremon and Umitakte 01 aNneintinerninclor it CFR canted in aNtordance MD ellatATITA3 procedures end Nunn to WWI 11. SIGNATURE(S) OF DESIGNATED ENG04F.EAR40 REPRESENTATIVE(9) 12. DESIGNATION NumitERS(S) ii. ciessinrAnoiks) Brian C. Adamson DERT-830137-CE Structures FAA Form 51104 (01/10) SUPERSEDES PREVIOUS EDITION O-tier t -7 SDNY_GM_02753750 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240672 EFTA01326265 SDNY_GM_02753751 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240673 EFTA01326266