EFTA Document EFTA01329067

n H H to 17 7J 0 H rn rn 0 C rn 3D ,0 7S G.) 7S I-1 co .s.° 2 1-s 6) LIr 0 CD_ F-1 IpJ UNITED STATES of AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE 1 NATIONALITY AND REGISTRATION MARKS N212JE 2 MANUFACTURER AND MODEL Culfstream Aerospace Corporation 6V-SP (C550) 3 AIRCRAFT SERIAL NUMBER 5(73 4 CATEGORY 5 AUTHORITY AND BASIS FOR ISSUANCE This airworthiness certificate is issued pursuant to 49 U S C § 44704 and certifies that, as of the date of issuance, the aircraft to which issued has been inspected and found to conform to the type certificate therefor, to be in condition for safe operation, and has been shown to meet the reouirements of the applicable comprehensive and detailed airworthiness code as provided by Annex 8 to the Convention on International Gve Aviation, except as noted herein Exception" Trans p ort Exemption No. 7946 I FAR 25.813 (c) I. Mid-Cabin Doors Between Passenger Compartments. Exemption No. 8004, 8142 I FAR 25.901 (c) j, Uncontrollable High Thrust Failure Conditions. Exemption No. 10044 I FAR 25.1447 (c) (I) 1, Passenger Oxygen Equipment Deployed at 15,000 feet. 6 TERMS AND CONDITIONS Unless sooner surrendered, suspended. revoked. or a termination date is otherwise estaolished by the FAA, this airworthiness certificate s effective as tong as the maintenance. preventative maintenance, and alterafions are performed in accordance with Parts 21, 43, and 91 of the Federal Aviation Regutations. as appropriate. and the aircraft is registered m the Unled States DATE OF ISSUANCE R 07 MAR 2008 FAA REPRESENTATIVE Brent Archibald DESIGNATION NUMBER ODA-511131-CE Any ale:abort reproduction, or misuse of this certificate may be punishable by a fine not exceeding $1.000 or imprisonment not exceeding 3 years or both. THIS CERTIFICATE MUST BE DISPLAYED IN THE AIRCRAFT IN ACCORDANCE WITH APPLICABLE FEDERAL AVIATION REGULATIONS. FAA Form 8100.2 (04.11) Supersedes Previous Edition ISOZ/LZ/xdS SV Pind000S EFTA01329067 SDNY_GM_02757283 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244205 EFTA01329068 UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE i NArawrymm /534TMONYATIAB N550GP > tosteFauFFRA•40 VOLN . - 11 GULFSTREAM AEROSPACE GV-SP ' (6550) .. . . YBPATI51-4.1/4 roily . 5173 4 BATBOY', Transport 5 AUROMITYMO GAY FOR .300AABC. . • ma ancontiess t °dhow a s'und ons.art q.9 usc g Loos ar., cedar, un, 'memo6ot oe issoinca.vmo amen MS WY YeerTe24442 Ton, RY 10010,0 IA Ye bedneel• ere be a ecoleol Tor Oil. CfneCt The Yea. ..e Os owybernelte ol Me applouls mt... itorrt.% tlaneards 4.1 Line. 8 iota c.r....aarn on Intones...CO &Tay oaf* OA Oka - NONE i CO • b \ ,-, • A YEANIMOCONINTIONi Li. . saws:Mel susFebaNircreote4. ix a utrinnewn din a edureee esmieNNIIIN IPA FAANM ornOtlheeSS maga% A ore v. as lora Ay ea:Nonsrce. PreStith, mantinros. ens gleenblepureyelbenid par no aponana• FOOTS YMCA ICY ird Ito astrat a reabind ate WOO Yalee. , Y. OAT, or IMAVAIOI il- °ThANt2ce3 VIATOM • _ e, 3 , Or UGT.Albro 'RAY° WP-21 RAI FSDO RICARDO HERNANDEZ JR Dretty merest by RICARDO TIBINANICF2 IX Dec 202101 It I 1613 a , 7 F -i 7 177 r Ill - r My ateNion. matubt ot IOPPLC.001 of NA Nos fic Fr* foistmabipipbcpcsei4y be A-41Sb. by °NINNY revalaNWATY. rd .or mobererer, OTIS CERTIFICATE MAT BE MONO° IN THE AIRCRAFT PER pc *Pascua FEDERAL AVIATION REGUIATONS. FM Fern10S 2 (9 22I 9) NAN cos ENNA Nay lbe UAW OVA DKIMIO SON Y_GM_02757284 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 noshz/xdv so readspav EFTA 00244206 EFTA01329069 SDNY_GM_02757285 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244207 EFTA01329070 SZOZ/LZ/xdV so Pelde**If SDNY_GM_02757286 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244208 EFTA01329071 SDNY_GM_02757287 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244209 EFTA01329072 0 U.S. Doptimant el TiGriportston Federal Arleta:in arithastratiou ASSIGNMENT OF SPECIAL REGISTRATION NUMBERS Special Registration Number N550GP Aircraft Make and Model GULFSTREAM AEROSPACE GV-SP (G350) Present Registration Number N2I2JE Serial Number 5173 Issue Date: Feb 24, 2021 ICAO AIRCRAFT ADDRESS CODE FOR NSSOGP - 516C0017 N550GP LLC 2131 E CONVENTION CENTER WAY STE 222 ONTARIO CA 91764-5496 ILl IlliiiiilliiiIiilililiiliillildilliililiilil Ill This is you au homy to change the United States registration ameba on the above describe! aircraft to the special registration number shoat Carry duplicate of this form aircraft together with the old registration certificate as wain authority to opus the aircraft pending receipt of revised certificate of aircraft registraticrs The taint FAA Perm $1 30.6, Appliestion For Airworthiness oat tile is dated: Mar 07.7005 The atrworth inns dossilkatket and category: SID TRANSP INSTRUCTIONS: SIGN AND RETURN THE ORIGINAL of ibis form to the Civil Aviation Registry, Aircraft Registration Branch, within S days after the special registration amber is placed on the aircrafL A revised certificate of aircraft registration will then be Swat Obtain a revised certificate of airworthiness from your newest Flied Standards District Office. The authority to use the special amber expira: Feb 24, 2022 CERTIFICATION: trendy ire the aircraft described above. Signature of Owner. ....----7 that the special registration number wan placed RETURN FORM TO: Civil Aviation Registry Aircraft Registration Branch P.O. Box 25504 Oklahoma City, Oklahoma 73125-0504 _ _,---C< ? Tide of Owner Cp/s/- n e.;4216(47 VCI(4' Date Placed on Averaft: 3 - I 9 -*Val AC FORM 505044 (5/2005) faipsooln rftlietti ESSu SDNY_GM_02757288 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 Y • a. 67 to SZOZ/LZ/xdV EFTA 00244210 EFTA01329073 SDNY_GM_02757289 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024421 I EFTA01329074 9 I un co rn n H H O 10 70 O H m H m n CD m 73 70 Gl 70 1D 00 Sri 1 co I-s REGISTRATION NOT TRANSFE UNITED STATES OF NOWA DEPARTMENT Of TRANWORTATICN - FEDERAL AVIATION ADMNISTRATION CERTIFICATE OF AIRCRAFT REGISTRATION lliSsONECIN• Must Co in eta M. emit Mum OPIDNOP7 NATIONALITY AND REGISTRATION MARKS N 2121E AIRCRAFT SERIAL NO $173 MANUFACTURER AND MANUFACTURERS DESIGNATION OF AIRCRAFT GULFSTREAM AEROSPACE GY-SP fG5SO) ICAO Akan AbatesCa $0340675 i S S U E 0 T 0 NS$OGP Lit 2151 E CONVENTION CENTER WAY STE 222 ONTARIO CA 91764-5496 LLC The tatilltsfa et Mu*, ler Mitigation Nooses only MCI es rOt 4 Otnifate of ii• Pm, Pcsle•M Axiom AdinerflialiOn 600$ na Osonnine emnh of or"Inlyp as belvregn meals li is anemia thin ow Ann dosCrad Emelt nn ben enterer on IN maim Ot Pm FoSival Aviation Aanwistrabon, Undaci SUSS Cd ArMeiCs. Caw AcCatlinco with itCOnventen On IMOrnatemi CM *widen DARN 0•Cernbef 7, 1844. end wain Tree 49, UMW SUMS CON, NJ nSPAsUonS awn Peteumer U.S. Department of Trannotiabem Federal *Nab= Administmom we OF RSA February 24, 2021 EAPPIATION DATE February 29, 2024 I /: / ,./....... AOINNISTRA TOR p.n. MIN 01:01% Semis. r.esnets U.S. Departrnenl Of Transporlabon Federal Aviation Administration Miltxo Replay PU. EN 21504 Omorassess OF 7317S00 Official Ilinin•O• Peak, roe Ilifiviele Use WM AC rem seasaitanstiplm TO: NSSOCP Ix( 2151 E CONY! STE 222 ONTARIO CA 9 TZ0Z/LVidEf SG PoldaDDV EFTA01329075 SDNY_GM_02757291 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244213 EFTA01329076 ft, U.S. Opt want el Tgenportston Federal Aviatkm Atirainistranon ASSIGNMENT OF SPECIAL REGISTRATION NUMBERS Special Registration Number N550OP Aircraft Make and Model GULFSTREAM AEROSPACE GV-SP (G350) Patient Registration Number N212JE Serial Nienbee 5173 Issue Date: Feb24, 2021 ICAO AIRCRAFT ADDRESS CODE FOR N550GP - 51600017 N550GP LLC 2131 E CONVENTION CENTER WAY STE 222 ONTARIO CA 91764-5496 ILL Illinlilluiliiiililsiliilisliiilliilihilil Ill This rs you Authority to change the United States (saner:Sion number on the above describe] aircraft to the special registration number sham Carry duplicate of this hew in the aircraft *saber with the old regurtneicei certifeate as maim authority to opus the aircraft median receipt of raised certificate of aircraft registration. The bent FAA Form $1 304, Appal:melon For Airworthiness 0 fie is dated: Mar 07.2005 The airworth inns death:Wks and category: TIM TRANSP INSTRUCTIONS: SIGN AND RETURN THE ORIGCNA I. of this form to the Civil Aviation Registry, Aircraft Registration Branch, within 5 days after the special registration wisher is placed on the aircraft. A revised certificate of aircraft registration will then be Issued. Obtain a revised certificate of airworthiness from your nearest Flight Standards Dania Office. The authority to use the special amber capita: Feb 24, 2022 CERTIFICATION: locality m the aircraft desniboil stove. Sigissiure of Oweet .....--- 7 that the special registration nuenba was pawed RETURN FORM TO: Civil Aviation Registry Aircraft Registration Branch P.O. Box 25504 Oklahoma City, Oklahoma 73125-0504 _ ___,--S< ? Title of Owner CHISF bidA.244(4? O/Were Date Placed on Ammar 3-i 9 - 01Da I AC FORM 505044 (54•05) Sopenales ?mists Edam SDNY_GM_02757292 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 Accepted GS Apr/27/2021 EFTA 00244214 EFTA01329077 SDNY_GM_02757293 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244215 EFTA01329078 N550GP, LLC 2151 E. Convention center Way #222 Ontario, Ca 91764 March 18, 2021 Khera Turner, Chief Inspector Aviation Maintenance Group, Inc. 8352 Kimball Avenue Chino, Ca 91708 Subject: Special Power of Attorney Dear Khera: The undersigned is the owner of the certain Gulfstream Aerospace aircraft, GV-SP (G550), serial no. 5173, tail no. N212JE (the Aircraft). This letter will authorize Khera Turner, Chief Inspector for Aviation Maintenance Group, Inc. as the Company's legal representative to sign for all FAA applications and other document necessary to obtain the requested standard Airworthiness Certificate. The undersigned hereby certifies to be the Company's Chief Financial Officer and is authorized in the governing documents of the company to grant authorities set forth above and is authorized to act independently in connection with all FAA related matters. If you have any question, do not hesitate to contact the undersigned. Sincerely, ./.., Richard Munkvold Chief Financial Officer {Notary page follows} SDNY_GM_02 757294 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 i 1 2 szoz4z/xdv EFTA_002442 1 6 EFTA01329079 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 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, a validity of that document State of California , ) County of 3O1v-t been cIrdi no t ) On niClienk lel 00)? before me, zfl 1-4;IIS'f 1 0 ncria pith7l(r, Date Hero Insert Name and nt of he I Officer personally appeared I) 1 Cik a 1421 ill Wel i'S \ID (01 Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(es), and that by his/her/thoir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 1,1 G. Li0i VET:Edema 14. Nsoitanr Commission yeertard'in.„ co6uenz comm. Expires Oct IS. 2020 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. " -111c. noti Corn cn6Ston Signature eiCkeenckeol utuerk— -1-t) u EXCL.L.--tn c,areteif /4-• . Place Notary Seal Above OP77ONAL Signature of of Notary Public Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signerts) Signer's Name: O Corporate Officer — litle(s): O Partner — O Limited O General O Individual O Attorney in Fact O Trustee O Guardian or Conservator O Other: Signer Is Representing: Signer's Name: O Corporate Officer — Title(s): O Partner — O Limited O General O Individual O Attorney in Fact O Trustee O Guardian or Conservator O Other: Signer Is Representing: O2016 National Notary Association • www.NationalNotary.org - 1-800-US NOTARY (1.800.876.6827) Item 15907 SDNY_GM_02757295 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244217 EFTA01329080 45 US Department MAJOR REPAIR AND ALTERATION Of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration corm hopo..a OIABN3 2123-0023 1 irsorroor_ . F leaCrot i ,”.Pg Wind"' For FAA Use Only INSTRUCTIONS: Print or type all entries. See rite 14 CFR § 43.9, Pal 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). Faure to report can result in a civil penalty for each such violation. 49 U.S.C. §46301(a)) Nationality and Registration Mark N212JE Serial No. 5173 1. Aircraft Make Gulfsbearn Model G550 Series i Name (As shown on registration certificate) 2. Owner I PLAN D LLC Address (As shown on registration certificate) 6100 RED HOOK QUARTER B3 ST THOMAS VIRGIN ISLANDS USA 00802 3. For FAA Use Only 4. Type 5. Unit Identification Repair Alteration Unit Make Model Serial No. • Z AIRFRAME (As Oast:1100d in Item 1 above) 0 0 POWERPLANT ID 0 PROPELLER 0 0 APPLIANCE Type Manufacturer 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency U.S. Certificated Mechanic I Manufacbser GA.C. GLYNCO Foreign certificated Mechanic C. Certificate No. 550 CONNOLE STREET X Certificated Repair Station BRUNSWICK, GA 31525 Certificated Maintenance Organization FAA CRS GR4D216M E. I certify that the repair and/or alteration made to the unit(s) identified in item 5 above and deserted on the reverse or attachments hereto have been made in accordance with the requirements of Pert 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and coifed to the best of my knowledge. Extended range fuel per 14 CFR ID Part 43 App. Et Signature/Date of Authorized Individual r Jason Tighe / 01/15/20 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 al Approved O Rejected BY FAA Flt Standards Inspector Manufacturer Maintenance Organization Persons Approved by Canadian Department of Transport FAA Designee X Repair Station Inspection Authorization Other (Specify) Certificate or Designation No. FAA CRS GRAD216.4 Signature/Date of Authorized Individual Jason Tighe / 01/15/20 FM Form 337 twee) SDNY_GM_02757296 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244218 EFTA01329081 NOTICE Weight and balance or operating limitation changes shall be entered in the appropriate aircraft recad. An alteration must be compatible with all previous alteration to assure continued conformity with the applicable alnvorthiness requirements. 8. Degeriptbe of Work Accomplished: (If more space is required, attach additional sheets. Identify Mt, aircraft nabonatity and registration mark and des Wok *mottled.) MODEL: G550 SERIAL NO.: 5173 REGISTRATION NO.: N212JE ACTT: 5747.2 ACTL: 1348 DATE COMPLETED: 01115120 Reference: Gulfstream Aerospace Corporation Workorder Number: SC5270 Item 7.3 = Per Customer Request Return LH Divan, LH Divan Cabinets, LH And RH #3 Fwd Facing Seats And LH Cabin Ledge To Original Configuration. Resolution: Complied with interior reconfiguration to original interior installation per drawing CE528000057- SA rev B. Ref 8110-3 dated 12/20/2019 END K Additional Sheets Are Attached FAA Fon 337 (1OM) SDNY_GM_02757297 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00241219 EFTA01329082 0 US Deportment MAJOR REPAIR AND ALTERATION Of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Arleen Administration r e . P o w e a d C M O S ; 1 1 3 0 , X 0 0 r &Mel eon new kis For FAA Use Only INSTRUCTIONS: Print or trio all mutes. See Tee 14 CFR § 43.9. Part 43 Appendix B. rd AC 43.9-1 (or subsequent revision thereof) for instructions and disposition of this form. Ibis mat is roared by law (49 U.S.C. §44701). Failure to report can result in s civil penalty for each such *Aston. (9 U.S.C. §46301(s)) I. Aircraft Nationality and Reglebalto Mark I4212JE Serial No. 5173 Make Gulfatream Model I Sobs 0550 l 2. Owner Name (As shone on regkindion colikete) ELAN D US Address (As crown on registrabon certficafe) 6100 RED HOOK QUARTER B3 ST THOMAS VIRGIN ISLANDS USA 00602 S. Fer FAA Use Only 4. Typo & Unit Identification Unit Make Mode Segal No. Repair Alteration a D b I AIRFRAME (As dented nem abom) 0 0 POWERPLANT 0 0 PROPELLER IN O Type APPUANCE Martibitaxer Il. Cenktrmity Stained A.Ajencys Name and Address B. land of Agency U.S. Carat SI MacMrec j Manufacturer GAS. GLYNCO Canceled Meohanc C. Cerligtate No. 550 CONNOLE STREET X GAeoed Repair Station BRUNSWICK, GA. 31525 Cortilloswo stainienanca Orem/moor FAA CRS GRUM 641 E. Icy* mat the war anOor alteration made to the units) kienefled in Item 5 stove anc demand on the reverse or attachments hereto have been made In accordance et the requirements of Poi 43 of the U.S. Fedene Av Won Regulations and that the iniormebon &meshed herein is bus and correct to the best of my knoMedge. Extended range fuel per 14 CFR 0 Part 43 App. B Signature/Date of Authorized Individual Jason Tighe / 01/15/20 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 One Administrator of the federal Aviation Administration end is CC Approved 0 Rejected se FAA Flt. Standards Inspector Manufacturer Maintenance Organization PS110111S Approved by Canadian Department Of Transport FM Neches X Repair Station • losptelon Aultodzetton Other (Spicily) Corncrib or Oesignetbn No. FAA CRS OR4021041 Signature/Date of Authorized Individual Jason Tighe I 01/1920 ager \ FM Fats 337 (1 ) SDNY_DM_027572913 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244220 EFTA01329083 r cor N0TICE Weep:* and Waft, CV °Dorothy Inteflon dung's WWI be entered in the appropriate aloe mord. An stenefon must be npotoble nes ell preNous alterations to assure continued confer/My nett the applicable einrathiness requirements. 8. Description of Wont Actunplishsci: Of awe spas Is rawarod. math addlaxial flak Identify War alrorart nationalty and reglerralica mark and OM work compkilad.) MODEL: G550 SERIAL NO.: 5173 REGISTRATION NO.: N212JE ACTT: 5747.2 ACTL: 1348 DATE COMPLETED: 01/15/20 Reference: Gulfstream Aerospace Corporation Workorder Number: SC5270 Item 7.3 = Per Customer Request Return LH Divan, LH Divan Cabinets, LH And RH e3 Fwd Facing Scats And LH Cabin Ledge To Original Configuration. Resolution: Complied with interior reconfiguration to original interior installation per drawing CE528000057- SA rev B. Ref 8110-3 dated 12/20/2019 0 Additional Shoe Ne Matched tee cam 337 (10-03) SDNY_GM_02757299 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00241221 EFTA01329084 CERTO 69 08 2019GV-SP SN5173-01 U.S. DEPARTMENT Of TRANSPORTATION FEDERAL AVIATION AMINISTRATON STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS il OATC 12/20/2019 AMCRAFT OR AIRCRAFT COMPONENT MOMRCATIO6 3 MAK! GuEstmern 3 NO0EL NO GV-SP 4 rriTe Wren, Redid. Iffiltopao elc.I Aimlane I NAM! Or APPLICANT GULFSTREA)A AEROSPACE IJST OF DATA C. IOINTIFICA non r TALI CE528000()STSA REV: 8 12/20/2019 __END— FLOORPLAN SN 5173 END Notes. for engineering design data only. It indicates the data listed above only with the regulates' specified by paragraph and below as 'Applicable Requirements? (Compliance with not listed here may be reqt ired). This form does not constitute all the engineering design data sacessary for substantiation of requirements for the entire atteration/repair. aspects of the data listed abode are approved herein Electrical included in this approval. 1. This approval is demonstrates compliance subparagraph listed additional regulations FM approval of compliance to necessary 2. Only the structural aspects are not • PURPOSE Or 04TA In support of major alteration on Guffstream GV-SP SN 5173. I APPLICAILE RIOutREmINTS iii•• AH40 4 Two440 14 CFR Parts 25.601 And' 25-0 25.609 (at 11. (2) (3) (b) ands 25-3 25.603(a) (b) Ccl And' 25-46 25.611 Aadt 25-23 25.605(a) Amdt 25-46 10. CERTIFICATION of appointment wide applicable requireme l flAtaiTheretcee -Under 14 is or authority vested by direction of the Administrator and in accordance with conditions and limitations CFR 133, dam listed above and on attached sheets numbeted g, hays bean examined in accordance with the Airworthiness Standards listed. Recommend apploval of these data Approve these data tia•••• X III.WatAlUalell OF EtMONATED ENOMEERIC REARESERTATIYMM 12. oasomnota it OASSIFICATIOrethe Noss D. Rot laqh DERT -510267-CP Structures FAA FORM 11104 (03,10) SUPERSEDES PREVIOUS EDITION SDNY_GM_02757300 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244222 EFTA01329085 SDNY_GM_02757301 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244223 EFTA01329086 0 US Department MAJOR REPAIR AND ALTERATION Of Transportation (Airframe, Powerplant, Propeller, or Appliance) Federal Aviation Administration Gem ma 2120.0020 "mot Eliistuciriuuruhune For FAA Us* Only INSTRUCTIONS: Prin or type all entries See Title 14 CFR § 43.9. Part 43 Appendix B. and AC 419-1 (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 penalty for each such violation. (49 U.S.C. §46301(a)) Nationality and Registration Mark N212JE Serial No. 6173 1. Aircraft Make Gulfstream Model 6660 Serves 2. Owner Name (As shown on registration certificate) PLAN CI LSO Address (As shown on registration certificate) 6100 RED HOOK QUARTER B3 ST THOMAS VIRGIN ISLANDS USA 00802 3. For FAA Use Only 4. Type 6. Unit Identification Repair Alteration Unit Make Model Serial No. El AIRFRAME (As described in Horn 1 above) • • POYiERRANT 0 0 PROPELLER 0 • Type APPLIANCE Manufacturer 6. Confomilty Statement A. Agency's Name and Address B. Kind of Agency U.S. Certificated Mechanic I Manufacturer G.A.C. GLYNCO Foreign Certificated Mechanic C. Certificate No. 550 CONNOLE STREET X Certificated Ran! Station BRUNSWICK, GA. 31525 Certificated Maintenance Organization FAA CRS GR413216M D I certify that the repair andror alteration made to the und(s) identified in item S above and described on the reverse a attachments hereto have been made in accordance with the requirements of Pan 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 App. El O Signature/Date of Authorized Individual Jason Tighe I 01/15/20 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item S was Inspected in the manner presated by the Administrator of the federal Aviation Administration and is ID Approved 0 Rejected ler FAA Flt. Standards Inspector Manufacturer Maintenance Organization Persons Approved by Canadian Department of Transport FAA Designee X Repair Station Inspection Authorization Other (Specify) Certificate or Designation No. FAA CRS GR4D216M Signature/Date of Authorized Individual Jason Tighe I 0M5/20 orm SDNY_GM_02757302 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244224 EFTA01329087 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. 8. Description of Work Accomplished: Of more spaces reputed. attach additional sheets Identify with aircraft nattonakty and registration mark and date work completed ) MODEL: G550 SERIAL NO.: 5173 REGISTRATION NO.: N212JE ACTT: 5747.2 ACTL: 1348 DATE COMPLETED: 01/15/20 Reference: Gulfstream Aerospace Corporation Workorder Number: SC5270 Item 37.3 = R/H Zone I Rib 9 outbd rib foot aft stgr 13 has area of disbond. Resolution: Trimmed out area as per RFA RFA No.CS613899-2.4.I. Fabricated -11 filler from 0.050 2024-13 Lot number LT19-201086.I PO number DAPO19-05366.2 as per SE55502139 REV -. Installed -11 filler per Notes 9 and 19. Inspected for disbonds 5.0 in. around each rivet installed in the —T4 temper per model specific NDTPM 05-00-00 Procedure I, "Horizontal Stabilizer Lowe rSkin Resonance C-Scan - NDT Procedure with no defects noted. 8100-9 In Support. END 0 Additional Sheets Are Attached FM Form 337 (10-06) SDNY_GM_02757303 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244225 EFTA01329088 0 us orimmen MAJOR REPAIR AND ALTERATION or Trap:moon (Airframe. Powerplent, Propeller, or Appliance) leant Avinlen Aanintstradea O i l i O W 2 I 2 S 0 0 2 0 bp eaMOIII ElettORICTIOdlite MIAMI w mauls Only INSTRUCTIONS: Print or type at entries. See Title 14 CFR §43.9, Part 43 Appendix B. and AC 43.9-1 (or subsequeM revision thereof) for instructions and disposban of 0* form. This report Is required by law (49 U.S.C. §44701). Failure to report can react in a civil penalty for each such violation. (49 U.S.C. §46301(a)) 1. Aircraft Nationality and Regestrabon Mark N212JE, USA - -- - Serial No. 5173 G ke GULFSTREAM AEROSPACE MOdel GV-SP (G550) Series G550 2. Owner Name (As shown or:registration certiacate) Plan D, L.W. Address (As shown on reg)sfradon certificate) Moms 6100 Red Heat Oa ael cc, Sr neap Sena uSIA Li, 00002 can" um 3. For FAA IJSCOnN 4. Typo 5. Unit Idendfication Repair Alteration Una Make Model Serial No. O 0 AIRFRAME OutESTIREAuranOSACE 5173 (As Oasalbed in Item 1 above) O O PONERPLANT O • PROPELLER O o APPLIANCE Type Illanulactuzer 5 Conformity Statement A. Agency's Name and Address B. Knit of Agency MY,* Lividan Jai Carle U S Certificated Methane I alartheterer Actarri. 4"••••••••••• Foreign Graft-Med ME'I(C C. Certificate No. my Towson, Am PO UnkindRepair Staten liaiROS.IF CRS IMJR053F bat 07•01 taro* USA Connoted itarterence Organization D. fortify that the repair ander alteration made to the unids) identified in kern 5 above arid described on the reverse or atm itmems hereto have been made In accordance vAth the requirements of Part 43 of MS U.S. Federal Meatier, Regulatices and that the information furnished herein is true and correct to the best el my knot/edge. Extended range fuel per 14 CFR Part 43 O App. B Signatse/Dete of Authorized Individual - /eilakif 7. Approval for Return to Service Pursuant to the authority green persons spected below, the unit Idenbfied In tem S was inspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is fl Approved TT/erected BY FM Fri. Standards Inspector M anufacturer Maintenance Organization Peace's ApptewedlarCanadan Depettmers a Tramoort FAA Designee X Repair Station Inspection ALthenzabon Other (Specify) Certificate or Signature/Date of Authorized Individual Designation No. CRS IMJR053F a 017/0 , /0/7 FAA Form 337 (10/06) Page I SDNY_GM_02757304 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244226 EFTA01329089 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 aPPliCablesiAsnfrnineSs requirements. e. Description of Work Accomplished 0 more space o requited attach eddelonel sheets. (dente win Werth nationeMy and registrebon men end Me week completed.) Go-So (0550)-5173 5731.5AFTT 1315 CYC USA- Netea 06firnAte Nationality end Registration Mark Coto Incorporated STC ST02893AT- Installation of LoPresti (Whelen) Taxi Lighting system (LSM-500-125 Rev K dated 01/28/19). This Alteration replaces the existing taxi lights (3) with new assemblies. The functionality of the systems remain unaltered. Airworthiness Limitations: There are no new or additional airworthiness limitations associated with this equipment or installation. There is no required Airplane Flight Manual Supplement required for this Alteration. There is no effect to the MEL for relief, the systems are functionally the same as the existing taxi and landing light systems. Instructions for Continued Airworthiness: Reference the LoPresti (Whelen) Instructions for Continued Airworthiness section of Installation Manuals LSM-500-125 Rev K, or later. This Supplemental Type Certificate is designed to satisfy the requirements of 14 CFR 25.1529 "Instructions for Continued Airworthiness" associated with this design. Refer to the Aircraft Maintenance Manual for the Aircraft Scheduled Maintenance Program otherwise the scope and detail of FAR 43, Appendix 0 will apply. Weight and balance changes: Taxi lights- (-3 installation) +2.74 lbs, moment +315.46 in-lbs. The aircraft Weight and balance has been revised for this Alteration. Electrical Load Analysis: Taxi lights- (-3 installation) Reduction of 17.49 amps to system. Wiring changes have been incorporated into the aircraft records and noted on the Load Analysys. Accomplished an evaluation of the inter-relationship between the systems listed above and the Type Certificated produce in accordance with 14 CFR Parts 25.1301(d), 25.1431(c) and they have been found to be operating satisfactory and that there is no adverse effect on any other component, system, or the airworthiness of this aircraft. - - - END------- ClAcidtbonal Sheets Aro Attached FM Form 337 (10/06) Page 2 SDNY_GM_02757305 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244227 EFTA01329090 l iir e MAJOR REPAIR AND ALTERATION uS 0444404.4 Cr rh , en" (Airframe, Powerplant, Propeller, or Appliance) fan Minion Aclaryilsbalon OM No 200.0020 Op. SOI/2016 recicac iruicag r4,,,,bn roe FAA Use Oar INSTRUCTIONS. Print or type all entries. See Title 14 CFR §43.9. Part 43 Appendix S. and AC 43.9-1 (or subsequent revision thereof) for instructions nd disposition of this form. This report is required by law (49 U.S.C. §44701). Failure to report can resift in a civi penalty for each such violation (49 U.S.C. §46301(a)) 1. Aircraft Nationality and Registration Mark N212JE, USA Serial No. 5173 Make GULFSTREAM AEROSPACE Model GV-SP (G550) Senes G550 2. owner Name (As snown on regiztratron cectIcate) Plan D. LLC. Address (As shown on registration ceaficore) X40(0411 6100 Rid 1400i Curie 145 Cry St Donn Sad USVI 20 40402 Catty USvl 3. For FAA Use Only 4. Type S. Unit Identification Repair Alteration Una Make Model Serial No. . El AIRFRAME GUIYSTREAMM ROSPACE (As desaibod In born l above) SliS D p POWERPLANT • • PROPELLER 0 0 APPLIANCE Type runtrectunw 6. Conformity Statement A_ Agency's Name and Address B. Kind of Agency eon mosso Merle U. S Crylifcaled Methane I Marciedurer Mans Is 44444 •4"4 Emir Cecoccaleci Methane C. Certificate No. XXXITXXO NJ Crated Row Staten CRS IMJR053F WO 2. 01604 Casey USA CMIC0100 morrenence CfSIOnaryOn D. !certify that the repair andlor alteration made to the unit(s) identified in tem S above and described on the reveru or attachments hereto have been made In accordance wah the requirements of Part 43 of the U.S. Federal Aviation Regutabons and that the information furnished herein Is true and correct to the best of my knowledge. Extended range fuel K poy 148 CFR Part 43 AM Signature/Da of Authonzed Intl dual A l gO l, T. Approval for Return to Service Pursuant to the authority given persons specified below. the unit identified in tem 5 was inspected n the manner prescribed by the Administrator of the Federal Aviation Administration and it plApproved Rejected BY FAA Fs Standards Inspector Manufacturer Maintenance Organization Persons APpromobyConecian Oepstrrert of Transpart FAA Designee x Repair Station Inspection Authorization Other (Speofy) Cattaloor lo No. CRS IMJR053F Signature/Date - Authorized Individual • /1/.3 0/9..0 ICI_ FAA Form 337 (10/06) Page I SDNY_GM_02 757306 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244228 EFTA01329091 NOTICE Weight and balance or operating larefelien changes shot be entered el the 0,00,00/ate aircraft record An aeration min be compatible with all previous alterations to assure continued conformity with the applicable airocithiness requirements. 8. Description of Work Accomplished gt more sone is required. attach addgonal sheets. Identify loth naafi netienahly and registration mark end dale teak comp/elect) Gv4P 0550)ain 5173 599].5 asp UMW* USA M212£ 30 Aft. 2019 Nalonakty and Ftegisusbon Mstk Dais Incorporated STC ST02893AT- Installation of LoPresti (Whelen) Landing Light System (Installation Manual LSM-500-126 Rev J dated 01/29/19, -3 installation kit). This Alteration replaces the existing Landing lights (2) with new assemblies and installs new power converters and Ballasts. The functionality of the system remain unaltered. Airworthiness Limitations: There are no new or additional airworthiness limitations associated with this equipment or installation. There is no required Airplane Flight Manual Supplement required for this Alteration. There is no effect to the MEL as for relief, the system is functionally the same as the existing landing light system. Instructions for Continued Airworthiness: Reference the LoPresti (Whelen) Instructions for Continued Airworthiness section of Installation Manual LSM-500-126 Rev J, or later. This Supplemental Type Certificate is designed to satisfy the requirements of 14 CFR 25.1529 "Instructions for Continued Airworthiness" associated with this design. Refer to the Aircraft Maintenance Manual for the Aircraft Scheduled Maintenance Program. Weight and balance changes: The aircraft Weight and balance has been revised for this Alteration. Electrical Load Analysis: Landing lights- (-3 installation) Reduction of 4.9 amps to system. Wiring changes have been incorporated into the aircraft records and noted on the Load Analysis. The STC and provided documentation have been added to the permanent aircraft records. Accomplished an evaluation of the inter-relationship between the systems listed above and the Type Certificated product in accordance with 14 CFR Parts 25.1301(a) and 25.1431(c) and they have been found to be operating satisfactory and that there is no adverse effect on any other component, system, or the airworthiness of this aircraft. --END =Additional Sheets Aro Attafled FM Form 337 (10/06) Parr ") SDNYGivl_02757307 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244229 EFTA01329092 MAJOR REPAIR AND ALTERATION SW (Airframe, Powerplant, Propeller, or Appliance) SW - 31A6 No. 2120-0020 Exp W3112014 - electienie Tense rine Fat FM Ine Onif US 01*.irmeal 0 Panto-boon Federal Anneon Adraniattalon I INSTRUCTIONS: Print or type all entries. See FAR 43.9 Appendix B, and AC 43.9-1 (o subsequent revision thereof) for instructions and disposition of this form. This report is required by law (19 U.S.C. 44701). Failure to report can result in a civil penally for each such violation. (49 U.S.C. 46301(a)). 1. Aircraft Nationality and Registration Mark Serial No. USA N212JE 5173 Model Series Mike l Gulfstream Aerospace GV-SP (G550) 2. Owner Name (As shown on registration certificate) Plan D LLC Address (As shown on registration certificate) Address 6100 Red Hook Quarter B3 city St Thomas sm. Foreign zio 00802 Cowry Virgin Islands 3. For FAA Use Only , : I I 4. Type 6. Unit Identification Repair AlteratIo Unit Make Model Serial No AIRFRAME ------- (As described in item 1 above) O O POWERPLANT K D PROPELLER O O APPLIANCE It" laisiesineow 6. Conformity Statement A. Agency's Name and Address B. Kind of Agency Manufacturer International Jet Interiors U.S. Certificated Mechanic C. Certificate No. 2221 Smithtown Ave Foreign Certificated Mechanic Ronkonkoma, New York X Certificated Repair Station I CRS 11JR439Y 11779 USA Certificated Maintenance i D. I certify that the repair and/or alteration made to the unit(s) identified in Item 6 above and described on the reverse or attachments here to 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 Pan 43 O App. B Signature/Date d Jay Masser 9127/2018 7. Approval for Return to Service Pursuant to the authority given persons specified below, the unit identified in item 6 was nspected In the manner prescribed by the Administrator of the Federal Aviation Administration and is 0 APPROVED 0 REJECTED FAA Ftt. Standards Inspector Manufacturer Maintenance Organization Persons Approved by Canadian Departmeot of Transport BY FAA Designee X Repair Station Inspection Authorization Other (Speed)) Certificate or Designation No. CRS I1JR439Y Signature/Date of Authoriz Thomas Norden 9/27/2018 ividual ( IL FAA Form 337 !IOC*) SDNY_GM_02757308 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244230 EFTA01329093 NOTICE Weight and balance or operating limitation changes shall bo entered in the appropriate aircraft record. An alteration must be compatible with a/I previous alterations to assure continued conformity with the applicable airworthiness requirements 8. Description (If more It Accomplished the FAA/DER 2) Removed Dwg Switch 3) Fabricated 7/11/18. 4) Removed panels 211007 329681-17 5) Reupholstered accordance dated 8/2/18 6) The 116. 02FP FANDER (DERT-230453-CE). 7) Installed Twilight dated 8) Stripped Bum Biberstein 9) Stripped 348675.18 (DERV 10) Fabricated Dwg Landing". II) Removed LED "Installation of Work Accomplished space is required, attach additional shoots, identify with aircraft nationality and registration mark and date work accomplished) USA N2I2JE Date 9/27/2018 Nationality and Registration Mark the following modifications/alterations as listed below to an existing executive interior in accordance with below listed International Jet Interiors Drawings. All listed Structural drawings below were approved via (attached) Form 8110-3 dated 9/24/2018, (attached) by Robert F. Clossin (DERT-230227-CE). Ul wall 25- via TP DRAWING NUMBER REV TITLE OR DESCRIPTION 111-G550-5173-02 IR INSTL-LEDGE-SIDEWALL MOD 111.0550.$173-03 IR 1NSTL-DIVAN MOD 1754-ST-001 IR INTERIOR MODIFICATIONS - GULFSTREAM MODEL GV-SP, SN 5173 the existing R/H Cabin Divan (P/N 2523.700.0I-(04)) and End Arms and modified ledge in accordance with No. 1.11-G530-5173,433; Rev R. dated 7/11118. Stowed the existing RAI and UH Ledge Cabin Audio/Call/Shade panels (8 Ea. Rockwell Collins P/N 2501-2) behind Lower side wall panels LH & RH side at FS 420.0. new replacement LH Cabin Divan End Arms in accordance with 111 Dwg No. IJI.0550.5173-03. Rev IR. dated the existing RH Cabin Fwd. Side Wall Table Frame and Side Wall Bump Out Panel and fabricated new side in accordance with Ill Dwg No. 111-6550.5173-02, Rev IR, dated 7/I 1/18. Composite material Hermes Fabric M 16 — Toile Decoration Grege, (same material) has been previously burnt, reference Skandia burn report TPt/ dated 8/22/17. the LH Divan (Outer Dress Cover Only) with Cowtan & Tout Fabric: 18905-01, EMI Natural. In with Aviation Consulting & Engineering Solutions Inc. Substantiation Report No. A072618-01SR Rev IR 8/2/18, ACES drawing No. A0100001 Rev R dated 1/23/13, and ACES drawing No. GVSP-090039 Rev IR dated approved via FAA/DER 8110.3 dated 2/7/18 (attached) by David S. Molnar (DERT-510260-CE). cabin Divan seat cushions have been fireblocked in accordance with FAA Title 14 CFR 25.853 (a) (c) amendment Reference Aviation Consulting & Engineering Solutions Inc. (ACES) fire blocking Test Plan report No. A072518. Rev IR dated 7/25/18 and Oil Burner Test Results report No. A072518-02FR Rev IR dated ft/3/18 and approved form 8110-3 (attached) dated 7/25/18 and 9/6/18 by Jeff A. White (DERT-230318-CE and Herschel E. Loepp new Replacement Floor Covering in the Main Cabin with Glen Eden Carpet: 5201 Hand-Tufted Color: B788 and 8789 Twilight. Reference Certificate of Flammability Testing by CA Aviation, LLC. Test Report No. 83278 7/30/18 in accordance with FAA Title 14 CFR 25.853 (a) Arndt 25-116 Appendex F, Part 1(a) (I) (ii). and recovered existing Headliner and PSU Panels with Lao Piana Fabric: A8730RS 001, Panjab Shaded White. report TP 348675-18 Rev A dated 9/17/18 approved via FAA/DER Form 8110-3 dated 9/17/18 (attached) by Jane (DERV-832780-CE). Skandia Inc. composite burn spec No. I. and recovered existing Aft Lavatory Storage Area with Tapis Fabric: 0263 Woodhue Grospoint. Burn report Rev A dated 9/17/18 approved via FAA/DER Form 8110-3 dated 9/17/18 (attached) by Jane Biberstein -832780-CE). Skandia Inc. composite bum spec No. 8. a LH mid-cabin removable (Loose Equipment) divider at the forward divan arm rest in accordance with Ill No. 111-6550-5173-03, Rev IR, dated 7/11/18. Divider placarded "Must be Stowed During Taxi, Takeoff and the existing WE Aerospace Cabin 5800 Series Fluorescent Lamps and installed Aircraft Lighting International Lamps (L5800-XXX-YY series) and Lamp Holders (PN N5120B) on yin accordance with ALI Aerospace Instructions" Rev A, dated 11120/17. 0 Additional Sheets No Attached cam SDNY_GM_02757309 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0O24423 I EFTA01329094 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 fo assure continued conformity with the applicable airworthiness requirements. 8. Description of Work Accomplished (If more space is required, attach additional sheets. Identity with aircraft nationality and registration mark and date work accomplished ) USA N2I2JE Nationality and Registration Mark Dater/27/2018 12) The Aircrafts Weight & Balance Manual has been updated (report dated 9/20/2018) and a Supplement to Cabin Interior Equipment List has been provided to customer. 13) A logbook entry has been made reflecting this alteration. 14) This Refurbishment/Repair/Alteration to the existing Cabin Interior furnishings requires No Schedqled Maintenance Tasks or Airworthiness Limitations, refer to the OEM Maintenance Manual, and all other existing !CA's. fflie Aircraft's Scheduled Maintenance Program is not altered by this repair/refurbishment. The work described, has been founcho'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. 18147, 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_02757310 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244232 EFTA01329095 SDNY_GM_02757311 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244233 EFTA01329096 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION , STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 1. DATE • July 25. 2018 AIRCRAFT OR AJRCRAFT COMPONENT IDENTIFICATION 2 MARE Gulfstream Aerospace Corporation 3 MODEL NO. GV-SP 4 TYPE Minya Engine. Piraper. at) Aircraft 1 S. NAME OF APPLICANT ' International Jet Interiors I UST OF DATA 6. IDENTIFICATION 7, tins REPORT: A072518-02FP Rev. IR 07/25/18 ....m...t. END i FLAMMABILITY AND OIL BURNER TEST PLAN - 4-PLACE DIVAN - GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP SN 5173 Note: 1. Approval of test results Is required. . _ at. = =====. END .... Za .akaa ...... ',Zan I PURPOSE OF DATA i Test pan approval only. In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP SN 5173. 9 APPLICABLE REOLAREMENTS psi spectie weans) 14 CFR §§ 25.853(aXc) at Amendment 25-116 I 10. CERTIFICATION Pat 153. dada Wed Nova win appIcatio metwanioNa (FOAM Then:40M -)Mar adhonly veiled by drecOon Of Ma Arinator and ii Accordance althccochnora arid lenlaiensolapponlmenl under 14 CFR and on idladvd Omits nuntiesad Nov_ bre been mandned m accordance *IN talablehed onxiadwes and lound lo comply al de Alestellansa Standards bled. 0 INcomniand approval of these data I CD APPIAN' Ness Beta I. SIGNATURE(S) OF DESIGNATED ENGINEERNO REPRESENTATNEIS) 12. DESIGNATION NUWERNS) II. CLASSIFICATIONS) Aviation Consulting 4 Engineering Solutions. Inc. Jeff A. White 22 /0 DEBT-230318-CE I Structures r h i FAA Fonn11104 (03/11) SUPERSEDES PREVIOUS EDITION RU SDNY_GM_02757312 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244234 EFTA01329097 • SDNY_GM_02757313 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244235 EFTA01329098 V S DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION AOMNGTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 1. DATE August 8, 2018 ARC RAFT OR AIRCRAFT COMPONENT CENTRIC-ARON I 2. MAKE Gulfstream Aerospace Corporation 3. MODEL NO. GV-SP 4. TYPE (Ain% &Va. Pr0Peae. a) Aircraft 5. NAME OF APPLICANT International Jet Interiors LIST OF DATA 6. rDENTWICATION 7. TITLE REPORT: A072518-02FR Rev. IR 08/03/18 END := an FLAMMABILITY AND OIL BURNER TEST RESULTS - 4-PLACE DIVAN - GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP SN 5173 Notes: 1. The flammability aspects only of the above listed data we approved hemin I . This approval is for the engineering design data only. It indicates tho 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 dateinecessary for substantiation of compliance to necessary requirements for tie entire alteration/repair. Compliance with additional regulations is required. I iii=== == = = END 2====rallelatillirMS4Vill2 =se == mem= . ---__—_- - - a - == I i I S. PURPOSE OF DATA In support of a major alteration to Guffstream Aerospace Corporation Model GV-SP SN 5173. 9. APPLICABLE REQUIREMENTS (Lisi WeediC Seeter0) 14 CFR 55 25.853(e)(c) at Amendment 25-116 10 CERTIFICATION41Mo eutheAly vested by *coon d the Adrowistralw and in oceofeanc• win creates and Imitators of aopeoratrent under II CFR Pan lel data rated stove and on stashed sheets renew) Note have been eawraled in wares who esinashed procrehret and toted to comely wet apleable rechiremetts of to Alwordlnen StandaritS Wed 0 Repairenend approval of thole data I I Ave) Thertdare 0 APPrOVII then fin II. SIGNATUREIS)OF DES TED ENGINEERING REPRFtENTATIVE(S) 12. DESIGNATION NuMBERS(S) 13. CLASSIFICATION(SI Structires I Potable Certsultong & "oils Inc.t gif He E. Loepp 5. aree4-PP DERT-230453-CE I FAA EOM 81104 Mlle) SUPERSEDES PREVIOUS EIXTVON RLI SDNY_GM_02757314 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244236 EFTA01329099 SDNY_GM02757315 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244237 EFTA01329100 U.S. DEPARTMENT OF TRANSPORTKRON FEDERAL AVATION ADM NISIRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I DATE I AugustZ 2018 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION I 2. MACE Gulfstream Aerospace Corporation 3. MOOEL NO. GV-SP 4. TYPE (Ant Enema Propel or, eta) Aircraft I NAME OF APPLICANT. internatioilal Jet Interiors LLST OF DATA B.I0ENTIFCATON 7. TITLE • Report: A072818-01SR Rev. IR 08/02/18 Drawings: GVSP-090039 Rev. IR 08/02/18 A0100001 Rev. R 01/23113 ENO .c......mr..., I -SUBSTANTIATION REPORT-DRESS COVER REPLACEMENT-4-?LACE DIVAN - GULFSTREAM AEROSPACE CORPORATION MODEL GV-SP SN 5173 GULFSTREAM GV-SP DRESS COVER REPLACEMENT 4-PLACE DISN 'PLACARDS i Notes: 1. Structural approval of the seat installations is not included as part of this 8110-3. 2. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as 'Applicable Requirements.' 3. This form does not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the en* alteration/repair. Compliance with additional regulations such as 14 CFR §§ 25.803(a), 25.813(c2ii), 25.815, 25.853(a)(c), 25.1411(b), and 25.1561(c) are beyond the scope of this design data. Additional approvals may be required. END r. — NWERNMI:M====.170=95=======laZtaa,tittrIZ:=2flattl1=1.=. I I S. PURPOSE OF OATA In support of a major alteration to Gulfstream Aerospace Corporation Model GV-SP SN 5173. 9. APPLICABLE REQUIREMENTS (Liss spatifie saclons) 14 CFR §§25.561(b1). .562(a1),. .603(a), .785(b)(c), and .1541(a1Xb1)(b2) through Amendment 25r98. 10. CERTIFICATION Grdef bueneelty Pad M. din listed abOve and en beached Sib apples/ nipulremend of Ts Airworthiness 0 Ratammead I elm Thorekrts el Approve these vested try tInctien of VseAdmenslralor arch In SCCOnlanCe shoe Tendered none_ have been eicarrined vAil ConallOnS and linflabom of smonlmatft under 14 CFR in ace0tdanCe with eStabithed priXeCluree WC bird 10 <elf* i I Standards IfsPel approval of NOS! data data II SIGNATURES) OF DESIGNATED ENGINEERING REPRESENTABVE(S) 12. DESIGNATOR NUMBERS(S) 13. CLASSIFICATION(S) DAVID S. MOLNAR .2x2 t.oc---i icz ..„. DERT-510260-CE STRUCTURES ..----- i I FAA Form 81 104 (03110) SUPERSEDES PREVIOUS EDITION SDNY_GM_02757316 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244238 EFTA01329101 SDNY_GM_02757317 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244239 EFTA01329102 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS 1.DATr September 24, 2018 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION I 2 MAKE Gulfstream 3.MODEL NO. GV- SP 4 TYPE p.m,* hone, reepron, ere) Aircraft 5.NAME OF APPLICANT International )et Interiors Ronkbnkcima, NY LIST OF DATA 6.IDENTIFICATION I 7.TITLE Document IJI-G550-5173-02 Rev. IR, 7/11/18 IM-G550-5173-03 Rev. IR, 7/11/18 Report: 1754-ST-001 Rev. IR, 9/24/18 Title Instl-Ledge-Sidewall Mod Instl-Divan Arm Mod Interior Modifications - Gulfstream Model GV-SP, S/N 5173 Note(s): 1. This approval is for engineering design data only. It indicates the data listed above demonstrates compliance only with the regulations specified by paragraph and subparagraph listed below as Applicable Requirements. This form may not constitute FAA approval of all the engineering data necessary for substantiation of compliance to necessary requirements for the entire alteration. 2. This approval is for Gulfstream GV-SP, S/N 5173 only. I I 8.PURPOSE OF DATA To present the irate for modification data in support of a major alteration on Gulfstream Model GV-SP, S/N 5173. 9.APPLICABLE REQUIREMENTS (List specific sections) I 14 CFR Part 25.301(a)(c) [Arndt. 25-23), 25.303 [Amdt. 25-23), 25.305(a)(b) [Arndt. 25-86], 25.307(a) [Arndt. 25.72), 25.341(a) [Arndt. 25.72], 25.561(a)(b)(c)(d) [Arndt. 25-91), 25.601 (No Arndt.), 25.603(a)(b)(c) (Amdt. 25-46), 25.605(a) [Arndt. 25-46), 25.607(a)(b) [Arndt. 25-23), 25.609(a)(b) (No Amdt.], 25.625(a)(b)(c) [Amdt.25-72), 25.787 (a)(b) [Amdt. 25.51), 25.789(a)(Amdt. 25-46), and 25.1541(a)(b) [No Arndt.) Ref TCDS AI2EA, Rev. 49 10. CERTIFICATION • Under authority vested by direction of appointment under III CFR Part IX). dais listed above accordance will, established procedures and found to O Recommend approval of these of the Administrator and on attached comply with applicable data end in accordance with conditions sheets numbered N/A liav:e and limitations been examined in Standards listed. requirements of the Airworthiness I (ve) Therefore r Approve these dais I I SIGNATUREMOFDESIGNATEDENGINEERINGREPRESENTAINE(S) 52 DESIGNATi0NNUMBERSM 53 CLASSIFICATIONS) Robert F. Clossin e.,444. - I DERT-230227-CE Strtictures - Interiors 14 CFR Part 23 & 25 • FAA Form 8110.3 13510) SUPERSIOES PREVIOUS 1DITION SDNY_GM_02757318 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244240 EFTA01329103 SDNY_GM_02757319 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244241 EFTA01329104 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS ST 1. DATE 09/17/2018 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE Gull stream 3. MODEL NO. G550 / Typo (Ampere. Enght. Propels.. et) Airplane S. NAME OF APPLICANT International Jet Interiors LIST OF DATA & IDENTIFICATION 7.11TLE TP 348675-18 Rev A Dated 9/17/2018 Skanda, Inc. Flammability Test Report Bunsen Burner Testing: Test Specimen Part Numbers: P/N 01 (Represents: Headliner and PSU Panels) P/N 08 (Represents: Aft Lay Closets) Notes: i 1) Work accomplished under Skandia Inc. WO N 348675-18. Ref Document ID 101649. 2) Flammability test witnessing only, does nal constitute installation approval of the materials. 8. PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair & Al eration for SIN 5173 9. APPUCABLE REOUREMENTS (List speck Sections) 14 CFR Pan 25.853 (a) Arnd 25-116 Appendix F Pan I (a)(1)(i) la CERTIFICATION • Under authority vested by direction of the Administrator appoiMment under 14 CFR Part 183, data listed above arid on attached in accordance with established procedures and found to comply meth applicable O Recommend approval of these data I ( Therefore X Approve these data and in accordance with conditions sheets numbered and limitations al ' have Dean examined Standards listed. ; TIC requirements of the Ainvonhiness 13. CIANNFICAMS) 11. SI TURE(S) OF DE t4GINEERING REPR AT IVE DESIGNATION 12. NUMSER(S) C X IIIIPI DR netB rstein DERV-832780-CE Structural Special FAA Fo 0-3 man SUPERSEDES PREVIOUS EDITION SDNY_GM_02757320 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244242 EFTA01329105 SDNY_GM_02757321 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244243 EFTA01329106 CERTIFICATE OF FLAMMABILITY TESTING CC AVIATION, LLC. BRIAN FOSS 242 SERRA DR. WHITE LAKE, MI 48386 E-MAIL TEST REPORT NO: 83278 TEMP: 73° HUMID: 51% FLAME 15156° CONDITIONING DATE: 07/27118 CONDITIONING TIME: 9:30 AM TF.ST DATE: 07/30/18 TEST TIME: 10:00 AM MATERIAL IDENTIFICATION: Carpet: Glen Eden Wool Carpet: Custom 5201 Hand-Tufted Color: 0788 Custom Twilight-Wool. B789 Custom Twilight-Wool RoII' 76979 APPLICATION: DATA SHEET/ PON 7944 CUSTOMER: INTERNATIONAL JET 12 Second Vertical Ignition: 14 CFR 25.853 (a) Amdt. 25-116 Appendix F. Pan I (a) (1) (ii). Requirements: IS see. extinguish time: 8 inch bum length: 5 sec drip extinguish time: Extinguish Time: 0.0 Burn Length: 0.1 : Drip Extinguish Time: None Extinguish Time: 0.0 Bum Length: 0.1 Drip Extinguish Time: None Extinguish Time: 0.0 Bum Length: 0.1 Drip Extinguish Time: None Extinguish Time: Bum Length: Drip Extinguish Time: Extinguish Time: Burn Length: Drip Extinguish Time: Extinguish Time: Bum Length: Drip Extinguish Time: AVERAGE 0.00 COMMENTS: PASSED: X AVERAGE 0.10 FAILED: AVERAGE 0.00 Testing Witnessed and Approved By: Brian Foss Engineering Designee: Structures (Flammability Only) SDNY_GM_02757322 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0O244244 EFTA01329107 SDNY_GM_02757323 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244245 EFTA01329108 AIRCRAFT LIGHTING INTERNATIONAL 1 I I 105 I NGIN - IWALJ nnut N Y 11 int, INSTALLATION INSTRUCTIONS FOR AIRCRAFT LIGHTING INTERNATIONAL 5800 LED LAMP, P/N L5800-XXX-YY and N5120B Lamp Holder Manufactured By: AIRCRAFT LIGHTING INTERNATIONAL REV A November 20, 2017 Aircraft Lighting International, Corporation, PROPRIETARY NOTICE This document contains information of a confidential and proprietary nature to Aircraft Lighiing International, Corporation (-ALI), constitutes trade secret for the purpose of the Trade Seciket and Freedom of Information Act, and is provided in confidence for the sole purpose of enabling the recipient to evaluate the information disclosed by ALI for the sole purpose of installation of part number 15800- XX.Ar-YY. The recipient assumes custody and contra and agrees that this document and its aicompanying enclosures/exhibits will not be copied, manufactured, sold, used for Inventions or discovery, reproduced, in whole or in part, nor its contents revealed or disclosed in any manner to any third party without prior written consent of ALL As oldie date of this cover letter no right has, now, currently or in the future, been granted to disclose or use any information contained In this document. ®Copyright 2017 Aircraft lighting International. Corporation. all rights reserved. Page 1 of 7 Document No.IINST4.5800 SDNY_GM_02757324 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244246 EFTA01329109 SDNY_GM_02757325 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00244247 EFTA01329110 IMO PAM 0, •Isf DEPAKTIONT Of TRAM PORTA11011-FEDERAL AVIATION ACOMSTRA11001 STANDARD AIRWORTHINESS CERTIFICATE 1 X41'414. virtrit.., MID I imatAKTACI)0600:4( ) ./A0017 WM. 1 cow*. 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DINO ISSWCJI ImMis,0000At A e Ka ION ono Artlidd /f4 ItitfearglaMIGI 00A <I I •••••••••••• • aorosina rt. inns* ant m.100••••.... is inns& bott27161000.••••• Asa tes. emit Mint: a t'q inor inappioctspi/.11VAPPKVO W•WINILoOt SDNY_GM_02757326 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244248 EFTA01329111 SONY_GM_02757327 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244249 EFTA01329112 ..entD MRS 0111/11CA DEPARTMENT OF TRAHSPCRTATIONJEDERAL AVIATION STANDARD AIRWORTHINE int wm NIISLM .rsgTN4bo tirCOIL Gairia GV • avi, r. Ma rbrC at* tut•loaszs•Illt allItsIMI Swig alliml•SIbIl• kl in3 ••••••••1•••••••••••• Cowan imprint,' Dawn N. 71•11, (t) gy p. N. MN 3S101 Ltiapeln Ns. Ma 40 Mµ Mon a 70•4110 CO•01%. Ulaestawils. Idellearo• •POMAII••••••= IMPIMISOMISIIII•ASII eat Vann.. 4 2A Just P. Len WP-27 AK . 1: 11.70 u•••••• !sm.- •••••1 1k116. Isom. Finie, CIATCAllialtOlealliMMOMM•COISOWriradilliVINONAIMIWYJAM PothmelS20•111•••••••••••ineika SDNY_GM_02757328 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00244250 EFTA01329113 SONY_GM_02757329 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_0024425 I EFTA01329114 Plan D LLC 6100 Red Hook Quarter B3 St Thomas VI VI 00802 To: Brent Archibald ODA-511131-CE Gul (stream Aerospace Corporation Savannah, Georgia 31402-2206 Subject: Request for Replacement Standard Airworthiness Certificate. As the owner /certificate operator of Gulfstream Aerospace Corporation GV-SP (G550) , Serial Number 5173, registration N415LM, I am requesting a Replacement Standard Airworthiness Certificate due to change of Registration from N4I5LM to N212JE as authorized by AC form 8050-64 issued on 23 AUG 2017. The registration markings have ban affixed to the aircraft in accordance with 14 CFR 45, subpart C. Regards, Title: m 4W Ag Est RAN A ac. Date c -/ S —01-O/ SDNY_GM_02757330 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00244252 EFTA01329115 SDNY_GM_02757331 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA _00244253 EFTA01329116