3
Shared Docs
3
Same-Page
3 / 3
Mentions
mandatory penalty equal to the tax. Sworn to (or affirmed) and subscribed before me this day of Signature of Notary Print, type, or stamp name of Notary O Personally known O Produced identification Type of Identification: Signa ure of <affiant/purchaser Distribution of Do• ments The original af
ited Liability Company Complete name of the Applicant: State in which LLC is organized: Effective date of formation of the LLC: C1°1ciber 7, 2016 Industrial Intregrity Solutions, LLC New Mexico Name of each member of the LLC: Name of Member: Type of Entity (ie: individual, corporation, partnership, etc.) U.S. Citizensh
mandatory penalty equal to the tax. Sworn to (or affirmed) and subscribed before me this day of Signature of Notary Print, type, or stamp name of Notary D Personally known U Produced identification Type of Identification: Signs ure of affiantipurchaser Distribution of Do ments The original aff
State in which LLC is organized: Statement in Support of Registration of a United States Civil Aircraft in the Name of a Limited Liability Company Industrial Intregrity Solutions. LLC New Mexico Effective date of formation of the LLC: October 7.2016 Name of each member of the LLC: Name of Member: James L Previti Frontier
mandatory penalty equal to the tax. Sworn to (or affirmed) and subscribed before me this day of Signature of Notary Print, type, or stamp name of Notary O Personally known O Produced identification Type of Identification: Signature of affiant/purchaser Distribution of Dom ments A et; reti he i
Limited Liability Company Complete name of the Applicant: State in which LLC is organized: Effective date of formation of the LLC: October 7. 2016 Industrial Intregrity Solutions, LLC New Mexico Name of each member of the LLC: Name of Member. Tyne of Entity (ie: individual, corporation, partnership, etc.) U.S. Citizensh
Entities connected to both Notary and Industrial Intregrity Solutions

Samantha Power
PERSON
United States
LOCATIONDarren Indyke
PERSONLarry Visoski
PERSON
Marc Rich
PERSON
U.S. Virgin Islands
LOCATION
Keystone
ORGANIZATIONBroward
LOCATION
Sikorsky
ORGANIZATIONthe State of California
LOCATIONthe United States Federal Aviation Administration
ORGANIZATION
Limited Liability Company
ORGANIZATIONKeystone Helicopter
ORGANIZATIONthe Florida Department of Revenue
ORGANIZATIONthe Increased Deposit to Seller
ORGANIZATION
Alberto Gonzales
PERSON
the United States District Court
ORGANIZATIONthe Certificate of Technical Acceptance
ORGANIZATIONDescription of Aircraft
ORGANIZATIONAIC Title Service
ORGANIZATION