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. A Mee or OenOnes, &newer to any question in this application may be grounds to, puniennlenl by line and r or IntraleOilman' (U.S. Code. Title le, Sec 1001). CERTIFICATION • CERTIFY: (I) That the above aintren is owned by the undefined sopmean, who is a citizen (including corporations) of the tented
16.) 16.) Name of Applicant: Owning an undivided Interest of: Address: Southeastern Mills, Inc. 12.50% of 100% Shown on Original form hereto Samalr, Inc. 6.26% of 100% Shown on Original form hereto Ascent II, LLC 3.125% of 100% Shown on Original form hereto Prime Time Associates, LLC 6.25% of 10
A false or dishonest answer to any question in this application may be grounds for punishment by Finn (inn / or Irralsonmard (U.S. Code, Title IS. Sec 1001). III CERTIFICATION VWE CERTIFY: (I) That the above aircraft is owned by the undersigned applicant, who is a ciente (including corporations) 01
reto Anthony Zingale Vulgate - Trustees 12.50% of 100% Shown on Original form hereto Robert Kehler 6.25% of 100% Shown on Original form hereto Samalr, Inc. 6.25% of 100% Shown on Original form hereto McHale-t•Wrkisen T-Meakvb 3.125% of 100% Shown on Original form hereto 12.) Signatures: Title: D
This portion MUST be competed. A Mee ex acres answer le Ws raw n ate agOosscn nue be grams tt snahment Of Ise ens ot orpoonmall Mt Cone. Tale is. Sec 1001) • CERTIFICATION uwE CERMY (I) Toll an Ran lure a uorea by the uNAIRSPRI .0001st Ws se Dann Onarc onatesos1 of re urns Slues (Tot M15 SAL go> t
y ZIngale 8 Teresa M. ZIngale Trustees 12.50% of 100% Shown on Original form hereto Robert Kettler 6.25% of 100% Shown on Original form hereto Samalr, Inc. 6.25% of 100% •Shown on Original form hereto McHale-Mattsson Interests, LLC 3.125% of 100% Shown on Original form hereto Title: Date: Assista
Entities connected to both Sec 1001 and Samalr, Inc.
GRANT, TRANSFER
ORGANIZATIONthe Federal Aviation Administration
ORGANIZATION
Ghislaine Maxwell
PERSON
United States
LOCATIONHERETO
ORGANIZATIONFederal Aviation Administration Flight Standards District Office
ORGANIZATIONUNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION
ORGANIZATIONU.S. DEPARTMENT OF TRANSPORTATION
ORGANIZATIONthe State of New York
LOCATIONRichmond Heights
LOCATIONFAA Aircraft Registry
ORGANIZATIONthe "Secured Party
ORGANIZATIONRaytheon Aircraft
ORGANIZATIONU.S. Department
ORGANIZATIONSoutheastern Mills, Inc.
ORGANIZATIONNational Association as Administrative
ORGANIZATION
Oklahoma City
LOCATIONInsured Aircraft Title Service
ORGANIZATIONFlight Options
ORGANIZATIONNational Association
ORGANIZATION