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 ....4—.... -- 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....,7703 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 „.,..--t_--_... - . 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 ; ----T---" 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 . - ft.. ..;.: GULFSTREAM AEROSPACE-a:IV 3 AIRCRAFT SERIAL NUMBER 1085 4 CATEGORY Transport 5 AUTHORITY AND BASIS FOR ISSUANCE / c:"..-\ ••• - ..„. , . 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 ..............t.k .., 42.../ 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 ,.... ....c.---- 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 _ _.,..- 3 „....-- C...- ------ DEBT-630137-CE Structures FM Form $110.3 (03110) SUPERSEDES PREVIOUS EDITION 13-002-4. SDNY_GM_02753748 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 -c:, .. 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
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATKIN ACOMISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I. DATE August 19, 2013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE Gulfstream 1 MODEL NO. G-IV s/n 1085 4 TYPE Stara &pink Propeller; art) Airplane S. NAME OF APPLICANT International Jet Interiors, Inc. Ronkonkoma. NY LIST OF DATA 6 IDENTIFICAIION 7 TITLE Drawing: IJIGIVI(P35B Rev (IR) 06/0512013 IJIGIV1065K Rev(IR) 07/05/2013 Report: IJIGIV108513SA Rev(IR) 08/19/2013 IJIGIV1035KSA Rev(IR) 08/1212013 Structures Note: Conference Table Mod Instl sht 1 - 5 Vanity Mod 'mil sht 1 - 4 Structural Analysis Conference Table Mod Insti Gulfstream G-IV Aircraft Structural Analysis Vanity Mod Intl Gulsfteam G-IV Aircraft 1) The structural aspects only of the above listed data are approved herein. TMs 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 regales separate approval. t PURPOSE OF DATA TO provide type data for FM approval of struchne in support of a Major Alteration for Gulf stream G-fV s/nl0$5. 9. APIMCABLE REQUIREMENTS (UN Met eardkos) 14 CFR Part 25, Amdt 25-1 through 25-56 as specified in TCOS Al2EA; Paragraphs: 25.301(a-b) Arndt 25-23, 25.303 Amdt 25-23, 25.305(e, b) Arndt 25-54, 25.307(a, b) Amdt 25-54 25.341 Arndt 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 25-48, 25.809(a) Arndt 25-0, 25.611 Amdt 25-23, 25.613(0. b, d, e) Amdt 25-46. 25.615(a) Amdt 25-23, 25.619(apc) Ala 25-23, 25.823 Arndt 25-0, 25.625(a-c) Amdt 25-23, 25.789(a) Arndt 25-48. io. carifiFICATON .Unclor *Mod* PM In 000 ate] ' led on 00 000icable multenrs 0 re . 0 Recommend tistied by catectice of Re sheets nunixted Meatiness Standards Imo approval of these these OM AthnkatiflOr and Na have been In accordance MA ccedelorts AM MUM. of morolrenet mar t4 CFR ermines In actordfrea Mn forablfichod maks and lc r 0 CO* arts I (ele)Thetefoie 0 Morove II. SIONATURE(3)06 DESIOPATED ENGNEERMG REPPESENTAME(S) IT DESIGNATION NUOMSERSMI t3 ci.AssrncAnotest Brian C. Adamson t5s4Z. EVe., DERT-830137-CE Structures — FM Fon. 81104 (MO) SUPERSEDES PREVIOUS EDrniat SDNY_GM_02753752 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240674 EFTA01326267
SDNY_GM_02753753 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240675 EFTA01326268
US. DEPARTMENT OF 1RANSPOITFADON FEDERAL AVIATION ADIANISTRADON STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I DATE August 21, 2013 AIRCRAFT OR AIRCRAFT COMPONENT 'DEMME/CATION 1 ?WE GLII1SDOSITI 3. MOMS NO. G-IV sin 1085 a ME (Arend &tee. Now:4e. at! Airplane 5. NAME OF APPLICANT International Jet Interiors, Inc. Ronkonkoma, NY UST OF DATA 6 IDENTiRCADON Y. TOSE Drawing: IJIGN1085C Rev(IR) 06/10/2013 IJIGN1085E Rev(IR) 06/28/2013 Report IJIGIV1085GSA Rev(IR) 08/1W2013 Structures Note: Divan Intl-LH Aft sht 1 - 3 Divan Armrest instl-LH Aft sht 1 - 4 Structural Analysis Divan Intl-LH Aft Gulfstream G-IV Aircraft 1) The structural aspects only of the above listed data are approved herein. This approval is only for the engineenng 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 torn does not constitute FAA approval of all the engineering design data necessary for substantiation of compliance to necessary requirements for the enure alteration. The requirements of Flammablity 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 OATA To provide type data for FAA approval of structure in support of a Major Alteration for Guffstream G•h/ s/n1085. 9. APAlldJJ3LE REPAREUEMS NM RCM staked) . 14 CFR Part 25, Amdt 25-1 through 25-56 as specified In TCDS Al2EA; 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 Arndt 25-0, 25.561(a-c) Arndt 25-23, 25.601 Amdt 25-0, 25.603(a-c) Arndt 25-48, 25.005(a) Amdt 25-46, 25.609(a) Amdt 25-0, 25.811 Amdt 25-23, 25.813(a. b. d, a) Arndt 25-46, 25.615(a) Amdt 25-23, 25.819(ac) And 25-23, 25.623 Arndt 25-0, 25.625(a-C) Amdt 25-23, 25.785 (i1.13) Amdt 25-51, 25.789(a) Arndt 25-46. to currocKriou • under aulthety Part 183. data Wed Sae and on ilith spoest4eroperrents of to A/worminess 0 Recommend I (We) Therefore E Appease waled by Creedal of the Adak:trate and arm:fed Mods mnaftbeded Na move bean In moxdance Mt condemns end frnerms of this:thareri sedir SI CIR1t eminthed in actiordance MU' eatitthice postathes end Inflows, i Standards lett approval of Mene date these data II. SIGNATURE(S) OF MIGRATED ENGINEERING REPRESENTARYEMLia MIGRATION NUIMERSM II- CLASSIECATIONISI Brian C. Adamson DERT-830137-CE Structures FAA Fan,, *110-3 (02-40 SuPERScosSeREVIOuS 13-4v2 -r SDNY_GM_02753754 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240676 EFTA01326269
SDNY_GM_02753755 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240677 EFTA01326270
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL Melee AJMONISTRA110.1 STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I. DATE August 20, 2013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MAKE Gulfstream 3 MODEL NO G-IV sin 1085 4- TYPE Pee, GAM After. M[.) Airplane I NAME OF APPLCANT International Jet Interiors. Inc. Ronkonkoma, NY LIST OF DATA 6 CANTIFICATION 7 TITLE Drawing: IJIGIV1085L Rev (IR) 06/27/2013 IJIGIV1085G Rev (IR) 07/16/2013 Report' IJIGIV1085LSA Rev (IR) 08./12(2013 IJIGIV1085GSA Rev OR) 08/08/2013 Structures Note: PSU Mod Intl sht 1 - 4 Monitor Mod Inset-LH Aft sht 1 - 3 Structural Analysis PSU Mod Instl Gulfstream G-IV Aircraft Structural Analysis Monitor Mod Instl-LH Aft 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 Alteration for Gulfstream G-IV sin lass. 9. APPUCA9tE REOUIRAJAEITIS (UN some sem) 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 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) 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) Amdt 25-23. 25.619(a-c) Amdt 25-23, 25.623 Arndt 25-0, 25.625(a-c) Amdt 25-23, 25.789(e) Amdt 25-46. 10. CERTIFICATION • Under awe* eel by diem a( Re AOrrarasnIof and In amorderat MU mete and lealtalens of notentment under 14 CFR Pan 163, data led above and on Shea shaets numbered _e_ have been seined In accoNance eh estakeed PoCeAdUtall and foe to coney MO% onkablorterements d the Almodesse Steeds Idled. 0 Recommend approval of these data I °Ye) Ilmeore 0 Approve thou data 11. SIGNATURE(S) OF DESIGNATED ENGINEEFteIG REPRESENTATNE($1 12. DESMNATION MILMERS(S) 13. CLASSIFCATION(S) Brian C. Adamsof c::e________ DERT-830137-CE Structures FAA Form 6110-3 (00110) SUPERSEDES PREY/DVS EDITION /3-ern.-* SDNY_GM_02753756 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240678 EFTA01326271
SDNY_GM_02753757 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240679 EFTA01326272
U. S. DEPARTMENT OF TRANSPORTATION FEOERAt. AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I OATE 8/1512013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2.MAKE Gultstream 1 NODE,. NO. G-IV 4 TyPE(Amame. Engine. Not* ere.) Airplane 5 NAME OF APPuCArrr International Jet Interiors UST Of DATA 6 IDENTIFICATION Design Data $280145 Rev NC Skandia, Inc Flammability Bunsen Burner Testing Test Specimen P/N S (represents Notes: 1) Work accomplished under 2) Flammability test witnessing 3) IAW Skandia Flammability Test Results forward/art storage) Skandia Inc. WO 0 260145-13. Ref Document ID 94116. only, does not constitute installation approval of materials. Streamline Testing Test Plan 21306. Rev IR. Dated 11/03/11 8.PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for S/N 1085 9.APPUCABLE REQUIREMENTS (UM spseibc sections) 14 CFR Part 25.853 (a) Arndt 25-116 Appendix F Pan I (a)M0) Arndt 25-11 I 10.CER11FICATION • Under authority vested by direction of Ilse of appointment under 14 CFR Pan 183, data listed above and on examined in accordance with established procedures and found Standards listed. 1(We) Therefore 0 Recommend approval of these data *Approve these dale Administrator attached to comply end in accordance with conditions and limitations sheets numbered have been with applicable requirements of the Airworthiness ii.SiGNATUISE(S) OF DESIGNATED ENGINEERING REPRESENTATIVE 12.0t&IGNATiON NUMBERS) i3.ClASSIFICATION(S) /is, 1.- tkS/1 ck I . i \K-Aili Iti() Jane Bibehtein -FAA DER DERY-032780-CE Structural Special FAA Form 8110-3 (03/10) SUPERSEDES PREVIOUS EDITION SDNY_GM_02753758 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240680 EFTA01326273
SDNY_GM_02753759 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240681 EFTA01326274
U S DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS ELATE 8/13/2013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2.MAKE Gulfstream 3.MOOEL NO. G-IV 4.TYPE(AtTano. Ear,. Awe*? tic) Airplane 5 NAME OF APPLICANT International Jet Interiors LIST OF DATA 6 IDENTIFICATION 711T1F Design Data S260097 Rev NC SKandia, Inc. Flarnmabildy Test Results Bunsen Burner Testing Test Specimen P/N's B (represents potty seats. fwd/aft) ' 13 (represents conference table) 14 (represents potty seats. fwd/af 0 Notes: 1) Work accomplished under Skandla Inc. WO # 260097.13. Ref Document ID 94098. 2) Flammability test witnessing only, does not constitute installation approval of materials 3) UAW Strand* Flammability Streamline Testing Test Plan 21306. Rev IR. Dated I unit &PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for S/N 1085 1 9.APPLICAEILE REQUIREMENTS (List specific secesns) 14 CFR Pan 25.853 (a) Arndt 25-116 Appendix F Pan I (a)(1)(ii) 14 CFR Part 25.853 (a) Arndt 25.116 Appendix F Pan I (a)(1)(i)Amdt 25.111 tO.CERTIFICATION - Under authority vested by direction of the Administrator of appointment under 14 CFR Pan 183. data listed above and on attached examined in accordance with established procedures and found to comply Standards listed. 0 Recommend approval of these dela 1 (We) Therefore ,... • )2C1pprove these data and in accordance with conditions and limitations sheets numbered have been with applicable requirements of the Airworthiness i 1.SIGNATURE(5) OF DESIGNATED ENGINEERING REPR SENTATIVE 12.06 IONA 10 NUMBER(S) 13.0 IFATION($) ..1..___. \ (') 3. k3. W ug J Jane Stherstet ...FAA DER DERV-832780-CE Structural Special FAA Form 8110.3 (0110) SUPERSEDES PREVIOUS EDITION SDNY_GM_02753760 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240682 EFTA01326275
SDNY_GM_02753761 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240683 EFTA01326276
U. 5_ DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I.DATE 9/19/2013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2.A4AKE Gulfstream 3.MOOEL NO. G-IV 4.TYPEMATA44. &Ott Prootate. et) Airplane 5.NAME OF APPLICANT International Jet Interiors LIST OF DATA ILIDENTIFICATION 7 TIME 1? 22867 Rev B Dated 08(01/2013 Skandia, Inc. Flammability Test Report Oil Burner Testing and Vertical Burner Testing Notes: 1) Work accomplished under Skandia Inc. WO X 258304-13, Ref Document ID 94288. 2) Flammablity test witnessing only, does not constitute installation approval of the materials. 8.PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for SIN 1085 SAPPLICABLE REQUIREMENTS Oast specific sections) 14 CFR Part 25.853 (c) Amendment 25118 Appendix F Part II 14 CFR Part 25.853 (e) Arndt 25.118 Appendix F Part I (a)(1)(11) 10.CERTIFICAT1ON - Under authority vested by direction of the Administrator of appointment under 14 CFR Part 183. data listed above and on attached examined In accordance with established procedures and found to comply Standards listed. 0 Recommend approval of these data I 04 Therefore 0 Approve these data and in accordance with conditions and limitations sheets numbered have been with applicable requirements of the Airworthiness tt.SIONATURE(S) OF DESIGNATED ENOINEERmo REPRESENTATNE 12.0ESKINATION 'WM8EP(S) 13.CLASSIFICATION(S) t pci tyr• J niferPaluzzi -FAA E DERV-832779-CE Structural Special FAA Form 81104 (03710) SUPERSEDES PREVIOUS EDMON SDNY_GM_02753762 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240684 EFTA01326277
SDNY_GM_02753763 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240685 EFTA01326278
Li S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I DATE 9(19/2013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION ?MAKE Gulfstream 3.MODEL NO G-IV 4.7 YPE(Avatmo. &Vat PI T etc 1 Airplane 5. NAME OF APPLICANT International Jet Interiors UST OF DATA 6 IDENTIFICATION 7 ITT Design•Data S261931 Rev NC Skandia, Inc. Flammability Test Results Bunsen Burner Testing Test Specimen P/N 17 (represents floor covering being installed unbondedl Notes. 1) Work accompliShed under Skandia Inc. WO # 261931-13, Ref Document ID 94289. 2) Flammability lest witnessing only, does not constitute installation approval of materials. 3) IAW Skandia Flammability Streamline Testing Test Plan 21306, Rev IR, Dated 11103111 8.PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for SIN 1085 9APPLICABLE REQUIREMENTS plat SPCCAC WOODS) 14 CFR Part 25.853 (a) Arndt 25-118 Appendix F Part I (a)(1Xii) _.. 10.CERTIFICATION • Under authority vested by direction of the AdmIniShater of appointment under 14 CFR Part 183, dale listed above and on attached examined in accordance with esiebilshed procedures and found to comply Standards listed. I (We) Therefore 0 Recommend approval of these data *Approve these data and in accordance with conditions and limitations sheets numbered have been with applicable requirements of the Airworthiness It SiGNATuRE(S)OF DESIGNATED ENGINEERING REPRESENTATIVE 12.0ESIGNATION NUMBER(S) i3.ClASSiFiCATIOR(S) • t'l i.‘1 ...._ , k ../.) '11211-0—.) Jane Bibtrsteln -FAA DER DERV-832780-CE Structural Special FAA Fo 8110.3 (03110) SUPERSEDES PREVIOUS EDITION SDNY_GM_02753764 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240686 EFTA01326279
SDNY_GM_02753765 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240687 EFTA01326280
IL S DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS I DATE 9/ 18/2013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2.MAKE Gutfstream 3 MODEL NO G-IV ATYPE/Anw. Foyers. ens etc) Airplane SNAME OF APPLICANT International Jet Interiors lir OF DATA 8 ICENIWICATION 7 Ern F Design Data 5281824 Rev NC Skandia, Inc. Flammability Test Results Bunsen Burner Testing Test Specimen P/N's 18 (represents floor covering. cockpit) 19 (represents floor covering, ducts) Notes: 1) Work accomplished under Skandia Inc WO # 261824.13. Ref Document ID 94282. 2) Flammability test witnessing only, does not constitute Installation approval of materials 3) IAN/ Skandia Flammability Streamline Testing Test Plan 21306, Rev IR, Dated 11103111 8.PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair 8 Alteration for S/N 1085 9APPLICABLE REQUIREMENTS (List specific seetion11 14 CFR Part 25.853 (a) Arndt 25-116 Appendix F Part I (8)(1)00 10.CERTiFICATION • Under 8UlhOlity yelled by direction or the Administrator of appointment under 14 CFR Pao 183, data listed above and on attached examined in accordance with established procedures and found to comply Standards listed. i 004 Therefore 0 Recommend approval of these data pApprove theSe data and in accordance with Conditions and limitations sheets numbered have been with applicable requirements of the Ainvocthiness 11.81GRATURE(8) OF OESIGNATED ENGINEERING REPRESENTATNE 120ES(GNATION NUMBER(S) Is CU>SSiFICATIONa) 9 ,44fi s fej ein • J niter Paluzzi -FA DER DERY-832779-CE Structural Special FAA Form 81104 (nto) SUPERSEDES PREVIOUS EDITION SDNY_GM_02753766 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240688 EFTA01326281
SDNY_GM02753767 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240689 EFTA01326282
U S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS '.DATE 9117/2013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2MAKE Gulfstream 3 MOOEL NO. G•IV 4.TYPE(MPIms. &WOK Propose. ere) Airplane 5.NAME OF APPLICANT International Jet Interiors LIS1rnI FATA 6 IDENTIFICATION 7 TITLE Design Data S257726 Rev NC Skandia, Inc. Flammability Test Results Bunsen Burner Testing Test Specimen P/N's 2 (represents crew seats) 3 (represents jeppesen box, aft baggage) 4 (represents aR baggage) 5 (represents Ned closet and Finlay storage) 8 (represents rain curtain) 7 (represents fwd lay side panel, blkhds, aft lay all bulkhd) 9 (represents headliners, valences, pates) 10 (represents hand rails) 11 (represents window line, aft lay side wall) 12 (represents lower side wall panels) 15 (represents aft cabin blkhd. Md aft galley blkhd) 16 (represents divan end arms, divan lower doors, lower side walls) 20 (represents entry area, baggage floor) 21 (represents aft galley, lav countertops) 22 (represents aft, lay closet sliding doors) 23 (represents baggage nap) 24 (represents hod cabin bulkheads) Notes: 1) Work accomplished under Skandia Inc. WO 0 257726-13, Ref Document ID 94278. 2) Flammability test witnessing only, does not constitute installation approval of materials. 3) IAW Skandia Flammability Streamline Testing Test Plan 21306, Rev IR, Dated 11/03/11 8.PURPOSE OF DATA Demonstration of compliance with material flammability requirements in support of Major Repair & Alteration for SIN 1085 9.APPLICABLE REOUIREMENTS(tisi specific sections) 14 CFR Pan 25.853 (a) Arndt 25-116 Appendix F Pan t (a)(t)(i) Amdl 2`5-111 14 CFR Part 26:853 (a) Arndt 25.116 Appendix F Part 1 (a)(1Xii) IOCERTIFICATION • Under authority vested by direction of the Administrator of appointment under 14 CFR Part 183, data listed above and on attached examined in accordance with established procedures and found to comply Standards listed. I (We) Therefore CI Recommend approval of these data y..Approve these data and In accordance with conditions and limitations sheets numbered have been with applicable requirements of the Airworthiness i i .SIGNATURE(S) Of DESIGNATED ENGINEERING REPRESENTATIVE 12.DESIGWVION NUMBER( $) I 3.0 SSI ION(S) c r") ,1/41- a 1 Ai) Jane Bi4rstern FAA DER DERY-832780-CE Structural Special FAA FOND 8110-3 (03/10)SUPERSEDESPREVIOuS EDITION SDNY_GM_02753768 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA (x124(169() EFTA01326283
SDNY_GM_02753769 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240691 EFTA01326284
wait STATES CF AMERICA DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION STANDARD AIRWORTHINESS CERTIFICATE NATIONALITY MO NEW:STRAD:Al MARKS N212JE 5 AUTHORITY AND BASIS FOR ISSUANCE Tm troenness wics1464sn1pocoel ti U SC. 1N 101v/ cots ta. d be On <I Sam to mot 44 %No Aug tab* rsmad and bac 99 orkm try to ceSS:V• Dotty. • el n anidoi ti lde toribi.v1 W bol *We 11NI Nilootn015iN Art ceryntrit aNdebNd ~Sea Da as "Wad Wain It N Cznyterko M Ines CAA ASIA JINN N ION 1446/. SAS 2 OAANUFAC IVREA AND MCOEL Gulf stream G-IV 1 AIRCRAFT SERIAL KAISER 1085 1 CATEGORY, Transport NONE 6 TERMS AND CONDITIONS Wets Nay seen6N41 442.4444 Al a a woe ts Menem WatilhOity NAGA As artiothea AMES ad. a in /1 At tefrOrl• gre•eirMita Antall a* prima coact AM Pan 1.4.9•40 • SI cl !WAN Mar 9 as at II IN UMW] SIAN DATE OF ISSUANCE R 05/23/2000 AllIbrikhrAndanns.se cootait /*be *by. Ite 4ci auttfrq fl12 a a tales 144•192 CEPRFICATE MAT et DISOLA AF DC PI CROWE MTN APPLOStEFECOAL A B PGIAAACK5 FM Form 51004 (044 I ) SW* • DESIGNATION WISER S019 • Ed1:01 SDNY_GM_02753770 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240692 EFTA01326285
SDNY_GM_02753771 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240693 EFTA01326286
...me new ;arc COMTIST a TIWC•0011.010%-etptiltaiL ikna,TIM•0•01.8MATOI STANDARD IURWORTHINESS CERTIFICATE T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA 00240694 EFTA01326287
I SDNY_Ghl_02763 3 T TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, EFTA_00240695 EFTA01326288
el sr MAJOR REPAIR AND ALTERATION ar Owerwent unsoonnon (Airframe, Powerplant, Propeller, or Appliance) Fedmil minion AdmitAttr•Ilon weft& 2, 204t20 E*to ino 1 4 Emmett Teeming MINX( wefts wean INSTRUCTIONS- Print or type all entries. See Title 14 CFR §43.9. Pal 43 Appendix B. and AC 43.9-1 (or subsequent revision thereof) fOr instructions no disposition of INs form. This report Is required by law (49 U.S.C. §44701). Failure to report un result in a ail penally for each such violation. (49 V.S.C. 146301(a)) 1. Aircraft Nationality and Registration Mark USA N423TT Serial No. 1085 make GULFSTREAM Model GIV Series GIV 2. Owner Name (As snown on registration certificate) JEGE LLC Address (As shown on registration CLYMCOM) Aeress or, ST , rows Sole Fonda„ hp 00002 Caney VIRGIN SAWS 3. For FAA Use Only 4. Type S. Unit identification Repair Alteration Vial Make Model Serial No. O 0 AIRFRAME (As described in Item 7 above) 0 O POWERPLANT O O PROPELLER O O APPLIANCE Type Mil/IttliCtOrOf 6. Conformity Statement A. Agencys Name and Address B. Kind of Agency ewe GuLFSTREAU V. S. Certificated Mechanic I MilMEOChiref Agm,... OK PtitelYI 00 Foreign Corteretrod Mechenic C. Cenificale No. Car WEST PALM BEACH um FL X CM/4MM Repair Swim PB8R624N z • wee Ca011y USA Confutes Mardimanca Orme/nen O. I certify that the repair and/or alteration made to the unit(s identifier' in item S above and described on the reverse a atlachrneMs 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 but and correct to the best of my Extended range fuel per le CkR, n 43 K AFP' Bist bog Signature/O rlz WM Thomas J. Choynowski 06/13/2013 7. • oval for Return to Service Pursuant to the autherily g'ven persons specified below. the unit identified in item 5 we! Inspected in the Manner prescribed by the Administrator Of the Federal Aviation Administration and * plApproved riRejected BY FAA Fit. Sundards InSpeCtOr Manufacturer Maintenance tion Organiza Foment APOMved by Canadian .Desionnient of Tranicen FAA Designee X Repair Sleben Inspection Authorization Omer (Specify) CertifiCate or Designation No. PB8R624N Signature/Dale of ' d Individua ,r.77s. oar.; Jim Fishburn 06/13/2013 FAA Form 337 (10/06) Page I SDNY_GM_02753774 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 it EFTA 00240696 EFTA01326289
NOTICE Weigh end balance or operating arretation changes shall be entered in the appropriate aircraft record An alteration must be compatible with all previous alterations to assure continued conformity with the sleekest:Oa airworthiness requirements. a. DncripUon of Won Accomplished Of more space i9 required. attach adthbonal MOWS Men* wan aware nabonatly and registration mark and date work completed.) USA mann 0611312013 NolienaltY and negastratein Mark Oat. Aircraft Make: GULFSTREAM AEROSPACE Aircraft Model: GIV Aircraft Serial Number: 1085 Reference Gulfstream PSI Wodc Order: SCI3300 Complied with STC ST04257AT-D - Installation of GAViS System- IAW Gulfstream Aerospace Index List CE513358001, Rev. A dated April 9, 2012 and Gulfstrcam Document CE4960458 dated 06/13/2013. The display for the GAViS System is installed JAW ASC 476A and Customer Engineering Drawing List DL No. CE41 4960458 approved by Gulfstream form 8100-9 dated 06/13/2013. Reference Airplane Flight Manual Supplement CE51335M%14, Rev.-, dated April II, 2012 and Accepted Instructions for Continued Airworthiness CE51335A001, Rev. A, dated April 5, 2012. Items Removed: Qty. Description 6 Ea. DU-880 I Ea. FMS Data Loader DL-950 2 Ea. CRT Fan Commutating Module 2 Ea. Fan Any. 2 Ea. ATC Transponder Manufacturer Honeywell Gables Rotron Rottman Collins Pan Number 4053000-901 07226.02 508534 508617 622-9210-309 Weight/Lbs. 30.4 (Ea.) 1.17 1.5 1.15 8.5 (Ea.) F/S 90.0 166.0 147.5 73.0 40.5 Items Installed Qty. Description Manufacturer Pan Number Weight/Lbs. F/S 6 Ea. DU-885 Honeywell K9321061A02 19.6 (Ea.) 90.0 I Ea. XM Data Receiver Honeywell 4092743.901 1.5 151.0 I Ea. XM Antenna Honeywell C1420-1 0.2 174.5 I Ea. FM Data Loader DL-I00 Gables G7228.02 1.17 166.0 2 Ea. Cursor Control Device Esterline 73E8202 2.6 109.0 I Ea. Video Amp Audio Intl VA-401-2 0.6 112.0 2 Ea. ATC Transponder Collins 622.9210.409 8.5 (Ea.) 0.5 Notes: I. The electrical load analysis statement is contained in Gulfstream Document CE4 I 4696425. 2. Deviations to STC 476A arc shown in Cull-Stream Document CEA I 6990073. 3. Deviations to Gavis STC ST04257AT-D arc found in Gulfstream Document CE4 I 3350049. 4. A logbook entry reflecting this installation was completed and entered into the aircraft logbook. 5. The aircraft Equipment List has been updated to reflect this installation. 6. Weight and Balance data has been revised and inserted into the Weight and Balance Manual. 7. Maintenance instructions for continued airworthiness are contained in FAA Accepted Instructions for Continued Airworthiness CE51335A00 I Rev. S dated April 05, 2012 (or later). 8. FAA Approved Flight Manual Supplement CE51335M004 A dated April II, 2012 has been inserted into the AFM. ClAdotuonattneets AM Attached _ 4.,.1 FAA Form 337 (10/06) Page 2 SDNY_GM_02753775 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240697 EFTA01326290
0 MAJOR REPAIR AND ALTERATION US Dated Miry aponasan (Airframe, Powerplant, Propeller, or Appliance) Rani Avid... MIEMIstaillon Rim hetione Or ha 2NOCON Ora /2007 marecoic inewhe /*mini IAA We Only INSTRUCTIONS: Print or type as entries See Title 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 reputed by taw (49 U.S.C. §447O ). Failure to report can result in a civil penally for each such violation. (49 U S.C. §463O1(a)) 1. Aircraft Nationality and megistrabon Mark USA N423TT Serial NO. 1085 Make Gulfstream Aerospace Model G-IV beats 2. Owner Name (As shown on registration ceshficate) TRT Leasing Address (As sheen on reipsfrolkon testate) Kona 515 N Flagler Drive, STE P400 Car West Palm Beach stew Florida no 33401-4320 Carty USA 3. For FM Use Only The actrankal date herein gas keen mood to comply wok applailagra tirwortif4. P. racjwiredicate and is hon:by enameled MT N69 Cillbr PI tie above described aircraft, subject to conformity tfaaft00840414 a ea anction33.7. , \n, - aim tr io,S.AlAit _- ,S‘x 4. Type S. unit Identification Repair Mention Unit Make Model Serial No. O 0 AIRFRAME (As clescnbed in Item 1 abetter) 0 . POWERPLANT E O PROPELLER o O APPLIANCE Type Uanufackre• 6 Conformity Statement A. Agencys Name and Address B. Kind of Agency iaoki CE Amnia Inc. U. Comecon:I Mechanic I ManAacturve ArMnn 2789 Frightline Avenue Foreign Contralto MeChailiC C. Certificate No. eta Sanford tam FL x Cartnicateci Repay Stanco OE4R411M Al 32773 twiny USA Congested Maimenance Organdaton D. I certify that the repair andlor alteration made to the tine s) Identified in item 5 above and described on the reverse or attachments hereto have been made in accordance with the remarements 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 pet 14 CFR Part 43 O APP. B Signe a o Irld.iduat 2 JAN 2 9 1013 7. Approval for R urn to Service PUIllant to the authority given persons specified below. the unit identified in item 5 was inspected in the manner prescribed by the Administrator of Federal Aviation Administration and is I21 Approved El Rejected BY FAA Fit. Stanclals InSpOCICH Manufacturer Maintenance Organization Poisons Approwed try Canadian OSpartinent Of Trengal FM Designee X Repair Station Inspection Authorization other (specify) Certificate or Destgnation No. 0E4R411M Signature/Date of AlithOrized InteVidell —leen..-4 4c/ -. 4" --c----- JAN 2 9 2013 orm 5370040 SONY_GM_02753776 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 1O, 15, and 17 EFTA_00240698 EFTA01326291
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 B. Description of Work Accomplished (If more space is requited. Mach adcktional sheets. mien:Wrath aircraft nationality and reefs:catkin mark and date work completed) USA N423TT JAN 2 9 2013 NationaMy and Registration Mark Date Removed 2 each, CMC Electronics CMA-1100 EFB EEMU's and Part No. 217-601933-215 Cable Assemblies previously installed on FM Form 337 dated April 9, 2007 (CRS X91R092Y). Removed circuit breakers, capped and stowed power wires. Remaining connectors bagged and properly secured. END O Additional Sheets Are Attached 0 Pages FAA FOOT, 3371,0.41 SDNY_GM_02753777 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240699 EFTA01326292
0 Ow MAJOR REPAIR AND ALTERATION A°YB wn zwrir 11f'101001 11f'101001 VS Bean Warsaw tweet Oteatirnee 0/f/lAWS1Sell a Traritieerd01 (A irf rame, Powerplant, Propeller, or Appliance) Nerd A* Admisslaretle. INSTRUCTIONS: PAM or type as entries. See TAB 14 CFR §43.9. Part 43 Appendix B. and thereof) for nstruCtions and disposnon of (Ns form. This report is required by law (49 U.S.C. §4470 la earn such violation. (49 U.S.C. §463O1(a)) AC 43.9-1 (or subsequent revision ). Fein I0 feint CIA Mull in a bvil Panay 1. Aircraft Nationality and Registration Mark USA N423TT Senal No 1085 Make Gulfstream Aerospace MOCtel G•IV bents 2. owner Nun* (As shown on tegostrobon cerfincato) TRT Leasing morass (As Shown on regeshalfron certificate) Arms 515 N Flagler Drive, STE P4OO cay West Palm Beach our Florida SO 334O1.432O Qatar USA & For FAA Use Only Ihi essioleal dati herein on t‘z.tia aataa: la MAIO TO eltalYASIO shwoutli,,, c reavivreetents ant iii lamb; topiva.t1 IN IP9 fflil/ itil 'be above atscapal A aircraft, subloct to gugonnity ii,Vi0 WA W ti a seoloa33.7. r `TM SS ASU•ADO-15 4. Type 5. Unit Identification Repair Alteration Unit make Moat Serial No • g AIRFRAME (As descnoed in Item I above) • O PONERPLANT 0 0 PROPELLER • 0 APPLIANCE Type laantartebaer 6. Conformity Sta ement A. Agency's Name and Address 8. Kind of Agency caw CE Avionics Inc. U S. Certificated Mechanic I Mantairclumr mews 2789 Flightline Avenue Altair bananas mechanic C. Certificate No. oo Sanford Va.• FL x Ocala; OW OE4R411M re 32773 cony LISA Ceti/dated Pilaintensnc•Oroandaeon D. !certify that the repair and/or alteration made to the unit s) identified in Rent 5 above and described on the reverse a attachments neitio have been made n accordance with the requirements of Part 43 of the U.S. Federal Aviation Regulations and that the information furnished herein is true and coned to the best of my knowledge. Extended range fuel per 14 CFR Part 43 APP. 8 Signature/Date of Authorized Individual 7 1-z:-/-ie f e7K/ JAN 1 9 NU 7. Approval for Return t Service Pursuant to the authority given persons specified below, the unit identified in item 5 was nspected in the manner prescribed by the Administrator of the Federal Aviation Administration and is Approved 0 RejeCted FAA Fe Standards Inspect Manufacturer 8v Maintenance Organization Persons Approved by Canacban ment of Transport FAA Designee X Repair Station Inspection Authorization Other (Speedy) Certificate ix Designation No OE4R411M Signature/Date of Authorized I 7. JAN 2 9 2013 one 337nocei SDNY_GM_02753778 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240700 EFTA01326293
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 RI more space is required. Misch additional sheets. Identify yarn am a nat y and repstrat ion mark and date non( completed) USA N423TT JAN 2 9 2013 Nationally al Regesiration Mark Date Removed AirCell P12192-002 Corded Handset and replaced with P121357-002 cordless handset. Installed AirCell ATG 4000, Pan Number P13989 Air-To-Ground (ATG) Broadband Transceiver in the aft fuselage equipment bay at F.S. 724 with AirCell ACM. Part Number P14126 Configuration Module in the forward cabin RH equipment bay at F.S. 159. Mounted two each AirCell Pan Number P12344 Remote Diversity Antennas on the inside of the forward right hand storage cabinet at station 193A+7.0. Installed two each. AirCell Pan Number P12949 ATG UHF Antennas on the bottom of the fuselage per DDH Group Drawing Number ER02222-001, Revision 0 (Approved on FM Form 6110-3 dated January 18. 2013 by David E. Haralson, 0ERT-810028-SW. Structural at F.S. 598 and 749. Interfaced the AGT 4000 System per the attached CE Avionics. Inc. Drawing Number 66268-1VVD, Revision IR (Approved on FM Form 8110-3 dated January 18, 2013 by Leslie S. Roblin, DERT-510335-SW, Avionics/Electrical Systems & Equipment). The system is powered by the cockpit controlled cabin bus. Cabin wireless intemet is not enabled at this time pending incorporation of approved STC. Primary AGT 4000 power is connected to il 5-amp circuit breaker and primary ACM power connected to a 1-amp circuit breaker per manufacturer's specifications. Electrical load computed and found to be within acceptable limits. Instructions for continued airworthiness for the ATG 4000 System are contained in the attached CE Avionics Inc. Document Number 64961-1ICA. Installation of the above made in conformance with AirCell ATG 4000 Installation Manual Pan Number 013928. Revision C dated April 2011; AirCell kocess Installation Manual Part Number 012004, Revision E dated March 2010; AirCell Antenna Installation Manual Pan Number 800-10355, Revision E dated May 2009; Gulfstream IV Maintenance Manual. Revision 63 dated September 30. 2012, Chapter 6, Sections 06-00-00 and 06-50-00; Chapter 20, Sections 20-24-00, 20-25-07, 20-28-00, 20-28-09, 20-42.00 and 20-70-11; Chapter 24, Sections 24-004)0. 24-02-00. 24-02-01; 24-03-00 and 24-03-02; Chapter 34. Section 34-02-00; Chapter 51, Section 51-00-00; Gulfstream IV Wiring Manual, Revision 46 dated September 30, 2012, Chapter 20. Sections 20-00-00, 20-24-00. 20-25-00. 20-25-01. 20-25-03. 20-25-05, 20-26-00, 20-26-01, 20-26-03, 20-26-07, 20-2741, 20-27-03, 20-28-01, 20-28-05 and 20-28-07; Chapter 34, Section 34-60-00; and in compliance with FAR 25.1301, 25.1309, 25.1351, 25.1353, 25.1357 and 25.1431. ND El Additional Sheets Axe Attached 11 Pages FAA Form 337neen SDNY_GM_02753779 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_0024070I EFTA01326294
Attachment FM Form 337 (AGT-4000) Dated January 29. 2013, N42377. Gttlistrearn G-IV. SIN 085 Sheet 0111 it ii &! I -.•A ii i .. Hlli "I IOW n il s |||||| iiii if g !Hill Ifilks 1 — • i IF, ..... -- Ati i hp E !E 9 SDNY_GM_02753780 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240702 EFTA01326295
SDNY_GM_02753781 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240703 EFTA01326296
N n C -0 7a 0 H n 70 7a 70 Gl 70 00 LD O /- 1 I ‘.(11 t NJ a Hs IS 2 -011 FWD MRCELL BROADBAND ANTENNA INSTALLATION LOWER FUSELAGE SKIN VIEW LOOKING RIGHT LHS -012 AFT MRCELL BROADBAND ANTENNA INSTALLATION LOWER FUSELAGE SKIN VIEW LOOKING RIGHT LHS h •SIOnon Mil ofteate. Wt_ ca.rea .oto. ass twieftnseyiepots /Le soma. a t. csinsoa. ape hts• Doe wan rannata en, rim oil NOW( I ER02222401 I 0 2 OS 4 1 0 O EFTA01326297
SDNY_GM_027.783 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240705 EFTA01326298
In co H n -O 0 H rn H n 0 7u G') -c) (f) Co nW P I-, 10 Oa '6,4 r 0- / I. • • A0006 COWIT 1.011.0150.01 /0/404/0 • • • •. .• (4/4 ••••. (4 - A.. I j ../ / „ec - • It•D i 11 ••• el'el0640 Oen SECTION AA (411) LOWER FUSELAGE COVER PLATE VIEW LOOKING DOWN (Co am •eist• 1MYI.R CMC wont 00, 02017C101,1k w Inc '4—.— 001 001001.111 k02001.104 L001100.0000•14010 paw 14/0011402T10111.11•100.40•01 COMMA, NOLO V.COMPMD CITIL0 0.0 - 00 0 ,1 COW* COMONOt LCCATION Vent 0401,•3 • ••••• • • =KW 0118.115 Mr) Natal MG Arnim& pol ' • • • • O O 0 0 0 • • • • •••• " SECTION BB (-011) SECTION 0-0 (412) VIEW LOOKING NORMAL TO ANTENNA ATTACH SURFACE. Nos rte....err me era ors-. are Olirturrar a:mealier am no !PQM Orr. red ter..0.• 0.00. rrO••• ter • 0.0.00./11 6040 interrIO ./ ER02222401 3 OF. i y I EFTA01326299
SDNY GM 02753785 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240707 EFTA01326300
Attachment: FM Form 337 (AGT-4000) Dated January 29. 2013, N423TT. Gut!stream G.IV, SIN 1085, Sheet 4 of 11 SDNY_GM_02753786 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240708 EFTA01326301
SDNY GM 02753787 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240709 EFTA01326302
Attachment FM Form 337 (AGT-4000) Dated January 29. 2013. N423TT. Gu*Stream G.N. S/N 1085. Sheet 5 of I I DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH THE FEDERAL AVIATION REGULATIONS DATE January 18, 2013 MRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION MAKE Gulfstream MODEL NO. G-IV TYPE Verdant Redly licaceper.ek.) Airplane NAME OF APPLICANT CE Avionics. Inc. LIST OF DATA IDENTIFICATION TITLE ER02054-001, Rev — ER02054.002. Rev— ER02222-001. Rev 0 ER02222 Rev 0 Aircell Antenna Tapered Adapter. 12.4 Deg, Sht 1-4 Aircell Antenna Tapered Adapter. 7.4 Deg. Sht 1-4 Aircell Broadband System Antenna Installation, Sht 1.4 Structural Substantiation — Aircell Broadband Antenna Installation for Gulfstream G-IV, sin: 1058 NORM: I) Per FAA Order 8110.37D Chapter 4-12.h. a) This approval is for engineering design data only. It indicates the data listed above demonstrates cornpliance only ugh the regulations spedlled by paragraph and subparagraph listed belOw as Applicable Requirements. b) This bent may not constiluM FAA approval of all ling tearing data necessary to. the substantiation of compliance to necessary requirements for the entire alteration. c) Structural aspects are approved. d) Approval of °lethal aspects and equipment Installed are not included. 2) The instalth must determine the correatibuity S this data with the aircraft configuration. Alter the repak or alteration the aircraft must be retuned to service hymned:tee personnel. PURPOSE OF DATA To approve structural aspects of an alteration to Gulfstream G-IV. sin: 1085 APPLICAIRE REQUIREMENTS (Liu speak armor) 14 CFR 25.301 25.303 25.305(a)(bxc) 25.307(a)(b) 25.601 25.603 25.605 25.607 25.609(a)(b) 25.611 25.613(811) 25.615 25.619 25.625 TCDS Al2EA Certification Basis: 14 CFR Part 25 through Amdt 25-56 (except 25.571 Amdl 25-22) CERTIFICATION • Under authority vested by direction of the Administrator and in accordance with contagions under Part 183 of the Federal Aviation Regulations. data ksthd above and on attached sheets numbered in accordance with established procedures and found to comply with applicable requirements of the Federal Recceimend oppeovelol these delt I ea< Therelom brow,* Item Sm. and limitations of appointment 0 have been exemineo Aviation Regulations. SIGNATUREIS) OF DESIGNATED ENGINEEFUNG REPRESENTATIVES) DESIGNATION NUMBER(S) CLASSIFICATIONS) David E. Haralsonj:):e eg,.. it - DERT-810028-SW Structural FM Form 8110-3 00) SUPERSIOES PREviOUS !ONION 010222240 oat SDNY_GM_02753788 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002407 10 EFTA01326303
SDNY GM 02753789 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240711 EFTA01326304
Attachment FM. Form 337 (AGT-4000) Dated January 29, 2013, N423TT, Gulfatream Gall, WI 1085, Sheet 6 of 5 a g A a • SDNY_GM_02753790 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002407 12 EFTA01326305
SDNY_GM02753791 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240713 EFTA01326306
Attachment FM Form 337 (AGT.4000) Dated January 29, 2013, Na233T, Gultatmarn G-N. SIN 1085. Sheet 7 all 3 Ix SS- 41 O 9: E *0! Fp a IyyI ;I'1 SDNY_GM_02753792 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002407 14 EFTA01326307
SDNY_GM_02753793 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002407 15 EFTA01326308
Attachment FAA Form 337 (AGT.4000) Oated January 29, 2013, N423TT, Gulfstream G-11/, SIN 109S, Sheet 8 of II SDNY_GM_02753794 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002407 16 EFTA01326309
SDNY GM 02753795 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_002407 17 EFTA01326310
Attachment FM Form 337 (AGT-4000) Dated January 29. 2013. N423TT. Gulfstream Gar. SIN 1085. Sheet 9 of 1 1 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION STATEMENT OF COMPLIANCE WITH AIRWORTHINESS STANDARDS L DATE January 18, 2013 AIRCRAFT OR AIRCRAFT COMPONENT IDENTIFICATION 2. MANE Gulfstream Aerospace 3. MODEL NO G-IV 4 TYPE (Aim,* Err* Proponor, Mc/ AIRPLANE 5 NAME OF APPLICANT CE Avionics Sanford, Fl. LIST OF DATA 6 IDENTIFICATION 7. TITLE 66268-1WD. Rev IR, dated 12/27/12 Aircell ATG 4000 High Speed Internet System END Nola: 1) The electrical aspects way erigineereg design data only. Writhe regulations specified Requirements'. 2) Compliance With stsiionsi FM approval of all the engineering necessary requirements for approval. 3) Mar the Alteration, the aircraft 4) Cabin Wireless Internet capability Cerillication. of the above listed data are It Indicates the data listed by paragraph and subparagrarn regulations not listed may data necessary for the The approved herein This approval is for above demonstrates corerlance onq listed below as 'ARROW* be rewired. This form does not constitute substanballon of compliance to stnicturel aspects are not Inckeded In this by FM Authorized personnel. Incorporation of Supplemental Type entire alteration. mull be retuned to senke is NOT enabled; Pending 5 PURPOSE OF DATA Design approval in support of installation modifications to Gullstream G-IV Series aircraft, serial number 1085. registration no. N423TT. Avionics/Electrical Systems 8 Equipment Design Approval Only. 9 APPLICABLE REOUIREMENTS OF !TILE II CFR (del specific seams) FAR 25.869 (a)(4); Arndt 25-72 FAR 25.1353 (b)(d)(1)(2); Amdt. 25-113 FAR 25.1301 (8)(1)(2)(3); Arndt. 25-123 FAR 25.1357 (a) Amdt. Orig. FAR 25.1307 (c); Amdt. 25-72 ici CERTIFICATION -Under aulhority veiled by direchon Cl Ike Admnislator and in accordance war GOIldia04$ WA Ihrstabons of appointment under 14 CFA Pail 183. WO baled abaVO and on ottecned sheers mantesei None have been examined In aCcordenCe Nth eslatdshed procedures and found lo comply yea applicable IOCMIanlatAll al ma Nrwortirmss Standards kited 0 Recommend approval of these data I pot) Mesita 0 Approve these data II. SIGNATURE(S) OF DESIGNATED ILGNEE RING REP S IJTATIVEISI 12 DESIGNATION NUMBERS(S) 13. CLASSIFICATIONS) Lewd S. Roblin Ire SP 1 DERT-510335-CE Avionics/Electrical Systems 8 Equipment FAA Form 8110-3 (03no)SuPERCEDES PREVIOUS ED4DON (ON recelt4 doe) 13010 SDNY_GM_02753796 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 0024071 S EFTA01326311
SDNY_GM_02753797 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240719 EFTA01326312
Attachment: FAA FO1111 337 (AGT-4000) Dated January 29. 2013. N423TT, Gulista:tam G-N. Sm 1085. Sheet 10 01 11 INSTRUCTIONS FOR CONTINUED AIRWORTHINESS, AIRCELL ATG 4000 HIGH SPEED INFLIGHT INTERNET SYSTEM CE Avionics Inc. Document No. 66278-1ICA, Rev. IIR I. Introduction Aircraft that has been altered: Registration No. — N423TT, Make — Gulfstream, Model —G-IV, Serial No. 1085 Content, Scope, Purpose and Arrangement: This document identifies the Instructions for Continued Airworthiness for the modification of the above aircraft by installation Man AirCell ATG 4000. Applicability: Applies to aircraft altered by installation of the AirCell ATG 4000. Definitions and Abbreviations: None, N/A. Precautions: None, N/A. Units of Measurement: None, N/A. Referenced Publications: AirCell ATG 4000 Installation Manual Pan No. D13485. AirCell Antenna Installation Manual Pan No. 800.10355. AirCell ATG Quick Reference Troubleshooting Guide Part No. D14748. Distribution: This document should be a permanent aircraft record. 2. Description of the Alteration Installation of the AirCell ATG 4000 System with interface to the Number 2 Flight Management System. Refer to Section 10 of the AGT 4000 Installation Manual for interconnect infomiation. 3. Control, Operation Information Refer to Section 4 of the AGT 4000 Installation Manual. 4. Servicing Information N/A 5. Maintenance Instructions Maintenance of the AirCell Alt 4000 System is 'on condition' only. Periodic maintenance is not required. 6. Troubleshooting Information Refer to Appendix A of the ACT 4000 Installation Manual. 7. Removal and Replacement Information Section 3 of the AGT 4000 Installation Manual. If the unit is removed and reinstalled, a functional check of the equipment should be conducted in accordance with Section 4 of the AGT 4000 Installation Manual. 8. Diagrams Refer to Section 10 of the AGT 4000 Installation Manual. 9. Special Inspection Requirements N/A 10. Application of Protective Treatments N/A II. Data: Relative to Structural Fasteners N/A 12. Special Tools N/A Page I oft SDNY_GM_02753798 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 00240720 EFTA01326313
SDNY_GM_02753799 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA 0024072! EFTA01326314
Attachment: FAA Form 337 (AG7-4000) Dated January 29. 2013. N423TT, Gulfstream S/N 1085. Sheet 11 oftt 13. This Section is for Commuter Category Aircraft Only A. Electrical loads: N/A. B. Methods of balancing flight controls: N/A. C. Identification of primary and secondary structures. N/A. D. Special repaii methods applicable to the airplane: N/A. 14. Overhaul Period No additional ovedmul time limitations. IS. Airworthiness Limitation Section N/A. 16. Revision To revise this ICA, a letter must be submitted to the local FSDO with a copy of the revised FAA Form 337, and revised ICA. The FAA inspector accepts the change by signing Block 3 and including the following statement: "The attached revised/new Instructions for Continued Airworthiness (date X X-XX-XX ) for the above aircraft or component major alteration have been accepted by the FAA, superseding the Instructions for Continued Airworthiness (date X X -X X - X X )" 17. Assistance Flight Standards Inspectors have the resources to respond to questions regarding the ICA. 18. Implementation and Record Keeping For major alterations performed in accordance with FAA field approval policy, the owner/operator operating under Part 91 is responsible foi ensuring that the ICA is made part of the applicable section 91.409 inspection program for their aircraft. This is accomplished when a maintenance entry is made in the aircraft's maintenance record in accordance with section 43.9. This entry records the major alteration and identifies the original ICA location (e.g., Block 8 of FAA Form 337, dated X X-XX-XX ) along with a statement that the ICA is now part of the aircraft's inspection/maintenance requirements. Page 2 of 2 SDNY_GM_02753800 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240722 EFTA01326315
SDNYGM02753801 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00240723 EFTA01326316















