### U. S. Department ofTransportation Docket Management System 1200 New JerseyAve., SE Washington, DC 20590 (10-28-2014)

- "\



### Re: Amendmentto ExemQtion issued Qursuant to Section 333 ofthe FAA ReformActand Part 11 ofthe Federal Aviation Regulations in RegulatorY. Docket No. FAA-2014-0353-0001.
Dear SirorMadam; Aerial MOB LLC was issued an Exemption numbered FAA-2014-0353-0001 (hereinafterthe Exemption) for the purpose ofconducting scripted,closed-set filming for the motion picture and television industry. Aerial MOB LLC herby requests an amendmentto the Exemption to allow an additional type ofunmanned aircraft system (UAS) thatfully complies with the conditions ofthe Exemption. Aerial MOB LLC wishes to operate a (description and identification ofnew UAS) under the same terms and conditions contained in the Exemption. Attached hereto, and submitted as a confidential document,is the Flight Operations and Procedures Manual (FOPM) for the additional UAS. All operations ofthe additional UAS will be in full compliance with the terms ofthe Exemption. As this is an amendmentto an existing exemption asking for only the addition ofanother type ofunmanned aerial vehicle, (Name ofApplicant) respectfully submits that good causeexists so that notice does not need to be published in the Federal Registerfor the requested amendment. Please contactthe undersigned should you have any question concerningthis request for an amendment to the Exemption.

cc: James Williams Robert Pappas JakeTroutman John McGraw Jonathan B. Hill Sincerely yours, Steve Blizzard (member) Aerial MOB LLCOMB Control No. 2120-0042 Exp. 11/30/2014 Paperwork Reduction Act Statement: The information collected on this form is necessary to ensure applicant eligibility. The information is used to determine that the applicant meets the necessary qualifications as owner of an amateur built aircraft. We estimate that it will take approximately 30 minutes to complete the form. The information collection is required to obtain a benefit. The information collected becomes part ofthe aircraft registration system. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. OMB 2120- 0042. Comments covering the accuracy ofthis burden and suggestions for reducing the burden should be directed to the FAA at 800 Independence Avenue SW, Washington, DC 20591. ATTN: Information Collection Clearance Officer, AES-200. AFFIDAVIT OF OWNERSHIP FORAMATEUR-BUILT AND OTHER NON-TYPE CERTIFICATED AIRCRAFT (does not include light-sport) U.S. Identification 

### N 998 AM



## --------------------------------------------------------------- Name ofAmateur

### 1Non TC'dbuilder 

### AERIAL MOB LLC.



# -------------------------------------------------- Model 

### LIGHT LIFTER Class (airplane, rotorcraft, glider, weight shift control, powered-parachute, etc.) Serial Number 

### AMSUAV 1001 ROTORCRAFT Type ofEngine Installed (reciprocating, turboprop, 2 or 4 cycle, electric, etc.) 

### ELECTRIC Manufacturer, Model and Serial Number ofeach Engine Installed 

### _T_B_S_4_0_0_K_V_L_R

__________ _

------------------------ Number ofEngines Installed 

### _4
________ _ Built for Land or Sea Operation 

### _L_A_N_D

_________ _ Number ofSeats 

## _0
_________ _ MUST CHECKONE 

## D More than 50% of the above-described aircraft was built from miscellaneous parts and Iam the owner. (This option is for aircraft eligible for amateur-built certification.) 

# D More than 50% ofthe above-described aircraft was built from a kit (prefabricated parts) and Iam the owner. The bill of sale from the kit manufacturer is attached. (This option is for aircraft eligible for amateur-built certification.)**~** I certify that the above-described aircraft is a newly built non-type certificated aircraft and is not currently registered in another country. (This option is for aircraft eligible for experimental certification other than amateur-built.) 

# D I certify that the above-described aircraft is a previously built (used) non-type certificated aircraft and is not currently registered in another country. (This option is for aircraft eligible for experimental certification other than amateur-built certification.) 

# D Evidence of ownership from the aircraft builder through any intervening owners is attached (chain ofownership). 

# 0 Unable to obtain complete chain of ownership. Statement as to ownership history and whereabouts of aircraft is attached. Name ofOwner: 

### AERIAL MOB LLC Signature ofOwner:**~~=-~~--~~~~-------** Address: State: 

### CA Title ofSigner (IfAppropriate): 

### MEMBER
City: 

### CARLSBAD Telephone: 

### 619.787.0600 -------- Zip: 

### 92008
Notary Public: State of: County of: Subscribed and swom to before me this day of My Commission Expires: 

# J\\.:(A

# 3 ,, fr)\:1 \ (Signature ofNotary Public)

AC Form 8050-88 (03/12)OMB Control No. 2120-0042 Exp. 11/30/2014 

### PRIVACYACT STATEMENT: PrivacyAct of 1974 (PL 93-579) requires thatusers ofthis fonn be informed ofthe authority which allows the solicitation ofthe information andwhetherdisclosure ofsuch information is mandatory or voluntary; the principal purpose for which the information is intended to be used; the routine uses which may be made ofthe information gathered; and the effects, ifany, ofnotproviding all or anypart ofthe requested information. Title 49, United States Coderequires the registration ofeach United States civil aircraft as a prerequisiteto its operation. An aircraft is eligible for registration only: (1) ifit is notregisteredunderthe laws ofany foreign country; and (2) ifit is owned by (a) a citizen ofthe United States; or (b) an individual citizen ofa foreign country who has lawfully been admitted for permanentresidence in the United States; or (c) a corporation lawfully organized and doing business underthe laws ofthe United States or any State thereofso long as such aircraft is based and primarily used in the United States; or (d) a governmental unit. Operation ofan aircraft that is notregistered may subject the operator to a civil penalty. This fom1 identifies the aircraft to be registered, and provides the name and permanent address for mailing the registration certificate. Incomplete submission will preventordelay issuance ofyourregistration certificate. The following routine uses are made ofthe information gathered: (I) To determine that aircraft are registered in accordance with provisions ofthe Title 49, United States Code. (2) To support the investigative efforts of Federal, State and foreign government law enforcement agencies. (3) To serve as arepository oflegal documents used by individuals and title search companies to determine the legal ownership ofan aircraft. (4) Toprovide aircraft owners and operators information aboutpotential mechanical defects orunsafe conditions oftheir aircraft in the form ofairworthiness directives. (5) Toprovide supporting informationin court cases. (6) To serve as a data source for management information for production ofsummary descriptive statistics and analytical studies in support ofagency functions for which the records are collected and maintained. (7) To respond to general requests from the aviation community orpublic for statistical information under the Freedom ofInformation Act orto locate specific individuals or specific aircraft for accident investigation, violation, orother safety relatedrequirements. (8) Toprovide data for the automated aircraft registration master file. (9) Toprovide data for development ofthe aircraftregistration statistical system. (I0) To prepare an aircraft register in electronic media as requiredby ICAO agreement containing inforn1ation on aircraft owners by name, address, N-Number, and type-aircraft, used for internal FAA safety program purposes and also available to the public (individuals, aviation organizations, direct mail advertisers, state and local governments, etc.) upon payment ofapplicable user charges reimbursing the Federal Government for its costs. (II) The aircraftrecords maintained by the Aircraft Registration Branch are public records and are open for inspection in Room 122 ofthe Registry Building, Mike Monroney Aeronautical Center, 6425 S Denning, OklahomaCity, Oklahoma. Individuals interested in such information maymake a personal search ofthe records ormay avail themselves ofthe services ofa title search company or law firm. 

### PLEASE REMOVE THIS PORTION BEFORE SUBMITTING TO FAA.

AC Form 8050-88 (03/12)

,;·.

### G:l)·u.s. GPO: 2013-746-410

UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION-MIKE MONRONEY AERONAUTICALCENTER AIRCRAFT REGISTRATION APPLICATION

TYPE OF REGISTRATION (Check One box) 

# -¢-

FORM APPROVED OMB No. 2120-0042

CERT: ISSUE DATE

FOR FAA USE ONLY 

### D 1. Individual 

### D 2. Partnership

### ~Corporation D 4. Co-Owner 

### D 5. Government 

### D 8. Non-Citizen Corporation 

### D 9. Non-Citizen Corporation Co-Owner NAME OR APPLICANT (Person(s) shown on evidence ofownership. If individual, give last name, first name, and middle initial.)

Rural Route: P.O. Box: CITY STATE ZIP CODE 

# \sbe1 

# CA
D CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS ATTENTION! Read the following statement before signing this application. This portion MUST be completed. A false ordishonest answerto any question in this application may be grounds for punishment byfine and/or imprisonment
· (U.S. Code, Title 18, Sec. 1001). · 

### CERTIFICATION !/WE CERTIFY: (1) That the above aircraft i.s owned by the undersigned applicant, who is a citizen (inclu ing corporations)

ofthe United States. \ ,'· -7 (For voting trust, give nanie oftrustee:**_,_~_.__,""'"'-"'""----1..,:--'-"--'~~=-=--'--'"'-'-----------** ), or: CHECK ONE AS APPROPRIATE: a. 

### D A resident alien, with alien registration (Form 1-151 or Form 1-551)**No.------------~~** b. 

### D A non-citizen corporation organized and doing business under the laws of (state) ,--,-------,-=-:---- and said aircraft is based and primarily used in the United States. Records or flight hours are available for inspection at
______________________________ _ (2) That the aircraft is not registered underthe laws of any foreign country; and (3) That legal evidence of ownership is attachedor has been filed with the Federal Aviation Administration.
NOTE: If executed for co-ownership all applicants must sign. Use reverse side if necessary. TYPE OR PRINT NAME BELOW SIGNATURE DATE

NOTE Pending receipt ofthe Certificate ofAircraft Registration, the aircraft may be operated for a period not in excess of90 days, during which timethe PINK copy ofthis application must be carried in the aircraft.
AC Form 8050-1 (5/12) (NSN 0052-00-628-9007) . )