U. S. Department of Transportation 

Docket Management System 

1200 New Jersey Ave., SE 

Washington, DC 20590 

( 10-28-2014) 

- "\ 

Re: Amendment to ExemQtion issued Qursuant to Section 333 of the FAA 

Reform Act and Part 11 of the Federal Aviation Regulations in RegulatorY. Docket 

No. FAA-2014-0353-0001. 

Dear Sir or Madam; 

Aerial MOB LLC was issued an Exemption numbered FAA-2014-0353-0001 

(hereinafter the Exemption) for the purpose of conducting scripted, closed-set filming for the 

motion picture and television industry. Aerial MOB LLC herby requests an amendment to the 

Exemption to allow an additional type of unmanned aircraft system (UAS) that fully complies 

with the conditions of the Exemption. 

Aerial MOB LLC wishes to operate a (description and identification of new 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 of the additional UAS will be in full compliance with the terms 

of the Exemption. 

As this is an amendment to an existing exemption asking for only the addition of another 

type of unmanned aerial vehicle, (Name of Applicant) respectfully submits that good cause exists 

so that notice does not need to be published in the Federal Register for the requested amendment. 

Please contact the undersigned should you have any question concerning this request for 

an amendment to the Exemption. 

cc: 

James Williams 

Robert Pappas 

Jake Troutman 

John McGraw 

Jonathan B. Hill 

Sincerely yours, Steve Blizzard 

(member) Aerial MOB LLC 
OMB 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 of the 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 of this 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 FOR AMATEUR-BUILT AND OTHER 

NON-TYPE CERTIFICATED AIRCRAFT 

(does not include light-sport) 

U.S. Identification N 998 AM --------------------------------------------------------------- Name of Amateur 1 Non TC'd builder AERIAL MOB LLC. -------------------------------------------------- Model LIGHT LIFTER 

Class (airplane, rotorcraft, glider, weight shift 

control, powered-parachute, etc.) 

Serial Number AMSUAV 1001 

ROTORCRAFT 

Type of Engine Installed (reciprocating, turboprop, 2 or 4 cycle, electric, etc.) ELECTRIC 

Manufacturer, Model and Serial Number of each Engine Installed _T_B_S_4_0_0_K_V_L_R __________ _ 

------------------------ Number of Engines Installed _4 ________ _ 

Built for Land or Sea Operation _L_A_N_D _________ _ Number of Seats _0 _________ _ 

MUST CHECK ONE 

D More than 50% of the above-described aircraft was built from miscellaneous parts and I am the owner. (This option is for aircraft 

eligible for amateur-built certification.) 

D More than 50% of the above-described aircraft was built from a kit (prefabricated parts) and I am 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 of ownership). 

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

Name of Owner: AERIAL MOB LLC 

Signature of Owner: ~~=-~~--~~~~-------

Address: 

State: CA 

Title of Signer 

(If Appropriate): 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 of Notary Public) 

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

Exp. 11/30/2014 

PRIVACY ACT STATEMENT: Privacy Act of 1974 (PL 93-579) requires that users of this fonn be informed of the 

authority which allows the solicitation of the information and whether disclosure of such information is mandatory or 

voluntary; the principal purpose for which the information is intended to be used; the routine uses which may be made 

of the information gathered; and the effects, if any, of not providing all or any part of the requested information. 

Title 49, United States Code requires the registration of each United States civil aircraft as a prerequisite to its 

operation. An aircraft is eligible for registration only: (1) if it is not registered under the laws of any foreign country; 

and (2) if it is owned by (a) a citizen of the United States; or (b) an individual citizen of a foreign country who has 

lawfully been admitted for permanent residence in the United States; or (c) a corporation lawfully organized and doing 

business under the laws of the United States or any State thereof so long as such aircraft is based and primarily used in 

the United States; or (d) a governmental unit. Operation of an aircraft that is not registered 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 prevent or delay issuance of your registration certificate. 

The following routine uses are made of the information gathered: 

(I) To determine that aircraft are registered in accordance with provisions of the Title 49, United States Code. 

(2) To support the investigative efforts of Federal, State and foreign government law enforcement agencies. 

(3) To serve as a repository of legal documents used by individuals and title search companies to determine the 

legal ownership of an aircraft. 

(4) To provide aircraft owners and operators information about potential mechanical defects or unsafe 

conditions of their aircraft in the form of airworthiness directives. 

(5) To provide supporting information in court cases. 

(6) To serve as a data source for management information for production of summary descriptive statistics and 

analytical studies in support of agency functions for which the records are collected and maintained. 

(7) To respond to general requests from the aviation community or public for statistical information under the 

Freedom of Information Act or to locate specific individuals or specific aircraft for accident investigation, 

violation, or other safety related requirements. 

(8) To provide data for the automated aircraft registration master file. 

(9) To provide data for development of the aircraft registration statistical system. 

(I 0) To prepare an aircraft register in electronic media as required by 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 of applicable user charges reimbursing the Federal Government 

for its costs. 

(II) The aircraft records maintained by the Aircraft Registration Branch are public records and are open for 

inspection in Room 122 of the Registry Building, Mike Monroney Aeronautical Center, 6425 S Denning, 

Oklahoma City, Oklahoma. Individuals interested in such information may make a personal search of the 

records or may avail themselves of the services of a 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 AERONAUTICAL CENTER 

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 of ownership. 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 or dishonest answer to any question in this application may be grounds for punishment by fine 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) 

of the United States. \ ,'· -7 

(For voting trust, give nanie of trustee: _,_~_.__,""'"'-"'""----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 under the laws of any foreign country; and 

(3) That legal evidence of ownership is attached or 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 of the Certificate of Aircraft Registration, the aircraft may be operated for a period not in excess of 90 

days, during which time the PINK copy of this application must be carried in the aircraft. 

AC Form 8050-1 (5/12) (NSN 0052-00-628-9007) 

. )