Hogan Lovells US LLP is a limited liability partnership registered in the District of Columbia. Hogan Lovells refers to the international legal practice comprising Hogan Lovells

US LLP, Hogan Lovells International LLP, Hogan Lovells Worldwide Group (a Swiss Verein), and their affiliated businesses with offices in: Abu Dhabi Alicante Amsterdam

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October 2, 2012

BY ELECTRONIC SUBMISSION

Docket DOT-OST-1998-3305

Docket Operations Facility

U.S. Department of Transportation

West Building Ground Floor, Room W12-140

1200 New Jersey Avenue, SE

Washington, DC 20590

Re: 14 C.F.R. Part 243 – Passenger Manifest Information –

Submission of Summary for K5-Aviation GmbH

Ladies and Gentlemen:

Pursuant to 14 C.F.R. § 243.13, K5-Aviation GmbH (“K5-Aviation”) hereby submits a statement

summarizing how K5-Aviation will collect the passenger manifest information required by 14 C.F.R.

Part 243, and how it will transmit the information to the Department of State in the event of an

aviation disaster with respect to a covered flight segment. An unredacted version of the attached

summary including contact information for representatives of K5-Aviation who will be available any

time a covered flight segment is operated will be provided to the appropriate Department officials on

a confidential basis under separate cover.

Please feel free to contact me if you have questions concerning K5-Aviation’s operations or the

procedures described in the enclosed summary.

Sincerely,

Sheryl R. Israel

Counsel

sheryl.israel@hoganlovells.com

D +1 202 637 8898

Counsel for K5-Aviation GmbH

Enclosure
K5-Aviation – Passenger Manifest Information Plan

PAX-MAN

Page 1

K5-Aviation – PAX-Manifest (U.S. Citizens) REV 00_09/27/2012

K5-Aviation GmbH (“K5-Aviation”) hereby submits, in compliance with U.S. Department of 

Transportation regulations 14 C.F.R. Part 243, this plan summarizing how it will collect U.S. citizen 

passenger manifest information prior to flights from / to or via U.S. territory and transmit that

information to the U.S. Department of State in the event of an aviation disaster.

1. Prior to boarding U.S. citizen passengers on any international flight segment to or from the 

United States, K5-Aviation will require them to provide their full name (first name, middle name 

or initial, and last name), and will inquire from them the name and telephone number of an 

emergency contact (other than another passenger on the same flight) using the attached form. 

U.S. passengers who elect not to provide their full names shall be denied boarding.

2. The pilot in command or a delegated crew member will ensure that the complete U.S. 

passenger manifest information has been transmitted to and received by K5-Aviation’s 

operations personnel, prior to a covered flight segment’s departure from or to the United 

States.

3. In the event of an “aviation disaster” with respect to a “covered flight segment” (as these terms 

are defined in 14 CFR Part 243), K5-Aviation will immediately (not later than three hours after 

K5-Aviation learns of the disaster) notify the Managing Director of Overseas Services, Bureau

of Consular Affairs at the U.S. Department of State, of such occurrence (using the 24 hours a 

day Department of State Operations Center +1 202 647 1512). Upon request, K5-Aviation will 

also transmit a complete and accurate compilation of the information collected to the Director 

of Family Support Services at the National Transportation Safety Board.

4. K5-Aviation will retain a record of the required passenger manifest information until all U.S. 

citizen passengers on a covered flight segment have disembarked from the aircraft.

5. K5-Aviation has representatives on duty 24 hours a day who will be accessible at any time K5-

Aviation is operating a covered flight segment. The 24 hour contact information is:
K5-Aviation – Passenger Manifest Information Plan

PAX-MAN

Page 2

K5-Aviation – PAX-Manifest (U.S. Citizens) REV 00_09/27/2012

PASSENGER DECLARATION (US CITIZEN)

BOARDING INFORMATION FORM FOR U.S. CITIZEN PASSENGERS

Corresponding to U.S. Department of Transportation regulation 14 C.F.R. Part 243, each U.S.

citizen passenger has to provide the following information PRIOR TO BOARDING.

Passenger Details

Full Name (including Middle Name of Passenger (s) 

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Flight Number: ______________________________ Date: ____________________________

Departure Airport: ___________________________ Destination: _______________________

Emergency Contact of Person not travelling:

Name: ______________________________________________________________________

Telephone Number:____________________________________________________________

Note: All collected information will be kept confidential and released only to the U.S. Department of State, 

National Transportation Safety Board, and/or U.S. Department of Transportation as required by part 243. 

Furthermore the contact information shall only be used for notification of family members in case of an 

aviation disaster. The information will not be used by K5-Aviation for commercial or marketing purposes.