STC SA4999NM

Number SA4999NM

This certificate, issued to LifePort, LLC 1610 Heritage Street Woodland, WA 98674

Part * of the * Regulations.

Original ProductType Certificate Number: * See attached Federal Aviation Administration (FAA) Make: Approved Model List (AML) SA4999NM for approved Model: aircraft models and applicable airworthiness regulations.

Description of the Type Design Change: Installation of LifePort Patient Loading and Support System in accordance with LifePort Installation Instructions and Drawings as listed on the FAA AML of this STC, or later FAA approved revisions.

Limitations and Conditions: Approval of this change in type design applies to the aircraft listed on AML SA4999NM only. This approval should not be extended to other aircraft of these models on which other previously approved modifications are incorporated unless it is determined by the installer that the relationship between this change and other previously approved modifications, including changes in type design, will introduce no adverse effect upon the airworthiness of that aircraft. A copy of this certificate, AML SA4999NM, and AFM Supplement, both dated December 10, 1990, or later FAA approved revision, must be maintained as part of the permanent records for the modified aircraft.

If the holder agrees to permit another person to use this certificate to alter the product, the hold er shall give the other person written evidence of that permission.

Date of application: November 15, 1990 Date reissued: March 10, 2019 Date of issuance: December 10, 1990 Date amended:

FAA FORM 8110-2 (5/14) PAGE 1 OF 2 PAGES By direction of the Administrator

(Signature)

Acting Manager, Seattle ACO Branch (Title)

Transfer the ownership of Supplemental Type Certificate Number

to (Name of Transferee)

(Address of Transferee)

(Number and Street)

(City, State, and ZIP Code)

from (Name of Grantor) (Print or Type)

(Address of Grantor)

(Number and Street)

(City, State, and ZIP Code)

Signature of Grantor (In Ink):

U.S. GPO: 1987-763-289