STC SR00012SE

Number SR00012SE

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) SR00012SE for approved Model: rotorcraft models and applicable airworthiness regulations.

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

Limitations and Conditions: Approval of this change in type design applies to the rotorcraft listed on AML SH5798NM only. This approval should not be extended to other rotorcraft 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 rotorcraft. A copy of this certificate, AML SR00012SE and the approved Flight Manual Supplement listed on AML SR00012SE, or later FAA approved revision, must be maintained as part of the permanent records for the modified rotorcraft.

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

Date of application: June 9, 1993 Date reissued: March 10, 2019 Date of issuance: September 23, 1993 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