# STC SR04091CH

- Type: Supplemental type certificate
- Status: Current, Issued
- Holder: Med-Pac Inc., United States
- Description: Installation of an air ambulance conversion kit
- Applied: April 22, 2016
- Status date: May 25, 2016
- Product: Aircraft, Rotorcraft
- Certification basis: Part 21, Part 27
- Data sheets: [TCDS R00003RD](https://openairdocs.org/tcds/R00003RD)
- Certificate PDF: https://openairdocs.org/files/sha256/ad/5e/ad5eb2fe3dd17b8794830ddc3e8debd07b024b40464ffe14bb4be6bc8dcfca4d
- FAA DRS: https://drs.faa.gov/browse/excelExternalWindow/6FF9855F6194C38486257FC400579E54.0001
- DRS record last changed: December 6, 2025
- Page: https://openairdocs.org/stc/SR04091CH

## ADs that name it (0)

None.

## Approved models (1)

- Bell Helicopter Textron Canada Limited 429 ([TCDS R00003RD](https://openairdocs.org/tcds/R00003RD))

## What the certificate says

Read from the PDF's text layer, without the form's printed wording; the layout is lost and the order can differ. The PDF is the record.

Part 27 of the Federal Aviation Regulations. (See Type Certificate Data Sheet No. R00003RD for complete certification basis)

Installation of an air ambulance conversion kit in accordance with Med-Pac, Inc. Drawing No. RC429-1, No Revision, dated March 1, 2016, or later FAA approved revisions.

1. FAA Approved Rotorcraft Flight Manual Supplement, RFMS 429, No Revision, dated May 19, 2016, or later FAA approved revision is required. 2. FAA Accepted Instructions for Continued Airworthiness, Report ICAS 429, No Revision, dated March 1, 2016, or later FAA accepted revision is required for this modification. 3. The installer must determine whether this design change is compatible with previously approved modifications. 4. If the holder agrees to permit another person to use this certificate to alter a product, the holder must give the other person written evidence of that permission.

Med-Pac, Inc.

2093 South 2nd Street Lake Park, MN 56554 R00003RD Make : Bell Helicopter Textron Canada Limited Model : 429

Date of application : April 22, 2016

Date of issuance : May 25, 2016

(Signature) Karol Mordasiewicz Manager, Airframe & AdministrativeBranch Chicago Aircraft Certification Office

(Title)

Original signed by:

Gregory J. Michalik

FAA FORM 8110-2-1(10-69) PAGE 2 of 2 PAGES

Number

## Every issue (1)

- May 25, 2016: Issued, Current. [certificate](https://openairdocs.org/files/sha256/ad/5e/ad5eb2fe3dd17b8794830ddc3e8debd07b024b40464ffe14bb4be6bc8dcfca4d)

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