Exhibit 77 — USA v. McCabe (Dkt. 91.58)

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U.S. District Court for the Southern District of Florida · No. 9:24-cr-80103-AMC · Doc. 91-58 · 2025-03-10 · Docket on CourtListener

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EMAILED Batch#: 74341700 I Doc#: 5 I File Date: 3/18/2020 8:09:00 PM 
DEPARTMENT OF HOMELAND SECURITY 
0MB No: 1625-0027 
U.S. Coast Guard 
Expires: 07/31/2019 
APPLICATION FOR INITIAL, EXCHANGE, OR REPLACEMENT OF . 
CERTIFICATE OF DOCUMENTATION; REDOCUMENTATION 
NOTE: FILING THIS APPLICATION DOES NOT ENTITLE A VESSEL TO DOCUMENTATION OR TO ANY CHANGES SOUGHT ON A CERTIFICATE OF 
DOCUMENTATION. OFFICIAL NUMBERS DESIGNATED ON THE BASIS OF THIS APPLICATION ARE NOT TRANSFERABLE. ONLY A CURRENT 
CERTIFICATE OF DOCUMENTATION IS VALID FOR VESSEL OPERATION. 
COMPLETE FOR ALL APPLICATIONS 
A. VESSEL NAME (REQUIRED) 
B. OFFICIAL# (IF AWARDED) 
SOUTHERN COMFORT (EX: PERSISTANCE) 
930158 
.. ... GLICK!CONTOATTACH LISI OF ADDITIONAL VESSEUS) 
C. HULL ID# (IF ANY) 
I 
D. IMO# (IF ANY) 
E. HAILING PORT INCLUDING STATE (TO BE MARKED ON VESSEL) 
XYU7748FH788 
KNOXVIU.E, TN. 
F. NAME OF MANAGING OWNER 
SOCIAL SECURITY OR TAX ID NUMBER {REQUIRED-46 USC 12104): 
DUSTIN S. MCCABE 
SSN: 
TIN: 
E-MAIL ADDRESS: 
7518 
TELEPHONE NUMBER: 
G. PHYSICAL ADDRESS OF MANAGING OWNER (REQUIRED -
MAILING ADDRESS OF MANAGING OWNER (IF DIFFEfME~AN 
46CFR67.113) 
PHYSICAL ADDRESS - E.o00ca,~TATION CE 
633 SE MONET DRIVE 
NATIONAL VESSEL 
PORT SAINT LUCIE, FL. 34984-6674 
US COAST GUARD 
O BE A TRUE COPY 
CERTIFY THIS T 
I HEREBY 
--s OF THIS OFFICE 
-
-- -rUS:: u ... i:MK,1'-1 
H. NAME(S) OF OTHER OWNER(S) 
socrAL SECURITY 2JR TAX I~ 
-,JS\ UPI OTHf;R .OWfJER(S) 
%. 
-(i~ 
../ -~ 
1 -? J'2../,-Z..~ 
' 
~ 
gcff I DATE 
CLICK ICON TO ATTACH LIST OF ADDITIONAL OWNERlSI 
~ ... , ,us::t.iTATION OFFICE R f\n ~. ~ 
.,_ 
I. PURPOSE OF APPLICATION 
r
✓l 1. EXCHANGE OF CERTIFICATE OF DOCUMENTATION. 
□ 
2. REPLACEMENT OF LOST, WRONGFULL YWITHHELD OR MUTILATED CERTIFICATE OF DOCUMENTATION. 
n 3. RE-INSTATEMENT OF CERTIFICATE OF DOCUMENTATION FOLLOWING FAILURE TO RENEW. 
n 4. RETURN TO DOCUMENTATION FOLLOWING DELETION. VESSEL NAME WHEN LAST DOCUMENTED: 
n 5. APPLICATION FOR OFFIClAL NUMBER AND FIRST CERTIFICATE OF DOCUMENTATION. VESSEL 
n WAS BUILT AT 
IN 
OR 
ClTY, STATE, COUNTRY 
MONTH/YEAR 
n IS UNDER CONSTRUCTION AT 
AND IS SCHEDULED FOR COMPLETION IN 
HULL MATERIAL: n WOOD n STEEL n FIBROUS REINFORCED PLASTIC n ALUMINUM 
ncoNCRETE 
n OTHER (DESCRIBE) 
APPROXIMATE LENGTH OF VESSEL 
PREVIOUS NAMES, NUMBERS, OR FOREIGN REGISTRATIONS OF VESSEL 
J. ENDORSEMENTS FOR WHICH APPLICATION IS MADE 
G:ZI RECREATIONAL 
□ COASlWISE - BOWATERS ONLY (CERTIFICATE ON FILE) 
□ 
FISHERY 
□ COASlWISE - OIL SPILL RESPONSE ONLY (LETTER OF QUALIFICATION ON FILE) 
0 COASTWISE 
□ COASTWISE UNDER CHARTER TO AN ENTITY QUALIFIED TO ENGAGE IN COASTWISE TRADE 
□ 
REGISTRY 
K. PRIMARY SERVICE & HORSEPOWER 
HORSEPOWER: 485 X 2 
□ 
COMMERCIAL FISHING BOAT 
□ 
FISH PROCESSING VESSEL 
□ 
FREIGHT SHIP 
□ 
FREIGHT BARGE 
□ 
INDUSTRIAL VESSEL 
□ 
MOBILE OFFSHORE DRILLING UNIT 
□ 
OIL RECOVERY 
CG-1258 (08/16) 
(COPY OF CHARTER ON FILE) 
j 
□ 
OFFSHORE SUPPLY VESSEL 
0 
RECREATIONAL 
□ 
PASSENGER (6 OR FEWER) 
□ RESEARCH VESSEL 
□ 
PASSENGER (MORE THAN 6 ) 
□ 
SCHOOL SHIP 
□ 
PASSENGER BARGE (6 OR FEWER) 
□ 
TANK BARGE 
□ 
PASSENGER BARGE (MORE THAN 6) 
□ TANK SHIP 
□ 
PUBLIC FREIGHT 
□ 
TOWING VESSEL 
□ 
PUBLIC TANKSHIP/BARGE 
□ UNCLASSIFIED VESSEL 
□ 
PUBLIC VESSEL. UNC 
.. 
Previous Edition Obsolete 
FOR LAW ENFORCEMENT USE 01,.,;.:-r 
RELE,!i,SE O'.'= THIS IMFORMATION TO 
OUTSIDE PA RTIES IS PROl-iiS!TS'.J 
Page 1 of 4 
I Reset I 
Case 9:24-cr-80103-AMC   Document 91-58   Entered on FLSD Docket 03/10/2025   Page 1 of 3
24-CR-80103-AMC
GX77

L. 
CJTIZENSHIP OF OWNER (CHECK THE BOX(ES} TO SHOW THE TYPE(S) OF ENTITY(IES) THAT OWNS THE VESSEL) 
G!I 
ONE OR MORE INDIVIDUALS 
I (WE) CERTIFY THAT ALL OWNERS OF THIS VESSEL ARE CITIZENS OF THE UNITED STATES 
D 
GOVERNMENT ENTITY (FEDERAL, STATE, TERRITORY, POSSESSION OR SUBDIVISION) 
D 
CORPORATION (SEE SECTION M, ITEM 5 WHEN APPL YING FOR A FISHERY OR COASTWISE ENDORSEMENT). 
1. 
STATE OF INCORPORATION 
2 
CITIZENSHIP OF CHIEF EXECUTIVE OFFICER BY WHATEVER TITLE 
3. 
CITIZENSHIP OF CHAIRMAN OF THE BOARD 
4. 
· NUMBER OF DIRECTORS NECESSARY TO CONSTITUTE A QUORUM 
5. 
NUMBER OF ALIEN DIRECTORS 
6. 
PERCENTAGE OF STOCK OWNED BY U.S. CITIZENS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT, WITH THE 
ENDORSEMENT(S) SOUGHT ON THIS APPLICATION IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART C) 
□ LESS TiiAN 50% 
0 
75% OR MORE (AND, AT EACH TIER, IF APPLICABLE) 
□ 50% OR MORE: STATE EXACT O 75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE) 
PERCENTAGE 
LIMITED LIABILITY COMPANY (LLC): (COMPLETE EQUITY SECTION AND CHOOSE TYPE} (SEE SECTION M, ITEM 5 WHEN APPL YING 
FOR A FISHERY OR COASTWISE ENDORSEMENT). 
EQUITY INTEREST OWNED BY PERSONS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT SOUGHT IN 
ACCORDANCE WITH 46 CFR PART 67 (SUBPART C) 
□ LESS THAN 50% 
0 
75% OR MORE (AND. AT EACH TIER, IF APPLICABLE) 
D 
50% OR MORE: STATE EXACT O 75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE) 
PERCENTAGE 
□ 1. 
MEMBER MANAGED LIMITED LIABILITY COMPANY 
I (WE) CERTIFY THAT ALL MEMBERS OF THIS LLC ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT VESSELS WITH 
THE ENDORSEMENT($) SOUGHT IN THEIR OWN RIGHT. 
(CLICK ICON TO ATTACH LIST OF ALL MEMBERS)(REQUIRED} 
OR 
2. 
LIMITED LIABILITY COMPANY NOT MANAGED BY MEMBERS AND NOT SIMILAR TO GENERAL PARTNERSHIP: 
PLEASE NOTE (A) & (B) MUST BE CHECKED FOR FISHERY AND COASTWISE ENDORSEMENTS; NOT REQUIRED FOR COASTWISE 
OIL SPILL OR COASTWISE UNDER CHARTER ENDORSEMENTS. 
□ 
A. I (WE) CERTIFY THAT ANY PERSON ELECTED TO MANAGE THE LLC OR WHO IS AUTHORIZED TO BIND THE LLC, AND ANY 
PERSON WHO HOLDS A POSITION EQUNALENT TO THE CHIEF EXECUTIVE OFFICER, BY WHATEVER TITLE, AND THE 
CHAIRMAN OF THE BOARD OF DIRECTORS IN A CORPORATION, AND ANY PERSONS AUTHORIZED TO ACT IN THEIR ABSENCE 
ARE CITIZENS OF THE UNITED STATES. 
D 
B. NON-CITIZENS DO NOT HAVE AUTHORITY WITiilN A MANAGEMENT GROUP, WHETHER THROUGH VETO POWER, COMBINED 
VOTING, OR OTHERWISE, TO EXERCISE CONTROL OVER THE LLC. 
STATE WHERE ORGANIZED 
PARTNERSHIP (COMPLETE EQUITY SECTION AND CHOOSE TYPE) (SEE SECTION M, ITEM 5 WHEN APPL YING FOR FISHERY OR 
COASTWISE ENDORSEMENT) 
EQUITY INTEREST OWNED BY PERSONS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT SOUGHT IN 
ACCORDANCE WITH 46 CFR PART 67 (SUBPART C) 
D 
LESS THAN 50% 
□ 75% OR MORE (AND, AT EACH TIER, IF APPLICABLE) 
D 
50¾ OR MORE STATE EXACT 0 
75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE) 
PERCENTAGE 
□ 
1. 
GENERAL PARTNERSHIP 
I (WE} CERTIFY THAT ALL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF THE UNITED STATES ELIGIBLE TO DOCUMENT 
VESSELS WITH THE ENDORSEMENT($) SOUGHT IN THEIR OWN RIGHT. 
□ 
2. 
LIMITED PARTNERSHIP 
I (WE) CERTIFY THAT ALL GENERAL PARTNERS IN THIS PARTNERSHIP ARE CITIZENS OF TiiE UNITED STATES, ELIGIBLE TO 
DOCUMENT VE SSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN RIGHT. 
(CLICK ICON TO ATTACH LIST OF ALL GENERAL PARTNERS)(REQUIRED) 
□ CORPORATION QUALIFIED AND APPL YING UNDER 46 CFR 68.01 (BOWA TERS) 
1 lWEl CERTIFY THAT THE CORPORATE STRUCTURE HAS NOT CHANGED SINCE ISSUANCE OF THE CERTIFICATE OF COMPLIANCE. 
□ VESSEL OWNED OR OPERATED BY NOT-FOR-PROFIT OIL RECOVERY COOPERATIVE 
I (WE) CERTIFY THAT THE INFORMATION ON FILE WITH REGARD TO COOPERATIVE AND ISSUANCE OF THE LETTER OF 
QUALIFICATION REMAINS UNCHANGED. 
□ JOINT VENTURE OR ASSOCIATION 
I (WE) CERTIFY THAT ALL MEMBERS OF THIS (JOINT VENTURE) (ASSOCIATION) ARE CITIZENS OF THE UNITED STATES, ELIGIBLE TO 
DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT($) SOUGHT. 
(CLICK ICON TO ATTACH LIST OF ALL JOINT VENTURERS/MEMBERS){REQUIRED) 
CG-1258 (08/16) 
FOR OFFICIAL USE ONLY 
RELEASE OUTSIDE OF COAST GUARD 
PROHIBITED 
Page 2 of4 
! Res e t l 
Case 9:24-cr-80103-AMC   Document 91-58   Entered on FLSD Docket 03/10/2025   Page 2 of 3

TRUST ARRANGEMENT (COMPLETE EQUITY/STOCK SECTION) (SEE SECTION M, ITEM 5 WHEN APPLYING FOR A FISHERY OR COAS1WISE 
ENDORSEMENT) 
0 
I (WE) CERTIFY THAT ALL TRUSTEES AND ALL BENEFICIARIES WITH AN ENFORCEABLE INTEREST IN THIS TRUST ARRANGEMENT 
ARE CITIZENS OF THE UNITED STATES. ELIGIBLE TO DOCUMENT VESSELS WITH THE ENDORSEMENT(S) SOUGHT IN THEIR OWN 
RIGHT. 
EQUITY INTEREST OWNED BY PERSONS ELIGIBLE TO DOCUMENT VESSELS IN THEIR OWN RIGHT WITH THE ENDORSEMENT(S) SOUGHT IN 
ACCORDANCE WITH 46 CFR PART 67 (SUBPART C) 
OR 
0 
LESS THAN 50% 
0 
75% OR MORE (AND, AT EACH TIER, IF APPLICABLE) 
0 
500/4 OR MORE: STATE EXACT 
0 
75% OR MORE (AND, AT EACH TIER AND IN THE AGGREGATE (IF FISHERY), IF APPLICABLE) 
PERCENTAGE ____ 
_ 
0 
VESSEL OWNED IN A TRUST ARRANGEMENT PURSUANT TO 46 USC 12111(c) (CROSS BORDER FINANCING) 
I (WE) CERTIFY THAT THE VESSEL IS OWNED IN A TRUST ARRANGEMENT THAT QUALIFIES FOR A REGISTRY ENDORSEMENT 
ONLY PURSUANT TO PUBLIC LAW 104-324, SECT. 1136. ATTACHED IS AN AFFIDAVIT OF EACH TRUSTEE AND CITIZENSHIP 
EVIDENCE FOR THE CHARTERER AS REQUIRED UNDER THE STATUTE. 
(CLICK ICON TO ATTACH LIST OF ALL TRUSTEES AND ALL BENEFICIARIES WITH AN ENFORCEABLE INTEREST)(REQUIRED\ 
M. 
I (WE) CERTIFY THAT: (MARK ALL THAT ARE APPLICABLE. ITEM 5. NOT REQUIRED FOR COASTWISE BOWATER ONLY, OIL SPILL, OR 
UNDER CHARTER ENDORSEMENTS.) 
121 
1. 
I AM (WE ARE) A CITIZEN(S) OF THE UNITED STATES AND LEGALLY AUTHORIZED TO EXECUTE THIS APPLICATION IN THE 
CAPACITY SHOWN; 
12) 
2. 
IN ACCORDANCE WITH 46 CFR PART 67 (SUBPART I) THE VESSEL(S) TO WHICH THIS APPLICATION APPLIES; 
(a) 0 HAS (HAVE) BEEN MARKED OR f;Zl WIU BE MARKED; 
(b) WILL AT ALL TIMES REMAIN UNDER THE COMMAND OF A U.S. CITIZEN, UNLESS DOCUMENTED SOLELY WITH A 
RECREATIONAL ENDORSEMENT; WILL NOT BE OPERA TED IN A TRADE NOT AUTHORIZED BY THE ENDORSEMENT(S) ON THE 
CERTIFlCATE(S) OF DOCUMENTATION. THE NAME(S) OF THE VESSEL(S) WILL NOT BE CHANGED WITHOUT APPROVAL FROM 
THE NATIONAL VESSEL DOCUMENTATION CENTER; AND l(WE) WILL PROMPTLY NOTIFY THE NATIONAL VESSEL 
DOCUMENTATION CENTER UPON A CHANGE IN ANY OF THE INFORMATION OR REPRESENTATIONS IN THIS APPLICATION. 
fill 
3. 
0 HAS (HAVE) NOT OR O HAS (HAVE)BEEN REBUILT OR SUBSTANTIALLY ALTERED SINCE LAST DOCUMENTATION; 
0 
4. 
THE VESSEL IS 
El) NOT TITLED UNDER A STATE OR 
0 TITLED UNDER THE LAWS OF ___________ 
_ 
THE FOLLOWING ITEM IS REQUIRED FOR COASTWISE AND/OR FISHERY ENDORSEMENTS; HOWEVER, IT IS NOT REQUIRED FOR COASTWISE 
BOWATER ONLY, OIL SPILL, OR UNDER CHARTER ENDORSEMENTS. 
0 
5. 
U.S. CONTROL CERTIFICATION: THERE IS NO CONTRACT OR UNDERSTANDING THAT PROVIDES MORE THAN 25% OF THE 
VOTING POWER IN THE PARTNERSHIP, LIMITED LIABILITY COMPANY, CORPORATION, OR OTHER OWNING ENTITY EITHER 
DIRECTLY OR INDIRECTLY ON BEHALF OF ANY PERSON NOT A CITIZEN OF THE UNITED STATES. BY NO MEANS 
WHATSOEVER IS CONTROL IN EXCESS OF 25% CONFERRED UPON OR PERMITTED TO BE EXERCISED BY A PERSON WHO IS 
NOT A CITIZEN OF THE UNITED STATES. 
POTENTIAL PENALTIES FOR FALSE STATEMENTS OR REPRESENTATIONS BY OWNER OR REPRESENTATIVE: CIVIL, MONETARY, VESSEL 
FO~l <? use ~5_!l, ~NE AND/OR IMPRISONMENT c1s use 1001) 
v'# _/V'f.,,l--C,1/'{_!L-rc__ 
03/0Sf.2020 
SOLE OWNER 
SIGNATURE 
DATE 
-C-A--PA,-C_IT_Y_(E ___ 
G.-, O 
__ W_N_E=R,-, ..,..AG--E=-N=T-
, r=R""u""sT"'E_E_, --
DUSTIN S. MCCABE 
GENERAL PARTNER, CORPORATE OFFICER, MEMBER) 
PRINTED OR TYPED NAME 
APPLICATION FEES ARE NOT REFUNDABLE (46 CFR 67.500 (e)). 
PRIVACY ACT STATEMENT 
1. AUTHORITY: 46 U.S.C. CHAPTER 121, DOCUMENTATION OF VESSELS AND 46 U.S.C. CHAPTER 125, VESSEL IDENTIFICATION SYSTEM; -46 U .S.C. § 50501, 
ENTITIES DEEMED CITIZENS OF THE UNITED STATES. 
Z. PURPOSE: TO VALIDATE CITIZENSHIP OF THE OWNER OF THE VESSEL FOR WHICH APPLICATION FOR DOCUMENTATION IS MADE, TO DETERMINE 
ELIGIBILITY OF THE VESSEL TO BE DOCUMENTED WITH THE PREFERRED TRADE ENDORSEMENT, ANO TO PUBLISH INFORMATION RELATED TO U.S. 
DOCUMENTED VESSELS. 
3. ROUTINE USES: AUTHORIZED USCG PERSONNEL WILL UTILIZE THIS INFORMATION TO VALIDATE CITIZENSHIP OF THE VESSEL'S OWNER AND CERTIFY 
VESSEL'S ELIGIBILITY TO BE DOCUMENTED WITH THE PREFERRED TRADE ENDORSEMENT, ANY DISCLOSURES OF DATA WITHIN THIS RECORD WILL BE 
MADE IN ACCORDANCE WITH DHS/USCG-013, MARINE INFORMATION FOR SAFETY AND LAW ENFORCEMENT (MISLE}, 74 FEDERAL REGISTER (FR) 30305, JUNE 
25, 2009. 
4. 
CONSEQUENCES OF FAILURE TO PRQVIDE INFORMATION: VOLUNTARY. HOWEVER, FAILURE TO PROVIDE THE REQUESTED INFORMATION WILL RESULT IN 
DENIAL OF APPLICATION, WHICH MAY PREVENT THE OWNER FROM OPERATING THE VESSEL(S) IN A SPECIFIC TRADE. 
AN AGENCY MAY NOT CONDUCT OR SPONSOR AND A PERSON IS NOT REQUIRED TO RESPOND TO A COLLECTION OF INFORMATION UNLESS IT DISPLAYS A 
VALID 0MB CONTROL NUMBER. 
THE COAST GUARD ESTIMATES THAT THE AVERAGE BURDEN FOR THIS FORM IS 30 MINUTES. YOU MAY SUBMIT ANY COMMENTS CONCERNING THE ACCURACY 
Of THIS BURDEN ESTIMATE OR MAKE SUGGESTIONS FOR REDUCING THE BURDEN TO: U.S. COAST GUARD, NATIONAL VESSEL DOCUMENTATION CENTER, 792 T 
J JACKSON DRIVE, FALLING WATERS, WEST VIRGINIA 25419, OR OFFICE OF MANAGEMENT AND BUDGET, PAPERWORK REDUCTION PROJECT (1625-0027), 
WASHINGTON, DC 20503. 
CG-1258 (08/16) 
FOR OFFICIAL USE ONLY 
RELEASE OUTSIDE OF COAST GUARD 
PROHIBITED 
Page 3 of 4 
j Rese t I 
Case 9:24-cr-80103-AMC   Document 91-58   Entered on FLSD Docket 03/10/2025   Page 3 of 3

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