<p> ANNEX 1 - CIA ANNUAL STATISTICS QUESTIONNAIRE FOR THE YEAR 2004</p><p>FAI Member country Ukraine</p><p>Name of National Aero Club (the FEDERATION OF AERONAUTICAL SPORTS FAI Member) OF UKRAINE</p><p>Name Nikolaev Olexandr Name of National Balloon Federation President Phone +38 044 464 86 09</p><p>Email [email protected]</p><p>Name Ukrainian Ballooning Federation</p><p>Address 4 Gavanska str., 04080, Kiev, Ukraine Name and address of National Balloon Federation </p><p>Phone +38 044 417 63 93</p><p>Email [email protected]</p><p>Name CIA Delegate Karnaukhov Vladimir (as nominated by your National Balloon Federation, or in absence Phone by your NAC) +38 06562 31535; +38 06562 42665, mob:+38 067 551 36 31</p><p>Email [email protected]</p><p>Name Nikolaev Olexandr CIA Alternate Delegate (as nominated by your National Balloon Federation, or in absence Phone +38 044 464 86 09 by your NAC)</p><p>Email [email protected]</p><p>AA AM AX BA BX TOTAL 1 1 Number of licensed aerostat pilots (P1) 27 27 2 Number of aerostat pilots under training (PuT) 5 5 3 Number of licensed aerostat flight instructors 3 3 4 Number of aerostats with valid Certificate of Airworthiness (CofA) 5 5 5 Number of active aerostat manufacturers 1 1 6 Number of aerostats built in current year 3 3 7 Number of National Records claimed - 8 Number of FAI World Records claimed - 9 Cost of National Record Fees in US$ (if any) 10 Cost of World Record Fees in US$ (if any) 11 Number of aerostat accidents 2 - 12 Number of aerostat incidents 3 - 13 Number of fatalities in aerostat accidents - 14 Number of injured in aerostat accidents - 15 Number of CIA sanctioned FAI CAT1 events - AA AM AX BA BX TOTAL 1 16 Number of CIA sanctioned FAI CAT2 events 1 17 Number of events not sanctioned by CIA, NAC or Federation</p><p>Autumn 2004 1 18 Number of National Championship tasks flown 10 10 19 Number of National Championship participants 8 8 20 Number of FAI Sporting Licenses (aerostation) issued by NAC 17 21 Number of FAI Sporting Licenses issued by Balloon Federation - 22 Number of aerostat flights during the year 350 350 23 Hours flown (all aerostat flights) during the year 300 300 DON’T YES NO KNOW Has your Balloon Federation been delegated the FAI Sporting Powers for ballooning in your 24 Yes country 25 Do you have a National Ranking List in operation in your country No</p><p> your National Ranking List Is the selection process for FAI Championships (World-, the National Championship 26 Yes Continental-, WAGs) in your country based on ranking a combination of both Does your National Aero Club or Balloon Federation organise dedicated ballooning youth 27 Yes activities 28 Does your Balloon Federation accept individual members Yes</p><p>29 Does your National Aero Club accept individual members +</p><p>30 What is the cost (in $US) of the FAI Sporting Licence in your country 10$</p><p>How many ballooning “officials” (national and international competition officials and 31 12 observers, jurors, record observers, etc.) do you have in your country</p><p>32 How many ballooning associations (clubs) are there in your country 4</p><p>How many ballooning associations (clubs) are member of your Balloon Federation or 33 2 National Aero Club</p><p>34 How many commercial balloon operators are there in your country 2</p><p> competition- and record 40% flying</p><p>35 What are the proportions (in %) in your country of recreational flying 10%</p><p> commercial- and 50% passenger flying Government Authority Yes or Administration</p><p>36 Aerostation Pilot Licences are issued in your country by National Aero Club -</p><p>Balloon Federation -</p><p>Government Authority Yes or Administration Aerostation Certificates of Airworthiness (CofA) are issued in 37 National Aero Club - your country by</p><p>Balloon Federation -</p><p>Autumn 2004 2 AA AX BX</p><p>Dates: Dates: Dates: 30.04. - 06.05.2005 Please indicate the place and Place: dates of your Place: Place: National 38 Championships Feodosia and give the names of your National Champions Mr / Mrs Mr / Mrs Mr / Mrs Sergiy Byelorusov</p><p>Please indicate this year’s best performance in your country (can be for 39 distance, altitude or duration), and give details re. pilot, aerostat and date.</p><p>1 TOTAL may be different than sum of all categories. 2 accident: any occurrence with bodily harm or death 3 incident: any occurrence without bodily harm or death</p><p>Notes: (please add any further relevant information or comment) p. 17 Number of events sanctioned by UB Federation = 6 p.35 data is given approximately</p><p>9th Ukrainian National HAB Championship will take place in Feodosia, Dates: since April 30 - May 6, 2005</p><p>This is a true and accurate summary of statistics for our country as at (date):</p><p>Submitted by : Vladimir Karnaukhov (CIA delegate) Please return to: Alex NAGORSKI Interim CIA Secretary 5 Highvale Crescent Sherwood Park, Alberta, T8A 5J6 Canada</p><p>Phone: Office Phone +1-780-492-2611 Home Phone +1-780-464-5493 Fax: +1-780-492-1729 Email [email protected] </p><p>Autumn 2004 3</p>