Form 442

0020-EX-PL-2000 Text Documents

Biotronik, Inc.

2000-01-18ELS_28664

"EDERAL COMMUNICATIONS COMMISSION APPROVED B¥ OMB ‘washington, DC 20554 3060—0065 Expires 9/30/98 APPLICATION FOR NEW OR MODIFIED RADIO STATION AUTHORIZATION UNDER PART 5 OF FCC RULES — EXPERIMENTAL RADIO SERVICE (OTHER THAN BROADCAST) . Applicant‘s Name and Post Office address DO NOT WRITE IN THIS BLOcK (Street address, city, state, and ZIP Code. See instruction File No. No. 4) Bistronik , Ane. _ 0020 ”EX~p[:Zp00 COZ4 S.W. Yaw rd. Bldg. B Lake Oswego, OR T17035 Bia). Application for (check only one box) #(b). For Modifilcation indicate below: x New station D Madification of existing authorization File No: Call Sign: E. Application for Modification: Check the box beside all particulars to be modified. Check either addition or re— placement to indicate whether the change Is an additlion or a&a replacement of parameters in the current authorization. Cl rreoueney — C emission — U rower — L Lrocarion — []] addition or [|] replacement? [ adgition or []] replacement? [] addition or [D] repilacement? [] addition or [] replacement? [] OTHER PARTICULARS — addition or replcement? (Describs below or in attached EXHIBIT No. Frequency {state EMISSION MODULATING NECESSARY BANCWIDTH whether kHz or MHZ) © SIGNAL (KH2) (a) List each frequency or frequency band separately. (If more space is required, attach as EXHIBIT No. (£) Insert maximum RF output power at the transmitter terminals. Specify units. ) (C) Insert maximum effective radiated power from the antenna (If pulsed emission, specify peak power) Specify units. (D) Insert "MEAN® or "PEAK" (See definitions in Part B). (E) List each type of emission separately for each frequency. (See Section 220 of FCC Rules) (F) Insert as appropriate for the type of modulation: (D the maximum speed of keying in bauds; (2) maximum audio modulating frequency; (89) frequency deviation of carrier; (4) puise duration and repetition rate. For complex emissions, desoribe in detall in the space provided below. (=) Describe how the necessary bandwidth was determined in space provided below. FCC Form 44§ar';:hpa19999g MCOL(A-‘ IMPLMJ" COMMM-N{LAABN Sevw‘c.e (M(CS) 3 Leu.fl Pr"f’bfié’( as a. 53eco l user wt"n\-.d "the 400 — 406 MUa M!'{"oro’osn'ml Anola SErvi ce Lquol (NPRM 99-23) " Bictrowi‘k seks to broadcost withivn thos bandwidth over a FOOKHz samace between 403.5 —403. $ Miia (H“"H“V' aleJCJ'fLeol 0 E““‘ILH' ' 2 “Narm‘h’ve S‘+ad'm~+ 95"3

|;,n). Proposed location of transmitter and transmitting antenna (check only one box to indicate type of operation): []J FIXED/BASE Ki mosice [ BASE AND MOBILE :5 J3). If permanently located at a FIXED location, give below: ) If motbiile, describe the exact area of Jtate County City or Town operation Areous of O,Ja'a‘{"w fl""*‘j’“‘d’ U.sS. Mumber and street (or other indication of location) Exact locotrions to be determined. See O‘CSCPI‘P“T&M e ell\\'L)“' | 5.13)(1). Enter geographical coordiantes exact to the nearest second (see instruction 10) §{c)(lEnter geographical coordinates of the approximate center of mobile operation tsse instruction 10.) uNolc_fommal vo‘th Latitude ©D—MM—SS) West . Longitude BD—MM—S3) North Latitude West Longitude of this 4ime . o » » o » m o » "lg » «. 5:3). Datum (see instruction 10) .................. Q xanas [( napss ermined al this "")'rwg 2. Is a directional antenna (other thaen radar) used? O vss m No If "YES", give the following information: (a) Width of beam in degrees at the half—power point (b) Orientation in horizontal plane (c) Orientation in vertical plane Is this authorization to be used for fulfilling the requirement of a government contract with an agency of the United States Government? ) vEs fi No If "YES", attach as EXHIBIT No. ___________.a narrative statement describing the government project, agency and contact number. Is this authorization to be used for the exclusive purpose of developing radio equipment for export to be employed by stations under the Jurladiction of a foreign government? Q vss No If "YES", attach as EXHIBIT No. _____ __ the following information: Provide the contract number and the name of the foreign government concerned. Is this authorization to be used for providing communications essentlal to a research project? (The radio communi— cation is not the objective of the research project YES N NO If "YES", attach as EXHIBIT No. ___________.__a narrative statement provding the following information: (a) A desoription of the nature of the research project beirig conducted. (b) A showing that the scommunleations facilities requested are necessary for the research project involved. (c) A showing that existing communications facilities are inadequate, — If all the answers to Items 7, 8 and 9, are "NO", attach as EXHIBIT No. eo__ & narrative statement describing in detail the following (a) The complete prozmm of research and experimentation proposed including description of equipment and theory of operation. (b) The specific objectives sought to be accomplished. (c) How the program of experimentation has a reasonable promise of contribution to the development, extension, expansion, or utllization of the radio art, or is along line not already investigated. t a). Give an estimate of the length of time that will be required to complete the program of experimentaticn proposed in this application: G_ 2. year£k (D) If less than 2 years, ellvg tl;éengthi‘ff time in months that the authorization requested in this application will be required: T. mMayThs 12. Would a Commission grant of this application come within Section 11807 of the FCC Rules, such that it may have a significant environmental impact (see instruction 11)? CI yEs E No If "YES", attach as EXHIBIT No. ________________ an Environmental Assessment as required by Section LIG!l List below transmitting equipment to be installed (if experimental, so state); MANUFACTURER MODEL NUMBER NO. OF UNITS CUS(’W “’YauJMl.‘H'er ((ZS/&WaH‘;B BIIU“V ouin I'k K, INQ & 100 avud receiver or'rcun'+5. (Col_pfiH’s o scillalor a[es:'gij) FCC Form 442 — Page 3 March 1996

Is the equipment listed in Item 18 capable of station identification pursuant to Section 51527 l:] (CS(CM:J{’Ln lermsof S#d"’ 3«,&4\ Will the antenna exterd more than 6 meters above the ground, or If mounted on an existing bulldlng, will it exten — more than 6 meters above the bullding, or will the proposed antenna be mounted on an existing structure other (§ eC than a building? 0 ves M no eluber | ) If "YES", give the following (see instruction 9) (a) Overall height above ground to tip of antenna is _________ meters. (b) Hlevation of ground at antenna site above mean sea level is _______________ meters (c) Distance to nearest aircraft landing area is kilometers. (d) List any natural formatlions of existing man—made structures (hills, trees, water tanks, towers, etc) which, in the opinion of the applicant, would tend to shield the antenna from aircraft and thereby minimize the aeronautical hazard of the aritenna. (e) Submit as EXHIBIT No. ____________a vertical profile sketch of total structure Including supporting building. If any, giving heights in meters above ground for all significant feavures Clearly indicate existing portion, noting particulars of aviation obstruction lighting already available. 13. Applicant is (Check oniy ane box! C imomvipuar [ assoctation D rartnersimp Bf CORPORATION [:l OTHER (describe in space provided below) Is appl;cent. a foreign government or a representative of a foreign government? D YES m NO Has applicant or any party to this application had any FCC station license or permit revoked or had any application for permit, license or rensewal denied by this Commission? D yEs M No If "YES", atteoh as EXHIBIT No. ___________. a statement giving call sign of license or permit revoked and relate clroumstances. Will applicant be owner and operator of the station? ~ X YES J xo Give name, title, and telephone number (include area code), and Internet e—mail address (If applicable) of person who can best handle inquirles pertaining to this application. Mo.r‘( 'So'au.SoN" New Business Dtuelopmgu'l’ Mavs aflr_r‘ phowe: (503)675—21%7_, e—mail: may@ bisregon .com APPLICANT ANTI—DRUG ABUSE CERTFICATION: By cheoking "YES3", the individual applicant certifies that he or she is eligible for this license. This requires that he or she is not subject toa denial of federal benefits, Including PCC benefits, as a result of a drug offense conviection pursuant to Section 66801 of the Anti— Drug Abuse Act of 1988, 21 US.C. 862. A non— individual applicant, eg, corporation, partnership or other unincorporated association, certifies that no party to the application is subject to a denial of federal benefits, pursuant to that section, For definition of a "party" for these purposes, see 47 CPR CFR 1200X b). . m ¥Es O xo app a wth List below all exhibits in numerical sequence and the item number of form requiring the exhibit identified. EXHIBIT NUMBER ITEM NO. OF FORM EXHIBNT NUMBER 17BM NO. OF FORM EXHIS!T NUMDER ITBM N. OF FORM FCC Form 442 — Page 4 March 19896

i#3 CERTIFICATION: Attention: Read this certification carefully before signing this appiication. THE APPLICANT CERTFIES THAT: (a) Coples of FCC Rule Parts 2 and S are on hand; and (b) Adaquate financial appropriations have been made to carry on the program of experimentation which will be conducted by qualified personnel; and (0) All operations will be on an experimental basis in accordance with Part 5 and other applicable rules, and will be conducted in such a manner and at such a time as to preclude harmful interference to any authorized station; and (d) Grant of the authorization requested herein will not be construed as a finding on the part of the Commission: (1) that the frequencies and other technical perameters specified in the authorization are the best suited for the proposed progrem of experimentation, and (2) that the applicant will be authorized to operate on any basis other than experimental, and (8) that the Commission is obligated by the results of the experimental program to make provision in its rules including iIts table of frequency allocations for applicant‘s type of operation on a regularly licensed basia. APPLICANT CERTIFIES FURTHER THAT: (e) All the statements in the application and attached exhiblts are true, complete and correct to the best of the applicant‘s knowledge; and (f}) The applicant is willing to finance and conduct the experimental program with full knowledge and understanding of the above lmitations; and (g) The applicant wailves any claim to the use of any pa.rtieular frequency or of the electromagnetle spectrum as against the regulatory power of the USA. Signed and dated this 2.3 aay of December o 229 Name of Applicant Mo.»’ l( A & j;l';usow B!b‘hrom)’l( , TLawe. Inust correspond with name given on page 11 By Mark. JTohnsoy (print] . (signatore? ritie Mew Busimess Deveopwent Manwager Check appropriate classification: D Individual applicant D Member of applicant pai-tnershlp ‘E Authorized employee {Q office of applicant corporation or association ;“ILLFLI. FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. Code, Title ‘!i3 Section 1001 AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. Code, Title 47, iisction 312l@¥1), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503). NOTIFICATION TO INDIVIDUALS UNDER PRIVACY ACT OF 1974 AND THE PAPERWORK REDUCTION ACT OF 1980 Information requested through this form is authorized by the Communications Act of 1984, as amended, and specified by Section 808 therein. The information will be used by Federal Communications Commission staff to determine «igibility for Issuing authorizations in the use of the frequency spectrum and to effect the provislons of regulatory iusponsibilities rendered by the Commission by the Act. Information requested by this form will be available to the jpaiblic unless otherwise requested pursuant to 47 CFR 0450 of the FCC Rules and Regulations. Your response is required to obtain this authorization. Public reporting burden for this collection of information is estimated to average four (4) hours per response, including the time "or reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and complating and review— ng the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden to the Federal Communications Commission, Records Management If—anch, Paperwork Reduction Project (3060—008§5), Washington, DC 20554. DO NOT send completed applications to this nidress. Individuals are not required to respond to this collection unless it displays a currently valid OMB control number. ‘‘*HE FOREGOING NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, PL. $8—579, DECEMBER 81. 1974, 5 US.C. 562a(e)(8), AND THE PAPERWORK REDUCTION ACT OF 1080, PL 96—5il, DECEMBER 11, 1980, 44 US.C. 8507. FCC Form 442 — Page 5 March 1996


Document Created: 2001-08-04 17:19:22
Document Modified: 2001-08-04 17:19:22
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