Attachment 20170202145151-813.p

20170202145151-813.p

SUPPLEMENT

Supplement

1999-03-10

This document pretains to ITC-214-19990310-00139 for International Global Resale Authority on a International Telecommunications filing.

IBFS_ITC2141999031000139_1413248

      Categories of—Serv.
               FSFS

    ASSIGNMENT OF LICENSE
    GLOBAL FACILITIES—BASED SERV
    GLOBAL FACILITIES—BASED/GLOBA
    GLOBAL RESALE SERVICE
    INDIVIDUAL FACILITIES—BASED    S
    INTERCONNECTED PRIVATE Llji
    LIMITED GLOBAL FACILITIES—
     GLOBAL RESALE SERVICE
    LIMITED GLOBAL FACILITIES—BAS
    LIMITED GLOBAL RESALE SERVICE
    INMARSAT AND MOBILE SATELLITE SERVI
    SWITCHED RESALE SERVICE
    TRANSFER OF CONTROL
    SUBMARINE CABLE LANDING LICENSE
    INTERNATIONAL SPECIAL PROJECT




Description of Application:


                                                                                            Attorneys at Law
 HOWREY & SIMON                                                                             1299 Pennsylvania Ave., NW
                                                                                            Washington, DC 20004—24 2
                                                                                            (202) 783—0800
                                                                                            FAX (202) 383—66° 0




  March 10, 1999
                                                                                 nd s
                                                                      [ s
                                                       &           y*°
  VIA COURIER

 Federal Communications Commis
 International Bureau Telecommun :a or s Divisicn
 P.O. Box 358115
 Pittsburgh, PA 15251—5115

           Attention:   Rebecca Arl og ist :, Divisiv i ( hi f

                  Re:   Application f se m Innovs tic is In . for Globa. A: th »rity Pursuant
                        to Section 2 4 f1 ie Comm ur cz io s Act of 19 4, as imended, to
                        Operate as a I te national ‘le :    rrier

 Dear Sir or Madam:

         Enclosed for filing with the Com: aission ans i     1c ig nal and six (6)    co     »ies of the
 application of Seren Innovations, I c. re uesting glo       al iu aority, pursuar    :t      Section 214 of the
 Communications Act of 1934, as a ie de 1, to oper at:       as ar international re   sa.    2 carrier between
 the United States and various inter at n 1 points. W        ‘r ql »st that the app   ic:    tion be processed
 under streamlined procedures.

        As required by the Commi: ic i‘s Rules, a ch :k n the amount of $780.00 is enclosed.
 Please date—stamp the extra copy 0_ this applicatior and sturn it in the enclosed self—addressed,
 stamped envelope. Any questions regarding the enclosed application should be addressed to the
 undersigned.

                                                         Respectfully submitted,




 Enclosures




Washington, DC                                 Los Angeles                                              Silicon Valley


                              Before the
                 FEDERAL COMMUNICATIONS COMMISSION
                                Washington, D.C. 20554




 Ir th— Matter of

 S re i Innovs: tions, [nc.                                     Fil No. TC—

 A »p! cation P irsuan : to Ssction 214 c ‘the
 C im qunications Ac : of 1934, as ame ded, or
 G ob i1 Autho ity to Dperiite as an
 Ir er ational esale Camir

                                    APF _ICA [IO]

        Seren L nova ions, Inc. ("Serer * or c ". pplic int"), 3y its indet ignec. counsel,

he eb ‘request: "glot al" a ithority, unc sr Sec tion 2 14 of he C¢ nmu: ications Act of

19 )4, as amenced, 4" U.S.C. § 214 ("S actiotr 214( f the.ict"), ind S ction 63.18 of

‘he C: mmissio 1‘s Riles, 47 C.F.R. § 6(3.18 (.998) to pri vide: ssold nternational

:el cc nmunica:ions : ervices between : ie Un ted S ates a id int matic aal points, as

nc ics ed hereii. Pursuant to 47 C.F.R § 63 12, th s appl catio is el zible for

str an lined precessit g.

1.     The Proposed International Servicts

       Seren requests three types of authority in this application, all of which are

eligible for strearlined processing. ! Applicant specifically requests (1) global



1      See Streamlining the International 214 Authorization Process and Tariff
Requirements, 11 FCC Red 12884 (1996) (adopting streamlined 35—day processing
procedures for certain international resale applications) ("Streamlining Order"); 47
C.F.R. § 63.12(a) (1998); see also Rules and Policies on Foreign Market
Participation in the U.S. Telecommunications Market, Report and Order on
Reconsideration, 12 FCC Red 23891, 24034 (1997)("Foreign Market Participation
Order").


authority pursuant to Section 63.18(e)(2) of the Commission‘s Rules, 47 C.F.R. §

63.18(e)(2), to resell the international switched services of all U.S.—authorized

ci m   ‘rs otie:   th n those affi ated arriers witk mark t pow r on       particular oute,

tc pI )vi le int m tic aal swite ied s: rvice: betw en th Unit d Sta :s and all

it ‘eft iat onal j or ts erved by those carricrs; (2 glob: l auth writy ; irsuant to & sctiot

       (e (2. 0i th Commissica‘s m es, 4 CF. . § 6. 18(e 2), t« resel‘ inter ation 1
                                    9




    vi ie nes t      ov de interr ition; | non— nterc mnec »d pri ‘ate 1i ie ser rices

be tw rer the L ait :d   itates an all 11 ternai .onal ‘oints and ( ;) aut ority pursu nt to

S ct       13 18         if the Co nmis, ion‘s Rules 47 C ~R. § 63.1i ‘e)(2). to re ell

in er at onil ; 11 ite lines int: reont »cted o the yublic swite ied te spho1:e net rork

    § :    J et c ie or ~oth ends to pr vide atern; 1onal swite ed se vices on all

    er at onil 1         n which ‘he C   mmli: sion J »rmit such servic is to t e pro ided.

    c2 ise Appl      t c 3es not ( ) hav an al Iliati« n wit any | omin nt U.S. car      .CT


w         : teraa o1 al ervices | intet Is to esell, 11) h: ze an ffilia on with an ©

fc ei n arrie (i i) . sek to se ‘ve cc intrie ; in w uch a affil: ite he market po zer,

(1 ): sel auth it ‘te use faci ties c 1 the Comn issiOt ‘s Exclusiot List, or (v) seek


3       The Commission automatically amends all Section 214 authorizations to
permit carriers to resell international private lines to provide international switched
services between the United States and other countries, as provision of such services
becomes permitted by the Commission. See Stream{/ining Order at 12899. CJ.
Foreign Market Participation Order at 23904—31 (indicating that, upon the effective
date of the Commission‘s new rules, carriers reselling international private lines
interconnected to the PSTN to provide international switched services between the
U.S. and World Trade Organization Member countries will no longer have to meet
the equivalency test if settlement rates for at least 50 percent of the U.S. billed traffic
on the route or routes in question are at or below the relevant benchmark posted in


global facilities—based authority pursuant to Section 63.18(e)(1) of the Commission‘s

Rules, 47 C.F.R. § 63.18(e)(1), to provide international telecommunications services

between the Unite 1 Stat‘s and countries e: clude 1 by t! e Exclusion List, this

application for aut 10rity pursu int to Secticn 214 is elig ible f ir streamlined

processing.}

        [he added somp titior that S aren‘: entry will t ring t) the marke: will

increast availabili y of a varie y of i1 terna ional ;ervic s and competition, thus

benefiti 1g consum ars in ‘he Uiited © tates. A grint of: ais ap »lication will, the efore

furtker he public ateres :.

II.    ‘Che Appli :ant

        seren is a 1J.S8. te ecorm munic ation: carrier, a cc mpan / organized unde1 the

laws of ‘he State 0 ‘Mim esota Sere i is a vholl —own «d sut sidiary of Northei 1

States P ower Com »any, i1 com»any crgani :ed un der th : laws of the State of

Minresota. Seren is not affilis:ed wi h any foreiym cor mon :arrier.

       .As indicate 1 abo e, Ap alicar : is not affil ated, s that term is defined b » Part

63 of th: Commis:ion‘s tules and th 3 Commission‘s r visio: s of Part 63,4 wit i any

dominant U.S. carrier whose international services Applicant will resell. Applicant

does not seek to serve any country in which it has a facilities—based affiliate with



the Commuission‘s Benchmarks Order.). Cf. also International Settlement Rates,
Report and Order, 12 FCC Red 19806 (1997) ("Benchmarks Order").

3      See Streamlining Order, 47 C.F.R. § 63.12 (1996).

4      Market Entry and Regulations ofForeign—affiliated Entities, Report & Order,
11 FCC Red 3873 (1995) ("Market Entry Order").


market power, and Applicant is not affiliated with any foreign common carrier.

Moreover, Applicant does not seek authority to use facilities on the Commission‘s

Excl sion I ist; n r doe. App. cant: »ek g! »bal f ciliti s—based authority purst int to

Secti n 63. 8(e)( ) of t e Co: imiss on‘s I ules, 17 C.. .R. § 63.1¢(e)(1), to pr vide

intert itions . telec )mml aicati ms se vices jetwe m the United Stazes and cour ries

exclu ed by the F cclusi m Li :. The refore the 4 pplic nt should te classified is a

non—C »ming at car ier fo the ; ‘ovisi n of t ie ser ices ar which authority is

reque ted ir this : »plic: i0n, : ad thi appl :atiot shou 1 be afford :d streamlin d

proce sing.

III.    Pub ic In rest consi lerati ms

        In tk 3 Ma: tet Er ‘ry O der, t e Cor imiss on en inciatd the following ; sals

for its regul tion ( f the J.S. n1 ternat onal 1 :lecotr imun :ation s market: to pror ote

effect ve co apetil on in ‘he U S. tele :somn inica ions 1 rarket particularly the : iarkei

for in »rmati mal t! lecon muni ation: servi es; tc preve it anti sompetitive cond ict in

the pr ivisio i of it :‘ernat onal : arvice ; or f: :ilitie ; and to enc jurage foreign

gover ments to 01 an the ir cor munication narkets.> 1 he Co nmission also declared

that "establishing an effectively competitive global communications market could

result in reduced rates, increased quality, and new innovative services."5 In addition,

the Commission found that "effective competition directly advances the public

interest and the Commission‘s paramount goal of making available a rapid, efficient,


5       Id. at 3877.

        Id.


      worldwide wire and radio communication service with adequate facilities at

      reasonable charges.""

              Grant of Apr lic ant‘s request for re sale authority to provide international

      services as requestec. in this applica ion w 11 directly further the Commission‘s

      policies of bringing : nc:eased comp :titior to the U.S. internationa .

      telecommuniciaticns services marke and i ;, therefore, in the public intersst.

      IV.     Information Required Unc er Se tion 63.18

             As required ty Section 63.1{; of th : Commission‘s Rules, Seren provides the

      following information:

(a)   Name, address and telephone numb«r of 4 pplicant:

      Seren Innovations, Inc.
      15 South 5 Street
      Suite 500
      Minneapolis, MN 55402
      1—800—550—6238

(b)   Seren is a company organized under the 1z xvs of the state of Minnesota.

(c)   Correspondence concerning this application should be sent to:

      James W. Olson, Esq.
      Howrey & Simon
      1299 Pennsylvania Avenue, N.W.
      Washington, D.C. 20004—2402
      Telephone Number: (202) 783—0800
      Facsimile Number:     (202) 383—6610

      with a copy to:


 (d)   Peter M. Glass
       General Counsel
       Seren Innovations, Inc.
       19 South 5®" St Suite 840
       ) [ir eapo is, M T 551.02
       7 ele phone Num»er: (51. ) 330 —66 18

(e     £ pyf licant 1as n t previoi sly aske« fc   iz HOF 19     it rec iv »d, au horit   U   der Sect
       214 of the Act.

       T pce a s ‘ar ‘offf s applic tion, Ap JI1 in: w l1 ec um : al a th irized nC i—doniin nt
       curer nc resel »ar with s obal aut o1 ty, su ye it to S set or 21 4 of t .
       C or mni ation Act of 234, is & n ided, in th : C on m: isi m‘s F ule s. Appl: :ant
       l cks th 2t arket power tt it wo ild all rw it > C )nt ‘ol or :e: to the d: tri aent of
       n ar :et :o ipetit on.

       4 pp ic: nt eque ts Sectic 1214 aw 10 ty to         )p rat:a a ces      lle carmi¢ ~P irsuant t i th 3
       tm s a id ‘ondt: ons cf S ‘ction 63 1{ e)12)         S )ec ficall , .   pj lic in se ‘ks (1) g ab: 1
       a itk o y q ursua it to Sec on 63.1¢ (e 2) of       h FCC ; Eul         3, 7 °C1 .R §
       63.13(e 1(2 , to sell the i iternatio al switel!    ec seivic 2s of     11 J.S.—: it prized
       cum ars 0| rer th n those ffiliated :a: ies /       it] m rk :t ; ov    er )n i art cular ro: te,
       t« prov de nterr itional 5 itched s rv ces b        tw rer th + U ait   d staces an L all
       i1 temiat or il poi its serve by thos c mers        (2     giob 1 a att on y put us it to Sec 101.
       63.18(e (2 of th :Comm: ision‘s n le; 47 C          F.    : i8 »1 i(e (2 ; toon 5se. interna on al
       p ivate in s to [ ‘ovide ic ernation 11 n—in‘       c     on ec ed pr va > line 3e vices
       betw ze t > Uni 2d State: and all i ite natio:      al    0i ts a1 d 3) ut 10 ity pursuan to
       Section 63 18(e) 2) of the Commis :ic i‘s Ri        le:    € C E. L. 6. l{ii(e (2 , to rese
       internat or il prm ate lines ntercon: ec ad to      he    PSITN at on :o both n is to pro id
       intemnat or i swi ched set ices on 11 atermm:;      tic   ial ro te: o w rmica t ie Jommis: .on
       permits su h ser .ices to t : provide 1.

(h)    Applics at seeks authority :o provic s« ily seavices ref renced under ar graph (e)(2
       of Section 63.18 of the Commission‘s Rules.

       An environmental assessment is not required for purposes of this application.

(0)    The Applicant is not affiliated with any foreign carrier, within the meaning of
       Section 63.18(h), 47 C.F.R. § 63.18(h), of the Commission‘s rules. Applicant is not
       affiliated, within the meaning of Section 63.18(h), id., with any dominant U.S.
       carrier whose facilities—based services it may propose to resell.

(k)    Applicant has no interlocking directorates to identify.

(1)    Applicant is a wholly—owned subsidiary of Northern States Power Company
       ("NSP"), 414 Nicollet Mall, Minneapolis, MN 55401. NSP is organized under the


                                                     ~G—


      laws of Minnesota. NSP is a U.S. utility whose principal business is providing
      electricity and natural gas to customers in Minnesota, Wisconsin, North Dakota,
      South Dakota and Michigan. With reference to paragraph (h)(2) of Section 63.18 of
      the Commission‘s Rules, there are no individuals that held a ten nerrent (10%) cr
      greater, direct or indirect shareholder »r th requ ty nt reiti Ap. cant.

(m)   As required by Section 63.18(i) of the    C)    m ais     sic   i‘s Riles 4      °C   F.    L. § 63.1 (i    and
      reflected in the enclosed attachment, .   pj    lic int   he    i not : sreed   to    .cc   :iptners. al     it
      accept in the future any special conce:   sic   ns as     de    in d 1y iie     To    nn    ission.‘s tu   3s,
      directly or indirectly from any foreigr   cz    tierc     ‘a    m nis ra io      w    th    ‘espectti tt    ffic
      or revenue flows between the U.S. am      .a    y on      ig      c un ry thi   :4    op    icant ma‘t     :
      authorized to serve.

(n)   Applicant is not subject to a denial of "e er 1t n fitip rs arcte Section 53(1                             f




                                                                                      t
      the Anti—Drug Abuse Act of 1988. A :er ifi at on pusu nt to se tic 1 1.2(02 of he
      Commuission‘s Rules for Applicant is t sh d.

(0)   Applicant is not affiliated, as that tern is    de    in d‘ y ‘ar      6: oi th Commiisican
      Rules and the Commission‘s revision: oi         P:    t (3,‘ w th      ny demiuiar t U.S ca mc
      whose international services it may prop:       se    :o es II. A      plca tose not ssel tc
      serve any country in which it has a facilt      es    ba ec af ili     te vi ir ar :et powe .
      Applicant should, therefore, be classif ed      as    ir »n do ni      an ci mm ridor the provi lon
      of the services for which authority is r:qi     es    »d n his ap      jliat on N oreover,
      Applicant does not seek authority to use        ac    itics m he       Ex JItiio iL st; nor dae:
      Applicant seek global facilities—based ui       10.   ity pu‘st int    to Se tic 1 63.18(e)(1 )c ‘the
      FCC‘s Rules, 47 C.F.R. § 63.18(e)(1). to        ar    vi e ite ms      io ial tel ‘cc nmunic: ic is
      services between the United States anu c        ur    riese ccludi     dly ae 5x lusion L st.
      This application is, accordingly, eligible      or    istr ar lined    orcce sit g.




      8      See Market Entry Order.


                                   CONCLUSION

       For the reasons stated above, the public interest, convenience and necessity

would be furthered by a grant of this Section 214 application. Accordingly, Seren

Innovations, Inc. requests that the application be granted.

                                      Respectfully submitted,
                                                     (
                                                     Obarn
                                          es W. Olson
                                      Gregory F. Intoccia
                                      Howrey & Simon
                                      1299 Pennsylvania Avenue, N.W.
                                      Washington, D.C. 200 )4—24)2
                                      Telephone Number: (202) 763—08C0O
                                      Facsimile Number: (£02) 333—56..0

                                      Counsel for Seren Innovatiors, Inc.



Dated: March 10, 1999


                        CERTIFICATION OF APPLICANT

        On behalf of Seren Innovations, Inc. ("Seren""), and in accordance with

Section 1.2001—1.20 )3 of he Ce mmission‘s Rules 47 C.F.R. }§ 1.2001—1.2003 I

hereby certify that no part: to th s app‘ication is si bject :o a d ‘nial (fFedral

benefits pursuant to jectic a 530 . of tk 2 Ant —Drug Abu e Act of 1938, 21 U.S.C. §

853(a). I also hereb: certi‘y tha the statements in the f: regoi: g apy licatic n for

authority pursuant to Secti on 21 » of th: Act, as At iende 1, are true, (omplte, ar d

correct to the best of my k iowle ige ar d are made n go« d fait i.

        To tae extent requied by the Commission‘ ; rule , Sercn has not as reed 13

accept any concessic as di1 »ctly —r indiectly from iny fireign sarmie or

admninistration Withl aspec : to tr; ffic 0 revermue flc w be ween he U iited { tates ind

various international point ; under the : uthority gr: ated | nder jectioa 214 of the

Communications Ac of 1‘ 34, a amerded, and th Con missin‘s Rules, ; nd hs not

agreed to enter into s 1ch a reem :nts ir the future.

       Seren is not ; ffiliai :d wi 1 any foreign cart er, w thin t ie meaning »f Section

563.18(h) of the Comunissicn‘s rules, 4" C.F.R. § 6 .18(t). Se en also is nt

affiliated, within the meaning of Secticn 63.18(h), 47 C.F.R. § 63.18(h), with any

dominant U.S. carrier whose facilities—based services it may propose to resell.


                                Seren Innovations, Inc.

                                my:
                                Name:
                                               m husls
                                                Gl)/nis Hinschberge{
                                Title:          President   and Chief Executive Officer
                                Date:              SI/Z 77


                          CERTIFICATE OF SERVICE

       I, Virginia Wake, a secretary in the law office of Howrey & Simon, do hereby
                              Tns
certify that I have on this L) day of March, 1999 sent by first class United States

mail, copies of the foregoing APPLICATION for Section 214 Authorization to the

following:

                              Secretary of Defense
                              Attention: Special Assistant for
                               Telecommunications
                              Pentagon
                              Washington, D.C. 20301

                              Secretary Madelei ie Altright
                              Department of Sta:e
                              2201 C Street, N.W., 7 Flc or
                              Washington, D C. 2052 )

                              George S. Li, D‘ep ity Divis on Chuel
                              Telecommunic iticas Drision
                              International B ire iu
                              Federal Commimnications C ammission
                              2000 M Street, N.‘N., Rooni 800
                              Washington, D.C. 20554




                                      irginia Wa


                                              «l                            .                            s      mR       /“'_L/!’           — /I *

                                     1" 30 7 2391°           11 254070 i i 61                     " 3 240         14L 8 31°

              DETACH AND RETAIN THIS STATEMENT. THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW, IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. NO RECEIPT DESIRED.


                VENDOR: FCC                                                                             CHECK #: 307239                    TOTAL:           780.00
                   Invoice:           06363.0002             03/19/99              Amount :                      780 .00




HS10 (9/98)


 READ INS IRUCIIUNS CAREFULLY                                                                                                                                                     APPROVED sY OmB                     3U60—0589
      BEFORE PROCEEDING                                                                  FEDERAL COMMUNICATIONS COMMISSION

            358115                                                :                              REMITTANCE ADVICE                                                       snssouues
                                                                                                                                 g     1                                 FCC USE ONLY
                                                                                                        PacE   No._1Z_._ 9
[(1) LOCKBOX #

_—-IL_LECTION____A
               Sppvieneiteronminme® __|___||___.
 2) PAYER NAME(if paying by credit card, enter name exactly as it appears on your card)                                                                            (3) TOTAL AMOUNT PAID (dollars and cents)
  Howrey & Simon                                                                                                                                                         780.00
K4) STREET ADDRESS LINE NO. 1

   1299 Pennsylvanla Ave., NW
 5) STREET ADORESS LINE NO. 2



 (61.GITY    s                                                                                                 (7) STATE                                           (8) ZIP CODE                    ¥
      ashington                                                                                                       DC                                              20004 2402
 9) DAYTIME TELEPHONE NUMBER (Include area code)                                                               (10) COUNTRY CODE (if not in U.S.A.)
      (202) 383—7157
             IF PAYER NAME AND THE APPLICANT NAME ARE DIFFERENT, COMPLETE SECTION B
                 "IF MORE THAN ONE APPLICANT, USE CONTINUATION SHEETS (FORM 159—C)
                                                                               RRrouoiber:ctitetiuilgedtrurem __|_______|_|_|
 11) APPLICANT NAMEif paying by credit card, enter name eractly asit appears on yourcud)

  Seren Innovations, Inc.
 12) STREET ADORESS LINE NO. 1

  15 South 5th St.
 13) STREET ADDRESS LINE NO. 2

  Suite 500
K14) CiTy                                                                                                      (15) STATE                                          (18) ZIP CODE


  Minneapolis                                                                                                           MN                                            55402
 17) DAYTIME TELEPHONE NUMBER (Include area code)                                                              (18) COUNTRY CODE (if not in U.5.A.)

  1—800—550—6238
 COMPLETE SECTION C FOR EACH SERVICE, IF MORE BOXES ARE NEEDED, USE CONTINUATION SHEETS (FORM 159—G)
ecrouryenonsen
      oo
 198) FCC (f‘ALL SIGN/OTHER ID                      (20A) PAYMENT TYPE CODE (PTC)                       iA Cuant TY         (22A) FEE DUE FOR (PTC) IN BLOCK 20A                      FCC USE ONLY

  Int‘l Sec. 214                                            [~C       IU          | T        l                  1           ,            780.00
 23A) FCC cobe 1                                                                                                      24A) FCC CODE 2


198) FCC CALL sIGNIOTFHERiD                         (2o8) PAYMENT TYPE CODE (PTC)                      TGimiavannt          (2za) ree out ron (PiC) in acock zo8                      Tree use oncy


238) rcc cooe 1
                                                                      [           |         |                               :
                                                                                                                      248) FCC cone 2


19C) FCC CALL sIGNOTHER io                          (2oc) rayMeNT yPeE cooe (PTC)                      ierauanmy            (22C) ree oue ror (pic) in acocx z0c                      Trce use onty


23c) Fcc coone i1
                                                                      [           [         _|                              :
                                                                                                                      24C) FCC cobe 2


190) FCC CALL SIGNIOTHER 1D                        (200) PAYMENT TYPE CODE (PTC)                       0) quanrity          (220) FEE UE FOR (PTC) IN BLOCK 200                       FCC USE ONLY



230) Fcc cooe 1
                                                                      [           [         |                               :
                                                                                                                      240) Fcc cove 2

fnmnusummrumomusmmmnrmmmmrnsrymumarmeummmummmarmommrammmuommmmmunrmrmummummemmmumulmaurman                                                          eueroreromam                      mamsperome

zs)
                 SECTION_D — TAXPAYER                                                                                 INFORMAITION                                           (REQUIRED)
                                                                                                                      28) COMPLETE THIS BLOCK OMLY iF APPUCANT NAME in 8—11 is OIFF ERENT FROM PavER NAME iN A—2)


                                                                                                   —
PAYER TIN                                     5)3                     |0        1213      116 |5         0}           faPPLICANT TIN                                      4| 1 |—                  118 [5           6]7 |7        |9
                                                                                                 SECTION E_ —_CERTIFIcATION
27) CERTIFICATION STATEMENT                                       .
 ; Gregory F.                          Intoccia                                          , Certify under penalty of perjury that the foregoing and supporting ipformation
                                   (PRINT NAME)

are true and correct to the best of my knowledge, infomation and beliefSIGNATURE
                                                                                SECTION E — CREDN CARD PAYNMENT INFGRNMZPON                                                                   .
28)                                                     i
                                                                                                                                                                    /             [
       IMASTERCARD

                                                                                                                                                                        MONTH         YEAR

                                                                                                   AUTHORIZED SIGNATURE                                                       DATE
       SA           It hereby suhorize the FCG to charge my ¥1SA or MAS TERCARO

                    for the servicats¥authoddzations(s) herein deser ibed.
                                                                                             >
                                                                          ovnenmemsmrelsrmemmce
                                                                          SEE PUBLIC BURDEN ESTIMATE ON REVERSE                                                         FCC FORM 159         JULY 1997 (REVISED)



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