Application Form [pdf]

This document pretains to ITC-214-INTR2019-02915 for International Global Resale Authority on a International Telecommunications filing.


                                                                                                              Approved by OMB
                                                                                                                     3060−0686
                                            INTERNATIONAL SECTION 214 APPLICATION
                                                               FCC FORM 214
                                                     FOR OFFICIAL USE ONLY

  APPLICANT INFORMATION
Enter a description of this application to identify it on the main menu:
FIDELITEL INC Application For International 214 Authority
1. Applicant

           Name:        FIDELITEL INC                      Phone Number:            206−239−8920

           DBA                                             Fax Number:
           Name:
           Street:      12345 Lake City Way NE             E−Mail:                  Kennethmo@fidelitel.com


           City:        Seattle                            State:                   WA
           Country:     USA                                Zipcode:                 98125       −
           Attention:   Kenneth Momanyi




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2. Contact

             Name:        Jonathan Marashlian         Phone Number:   703−714−1300
             Company: The Commpliance Group, Inc.     Fax Number:     703−563−6222
             Street:      1420 Spring Hill Road       E−Mail:         jmarashlian@commpliancegroup.
                                                                      com
                          Suite 401
             City:        Tysons                      State:          VA
             Country:     USA                         Zipcode:        22102    −
             Attention:                               Relationship:   Legal Counsel



3. Place of Incorporation of Applicant   WA
4. Other Company(ies) and Place(s) of Incorporation




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5. Service Type(s) (check all that apply)
       Global or Limited Global Facilities−Based Authority (Section 63.18(e)(1))
      Global or Limited Global Resale Authority (Section 63.18(e)(2))
      Individual Facilities−Based Service (Section 63.18(e)(3))
      Individual Switched Resale Service (Section 63.18(e)(3))
      Individual Facilities−Based and Resale Service (Section 63.18(e)(3))
      Switched Services over Private Lines (ISR) (Section 63.16 and/or 63.18 (e)(3))
      Inmarsat and Mobile Satellite Service (Section 63.18(e)(3))
      Overseas Cable Construction (Section 63.18(e)(3))
      Individual Non−Interconnected Private Line Resale Service (Section 63.18(e)(3))
      Other (Section 63.18(e)(3))

6a. Is a fee submitted with this application?
     If Yes, complete and attach FCC Form 159.    If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114).
    Governmental Entity        Noncommercial educational licensee
    Other(please explain):

6b. Fee Classification    CUT − Section 214 Authority
7. Destination Country(ies) (e.g., "Country X", "All international points", "All international points except Country X and Country Y" or
"Countries X, Y, and Z only".)     All international Points




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8. Caption (description of authority requested, e.g., Application for Authority to Provide International Facilities−Based and Resold Services to
All International Points Except Country X)
   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
                     Application for Authority to Provide International Resold Services to
                     All Authorized International Points




 9. Does the applicant request streamlined processing pursuant to 47 C.F.R. Section 63.12? If yes, include in              Yes             No
 Attachment 1 a statement of how the application qualifies for streamlined processing.


10. If applying for authority to provide switched services over private lines pursuant to Section 63.16, provide the required showing in
Attachment 1.



Applicant certifies that its responses to questions 11 through 17 are true:

 11. If the applicant is a foreign carrier, or is affiliated (as defined in 47 C.F.R. Section 63.09(e)) with a foreign
 carrier, provide in Attachment 1 the information and certifications required by Section 63.18(i) through (m).



 12. Does the applicant seek authority to provide service to any destination described in paragraphs (1) through (4)       Yes             No
 of Section 63.18(j)? If yes, list those destinations in Attachment 1 as a response to question 12.




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13. Does the applicant seek authority to provide service to any destinations other than those listed in response to        Yes   No
question 12 where it has an affiliation with a foreign carrier? If yes, list those destinations in Attachment 1 as a
response to question 13.




14. [Section 63.18(h)] In Attachment 2, provide the name, address, citizenship and principal business of the
applicant’s ten percent or greater direct and indirect shareholders or other equity holders, and identify any
interlocking directorates.



15. In Attachment 2, respond to paragraphs (d), (e)(3) and (g) of Section 63.18.



16. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is subject    Yes   No
to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti−Drug Act of 1988,
21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. See 47
CFR 1.2002(b) for the meaning of "party to the application" for these purposes.



17. By checking Yes, the applicant certifies that it has not agreed to accept special concessions directly or indirectly   Yes   No
from a foreign carrier with respect to any U.S. international route where the foreign carrier possesses sufficient
market power on the foreign end of the route to affect competition adversely in the U.S. market and will not enter
into such agreements in the future.




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CERTIFICATION
18. Typed Name of Person Signing (Must be a Corporate Officer)           19. Title of Person Signing
Kenneth Momanyi                                                          Chief Business Development Officer
           WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT
                  (U.S. Code, Title 18, Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION
                   (U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503).


        20. 1:     FIDELITEL 214 Att 1              2:     FIDELITEL 214 Att 2                  3:



FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

The public reporting for this collection of information is estimated to average 2.5 hours per response, including the time for reviewing
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please write to the Federal Communications Commission, AMD−PERM, Paperwork Reduction Project (3060−0686), Washington, DC 20554.
We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to
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Remember − You are not required to respond to a collection of information sponsored by the Federal government, and the government may not
conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This
collection has been assigned an OMB control number of 3060−0686.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.




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Document Created: 2019-09-01 07:56:35
Document Modified: 2019-09-01 07:56:35

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