Application Form

This document pretains to ITC-STA-20040414-00142 for Special Temporal Authority on a International Telecommunications filing.

Approved by OMB
3060-0686
INTERNATIONAL SECTION 214 SPECIAL TEMPORARY AUTHORITY APPLICATION
FOR OFFICIAL USE ONLY

APPLICANT INFORMATION

Enter a description of this application to identify it on the main menu:
Temporary Authority to test and operate a 3.8 meter VSAT hub station with 1.2M, 1.8M and 2.4M conforming antennas in the United States.
1. Applicant
Satcom Systems, Incorporated 818-526-1700
818-526-1715
2333 North Valley Street [email protected]
Burbank CA
USA 91505 -
Mr Tom D Soumas Jr
2. Contact
William K. Coulter 202-736-1811
Coudert Brothers LLP 202-775-1168
1627 I Street, N.W. [email protected]
Suite 1200
Washington DC
USA 20006 -
Partner Legal Counsel
3. Place of Incorporation of ApplicantNevada
4. Other Company(ies) and Place(s) of Incorporation
N/A
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))

TYPE OF REQUEST

6. New Request Extend STA Date Other 7. Date Authorization Needed:04/12/2004
8.
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):
9. Description of Special Temporary Authority Requested.
Temporary Authority to test and operate a 3.8 meter VSAT hub station with 1.2M, 1.8M and 2.4M conforming antennas in the United States.
10. In Attachment 1, provide justification of need for special temporary authority requested.
11. If this request for Special Temporary Authority is associated with any pending applications filed with the Commission, enter the file number [e.g., ITC-214-19930101-23412] AND go to question 16.)
File Number

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

12. 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).
13. Does the applicant seek authority to provide service to any destination described in paragraphs (1) through (4) of Section 63.18(j)? If yes, list those destinations in Attachment 1 as a response to question 12. Yes No
14. Does the applicant seek authority to provide service to any destinations other than those listed in response to 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. Yes No
15. [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.
16. In Attachment 1, respond to paragraphs (d), (e)(3) and (g) of Section 63.18.
17. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is subject 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. Yes No
18. By checking Yes, the applicant certifies that it has not agreed to accept special concessions directly or indirectly 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. Yes No

CERTIFICATION

19. Typed Name of Person Signing
Tom D. Soumas, Jr.		 20. Title of Person Signing
President & CEO
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).
21. 1: STA Letter Request 2: Satcom 312 3: Radiation Hazard Stu


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