Application Form [pdf]

This document pretains to ITC-STA-20140210-00030 for Special Temporal Authority on a International Telecommunications filing.

IBFS_ITCSTA2014021000030_1034839

                                                                                                              Approved by OMB
                                                                                                                     3060−0686


                      INTERNATIONAL SECTION 214 SPECIAL TEMPORARY AUTHORITY APPLICATION
                                                     FCC FORM 214STA
                                             FOR OFFICIAL USE ONLY

             APPLICANT INFORMATION Enter a description of this application to identify it on the main menu:
 kajeet/Airlink, LLC Application for Special Temporary Authority for Assignment of 214 Authorization
1. Applicant

         Name:         Kajeet/Airlink LLC             Phone Number:                   301−652−2818
         DBA Name:                                    Fax Number:                     301−652−2907
         Street:       7101 Wisconsin Avenue          E−Mail:                         msim@kajeet.com
                       Suite 1111
         City:         Bethesda                       State:                          MD
         Country:       USA                           Zipcode:                        20814   −
         Attention:    Molly Sim




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2. Contact

          Name:           Patrick D. Crocker                    Phone Number:         269−381−8893
          Company:        Crocker & Crocker                     Fax Number:           269−381−4855
          Street:         107 W Michigan Ave                    E−Mail:               patrick@crockerlawfirm.com
                          4th Floor
          City:           Kalamazoo                             State:                MI
          Country:         USA                                  Zipcode:              49007    −
          Contact Title: Patrick D. Crocker                     Relationship:         Legal Counsel


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


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))




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     TYPE OF REQUEST
     6.       New Request          Extend STA Date           Other              7. Date Authorization Needed:04/03/2009


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.
(If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
                         kajeet/Airlink, LLC Application for Special Temporary Authority for
                         Assignment of 214 Authorization




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 either the file
number [e.g., ITC−214−19930101−23412] or the IB Submission ID of the pending application [e.g., IB200311111] AND go to question 16.)
File Number ITCASG2013080200206 or Submission ID
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).




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13. 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.



14. 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.



    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              Yes            No
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.



18. By checking Yes, the applicant certifies that it has not agreed to accept special concessions directly or                Yes            No
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.




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    CERTIFICATION
19. Typed Name of Person Signing                                           20. Title of Person Signing
Daniel Neal                                                                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:    ATTACHMENT 1                       2:    ATTACHMENT 2                           3:




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Document Created: 2019-04-09 04:42:55
Document Modified: 2019-04-09 04:42:55

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