Application Form [pdf]

This document pretains to ITC-STA-20151223-00304 for Special Temporal Authority on a International Telecommunications filing.

IBFS_ITCSTA2015122300304_1119571

                                                                                                                  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:
 Sangoma U.S., Inc. requests Special Temporary Authority as may be necessary to allow it to continue operating while the FCC
reviews its pending international Section 214 authorization application (IBFS File No. ITC−214−20150918−00222). Sangoma
U.S. also submits an application to seek domestic Section 214 authorization and requests Special Temporary Authority as may be
necessary to allow it to continue operating while the FCC reviews its request for domestic Section 214 authorization (Attachment 3).
1. Applicant

         Name:           Sangoma U.S., Inc.              Phone Number:                    920−886−8130 x4007
         DBA Name:                                       Fax Number:
         Street:         2414 Industrial Drive           E−Mail:                          plindheimer@sangoma.com
                         Unit D
         City:           Neenah                          State:                            WI
         Country:        USA                             Zipcode:                         54956    −
         Attention:      Philippe Lindheimer




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2. Contact

         Name:            Kristin Berkland                      Phone Number:         612−492−6194
         Company:         Dorsey & Whitney LLP                  Fax Number:           612−395−5517
         Street:          Suite 1500                            E−Mail:               berkland.kristin@dorsey.com
                          50 South Sixth Str
         City:            Minneapolis                           State:                MN
         Country:          USA                                  Zipcode:              55402    −1498
         Contact Title:                                         Relationship:         Legal Counsel


    3. Place of Incorporation of ApplicantDE
4. Other Company(ies) and Place(s) of Incorporation
Sangoma Technologies Corp. Canadian publicly listed company/ultimate parent
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:12/23/2015


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.)
                         Sangoma U.S., Inc. requests Special Temporary Authority as may be
                         necessary to allow it to continue operating while the FCC reviews its
                         pending international Section 214 authorization application (IBFS File
                         No. ITC−214−20150918−00222). Sangoma U.S. also submits an


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 ITC2142015091800222 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
David Moore                                                                CFO
          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:    Attachments                        2:                                           3:




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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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9. Description of Special Temporary Authority Requested.

Sangoma U.S., Inc. requests Special Temporary Authority as may be necessary to allow it to
continue operating while the FCC reviews its pending international Section 214 authorization
application (IBFS File No. ITC−214−20150918−00222). Sangoma U.S. also submits an
application to seek domestic Section 214 authorization and requests Special Temporary Authority as
may be necessary to allow it to continue operating while the FCC reviews its request for domestic
Section 214 authorization (Attachment 3).




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Document Created: 2019-04-19 04:12:30
Document Modified: 2019-04-19 04:12:30

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