Application Form [pdf]

This document pretains to SAT-STA-20060616-00064 for Special Temporal Authority on a Satellite Space Stations filing.

IBFS_SATSTA2006061600064_506170

                                                                                              Approved by OMB
                                                                                                     3060−0678

Date & Time Filed: Jun 16 2006 12:37:04:096PM
File Number: SAT−STA−20060616−00064
Callsign:

                                           FEDERAL COMMUNICATIONS COMMISSION
                                APPLICATION FOR SPACE STATION SPECIAL TEMPORARY AUTHORITY

                                                       FOR OFFICIAL USE ONLY

  APPLICANT INFORMATION
Enter a description of this application to identify it on the main menu:
G16 IOT STA (operate under Intelsat)
1. Applicant

           Name:         PanAmSat Licensee Corp.            Phone Number:      202−292−4300
           DBA Name:                                        Fax Number:        202−292−4378
           Street:       1801 K Street, N.W.                E−Mail:
                         Suite 440
           City:         Washington                         State:             DC
           Country:       USA                               Zipcode:           20006     −
           Attention:    Mr Kalpak S Gude Esq




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2. Contact

             Name:         Joseph A. Godles, Esq.               Phone Number:                        202−429−4900
             Company:      Goldberg Godles Wiener & Wright Fax Number:                               202−429−4912

             Street:       1229 19th Street NW                  E−Mail:                              jgodles@g2w2.com


             City:         Washington                           State:                                DC
             Country:        USA                                Zipcode:                             20036      −
             Attention:    Attorney                             Relationship:                        Legal Counsel


(If your application is related to an application filed with the Commission, enter either the file number or the IB Submission ID of the related
application. Please enter only one.)
3. Reference File Number SATSTA2006050700055 or Submission ID
4a. 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):

4b. Fee Classification    CRY − Space Station (Geostationary)
5. Type Request

    Change Station Location                            Extend Expiration Date                           Other


6. Temporary Orbit Location                                                7. Requested Extended Expiration Date




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8. Description   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
       PanAmSat Licensee Corp. herein requests an STA to continue operating Galaxy 16 at 76.5 W.
       L., in accordance with the terms of its existing STA, following a proposed transfer of
       control of PanAmSat to Intelsat Holdings, Ltd.




9. 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.


10. Name of Person Signing                                                  11. Title of Person Signing
Kalpak Gude                                                                 Associate General Counsel
12. Please supply any need attachments.
    Attachment 1: STA                               Attachment 2:                                     Attachment 3:


           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).




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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
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collection has been assigned an OMB control number of 3060−0678.

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: 2019-04-14 05:18:41
Document Modified: 2019-04-14 05:18:41

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