Application Form [pdf]

This document pretains to SAT-STA-20070424-00063 for Special Temporal Authority on a Satellite Space Stations filing.

IBFS_SATSTA2007042400063_562434

                                                                                                            Approved by OMB
                                                                                                                   3060−0678

Date & Time Filed: Apr 24 2007 3:10:30:353PM
File Number: SAT−STA−20070424−00063
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:
Sirius Satellite Radio Request for STA to operate a signal booster at its annual stockholders meeting
1. Applicant

           Name:        Sirius Satellite Radio Inc.       Phone Number:                     212−584−5100
           DBA Name:                                      Fax Number:                       212−584−5353
           Street:      1221 Avenue of the Americas       E−Mail:
                        36th Floor
           City:        New York                          State:                            NY
           Country:      USA                              Zipcode:                          10020       −
           Attention:   Mr. Patrick L. Donnelly




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2. Contact

             Name:         Mr. Patrick L. Donnelly               Phone Number:                        212−584−5100
             Company:      Sirius Satellite Radio Inc.           Fax Number:                          212−584−5353
             Street:       1221 Avenue of the Americas           E−Mail:
                           36th Floor
             City:         New York                              State:                               NY
             Country:        USA                                 Zipcode:                             10020      −
             Attention:                                          Relationship:                        Same


(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         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    CXW − Space Station (Non−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.)
       Sirius Satellite Radio Inc. requests Special Temporary Authority to operate a signal
       booster at its annual stockholders meeting from May 21−24, 2007.




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
Patrick L. Donnelly                                                         Exec. VP, GC and Sec’y
12. Please supply any need attachments.
    Attachment 1: Attachment                        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
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 3060−0678.

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: 2019-04-16 03:44:43
Document Modified: 2019-04-16 03:44:43

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