Application Form

This document pretains to SAT-STA-20110929-00191 for Special Temporal Authority on a Satellite Space Stations filing.

Approved by OMB
3060-0678

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:
1. Applicant
SES Americom, Inc. 202-478-7137
202-478-7101
1129 20th Street NW [email protected]
Suite 1000
Washington DC
USA 20036 -
Mr. Daniel C.H. Mah
2. Contact
Karis A. Hastings 202-599-0975
SatCom Law LLC
1317 F Street, NW [email protected]
Suite 400
Washington DC
USA 20004 -
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
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
80.9 W.L.
7. Requested Extended Expiration Date
8. Description SES Americom, Inc. respectfully requests special temporary authority for a period of 60 days commencing on October 31, 2011, to drift the AMC-5 space station, call sign S2156, to 80.90 deg. W.L. and operate the satellite in the conventional Ku-band upon its arrival.
9. 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
10. Name of Person Signing
Daniel C.H. Mah
11. Title of Person Signing
Regulatory Counsel
12. Please supply any need attachments.
Attachment 1: STA Request 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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