Application Form SAT-STA-20120221-00020

Application Form

This document pretains to SAT-STA-20120221-00020 for Special Temporal Authority on a Satellite Space Stations filing.

Approved by OMB
3060-0678

Date & Time Filed: Feb 21 2012 4:52:30:663PM
File Number: SAT-STA-20120221-00020
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:

AMC-5 (S2156) STA Further Extension at 80.90 W.L.

1. Applicant

Name:	SES Americom, Inc.	Phone Number:	202-478-7137
DBA Name:		Fax Number:	202-478-7101
Street:	1129 20th Street NW	E-Mail:	[email protected]
	Suite 1000
City:	Washington	State:	DC
Country:	USA	Zipcode:	20036 -
Attention:	Mr Daniel C.H. Mah

2. Contact

Name:	Karis A. Hastings	Phone Number:	202-599-0975
Company:	SatCom Law LLC	Fax Number:
Street:	1317 F Street, NW	E-Mail:	[email protected]
	Suite 400
City:	Washington	State:	DC
Country:	USA	Zipcode:	20004 -
Attention:		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 SATMOD2011092900192 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
2012-04-27 00:00:00.0

8. Description SES Americom, Inc. ('SES') respectfully requests a 60-day extension of the special temporary authority granted in File Nos. SAT-STA-20110929-00191 and SAT-STA-20111223-00251 to permit SES to maintain the AMC-5 space station, call sign S2156, at 80.90 deg. W.L. and operate the satellite in the conventional Ku-band. Extension is sought pending action on the underlying modification application, File No. SAT-MOD-20110929-00192. SES incorporates by reference the supporting documentation provided in File Nos. SAT-STA-20110929-00191, SAT-STA-20111223-00251 and SAT-MOD-20110929-00192.

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

10. Name of Person Signing
Daniel C.H. Mah

11. Title of Person Signing
Regulatory Counsel

12. Please supply any need attachments.

Attachment 1:

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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