Application Form

This document pretains to SAT-STA-20121130-00204 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
Intelsat License LLC 202-944-7848
202-944-7870
c/o Intelsat Corporation [email protected]
3400 International Drive, N.W.
Washington DC
USA 20008 -3006
Susan H. Crandall
2. Contact
Susan H. Crandall 202-944-7848
Intelsat Corporation 202-944-7870
3400 International Drive, N.W. [email protected]
Washington DC
USA 20008 -3006
Susan H. Crandall 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
7. Requested Extended Expiration Date
8. Description Intelsat License LLC herein requests a grant of Special Temporary Authority for 30 days, from February 17, 2013 through March 18, 2013, to conduct in-orbit testing of the C- and Ku-band payloads of the Intelsat 27 satellite (Call Sign S2827) at 51.5 W.L. in the bands 3700-4200 MHz (downlink), 5925-6425 MHz (uplink), 11450-11700 MHz, 11700-12200 MHz (downlink), 12500-12750 MHz, and14000-14500 MHz (uplink), and to drift the satellite to its permanent location of 55.5 W.L.
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
Susan H. Crandall
11. Title of Person Signing
Asst. General Counsel, Intelsat Corporation
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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