Application Form [pdf]

This document pretains to SAT-STA-20140421-00040 for Special Temporal Authority on a Satellite Space Stations filing.

IBFS_SATSTA2014042100040_1043753

                                                                                                                 Approved by OMB
                                                                                                                        3060−0678

Date & Time Filed: Apr 21 2014 11:47:59:186AM
File Number: SAT−STA−20140421−00040
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:
Request for Further Extension of Special Temporary Authority to Drift and Operate Intelsat 9 (Call Sign S2380)
1. Applicant

           Name:        Intelsat License LLC                Phone Number:                202−944−7848
           DBA Name:                                        Fax Number:                  202−944−7870
           Street:      c/o Intelsat Corporation            E−Mail:                      susan.crandall@intelsat.com
                        3400 International Drive, N.W.
           City:        Washington                          State:                        DC
           Country:     USA                                 Zipcode:                     20008       −3006
           Attention:   Susan H. Crandall




1


2. Contact

             Name:         Susan H. Crandall                    Phone Number:                        202−944−7848
             Company:      Intelsat Corporation                 Fax Number:                          202−944−7870
             Street:       3400 International Drive,            E−Mail:                              susan.crandall@intelsat.com



             City:         Washington                           State:                                DC
             Country:        USA                                Zipcode:                             20008      −3006
             Attention:    Susan H. Crandall                    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 SATMOD2012070300110 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
                                                                                2014−04−24 00:00:00.0




2


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.)
       Intelsat License LLC herein requests an additional 60−day extension, commencing April 25,
       2014, of the Special Temporary Authority previously granted Intelsat to drift Intelsat 9
       (call sign S2380) from 58.0 W.L. to 43.10 W.L. and operate at 43.10 W.L. in inclined orbit
       mode.



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
Susan H. Crandall                                                           Assoc. 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).




3


FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

The public reporting for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you
have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the
Federal Communications Commission, AMD−PERM, Paperwork Reduction Project (3060−0678), Washington, DC 20554. We will also accept
your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to PRA@fcc.gov. PLEASE
DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.

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.




4



Document Created: 2019-04-19 11:07:10
Document Modified: 2019-04-19 11:07:10

© 2024 FCC.report
This site is not affiliated with or endorsed by the FCC