Application Form [pdf]

This document pretains to SAT-STA-20160205-00011 for Special Temporal Authority on a Satellite Space Stations filing.

IBFS_SATSTA2016020500011_1125110

                                                                                                        Approved by OMB
                                                                                                               3060−0678

Date & Time Filed: Feb 5 2016 12:25:02:826PM
File Number: SAT−STA−20160205−00011
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:
STA for AMC−12 (S2415) Stationkeeping Correction
1. Applicant

           Name:         SES Americom, Inc.                 Phone Number:      202−478−7144
           DBA Name:                                        Fax Number:        202−478−7111
           Street:       1129 20th Street NW                E−Mail:            nancy.eskenazi@ses.com
                         Suite 1000
           City:         Washington                         State:             DC
           Country:       USA                               Zipcode:           20036      −
           Attention:    Ms. Nancy J. Eskenazi




1


2. Contact

             Name:         Karis Hastings                       Phone Number:                        202−599−0975
             Company:      SatCom Law LLC                       Fax Number:
             Street:       1317 F Street, N.W.                  E−Mail:                              karis@satcomlaw.com
                           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         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




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.)
       SES Americom, Inc. requests special temporary authority through February 15, 2016, to
       permit operations of the AMC−12 space station slightly outside its assigned stationkeeping
       volume.




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
Nancy Eskenazi                                                              Vice President
12. Please supply any need attachments.
    Attachment 1: STA Narrative                     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: 2019-04-12 06:51:25
Document Modified: 2019-04-12 06:51:25

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