Application Form [pdf]

This document pretains to SAT-STA-20171117-00157 for Special Temporal Authority on a Satellite Space Stations filing.

IBFS_SATSTA2017111700157_1304749

                                                                                                  Approved by OMB
                                                                                                         3060−0678

Date & Time Filed: Nov 17 2017 11:06:33:913AM
File Number: SAT−STA−20171117−00157
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 Request to Drift EUTELSAT 172A from 172 Deg. E.L. to 174 Deg. E.L.
1. Applicant

           Name:        ES 172 LLC                   Phone Number:           +65 6808 2088
           DBA Name:                                 Fax Number:             +65 6808 2089
           Street:      8 Temasek Boulevard          E−Mail:                 kloke@eutelsat.com
                        #15−02 Suntec Tower 3
           City:        Singapore 038988             State:                  DC
           Country:     USA                          Zipcode:                20037      −
           Attention:   Mr Ken Loke




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2. Contact

             Name:         Carlos M Nalda                       Phone Number:                        +1 571 332 5626
             Company:      LMI Advisors, LLC                    Fax Number:                          +1 202 697 5037
             Street:       2550 M Street NW                     E−Mail:                              cnalda@lmiadvisors.com
                           Suite 345
             City:         Washington                           State:                                DC
             Country:        USA                                Zipcode:                             20037      −
             Attention:                                         Relationship:                        Other


(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
       174 Deg. E.L.                                                            2017−12−15 00:00:00.0




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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.)
       STA Request to Drift EUTELSAT 172A from 172 Deg. E.L. to 174 Deg. E.L.




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
Ken Loke                                                                    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).




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Remember − You are not required to respond to a collection of information sponsored by the Federal government, and the government may not
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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.




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Document Created: 2019-04-08 21:07:15
Document Modified: 2019-04-08 21:07:15

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