Application Form [pdf]

This document pretains to SAT-STA-20171128-00161 for Special Temporal Authority on a Satellite Space Stations filing.

IBFS_SATSTA2017112800161_1308372

                                                                                                        Approved by OMB
                                                                                                               3060−0678

Date & Time Filed: Nov 28 2017 4:22:42:766PM
File Number: SAT−STA−20171128−00161
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−9 (S2434) Decommissioning STA Extension Nov 2017
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 Eskenazi




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2. Contact

             Name:         Karis Hastings                       Phone Number:                        202−599−0975
             Company:      SatCom Law LLC                       Fax Number:
             Street:       1317 F St, NW                        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
                                                                                2018−01−03 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.)
       SES Americom, Inc. (’SES’) requests a further 30−day extension of the special temporary
       authority it was granted in File No. SAT−STA−20170929−00138 to permit it to continue
       maneuvers to raise the AMC−9 (Call Sign S2434) satellite to a disposal orbit. SES
       incorporates by reference the supporting documentation that was submitted in File No. SAT−



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 J. Eskenazi                                                              VP, Legal & Global Regulatory
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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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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8. Description

SES Americom, Inc. (’SES’) requests a further 30−day extension of the special temporary authority
it was granted in File No. SAT−STA−20170929−00138 to permit it to continue maneuvers to raise the
AMC−9 (Call Sign S2434) satellite to a disposal orbit. SES incorporates by reference the
supporting documentation that was submitted in File No. SAT−STA−20170929−00138.




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Document Created: 2019-04-13 10:36:02
Document Modified: 2019-04-13 10:36:02

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