Application Form SAT-STA-20171128-00161

Application Form

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

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

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

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.

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

10. Name of Person Signing
Nancy J. Eskenazi

11. Title of Person Signing
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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