Application Form [pdf]

This document pretains to SAT-STA-20190502-00034 for Special Temporal Authority on a Satellite Space Stations filing.


                                                                                                       Approved by OMB
                                                                                                              3060−0678

Date & Time Filed: May 2 2019 12:41:34:550PM
File Number: SAT−STA−20190502−00034
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 to Drift Galaxy 25 to 32.9 E.L. (S2154)
1. Applicant

           Name:         Intelsat License LLC               Phone Number:      703−559−7848
           DBA Name:                                        Fax Number:        703−559−8539
           Street:       c/o Intelsat US LLC                E−Mail:            susan.crandall@intelsat.com
                         7900 Tysons One Place
           City:         McLean                             State:             VA
           Country:       USA                               Zipcode:           22102       −5972
           Attention:    Susan H. Crandall




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2. Contact

             Name:         Cynthia J. Grady                     Phone Number:                        703−559−6949
             Company:      Intelsat US LLC                      Fax Number:                          703−559−8539
             Street:       7900 Tysons One Place                E−Mail:                              cynthia.grady@intelsat.com


             City:         McLean                               State:                                VA
             Country:        USA                                Zipcode:                             22102      −3006
             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
       32.9 E.L.




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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.)
       Intelsat License LLC herein requests 60 days, commencing June 1, 2019, of Special
       Temporary Authority to drift Galaxy 25 (Call Sign S2154) from 93.10 W.L. to 32.9 E.L.
       Intelsat intends to file an application to modify the Galaxy 25 license for this
       redeployment.



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
Cynthia J Grady                                                             Senior Counsel, Intelsat US LLC
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).




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THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER
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Document Created: 2019-05-16 00:30:28
Document Modified: 2019-05-16 00:30:28

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