Application Form SAT-STA-20191118-00134

Application Form

This document pretains to SAT-STA-20191118-00134 for Special Temporal Authority on a Satellite Space Stations filing.

Approved by OMB
3060-0678

Date & Time Filed: Nov 18 2019 5:26:57:583PM
File Number: SAT-STA-20191118-00134
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:

Space Station Fourth Further STA Extension Request

1. Applicant

Name:	Space Exploration Holdings, LLC	Phone Number:	202-649-2700
DBA Name:		Fax Number:	202-649-2701
Street:	1155 F Street, N.W.	E-Mail:	patricia.cooper@spacex.com
	Suite 475
City:	Washington	State:	DC
Country:	USA	Zipcode:	20004 -
Attention:	Ms Patricia Cooper

2. Contact

Name:	William M. Wiltshire	Phone Number:	202−730−1350
Company:	Harris, Wiltshire & Grannis LLP	Fax Number:	202−730−1301
Street:	1919 M St. NW	E-Mail:	wwiltshire@hwglaw.com
	8th Floor
City:	Washington	State:	DC
Country:	USA	Zipcode:	20036 -
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 SATSTA2019101800118 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 CXW - Space Station (Non-Geostationary)

5. Type Request

Change Station Location

Extend Expiration Date

Other

6. Temporary Orbit Location

7. Requested Extended Expiration Date
2019-12-25 00:00:00.0

8. Description SpaceX requests extension of special temporary authority for the first tranche of its NGSO satellites to communicate with Ku−band gateway and TT&C earth stations for an additional 30 days.

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
Patricia Cooper

11. Title of Person Signing
Vice President, Satellite Government Affairs

12. Please supply any need attachments.

Attachment 1: STA Extension Reques

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.