Application Form

This document pretains to SAT-STA-20210810-00097 for Special Temporal Authority on a Satellite Space Stations filing.

Approved by OMB
3060-0678

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:
1. Applicant
Spaceflight, Inc. 866-342-9934
1505 Westlake Ave. North, Ste 600 [email protected]
Seattle WA
USA 98109 -
Ms Sasha Field
2. Contact
Will Lewis 203-856-8528
Spaceflight, Inc.
1505 Westlake Ave. N. [email protected]
Ste 600
Seattle WA
USA 98109 -
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 CXW - Space Station (Non-Geostationary)
5. Type Request
Change Station Location Extend Expiration Date Other
6. Temporary Orbit Location
NGSO		 7. Requested Extended Expiration Date
8. Description Spaceflight Inc., seeks STA to permit it to deploy and operate the Sherpa-FX3, launching on a SpaceX Falcon 9 for a period not to exceed thirty-six (36) hours, with such period to commence from launch and deployment scheduled to occur between December 1, 2021, and January 31, 2021.
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 No
10. Name of Person Signing
Alexandra Field		 11. Title of Person Signing
General Counsel
12. Please supply any need attachments.
Attachment 1: 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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