Application Form [pdf]

This document pretains to SCL-LIC-20060414-00005 for License on a Submarine Cable Landing filing.

IBFS_SCLLIC2006041400005_494761

                                                                                                                Approved by OMB
                                                                                                                       3060−0944
                                                 CABLE LANDING LICENSE APPLICATION
                                                       FOR OFFICIAL USE ONLY

    APPLICANT INFORMATION
Enter a description of this application to identify it on the main menu:
    Pro Forma Assignment of Submarine Cable Licenses from BellSouth International, LLC to BellSouth Long Distance, Inc.
1. Applicant

             Name:        BellSouth Long Distance, Inc.    Phone Number:               770−352−3077
             DBA                                           Fax Number:                 678−443−3470
             Name:
             Street:      400 Perimeter Center Terrace     E−Mail:                     mary.dennis@bellsouth.com
                          Suite 350
             City:        Atlanta                          State:                      GA
             Country:     USA                              Zipcode:                    30346        −    1907

             Attention:   Mary J. Dennis




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2. Contact

             Name:        Scott Delacourt                Phone Number:                     202−719−7459
             Company: Wiley Rein & Fielding LLP          Fax Number:                       202−719−7049
             Street:      1776 K Street, NW              E−Mail:                           sdelacourt@wrf.com


             City:        Washington                     State:                            DC
             Country:     USA                            Zipcode:                          20006     −
             Attention:   Scott Delacourt                Relationship:                     Legal Counsel


3. Place of Incorporation of Applicant      Delaware
4. Other Company(ies) and Place(s) of Incorporation



5. Destination Country(ies) Denmark, Germany, the Netherlands, France, the United Kingdom, Cayman Islands, Colombia, Costa Rica,
Honduras, Mexico and Panama
6. Caption (description of authority requested, e.g., Application for a License to Land and Operate a Fiber Optic Submarine Cable
System between the United States, Country A and Country B.)
  (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
                       Application for nunc pro tunc approval of assignment of submarine
                       cable licenses held by BellSouth International, LLC to BellSouth Long
                       Distance, Inc.




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7. 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):

8. Will the cable system be operated on a common carrier basis?         Yes       No
If yes, provide the File NumberITC2141999032500153of the associated Section 214 application for the construction and operation of new
facilities.


9. In Attachment 1, provide the information and certifications required by 47 C.F.R. Section 1.767(a).

CERTIFICATIONS
10. 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.


 11. Typed Name of Person Signing                                           12. Title of Person Signing
           James Harralson                                                             VP & Assoc. G.C., BellSouth Corp.


           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).


        13. 1: Attachment                             2:                                           3:




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The public reporting for this collection of information is estimated to average between 1 − 40 hours per response, including the time for
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Remember − You are not required to respond to a collection of information sponsored by the Federal government, and the government may not
conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This
collection has been assigned an OMB control number of 3060−0944.

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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Document Created: 2019-04-11 18:35:26
Document Modified: 2019-04-11 18:35:26

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