Application Form [pdf]

This document pretains to SCL-T/C-20040122-00002 for Transfer of Control on a Submarine Cable Landing filing.

IBFS_SCLTC2004012200002_352699

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: Application for Pro Forma Transfer of Control of Submarine Cable Landing Licenses 1. Applicant Name: Teleglobe America Inc. Phone Number: 703−766−3034 DBA Fax Number: 703−766−3104 Name: Street: 1 Discovery Square E−Mail: diana.peneva@teleglobe.com 12010 Sunset Hills Rd. City: Reston State: VA Country: USA Zipcode: 20190 − Attention: Diana M Peneva 1

2. Contact Name: Rogena Harris Phone Number: (703) 766−3061 Company: Teleglobe America Inc. Fax Number: (703) 766−3104 Street: One Discovery Square, 4th Fl E−Mail: rogena.harris@teleglobe.com 12010 Sunset Hills Road City: Reston State: VA Country: United States Virgin Islands Zipcode: 20190 − 5856 Contact Senior Counsel Relationship: Legal Counsel Title: 3. Place of Incorporation of Applicant Delaware 4. Other Company(ies) and Place(s) of Incorporation 5. Destination Country(ies) 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 PRO FORMA TRANSFER OF CONTROL OF SUBMARINE 2

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 NumberITCASG2003063000475of 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 Michael C. Wu Vice President and Acting General Counsel 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: App. 2: 3: 3

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT The public reporting for this collection of information is estimated to average between 1 − 40 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the Federal Communications Commission, AMD−PERM, Paperwork Reduction Project (3060−0944), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to jboley@fcc.gov. PLEASE DO NOT SEND YOUR RESPONSE TO THIS ADDRESS. 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. 4


Document Created: 2019-04-21 02:53:17
Document Modified: 2019-04-21 02:53:17
© 2024 FCC.report
This site is not affiliated with or endorsed by the FCC