Application Form [pdf]

This document pretains to SES-ASG-20040305-00324 for Assignment on a Satellite Earth Station filing.

IBFS_SESASG2004030500324_361488

                                                                                                     Approved by OMB
                                                                                                            3060−0678

                               APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
E000700 STA EXTENSION REQUEST 3/10/04−09/10/04
    1. Applicant

              Name:        MCI WORLDCOM Network         Phone Number:               972−729−6406
                           Services, Inc. (debtor−in−
                           possession)
              DBA Name:                                 Fax Number:                 972−729−2690
              Street:      2400 NORTH GLENVILLE         E−Mail:                     LAURA.BIRKELBACH@mci.
                           42955/107                                                com


              City:        RICHARDSON                   State:                      TX
              Country:     USA                          Zipcode:                    75082       −
              Attention:   LAURA J BIRKELBACH




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    2. Contact

                 Name:        LAURA J. BIRKELBACH                 Phone Number:                       (972)729−6406
                 Company:     MCI WORLDCOM Network                Fax Number:                         (972)729−2690
                              Services, Inc. (debtor−in−
                              possession)
                 Street:      2400 NORTH GLENVILLE                E−Mail:                             LAURA.BIRKELBACH@MCI.
                              42955/107                                                               COM


                 City:        RICHARDSON                          State:                              TX
                 Country:     USA                                 Zipcode:                            75082      −
                 Contact      Senior Engineer                     Relationship:                       Engineer
                 Title:


    3. Reference File Number SESLIC2000113002229
    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   CGX − Fixed Satellite Transmit/Receive Earth Station
    5. Type Request

        Use Prior to Grant                              Change Station Location                          Other


    6. Requested Use Prior Date
          03/10/2004



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    7. CityANDOVER                                                             8. Latitude
                                                                               (dd mm ss.s h)     44   38    1.2    N
    9. State   ME                                                              10. Longitude
                                                                               (dd mm ss.s h)     70   41    51.3   W
    11. Please supply any need attachments.
    Attachment 1:                                     Attachment 2:                                      Attachment 3:


    12. 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.)
        MCI WORLDCOM Network Services, Inc. (debtor−in−possession) (’WorldCom’) respectfully
        requests an extension of its Special Temporary Authorization (’STA’), SES−
        STA−20030306−00275 (which was granted on 3/10/03, and subsequently renewed on 8/19/03 with
        SES−STA−20030821−01187), from the current expiration date of March 10, 2004, to September



    13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes            No
    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.


    14. Name of Person Signing                                                 15. Title of Person Signing
      LAURA J BIRKELBACH                                                         SENIOR ENGINEER
               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.




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12. Description

MCI WORLDCOM Network Services, Inc. (debtor−in−possession) (’WorldCom’) respectfully requests an
extension of its Special Temporary Authorization (’STA’), SES−STA−20030306−00275 (which was
granted on 3/10/03, and subsequently renewed on 8/19/03 with SES−STA−20030821−01187), from the
current expiration date of March 10, 2004, to September 10, 2004. WorldCom is operating under
this STA while its modification application to add Intersputnik Express 3A as a point of
communication is pending before the Commission (File No. SES−MOD−20021125−02060).




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Document Created: 2019-04-26 01:51:47
Document Modified: 2019-04-26 01:51:47

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