Attachment Revised Form 312 Sch

This document pretains to SES-ASG-20120420-00381 for Assignment on a Satellite Earth Station filing.

IBFS_SESASG2012042000381_950823

FCC - Form 312 - Schedule A http://licensing.fcc.gov/cgi-bin/ws.exe/prod/ib/forms/dumpit.hts SATELLITE EARTH STATION AUTHORIZATIONS FCC Form 312 - Schedule A FOR OFFICIAL USE ONLY [INSTRUCTIONS] Select one of the following CONSENT TO TRANSFER OF CONTROL CONSENT TO ASSIGNMENT OF LICENSE NOTIFICATION OF TRANSFER OF CONTROL OF NOTIFICATION OF ASSIGNMENT OF RECEIVE ONLY REGISTRATION RECEIVE ONLY REGISTRATION A1. Name of Licensee (as shown on FCC 312 - Main Form) Phone Name: Number: DBA Fax Name: Number: Street: E-Mail: City: State: Country: Zipcode: - Attention: A8. List Callsign(s) of station(s) being assigned or transfered A9. No. of station(s) listed A10. Name of Transferor / Assignor Phone Name: Number: Company: Fax Number: Street: E-Mail: City: State: Country: Zipcode: - Contact Relationship: Title: A15. Name of Transferee/ Assignee Phone Name: Phillips 66 Communications Inc. Number: DBA Fax Name: Number: Street: P. O. Box 6000 E-Mail: City: Bartlesville State: OK 1 of 2 3/30/2012 3:01 PM

FCC - Form 312 - Schedule A http://licensing.fcc.gov/cgi-bin/ws.exe/prod/ib/forms/dumpit.hts Country: USA Zipcode: 74005 -6000 Attention: A20. If these facilities are licensed, is the transferee / assignee directly or indirectly controlled by any other entity? If yes, attach as Exhibit E, a statement (including organizational diagrams where Yes appropriate) which fully and completely identifies the nature and extent of control including: (1) the No name, address, citizenship, and primary busienss of the controlling entity and any intermediate subsidiaries or parties, and (2) the names, addresses, citizenshihp, and the percentages of voting and N/A equity stock of those stockholders holding 10 percent or more of the controlling corporation's voting stock. A21. If these facilities are licensed, attach as Exhibit F, a complete statement setting forth the facts which show how the assignment or transfer will serve the public interest. CERTIFICATION 1. The undersigned, individually and for licensee, certifies that all attached exhibits pertinenet to Schedule A and all statement made in Schedule A of this application are true, compete and correct to the best of his/her knowledge and belief. The undersigned also certifies that any contracts or other instruments submitted herewith are complete and constitute the full agreement. 2. The undersigned represents that stock will not be delivered and that control will not be transferred until the Commission's consent has been received, but that transfer of control or assignment of license will be completed within 60 days of Commission consent. The undersigned also acknowledges that the Commission must be notified by letter within 30 days of consummation. A22. Printed Name of Licensee (Must agree with A1) A24. Title (Office Held by Person Signing) A26. Printed Name of License Transferor / Assignor A28. Title (Office Held by Person Signing) (Must agree with A10) A26. Printed Name of License Transferee / Assignee A28. Title (Office Held by Person Signing) (Must agree with A15) 2 of 2 3/30/2012 3:01 PM


Document Created: 2019-04-18 11:52:25
Document Modified: 2019-04-18 11:52:25
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