Application Form [pdf]

This document pretains to SES-MFS-20100910-01152 for Modification w/ Foreign Satellite (earth station) on a Satellite Earth Station filing.

IBFS_SESMFS2010091001152_839483

Approved by OMB 3060−0678 Date & Time Filed: Sep 10 2010 12:26:22:393PM File Number: SES−MFS−20100910−01152 FCC APPLICATION FOR SPACE AND EARTH STATION:MOD OR AMD − MAIN FORM FCC Use Only FCC 312 MAIN FORM FOR OFFICIAL USE ONLY APPLICANT INFORMATION Enter a description of this application to identify it on the main menu: Modification of Earth Station KA270 1−8. Legal Name of Applicant Name: Intelsat North America LLC Phone Number: 202−944−7848 DBA Fax Number: 202−944−7870 Name: Street: c/o Intelsat Corporation E−Mail: susan.crandall@intelsat.com 3400 International Drive, N.W. City: Washington State: DC Country: USA Zipcode: 20008 −3006 Attention: Susan H Crandall 1

9−16. Name of Contact Representative Name: Intelsat North America LLC Phone Number: 202−944−7848 Company: Fax Number: 202−944−7860 Street: c/o Intelsat Corporation E−Mail: susan.crandall@intelsat.com 3400 International Drive, N.W. City: Washington State: DC Country: USA Zipcode: 20008−3006 Attention: Susan H. Crandall Relationship: Legal Counsel CLASSIFICATION OF FILING 17. Choose the button next to the classification that applies to this filing for (N/A) b1. Application for License of New Station both questions a. and b. Choose only one (N/A) b2. Application for Registration of New Domestic Receive−Only Station for 17a and only one for 17b. b3. Amendment to a Pending Application b4. Modification of License or Registration a1. Earth Station b5. Assignment of License or Registration a2. Space Station b6. Transfer of Control of License or Registration b7. Notification of Minor Modification (N/A) b8. Application for License of New Receive−Only Station Using Non−U.S. Licensed Satellite (N/A) b9. Letter of Intent to Use Non−U.S. Licensed Satellite to Provide Service in the United States (N/A) b10. Other (Please specify) (N/A) b11. Application for Earth Station to Access a Non−U.S.satellite Not Currently Authorized to Provide the Proposed Service in the Proposed Frequencies in the United States (N/A) b12. Application for Database Entry b13. Amendment to a Pending Database Entry Application b14. Modification of Database Entry 2

17c. 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): 17d. Fee Classification CGX − Fixed Satellite Transmit/Receive Earth Station 18. If this filing is in reference to an 19. If this filing is an amendment to a pending application enter both fields, if this filing is a existing station, enter: modification please enter only the file number: (a) Call sign of station: (a) Date pending application was filed: (b) File number: KA270 SESRWL2009012900096 3


Document Created: 2019-04-26 12:42:39
Document Modified: 2019-04-26 12:42:39
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