Application Form [pdf]

This document pretains to SES-MSC-INTR2005-00368 for Miscellaneous on a Satellite Earth Station filing.

IBFS_SESMSCINTR200500368_418695

                                                                                                     Approved by OMB
                                                                                                            3060−0678

Date & Time Filed: Feb 18 2005 4:21:30:950PM
File Number: SES−MSC−INTR2005−00368
Callsign/Satellite ID:


                     APPLICATION FOR EARTH STATION AUTHORIZATIONS               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:
Hagerstown−IMT−20−22 (Intelsat LLC)
1−8. Legal Name of Applicant

           Name:         Intelsat LLC                      Phone Number:   202−944−7848
           DBA                                             Fax Number:     202−944−7860
           Name:
           Street:       c/o Intelsat Global Svc. Corp.    E−Mail:         susan.crandall@intelsat.com
                         3400 International Drive, N.W.
           City:         Washington                        State:          DC
           Country:      USA                               Zipcode:        20008        −3006
           Attention:    Susan H Crandall




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9−16. Name of Contact Representative (If other than applicant)

                Name:          Carl R. Frank                         Phone Number:                        202−719−7269
                Company: Wiley Rein & Fielding LLP                   Fax Number:                          202−719−7046
                Street:        1776 K Street, NW                     E−Mail:                              cfrank@wrf.com


                City:          Washington                            State:                               DC
                Country:        USA                                  Zipcode:                             20006−
                Contact        Attorney                              Relationship:                        Legal Counsel
                Title:



CLASSIFICATION OF FILING
    17. Choose the button next to the                b.
    classification that applies to this filing for        b1. Application for License of New Station
    both questions a. and b. Choose only one
                                                          b2. Application for Registration of New Domestic Receive−Only Station
    for 17a and only one for 17b.
                                                     (N/A) b3. Amendment to a Pending Application
    a.                                               (N/A) b4. Modification of License or Registration
         a1. Earth Station                           (N/A) b5. Assignment of License or Registration
                                                     (N/A) b6. Transfer of Control of License or Registration
    (N/A) a2. Space Station                          (N/A) 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
                                                          b10. Other (Please specify)
                                                          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.




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      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 BAX − 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:
    existing station, enter:
                                                  (a) Date pending application was filed:            (b) File number of pending application:
    (a) Call sign of station:
    Not Applicable                                 Not Applicable                                    Not Applicable



TYPE OF SERVICE
20. NATURE OF SERVICE: This filing is for an authorization to provide or use the following type(s) of service(s): Select all that apply:


       a. Fixed Satellite
       b. Mobile Satellite
       c. Radiodetermination Satellite
       d. Earth Exploration Satellite
       e. Direct to Home Fixed Satellite
       f. Digital Audio Radio Service
       g. Other (please specify)




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21. STATUS: Choose the button next to the applicable status. Choose        22. If earth station applicant, check all that apply.
only one.                                                                       Using U.S. licensed satellites
      Common Carrier        Non−Common Carrier                                 Using Non−U.S. licensed satellites

23. If applicant is providng INTERNATIONAL COMMON CARRIER service, see instructions regarding Sec. 214 filings. Choose one. Are these
facilities:
           Connected to a Public Switched Network Not connected to a Public Switched Network     N/A

    24. FREQUENCY BAND(S): Place an "X" in the box(es) next to all applicable frequency band(s).
      a. C−Band (4/6 GHz)  b. Ku−Band (12/14 GHz)
      c.Other (Please specify upper and lower frequencies in MHz.)
        Frequency Lower: Frequency Upper:


TYPE OF STATION
25. CLASS OF STATION: Choose the button next to the class of station that applies. Choose only one.
          a. Fixed Earth Station
          b. Temporary−Fixed Earth Station
          c. 12/14 GHz VSAT Network
          d. Mobile Earth Station
(N/A) e. Geostationary Space Station
(N/A) f. Non−Geostationary Space Station
         g. Other (please specify)


26. TYPE OF EARTH STATION FACILITY: Choose only one.
      Transmit/Receive Transmit−Only  Receive−Only                   N/A




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PURPOSE OF MODIFICATION

27. The purpose of this proposed modification is to: (Place an ’X’ in the box(es) next to all that apply.)


Not Applicable



ENVIRONMENTAL POLICY

28. Would a Commission grant of any proposal in this application or amendmenthave a significant                    Yes        No
environmental impact as defined by 47 CFR 1.1307? If YES, submit thestatement as required by Sections
1.1308 and 1.1311 of the Commission’s rules,47 C.F.R. §§ 1.1308 and 1.1311, as an exhibit to this
application.A Radiation Hazard Studymust accompany all applications for new transmitting facilities, major
modifications,or major amendments.



ALIEN OWNERSHIP Earth station applicants not proposing to provide broadcast, common carrier, aeronautical en route or
aeronautical fixed radio station services are not required to respond to Items 30−34.

29. Is the applicant a foreign government or the representative of any foreign government?                   Yes         No   N/A




30. Is the applicant an alien or the representative of an alien?                                             Yes         No   N/A




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31. Is the applicant a corporation organized under the laws of any foreign government?                                    Yes         No   N/A




32. Is the applicant a corporation of which more than one−fifth of the capital stock is owned of record or voted by       Yes         No   N/A
aliens or their representatives or by a foreign government or representative thereof or by any corporation organized
under the laws of a foreign country?



33. Is the applicant a corporation directly or indirectly controlled by any other corporation of which more than          Yes         No   N/A
one−fourth of the capital stock is owned of record or voted by aliens, their representatives, or by a foreign
government or representative thereof or by any corporation organized under the laws of a foreign country?



34. If any answer to questions 29, 30, 31, 32 and/or 33 is Yes, attach as an exhibit an identification of the aliens or
foreign entities, their nationality, their relationship to the applicant, and the percentage of stock they own or vote.



BASIC QUALIFICATIONS

35. Does the Applicant request any waivers or exemptions from any of the Commission’s Rules?                                    Yes        No
If Yes, attach as an exhibit, copies of the requests for waivers or exceptions with supporting documents.




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36. Has the applicant or any party to this application or amendment had any FCC station authorization or license         Yes   No
revoked or had any application for an initial, modification or renewal of FCC station authorization, license, or
construction permit denied by the Commission? If Yes, attach as an exhibit, an explination of circumstances.




37. Has the applicant, or any party to this application or amendment, or any party directly or indirectly controlling    Yes   No
the applicant ever been convicted of a felony by any state or federal court? If Yes, attach as an exhibit, an
explination of circumstances.




38. Has any court finally adjudged the applicant, or any person directly or indirectly controlling the applicant,        Yes   No
guilty of unlawfully monopolizing or attemptiing unlawfully to monopolize radio communication, directly or
indirectly, through control of manufacture or sale of radio apparatus, exclusive traffic arrangement or any other
means or unfair methods of competition?If Yes, attach as an exhibit, an explanation of circumstances




39. Is the applicant, or any person directly or indirectly controlling the applicant, currently a party in any pending   Yes   No
matter referred to in the preceding two items? If yes, attach as an exhinit, an explanation of the circumstances.




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40. If the applicant is a corporation and is applying for a space station license, attach as an exhibit the names,
address, and citizenship of those stockholders owning a record and/or voting 10 percent or more of the Filer’s
voting stock and the percentages so held. In the case of fiduciary control, indicate the beneficiary(ies) or class of
beneficiaries. Also list the names and addresses of the officers and directors of the Filer.



41. 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.



42a. Does the applicant intend to use a non−U.S. licensed satellite to provide service in the United States? If Yes,            Yes          No
answer 42b and attach an exhibit providing the information specified in 47 C.F.R. 25.137, as appropriate. If No,
proceed to question 43.




42b. What administration has licensed or is in the process of licensing the space station? If no license will be issued, what administration has
coordinated or is in the process of coordinating the space station?




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43. Description. (Summarize the nature of the application and the services to be provided).     (If the complete description does not appear in this
box, please go to the end of the form to view it in its entirety.)
     Intelsat LLC seeks to license three C−Band transmit/receive earth stations at Hagerstown,
     Maryland. The earth stations will provide analog video, digital audio, video and data
     services for various customers.




CERTIFICATION
The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the
United States because of the previous use of the same, whether by license or otherwise, and requests an authorization in accordance with this
application. The applicant certifies that grant of this application would not cause the applicant to be in violation of the spectrum aggregation limit
in 47 CFR Part 20. All statements made in exhibits are a material part hereof and are incorporated herein as if set out in full in this application.
The undersigned, individually and for the applicant, hereby certifies that all statements made in this application and in all attached exhibits are
true, complete and correct to the best of his or her knowledge and belief, and are made in good faith.
44. Applicant is a (an): (Choose the button next to applicable response.)

    Individual
    Unincorporated Association
    Partnership
    Corporation
    Governmental Entity
    Other (please specify)
Limited Liability Company




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     45. Name of Person Signing                                            46. Title of Person Signing
     Patrick J. Cerra                                                      Vice President


47. Please supply any need attachments.
  Attachment 1:                                    Attachment 2:                                    Attachment 3:




           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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Document Created: 2019-04-25 14:48:15
Document Modified: 2019-04-25 14:48:15

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