Application Form [pdf]

This document pretains to SES-REG-20110725-00848 for Earth Station Registration on a Satellite Earth Station filing.

IBFS_SESREG2011072500848_910520

Administrative Information Summary File Number: SES−REG−20110725−00848 Date Filed: 7/25/11 Call Sign: E110105 Status: Filed − awaiting fee verification Status Date: 7/25/11 Last Action: Action Date: AFPN Date: ATPN Date: Begin Date: Expiration Date: Description registration for a Simulsat 5 meter C−band R/O earth station 1

Applicant/Licensee FRN: 0004340949 Attn. Phone: 503−266−8275 x NNN−NNN−NNNN xNNN Contact Name: Attn. Fax: 503−266−8260 NNN−NNN−NNNN xNNN Company: Canby Telephone Association Attn. E−mail: adamss@canbytel.com Street 1: 190 SE Second Avenue Attention: Sharon R Adams Street 2: P.O. Box 880 City, State, Zip: Canby, OR 97013− USA Corp. Phone: Corp. Fax: Corp. E−mail: 2

Contact FRN: 0004340949 Contact Attn.: Sharon R Adams Contact Name: Sharon R Adams Contact Attn. Phone: 503−266−8275 x NNN−NNN−NNNN xNNN Company: Contact Attn. Fax: 503−266−8260 NNN−NNN−NNNN xNNN Street 1: 190 SE Second Avenue Contact Attn. E−mail: adamss@canbytel.com Street 2: P.O. Box 880 City, State, Zip: Canby, OR 97013− USA Corp. Phone: Corp. Fax: Corp. E−mail: 3

Qualification Information No. Question Answer 1. Are you applying for a NEW earth station license or registration (i.e., one that has not been previously licensed or registered?) Yes 2. Will your proposed earth station be a fixed earth station or temporary−fixed earth station ( not part of a VSAT network) that will FES operate only in the Fixed Satellite Service? 3. Which band will your proposed earth station be operating in? CBAND 4. Have you completed Frequency Coordination and will you be attaching a Frequency Coordination Report to this application? Yes 5. Will you operate your proposed earth station ONLY with U.S.−licensed or Permitted List geostationary satellites (within the Yes parameters specified on the Permitted List)? 6. Does your proposed earth station and its operation conform to all technical, procedural, and operational requirements of the Yes FCC Rules and Regulations (47 CFR) and therefore requires NO waivers or exemptions from any of the Commission’s Rules? 7. Does your proposed antenna(s) comply with the antenna gain standard specified in Section 25.209(a) and (b) as Yes demonstrated by the manufacturer’s qualification measurements? 8. Does your proposed earth station operation conform with all routine power and power density rules contained in Sections Yes 25.211 and 25.212? 9. Can you certify that FAA notification is not required under 47 CFR Part 17 and 47 CFR Section 25.113(c) ? Yes 11. Do you certify that Commission grant of any proposal in this application will NOT have a significant environmental impact as Yes defined by 47 CFR Section 1.1307? 12. Are you asking for a: RO 14. Do you certify that you are not a foreign government or a representative of a foreign government? Yes 15. Do you certify that you are not an alien, or the representative of an alien? Yes 16. Do you certify that you are not a corporation organized under the laws of any foreign government? Yes 17. Do you certify that you are not a corporation of which more than one−fifth of the capital stock is owned of record or voted by Yes aliens or their representatives or by a foreign government or representative thereof or by any corporation organized under the laws of a foreign country? 18. Do you certify that you are not a corporation directly or indirectly controlled by any other corporation of which more than one− Yes 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? 19. Do you certify that the applicant or any party to this application has NOT had any FCC station authorization or license revoked Yes or had any application for an initial, modification or renewal of FCC station authorization, license or construction permit denied by the Commission? 4

20. Do you certify that neither you nor any party to this application, nor any party directly or indirectly controlling your company, Yes has EVER been convicted of a felony by any state or federal court? 21. Do you certify that NO court has finally adjudged the applicant, or any person directly or indirectly controlling the applicant, Yes guilty of unlawfully monopolizing or attempting 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? 22. Do you certify that neither you nor any person directly or indirectly controlling the applicant, is currently a party in any pending Yes matter referred to in the preceding two items? 23. Does the undersigned certify that neither the applicant nor any other party to the application is subject to a denial of Federal Yes 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 Section 1.2002(b) for the meaning ’party to the application’ for these purposes. 5

Station Information Call Sign E110105 Nature of Service Fixed Satellite Service Status Non−Common Carrier Satellite Orbit Type GSO Class of Earth Station Fixed Earth Station Filing Classification Domestic Receive Only Earth Station Satellite Name PERMITTED LIST Frequency Band(s) C Band Type of Earth Station Facility Receive Only PN Description Registration for a C−band receive/only earth station to provide reception of programming for distribution to the applicant’s client base. 6

Site Information Site ID: 5m Contact Name: Lyle Annis Contact Phone: NNN−NNN−NNNN xNNN 503−266−8282 Area of Operation: OREGON Street 1: 144 SE 2nd Ave. State: OREGON Street 2: City: Canby County: Clackamas Zip Code: 97013 Deg. Min. Sec. Hem. NAD Indicator: Latitude: 45 15 43.3 N NAD 83 Longitude: 122 41 29.0 W Elevation (meters): 47.24 7

Antenna Information Site ID Antenna ID ASR No 5m 5Meter Quantity Manufacturer Model Antenna Size (m) 1 ATCI Simulsat 5.5 Max Antenna Hgt Max Antenna Hgt Structure Hgt Max Antenna Hgt AGL (m) AMSL (m) AGL (m) Above Roof (m) 5.5 52.7 0.0 0.0 Total Input Pwr at Antenna Flange (W) Total EIRP − All Carriers (dBW) T/R Mode Antenna Gain dBi at GHZ R 42.0 3.95 8

Frequency Information Select Antenna ID T/R Mode 5Meter R Freq Lower (MHz/GHz) Freq Upper (MHz/GHz) Freq Unit 3700 4200 MHz Emission Designator Describe Modulation & Services 36M0G7W digital video and audio Antenna Polarization Max EIRP per Carrier (dBW) Max EIRP Density per Carrier (dBW/4kHz) (H/V)Horizontal and Vertical 9

Frequency Coordination Information Select Antenna ID Trans/Rec Mode Lower Freq Limit (MHz) Upper Freq Limit (MHz) 5Meter Receive 3700 4200 Satellite Arc East Limit (Deg) Satellite Arc West Limit (Deg) 61.5 W 139.0 W Ant Elev Angle E (Deg) Azimuth Angle E (Deg) Ant Elev Angle W (Deg) Azimuth Angle W (Deg) 11.3 111.3 35.4 202.4 Max EIRP Density to Horizon (dBW/4KHz) 10

Points of Communication Information Select Site Id Point of Communication 5m PERMITTED LIST 11

Certification Information 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. Type of Applicant Applicant Other Text Unincorporated Association If other, describe the type of applicant. Signer Name Keith Galitz Signer Title President/General Manager Signature Date Signed (XX/XX/XXXX) 07/25/2011 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). FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT The public reporting for this collection of information is estimated to average 2 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, AMDPERM, Paperwork Reduction Project (3060−1067), 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 Judith.B.Herman@fcc.gov. PLEASE DO NOT SEND COMPLETED FORMS 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 orsponsor 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 3060−1067. 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. 12

Attachment Information Select Attachment Type File Name Date Uploaded Frequency Coordination Report canby.FinalReport.pd 07/25/2011 13

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Document Created: 2019-04-17 08:43:58
Document Modified: 2019-04-17 08:43:58
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