Attachment Exhibit A

This document pretains to SES-REG-INTR2018-06169 for Earth Station Registration on a Satellite Earth Station filing.

IBFS_SESREGINTR201806169_1532805

Approved by OMB 3060−0678 Date & Time Filed: Sep 26 2018 12:19:19:010PM File Number: SES−REG−INTR2018−06170 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: Registration of C−Band Receive Only Earth Station in New York NY 1−8. Legal Name of Applicant Name: Sirius XM Radio Inc. Phone Number: 202−380−1383 DBA Fax Number: 202−380−4981 Name: Street: 1290 Avenue of the Americas E−Mail: james.blitz@siriusxm.com 11th Floor City: New York State: NY Country: USA Zipcode: 10104 − Attention: James S Blitz 1

9−16. Name of Contact Representative Name: Karis A Hastings Phone Number: 202−599−0975 Company: SatCom Law LLC Fax Number: Street: 1317 F Street, N.W. E−Mail: karis@satcomlaw.com Suite 400 City: Washington State: DC Country: USA Zipcode: 20004− Attention: Relationship: Legal Counsel 2

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. b12. Application for Database Entry (N/A) b13. Amendment to a Pending Database Entry Application (N/A) b14. Modifiction of Database Entry 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 CMO − Receive Only Earth Station 3


Document Created: 2018-09-18 14:58:57
Document Modified: 2018-09-18 14:58:57
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