Application Form [pdf]

This document pretains to SES-REG-INTR2018-08297 for Earth Station Registration on a Satellite Earth Station filing.

IBFS_SESREGINTR201808297_1557335

Approved by OMB 3060−0678 Date & Time Filed: Oct 16 2018 10:08:54:916AM File Number: SES−REG−INTR2018−08297 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 only Earth Station in Morganfield, KY 1−8. Legal Name of Applicant Name: Henson Media, Inc. Phone Number: 502−589−0060 DBA Fax Number: Name: Street: 427 Starks Building E−Mail: edhenson1@cs.com 455 South 4th Street City: Louisville State: KY Country: USA Zipcode: 40202 − Attention: Mr Ed Henson 1

9−16. Name of Contact Representative Name: Henson Media, Inc. Phone Number: 502−589−0060 Company: Fax Number: Street: 427 Starks Building E−Mail: edhenson1@cs.com 455 South 4th Street City: Louisville State: KY Country: USA Zipcode: 40202− Attention: Relationship: 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

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) 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 4


Document Created: 2019-05-24 17:57:31
Document Modified: 2019-05-24 17:57:31
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