Application Form [pdf]

This document pretains to SES-REG-INTR2018-08460 for Earth Station Registration on a Satellite Earth Station filing.

IBFS_SESREGINTR201808460_1558208

Approved by OMB 3060−0678 Date & Time Filed: Oct 16 2018 3:09:26:680PM File Number: SES−REG−INTR2018−08460 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 Las Vegas Nevada 1−8. Legal Name of Applicant Name: Gene Munari Phone Number: −− DBA Reading, Writing, Arithmetic Fax Number: Name: Street: 6455 Dean Martin Drive E−Mail: Suite L City: Las Vegas State: NV Country: USA Zipcode: 89118 − Attention: Mr Gene Munari 1

9−16. Name of Contact Representative Name: Don Hesskamp Phone Number: 702−557−0792 Company: Fax Number: Street: 6455 Dean Martin Drive E−Mail: dhesskamp@gmail.com Suite L City: Las Vegas State: NV Country: USA Zipcode: 89118− Attention: Don Hesskamp Relationship: Engineer 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): Low Power FM 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: (a) Call sign of station: Not Applicable Not Applicable (b) File number of pending application: 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 4


Document Created: 2019-04-21 09:57:23
Document Modified: 2019-04-21 09:57:23
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