Application Form [pdf]

This document pretains to SES-RWL-20040505-00636 for Renewal on a Satellite Earth Station filing.

IBFS_SESRWL2004050500636_371664

                                                                                                            Approved by OMB
                                                                                                                   3060−0678

                                                 FORM 312−R APPLICATION
                                     FOR RENEWAL OF RADIO LICENSE IN SPECIFIED SERVICES
                                                   FOR OFFICIAL USE ONLY

APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
E940229 Renewal Application
1. Applicant
           Name:        Brown University in the State of   Phone Number:            401−863−2007
                        Rhode Island and Providence
                        Plantations
           DBA Name:                                       Fax Number:              401−863−7329
           Street:      Box 1885                           E−Mail:                  kara_kelley@brown.edu


           City:        Providence                         State:                   RI
           Country:     USA                                Zipcode:                 02912       −    1885

           Attention:   Ms Kara C Kelley




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2. Contact

             Name:        Peter Tannenwald                     Phone Number:                     202−728−0400
             Company:     Irwin, Campbell & Tannenwald, P. Fax Number:                           202−728−0354
                          C.
             Street:      1730 Rhode Island Ave., N.W.         E−Mail:                           ptannenwald@ictpc.com
                          Suite 200
             City:        Washington                           State:                            DC
             Country:     USA                                  Zipcode:                          20036      −     3101
             Contact      Attorney                             Relationship:                     Legal Counsel
             Title:


RENEWAL INFORMATION
3. Rulepart under which this filing is made    Rulepart 25


4. 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):


5. Application is for renewal of license in exact conformity with the
existing license as specified below:
(a)File Number                                                             (b)Date Issued
   SESLIC1994031401714                                                        1994−06−03 00:00:00.0
(c)Call Sign                                                               (d)Location
   E940229                                                                    Providence, RI



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(e)Nature of Service                                                        (f)Class of Station
   Domestic Fixed Satellite Service                                            Fixed Satellite Transmit/Receive Earth Station (CGX)
(g)Expiration Date                                                           Petition to reinstate:
   2004−06−03 00:00:00.0
6. Note any changes such as discontinuance of use of a frequency, or of a type of emission or of a transmitter which have been made since the last
application covering this station was filed:




Items 7(a) and (b) apply to Part 21 licenses only.
7(a) Has there been removal of equipment or alteration of facilities as to render the Station not operational?                            Yes
                                                                                                                                          No
                                                                                                                                          N/A

If YES when:



(b) If this is a Multipoint Distribution Service (MDS) station, is there a ownership interest in control by, affiliation   Yes
with, or leasing arrangement with a cable television company?
                                                                                                                           No
                                                                                                                           N/A




8. Applicant represents that there has been no change in applicant’s organization and that there has been no transfer of control or changes in the
applicant’s relation to the station, or financial responsibility; that applicants most recent application or report embodying this information, as
identified below, is to be considered as a part of this application, and the truth of the statements therein contained is hereby reaffirmed. Note
here any further exceptions, not already covered in question 6 or 7.
File Number SES−RWL−20010917−01679Date 09/26/2001




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9. Would a Commision grant of this application come within 47 CFR 1.1307, such that it may have a significant environmental                Yes
impact?
                                                                                                                                           No
                                                                                                                                           N/A

If YES, attach as an Exhibit an Environmental Assessment required by 47 CFR 1.1311:
If NO, Explain briefly why not: No change in existing facility, which was evaluated at time of initial licensing.



10. Certification: The applicant certifies that, in the case of an individual applicant, he or she is not subject to a denial of federal   Yes
benefits pursuant to section 5301 of Anti−Drug Abuse Act of 1988, 21 U.S.C. 853a, or, in the case of a nonindividual applicant (e.
                                                                                                                                           No
g., corporation, partnership or other unincorporated association), no party to the application is subject to denial of federal benefits
pusuant to that section. For the definition of a "party" for these purposes, see 47 CFR 1.2002(b).
a. 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 a station
license in accordance with this application. Applicant acknowledges that all attached exhibits are a material part hereof.
b. The undersigned, individually and for the applicant, hereby certifies that the statements made in this application are true,
complete and correct to the best of the signer’s knowledge and belief, and are made in good faith.


 11. Designate Appropriate Classification:


    Individual
    Unincorporated Association
    Partnership
    Corporation
    Governmental Entity
    Other (please specify)   Private University



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12. Please supply any need attachments.
1:                                               2:                                               3:
CERTIFICATION
13. Typed Name of Person Signing                                         14. Title of Person Signing
  Ellen Waite−Franzen                                                      Vice Pres. of Computing and Information Services
           WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / ORIMPRISONMENT
                  (U.S. Code, Title 18, Section1001), AND/OR REVOCATION OF ANY STATIONAUTHORIZATION
                   (U.S. Code, Title 47, Section312(a)(1)), AND/OR FORFEITURE (U.S. Code,Title 47, Section 503).

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THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER
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Document Created: 2019-04-25 19:55:57
Document Modified: 2019-04-25 19:55:57

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