Application Form [pdf]

This document pretains to SES-RWL-20090129-00095 for Renewal on a Satellite Earth Station filing.

IBFS_SESRWL2009012900095_691205

                                                                                                              Approved by OMB
                                                                                                                     3060−1066

                                                 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:
Renewal of Intelsat North America LLC’s Clarksburg, MD Earth Station KA258
1. Applicant
           Name:        Intelsat North America LLC       Phone Number:              202−944−7848
           DBA Name:                                     Fax Number:                202−944−7870
           Street:      c/o Intelsat Corporation         E−Mail:                    susan.crandall@intelsat.com
                        3400 International Drive, N.W.
           City:        Washington                       State:                     DC
           Country:     USA                              Zipcode:                   20008        −     3006

           Attention:   Susan H Crandall




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2. Contact

             Name:        Intelsat North America LLC           Phone Number:                        202−944−7848
             Company:                                          Fax Number:                          202−944−7870
             Street:      c/o Intelsat Corporation             E−Mail:                              susan.crandall@intelsat.com
                          3400 International Drive, N.W.
             City:        Washington                           State:                               DC
             Country:     USA                                  Zipcode:                             20008     −     3006
             Attention:   Susan H. Crandall                    Relationship:                        Legal Counsel


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
   SESMOD2005072600972                                                       2005−09−09 00:00:00.0
(c)Call Sign                                                              (d)Location
   KA258                                                                     Clarksburg, Maryland
(e)Nature of Service                                                      (f)Class of Station
   International/Domestic Fixed Satellite                                    Fixed Satellite Transmit/Receive Earth Station (CGX)



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(g)Expiration Date                                                           Petition to reinstate:
   2009−03−31 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−T/C−20070815−01099Date 12/19/2007




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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: Renewal of existing license



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)   Limited Liablility Company



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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
  Susan H. Crandall                                                        Asst. General Counsel, Intelsat Corporation
           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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Document Created: 2019-04-14 23:49:17
Document Modified: 2019-04-14 23:49:17

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