Application Form [pdf]

This document pretains to SES-RWL-20181108-03207 for Renewal on a Satellite Earth Station filing.

IBFS_SESRWL2018110803207_1587111

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: E040067 Renewal 1. Applicant Name: Elkhart Community Schools Phone Number: 574−262−5660 DBA Name: Fax Number: 574−262−5700 Street: 2424 California Road E−Mail: ahunt@wvpe.org City: Elkhart State: IN Country: USA Zipcode: 46514 − Attention: Anthony Hunt 1

2. Contact Name: Barry S. Persh Phone Number: 202−776−2458 Company: Gray Miller Persh LLP Fax Number: Street: 1200 New Hampshire Ave NW E−Mail: bpersh@graymillerpersh.com Suite 410 City: Washington State: DC Country: USA Zipcode: 20036 − Attention: 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 SESREG2004020400170 2004−03−12 00:00:00.0 (c)Call Sign (d)Location E040067 Elkhart, IN (e)Nature of Service (f)Class of Station Domestic Fixed Satellite Service Receive Only Earth Station (CGO) 2

(g)Expiration Date Petition to reinstate: 2019−02−04 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: None 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? If YES when: Yes No N/A (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 3

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Individual Unincorporated Association Partnership Corporation Governmental Entity Other (please specify) 12. Please supply any need attachments. 1: 2: 3: CERTIFICATION 13. Typed Name of Person Signing 14. Title of Person Signing Karen S. Carter President, Board of School Trustees 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). FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT The public reporting for this collection of information is estimated to average 2.25 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the Federal Communications Commission, AMD−PERM, Paperwork Reduction Project (3060−1066), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to PRA@fcc.gov. PLEASE DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. Remember − You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060−1066. THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507. 5


Document Created: 2019-04-24 19:10:03
Document Modified: 2019-04-24 19:10:03
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