Application Form

This document pretains to SES-RWL-INTR2018-04728 for Renewal on a Satellite Earth Station filing.

Approved by OMB
3060-1066
FORM 312-R APPLICATION
FOR RENEWAL OF RADIO LICENSE IN SPECIFIED SERVICES

FOR OFFICIAL USE ONLY

APPLICANT INFORMATION


1. Applicant
Raven Radio Foundation 907 747 5877
360 Egan Drive [email protected]
Juneau State: AK
USA 99801 -
Ms. Robin Sherman
2. Contact
Rich Parker 907 209 9620
CoastAlaska
360 Egan Drive [email protected]
Juneau AK
USA 99801 -
Director of Engineering Engineer

RENEWAL INFORMATION

3. Rulepart under which this filing is made Rulepart 73
4. Is a fee submitted with this application?
If Yes, complete and attach FCC Form 159.


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
SESMOD2016051200415
(b)Date Issued
2016-06-28 00:00:00.0
(c)Call Sign
E030267
(d)Location
Sitka, AK
(e)Nature of Service
Fixed Satellite Service
(f)Class of Station
Receive Only Earth Station (CGO)
(g)Expiration Date
2018-10-31 00:00:00.0
Petition to reinstate:
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 with, or leasing arrangement with a cable television company? Yes
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-MOD-20160512-00415Date 06/28/2016
9. Would a Commision grant of this application come within 47 CFR 1.1307, such that it may have a significant environmental impact? Yes
No
N/A
If YES, attach as an Exhibit an Environmental Assessment required by 47 CFR 1.1311:
If NO, Explain briefly why not: Receive Only
10. Certification: The applicant certifies that, in the case of an individual applicant, he or she is not subject to a denial of federal 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.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). Yes
No
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) Non-Profit

12. Please supply any need attachments.

1: 2: 3:

CERTIFICATION

13. Typed Name of Person Signing
Rich Parker
14. Title of Person Signing
Director of Engineering
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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