Application Form

This document pretains to SES-STA-20030515-00669 for Special Temporal Authority on a Satellite Earth Station filing.

Approved by OMB
3060-0678
APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY


APPLICANT INFORMATION

Enter a description of this application to identify it on the main menu:

Northrop Grumman Systems Corporation 202-508-9519
202-371-9700
1299 Pennsylvania Avenue, N.W., 10th Floor [email protected]
Washington DC
USA 20004 -
David R Siddall

David R. Siddall 202-508-9519
Paul, Hastings, Janofsky & Walker LLP 202-371-9700
1299 Pennsylvania Avenue, N.W. E-Mail: [email protected]
10th Floor
Washington DC
USA 20004 -
Of Counsel Legal Counsel
3. Reference File Number SESLIC2003050800613
4a. 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):

4b. Fee Classification CGX - Fixed Satellite Transmit/Receive Earth Station
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
06/01/2003
7. CityCONUS 8. Latitude
(dd mm ss.s h)
0 0 0.0
9. State 10. Longitude
(dd mm ss.s h)
0 0 0.0
11. Please supply any need attachments.
Attachment 1: Exhibit A Attachment 2: Attachment 3:
12. Description. SEE Exhibit A - Request for Special Temporary Authority
13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is subject to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti-Drug Act of 1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the meaning of "party to the application" for these purposes. Yes No
14. Name of Person Signing
John H. Mullan
15. Title of Person Signing
Corporate Vice President and Secretary
WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT
(U.S. Code, Title 18, Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION
(U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503).



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