Application Form

This document pretains to SES-STA-20030811-01114 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:

L3 Communications GNS 321-751-4608 x210
321-751-4648
720 North Drive [email protected]
Melbourne FL
USA 32934 -
Mr Michael J Beattie

Mike Beattie 321-751-4608
L3 Communications 321-751-4648
720 North Drive E-Mail: [email protected]
Melbourne FL
USA 32934 -
Dir of Tech Marketing Same
3. Reference File Number SESSTA2003041500467
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 CGB - Mobile Satellite Earth Stations
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
08/20/2003
7. CityMelbourne 8. Latitude
(dd mm ss.s h)
28 5 51.0 N
9. State FL 10. Longitude
(dd mm ss.s h)
80 41 10.0 W
11. Please supply any need attachments.
Attachment 1: RAD Analys Attachment 2: Sites Attachment 3:
12. Description. We will be filing a permanent application in the near future! Please do not start our time-table prior to 20 Aug 2003!!! Request a 60 day window because of coordination & travel issues 8/20/2003 - 10/19/2003?
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
Mike Beattie
15. Title of Person Signing
Dir of Tech Marketing
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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