Application Form [pdf]

This document pretains to SES-STA-20030814-01139 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2003081401139_329584

                                                                                                           Approved by OMB
                                                                                                                  3060−0678

                                APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
STA Request for Flushing, NY Tennis Tournament − KU Band TES45
    1. Applicant

              Name:        BT Americas Inc.          Phone Number:                  703−775−6733
              DBA Name:                              Fax Number:                    703−755−6740
              Street:      11911 Freedom Drive       E−Mail:                        linda.cicco@btna.com
                           11th Flr.
              City:        Reston                    State:                         VA
              Country:     USA                       Zipcode:                       20190       −
              Attention:   Ms Linda J Cicco




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    2. Contact

                 Name:         Linda J. Cicco                     Phone Number:                         703 755 6733
                 Company:      BT Americas Inc.                   Fax Number:                           703 755− 6740
                 Street:       11440 Commerce Park Drive          E−Mail:                               linda.cicco@btna.com
                               Suite 5041
                 City:         Reston                             State:                                VA
                 Country:      USA                                Zipcode:                              20191       −
                 Contact       Regulatory Compliance Manager      Relationship:                         Other
                 Title:


    3. Reference File Number
    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
          08/20/2003
    7. CityFlushing                                                          8. Latitude
                                                                             (dd mm ss.s h)   40   45    0.3    N




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    9. State   NY                                                              10. Longitude
                                                                               (dd mm ss.s h)     73   51    6.2   W
    11. Please supply any need attachments.
    Attachment 1: ltr to FCC                          Attachment 2: Schedule B                           Attachment 3: Rad Haz


    12. Description.   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
        STA request for operation of a 2.2 meter KU−Band temporary fixed station to cover the USTA
        tennis tournament in Flushing, NY August 20 thru September 15, 2003.




    13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes            No
    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.


    14. Name of Person Signing                                                 15. Title of Person Signing
      A. Sheba Chacko                                                            Asst. 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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Document Created: 2019-04-21 19:14:34
Document Modified: 2019-04-21 19:14:34

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