Application Form SES-STA-20031003-01365

Application Form

This document pretains to SES-STA-20031003-01365 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:

2.4 Meter Ku-Band Earth Station at Bristol, PA

1. Applicant

Name:	Jones Apparel Group	Phone Number:	914-640-4336
DBA Name:		Fax Number:	914-640-3447
Street:	1129 Westchester Avenue	E-Mail:	[email protected]

City:	White Plains	State:	NY
Country:	USA	Zipcode:	10604 -
Attention:	Mary K DeCola

2. Contact

Name:	Mary DeCola	Phone Number:	914-640-4336
Company:	Jones Apparel Group	Fax Number:	914-640-3447
Street:	1129 Westchester Avenue	E-Mail:	[email protected]

City:	White Plains	State:	NY
Country:	USA	Zipcode:	10604 -
Contact Title:	Manager, Telecommunications	Relationship:	Same

3. Reference File Number SESLIC2003100101353

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
11/01/2003

7. CityBristol

8. Latitude
(dd mm ss.s h) 40 6 50.0 N

9. State

10. Longitude
(dd mm ss.s h) 74 53 10.0 W

11. Please supply any need attachments.

Attachment 1:

Attachment 2:

Attachment 3:

12. Description. To request an authorization to install a 2.4 meter transmit/receive Ku-band earth station at Bristol, PA to provide two-way backhaul service working with the Hughes Network Systems ('HNS') hub located at the Germantown, MD under call sign E881109.

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

14. Name of Person Signing
Mary DeCola

15. Title of Person Signing
Manager, Telecommunications

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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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.