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:

Jones Apparel Group 914-640-4336
914-640-3447
1129 Westchester Avenue [email protected]
White Plains NY
USA 10604 -
Mary K DeCola

Mary DeCola 914-640-4336
Jones Apparel Group 914-640-3447
1129 Westchester Avenue E-Mail: [email protected]
White Plains NY
USA 10604 -
Manager, Telecommunications 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 No
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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