Application Form

This document pretains to SES-STA-20040210-00208 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:

Meredith Corporation - WNEM 702-851-0303
702-894-9130
1716 Locust Street
Des Moines IA
USA 50309 -3023
Joseph L. Snelson, Jr.

Kevin P. Latek, Esq. 202-776-2000
Dow, Lohnes & Albertson, PLLC 202-776-2222
1200 New Hampshire Avenue, NW E-Mail:
Suite 800
Washington DC
USA 20036 -
Legal Counsel
3. Reference File Number SESLICINTR200400230
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
02/14/2004
7. CityBay City 8. Latitude
(dd mm ss.s h)
43 26 0.0 N
9. State MI 10. Longitude
(dd mm ss.s h)
83 56 17.0 W
11. Please supply any need attachments.
Attachment 1: Attach. 1 Attachment 2: Attachment 3:
12. Description. PLEASE SEE ATTACHMENT 1.
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
JOSEPH L. SNELSON, JR.
15. Title of Person Signing
VICE-PRESIDENT/DIRECTOR OF ENGINEERING
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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