Application Form

This document pretains to SES-STA-20040311-00363 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:

MCI WORLDCOM Network Services, Inc. (debtor-in-possession) 972-729-6406
972-729-2690
2400 NORTH GLENVILLE 42955/107 [email protected]
RICHARDSON TX
USA 75082 -
LAURA J BIRKELBACH

LAURA J. BIRKELBACH (972)729-6406
MCI WORLDCOM Network Services, Inc. (debtor-in-possession) (972)729-2690
2400 NORTH GLENVILLE 42955/107 E-Mail: [email protected]
RICHARDSON TX
USA 75082 -
Senior Engineer Engineer
3. Reference File Number SESLIC2000113002229
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
03/10/2004
7. CityANDOVER 8. Latitude
(dd mm ss.s h)
44 38 1.2 N
9. State ME 10. Longitude
(dd mm ss.s h)
70 41 51.3 W
11. Please supply any need attachments.
Attachment 1: Attachment 2: Attachment 3:
12. Description. MCI WORLDCOM Network Services, Inc. (debtor-in-possession) ('WorldCom') respectfully requests an extension of its Special Temporary Authorization ('STA'), SES-STA-20030306-00275 (which was granted on 3/10/03, and subsequently renewed on 8/19/03 with SES-STA-20030821-01187), from the current expiration date of March 10, 2004, to September 10, 2004. WorldCom is operating under this STA while its modification application to add Intersputnik Express 3A as a point of communication is pending before the Commission (File No. SES-MOD-20021125-02060).
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
LAURA J BIRKELBACH
15. Title of Person Signing
SENIOR ENGINEER
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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