Application Form

This document pretains to SES-STA-20041129-01755 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:

EchoStar Satellite L.L.C. 303-723-1000
303-723-1699
9601 South Meridian Blvd.
Englewood CO
USA 80112 -
David K. Moskowitz

Pantelis Michalopoulos 202-429-6494
Steptoe & Johnson LLP 202-429-3902
1330 Connecticut Avenue, N.W. E-Mail: [email protected]
Washington DC
USA 20036 -1795
Legal Counsel
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 CGV - Fixed Satellite VSAT System
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
12/10/2004
7. CityAtlanta 8. Latitude
(dd mm ss.s h)
33 49 50.3 N
9. State GA 10. Longitude
(dd mm ss.s h)
84 20 26.5 W
11. Please supply any need attachments.
Attachment 1: Narrative Attachment 2: Freq. Coordination Attachment 3: Rad. Hazard
12. Description. This is an application for special temporary authority for up to 60 days to operate a hub earth station and up to 100 remote terminals in conjunction with the AMC-15 satellite at the 117W orbital location.
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
David K. Moskowitz
15. Title of Person Signing
Executive Vice President and General Counsel
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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