Application Form [pdf]

This document pretains to SES-STA-20050222-00211 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2005022200211_418901

                                                                                                    Approved by OMB
                                                                                                           3060−0678

                               APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
WB Holdings 1 CP 1000 STA EXT
    1. Applicant

              Name:        WB Holdings 1 LLC            Phone Number:               720−554−7400
              DBA Name:                                 Fax Number:
              Street:      5970 Greenwood Plaza Blvd.   E−Mail:
                           Suite 300
              City:        Greenwood Village            State:                      CO
              Country:     USA                          Zipcode:                    80111       −
              Attention:   Mr David M. Brown




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    2. Contact

                 Name:        Damon C. Ladson                    Phone Number:                       202−730−1315
                 Company:     Harris, Wiltshire & Grannis, LLP   Fax Number:                         202−730−1301
                 Street:      1200 18th Street, NW               E−Mail:                             dladson@harriswiltshire.com
                              10th Floor
                 City:        Washington                         State:                               DC
                 Country:     USA                                Zipcode:                            20036         −
                 Contact      Technical Policy Advisor           Relationship:                        Same
                 Title:


    3. Reference File Number SESSTA2004091001371
    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
          05/01/2005
    7. CityCONUS                                                            8. Latitude
                                                                            (dd mm ss.s h)   0   0   0.0    N




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    9. State                                                                   10. Longitude
                                                                               (dd mm ss.s h)     0   0   0.0   W
    11. Please supply any need attachments.
    Attachment 1: Description                         Attachment 2: Technical Material                    Attachment 3: Radiation Hazard


    12. Description.   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
        Applicant requests an extension of its STA authorizing blanket operation of up to 1,000
        earth stations (’consumer premises’ or ’CP’ terminals)commencing upon expiration of its
        current STA (04/30/2005)and continuing for 180 days. See Exhibits [1, 2 and 3] for
        additional detail regarding this application.



    13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes            No
    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.


    14. Name of Person Signing                                                 15. Title of Person Signing
      David M. Brown                                                             VP, WildBlue, Manager, WB Holdings 1 LLC
               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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Document Created: 2019-04-23 22:39:53
Document Modified: 2019-04-23 22:39:53

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