Application Form

This document pretains to SES-STA-20050222-00211 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:

WB Holdings 1 LLC 720-554-7400
5970 Greenwood Plaza Blvd.
Suite 300
Greenwood Village CO
USA 80111 -
Mr David M. Brown

Damon C. Ladson 202-730-1315
Harris, Wiltshire & Grannis, LLP 202-730-1301
1200 18th Street, NW E-Mail: [email protected]
10th Floor
Washington DC
USA 20036 -
Technical Policy Advisor Same
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
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. 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 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 M. Brown
15. Title of Person Signing
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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