Application Form

This document pretains to SES-STA-20050406-00396 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:

The Boeing Company 206-544-6502
206-544-6592
Attn [email protected]
PO Box 3707
Seattle WA
USA 98124 -2207
Mr Rex D Miller

Bruce A. Olcott 202 626-6615
Squire, Sanders & Dempsey LLP 202 626-6780
1201 Pennsylvania Avenue, N.W. E-Mail: [email protected]
P.O. Box 0407
Washington DC
USA 20004 -0407
Attorney 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 CGX - Fixed Satellite Transmit/Receive Earth Station
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
04/24/2005
7. Cityvarious 8. Latitude
(dd mm ss.s h)
34 15 10.3 N
9. State CA 10. Longitude
(dd mm ss.s h)
118 35 39.1 W
11. Please supply any need attachments.
Attachment 1: Narrative & Rad Had Attachment 2: Canoga Park Form 312 Attachment 3: Littleton Form 312
12. Description. Boeing requests Special Temporary Authority for a period of up to 30 days to use existing earth stations in Canoga Park, California and Littleton, Colorado to support the launch of the Spaceway F1 satellite. A further description is attached along with FCC Form 312s and radiation hazard studies for each of the earth stations.
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
Rex D. Miller
15. Title of Person Signing
Manager, Boeing Spectrum Management
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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