Application Form [pdf]

This document pretains to SES-STA-20050613-00741 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2005061300741_436349

                                                                                                    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:
Saipan STA Request
    1. Applicant

              Name:        Vision Accomplished, Inc. d/b/a   Phone Number:          805−981−8740
                           Transvision International
              DBA Name:                                      Fax Number:            805−981−8738
              Street:      550 Maulhardt Ave                 E−Mail:


              City:        Oxnard                            State:                 CA
              Country:     USA                               Zipcode:               93030       −
              Attention:   Ms. Maria Costa




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    2. Contact

                 Name:         Frank R. Jazzo, Esq.                Phone Number:                        703−812−0400
                 Company:      Fletcher, Heald & Hildreth, P.L.C. Fax Number:                           703−812−0486
                 Street:       1300 N. 17th Street, 11th Fl.       E−Mail:                              jazzo@fhhlaw.com


                 City:         Arlington                           State:                               VA
                 Country:      USA                                 Zipcode:                             22209       −
                 Attention:                                        Relationship:                        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


    7. CitySaipan                                                             8. Latitude
                                                                              (dd mm ss.s h)   15   7   34.0    N




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    9. State   MP                                                              10. Longitude
                                                                               (dd mm ss.s h)     145   44   12.0    E
    11. Please supply any need attachments.
    Attachment 1: Letter Request                      Attachment 2: Radiation Hazard                     Attachment 3: Technical Parameters


    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.)
        The applicant requests Special Temporary Authority to temporarily operate three 2.4 meter
        C−band earth station antennas at Saipan International Airport, Saipan, MP (Mariana
        Islands), communicating with the PAS8 satellite, on June 24−29, 2005. Attached are the
        technical parameters of the proposed facility − two antennas are identical, Vertex 2.4



    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
      Kimithy Vaughn                                                             President
               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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Remember − You are not required to respond to a collection of information sponsored by the Federal government, and the government may not
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collection has been assigned an OMB control number of 3060−0678.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.




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12. Description

The applicant requests Special Temporary Authority to temporarily operate three 2.4 meter C−band
earth station antennas at Saipan International Airport, Saipan, MP (Mariana Islands),
communicating with the PAS8 satellite, on June 24−29, 2005. Attached are the technical parameters
of the proposed facility − two antennas are identical, Vertex 2.4 meter, and the third antenna is
a Gigasat 2.4 meter.




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Document Created: 2019-04-27 10:18:57
Document Modified: 2019-04-27 10:18:57

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