Application Form

This document pretains to SES-STA-20050908-01225 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:

Maritime Telecommunications Network, Inc. 954-538-4000
954-538-4140
3044 N. Commerce Parkway [email protected]
Miramar FL
USA 33025 -
Richard A Hadsall

Raul R. Rodriguez 202-416-6760
Leventhal Senter & Lerman PLLC 202-293-7783
2000 K Street, NW E-Mail: [email protected]
Suite 600
Washington DC
USA 20006 -
Legal Counsel
(If your application is related to an application filed with the Commission, enter either the file number or the IB Submission ID of the related application. Please enter only one.)
3. Reference File Number or Submission ID
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. City 8. Latitude
(dd mm ss.s h) 0 0 0.0
9. State 10. Longitude
(dd mm ss.s h) 0 0 0.0
11. Please supply any need attachments.
Attachment 1: Attachment 1 Attachment 2: Attachment 2 Attachment 3:
12. Description. The applicant requests special temporary authority for a 30-day period to provide temporary-fixed Ku-band service from five earth stations. The authority requested herein will permit the provision of communications services in areas affected by Hurricane Katrina.
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
Richard A. Hadsall 		15. Title of Person Signing
Senior Vice President & CTO
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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