Attachment Extension grant

This document pretains to SES-STA-20051004-01368 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2005100401368_458207

£o roos sesstasnsmeomee imssoorm ViaSat nc Approved by OMB 3060—0578 Arpuication For EArT starion SPECIAL TevroraRy AurHoRITY APPLICANT INFORMATIONEner a description ofthis application to identify it on the main menu: STA for operation ofnew parameters in support of Katrina id tllgrant T. Applicant Name: ViaSatInc. reo—are—2s83 DBA Name: Fax Number: 760—929—3041 Streets 6155 E1CaminoReal r—mail: darythunter@viasat.com Ciy: Carlsad State: ca Country: USA Zipeote: s2000 — Aftention: M Dary! T Hunter PE

2. Contact Name: Daryl T. Hunter, RE. Phone Number: reo—a76—2s83 Company: VisSat, Inc. Fax Number: 760—020—3041 Street: 6155 El Camino Real E—Mail: darythunter@viasatcom Cig: Carisbad State: ca Country: USA Zipeote: s2000 — Attention: Mr Daryi T Hunter, PE Retationship: Engineer [your applieation i elatedto an application filed withthe Commision, enter eithethefle number or th IB Submissin TD ofherelated application. Pease enter only one) 3. Reference File Number SESMODINTR200502274. oSubmission ID ‘s. 1 fee submited with his application? © If Ves,complete and attach FCC Form 159. No,indicatereason for fee exemption(se 47 CR Section 1.1114) @ GovernmentalEntiy ¢y Noncommercil educationallcensce @ Othertplease explain: [d Fee Classification COV — Fixed Stelite VSAT System 5: Type Request @ Use Priorto Grant @ ChangeStition Location g Ober (6. Requested Use Prior Date tomeans 7.Giy 8. Latinde (Gmmssst) 0 0 00

9. Stre 10. Longinde (Gammssst) 0 0. 00 11. lease supply any need atachments. Atachment 1s Atachment 2: Atachment 3: 12. Descrition._(Ife complete descripion docs not appear in this box, lease got e end of the omm to view iin is enirely) STA extension to continue to operate network supporting FRN\ operations for hurricane Ratzina until requested license mod is granted. 13. By checking Yes, the undersigned certfiestht neither applcant nor any other partyto the application is Yes oxe subject t a denial f Federal benefits that includes FCC benefitspursuantto Section 5301 of he Anti—Drug Act of 1988, 21 U. Section $62, because of a comviction for possssionodistbation f a contralled substance. See 47 CFR 1.2002(b)for the meaningof &quotpartyto the appliction&quot for hese purposes. 14. Name of Peson Signing 15. Te o Person Signing Daryl T. Hunte, PE Sr Systems Engineer WILLEUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT (U.S. Code,Tile 18 Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION (US. Code,Tite 47, Section 312(a)(1), AND/OR FORFEITURE (U.5. Code, Tile 47, Section 503)

ree Nomick Requrrep By ThE rAPERWORK REDUCTION ACT "The publicreporting for this collection ofinformation esimated t average2 hours perresponse,including thetime for reviewing instrctions, searching existing data sources, athering and maintaiing the required data,and completing and reviewing the colletionoinformation. Ifyou have any comments on this brden estimate, or how we can improve the collection and reduce theburden causes you, please write to he Federal Communications Commission, AMD—PERM, Paperwork Reduction Project (3060—0676), Washington, DC 20554. We will also accept your commentsregarding the Paperwork Reduction Actaspectsofthiscallction via theIterncifyou send them to boley@ec.gov. PLEASE bo Nor sEND coPLETED FoRMs To THis Abpress. Remember ~ You arenotrequired to respond to a cllection ofinformation sponsored by the Federal government, and the government may not conductor sponsor this callction, unless t dislays a currently valid OMB contol nurmberorif wfail o provide you with this notice. This collectionhasbeenassigned an OMB control number of3060—0678 TiFoREGOING NOTICE is REQUIRED By TE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104—13, OCTOBER 1, 1995, 41 U.s.C. SECTION 3807.


Document Created: 2005-10-05 11:04:29
Document Modified: 2005-10-05 11:04:29
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