Application Form [pdf]

This document pretains to SES-STA-20060110-00030 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2006011000030_475157

                                                                                                           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:
Request for Temporary Authority to Exceed Authorized EIRP E890949
    1. Applicant

              Name:        QUALCOMM Incorporated     Phone Number:                  858−651−5693
              DBA Name:                              Fax Number:                    858−658−1576
              Street:      5775 Morehouse Drive      E−Mail:                        matella@qualcomm.com
                           Room O−270−I
              City:        San Diego                 State:                         CA
              Country:     USA                       Zipcode:                       92121       −1714
              Attention:   Mr Michael D Atella




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    2. Contact

                 Name:         Brian Jones                         Phone Number:                          858 658 4751
                 Company:      QUALCOMM, Incorporated              Fax Number:
                 Street:       5775 Morehouse Drive                E−Mail:                                brjones@qualcomm.com


                 City:         San Diego                           State:                                 CA
                 Country:      USA                                 Zipcode:                               92121       −1714
                 Attention:    Brian Jones                         Relationship:                          Same


    (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 SESMOD2004121301825 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
          01/15/2006
    7. CitySan Diego                                                          8. Latitude
                                                                              (dd mm ss.s h)    32   53    41.0   N


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    9. State   CA                                                              10. Longitude
                                                                               (dd mm ss.s h)     117   11   41.0    W
    11. Please supply any need attachments.
    Attachment 1: starequestE890949                   Attachment 2:                                      Attachment 3:


    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.)
        STA request to change emission designator with associated EIRP increase.




    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
      Michael Atella                                                             QWBS Legal Counsel
               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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Document Created: 2019-04-23 06:53:25
Document Modified: 2019-04-23 06:53:25

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