Application Form [pdf]

This document pretains to SES-STA-20060217-00265 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2006021700265_483576

                                                                                                         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:
STA REQUEST E040373
    1. Applicant

              Name:        Radio Vision Cristiana    Phone Number:                  202−293−3860 x4823
                           Management
              DBA Name:                              Fax Number:                    202−293−4827
              Street:      1920 N Street, N.W.       E−Mail:                        jlj@cohnmarks.com
                           Suite 300
              City:        Washington                State:                         DC
              Country:     USA                       Zipcode:                       20036       −1622
              Attention:   Mr Jerold L Jacobs Esq




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    2. Contact

                 Name:         Mr Jerold L Jacobs Esq               Phone Number:                       202−293−3860
                 Company:      Radio Vision Cristiana               Fax Number:                         202−293−4827
                               Management
                 Street:       1920 N Street, N.W.                  E−Mail:                             jlj@cohnmarks.com
                               Suite 300
                 City:         Washington                           State:                               DC
                 Country:      USA                                  Zipcode:                            20036      −1622
                 Attention:    Mr Jerold L Jacobs Esq               Relationship:                        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 SESMOD2006021500252 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):    Non−Profit Corporation


    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
          02/24/2006



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    7. CityPaterson                                                            8. Latitude
                                                                               (dd mm ss.s h)     40   55    7.0   N
    9. State   NJ                                                              10. Longitude
                                                                               (dd mm ss.s h)     74   9    23.0   W
    11. Please supply any need attachments.
    Attachment 1: A                                   Attachment 2: B                                      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.)
        Sess Attachment A




    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
      Peter Polanco                                                              Chief Engineer
               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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The public reporting for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions,
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DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.

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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Document Created: 2019-04-19 18:11:14
Document Modified: 2019-04-19 18:11:14

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