Application Form

This document pretains to SES-STA-20060221-00274 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:

Wal-Mart Stores, Inc. 479-277-3387
479-936-2486
702 S.W. 8th Street [email protected]
Licensing Department 8916
Bentonville AR
USA 72716 -0500
Jim Fielding

C. Douglas Jarrett 2024344282
Keller and Heckman LLP 2024344646
Suite 500 West E-Mail: [email protected]
1001 G Street
Washington DC
USA 20001 -
Elizabeth Buckley 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
02/17/2006
7. CityPineville 8. Latitude
(dd mm ss.s h)
36 30 6.0 N
9. State MO 10. Longitude
(dd mm ss.s h)
94 15 57.0 W
11. Please supply any need attachments.
Attachment 1: Request for STA Attachment 2: Form312Application Attachment 3: Form312Attach
12. Description. Applicant seeks Special Temporary Authority to cover current operations. An application for modification of the regular authority, E940457, will be submitted upon receipt of a fully executed Coordination letter with PanAmSat and SES Americom.
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
Jim Fielding
15. Title of Person Signing
Wireless Development/Satellite Network
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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