Application Form [pdf]

This document pretains to SES-STA-20070806-01039 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2007080601039_580854

                                                                                                         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:
Ku−Band 1.5m No. 2 STA for Flushing NY 2007 Tennis Tournament
    1. Applicant

              Name:        BT Americas Inc.            Phone Number:                703−755−6733
              DBA Name:                                Fax Number:                  703−755−6740
              Street:      11440 Commerce Park Drive   E−Mail:                      linda.cicco@bt.com


              City:        Reston                      State:                       VA
              Country:     USA                         Zipcode:                     20191       −
              Attention:   Ms Linda J Cicco




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    2. Contact

                 Name:         Linda J. Cicco                      Phone Number:                          703 755 6733
                 Company:      BT Americas Inc.                    Fax Number:                            703 755− 6740
                 Street:       11440 Commerce Park Drive           E−Mail:                                linda.cicco@bt.com
                               Suite 5041
                 City:         Reston                              State:                                 VA
                 Country:      USA                                 Zipcode:                               20191       −
                 Attention:    Regulatory Compliance Manager       Relationship:                          Other


    (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
          08/20/2007
    7. CityFlushing                                                           8. Latitude
                                                                              (dd mm ss.s h)    40   45    0.3    N


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    9. State   NY                                                              10. Longitude
                                                                               (dd mm ss.s h)     73   51   6.2   W
    11. Please supply any need attachments.
    Attachment 1: 1.5M 312B                           Attachment 2: 1.5M Rad Haz                         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 for operation of a two 1.5 meter, two 1.9 meter and one 1. meter KU band
        transportable earth stations to cover the USTA tennis tournament in Flushing, NY from
        August 20 thru September 15, 2007. Separate requests being filed for each antenna.




    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
      Linda J . Cicco                                                            Reg Compliance Manager
               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: 2019-04-24 01:32:03
Document Modified: 2019-04-24 01:32:03

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