Application Form [pdf]

This document pretains to SES-STA-20070928-01332 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2007092801332_595832

                                                                                                       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:
Selawik, AK (E2199)
    1. Applicant

              Name:        Alascom, Inc.             Phone Number:                  770−602−2065
              DBA Name:                              Fax Number:                    770−929−4454
              Street:      2315 Salem Road           E−Mail:                        jvaughan@att.com
                           First Floor, H9
              City:        Conyers                   State:                         GA
              Country:     USA                       Zipcode:                       30013       −
              Attention:   Jane M Vaughan




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    2. Contact

                 Name:         Alascom, Inc.                       Phone Number:                          770−602−2065
                 Company:      Alascom, Inc.                       Fax Number:                            770−929−4454
                 Street:       2315 Salem Road                     E−Mail:                                jvaughan@att.com


                 City:         Conyers                             State:                                 GA
                 Country:      USA                                 Zipcode:                               30013       −
                 Attention:    Jane M. Vaughan                     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 or Submission ID IB2007002339
    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


    7. CitySelawik                                                            8. Latitude
                                                                              (dd mm ss.s h)    66   36    24.5   N


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    9. State   AK                                                              10. Longitude
                                                                               (dd mm ss.s h)     160   0   52.9    W
    11. Please supply any need attachments.
    Attachment 1: STA                                 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.)
        We request extension of SES−STA−20070820−01108 which expires 9/29/2007 to enable the move
        of this earth station or grant a new STA for the requested period.




    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
      James J. R. Talbot                                                         Senior Attorney−AT&T Services, Inc.
               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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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: 2019-04-24 20:35:32
Document Modified: 2019-04-24 20:35:32

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