Application Form [pdf]

This document pretains to SES-STA-20071102-01517 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2007110201517_603635

                                                                                                             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 Renewal for KA313
    1. Applicant

              Name:        Vizada Satellite, Inc.    Phone Number:                  301−838−7860
              DBA Name:                              Fax Number:                    301−838−7752
              Street:      1101 Wootton Parkway      E−Mail:                        keith.fagan@vizada.com
                           10th Floor
              City:        Rockville                 State:                         MD
              Country:     USA                       Zipcode:                       20852       −
              Attention:   Keith H Fagan




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    2. Contact

                 Name:         Vizada Satellite, Inc.               Phone Number:                         301−838−7860
                 Company:                                           Fax Number:                           301−838−7752
                 Street:       1101 Wootton Parkway                 E−Mail:                               keith.fagan@vizada.com
                               10th Floor
                 City:         Rockville                            State:                                MD
                 Country:      USA                                  Zipcode:                              20852       −
                 Attention:    Keith H Fagan                        Relationship:


    (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 SESMFS2005112301627 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
          11/18/2007
    7. CitySouthbury                                                           8. Latitude
                                                                               (dd mm ss.s h)   41   27    6.3    N


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    9. State   CT                                                              10. Longitude
                                                                               (dd mm ss.s h)     73   17    16.4   W
    11. Please supply any need attachments.
    Attachment 1: Need Showing                        Attachment 2: Ownership Statement                  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.)
        Applicant Vizada Satellite, Inc. (VSI) requests renewal of special temporary authority to
        allow its Southbury, CT earth station KA313 to continue operating with the Inmarsat 4F2
        satellite.




    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
      Keith H. Fagan                                                             Senior 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: 2019-04-21 14:40:09
Document Modified: 2019-04-21 14:40:09

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