Attachment STA grant

This document pretains to SES-STA-20080229-00215 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2008022900215_625711

E040125 SES—STA—20080220—00215 18200800046 Intelsat North America LLC Approved by OMB 3060—0678 APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY APPLICANT INFORMATIONEnter a description ofthis application to identify it on the main menu: STA for Earth Station E040125 to Provide LEOP Services for ICO—G1 Satellite 1. Applicant Name: Intelsat North America LLC Phone Number: 202—944—7848 DBA Name: Fax Number: 202—944—7870 Street: c/o Intelsat Corporation E—Mail: susan.crandall@intelsat.com 3400 International Drive, N.W. City: Washington State: DC Country: USA Zipcode: 20008 —3006 Attention: Susan H Crandall rrormnmmmansnmmmns=ty CalSign £ECYOL2 SGrmns 3/ {/o $

2. Contact Name: Intelsat North America LLC Phone Number: 202—944—7848 Company: Fax Number: 202—944—7870 Street: c/o Intelsat Corporation E—Mail: susan.crandall@intelsat.com 3400 International Drive, N.W. City: Washington State: DC Country: USA Zipcode: 20008 —3006 Attention: Susan H Crandall Relationship: Legal Counsel (If your applicationis 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? @ IfYes, complete and attach FCC Form 159. If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114). eJ Governmental Entity C Noncommercial educational licensee C Other(please explain): 4b. Fee Classification CGX — Fixed Satellite Transmit/Receive Earth Station 5. Type Request O Use Prior to Grant O Change Station Location @ Other 6. Requested Use Prior Date 7. CityNuevo 8. Latitude (ddmmss.sh) 33 47 43.6 N

9. State CA 10. Longitude (dd mmss.s h) 117 5 204 W 11. Please supply any need attachments. Attachment 1: STA Request Attachment 2: Exhibits A — D Attachment 3: 12. Description. (If the complete description does not appearin this box, please go to the end of the form to view it in its entirety.) Intelsat North America LLC herein requests a grant of STA for 30 days, from 04/14/2008 through 05/13/2008, to use its Riverside, California earth station, call sign EO40125, to provide LEOP services for the ICO—G1 satellite that is expected to be launched on 04/14/2008. The LEOP period is expected to last approximately six days. 13. By checking Yes, the undersigned certifics that neither applicant nor any other partyto the application is @ Yos ( 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 forpossession 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 Susan H. Crandall Asst. General Counsel, Intelsat Corporation 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).

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT The public reporting for this collection ofinformation is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collectionof information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the Federal Communications Commission, AMD—PERM, Paperwork Reduction Project (3060—0678), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects ofthis collection via the Internetif you send them to jboley@fee.gov. PLEASE 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 conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This 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.


Document Created: 2008-03-04 11:59:06
Document Modified: 2008-03-04 11:59:06
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