Application Form

This document pretains to SES-STA-20090922-01214 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:

The California Channel 916-444-9792
916-444-9812
1121 L Street [email protected]
Suite 110
Sacramento CA
USA 95814 -
Mr John M Hancock

Steve Moreen 619-501-3936
The California Channel 916-444-9812
1121 L Street E-Mail: [email protected]
Suite 110
Sacramento CA
USA 95814 -
Steve Moreen Engineer
(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 IB2009004652
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
10/01/2009
7. CitySacramento 8. Latitude
(dd mm ss.s h)
38 34 40.5 N
9. State CA 10. Longitude
(dd mm ss.s h)
121 29 30.2 W
11. Please supply any need attachments.
Attachment 1: SES Engr Statement Attachment 2: Attachment 3:
12. Description. The Applicant seeks to add AMC-1 at 103.0 degrees W.L. as a Point of Communication to the earth station license. A letter of Engineering Certification of SES Americom, Inc. is attached which supports the license modification. The Applicant requests the Special Temporary Authority to utilize transponder capacity on AMC-1 beginning October 1, 2009 when its Galaxy 15 transponder capacity expires. An application to modify the earth station license has been submitted.
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
John Hancock
15. Title of Person Signing
President
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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