Application Form [pdf]

This document pretains to SES-STA-20091027-01369 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2009102701369_772645

                                                                                                        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:
Call Sign 090001 STA Renewal Application starting 11/04/2009
    1. Applicant

              Name:        KVH Industries, Inc.      Phone Number:                  401−845−8148
              DBA Name:                              Fax Number:                    401−845−8116
              Street:      50 Enterprise Center      E−Mail:                        ffeingold@kvh.com


              City:        Middletown                State:                         RI
              Country:     USA                       Zipcode:                       02842       −
              Attention:   Ms Felise Feingold




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    2. Contact

                 Name:         Carlos Nalda                        Phone Number:                        202−626−6659
                 Company:      Squire, Sanders & Dempsey L.L.P. Fax Number:
                 Street:       1201 Pennsylvania Avenue, NW        E−Mail:                              CNalda@ssd.com
                               Suite 500
                 City:         Washington                          State:                                DC
                 Country:      USA                                 Zipcode:                             20004         −
                 Attention:    Mr. Carlos Nalda                    Relationship:                         Legal Counsel


    (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 SESSTA2009083101093 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    CGB − Mobile Satellite Earth Stations
    5. Type Request

        Use Prior to Grant                                Change Station Location                             Other


    6. Requested Use Prior Date
          11/04/2009
    7. City                                                                   8. Latitude
                                                                              (dd mm ss.s h)    0   0   0.0


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    9. State                                                                   10. Longitude
                                                                               (dd mm ss.s h)     0   0   0.0
    11. Please supply any need attachments.
    Attachment 1: Narrative Statement                 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.)
        KVH requests a 60−day extension of the Special Temporary Authority granted under Call Sign
        E090001, File No. SES−STA−20090831−01093, to permit the continued operations of up to 600
        earth stations on vessels via the gateway earth station located in Kapolei, HI (Call Sign
        E010236).



    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
      Felise Feingold                                                            Vice President and Geneal 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: 2019-04-23 12:32:02
Document Modified: 2019-04-23 12:32:02

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