Application Form SES-STA-20100217-00211

Application Form

This document pretains to SES-STA-20100217-00211 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:

Extension of STA for Earth Station KL92 to Provide LEOP Services for the Intelsat 16 Satellite

1. Applicant

Name:	PanAmSat Licensee Corp.	Phone Number:	202-944-7848
DBA Name:		Fax Number:	202-944-7870
Street:	c/o Intelsat Corporation	E-Mail:	[email protected]
	3400 International Drive, N.W.
City:	Washington	State:	DC
Country:	USA	Zipcode:	20008 -3006
Attention:	Susan H Crandall

2. Contact

Name:	PanAmSat Licensee Corp.	Phone Number:	202-944-7848
Company:		Fax Number:	202-944-7870
Street:	c/o Intelsat Corporation	E-Mail:	[email protected]
	3400 International Drive, N.W.
City:	Washington	State:	DC
Country:	USA	Zipcode:	20008 -3006
Attention:	Susan H. Crandall	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 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

7. CityCastle Rock

8. Latitude
(dd mm ss.s h) 39 16 38.0 N

9. State CO

10. Longitude
(dd mm ss.s h) 104 48 25.0 W

11. Please supply any need attachments.

Attachment 1: STA Request

Attachment 2:

Attachment 3:

12. Description. PanAmSat Licensee Corp. herein requests a three-day extension, through February 23, 2010, of the Special Temporary Authority previously granted PanAmSat to use its Castle Rock, Colorado Ku-band earth station, call sign KL92, to provide launch and early orbit phase services for the Intelsat 16 satellite that was launched on February 11, 2010. The LEOP mission will extend through February 23, 2010, at which time the satellite will be at its in-orbit testing location of 48.0 W.L.

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

14. Name of Person Signing
Susan H. Crandall

15. Title of Person Signing
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).

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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.