Application Form SES-STA-20100521-00637

Application Form

This document pretains to SES-STA-20100521-00637 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 to use E980076 for receive-only test feeds from Netherlands-licensed NSS-5

1. Applicant

Name:	SES Americom, Inc.	Phone Number:	202-478-7137
DBA Name:		Fax Number:	202-478-7101
Street:	2001 L Street, NW	E-Mail:	[email protected]
	Suite 800
City:	Washington	State:	DC
Country:	USA	Zipcode:	20036 -
Attention:	Daniel C.H. Mah

2. Contact

Name:	Brian Weimer	Phone Number:	202-469-4904
Company:	Sheppard Mullin Richter & Hampton, LLP	Fax Number:	202-312-9446
Street:	1300 I St., NW	E-Mail:	[email protected]
	11th Floor East
City:	Washington	State:	DC
Country:	USA	Zipcode:	20005 -3314
Attention:		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 SESSTA2010032200341 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. CityBristow

8. Latitude
(dd mm ss.s h) 38 47 1.0 N

9. State VA

10. Longitude
(dd mm ss.s h) 77 34 23.0 W

11. Please supply any need attachments.

Attachment 1:

Attachment 2:

Attachment 3:

12. Description. SES Americom, Inc. requests extension of special temporary authority (FCC File No. SES-STA-20100322-00341) to permit earth station E980076 to continue to communicate with the NSS-5 spacecraft in the conventional C-band for receive-only test feeds pending grant of SES WORLD SKIES' petition for declaratory ruling to add the conventionnal C-band payload on the NSS-5 satellite to the Permitted Space Station List at 20.0 W.L. (FCC File No. SAT-PPL-20091208-00142). STA extension is requested for 30 days.

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
Daniel C.H. Mah

15. Title of Person Signing
Regulatory 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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