Application Form

This document pretains to SES-STA-20100729-00970 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:

Vizada, Inc. 301-838-7807
301-838-7824
2600 Tower Oaks Boulevard rob.swanson@vizada.com
Rockville MD
USA 20852 -
Mr Robert W Swanson

Vizada, Inc. 301-838-7909
301-838-7824
2600 Tower Oaks Boulevard E-Mail: james.lovelace@vizada.com
Rockville MD
USA 20852 -
James G. Lovelace Other
(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 SESSTA2010060800681 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
08/09/2010
7. CitySouthbury 8. Latitude
(dd mm ss.s h) 41 27 5.3 N
9. State CT 10. Longitude
(dd mm ss.s h) 73 17 19.4 W
11. Please supply any need attachments.
Attachment 1: Need Statement Attachment 2: STA Conditions Attachment 3:
12. Description. Special Temporary Authority requested for WB36 to continue to utilize 13.75-14.0 GHz to communicate with Telstar 11N Satellite. Vizada fully complies with the STA conditions (Attachment 2) and will continue to do so.
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
James G. Lovelace 		15. Title of Person Signing
Security Officer
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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