Application Form

This document pretains to SES-STA-20101118-01450 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:

Sirius XM Radio Inc. 202-380-4000
202-380-4981
1221 Avenue of the Americas [email protected]
36th Floor
New York NY
USA 10020 -
James S. Blitz

Karis A. Hastings, Esq. 202-637-5767
Hogan Lovells US LLP 202-637-5911
555 Thirteenth Street, NW E-Mail: [email protected]
Washington DC
USA 20004 -1109
(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
SESSTA2010091701175 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. CityEllenwood 8. Latitude
(dd mm ss.s h)
33 39 51.0 N
9. State GA 10. Longitude
(dd mm ss.s h)
84 16 24.0 W
11. Please supply any need attachments.
Attachment 1: STA Request Attachment 2: Attachment 3:
12. Description. Sirius XM Radio Inc. requests a 30-day extension of the STA granted on October 13 (File No. SES-STA-20100917-01175) to permit its Ellenwood, GA earth station (Call Sign E080168) to perform TT&C in order to drift XM-5 (Call Sign S2786) to 85.2 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 No
14. Name of Person Signing
James S. Blitz
15. Title of Person Signing
Vice President, 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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