Attachment FCC 312 Main Form

This document pretains to SES-STA-20110517-00596 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2011051700596_889660

                                                                                                                                                      Approved by OMB
                                                                                                                                                                           FCC Use Only
FCC 312                                     FEDERAL COMMUNICATIONS COMMISSION
                                                                                                                                                            3060-0678

                                                                                                                                                  Est. Avg. Burden Hours
                                                                                                                                                   Per Response: 11 Hrs.
                                                                                                                                                                           File Number:
Main Form
    APPLICATION FOR SATELLITE SPACE AND EARTH STATION AUTHORIZATIONS                                                                                                       Call Sign:


                                                                                                                                                                           Fee Number:


                                                                                          APPLICANT INFORMATION
1. Legal Name of Applicant                                                                                                                                                 2. Voice Telephone Number
  Universal Space Network, Inc.                                                                                                                                               (949) 476 - 3432

3. Other Name Used for Doing Business (if any)                                                                                                                             4. Fax Telephone Number
                                                                                                                                                                              (949) 851 - 9485
5. Mailing Street Address or P.O. Box                                                                                   6. City

  1501 Quail Street, Suite 102                                                                                             Newport Beach

                                                                                                                        7. State/Country (if not U.S.A.)                                        8. Zip Code
ATTENTION:       JOANNE GREET 215-394-0127                                                                                 California                                                                92660

9. Name of Contact Representative (If other than applicant)                                                                                                                10. Voice Telephone Number

11. Firm or Company Name                                                                                                                                                   12. Fax Telephone Number

13. Mailing Street Address or P.O. Box                                                                                  14. City

                                                                                                                        15. State/Country (if not U.S.A.)                                       16. Zip Code
ATTENTION:


                                                                                         CLASSIFICATION OF FILING
17. Place an “X” in the box next to the classification that applied to this filing for both questions a. and b. Mark only one box for 17a and only one box for 17b.
               a1. Earth Station                b1. Application for License of New Station                    b6. Transfer of Control of License or Registration

                 a2. Space Station                 b2. Application for Registration of New                 b7. Notification of Minor Modification
                                                       Domestic Receive-Only Station
                                                   b3. Amendment to a Pending Application                  b8. Application for License of New Receive-Only Station Using Non-U.S. Licensed Satellite

                                                   b4. Modification of License or Registration             b9. Letter of Intent to Use Non-U.S. Licensed Satellite to provide Service in the United States

                                                   b5. Assignment of License or Registration              b10. Other (Please Specify):__Application             to Request STA_________________________________


18. If this filing is in reference to an existing station, enter:                                               19. If this filing is an amendment to a pending application enter
      Call sign of station:                                                                                           (a) Date pending application was filed:            (b) File number of pending application:




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                                                                                                                                                                                             February, 1998


                                                                                              TYPE OF SERVICE
20. NATURE OF SERVICE: This filing is for an authorization to provide or use the following type(s) of service(s): Place an “X” in the box(es) next to all that apply.

                a. Fixed Satellite               c. Radiodetermination Satellite           e. Direct to Home Fixed Satellite
                b. Mobile Satellite              d. Earth Exploration Satellite            f. Digital Audio Radio Service              g. Other (Please Specify)_Ranging & Testing of on-orbit mission_
                                                                                                                                       ____________________________________________________________________
21. STATUS:                                                                                                     22. If earth station applicant, place an “X” in the box(es) next to all that apply.

               a. Common Carrier                b. Non-Common Carrier                                                    a. Using U.S. licensed satellites                    b. Using Non-U.S. licensed satellites

23. If applicant is providing INTERNATIONAL COMMON CARRIER service, see instructions regarding Sec. 214 filings. Mark only one box. Are these facilities:

               a. Connected to the Public Switched Network                                              b. Not connected the Public Switched Network                    N/A

24. FREQUENCY BAND(S): Place and “X” in the box(es) next to all applicable frequency band(s).

        a. C-Band (4/6 GHz)
        b. Ku-Band (12/14 GHz)                             c. Other (please specify)   S-Band ___

                                                                                              TYPE OF STATION
25. CLASS OF STATION: Place an “X” in the box next to the class of station that applies. Mark only one box.

              a. Fixed Earth Station           b. Temporary-Fixed Earth Station          c. 12/14 GHz VSAT Network             d. Mobile Earth Station        e. Space Station           f. Other
                                                                                                                                                                                 (Specify) _____________________
     If space station applicant, go to Question 27.
26. TYPE OF EARTH STATION FACILITY Mark only one box.

               a. Transmit/Receive              b. Transmit-Only                   c. Receive-Only


                                                                    PURPOSE OF MODIFICATION OR AMENDMENT
27. The purpose of this proposed modification or amendment is to: Place and “X” in the box(es) next to all that apply.
                                                 a – authorization to add new emission designator and related service
                                                 b – authorization to change emission designator and related service
                                                 c – authorization to increase EIRP and EIRP density
                                                 d – authorization to replace antenna
                                                 e – authorization to add antenna
                                                 f – authorization to relocate fixed station
                                                 g – authorization to change assigned frequency(ies)
                                                 h – authorization to add Points of Communication (satellites & countries)
                                                 i – authorization to change Points of Communication (satellites & countries)
                                                 j – authorization for facilities for which environmental assessment and radiation hazard reporting is required
                                                 k – Other (Please Specify)               N/A

                                                                                       ENVIRONMENTAL POLICY
28. Would a Commission grant of any proposal in this application or amendment have a significant environmental impact as defined by 47 CFR 1.1307?
If YES, submit the statement as required by Sections 1.1308 and 1.1311 of the Commission’s rules, 47 C.F.R. §§ 1.1308 and 1.1311, as an exhibit to this application.                        YES                       NO
A Radiation Hazard Study must accompany all applications as an exhibit for new transmitting facilities, major modifications, or amendments. Refer to OET Bulletin 65.
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                                                                                                                                                                                    February, 1998


                                                                                                   ALIEN OWNERSHIP
29. Is the applicant a foreign government or the representative of any foreign government?
                                                                                                                                                                       YES                   NO
30. Is the applicant an alien or the representative of an alien?
                                                                                                                                                                       YES                   NO
31. Is the applicant a corporation organized under the laws of any foreign government?
                                                                                                                                                                       YES                   NO
32. Is the applicant a corporation of which more than one-fifth of the capital stock is owned of record or voted by aliens or their
    representatives or by a foreign government or representative there of or by any corporation organized under the laws of a foreign                                  YES                   NO
    country?
33. Is the applicant a corporation directly or indirectly controlled by any other corporation of which more than one-fourth of the capital
    stock is owned of record or voted by aliens, their representatives, or by a foreign government or representative thereof or by any                                 YES                   NO
    corporation organized under the laws of a foreign country?
34. If any answer to questions 29, 30, 31, 32 and/or 33 is Yes, attach as an exhibit, the identification of the aliens or foreign entities,
    their nationality, their relationship to the applicant, and the percentage of stock they own or vote.


                                                                                              BASIC QUALIFICATIONS
35. Does the applicant request any waivers or exemptions from any of the Commission’s Rules?
    If Yes, attach as an exhibit, copies of the requests for waivers or exception with supporting documents.                                                           YES                 NO
36. Has the applicant or any party to this application had any FCC station authorization or license revoked or had any application for an
    initial, modification or renewal of FCC station authorization, license, or construction permit denied by the Commission? If Yes,                                   YES                 NO
    attach as an exhibit, an explanation of the circumstances.
37. Has the applicant, or any party to this application, or any party directly or indirectly controlling the applicant ever been convicted of a
    felony by any state or federal Court? If Yes, attach as an exhibit, an explanation of the circumstances                                                            YES                  NO
38. Has any court finally adjudged the applicant, or any person directly or indirectly controlling the applicant, guilty of unlawfully
    monopolizing or attempting unlawfully to monopolize radio communication, directly or indirectly, through control of manufacture                                    YES                  NO
    or sale of radios apparatus, exclusive traffic arrangement or any other mean or unfair method of competition? If Yes, attach as an
    exhibit, an explanation of the circumstances.
39. Is the applicant, or any person directly or indirectly controlling the applicant, currently a party in any pending matter referred to in
    the preceeding two items? If Yes, attach as an exhibit, an explanation of the circumstances.                                                                       YES                  NO
40. If the applicant is a corporation and is applying for a space station license, attach as an exhibit the names, addresses, and citizenship
    of those stockholders owing of record and/ or voting 10 percent or more of the Filer’s voting stock and the percentages so help. In
    the case of fiduciary control, indicate the beneficiary(ies) or class of beneficiaries. Also list the names and addresses of the officers
    and directions of the Filer.
41. By checking Yes, the undersigned certifies, that neither the applicant nor any other party to the application is subject to a denial of
    Federal benefits that includes FCC benefits pursuant to Section 5301 or 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
42a. Does the applicant intend to use a non-U.S. Licensed satellite to provide service in the United States?
     If yes, answer 42b and attach an exhibit providing the information specified in 47 C.F.R § 25.137, as appropriate.                                                YES                  NO
     If no, proceed to question 43.
42b.What administration has licensed or is in the process of licensing the space station? If no license will be issued, what administration
     has coordinated or is in the process of coordinating the space station? _International Telecommunication Union__



                                                                                                                                                                             FCC 312, Main Form-Page 3
                                                                                                                                                                             February, 1998


43. Description. (Summarize the nature of the application and the services to be provided).

    Universal Space Network’s ground station in Naalehu, Hawaii shall be used to assist the Centre National D’Etudes Spatiales (CNES) and the
Swedish Space Corporation (SSC) with the on-orbit ranging operations of the GIOVE-B Spacecraft. Communications shall consist of telemetry,
telecommand, data delivery, and control of the satellite. The ranging campaign will be intermittent from June 1 – 30, 2011. Services requested
beyond that period USN will request an additional STA




      Exhibit No.                  Identify all exhibits that are attached to this application.




                                                                                              CERTIFICATION
The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of
the previous use of the same, whether by license or otherwise, and requests an authorization in accordance with this application. The applicant certifies that grant of this
application would not cause the applicant to be in violation of the spectrum aggregation limit in 47 CFR Part 20. All statements made in exhibits are a material part hereof
and are incorporated herein as if set out in full in this application. The undersigned, individually and for the applicant, hereby certifies that all statements made in this
application and in all attached exhibits are true, complete and correct to the best of his or her knowledge and belief, and are made in good faith.
44. Applicant is a (an): (Place an “X” in the box next to applicable response.)
       a. Individual         b. Unincorporated Association          c. Partnership      d. Corporation        e. Governmental Entity          e. Other
                                                                                                                                           (Please specify)__________________
                                                                                                                         _________________________________________________
45. Typed Name of Person Signing                                                                       46. Title of Person Signing
     Joanne Greet                                                                                           Manager, Contract Administration and Compliance
47. Signature                                                                                                                                       48. Date
                                                                                                                                                               17 May 2011

           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).


                                                                                                                                                  FCC 312, Main Form-Page 4
                                                                                                                                                  February, 1998



Document Created: 2011-05-17 10:49:57
Document Modified: 2011-05-17 10:49:57

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