Application Form

This document pretains to SES-STA-20110916-01101 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:

HNS License Sub, LLC 301-428-5506
301-428-2802
11717 Exploration Lane [email protected]
Germantown MD
USA 20876 -
Mr. Steven Doiron

Stephen D. Baruch 202-416-6782
Lerman Senter PLLC 202-429-4626
2000 K Street, N.W. E-Mail: [email protected]
Suite 600
Washington DC
USA 20006 -
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
SESMFS2011091201066 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
10/05/2011
7. CityFillmore 8. Latitude
(dd mm ss.s h)
34 24 16.7 N
9. State CA 10. Longitude
(dd mm ss.s h)
118 53 39.2 W
11. Please supply any need attachments.
Attachment 1: Narrative Attachment 2: Attachment 3:
12. Description. HNS License Sub, LLC seeks temporary authority to operate for TT&C testing purposes the new TT&C earth station proposed in pending modification of license application (File No. SES-MFS-20110912-01066) for Call Sign E060383. See Attachment.
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
Steven Doiron
15. Title of Person Signing
Senior Director, Regulatory Affairs
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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