Application Form

This document pretains to SES-STA-20111027-01265 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:

Family Worship Center Inc. 225-326-2123
225-769-2244
8919 World Ministry Ave. [email protected]
Baton Rouge LA
USA 70810 -9099
Mr Tyson L Evans

Family Worship Center Inc. 225-326-2123
225-769-2244
8919 World Ministry Ave. E-Mail: [email protected]
Baton Rouge LA
USA 70810 -9099
(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
SESLIC2011102401256 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): Religious Organization

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
11/01/2011
7. CityBaton Rouge 8. Latitude
(dd mm ss.s h)
30 23 5.7 N
9. State LA 10. Longitude
(dd mm ss.s h)
91 5 24.0 W
11. Please supply any need attachments.
Attachment 1: Exhibit A Attachment 2: Exhibit B Attachment 3:
12. Description. The Family Worship Center seeks a Special Temporary Authority for their two applied for Ku-band earth stations (SES-LIC-20111024-01256) in Baton Rouge, Louisiana. The STA is being sought to permit the Family Worship Center to provide uninterrupted services to their membership while their license application is being processed.
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
Jimmy L. Swaggart
15. Title of Person Signing
President
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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