Attachment SESSTA2011110701329.

SESSTA2011110701329.

DECISION submitted by 3003 MOFFITT LLC

STA GRANT WITH CONDITIONS

0000-00-00

This document pretains to SES-STA-20111107-01329 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2011110701329_926636

                                   —01329     1B20 11004793
      E110163      SES-STA-20111107
      3003 Moffitt LLC
                                                                                                            Approved by OMB
                                                                                                                   3060—0678

r                               APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
STA request for use of 3.7 meter Ku—band antenna prior to pending license grant
 1. Applicant


           Name:           3003 Moffitt LLC                   Phone Number:          281—741—4810
           DBA Name:                                          Fax Number:            281—741—5784
           Street:         3003 Moffitt Ln                    E—Mail:                dj@worldteleport.com


           City:           Missouri City                      State:                 TX
           Country:         USA                               Zipcode:               77489       =
           Attention:      Mr Douglas R Johnson




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3003 MOFFITT LLC
SES—STA—20111107—01329
E110163

No harmful interference can be caused to any lawfully operating network or radio communication
system and 3003 Moffitt LLC operations must cease immediately upon notification of harmful
interference. Further, 3003 Moffitt LLC shall notify the Commission in writing that it has
received such a notification within 14 days of receipt.


2. Contact


             Name:         Mr Douglas R Johnson                 Phone Number:                         281—741—4810
             Company:      3003 Moffitt LLC                     Fax Number:                           281—741—5784
             Street:       3003 Moffitt Ln                      E—Mail:                               dj@worldteleport.com


             City:         Missouri City                        State:                                TX
             Country:      USA                                  Zipcode:                              77489         _—
             Attention:                                         Relationship:


(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 or Submission ID 1B2011004781

 4a. Is a fee submitted with this application?
@ IfYes, complete and attach FCC Form 159.          If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114).
qy Governmental Entity       (ol Noncommercial educational licensee
C Other(please explain):

4b. Fee Classification    CGX — Fixed Satellite Transmit/Receive Earth Station

5. Type Request


@   Use Prior to Grant                            34   Change Station Location                        3    Other



6. Requested Use Prior Date
      11/16/2011
7. CityMissouri City                                                       8. Latitude
                                                                           (ddmmss.s h)     29   35       1.2   N


9. State   TX                                                               10. Longitude
                                                                            (dd mm ss.s h)    95   30     10.2   W
11. Please supply any need attachments.
Attachment 1:                                      Attachment 2:                                      Attachment 3:


12. Description.   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
    Request for Special Temporary Authority to operate a 3.7 meter Ku—band T/R earth station
    that is pending license grant under submission ID




13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes        {4 No
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.


14. Name of Person Signing                                                  15. Title of Person Signing
   Doug Johnson                                                                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).


FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

The public reporting for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you
have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the
Federal Communications Commission, AMD—PERM, Paperwork Reduction Project (3060—0678), Washington, DC 20554. We will also accept
your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to PRA@fcc.gov. PLEASE
DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.

Remember — You are not required to respond to a collection of information sponsored by the Federal government, and the government may not
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collection has been assigned an OMB control number of 3060—0678.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104—13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.



Document Created: 2011-11-15 15:49:32
Document Modified: 2011-11-15 15:49:32

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