Attachment SESSTA2011122701508.

SESSTA2011122701508.

DECISION submitted by 3003 MOFFITT LLC

STA GRANT

0000-00-00

This document pretains to SES-STA-20111227-01508 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2011122701508_933598

      E120003      SES—STA—20111227—01508     1B2011005265
      3003 Moffitt LLC

                                                                                                           Approved by OMB
                                                                                                                  3060—0678

r                                    ln n ..A&H STATION SPECIAL TEMPORARY AUTHORITY


APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
STA request for use of 5.5 and 9 meter C—band antennas 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


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:    Mr Douglas R Johnson                 Relationship:                          Same



(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 1B2011005262

 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).
C Governmental Entity        C» Noncommercial educational licensee
C Other(please explain):

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

5. Type Request


@ Usc Prior to Grant                              C Change Station Location                           {} Other



6. Requested Use Prior Date
      01/09/2012
7. CityMissouri City                                                       8. Latitude
                                                                           (dd mm ss.s h)   29   35    3.0    N


9. State   TX                                                               10. Longitude
                                                                            (dd mm ss.s h)    95   30     8.7   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 5.5 and 9 meter C—band T/R earth
     stations that are 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
   Mr Douglas R 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).


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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: 2012-01-06 17:25:10
Document Modified: 2012-01-06 17:25:10

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