Application Form [pdf]

This document pretains to SES-STA-20120601-00489 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2012060100489_953638

                                                                                                           Approved by OMB
                                                                                                                  3060−0678

                               APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
HUB45 STA Extension
    1. Applicant

              Name:        VSAT Systems, LLC             Phone Number:              330−785−2100 x104
              DBA Name:                                  Fax Number:                419−818−1978
              Street:      1520 South Arlington Street   E−Mail:                    mike.
                                                                                    kister@satventuresmanagement.
                                                                                    com


              City:        Akron                         State:                     OH
              Country:     USA                           Zipcode:                   44306       −
              Attention:   Michael Kister




1


    2. Contact

                 Name:         Donna Balaguer                       Phone Number:                        202−626−7719
                 Company:      Fish & Richardson P.C.               Fax Number:                          202−783−2331
                 Street:       1425 K Street, N.W.                  E−Mail:                              balaguer@fr.com
                               Suite 1100
                 City:         Washington                           State:                               DC
                 Country:      USA                                  Zipcode:                             20005       −
                 Attention:                                         Relationship:                        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 SESMOD2012022900267 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    CGV − Fixed Satellite VSAT System
    5. Type Request

        Use Prior to Grant                                Change Station Location                          Other


    6. Requested Use Prior Date
          06/01/2012
    7. CityAkron                                                               8. Latitude
                                                                               (dd mm ss.s h)   41   1   50.8    N


2


    9. State   OH                                                              10. Longitude
                                                                               (dd mm ss.s h)     81   29    34.2   W
    11. Please supply any need attachments.
    Attachment 1: STA Exhibit                         Attachment 2: Modification                         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.)
        Extend existing special temporary authority to operate two additional hub sites under
        E090086 while maintenance is being performed on currently authorized antennas and
        permanent modification application is pending




    13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes            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
      Michael Kister                                                             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).




3


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
conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This
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.




4



Document Created: 2019-04-17 11:48:26
Document Modified: 2019-04-17 11:48:26

© 2024 FCC.report
This site is not affiliated with or endorsed by the FCC