Attachment 20130131181025.pdf

20130131181025.pdf

DECISION submitted by IB/FCC

Grant

2013-01-28

This document pretains to SES-STA-20130122-00070 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2013012200070_984313

                                        E130008   SES—STA—20130122—00070         1B2013000166
                                        KENT STATE UNIVERSITY                    '




                                                                                                                    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:
Kent State Temporary Authorization
 1. Applicant

           Name:        Kent State University                   Phone Number:                   330—672—2810
           DBA Name:                                            Fax Number:                     330—672—2309
           Street:      1325 Theatre Drive                      E—Mail:                         mbussey1@kent.edu
                        C105 Music and Speech
           City:        Kent                                    State:                          OH
           Country:     USA                                     Zipcode:                        44242      —=
           Attention:   Mark Bussey




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                                 menevonememewmsmncom




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2. Contact


             Name:         Kent State University               Phone Number:                          330—672—2810
             Company:      Teleproductions Department          Fax Number:                            330—672—2309
             Street:         1325 Theatre Drive                E—Mail:                                wrkenned@kent.edu
                           C105 Music and Speech
             City:         Kent                                State:                                  OH _
             Country:      USA                                 Zipcode:                               44242       —
             Attention:    William Kennedy                     Relationship:                           Engineer


(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 SESLIC2013011100038 or Submission ID
   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).
«34 Governmental Entity       «74 Noncommercial educational licensee
(al Other(please explain):

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

5. Type Request


g@y Use Prior to Grant                             £34 Change Station Location                        g4 Other


6. Requested Use Prior Date
      01/28/2013
7. CityKent                                                               8. Latitude
                                                                          (dd mm ss.s h)   41    15    36.0   N


9. State   OH                                                              10. Longitude
                                                                           (dd mm ss.s h)    81    35   14.0   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.)
    We are requesting Special Temporary Authorization to use our up—link/production truck for
    the following




13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes        y 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
  Mark Bussey                                                                Director, Technology and Teleproductions
           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
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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.



Document Created: 2019-04-15 18:45:50
Document Modified: 2019-04-15 18:45:50

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