Application Form

This document pretains to SES-STA-20130124-00092 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:

VideoIndiana, Inc 317-636-1313
1000 North Meridian Street [email protected]
Indianapolis IN
USA 46204 -
Al Grossniklaus

Elizabeth Canter 2026625228
Covington & Burling LLP 2027785228
1201 Pennsylvania Avenue, NW E-Mail: [email protected]
Washington DC
USA 20004 -
Elizabeth Canter 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
SESLIC2012121201094 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 CGX - Fixed Satellite Transmit/Receive Earth Station
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
01/24/2013
7. City 8. Latitude
(dd mm ss.s h)
0 0 0.0
9. State IN 10. Longitude
(dd mm ss.s h)
0 0 0.0
11. Please supply any need attachments.
Attachment 1: Attachment 2: Attachment 3:
12. Description. Applicant seeks STA authority to cover operations of E120236, a Transportable Ku−Band Video Uplink for transmitting news and event coverage, primarily in Indiana and the immediately surrounding states, while the underlying application is pending. Parent station WTHR is eager to test the equipment, so that it can promptly begin providing breaking news and weather event coverage to its viewers in the event that the need arises. As such, the grant of STA would be to the benefit of WTHR's local community.
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
John Cardenas
15. Title of Person Signing
Vice President & General Manager
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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