Application Form [pdf]

This document pretains to SES-STA-20130218-00178 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2013021800178_986458

                                                                                                           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:
E000284 STA−Waiver Renewal−18Feb2013
    1. Applicant

              Name:        Astrium Services Government,   Phone Number:             301−838−7807
                           Inc.
              DBA Name:                                   Fax Number:               301−838−7752
              Street:      2600 Tower Oaks Boulevard      E−Mail:                   rob.swanson@astrium.eads−na.
                                                                                    com


              City:        Rockville                      State:                    MD
              Country:     USA                            Zipcode:                  20852       −
              Attention:   Mr Robert W Swanson




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    2. Contact

                 Name:         Robert Swanson                      Phone Number:                        301−838−7807
                 Company:      Astrium Services Government,        Fax Number:                          301−838−7752
                               Inc.
                 Street:       2600 Tower Oaks Boulevard           E−Mail:                              rob.swanson@astrium.eads−na.
                                                                                                        com
                               7th Floor
                 City:         Rockville                           State:                                MD
                 Country:      USA                                 Zipcode:                             20852      −
                 Attention:    Rob Swanson                         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 SESMOD2012121301100 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    CGB − Mobile Satellite Earth Stations
    5. Type Request

        Use Prior to Grant                                Change Station Location                          Other


    6. Requested Use Prior Date
          02/27/2013



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    7. City                                                                    8. Latitude
                                                                               (dd mm ss.s h)     0   0   0.0
    9. State                                                                   10. Longitude
                                                                               (dd mm ss.s h)     0   0   0.0
    11. Please supply any need attachments.
    Attachment 1: E000284 STA Renewal                 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.)
        Astrium Services Government, Inc. seeks renewal of its STA (SES−STA−20121213−01099) while
        its underlying modification application (SES−MOD−20121213−01100) 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
      Robert Swanson                                                             Associate Counsel
               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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Document Created: 2019-04-25 23:48:06
Document Modified: 2019-04-25 23:48:06

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