Attachment 20130329144120.pdf

20130329144120.pdf

DECISION submitted by IB/FCC

Grant STA

2013-03-29

This document pretains to SES-STA-20130314-00252 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2013031400252_991943

                                     E130049       SES—STA—20130314—00252     1B2013000582
                                     Living Faith Ministries Inc



                                                                                                            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:
TES—1 STA
 1. Applicant

           Name:        Living Faith Ministries Inc         Phone Number:                    540—935—7850
           DBA Name:                                        Fax Number:                      540—935—8857
           Street:      151, Hwy 460                        E—Mail:


           City:        Vansant                             State:                           VA
           Country:     USA                           j     Zipcode:                         24656      —
           Attention:   DONALD V JONES



                                                           L o days"
                                                                        56S.—S570—30/30414—0045%
                                                                            E/30049            0%47/40/3

                                                                       o3[»f25(3 s ba’;y/;za/s


2. Contact


             Name:         Michael Smith                       Phone Number:                        540—935—7850
             Company:      Living Faith Ministries Inc         Fax Number:                          540—935—8857
             Street:        151 Hwy 460                        E—Mail:


             City:         Vansant                             State:                                VA
             Country:      USA                                 Zipcode:                             24656       —
             Attention:    Michael Smith                       Relationship:                         Other


(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
  4a. Is a fee submitted with this application?
«3 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        £4 Noncommercial educational licensee
@ Other(please explain):      501—c3 certified non—profit organization


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

5. Type Request


«y Use Prior to Grant                             «y Change Station Location                       g3 Other


6. Requested Use Prior Date
      03/15/2013


7. Cityvarious                                                              8. Latitude
                                                                            (dd mm ss.s h) . 0    0   0.0
9. State   VA                                                               10. Longitude
                                                                            (dd mm ss.s h)   0O   0   0.0
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.)
     requesting temporary authority to operate ku band temporary fixed earth station call sign
     E130049 prior to license grant.                    This station was previously licensed to Western Satlink,
     license # E940510




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
  Michael Smith                                                               Pres.
           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
your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to PRA@fec.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.



Document Created: 2019-04-21 20:37:56
Document Modified: 2019-04-21 20:37:56

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