Application Form

This document pretains to SES-STA-20130417-00060 for Special Temporal Authority on a Satellite Earth Station filing.

Approved by OMB
3060-0678

FEDERAL COMMUNICATIONS COMMISSION
APPLICATION FOR SPACE STATION SPECIAL TEMPORARY AUTHORITY


FOR OFFICIAL USE ONLY

APPLICANT INFORMATION


Enter a description of this application to identify it on the main menu:
1. Applicant
Rogers Communications 416 301-5387
647 747-7966
1256 Crestlawn Dr [email protected]
Mississauga
Canada -
Mr Ted Krzywonos
2. Contact
Chris Giacomini 416 303-8781
Rogers Communications
40455 Ann Arbor Rd E [email protected]
Plymouth MI
USA 48170 -
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
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): Cross border agreement- ENG vehicle

4b. Fee Classification CRY - Space Station (Geostationary)
5. Type Request
Change Station Location Extend Expiration Date Other
6. Temporary Orbit Location
Galaxy 3C
7. Requested Extended Expiration Date
2013-04-24 00:00:00.0
8. Description Uplink from April 23 to April 24, 2013 from Plymouth Michigan Frequency band 14.0-14.5MHZ Modulation bandwidth
9. 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
10. Name of Person Signing
Ted Krzywonos
11. Title of Person Signing
Manager mobile operations
12. Please supply any need attachments.
Attachment 1: Attachment 2: Attachment 3:
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).



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 [email protected]. 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.


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