Application Form

This document pretains to SES-STA-20141014-00800 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:

O3b Limited 202-813-4026
900 17th Street, NW, #300 [email protected]
Washington
USA -
Ms Suzanne Malloy

Joseph A. Godles 202-429-4900
Goldberg Godles Wiener & Wright LLP 202-429-4912
1229 19th Street, NW E-Mail: [email protected]
Washington DC
USA 20036 -
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
SESLIC2010072300952 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
10/15/2014
7. CityHaleiwa 8. Latitude
(dd mm ss.s h)
21 40 15.8 N
9. State HI 10. Longitude
(dd mm ss.s h)
158 1 56.1 W
11. Please supply any need attachments.
Attachment 1: STA extension Attachment 2: Attachment 3:
12. Description. STA extension request for 180 days concerning expansion of the possible configurations for the O3b satellite system.
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
Suzanne Malloy
15. Title of Person Signing
Vice President, Regulatory Affairs
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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