Application Form [pdf]

This document pretains to SES-STA-20141031-00838 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2014103100838_1066862

                                                                                                       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:
60−day STA request to use a new 7.6m Ku−band antenna (call sign E140059) to perform TT&C for AMC−16 at 85W
    1. Applicant

              Name:        SES Americom, Inc.       Phone Number:                 202−478−7137
              DBA Name:                             Fax Number:                   202−478−7101
              Street:      1129 20th Street NW      E−Mail:                       daniel.mah@ses.com
                           Suite 1000
              City:        Washington               State:                        DC
              Country:     USA                      Zipcode:                      20036      −
              Attention:   Daniel C.H. Mah




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    2. Contact

                 Name:         Joseph P. Massey                    Phone Number:                          973−832−6010
                 Company:      SES                                 Fax Number:                            973−723−6016
                 Street:       11 Edsall Drive                     E−Mail:                                joseph.massey@ses.com


                 City:         Sussex                              State:                                 NJ
                 Country:      USA                                 Zipcode:                               07461       −
                 Attention:                                        Relationship:


    (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 SESLIC2014061800529 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
          11/07/2014
    7. CityMount Airy                                                         8. Latitude
                                                                              (dd mm ss.s h)    39   22    37.1   N


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    9. State   MD                                                              10. Longitude
                                                                               (dd mm ss.s h)     77   4    45.6   W
    11. Please supply any need attachments.
    Attachment 1: K−10 STA Narrative                  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.)
        EXPEDITED ACTION REQUESTED −− SES requests a 60−day STA (starting November 7, 2014) to use
        a new 7.6m conventional Ku−band antenna (K−10) at its Woodbine teleport to perform TT&C
        with the AMC−16 satellite, pending grant of the new license application (see SES−LIC−
        20140618−00529, call sign E140059). See attached narrative.



    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
      Daniel C.H. Mah                                                            Regulatory 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: 2019-04-20 21:26:46
Document Modified: 2019-04-20 21:26:46

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