Application Form [pdf]

This document pretains to SES-STA-20160314-00218 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2016031400218_1129707

                                                                                                           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:
E000280 STA for I3F5 POC Authority
    1. Applicant

              Name:        Satcom Direct Government, Inc.   Phone Number:           571−599−3618
              DBA Name:                                     Fax Number:             571−599−3670
              Street:      2550 Wasser Terrace              E−Mail:                 CHetmanski@sdgi.satcomdirect.
                                                                                    com
                           Suite 6000
              City:        Herndon                          State:                  VA
              Country:     USA                              Zipcode:                20171       −
              Attention:   Mr Chris Hetmanski




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    2. Contact

                 Name:         James G. Lovelace                   Phone Number:                        571−599−3643
                 Company:                                          Fax Number:                          571−599−3670
                 Street:       2550 Wasser Terrace                 E−Mail:                              JLovelace.ctr@sdgi.satcomdirect.
                                                                                                        com
                               Suite 6000
                 City:         Herndon                             State:                                VA
                 Country:      USA                                 Zipcode:                             20171      −
                 Attention:                                        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 SESRWL2011072700894 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
          03/18/2016




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    7. CitySouthbury                                                           8. Latitude
                                                                               (dd mm ss.s h)     0   0   0.0   N
    9. State   CT                                                              10. Longitude
                                                                               (dd mm ss.s h)     0   0   0.0   W
    11. Please supply any need attachments.
    Attachment 1: Narrative & Need St                 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.)
        Satcom Direct Government, Inc. hereby requests Special Temporary   Authority for 60 days
        beginning on March 18, 2016 to add the Inmarsat−3 F5 satellite at the 54 degrees W.L.
        orbital location as a point of communication for the blanket licensed mobile earth
        stations authorized per the call sign E000280 license.



    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
      James G. Lovelace                                                          Consultant
               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: 2019-04-30 04:44:59
Document Modified: 2019-04-30 04:44:59

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