Application Form

This document pretains to SES-STA-20160715-00661 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:

HARRIS CORPORATION 321-727-9234
321-727-9125
1025 West Nasa Blvd. [email protected]
Melbourne FL
USA 32919 -
Bruce Fitch

William LeBeau 202-955-3000
Holland & Knight LLP 202-955-5564
800 17th Street, NW E-Mail: [email protected]
Suite 1100
Washington DC
USA 20006 -
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
SESSTA2016061300497 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
07/19/2016
7. CityAnchorage 8. Latitude
(dd mm ss.s h)
61 9 16.9 N
9. State AK 10. Longitude
(dd mm ss.s h)
149 50 5.4 W
11. Please supply any need attachments.
Attachment 1: STA Ext Req Attachment 2: Attachment 3:
12. Description. Harris is requesting a sixty day extension of the previously granted STA to support time-critical engineering development work on the FAA ASTI program. Harris has filed a permanent authority application under File No. SES-LIC-20160712-00637
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
Harry Lo
15. Title of Person Signing
Program Manager
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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