Application Form

This document pretains to SES-STA-20160729-00700 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:

Telesat Network Services, Inc. 613-748-8700
613-748-8712
135 Routes 202/206 [email protected]
Bedminster NJ
USA 07921 -1538
Ms Elisabeth Neasmith

Joseph A. Godles Esq. 202-429-4900
Goldberg, Godles, Wiener & Wright LLP 202-429-4912
1229 Nineteenth St. N.W. 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
SESMOD2016032400275 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
7. CityMt. Jackson 8. Latitude
(dd mm ss.s h)
38 43 42.0 N
9. State VA 10. Longitude
(dd mm ss.s h)
78 39 25.0 W
11. Please supply any need attachments.
Attachment 1: STA Request Attachment 2: Attachment 3:
12. Description. Telesat Network Services, Inc. ('Telesat'), pursuant to 47 CFR ss 25.120, hereby requests an extension of previously granted special temporary authority ('STA') for 60 days, to operate KA399 in the manner described herein and extend the WL of the authorized satellite arc. Telesat asks that its STA commence no later than August 1, 2016.
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
Elisabeth Neasmith
15. Title of Person Signing
Director, Spectrum Management and Development
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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