Application Form

This document pretains to SES-STA-20170131-00106 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:

Orbital Media Networks, Inc. 303-925-1708
76 Inverness Dr. East [email protected]
Suite C
Englewood CO
USA 80112 -
Ms Liz Karr

Orbital Media Networks, Inc. 303-925-1708
76 Inverness Dr. East E-Mail: [email protected]
Suite C
Englewood CO
USA 80112 -
(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
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 CGS - Fixed Satellite Small Transmit/Receive Earth Station
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
02/01/2017
7. CityEnglewood 8. Latitude
(dd mm ss.s h)
39 34 47.0 N
9. State CA 10. Longitude
(dd mm ss.s h)
104 51 35.0 W
11. Please supply any need attachments.
Attachment 1: STA request Attachment 2: Small antenna Attachment 3:
12. Description. Due to AMC8's age and failing health, we are required to migrate to AMC18 to continue service. However one of our streams cannot be turned-around by the carrier due to technical constraints so we forced to uplink the stream directly through this additional dish to maintain operations.
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
Mikg Hagans
15. Title of Person Signing
President
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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