Application Form [pdf]

This document pretains to SES-STA-20170303-00235 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2017030300235_1193101

                                                                                                    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:
STA to Operate Modified Ku−band Antenna (E000707) Pending Action on Modification Application
    1. Applicant

              Name:        RR Media Inc.             Phone Number:                  978−310−4054
              DBA Name:                              Fax Number:
              Street:      1209 Orange Street        E−Mail:


              City:        Wilmington                State:                         DE
              Country:     USA                       Zipcode:                       19801       −
              Attention:   Orna Naveh




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    2. Contact

                 Name:         Petra Vorwig                        Phone Number:                          202−478−7143
                 Company:      SES Americom, Inc.                  Fax Number:
                 Street:       1129 20th Street, NW                E−Mail:                                petra.vorwig@ses.com
                               Suite 1000
                 City:         Washington                          State:                                 DC
                 Country:      USA                                 Zipcode:                               20036       −
                 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 SESMOD2017021300150 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
          04/25/2017
    7. CityHawley                                                             8. Latitude
                                                                              (dd mm ss.s h)    41   27    50.0   N


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    9. State   PA                                                              10. Longitude
                                                                               (dd mm ss.s h)     75   7    48.0   W
    11. Please supply any need attachments.
    Attachment 1:                                     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.)
        RR Media Inc. respectfully requests special temporary authority for a period of 60 days to
        operate its modified Ku−band antenna under call sign E000707 beginning on April 25, 2017
        pending action on the modification application filed for this antenna, File No. SES−MOD−
        20170213−00150. The antenna will communicate with SES−2 (Call Sign S2826) operating at 87



    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
      Orna Naveh                                                                 General Counsel & Company Secretary
               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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Remember − You are not required to respond to a collection of information sponsored by the Federal government, and the government may not
conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This
collection has been assigned an OMB control number of 3060−0678.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.




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12. Description

RR Media Inc. respectfully requests special temporary authority for a period of 60 days to operate
its modified Ku−band antenna under call sign E000707 beginning on April 25, 2017 pending action on
the modification application filed for this antenna, File No. SES−MOD−20170213−00150. The antenna
will communicate with SES−2 (Call Sign S2826) operating at 87 W.L. Grant of the requested
authority will allow RR Media to initiate service to customers and is therefore in the public
interest.




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Document Created: 2019-04-26 10:17:01
Document Modified: 2019-04-26 10:17:01

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