Application Form [pdf]

This document pretains to SES-STA-20170811-00904 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2017081100904_1260518

                                                                                                    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:
Quicksburg (E070273) STA to Move EchoStar 12 to 86.4
    1. Applicant

              Name:        EchoStar Operating L.L.C.    Phone Number:               301−428−5893
              DBA Name:                                 Fax Number:
              Street:      100 Inverness Terrace East   E−Mail:


              City:        Englewood                    State:                      CO
              Country:     USA                          Zipcode:                    80112       −
              Attention:   Jennifer Manner




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    2. Contact

                 Name:         Jennifer Manner                     Phone Number:                        301−428−5893
                 Company:      EchoStar Operating L.L.C.           Fax Number:
                 Street:       11717 Exploration Lane              E−Mail:                              jennifer.manner@echostar.ccom



                 City:         Germantown                          State:                                MD
                 Country:      USA                                 Zipcode:                             20876      −
                 Attention:                                        Relationship:                         Same


    (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 IB2017001700
    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
          08/21/2017




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    7. CityQuicksburg                                                           8. Latitude
                                                                                (dd mm ss.s h)     38   43   24.6   N
    9. State   VA                                                               10. Longitude
                                                                                (dd mm ss.s h)     78   40   1.4    W
    11. Please supply any need attachments.
    Attachment 1: Exhibit 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.)
        Seeking STA to move and operate EchoStar 12 at 86.4 WL, as well as operate certain earth
        stations for TT&C communications. See Exhibit 1.




    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
      Jennifer A. Manner                                                          Senior Vice President, Regulatory Affairs
               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: 2019-04-22 05:38:27
Document Modified: 2019-04-22 05:38:27

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