Application Form

This document pretains to SES-STA-20171205-01305 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:

SES Americom, Inc. 202-478-7144
202-478-7111
1129 20th Street NW [email protected]
Suite 1000
Washington DC
USA 20036 -
Ms Nancy Eskenazi

George Varkey 1 609 987 4327
SES 609-987-4260
4 Research Way E-Mail: [email protected]
Princeton NJ
USA 08540 -
Engineer
(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 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. Airy 8. Latitude
(dd mm ss.s h)
39 22 36.7 N
9. State MD 10. Longitude
(dd mm ss.s h)
77 4 50.8 W
11. Please supply any need attachments.
Attachment 1: STA Narrative Attachment 2: Attachment 3:
12. Description. SES Americom, Inc. (SES) respectfully requests immediate Special Temporary Authority (STA) for a period of 60 days to allow use of an 11.0 meter C-band antenna at the SES Woodbine teleport in Mt. Airy, MD that was previously licensed under call sign E020096. SES recently discovered that the license for this antenna had expired in August without a timely renewal application having been filed. SES is preparing an application for a new license for the antenna and seeks STA to permit ongoing use of the antenna pending submission of and action on the license application. See attached narrative.
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
Nanacy J Eskenazi
15. Title of Person Signing
VP, Legal & Global Regulatory
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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