Application Form [pdf]

This document pretains to SES-STA-20180207-00099 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2018020700099_1335374

                                                                                                            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:
Request for 180−Day STA Using Castle Rock, Colorado Earth Station KL92 to Provide LEOP Services for SES−12
    1. Applicant

              Name:        Intelsat License LLC       Phone Number:                703−559−7848
              DBA Name:                               Fax Number:                  703−559−8539
              Street:      c/o Intelsat Corporation   E−Mail:                      susan.crandall@intelsat.com
                           7900 Tysons One Place
              City:        McLean                     State:                       VA
              Country:     USA                        Zipcode:                     22102        −5972
              Attention:   Susan H. Crandall




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    2. Contact

                 Name:         Susan H. Crandall                   Phone Number:                          703−559−7848
                 Company:      Intelsat Corporation                Fax Number:                            703−559−8539
                 Street:       7900 Tysons One Place               E−Mail:                                susan.crandall@intelsat.com


                 City:         McLean                              State:                                 VA
                 Country:      USA                                 Zipcode:                               22102       −5972
                 Attention:                                        Relationship:                          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 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. CityCastle Rock                                                        8. Latitude
                                                                              (dd mm ss.s h)    39   16    38.0   N


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    9. State   CO                                                              10. Longitude
                                                                               (dd mm ss.s h)     104   48   26.9    W
    11. Please supply any need attachments.
    Attachment 1: STA Request                         Attachment 2: Exhibit A                            Attachment 3: Exhibit B


    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.)
        Intelsat License LLC herein requests a grant of Special Temporary Authority for 180 days,
        commencing April 18, 2018, to use its Castle Rock, Colorado Ku−band earth station, call
        sign KL92, to provide launch and early orbit phase services for the SES−12 satellite.
        SES−12 is expected to be launched on April 18, 2018. Intelsat expects the LEOP period to



    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
      Susan H. Crandall                                                          Assoc. General Counsel, Intelsat Corporation
               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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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

Intelsat License LLC herein requests a grant of Special Temporary Authority for 180 days,
commencing April 18, 2018, to use its Castle Rock, Colorado Ku−band earth station, call sign KL92,
to provide launch and early orbit phase services for the SES−12 satellite. SES−12 is expected to
be launched on April 18, 2018. Intelsat expects the LEOP period to last approximately 180 days.




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Document Created: 2019-04-13 03:21:55
Document Modified: 2019-04-13 03:21:55

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