Attachment Intelsat KA258, SES-

Intelsat KA258, SES-

DECISION submitted by FCC

Grant

2018-05-21

This document pretains to SES-STA-20180504-00490 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2018050400490_1400519

KA258 SES—STA—20180504—00490 1B2018001288 Intelsat License LLC 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 30—day STA To Use Hagerstown, Maryland Earth Station KA258 to Provide TT&C Services for Intelsat 5 (82704) Satellite 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 ~59072 Attention: Susan H Crandall m Worile i eS e MA _f‘a@ {£—20A7b flZ{2 Grant Date Call Sign (or other identifiet) ‘Term Dates

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2. Contact Name: Cynthia J. Grady Phone Number: 703—559—6949 Company: Intelsat Corporation Fax Number: 703—559—8539 Street: 7900 Tysons One Place > E—Mail: cynthia.grady@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). £34 Governmental Entity C Noncommercial educational licensee C Other(please explain): 4b. Fee Classification CGX — Fixed Satellite Transmit/Receive Earth Station 5. Type Request Use Prior to Grant Change Station Location Other 3 C3 € @ 6. Requested Use Prior Date 7. CityHagerstown 8. Latitude (dd mmss.s h) 39 35 54.6 N

9. State MD 10. Longitude (dd mm ss.s h) 77 45 33.0 W 11. Please supply any need attachments. Attachment 1: STA Request Attachment 2: Exhibit A 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.) Intelsat License LLC herein requests 30 days, beginning May 23, 2018, of Special Temporary Authority to use its Hagerstown, Maryland Ku—band earth station, call sign KA258, to provide telemetry, tracking, and command services for Intelsat 5 (Call Sign $2704) during its drift from 156.9 E.L. to 137.0 W.L. and on station at 137.0 W.L. 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 ofthe 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 Cynthia J. Grady Regulatory Counsel, Intelsat Corporation WILLFUL FALSE STATEMENTS MADE ON THIS FORMARE 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).

FCC NOTICE REQUIRED BY THE PAPERWOREKREDUCTION ACT The public reporting for this collection of informationis estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collectionof information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the Federal Communications Commission, AMD—PERM, Paperwork Reduction Project (3060—0678), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to PRA@fec.gov. PLEASE DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. 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 PAPERW(‘)RK REDUCTION ACT OF 1995, PUBLIC LAW 104—13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.

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Document Created: 2018-05-21 11:59:27
Document Modified: 2018-05-21 11:59:27
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