Attachment SES-STA-20180525-008

SES-STA-20180525-008

DECISION submitted by FCC

Grant

0000-00-00

This document pretains to SES-STA-20180525-00827 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2018052500827_1445642

                                                     1B2018001853
         E170122      SES-STA-20180525-00827
         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 Using Ellenwood, GA Earth Station E170122 to Provide LEOP Services for the SES—12 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        —5972
           Attention:     Susan H. Crandall




                                                                                  mSESS86g0EE—005]
                                                                                  Ca} }12>¥\_me Date L( 1%}9“\ %
                                                                                  {or other identifier)


                                                           GRANTED
                                                         International Bureau


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 SESLIC2017070700740 or Submission ID
 4a. Is a fee submitted with this application?
& IfYes, complete and attach FCC Form 159.         If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114).
q4 Governmental Entity       {p Noncommercial educational licensee
g4 Other(please explain):

4b. Fee Classification    CGX — Fixed Satellite Transmit/Receive Earth Station

5. Type Request

g7y Use Prior to Grant                             C Change Station Location                          @ Other


6. Requested Use Prior Date


7. CityEllenwood                                                          8. Latitude
                                                                          (dd mm ss.s h)    33   39    52.8   N


9. State   GA                                                              10. Longitude
                                                                           (dd mm ss.s b)    84    16   12.0   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 30 days,
     commencing June 27,           2018,    to use its Ellenwood,               Georgia Ku—band earth station,                    call sign
     E170122,      to provide launch and early orbit phase services for the SES—12 satellite.                                                SES—
     12 is expected to be launched on May 31,                       2018 .




13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is            «&   Yes      «y 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
   Cynthia J. Grady                                                             Regulatory 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 ANYSTATION 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 PAPERWORK REDUCTION ACT

The public reporting for this collection of information is 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 collection of 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@fce.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 PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104—13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.


                                                                                                                                                                   INTELSAT




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Document Created: 2019-04-19 18:22:40
Document Modified: 2019-04-19 18:22:40

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