Attachment SES-STA-20180720-019

SES-STA-20180720-019

DECISION submitted by FCC

Grant

0000-00-00

This document pretains to SES-STA-20180720-01961 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2018072001961_1484735

                                                              SES—STA—20180720—01961       1132018004059
                                                  KA258
                                                  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 Further Extension of 30—day STA to Use Hagerstown, Maryland Earth Station KA258 to Provide TT&C Services During
Drift of Intelsat 9 to 66.15 E.L.
 1. Applicant

           Name:        Intelsat License LLC                     Phone Number:                       703—559—7848
           DBA Name:                                             Fax Number:                         703—559—8539

           Street:      c/o Intelsat US LLC                      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:         Cynthia J. Grady                      Phone Number:                         703—559—6949
             Company:      Intelsat US LLC                       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?
© IfYes, complete and attach FCC Form 159.           If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114).
3 Governmental Entity        C Noncommercial educational licensee
{3 Other(please explain):

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

5. Type Request


 g4 Use Prior to Grant                               ¢3 Change Station Location                        @ Other


6. Requested Use Prior Date


7. CityHagerstown                                j                          8. Latitude
                                                                            (dd mm ss.s h)   39   35    54.6   N


9. State   MD                                                              10. Longitude
                                                                           (dd mm ss.s b)    77    45   33.0   W
11. Please supply any need attachments.
Attachment 1: STA Request                         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.)
     Intelsat License LLC herein requests an additional 30 days of Special Temporary Authority
     previously granted Intelsat to continue using its Mountainside,                                     Maryland Ku—band earth
     station,      call sign KA258,         to provide telemetry,              tracking,       and command services for
     Intelsat 9      (Call Sign $2380) during its drift from 29.5 W.L. to 66.15 E.L.




13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes        &4 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 US LLC
           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 maintainingthe 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 PRAQ@fcc.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.


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Document Created: 2019-04-13 14:12:32
Document Modified: 2019-04-13 14:12:32

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