Attachment SES-STA-20181016-030

SES-STA-20181016-030

DECISION submitted by FCC

Grant

0000-00-00

This document pretains to SES-STA-20181016-03057 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2018101603057_1568800

                                                               SES—STA—20181016—03057       1B2018007447
                                                   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 Extension to Use 9m C—band Antenna at Hagerstown, MD Teleport
 1. Applicant

           Name:        Intelsat License LLC                    Phone Number:                     703—559—7848
           DBA Name:                                            Fax Number:                       703—339—83539
           Street:      c/o Intelsat US LLC                     E—Mail:                 '         susan.crandall@intelsat.com
                        7900 Tysons One Place
           City:        McLean                                  State:                             VA
           Country:     USA                                     Zipcode:                          22102        —3972

           Attention:   Susan H. Crandall




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2. Contact


             Name:         Cynthia J. Grady                     Phone Number:                         202—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       —
             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 SESSTA2018091202659 or Submission ID
   4a. Is a fee submitted with this application?
3 IfYes, complete and attach FCC Form 159.         If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114).
C Governmental Entity        4 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
€3                                                 +4                                                 @

6. Requested Use Prior Date


7. CityHagerstown                                                          8. Latitude
                                                                           (dd mm ss.s h)   39   35    56.8   N


9. State   MD                                                              10. Longitude
                                                                           (dd mm ss.s h)    77    45     23.0   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 utilize a 9—meter C—band antenna located at its Hagerstown,
    Maryland teleport for antenna testing and to provide communications services to/from the
     SES—3 satellite         (call sign $2892)           at 103.0 W.L.                                                          j




13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is           @ Yes          (a] No
subject to a denial of Federal benefits that includes FCC benefits pursuantto 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                                                           Senior 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 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 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 collectionand 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@fcec.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: 2019-04-06 02:47:40
Document Modified: 2019-04-06 02:47:40

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