Application Form

This document pretains to SES-STA-20190321-00361 for Special Temporal Authority on a Satellite Earth Station filing.

Approved by OMB
3060-0678
APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY


APPLICANT INFORMATION

Enter a description of this application to identify it on the main menu:

Globecomm License Sub LLC 631-457-1347
45 Oser Avenue [email protected]
Hauppauge NY
USA 11788 -
John Flynn

Jennifer D. Hindin 2027194975
Wiley Rein LLP
1776 K Street NW E-Mail: [email protected]
Washington DC
USA 20006 -
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 SESSTA2018110203204 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
03/31/2019
7. CityLaurel 8. Latitude
(dd mm ss.s h) 39 6 45.5 N
9. State MD 10. Longitude
(dd mm ss.s h) 76 49 58.0 W
11. Please supply any need attachments.
Attachment 1: Exhibit 1 Attachment 2: Attachment 3:
12. Description. Request for Second 60-day extension of Special Temporary Authority (STA) (File No. SES-STA-20181102-03204) authorizing use prior to grant of a pending earth station License Modification Application (File No SES-MOD-20180918-02755). Technical information for the operation of the earth station is provided in the STA and permanent license application and incorporated by reference here. Pursuant to Section 1.62 of the Commission, Globecomm will continue to operate pursuant to the terms and conditions of its existing STA pending action on this renewal request.
13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is 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. Yes No
14. Name of Person Signing
John Flynn 		15. Title of Person Signing
VP, Global Operations
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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