Application Form [pdf]

This document pretains to SES-STA-20190402-00419 for Special Temporal Authority on a Satellite Earth Station filing.


                                                                                                           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:
STA to Test ESIM Terminal
    1. Applicant

              Name:        ISAT US Inc.                 Phone Number:               202−572−0686
              DBA Name:                                 Fax Number:                 202−248−5177
              Street:      1101 Connecticut Avenue NW   E−Mail:                     Ethan.Lucarelli@inmarsat.com
                           Suite 1200
              City:        Washington                   State:                      DC
              Country:     USA                          Zipcode:                    20036       −
              Attention:   M. Ethan Lucarelli




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    2. Contact

                 Name:         M. Ethan Lucarelli                  Phone Number:                        202−572−0686
                 Company:      ISAT US Inc.                        Fax Number:                          202−248−5177
                 Street:       1101 Connecticut Avenue NW          E−Mail:                              Ethan.Lucarelli@inmarsat.com
                               Suite 1200
                 City:         Washington                          State:                                DC
                 Country:      USA                                 Zipcode:                             20036         −
                 Attention:                                        Relationship:                         Same


    (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).
        Governmental Entity          Noncommercial educational licensee
        Other(please explain):

    4b. Fee Classification    CGB − Mobile Satellite Earth Stations
    5. Type Request

        Use Prior to Grant                                Change Station Location                             Other


    6. Requested Use Prior Date
          05/01/2019
    7. City                                                                   8. Latitude
                                                                              (dd mm ss.s h)    0   0   0.0


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    9. State                                                                   10. Longitude
                                                                               (dd mm ss.s h)     0   0   0.0
    11. Please supply any need attachments.
    Attachment 1: Exhibit A                           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.)
        ISAT US seeks 90 day STA to test single unit of new land ESIM terminal.                                            See Exhibit A.




    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 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
      M. Ethan Lucarelli                                                         Director, Regulatory and Public Policy
               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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Document Created: 2019-04-28 12:51:41
Document Modified: 2019-04-28 12:51:41

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