Application Form [pdf]

This document pretains to SES-STA-20190506-00563 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:
Guam STA for Global 1−4 Constellation
    1. Applicant

              Name:        ATLAS Space Operations, Inc   Phone Number:              231−598−6184
              DBA Name:                                  Fax Number:
              Street:      10850 E Traverse Hwy          E−Mail:                    mcarey@atlasground.com
                           Ste 3355
              City:        Traverse City                 State:                     MI
              Country:     USA                           Zipcode:                   49684       −
              Attention:   Mr Michael J Carey




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    2. Contact

                 Name:         Hanna Pritchard                     Phone Number:                        2315986184
                 Company:      ATLAS Space Operations, Inc         Fax Number:
                 Street:       10850 E Traverse Highway Suite      E−Mail:
                               3355


                 City:         Traverse City                       State:                                MI
                 Country:      USA                                 Zipcode:                             49684      −
                 Attention:                                        Relationship:


    (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 SESLIC2018122403650 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
          06/01/2019




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    7. CityDededo                                                              8. Latitude
                                                                               (dd mm ss.s h)     13    30    48.8    N
    9. State   GU                                                              10. Longitude
                                                                               (dd mm ss.s h)     144    49    31.1   E
    11. Please supply any need attachments.
    Attachment 1: Request for STA                     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.)
        STA to permit critical operations coinciding with the operations of Global 1−4.                                                 (Call
        sign S3032). See FCC file No. SAT−LOA−20180320−00023.




    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
      Hanna Pritchard                                                            Orbital Analyst
               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: 2019-05-27 13:13:53
Document Modified: 2019-05-27 13:13:53

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