Application Form

This document pretains to SES-STA-20190723-00975 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:

Systems and Software Enterprises, LLC 818-700-0733
2929 E. Imperial Highway [email protected]
Suite 170
Brea CA
USA 92821 -6729
Dave M. Gibson

Dave M. Gibson 714-203-0733
2929 E. Imperial Highway E-Mail: [email protected]
Suite 170
Brea CA
USA 92821 -6729
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
SESSTA2019051700634 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 CGV - Fixed Satellite VSAT System
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
08/05/2019
7. CityBrea 8. Latitude
(dd mm ss.s h)
33 43 43.0 N
9. State CA 10. Longitude
(dd mm ss.s h)
117 51 22.0 W
11. Please supply any need attachments.
Attachment 1: Exhibit A Attachment 2: Attachment 3:
12. Description. Request extension of Use Prior to Grant STA for a Ka-Band uplink that has an attendant license application (SES-LIC-INTR2019-02348) that is awaiting action. Pending such action, there is every reason for this extension to be granted.
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
Jim Snover
15. Title of Person Signing
SVP-Quality and Facilities
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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