Application Form

This document pretains to SES-STA-20210430-00759 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:

RBC Signals, LLC 404-803-7734
2205 152nd Ave NE [email protected]
Redmond WA
USA 98052 -
Mr Christopher Richins

Carlos Nalda 6099021670
LMI Advisors
2550 M Street NW E-Mail: [email protected]
Suite 344
Washington DC
USA 20037 -
Other
(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 CGX - Fixed Satellite Transmit/Receive Earth Station
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
06/01/2021
7. CityDeadhorse 8. Latitude
(dd mm ss.s h)
70 12 45.0 N
9. State AK 10. Longitude
(dd mm ss.s h)
148 24 29.0 W
11. Please supply any need attachments.
Attachment 1: Narrative Attachment 2: Technical Appendix Attachment 3:
12. Description. 180-Day STA request to provide TT&C to support for the VR-2 from the Deadhorse, Alaska site.
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
Christopher Richins
15. Title of Person Signing
CEO
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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