Application Form

This document pretains to SES-STA-INTR2004-01069 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:

All Mobile Video Inc 212-727-1234
212-255-6644
221 W 26th St [email protected]
New York NY
USA 10001 -
Mr. Chinamy Das

Ted D. Rosen, Esq. 212-889-8077
Rosen & Tetelman, LLP 212-889-8079
292 Madison Avenue, 25th Floor E-Mail: [email protected]
New York NY
USA 10017 -
Ted D. Rosen, Esq. Legal Counsel
3. Reference File Number SESLIC1994031401711
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
05/26/2004
7. City 8. Latitude
(dd mm ss.s h)
0 0 0.0
9. State 10. Longitude
(dd mm ss.s h)
0 0 0.0
11. Please supply any need attachments.
Attachment 1: Attachment 2: Attachment 3:
12. Description. The Applicant's License No. E940228 expires May 27, 2004. a Form 405 and Form 159 and filing fee were submitted direclty by All Mobile Video Inc. last week. In order to continue to broadcast sporting events and news, special temporary authority is hereby requested until such time as the extension is granted. The servcies benefit the public.
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
Ted D. Rosen, Esq.
15. Title of Person Signing
Attorney
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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