Attachment STA Request

This document pretains to SES-STA-INTR2018-06505 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTAINTR201806505_1545458

E140121 SES—STA—20181004—02902 182018006505 Intelsat License LLC 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: Request for 60—day STA Further Extension to Use Hagerstown, Maryland Earth Station E140121 to Provide TT&C Services for Intelsat 5 (S2704) Satellite 1. Applicant Name: Intelsat License LLC Phone Number: 703—559—7848 DBA Name: Fax Number: 703—559—8539 Street: c/o Intelsat US LLC E—Mail: susan.crandall@intelsat.com 7900 Tysons One Place City: McLean State: VA Country: USA Zipcode: 22102 —5972 Attention: Susan H. Crandall Se—$19— ~tor§10604 —o2%12z | z (‘:vflf?iguéfiélzz Grant Date zo/ zzgza’oo (or other identifier) Term Dates

2. Contact Name: Cynthia J. Grady Phone Number: 703—559—6949 Company: Intelsat US LLC Fax Number: 703—559—8539 Street: 7900 Tysons One Place E—Mail: cynthia.grady@intelsat.com City: McLean State: VA Country: USA Zipcode: . 22102 —5972. Attention: Relationship: Legal Counsel (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? ) IfYes, complete and attach FCC Form 159. If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114). C Governmental Entity 3 Noncommercial educational licensee C Other(please explain): 4b. Fee Classification CGX — Fixed Satellite Transmit/Receive Earth Station 5. Type Request g34 Use Prior to Grant «y Change Station Location &y Other 6. Requested Use Prior Date 7. CityHagerstown 8. Latitude (dd mm ss.s h) 39 35 53.1 N


Document Created: 2018-10-03 16:30:05
Document Modified: 2018-10-03 16:30:05
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