Attachment Form 312 Schedule B SES-STA-INTR2019-00228

Attachment Form 312 Schedule B

This document pretains to SES-STA-INTR2019-00228 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTAINTR201900228_1617863

2/3/2019 FCC - Form 312 - Main Form
27. The purpose of this proposed modification is to: (Place an "X" in the box(es) next to all that apply.)
Not Applicable

ENVIRONMENTAL POLICY

28. Would a Commission grant of any proposal in this application or amendment have a significant environmental
Yes No
impact as defined by 47 CFR 1.1307? If YES, submit the statement as required by Sections 1.1308 and 1.1311 of the
Commission's rules, 47 C.F.R. 1.1308 and 1.1311, as an exhibit to this application. A Radiation Hazard Study
must accompany all applications for new transmitting facilities, major modifications, or major amendments. Attachment

ALIEN OWNERSHIP
Earth station applicants not proposing to provide broadcast, common carrier, aeronautical en route or aeronautical fixed
radio station services are not required to respond to Items 30-34.

29. Is the applicant a foreign government or the representative of any foreign government? Yes No

30. Is the applicant an alien or the representative of an alien? Yes No N/A

31. Is the applicant a corporation organized under the laws of any foreign government? Yes No N/A

32. Is the applicant a corporation of which more than one-fifth of the capital stock is owned of record or voted by
aliens or their representatives or by a foreign government or representative thereof or by any corporation organized Yes No N/A
under the laws of a foreign country?

33. Is the applicant a corporation directly or indirectly controlled by any other corporation of which more than one-
fourth of the capital stock is owned of record or voted by aliens, their representatives, or by a foreign government or Yes No N/A
representative thereof or by any corporation organized under the laws of a foreign country?

34. If any answer to questions 29, 30, 31, 32 and/or 33 is Yes, attach as an exhibit an identification of the aliens or
Attachment
foreign entities, their nationality, their relationship to the applicant, and the percentage of stock they own or vote.

BASIC QUALIFICATIONS

Yes No
35. Does the Applicant request any waivers or exemptions from any of the Commission's Rules?
If Yes, attach as an exhibit, copies of the requests for waivers or exceptions with supporting documents.
Attachment

36. Has the applicant or any party to this application or amendment had any FCC station authorization or license Yes No
revoked or had any application for an initial, modification or renewal of FCC station authorization, license, or
construction permit denied by the Commission? If Yes, attach as an exhibit, an explanation of circumstances. Attachment

37. Has the applicant, or any party to this application or amendment, or any party directly or indirectly controlling Yes No
the applicant ever been convicted of a felony by any state or federal court? If Yes, attach as an exhibit, an
explanation of circumstances. Attachment

38. Has any court finally adjudged the applicant, or any person directly or indirectly controlling the applicant, guilty
Yes No
of unlawfully monopolizing or attemptiing unlawfully to monopolize radio communication, directly or indirectly,
through control of manufacture or sale of radio apparatus, exclusive traffic arrangement or any other means or unfair
methods of competition?If Yes, attach as an exhibit, an explanation of circumstances Attachment

Yes No
39. Is the applicant, or any person directly or indirectly controlling the applicant, currently a party in any pending
matter referred to in the preceding two items? If yes, attach as an exhinit, an explanation of the circumstances.
Attachment

40. If the applicant is a corporation and is applying for a space station license, attach as an exhibit the names,
address, and citizenship of those stockholders owning a record and/or voting 10 percent or more of the Filer's voting
stock and the percentages so held. In the case of fiduciary control, indicate the beneficiary(ies) or class of
Attachment
beneficiaries. Also list the names and addresses of the officers and directors of the Filer.

41. By checking Yes, the undersigned certifies, that neither applicant nor any other party to the application is subject Yes No
to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti-Drug Act of 1988, 21
https://licensing.fcc.gov/cgi-bin/ws.exe/prod/ib/forms/mkformp.hts?form=P013_101.htm&acct=885359&appn=129332&formid=13 3/5

Document Created: 2019-02-03 21:18:48
Document Modified: 2019-02-03 21:18:48

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