Application Form

This document pretains to SES-STA-INTR2019-00922 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:

XTAR LLC 571-524-1730
43777 Central Station Dr [email protected]
Ste 360
Ashburn VA
USA 20147 -
Mr Todd C Dudley

XTAR LLC 571-524-1730
43777 Central Station Dr E-Mail: [email protected]
Ste 360
Ashburn VA
USA 20147 -
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 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): First-time submission; requesting exemption until clarified

4b. Fee Classification CGV - Fixed Satellite VSAT System
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
05/20/2019
7. CityTampa 8. Latitude
(dd mm ss.s h) 27 57 51.0 N
9. State FL 10. Longitude
(dd mm ss.s h) 82 27 9.0 W
11. Please supply any need attachments.
Attachment 1: Attachment 2: Attachment 3:
12. Description. XTAR is commercial owner operator of 2 commercial X-band satellites. We are planning to attend SOFIC 2019 in Tampa, FL (20-23 May, 2019) and respectfully request a RFA/STA to demonstrate a live X-band SATCOM feed to the many DoD personnel that are present, which will help showcase the unique properties of this important government-only RF band to a DoD audience. Remote
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
Todd Dudley 		15. Title of Person Signing
Director, Government Affairs
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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