Application Form [pdf]

This document pretains to SES-STA-INTR2019-00996 for Special Temporal Authority on a Satellite Earth Station filing.


                                                                                                           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:
Apr 2019 − GCI Warehouse (E020336) C−Band STA Extension
    1. Applicant

              Name:        GCI Communication Corp.    Phone Number:                 907−868−5615
              DBA Name:                               Fax Number:                   907−868−9817
              Street:      2550 Denali St, Ste 1000   E−Mail:                       gcilicensemanager@gci.com


              City:        Anchorage                  State:                        AK
              Country:     USA                        Zipcode:                      99503       −2737
              Attention:   Ms Cynthia L Hall




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    2. Contact

                 Name:         GCI Communication Corp.             Phone Number:                          907−868−5615
                 Company:                                          Fax Number:                            907−868−9817
                 Street:       2550 Denali St, Ste 1000            E−Mail:                                chall2@gci.com


                 City:         Anchorage                           State:                                 AK
                 Country:      USA                                 Zipcode:                               99503       −2737
                 Attention:                                        Relationship:                          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 SESSTA2018101703063 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
          04/08/2019
    7. CityAnchorage                                                          8. Latitude
                                                                              (dd mm ss.s h)    61   10    32.7   N


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    9. State   AK                                                              10. Longitude
                                                                               (dd mm ss.s h)     149   52   24.5    W
    11. Please supply any need attachments.
    Attachment 1: Exhibit 1                           Attachment 2:                                      Attachment 3:


    12. Description.   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
        GCI Communication Corp. is seeking an extension of its special temporary authority (STA)
        (File No. SES−STA−20181017−03063 to continue to operate, for 60 days or less pending the
        decision on its application for regular authority (IBFS File No. SES−LIC−20180608−01392),
        a fixed satellite earth station in the C−Band.



    13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes            No
    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.


    14. Name of Person Signing                                                 15. Title of Person Signing
      Chris Mace                                                                 VP, Network Servces and Chief Engineer
               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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Document Created: 2019-04-28 12:41:15
Document Modified: 2019-04-28 12:41:15

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