Application Form

This document pretains to SES-STA-INTR2019-03571 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:

TelAlaska Cellular, Inc. 907-563-2003
907-565-5539
201 E 56th Avenue [email protected]
Anchorage AK
USA 99518 -
Mr Jim R Mathe

Richard D. Rubino 2028285519
Blooston, Mordkofsky, Dickens, Duffy & Prendergast, LLP 2028285568
2120 L Street, NW Suite 300 E-Mail:
Washington DC
USA 20037 -
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
SESAMD2019022200183 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
10/14/2019
7. CitySeward 8. Latitude
(dd mm ss.s h)
60 9 10.72
9. State AK 10. Longitude
(dd mm ss.s h)
149 25 24.67
11. Please supply any need attachments.
Attachment 1: STA LETTER Attachment 2: 9.6.2019 LETTER Attachment 3:
12. Description. REQUEST FOR STA TO OPERATE C-BAND TELEPORT AT SEWARD, ALASKA.
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
David J. Goggins
15. Title of Person Signing
President and General Manager
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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Remember - You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-0678.


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