Application Form SES-STA-INTR2019-03598

Application Form

This document pretains to SES-STA-INTR2019-03598 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:

Alaska Railway Testing

1. Applicant

Name:	SES Americom, Inc.	Phone Number:	5712290879
DBA Name:		Fax Number:	202-478-7111
Street:	1129 20th Street NW	E-Mail:	nkaicherry@gmail.com
	Suite 1000
City:	Washington	State:	DC
Country:	USA	Zipcode:	20036 -
Attention:	Ms Petra A Vorwig

2. Contact

Name:	Noah Cherry	Phone Number:	5712290879
Company:	SES	Fax Number:
Street:	1129 20th Street NW Suite 1000	E-Mail:	noah.cherry@ses.com

City:	Washington	State:	DC
Country:	USA	Zipcode:	20036 -
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 SESSTA2019081201068 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 CGS - Fixed Satellite Small Transmit/Receive Earth Station

5. Type Request

Use Prior to Grant

Change Station Location

Other

6. Requested Use Prior Date
10/23/2019

7. CityPort St. Lucie

8. Latitude
(dd mm ss.s h) 27 16 57.0 N

9. State FL

10. Longitude
(dd mm ss.s h) 80 28 57.0 W

11. Please supply any need attachments.

Attachment 1: Extension Narrative

Attachment 2: STA Grant

Attachment 3:

12. Description. SES request to extend Special Temporary Authority for 60 days from October 23m 2019 to test 131.2x 141.8 x 29.8 centimeter antenna designated RaySat ER7000 for compatibility with SES's satellites in the conventional Ku-band.

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

14. Name of Person Signing
Noah Cherry

15. Title of Person Signing
Counsel

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.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.