Application Form

This document pretains to SES-STA-INTR2019-04079 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:

Sirius XM Radio Inc. 202-380-4000
202-380-4500
1290 Avenue of the Americas [email protected]
11th Floor
New York NY
USA 10104 -
James S. Blitz

Karis A. Hastings 202-599-0975
SatCom Law LLC
1317 F Street N.W E-Mail: [email protected]
Suite 400
Washington DC
USA 20004 -1109
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 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
12/20/2019
7. CityVernon 8. Latitude
(dd mm ss.s h) 41 12 45.0 N
9. State NJ 10. Longitude
(dd mm ss.s h) 74 29 39.0 W
11. Please supply any need attachments.
Attachment 1: STA Narr and Rad Haz Attachment 2: Attachment 3:
12. Description. Sirius XM Radio Inc. requests special temporary authority to use two new antennas at its Vernon, New Jersey earth station, call sign E080185, to provide telemetry, tracking, and command for its SDARS fleet. See attached narrative.
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
James S. Blitz 		15. Title of Person Signing
Vice President Regulatory 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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