Application Form

This document pretains to SES-STA-INTR2021-00779 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:

L3HARRIS TECHNOLOGIES, INC. 585-742-9122
1025 West Nasa Blvd. Vance.Kannapel@L3Harris.com
Melbourne FL
USA 32919 -
Vance Kannapel

F. William LeBeau 202-862-5965
Holland & Knight LLP 202-955-5564
800 17th Street, NW E-Mail: bill.lebeau@hklaw.com
Suite 1100
Washington DC
USA 20006 -
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 SESLIC2020050600499 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 CGV - Fixed Satellite VSAT System
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
03/01/2021
7. CityHenrietta 8. Latitude
(dd mm ss.s h) 43 5 22.6 N
9. State NY 10. Longitude
(dd mm ss.s h) 77 35 22.2 W
11. Please supply any need attachments.
Attachment 1: Request for STA Attachment 2: Technical Data Attachment 3: File SES-LIC-2020050
12. Description. L3Harris Technologies seeks STA to utilize a newly constructed VSAT hub station in order to effectuate testing of remote VSAT terminals for delivery to US DoD forces and to provide support for existing customer operations.
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
Vance Kannapel 		15. Title of Person Signing
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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