Application Form SES-STA-INTR2021-01225

Application Form

This document pretains to SES-STA-INTR2021-01225 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:

60-day STA request for E050287 to provide TT&C for ASTRA 1D at 73 W.L.

1. Applicant

Name:	SES Americom, Inc.	Phone Number:	202-478-7143
DBA Name:		Fax Number:	202-478-7111
Street:	1129 20th Street NW	E-Mail:	petra.vorwig@ses.com
	Suite 1000
City:	Washington	State:	DC
Country:	USA	Zipcode:	20036 -
Attention:	Ms Petra A Vorwig

2. Contact

Name:	Kelsie Rutherford	Phone Number:	2024787191
Company:	SES	Fax Number:
Street:	1129 20th Street NW	E-Mail:	kelsie.rutherford@ses.com
	Suite 1000
City:	Washington	State:	DC
Country:	USA	Zipcode:	20036 -
Attention:		Relationship:

(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 SESAFS2021032300550 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
04/12/2021

7. CityMt. Airy

8. Latitude
(dd mm ss.s h) 39 22 37.1 N

9. State MD

10. Longitude
(dd mm ss.s h) 77 4 49.1 W

11. Please supply any need attachments.

Attachment 1:

Attachment 2:

Attachment 3:

12. Description. SES Americom respectfully requests earth station special temporary authority for a period of 60 days beginning on April 12, 2021 to permit SES to use its E050287 earth station to provide Tracking, Telemetry and Command for the ASTRA 1D spacecraft located at 73.0 W.L. SES seeks STA pending Commission action on an application requesting regular authority for this operation and incorporates by reference the supporting information provided with the application. See File No. SES-AFS-20210323-00550.

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
Petra A. Vorwig

15. Title of Person Signing
Vice President, Legal & Regulatory Affairs

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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