Application Form SES-STA-INTR2021-03322

Application Form

This document pretains to SES-STA-INTR2021-03322 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:

JROC VSAT STA Extension Request- August 2021

1. Applicant

Name:	L3HARRIS TECHNOLOGIES, INC.	Phone Number:	585-742-9122
DBA Name:		Fax Number:
Street:	1025 West Nasa Blvd.	E-Mail:	Vance.Kannapel@L3Harris.com

City:	Melbourne	State:	FL
Country:	USA	Zipcode:	32919 -
Attention:	Vance Kannapel

2. Contact

Name:	F. William LeBeau	Phone Number:	202-862-5965
Company:	Holland & Knight LLP	Fax Number:	202-955-5564
Street:	800 17th Street, NW	E-Mail:	bill.lebeau@hklaw.com
	Suite 1100
City:	Washington	State:	DC
Country:	USA	Zipcode:	20006 -
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 SESSTA2021022300383 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
08/31/2021

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: Req for Ext of STA

Attachment 2:

Attachment 3:

12. Description. L3Harris Technologies seeks an extension of the STA originally authorized under FCC File No. SES-STA-20210223-00383 as supplemented by FCC File Nos. SES-STA-20210426-00737 and SES-STA-20210625-00987 for an additional sixty-day period, until October 30, 2021 to utilize a newly constructed VSAT hub station in order to effectuate continued testing of remote VSAT terminals for delivery to US DoD forces and to provide continued 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

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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