FCC FORM 442 - FEDERAL COMMUNICATIONS COMMISSION |
Approved by OMB
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1. Applicant's Name (company)
Raytheon Missile Systems |
File No.
0134-EX-PL-2004 |
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2. Mailing Address:
Attention: Thomas J. Fagan Street Address: Building M02 P.O. Box: 11337 City: Tucson State: AZ Zip Code: 85734-1337 Country: E-Mail Address: tjfagan@raytheon.com |
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| 3(a). Application is for: NEW LICENSE | ||||||||
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3(b). For Modification indicate below:
File No: Callsign: WD2XKF |
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| 4. Is this authorization to be used for fulfilling the requirement of a government contract with an agency of the United States Government? If "YES", include as an exhibit a narrative statement describing the government project, agency and contract number. | No | |||||||
| 5. Is this authorization to be used for the exclusive purpose of developing radio equipment for export to be employed by stations under the jurisdiction of a foreign government? If "YES", include the contract number and the name of the foreign government concerned as an exhibit. | No | |||||||
6. Is this authorization to be used for providing communications essential to a research project? (The
radio communication is not the objective of the research project)? If "YES", include as an
exhibit the following information:
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No | |||||||
7. If all the answers to Items 4, 5, 6 are "NO", include as an exhibit a narrative statement describing
in detail the following items:
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| 8. Give an estimate of the length of time that will be required to complete the program of experimentation proposed in this application: | 60 Months | |||||||
| 9. Would a commission grant of this application come within Section 1.1307 of the FCC Rules, such that it may have a significant environmental impact? If "YES", include as an exhibit an Environmental Assessment as required by Section 1.1311. | No | |||||||
| 10. List below transmitting equipment to be installed (if experimental, so state) if additional rows are required, please submit equipment list as an exhibit : | ||||||||
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| 11. Is the equipment listed in Item 10 capable of station identification pursuant to Section 5.115? | No | |||||||
| 12. Applicant is: | Corporation | |||||||
| 13. Is applicant a foreign government or a representative of a foreign government? | No | |||||||
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14. Has applicant or any party to this application had any FCC station license
or permit revoked or any application for permit, license or renewal denied by this
Commission? If "YES", include as an exhibit a statement giving call sign of license or permit revoked and relate circumstances. |
No | |||||||
| 15. Will applicant be owner and operator of the station? | Yes | |||||||
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16. Give the following information of person who can best handle inquiries pertaining to this application:
First Name: William Last Name: Dolash Title: Engineer Phone Number: 909-483-4127 E-Mail Address: wedolash@raytheon.com |
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17. APPLICANT ANTI-DRUG ABUSE CERTIFICATION: By checking "YES", the individual applicant certifies that he or she is eligible for this license. This requires that he or she is not subject to a denial of federal benefits, including FCC benefits, as a result of a drug offense conviction pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862. A non-individual applicant, e.g., corporation. partnership or other unincorporated association, certifies that no party to the application is subject to a denial of federal benefits, pursuant to that section. For definition of a "party" for these purposes, see 47CFR 1.2002(b). |
Yes | |||||||
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18. CERTIFICATION: THE APPLICANT CERTIFIES THAT:
Signature (Authorized person filing form): Thomas J. Fagan Signature Date (Authorized person filing form): 07/13/2004 Title of Person Signing Application: Spectrum Manager Classification: Authorized employee |
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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 LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(A)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503). |
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NOTIFICATION TO INDIVIDUALS UNDER PRIVACY ACT
OF 1974 AND THE PAPERWORK REDUCTION ACT OF 1980 Information requested through this form is authorized by the Communications Act of 1934, as amended, and specified by Section 308 therein. The information will be used by Federal Communications Commission staff to determine eligibility for issuing authorizations in the use of the frequency spectrum and to effect the provisions of regulatory responsibilities rendered by the Commission by the Act. Information requested by this form will be available to the public unless otherwise requested pursuant to 47 CFR 0.459 of the FCC Rules and Regulations. Your response is required to obtain this authorization. |
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Public reporting burden for this collection of information is estimated to average
four (4) hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding
this burden estimate or any other aspect of this collection of information,
including suggestions for reducing the burden to the Federal Communications Commission,
Records Management Branch, Paperwork Reduction Project (3060-0065), Washington DC 20554.
DO NOT send completed applications to this address. Individuals are not
required to respond to this collection unless it displays a currently valid OMD control
number. THE FOREGOING NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, P.L. 93-579, DECEMBER 31, 1974, 5 U.S.C. 552a(e)(3), AND THE PAPERWORK REDUCTION ACT OF 1980, P.L. 96-511, DECEMBER 11, 1980, 44 U.S.C. 3507. |
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