DRAFT – March 2024
SCL-ASG&TC Form
FCC [[#]] SCL- ASG&TC |
FCC Application for Assignment (ASG) or Transfer of Control (TC) of a Cable Landing License
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NOT Approved by OMB 3060-0944 Estimated time per response: 13-134 Edition Date: [XXXX 2024] |
[Link to Instructions]
Applicants
Licensee Information
Licensee Information.
FRN
Applicant/Licensee Legal Entity Type (Select One)
Unincorporated Association: (check box)
Government Entity: (check box)
Corporation: (check box)
Limited Liability Company: (heck box)
General Partnership : (check box)
Limited Partnership: (check box)
Limited Liability Partnership: (check box)
Other: (check box and then Fill-in box)
Name and title; Doing Business As (DBA), address; phone; fax; email; attention to (imported from CORES during authentication).
Contact Information.
Check here if same as Licensee: (Check Box)
(If different from the Applicant): Name and title; Doing Business As (DBA), company name; relationship, address; phone; fax; email; (individual fields should be editable on the form screen)
Assignor/Transferor Information
Assignor/Transferor Information.
FRN
Legal Entity Type (Select One)
Individual: (check box)
Unincorporated Association: (check box)
Government Entity: (check box)
Corporation: (check box)
Limited Liability Company: (check box)
General Partnership : (check box)
Limited Partnership: (check box)
Limited Liability Partnership: (check box)
Other: (check box then Fill-in box)
Name and title; Doing Business As (DBA), address; phone; fax; email attention to (imported from CORES during authentication
Assignor/Transferor Contact Information.
Check here if same as Assignor/Transferor: (Check Box)
(If different from the Assignor/Transferor): Name and title; Doing Business As (DBA), company name; relationship, address; phone; fax; email; (individual fields should be editable on the form screen)
Assignee/Transferee Information
Assignee/Transferee Information.
FRN
Legal Entity Type (Select One)
Individual: (check box)
Unincorporated Association: (check box)
Government Entity: (check box)
Corporation: (check box)
Limited Liability Company: (check box)
General Partnership : (check box)
Limited Partnership: (check box)
Limited Liability Partnership: (check box)
Other: (check box then Fill-in box]
Name and title; Doing Business As (DBA), address; phone; fax; email; attention to (imported from CORES during authentication)
Assignee/Transferee Contact Information.
Check here if same as Assignee/Transferee: [Check Box]
(If different from the Assignee/Transferee Name and title; Doing Business As (DBA), address; phone; fax; email (individual fields should be editable on the form screen)
Additional Assignee/Transferee Contacts. The Applicant must designate a point of contact who is located in the United States and is a U.S. citizen or lawful U.S. permanent resident, for the execution of lawful requests and as an agent for legal service of process. See 47 CFR § 63.18(q)(1)(iii).
7.a. Contact for execution of lawful requests.
Individual Name: [text box]
Company: [text box] [if different than applicant]
Telephone number: [text box]
Fax number: [text box]
Email: [text box]
Complete business address: [text box]
Alternate contact for execution of lawful requests (optional)
(check box) Select if alternate contact has been designated.
[If check box is selected, enter alternate contact information in the following text boxes]
Alternate Individual Name: [text box]
Alternate Company: [text box] [if different than applicant]
Alternate Telephone number: [text box]
Alternate Fax number: [text box]
Alternate Email: [text box]
Alternate Complete business address: [text box]
7.b. Agent for legal service of process
(check box) Select if agent is same as contact for execution of lawful requests.
[If check box is selected, enter information in the following text boxes]
Individual Name: [text box]
Company: [text box] [if different than applicant]
Telephone number: [text box]
Fax number: [text box]
Email: [text box]
Complete business address: [text box]
Alternate contact for execution of lawful requests (optional)
(check box) Select if alternate contact has been designated.
[If check box is selected, enter contact information in the following text boxes]
Alternate Individual Name: [text box]
Alternate Company: [text box] [if different than applicant]
Alternate Telephone number: [text box]
Alternate Fax number: [text box]
Alternate Email: [text box]
Alternate Complete business address: [text box]
Identify the Government, State, or Territory under the laws of which a corporate or partnership Assignee/Transferee and Assignor/Transferor is organized.
[Drop-down menu with list of countries and states if United States is selected with the ability to add/remove in case of multiple]
Applicant Name (the transferor/assignor and the transferee/assignee names) |
Government, State, or Territory where Applicant is Organized |
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Application Information
Enter the name of the cable system and AuthID and associated file numbers (SCL-LIC or SCL-MOD) of the cable landing license(s) subject to this transaction.
[[Draw the following table for text entry:]
(a) AuthID |
(b1) Name of Cable System |
(b2) File Number of Current Cable Landing License |
Brief Description of the Transaction: (editable field for Applicant to supply a short description)
Is this an assignment of authorization or transfer of control?
a. [checkbox for “Assignment of License”]
b. [checkbox for “Transfer of control”]
Is this a pro forma or substantive transaction?
a. [checkbox for “Substantive]
b. [checkbox for “Pro forma”]
If 11a and 12a are checked the questions and tables in “Substantive Assignment” below should appear to be filled out]
If 11a and 12b are checked the questions and tables in “Pro Forma (Non-Substantive) Assignment” below should appear to be filled out]
If 11b and 12a are checked the questions and tables in “Substantive Transfer of Control” below should appear to be filled out]
If 11b and 12b are checked the questions and tables in “Pro Forma (Non-Substantive) Transfer of Control” below should appear to be filled out]
[Parts A, B, C and D are separate documents]
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Adrienne McNeil |
| File Modified | 0000-00-00 |
| File Created | 2024-07-20 |