|
1. | Legal Name of the Applicant PERRY BROADCASTING COMPANY |
||||||||||||||||
Mailing Address C/O PEDRO ZAMORA 24486 BRENTWOOD DRIVE |
|||||||||||||||||
City BROWNSTOWN |
State or Country (if foreign address) MI |
Zip Code 48183 - |
|||||||||||||||
Telephone Number (include area code) 7347830885 |
E-Mail Address (if available) ZAMORAENT@EARTHLINK.NET |
||||||||||||||||
FCC Registration Number: 0003763976 |
Call Sign KDLS |
Facility ID Number 52314 |
|||||||||||||||
2. | Contact Representative (if other than licensee/permittee) DAVID TILLOTSON |
Firm or Company Name LAW OFFICE OF DAVID TILLOTSON |
|||||||||||||||
Mailing Address 4606 CHARLESTON TERRACE, N.W. |
|||||||||||||||||
City WASHINGTON |
State or Country (if foreign address) DC |
ZIP Code 20007 - |
|||||||||||||||
Telephone Number (include area code) 2026256241 |
E-Mail Address (if available) DTLAW@STARPOWER.NET |
||||||||||||||||
3. | Purpose:![]() |
||||||||||||||||
![]() |
|||||||||||||||||
![]() |
|||||||||||||||||
4. | Consummation for:![]() |
||||||||||||||||
![]() |
|||||||||||||||||
5. |
|
Lead Facility ID: 52314 | |||||||||||||||
6. |
|
||||||||||||||||
7. |
|
||||||||||||||||
8. | FRN of the Licensee (post-consummation): 0003763976 |
I hereby certify that the referenced assignment of license/transfer of control was consummated within the required time period, on the date indicated in #7 above.
Typed or Printed Name of Person Signing PEDRO ZAMORA |
Typed or Printed Title of Person Signing PRESIDENT |
Signature |
Date 02/01/2006 |
WILLFUL FALSE STATEMENTS 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).