Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0010 (June 2002)
FCC 323
FOR FCC USE ONLY
 
OWNERSHIP REPORT FOR COMMERCIAL BROADCAST STATIONS

Read INSTRUCTIONS Before Filling Out Form

FOR COMMISSION USE ONLY
FILE NO.

BOS - 20070807ACM
Section I - General Information
1. Legal Name of the Applicant 
SIMMONS-SLC, LS, LLC
Mailing Address
515 S. 700 E. #1C
City
SALT LAKE CITY
State or Country (if foreign address)
UT
ZIP Code
84102 -
Telephone Number (include area code)
8015242600
E-Mail Address (if available) 
FCC Registration Number:
0004969374
Call Sign 
Facility ID Number 
665
2. Contact Representative (if other than Licensee/Permittee)
KEVIN P. LATEK
Firm or Company Name
DOW LOHNES PLLC
Telephone Number (include area code)
2027762000
E-Mail Address (if available)
KLATEK@DOWLOHNES.COM
3. Name of entity, if other than licensee or permittee, for which report is filed
SIMMONS MEDIA GROUP, LLC
Mailing Address
515 S. 700 E. #1C

City
SALT LAKE CITY
State or Country (if foreign address)
UT
ZIP Code
84102 -
Telephone Number (include area code)
8015242600
E-Mail Address (if available)
4. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
Governmental Entity Fee-exempt Report Other PARENT COMPANY REPORT
N/A (Fee Required)



Section II - Ownership Information

5.

a. Biennial b. Transfer of Control or Assignment of License/Permit c. Other
d. Amendment to pending application


for the following stations:

[Enter Station Information]


Station List


This Report is filed for the following stations:

Call Letters
Facility ID Number
Location (City/State)
Class of service
KYMV 81867 WOODRUFF UT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KXRK 406 PROVO UT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KEGA 89255 OAKLEY UT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KZNS 60458 SALT LAKE CITY UT AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KJQN 88483 COALVILLE UT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KEGH 21607 BRIGHAM CITY UT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KMER 10335 KEMMERER WY AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KAOX 31169 KEMMERER WY FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KDWY 77947 DIAMONDVILLE WY FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KRZI 87179 WACO TX AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KLRK 35581 MARLIN TX FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KSLG 74579 ST LOUIS MO AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
WFFX 72815 EAST ST. LOUIS IL AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KWGW 21494 MEXIA TX FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KRQX 21493 MEXIA TX AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KDXE 665 NORTH LITTLE ROCK AR AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KQPN 48749 WEST MEMPHIS AR AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KOVO 65665 PROVO UT AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KURR 164147 HURRICANE UT FM



All of the information furnished in this Report is accurate as of 08/07/2007 (Date must comply with 47 C.F.R. Section 73.3615(a), i.e., information must be current within 60 days of filing of this report, when 5(a) below is checked.)

This Report is filed for (check one)
6.
Respondent is:
Sole proprietorship Not-for-profit corporation Limited partnership
For-profit corporation General partnership Other
If "Other", describe nature of the respondent in an Exhibit.
[Exhibit 1]
7.
List all contracts and other instruments required to be filed by 47 C.F.R. Section 73.3613.   (Only licensees, permittees, or a reporting entity with a majority interest in or that otherwise exercises de facto control over the subject licensee or permittee shall respond.)

[Enter Contract/Instrument Information]


Contracts/Instruments Information


List all contracts and other instruments required to be filed by 47 C.F.R. Section 73.3613. (Only licensees, permittees, or a reporting entity with a majority interest in or that otherwise exercises de facto control over the subject shall respond.)

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
MEMBER INTEREST PURCHASE AGREEMENT BETWEEN SMGI, LLC AND SMG, INC. SMG, INC. 12/29/2000

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
ASSIGNMENT OF LICENSES FROM SIMMONS MEDIA GROUP, INC. TO SIMMONS MEDIA GROUP, LLC SIMMONS MEDIA GROUP, INC. 05/18/2001

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
CREDIT AND GUARANTY AGREEMENT GOLDMAN SACHS SPECIALTY LENDING GROUP LP 12/23/2004 12/23/2009

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
CONSENT AND FOURTH AMENDMENT TO AMENDED AND RESTATED CREDIT AND GUARANTY AGREEMENT GOLDMAN SACHS SPECIALTY LENDING GROUP, LP 06/29/2007 06/29/2012

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
FOURTH AMENDED AND RESTATED OPERATING AGREEMENT FOR SIMMONS MEDIA GROUP, LLC STATE OF UTAH 06/29/2007

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
MEMBER UNIT PURCHASE AGREEMENT GOLDMAN SACHS & CO. 06/29/2007

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
CERTIFICAT OF CONVERSION FROM A NON-DELAWARE LIMITED LIABILITY COMPANY TO A DELAWARE LIMITED LIABILITY COMPANY STATE OF DELAWARE 06/29/2007

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
CERTIFICATE OF FORMATION OF SIMMONS MEDIA GROUP, LLC STATE OF DELAWARE 06/29/2007


8. Capitalization (Only licensees, permittees, or a reporting entity with a majority interest in or that otherwise exercises de facto control over the subject licensee or permittee shall respond.)

[Enter Capitalization Information]



9.
(a.) List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
[Enter Owner Information]

Owner Information

List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
(Read carefully - The numbered items below refer to line numbers in the following table.)
1. Name and address of respondent and each party to the respondent holding an attributable interest (if other than individual also show name, address and citizenship of natural person authorized to vote the stock or holding the attributable interest). List the respondent first, officers next, then directors and, thereafter, remaining stockholders and other entities with attributable interests, and partners.
2. Gender (male or female).
3. Ethnicity (check one).
4. Race (select one or more).
5. Citizenship.
6. Positional interest: Officer, director, general partner, limited partner, LLC member, investor/creditor attributable under the Commission's equity/debt plus standard, etc.
7. Percentage of votes.
8. Percentage of total assets (equity debt plus).

1. Name and Address ELIZABETH S. HOKE, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) Female
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MANAGER
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address HARRIS H. SIMMONS, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MANAGER
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address DAVID E. SIMMONS, 515 S. 700 E., #1C, SALT LAKE CITY, UT 94102
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MANAGER
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address MATTHEW SIMMONS AND TERRI LACY, CO-TRUSTEES, THE MATTHEW R. SIMMONS 201 TRUST, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) N/A
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MEMBER
7. Percentage of votes 10.70
8. Percentage of total assets (equity debt plus) 9.87

1. Name and Address LAURENCE E SIMMONS AND TERRI LACY, CO-TRUSTEES, THE LAURENCE E. SIMMONS 201 TRUST, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) N/A
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MEMBER
7. Percentage of votes 10.70
8. Percentage of total assets (equity debt plus) 9.87

1. Name and Address JULIA WATKINS, CHRISTOPHER M WATKINS AND CATHERINE W STRINGHAM, CO-TRUSTEES, THE JULIA S. WATKINS 201 TRUST, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) N/A
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MEMBER
7. Percentage of votes 10.70
8. Percentage of total assets (equity debt plus) 9.87

1. Name and Address ELIZABETH HOKE AND HENRY PHIBBS, CO-TRUSTEES, THE ELIZABETH S. HOKE 201 TRUST, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) N/A
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MEMBER
7. Percentage of votes 10.70
8. Percentage of total assets (equity debt plus) 9.87

1. Name and Address HARRIS H SIMMONS AND DAVID E SIMMONS, CO-TRUSTEES, THE HARRIS H. SIMMONS 201 TRUST, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) N/A
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MEMBER
7. Percentage of votes 10.70
8. Percentage of total assets (equity debt plus) 9.87

1. Name and Address DAVID E SIMMONS, TRUSTEE, THE DAVID E. SIMMONS 201 TRUST, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) N/A
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MEMBER
7. Percentage of votes 10.70
8. Percentage of total assets (equity debt plus) 9.87

1. Name and Address G. CRAIG HANSON, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest PRESIDENT
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address BRUCE W. THOMAS, 121 W. TORRANCE BLVD., REDONDO BEACH, CA 90277
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest EXEC. VP AND CFO
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 1.21

1. Name and Address BRET J. LEIFSON, 515 S. 700 E., #1C, SALT LAKE CITY, UT 84102
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest SECRETARY AND CONTROLLER
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address SIMMONS MANAGEMENT CO, LLC, 515 S.700 E. #1C, SLC, UT 84102
2. Gender (male or female) N/A
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MEMBER
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 6.71

1. Name and Address GOLDMAN SACHS & CO., 85 BROAD STREET 29TH FOOR, NY, NY 10004
2. Gender (male or female) N/A
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MEMBER
7. Percentage of votes 35.70
8. Percentage of total assets (equity debt plus) 32.87

1. Name and Address GABRIEL T. SCHWARTZ, 85 BROAD STREET, 29TH FLOOR, NY, NY 10004
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MANAGER
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address GREGORY KUNZ, 85 BROAD STREET, 29TH FLOOR, NY, NY 10004
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest MANAGER
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 0.00


(b) Respondent certifies that equity and financial interests not set forth in response to Question 9(a) are non-attributable. Yes No

N/A

See Explanation in
[Exhibit 2]

(c) Is the respondent or any party holding an attributable interest in the respondent also the holder of an attributable interest in any other broadcast station or in any cable or newspaper entities in the same market or with overlapping signals in the same broadcast service, as described in 47 C.F.R. Sections 73.3555 and 76.501? Yes No
If "Yes", submit an Exhibit identifying the holder of that other attributable interest, listing the call signs, locations and facilities identifiers of such other broadcast stations, and describing the nature and size of the ownership interest and the positions held in the other broadcast, cable or newspaper entities. [Exhibit 3]
(d) Are any of the individuals listed in response to Question 9(a) related as parent-child, husband-wife, brothers and sisters?

Yes No

 

If "Yes", submit an Exhibit setting forth full information as to the family relationship

[Exhibit 4]

(e) Is respondent seeking an attribution exemption for any officer or director with duties unrelated to the licensee or permittee?

If "Yes", submit an Exhibit identifying that individual by name and title, fully describing that individual's duties and responsibilities, and explaining why that individual should not be attributed an interest.

Yes No

[Exhibit 5]



SECTION III - CERTIFICATION


I certify that I am PRESIDENT

(Official Title)


of SIMMONS MEDIA GROUP, LLC

(Exact legal title or name of respondent)


and that I have examined this Report and that to the best of my knowledge and belief, all statements in this Report are true, correct and complete.

(Date of certification must be within 60 days of the date shown in Question 5, Section II and in no event prior to that date.)

Signature
G CRAIG HANSON
Date
08/07/2007
Telephone Number of Respondent (Include area code) 8015242600

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).



Exhibits
Exhibit 1
Description:
OWNERSHIP TYPE

ENTITY IS A LIMITED LIABILITY COMPANY

Attachment 1


Attachment 3
Description
other media interests


Exhibit 4
Description:
FAMILY RELATIONSHIPS

THE FOLLOWING ARE BROTHERS AND SISTERS ARE JULIA S. WATKINS, MATTHEW R. SIMMONS, LAURENCE E. SIMMONS, ELIZABETH S. HOKE, DAVID E. SIMMONS AND HARRIS H. SIMMONS.

CHRISTOPHER M WATKINS AND CATHERINE W. STRINGHAM ARE CHILDREN OF JULIA S. WATKINS.

Attachment 4