Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0010 (June 2014)
FOR FCC USE ONLY
 

FCC 323
OWNERSHIP REPORT FOR COMMERCIAL BROADCAST STATIONS

FOR COMMISSION USE ONLY
FILE NO. BOA-20100603AAN

Section I - General Information
1. Legal Name of the Respondent
FORUM COMMUNICATIONS COMPANY
Street Address (1)
301 SOUTH EIGHTH STREET
Street Address (2)
City
FARGO
State or Country (if foreign address)
ND

ZIP Code
58103 -

Telephone Number (include area code)
7012376500
E-Mail Address (if available) 
FCC Registration Number:
0002480085
Call Sign 
WDAY
Facility ID Number 
22126
2. Contact Representative
KEVIN P. LATEK, ESQ.
Firm or Company Name
DOW LOHNES PLLC
Street Address (1)
1200 NEW HAMPSHIRE AVE., NW
Street Address (2)
SUITE 800
City
WASHINGTON
State or Country (if foreign address)
DC
ZIP Code
20036 - 6802
Telephone Number (include area code)
2027762000
E-Mail Address (if available)
KLATEK@DOWLOHNES.COM
3. Nature of Respondent (See Instructions for definitions)
radio button selected Licensee
radio button not selected Permittee
radio button not selected Entity with an attributable interest
4. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
radio button not selectedGovernmental Entity radio button not selected Fee-exempt Report radio button not selectedOther Other radio button selected N/A (Fee Required)
5. All of the information furnished in this Report is accurate as of 11/01/2009
(Date entered must (1) be Oct. 1 of the filing year when filing a Biennial Ownership Report (or Nov. 1, 2009 in the case of the initial filing); or (2) be no more than 60 days prior to the date of filing when filing a non-biennial Ownership Report.)
6. Purpose: This Report is filed for: (choose one)
a. radio button selected Biennial
b. radio button not selected Validation and Resubmission of a previously filed Biennial Report (certifying no change from previous Report)
c. radio button not selected Transfer of Control or Assignment of License/Permit
d. radio button not selected Report by Permittee filing within 30 days after the grant of a construction permit for a new commercial AM, FM or full power television broadcast station.
e. radio button not selected Update / certification of accuracy of an initial Ownership Report filed by Permittee (filing in conjunction with Permittee's application for a station license)
f. radio button not selected Amendment to a previously filed Ownership Report
File Number: -
If an Amendment, submit as an Exhibit a listing by Section and Question Number the portions of the previous Report that are being revised.
7. Licensee and Station Information. The stations listed below are all licensed to the following person or entity:
Licensee Name Licensee's FCC Registration Number (FRN)
FORUM COMMUNICATIONS COMPANY
0002480085
FRN Help: CORES Home

Station List

This Report is filed for the following stations:
Copy Call Sign Facility ID Number Location (City/State) Class of service Delete Copy
1. , NORTH DAKOTA AM Station
2. , NORTH DAKOTA Television
3. , NORTH DAKOTA Television

(Check/Uncheck All)
 
8. Respondent is:
radio button not selected Sole Proprietorship radio button not selected Not-for-profit corporation radio button not selected Limited partnership
radio button selected For-profit corporation radio button not selected General partnership radio button not selected Other
If "Other," describe nature of the Respondent in an Exhibit.  
 
 

Section II-B - Biennial Ownership Information

1. Contract Information. List all contracts and other instruments required to be filed by 47 C.F.R. Section 73.3613. (Only Licensees, or Respondents with a majority interest in or that otherwise exercise de facto control over the subject Licensee shall respond. Other Respondents should select "Not Applicable" in response to this question.) If the agreement is a local marketing agreement (LMA) or a joint sales agreement (JSA), or if the agreement is a network affiliation agreement, check the appropriate box; otherwise, select "Other" for non-LMA/JSA or network affiliation agreements.
checkbox not checked Not Applicable

Contract Information

Copy Description of contract or instrument Name of person or organization
with whom contract is made
Date of Execution Date of Expiration Agreement Type
(check all that apply)
Delete Copy
1. Month
OCTOBER
Year
Month

Year

checkbox checked No Expiration Date
checkbox not checked LMA/JSA
checkbox not checked Network Affiliation Agreement
checkbox checked Other
2. Month
OCTOBER
Year
Month

Year

checkbox checked No Expiration Date
checkbox not checked LMA/JSA
checkbox not checked Network Affiliation Agreement
checkbox checked Other
3. Month
OCTOBER
Year
Month
DECEMBER
Year

checkbox not checked No Expiration Date
checkbox not checked LMA/JSA
checkbox checked Network Affiliation Agreement
checkbox not checked Other
4. Month
OCTOBER
Year
Month
DECEMBER
Year

checkbox not checked No Expiration Date
checkbox not checked LMA/JSA
checkbox checked Network Affiliation Agreement
checkbox not checked Other
 
Check/
Uncheck All

 



2. Capitalization (Only Licensees or entities with a majority interest in or that otherwise exercises de facto control over the subject Licensee shall respond.)
checkbox not checked Not Applicable

Capitalization Information

Copy Class of stock
(preferred, common or other)
Voting or Non-voting Number of shares  
Authorized Issued and
Outstanding
Treasury Unissued  
1. radio button not selected Preferred
radio button selected Common
radio button not selected Other (specify)
radio button selected Voting
radio button not selected Non-Voting
 
2. radio button not selected Preferred
radio button selected Common
radio button not selected Other (specify)
radio button not selected Voting
radio button selected Non-Voting
 

(Check/
Uncheck All)
 
3. (a.) Ownership Interests. This Question requires Respondents to enter detailed information about ownership interests by generating a series of subforms. Answer each question on each subform. The first subform listing should be for the Respondent itself. If the Respondent is not a natural person, also list each of the officers, directors, stockholders, noninsulated partners, members and other persons or entities with a direct attributable interest in the Respondent. (A "direct" interest is one that is not held through any intervening companies or entities.) In the case of vertical or indirect ownership structures, report only those interests in the Respondent that also represent an attributable interest in the Licensee for which the Report is being submitted.

List each person or entity with a direct attributable interest in the Respondent separately. Entities that are part of an organizational structure that includes holding companies or other forms of indirect ownership must file separate ownership reports. In such a structure do not report or file separate reports for persons or entities that do not have an attributable interest in the Licensee for which the report is being submitted.

Ownership Interests Information

Copy 1. Name  
Address Street


City/State
, NORTH DAKOTA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button selected Respondent
radio button not selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox checked Other (please specify):

FCC Registration Number
0002480085
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox checked N/A (entity)  
Gender
radio button not selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button not selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 2. Name  
Address Street


City/State
, NORTH DAKOTA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019403328
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox checked N/A (entity)  
Gender
radio button not selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button not selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 3. Name  
Address Street


City/State
, NORTH DAKOTA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019352459
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 4. Name  
Address Street


City/State
, NORTH DAKOTA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019352475
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 5. Name  
Address Street


City/State
, NORTH DAKOTA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019352491
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 6. Name  
Address Street


City/State
, NORTH DAKOTA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019352509
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 7. Name  
Address Street


City/State
, NORTH DAKOTA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019352533
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 8. Name  
Address Street


City/State
, NORTH DAKOTA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019352541
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 9. Name  
Address Street


City/State
, NORTH DAKOTA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019352558
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  

(Check/
Uncheck All)

  (b.)

Respondent certifies that any equity and financial interests not reported in response to Question 3(a) are non-attributable.


If "No," submit as an Exhibit an explanation.

radio button selectedYes radio button not selectedNo
(c.) Does the Respondent or any person/entity with an attributable interest in the Respondent also hold an attributable interest in any other broadcast station, or in any newspaper entities in the same market, as defined in 47 C.F.R. Section 73.3555?

If "Yes", provide information describing the interest(s), using EITHER the subform OR the spreadsheet option below for the applicable type of interest (broadcast or newspaper). Respondents with a large number (50 or more) of entries to submit should use the spreadsheet option. NOTE: Spreadsheets must be submitted in a special "XML Spreadsheet" format with the appropriate structure that is specified in the documentation. For instructions on how to use the spreadsheet option to complete this question (including templates to start with), please Click Here.


Broadcast Interest Information

Copy Name of Interest Holder Call Sign Community of license Facility ID Number Percentage of Votes Percentage of Equity Percentage of total assets (EDP) Positional Interest (Check all that apply)  Delete Copy

(Check/Uncheck All)
1. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox not checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
2. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox not checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
3. City

State
NORTH DAKOTA
 
% % % checkbox checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
4. City

State
NORTH DAKOTA
 
% % % checkbox checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
5. City

State
NORTH DAKOTA
 
% % % checkbox checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
6. City

State
NORTH DAKOTA
 
% % % checkbox checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
7. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
8. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
9. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
10. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
11. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
12. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
13. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
14. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
15. City

State
NORTH DAKOTA
 
% % % checkbox checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
16. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
17. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox not checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):
18. City

State
NORTH DAKOTA
 
% % % checkbox not checked Officer
checkbox not checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):

Newspaper Interest Information

Copy
Name of Interest Holder
Name of Newspaper
Location
Percentage
of Votes
Percentage
of Equity
Percentage
of total assets (EDP)
Positional Interest
(Check all that apply)
1.     City

State
NORTH DAKOTA
 
%  %  % 

checkbox not checked Officer
checkbox not checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):

2.     City

State
NORTH DAKOTA
 
%  %  % 

checkbox not checked Officer
checkbox not checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):

3.     City

State
NORTH DAKOTA
 
%  %  % 

checkbox checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):

4.     City

State
NORTH DAKOTA
 
%  %  % 

checkbox checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):

5.     City

State
NORTH DAKOTA
 
%  %  % 

checkbox checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):

6.     City

State
NORTH DAKOTA
 
%  %  % 

checkbox checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):

7.     City

State
NORTH DAKOTA
 
%  %  % 

checkbox not checked Officer
checkbox checked Director
checkbox not checked Partner
checkbox not checked Limited Partner
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Entity
checkbox not checked Other (please specify):