Federal Communications Commission
Washington, D.C. 20554 |
Approved by OMB
3060-0010 (June 2014) |
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FOR FCC USE ONLY |
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FCC 323
OWNERSHIP REPORT FOR COMMERCIAL BROADCAST STATIONS
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FOR COMMISSION USE ONLY
FILE NO.
BOA-20111003APP
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Section II-B - Biennial Ownership Information
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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.
Not
Applicable
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2. |
Capitalization (Only Licensees or entities with a majority interest in or that otherwise exercises de facto control
over the subject Licensee shall respond.)
Not Applicable
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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
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Copy 1. |
Name |
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Address |
Street
City/State
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VERMONT
Postal/ZIP Code
-
Country (if not U.S.)
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Listing Type |
Respondent
Other Interest Holder
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Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
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Positional Interest (Check all that apply)
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Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
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FCC Registration Number |
0003647906
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Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
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Gender
Male
Female
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Ethnicity
Hispanic or Latino
Not Hispanic or Latino
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Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
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Citizenship
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Percentage of votes |
% |
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Percentage of equity |
% |
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Percentage of total assets (equity debt plus) |
% |
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Copy 2. |
Name |
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Address |
Street
City/State
,
VERMONT
Postal/ZIP Code
-
Country (if not U.S.)
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Listing Type |
Respondent
Other Interest Holder
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Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
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Positional Interest (Check all that apply)
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Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
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FCC Registration Number |
0019373430
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Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
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Gender
Male
Female
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Ethnicity
Hispanic or Latino
Not Hispanic or Latino
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Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
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Citizenship
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Percentage of votes |
% |
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Percentage of equity |
% |
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Percentage of total assets (equity debt plus) |
% |
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Copy 3. |
Name |
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Address |
Street
City/State
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NEW HAMPSHIRE
Postal/ZIP Code
-
Country (if not U.S.)
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Listing Type |
Respondent
Other Interest Holder
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Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
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Positional Interest (Check all that apply)
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Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
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FCC Registration Number |
0019373539
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Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
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Gender
Male
Female
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Ethnicity
Hispanic or Latino
Not Hispanic or Latino
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Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
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Citizenship
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Percentage of votes |
% |
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Percentage of equity |
% |
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Percentage of total assets (equity debt plus) |
% |
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Copy 4. |
Name |
|
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Address |
Street
City/State
,
VERMONT
Postal/ZIP Code
-
Country (if not U.S.)
|
Listing Type |
Respondent
Other Interest Holder
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Relationship to Licensee |
Licensee (or Officer/Director of Licensee)
Person with attributable interest
Entity with attributable interest
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Positional Interest (Check all that apply)
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Officer
Director
General Partner
Limited Partner
LC/LLC/PLLC Member
Owner
Stockholder
Attributable Creditor
Attributable Investor
Other (please specify):
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FCC Registration Number |
0019373745
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Gender, Ethnicity, Race and Citizenship Information (Natural Persons) |
N/A (entity) |
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Gender
Male
Female
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Ethnicity
Hispanic or Latino
Not Hispanic or Latino
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Race (Check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
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Citizenship
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Percentage of votes |
% |
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Percentage of equity |
% |
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Percentage of total assets (equity debt plus) |
% |
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(Check/
Uncheck All) |
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(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.
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Yes
No
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(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.
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Yes
No
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(d.) |
Are any of the individuals listed in response to Question 3(a) married, related as parent-child, or related as
siblings?
If "Yes", complete the information describing the relationship.
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Yes
No
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(e.) |
Is Respondent seeking an attribution exemption for any officer or director with duties unrelated to the
Licensee
?
If "Yes", complete the information in the required fields and submit an Exhibit fully describing that
individual's duties and responsibilities, and explaining why that individual should not be attributed an
interest.
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Yes
No
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4. |
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Respondent's Interests Held. Each Respondent other than a Licensee should list the name and FCC
Registration Number of all entities in which the Respondent holds a direct attributable ownership
interest, where that listed entity has an attributable ownership interest in the Licensee of the
stations associated with the Report. Licensees should select "N/A" in response to this question.
For any listing that includes the name of a person or entity reported on multiple Ownership Reports,
ensure that the FRN information is consistent among all such Ownership Reports. Respondents should
coordinate with each other to ensure such consistency.
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N/A |
5. |
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Organizational Chart. LICENSEES ONLY: Attach a flowchart or similar document showing the Licensee's
vertical ownership structure including the Licensee and all persons/entities that have attributable interests in the Licensee.
Non-Licensee Respondents should select "N/A" in response to this question.
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N/A
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