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-20111125DYR
Section I - General Information
1. Legal Name of the Respondent
THOMAS H. LEE PARTNERS, L.P.
Street Address (1)
100 FEDERAL STREET
Street Address (2)
35TH FLOOR
City
BOSTON 		State or Country (if foreign address)
MA
ZIP Code
02110 -
Telephone Number (include area code)
6172271050 		E-Mail Address (if available) 
FCC Registration Number:
0019764075 		Call Sign 
KEX 		Facility ID Number 
11271
2. Contact Representative
KATHLEEN A. KIRBY 		Firm or Company Name
WILEY REIN LLP
Street Address (1)
1776 K STREET, NW
Street Address (2)
City
WASHINGTON 		State or Country (if foreign address)
DC 		ZIP Code
20006 -
Telephone Number (include area code)
2027193360 		E-Mail Address (if available)
KKIRBY@WILEYREIN.COM
3. Nature of Respondent (See Instructions for definitions)
radio button not selected Licensee
radio button not selected Permittee
radio button 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 selected radio button not selectedOther Other radio button not selected N/A (Fee Required)
5. All of the information furnished in this Report is accurate as of 10/01/2011
(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)
CITICASTERS LICENSES, INC.
0018273367
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. , WASHINGTON AM Station
2. , WASHINGTON AM Station
3. , WASHINGTON FM Station
4. , WASHINGTON FM Station
5. , WASHINGTON FM Station
6. , OHIO AM Station
7. , IOWA AM Station
8. , CALIFORNIA AM Station
9. , FLORIDA AM Station
10. , OHIO AM Station
11. , OREGON AM Station
12. , OHIO AM Station
13. , DELAWARE AM Station
14. , CALIFORNIA AM Station
15. , NORTH DAKOTA AM Station
16. , COLORADO AM Station
17. , MISSOURI AM Station
18. , NEW YORK FM Station
19. , MARYLAND FM Station
20. , MISSOURI FM Station
21. , MINNESOTA FM Station
22. , FLORIDA FM Station
23. , GEORGIA FM Station
24. , OREGON FM Station
25. , OREGON FM Station
26. , CALIFORNIA FM Station
27. , OHIO FM Station
28. , ILLINOIS FM Station
29. , TENNESSEE FM Station
30. , GEORGIA FM Station
31. , WYOMING FM Station
32. , IOWA FM Station
33. , WASHINGTON FM Station
34. , NEW MEXICO FM Station
35. , OHIO FM Station
36. , OHIO FM Station
37. , CALIFORNIA FM Station
38. , FLORIDA FM Station
39. , OHIO FM Station
40. , IOWA FM Station
41. , IOWA FM Station
42. , WASHINGTON FM Station
43. , GEORGIA FM Station
44. , NEVADA FM Station
45. , OHIO FM Station
46. , UTAH FM Station
47. , MARYLAND FM Station
48. , FLORIDA FM Station
49. , FLORIDA FM Station
50. , OHIO FM Station
51. , OHIO FM Station
52. , OHIO FM Station
53. , OHIO FM Station
54. , OHIO FM Station
55. , IOWA FM Station
56. , MINNESOTA FM Station
57. , PENNSYLVANIA FM Station
58. , COLORADO AM Station
59. , COLORADO AM Station
60. , COLORADO AM Station
61. , COLORADO FM Station
62. , COLORADO FM Station
63. , COLORADO FM Station
64. , COLORADO FM Station
65. , COLORADO FM Station
66. , FLORIDA AM Station
67. , OHIO AM Station
68. , CALIFORNIA AM Station
69. , FLORIDA AM Station
70. , IOWA AM Station
71. , FLORIDA AM Station
72. , GEORGIA AM Station
73. , KENTUCKY AM Station
74. , CALIFORNIA AM Station
75. , NEW YORK AM Station
76. , NEW YORK AM Station
77. , GEORGIA AM Station
78. , OHIO AM Station
79. , NORTH DAKOTA AM Station
80. , ILLINOIS AM Station
81. , FLORIDA AM Station
82. , GEORGIA AM Station
83. , IOWA AM Station
84. , CALIFORNIA AM Station
85. , OHIO AM Station
86. , OREGON AM Station
87. , OHIO AM Station
88. , IOWA AM Station
89. , OHIO AM Station
90. , OHIO AM Station
91. , MARYLAND AM Station
92. , UTAH AM Station
93. , KENTUCKY AM Station
94. , OHIO AM Station
95. , IOWA AM Station
96. , WISCONSIN FM Station
97. , OHIO FM Station
98. , OHIO FM Station
99. , IOWA FM Station
100. , SOUTH CAROLINA FM Station
101. , FLORIDA FM Station
102. , NEW YORK FM Station
103. , OREGON FM Station
104. , NEW MEXICO FM Station
105. , NEW MEXICO FM Station
106. , ARIZONA FM Station
107. , UTAH FM Station
108. , NEVADA FM Station
109. , WYOMING FM Station
110. , TEXAS FM Station
111. , CALIFORNIA FM Station
112. , NORTH DAKOTA FM Station
113. , MISSOURI FM Station
114. , CALIFORNIA FM Station
115. , FLORIDA FM Station
116. , GEORGIA FM Station
117. , NEW YORK FM Station
118. , OHIO FM Station
119. , WISCONSIN FM Station
120. , NEW YORK FM Station
121. , FLORIDA FM Station
122. , IOWA FM Station
123. , KENTUCKY FM Station
124. , FLORIDA FM Station
125. , FLORIDA FM Station
126. , SOUTH CAROLINA FM Station
127. , CALIFORNIA FM Station
128. , NORTH DAKOTA FM Station
129. , NEW YORK FM Station
130. , SOUTH CAROLINA FM Station
131. , GEORGIA FM Station
132. , OHIO FM Station
133. , NORTH DAKOTA FM Station
134. , ILLINOIS FM Station
135. , OHIO FM Station
136. , TEXAS FM Station
137. , OHIO FM Station
138. , OHIO FM Station
139. , ARIZONA FM Station
140. , MARYLAND FM Station
141. , FLORIDA FM Station
142. , FLORIDA FM Station
143. , NEW YORK FM Station
144. , UTAH FM Station
145. , ILLINOIS FM Station
146. , MISSOURI FM Station
147. , OHIO FM Station
148. , COLORADO FM Station
149. , COLORADO FM Station
150. , IOWA FM Station
151. , MISSISSIPPI FM Station
152. , OHIO FM Station
153. , TEXAS FM Station
154. , CALIFORNIA FM Station
155. , OHIO FM Station
156. , KENTUCKY FM Station
157. , KENTUCKY FM Station
158. , OREGON FM Station
159. , UTAH FM Station
160. , IOWA FM Station
161. , KENTUCKY FM Station
162. , OHIO FM Station
163. , NEVADA FM Station
164. , IOWA FM Station
165. , OHIO FM Station
166. , OHIO AM Station
167. , WISCONSIN AM Station
168. , OHIO AM Station
169. , OHIO AM Station
170. , OHIO AM Station
171. , OHIO AM Station
172. , OHIO AM Station
173. , OHIO AM Station
174. , WISCONSIN FM Station
175. , WISCONSIN FM Station
176. , OHIO FM Station
177. , OHIO FM Station
178. , OHIO FM Station
179. , OHIO FM Station
180. , OHIO FM Station
181. , OHIO FM Station
182. , OHIO FM Station
183. , COLORADO AM Station

(Check/Uncheck All)
 
8. Respondent is:
radio button not selected Sole Proprietorship radio button not selected Not-for-profit corporation radio button selected Limited partnership
radio button not 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 checked Not Applicable

Contract Information

   



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 checked Not Applicable

Capitalization Information


(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
, MASSACHUSETTS
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 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 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
0019764075
  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
, MASSACHUSETTS
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 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
0019764000
  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
, MASSACHUSETTS
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 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 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
0019762020
  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
, MASSACHUSETTS
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 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 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
0019762228
  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 5. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762244
  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 6. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762269
  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 7. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762293
  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
, MASSACHUSETTS
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 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 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
0019762319
  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 9. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762335
  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 10. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762343
  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 11. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762368
  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 12. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762400
  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 13. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762426
  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 14. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762434
  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 15. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019762863
  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 16. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763564
  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 17. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763572
  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 18. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763598
  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 19. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763614
  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 20. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763622
  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 21. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763630
  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 22. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763655
  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 23. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763663
  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 24. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763671
  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 25. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 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
0019763689
  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