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1. | Legal Name of the Applicant PEMBROOK PINES ELMIRA, LTD. |
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Mailing Address 1705 LAKE STREET |
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City ELMIRA |
State or Country (if foreign address) NY |
Zip Code 14901 - |
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Telephone Number (include area code) 6077335626 |
E-Mail Address (if available) |
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FCC Registration Number: 0003744174 |
Call Sign WELM |
Facility ID Number 52120 |
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2. | Contact Representative (if other than licensee/permittee) MILES S. MASON, ESQ. |
Firm or Company Name PILLSBURY WINTHROP SHAW PITTMAN LLP |
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Mailing Address 1200 SEVENTEENTH STREET, NW |
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City WASHINGTON |
State or Country (if foreign address) DC |
ZIP Code 20036 - |
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Telephone Number (include area code) 2026638195 |
E-Mail Address (if available) MILES.MASON@PILLSBURYLAW.COM |
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3. | Purpose: Consummation Notice |
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Extension of Consummation | ||||||||||||
Notification of Non-consummation | ||||||||||||
4. | Consummation for: Assignment of License and/or Permit |
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Transfer of Control |
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Lead Facility ID: 52120 | ||||||||||
6. |
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I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.
Typed or Printed Name of Person Signing RICHARD FOREMAN |
Typed or Printed Title of Person Signing COURT APPOINTED RECEIVER |
Signature |
Date 01/09/2015 |
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).