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 - 20021115ABJ
Section I - General Information
1. Legal Name of the Applicant 
COUNCIL TREE COMMUNICATIONS V, L.L.C.
Mailing Address
2919 WEST 17TH AVENUE
SUITE 211
City
LONGMONT
State or Country (if foreign address)
CO
ZIP Code
80503 -
Telephone Number (include area code)
3036781844
E-Mail Address (if available) 
FCC Registration Number:
0003750312
Call Sign 
Facility ID Number 
54258
2. Contact Representative (if other than Licensee/Permittee)
R. EDWARD PRICE
Firm or Company Name
VINSON & ELKINS L.L.P.
Telephone Number (include area code)
2026396621
E-Mail Address (if available)
TPRICE@VELAW.COM
3. Name of entity, if other than licensee or permittee, for which report is filed
ARCTIC SLOPE REGIONAL CORPORATION
Mailing Address
P.O. BOX 129

City
BARROW
State or Country (if foreign address)
AK
ZIP Code
99723 -
Telephone Number (include area code)
9073492369
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
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
KXRE 54258 MANITOU SPRINGS CO AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KAVA 54259 PUEBLO CO AM



All of the information furnished in this Report is accurate as of (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]



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 ARCTIC SLOPE REGIONAL CORPORATION, P.O. BOX 129, BARROW, ALASKA 99723
2. Gender (male or 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 RESPONDENT
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address JACOB ADAMS, P.O. BOX 129, BARROW, ALASKA 99723
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, CEO AND DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address OLIVER LEAVITT, P.O. BOX 129, BARROW, ALASKA 99723
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 BOARD CHAIRMAN, DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address CONRAD BAGNE, P.O. BOX 129, BARROW, ALASKA 99723
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 CHIEF OPERATING OFFICER
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address FRANK ZIRNKILTON, P.O. BOX 129, BARROW, ALASKA 99723
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 CHIEF FINANCIAL OFFICER
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address ALMA UPICKSOUN, P.O. BOX 129, BARROW, ALASKA 99723
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 VICE PRESIDENT - GENERAL COUNSEL
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address PATSY AAMODT, P.O. BOX 129, BARROW, ALASKA 99723
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 TREASURER, DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address MARY AHMAOGAK, P.O. BOX 129, BARROW, ALASKA 99723
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 CORPORATE SECRETARY, DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address REX ROCK, P.O. BOX 129, BARROW, ALASKA 99723
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 VICE CHAIRMAN, DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address ROBERTA QUINTAVELL, P.O. BOX 129, BARROW, ALASKA 99723
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 FIRST VICE PRESIDENT, DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address CRAWFORD PATKOTAK, P.O. BOX 129, BARROW, ALASKA 99723
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 SECOND VICE PRESIDENT, DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address RAYMOND PANEAK, P.O. BOX 129, BARROW, ALASKA 99723
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 THIRD VICE PRESIDENT, DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address CANDACE ITTA, P.O. BOX 129, BARROW, ALASKA 99723
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 DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address GEORGE SIELAK, P.O. BOX 129, BARROW, ALASKA 99723
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 DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address MOLLY PEDERSON, P.O. BOX 129, BARROW, ALASKA 99723
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 DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address DON NUNGASAK, P.O. BOX 129, BARROW, ALASKA 99723
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 DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address AMOS AGNASAGGA, P.O. BOX 129, BARROW, ALASKA 99723
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 DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address BRENDA ITAA-LEE, P.O. BOX 129, BARROW, ALASKA 99723
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 DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address GEORGE KALEAK, P.O. BOX 129, BARROW, ALASKA 99723
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 DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)


(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 CHIEF OPERATING OFFICER

(Official Title)


of ARCTIC SLOPE REGIONAL CORPORATION

(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
CONRAD BAGNE
Date
11/15/2002
Telephone Number of Respondent (Include area code) 9073492369

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
Attachment 2
Description
Equity Exhibit


Attachment 3
Description
Exhibit 3