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1. | Legal Name of the Applicant COUNCIL TREE COMMUNICATIONS V, L.L.C. |
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Mailing Address 2919 WEST 17TH AVENUE SUITE 211 |
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City LONGMONT |
State or Country (if foreign address) CO |
ZIP Code 80503 - |
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Telephone Number (include area code) 3036781844 |
E-Mail Address (if available) |
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FCC Registration Number: 0003750312 |
Call Sign |
Facility ID Number 54258 |
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2. | Contact Representative (if other than Licensee/Permittee) R. EDWARD PRICE |
Firm or Company Name VINSON & ELKINS L.L.P. |
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Telephone Number (include area code) 2026396621 |
E-Mail Address (if available) TPRICE@VELAW.COM |
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3. | Name of entity, if other than licensee or permittee, for which report is filed MADISON DEARBORN CAPITAL PARTNERS III, L.P. |
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Mailing Address THREE FIRST NATIONAL PLAZA SUITE 3800 |
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City CHICAGO |
State or Country (if foreign address) IL |
ZIP Code 60602 - |
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Telephone Number (include area code) 3128951200 |
E-Mail Address (if available) |
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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. |
for the following stations: [Enter Station Information] Station List
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) |
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7. |
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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] |
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9. |
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SECTION III - CERTIFICATION
I certify that I am SEE EXHIBIT 4
(Official Title)
of SEE EXHIBIT 4
(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 PAUL J. FINNEGAN |
Date 11/15/2002 |
Telephone Number of Respondent (Include area code) 3128951200 |
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).
Description |
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Exhibit 3 |