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 |
LAWRENCE W. RICE, JR, 9823 STATE ROAD AE, NEW BLOOMFIELD, MO 65063 |
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, TRUSTEE (VOTES AS DIRECTOR IN THE EVENT OF A TIE) |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
RAYMOND K. REDLICH, 5813/15 MICHIGAN STREET, ST. LOUIS, MO 63111 |
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 PRESIDENT, TRUSTEE, DIRECTOR |
7. Percentage of votes |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
RONALD SMITH, 1629 CHAMBERS ROAD, ST. LOUIS, MO 63136 |
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 |
SECRETARY/TREASURER, TRUSTEE, DIRECTOR |
7. Percentage of votes |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
VERLYN HAYES, 300 NORTH FOURTH ST., ST. LOUIS, MO 63102 |
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 |
TRUSTEE, DIRECTOR |
7. Percentage of votes |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
LARRY WALBURN, P. O. BOX 173, POTOSI, MO 63664 |
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 |
U8 |
6. Positional Interest |
TRUSTEE, DIRECTOR |
7. Percentage of votes |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
FRANKIE CARSON, 13 SIR LAWRENCE DRIVE, BELLEVILLE, IL 62221 |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
PENNY RICE |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
JUDY REDLICH, 5813/15 MICHIGAN STREET, ST. LOUIS, MO 63111 |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
BECKY NEWELL, 5528 HILLSBORO-HEMATTIE RD., DESOTO, MO 63020 |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
RALPH CASE, ROUTE 1, BOX 92, VAN BUREN, MO 63965 |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
JOHN MATOSICH, 4725 NEBRASKA, ST. LOUIS, MO 63111 |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
ALBERT WILLIAMS, 1103 CHURCH STREET, KENNETT, MO 63857 |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
LINDA HOLM, 120 EAST CHRUCH ST., BERRYVILLE, AR 72616 |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
DIANNA PEREZ, 115 SOUTH OSAGE, SEDALIA, MO 65301 |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
PAT MULHERN, NUTRITION STOP, 4101 MEXICO ROAD, ST. CHARLES, MO 63376 |
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) |
0.00 |
1. Name and Address |
ROBIN JONES, 518 N.E. COALFIELD, SCAMMON, KS 66773 |
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 |
6.70 |
8. Percentage of total assets (equity debt plus) |
0.00 |
|
(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]
|
|