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
|
KWCK |
11743 |
SEARCY AR |
AM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KWCK-FM |
11744 |
SEARCY AR |
FM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KAWW |
48742 |
HEBER SPRINGS AR |
AM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KAWW-FM |
48748 |
HEBER SPRINGS AR |
FM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KAPZ |
31713 |
BALD KNOB AR |
AM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KKSY |
31452 |
BALD KNOB AR |
FM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KSMD |
87603 |
PANGBURN AR |
FM |
All of the information furnished in this Report is accurate as of 01/09/2004 (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]
Contracts/Instruments Information
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 shall respond.)
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CRAIN MEDIA GROUP, LLC ARTICLES OF ORGANIZATION |
|
09/30/2003 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CRAIN MEDIA GROUP, LLC OPERATING AGREEMENT |
|
10/09/2003 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CRAIN INVESTMENTS, LP CERTIFICATE OF DOMESTIC LIMITED PARTNERSHIP |
|
12/30/1997 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CRAIN INVESTMENTS, LP AGREEMENT OF LIMITED PARTNERSHIP |
|
12/30/1997 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CRAIN MANAGEMENT GROUP, LLC CERTIFICATE OF ORGANIZATION |
|
08/26/1996 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CRAIN MANAGEMENT GROUP, LLC OPERATING AGREEMENT |
|
12/29/1994 |
|
|
|
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]
|
(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]
|
|
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).