Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0084 (June 2002)
FCC 323-E
FOR FCC USE ONLY
 
Ownership Report For Noncommercial Educational Broadcast Station

Read INSTRUCTIONS Before Filling Out Form

FOR COMMISSION USE ONLY
FILE NO.

BOS - 20040702ABG
Section I - General
1. Legal Name of the Licensee/Permittee
BLOOMINGTON COMMUNITY RADIO INC.
Mailing Address
P.O. BOX 1973
City
BLOOMINGTON
State or Country (if foreign address)
IN
ZIP Code
47402 - 1973
Telephone Number (include area code)
8123231200
E-Mail Address (if available) 
RJBGM@WFHB.ORG
FCC Registration Number:
0008576431
Call Sign 
WFHB
Facility ID Number 
5878
2. Contact Representative (if other than Licensee/Permittee)
JOHN CRIGLER, ESQ.
Firm or Company Name
GARVEY SCHUBERT BARER
Mailing Address

City
State or Country (if foreign address)
ZIP Code
-
Telephone Number (include area code)
2029657880
E-Mail Address (if available)
JCRIGLER@GSBLAW.COM
3. Name of entity, if other than licensee or permittee, for which report is filed

Mailing Address


City
State or Country (if foreign address)
ZIP Code
-
Telephone Number (include area code)
E-Mail Address (if available)



Section II - Ownership Information

4.
All of the information furnished in this Report is accurate as of 06/02/2004 (Date must comply with 47 C.F.R. Section 73.3615(d), i.e., information must be current within 60 days of filing of this report, when 4(a) below is checked.)

This Report is filed for (check one)
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
WFHB 5878 BLOOMINGTON IN FM


5.
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 (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)
ARTICLES OF INCORPORATION STATE OF INDIANA 09/04/1975

Description of Contract or Instrument Name of person or organization with whom contract is made Date of Execution (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)
ARTICLES OF AMENDMENT STATE OF INDIANA 07/07/1977

Description of Contract or Instrument Name of person or organization with whom contract is made Date of Execution (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)
ARTICLES OF AMENDMENT STATE OF INDIANA 06/05/1984

Description of Contract or Instrument Name of person or organization with whom contract is made Date of Execution (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)
ARTICLES OF AMENDMENT STATE OF INDIANA 10/15/1985

Description of Contract or Instrument Name of person or organization with whom contract is made Date of Execution (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)
BYLAWS (RESTATED) BLOOMINGTON COMMUNITY RADIO INC. 01/01/1999


6.
Is the governing board directly or indirectly under the control of another entity?
Yes No
If Yes, is a separate FCC Form 323-E submitted for such entity?
Yes No
 7.
List officers, members of governing board, and holders of 1% or more ownership interest, if any. Use one column for each individual or entity. Attach supplemental pages, if necessary.
[Enter Owner Information]

Owner Information
List officers, members of governing board, and holders of 1% or more ownership interest, if any. Use one column for each individual or entity. Attach supplemental pages if necessary.
(Read carefully - The numbered items below refer to line numbers in the following table.)
a. Name and address of officer, member of governing board, and holders of 1% or more ownership interest (if other than individual also show name, address and citizenship of natural person authorized to vote the interest). List officers first, then board members, and thereafter, holders of 1% or more ownership interest, if any.
b. Citizenship.
c. Office held.
d. Percent of interest held.
e. Principal profession or occupation.
f. By whom appointed or elected.
g. Existing interests in any other broadcast station, including the nature and size of such interests.
a. Name and Address. JAMES KRAUSE, 1109 SOUTH LONGWOOD DRIVE, BLOOMINGTON, IN 47401
b. Citizenship. US

c. Office held.

PRESIDENT, BOARD MEMBER

d. Percent of interest held.

11.10

e. Principal profession or occupation.

PROFESSOR AND VIDEO PRODUCER

f. By whom appointed or elected.

ELECTED BY MEMBERS

g. Existing interests

NONE

a. Name and Address. DANIELLE MCCLELLAND, 1209 SOUTH WASHINGTON STREET, BLOOMINGTON, IN 47401
b. Citizenship. US

c. Office held.

SECRETARY, BOARD MEMBER

d. Percent of interest held.

11.10

e. Principal profession or occupation.

THEATER DIRECTOR

f. By whom appointed or elected.

ELECTED BY MEMBERS

g. Existing interests

NONE

a. Name and Address. DAVID NOVAK, 4000 EAST MORNINGSIDE DRIVE, BLOOMINGTON, IN 47408
b. Citizenship. US

c. Office held.

TREASURER, EX OFFICIO BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ACCOUNTANT

f. By whom appointed or elected.

APPOINTED BY BOARD

g. Existing interests

NONE

a. Name and Address. MIKE KELSEY, 713 WEST 7TH STREET, BLOOMINGTON, IN 47404
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

11.10

e. Principal profession or occupation.

BUSINESS OWNER

f. By whom appointed or elected.

ELECTED BY MEMBERS

g. Existing interests

NONE

a. Name and Address. DAVE KUBIAK, 2515 ROCK CREEK DRIVE, BLOOMINGTON, IN 47401
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

11.10

e. Principal profession or occupation.

NIGHT CLUB MANAGER

f. By whom appointed or elected.

ELECTED BY MEMBERS

g. Existing interests

NONE

a. Name and Address. ERIC MILLER, PO BOX 911, NASHVILLE, IN 47448
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

11.10

e. Principal profession or occupation.

NEWSPAPER ADVERTISING REP

f. By whom appointed or elected.

ELECTED BY MEMBERS

g. Existing interests

NONE

a. Name and Address. SARA SHEIKH, 932 EAST HILLSIDE DRIVE, BLOOMINGTON, IN 47401
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

11.10

e. Principal profession or occupation.

MARKETING AND COMMUNICATIONS MANAGER

f. By whom appointed or elected.

ELECTED BY MEMBERS

g. Existing interests

NONE

a. Name and Address. PENNI SIMS, 511 W. ALLEN STREET, BLOOMINGTON, IN 47403
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

11.10

e. Principal profession or occupation.

COMMUNICATIONS DIRECTOR, CITY OF BLOOMINGTON

f. By whom appointed or elected.

ELECTED BY MEMBERS

g. Existing interests

NONE

a. Name and Address. TERRY HARPER, 3775 REGENTS CT., BLOOMINGTON, IN 47401
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

11.10

e. Principal profession or occupation.

ATTORNEY

f. By whom appointed or elected.

ELECTED BY MEMBERS

g. Existing interests

NONE

a. Name and Address. JOANNA DAVIS, 3902 SOUTH MCDOUGAL ST., BLOOMINGTON, IN 47401
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

11.10

e. Principal profession or occupation.

MARKETING COORDINATOR INDIANA UNIVERSITY ART MUSEUM

f. By whom appointed or elected.

ELECTED BY MEMBERS

g. Existing interests

NONE

a. Name and Address. RYAN BRUCE, 1204 SOUTH WASHINGTON STREET, BLOOMINGTON, IN 47401
b. Citizenship. US

c. Office held.

EX OFFICIO BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

GENERAL MANAGER WFHB

f. By whom appointed or elected.

APPOINTED BY BOARD

g. Existing interests

NONE




SECTION III - CERTIFICATION


I certify that I am SECRETARY

(Official Title)


of BLOOMINGTON COMMUNITY RADIO, INC.

(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 4, Section II and in no event prior to that date.)

Signature
DANIELLE MCCLELLAND
Date
07/01/2004
Telephone Number of Respondent (Include area code) 8123231200


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