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.

BOA - 20040818ACH
Section I - General
1. Legal Name of the Licensee/Permittee
ST CLOUD STATE UNIVERSITY
Mailing Address
27 STEWART HALL
City
ST. CLOUD
State or Country (if foreign address)
MN
ZIP Code
56301 -
Telephone Number (include area code)
3203083053
E-Mail Address (if available) 
INFO@KVSC.ORG
FCC Registration Number:
0010940120
Call Sign 
KVSC
Facility ID Number 
62112
2. Contact Representative (if other than Licensee/Permittee)
JO MCMULLEN-BOYER
Firm or Company Name
KVSC RADIO
Mailing Address

City
State or Country (if foreign address)
ZIP Code
-
Telephone Number (include area code)
3203083053
E-Mail Address (if available)
INFO@KVSC.ORG
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 07/22/2004 (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
KVSC 62112 SAINT CLOUD, MN MN 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]



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. ROBERT H. HOFFMAN, MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

VICE CHAIR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

NOT LISTED

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. ANN SHAW, MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 E. 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

TREASURER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

VICE PRESIDENT/GENERAL COUNSEL CERIDIAN CORPORATION

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. WILL ANTELL MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNKNOWN

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. DUANE BENSON MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

AT-LARGE MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNKNOWN

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. TYLER DESPINS MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

STATE UNIVERSITY STUDENT

d. Percent of interest held.

0.00

e. Principal profession or occupation.

STUDENT

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. CHERYL DICKSON MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNKNOWN

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. IVAN F. DUSEK MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNKNOWN

f. By whom appointed or elected.

GOVEROR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. CLARENCE HIGHTOWER MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

AT-LARGE MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

MINNEAPOLIS URBAN LEAGUE

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. LEW MORAN MNSCU BOARD OF TRUSTEES 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNKNOWN

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. DAVID OLSON MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

AT-LARGE MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNKNOWN

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. DAVID PASKACH MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

AT-LARGE MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SCHWAN FOOD COMPANY

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. THOMAS RENIER MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

NORTHLAND FOUNDATION

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION

a. Name and Address. CHRISTOPHER SCHULTZ MNSCU BOARD OF TRUSTEES OFFICE 500 WELLS FARGO PLACE 30 EAST 7TH STREET ST. PAUL, MN 55101
b. Citizenship. US

c. Office held.

STUDENT MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

STUDENT

f. By whom appointed or elected.

GOVERNOR OF MINNESOTA

g. Existing interests

HIGHER EDUCATION




SECTION III - CERTIFICATION


I certify that I am STATION MANAGER

(Official Title)


of JO MCMULLEN-BOYER

(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
JO MCMULLEN-BOYER
Date
07/22/2004
Telephone Number of Respondent (Include area code) 3203083053


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