4. |
All of the information furnished in this Report is accurate as of 09/01/2004 (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. |
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Biennial |
b. |
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Transfer of Control or Assignment of License/Permit |
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c. |
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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
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Facility ID Number
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Location (City/State)
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Class of service
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WORT |
3596 |
MADISON WI |
FM |
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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 WISCONSIN |
12/13/1973 |
|
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 |
BACK PORCH RADIO BROADCASTING, INC. |
02/20/1997 |
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6. |
Is the governing board directly or indirectly under the control of another entity? |
Yes No
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If Yes, is a separate FCC Form 323-E submitted for such entity? |
Yes No
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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. |
ESTY DINUR, 3414 DAWES ST., MADISON, WI 53714 |
b. Citizenship. |
US |
c. Office held.
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PRESIDENT |
d. Percent of interest held.
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0.00 |
e. Principal profession or occupation.
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MARKETING MANAGER |
f. By whom appointed or elected.
|
MEMBERSHIP |
g. Existing interests
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N/A |
a. Name and Address. |
CHRISTOPHER SCHUTT, 624 E. DAYTON ST., MADISON, WI 53703 |
b. Citizenship. |
US |
c. Office held.
|
VICE PRESIDENT |
d. Percent of interest held.
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0.00 |
e. Principal profession or occupation.
|
GEOGRAPHER |
f. By whom appointed or elected.
|
MEMBERSHIP |
g. Existing interests
|
N/A |
a. Name and Address. |
KATHIE BECKETT, 2533 GREGORY ST., MADISON, WI 53711 |
b. Citizenship. |
US |
c. Office held.
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SECRETARY |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
N/A |
f. By whom appointed or elected.
|
MEMBERSHIP |
g. Existing interests
|
N/A |
a. Name and Address. |
CINDY FESEMYER, 309 N. BALDWIN ST., MADISON, WI 53703 |
b. Citizenship. |
US |
c. Office held.
|
TREASURER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
OFFICE & FINANACIAL MANAGER |
f. By whom appointed or elected.
|
MEMBERSHIP |
g. Existing interests
|
N/A |
a. Name and Address. |
NORMAN STOCKWELL, 401 ELMSIDE BLVD. MADISON, WI 53704 |
b. Citizenship. |
US |
c. Office held.
|
STAFF REP. BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
OPERATIONS COORDINATOR |
f. By whom appointed or elected.
|
STAFF SELECTED |
g. Existing interests
|
N/A |
a. Name and Address. |
SCOTT HERRICK, 505 WALTON PLACE, MADISON, WI 53704 |
b. Citizenship. |
US |
c. Office held.
|
AT-LARGE MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
ATTORNEY |
f. By whom appointed or elected.
|
MEMBERSHIP |
g. Existing interests
|
N/A |
a. Name and Address. |
TED GISSKE, 605 HWY 78 SOUTH, MT. HOREB, WI 53572 |
b. Citizenship. |
US |
c. Office held.
|
AT-LARGE MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
ELECTRICAL & MECHANICAL ENGINEER |
f. By whom appointed or elected.
|
MEMBERSHIP |
g. Existing interests
|
N/A |
a. Name and Address. |
PETER LIPTON, 3516 TALLYHO LANE, MADISON, WI 53705 |
b. Citizenship. |
US |
c. Office held.
|
AT-LARGE MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
PROFESSOR |
f. By whom appointed or elected.
|
MEMBERSHIP |
g. Existing interests
|
N/A |
a. Name and Address. |
NANCY NELSON, 215 SCHLEY PASS., MADISON, WI 53703 |
b. Citizenship. |
US |
c. Office held.
|
AT-LARGE MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
OFFICE MANAGER |
f. By whom appointed or elected.
|
MEMBERSHIP |
g. Existing interests
|
N/A |
|
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).