Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0010 (June 2002)
FCC 323
FOR FCC USE ONLY
 
OWNERSHIP REPORT FOR COMMERCIAL BROADCAST STATIONS

Read INSTRUCTIONS Before Filling Out Form

FOR COMMISSION USE ONLY
FILE NO.

BON - 20041001AMB
Section I - General Information
1. Legal Name of the Applicant 
POLLACK BROADCASTING CO.
Mailing Address
6699 WILD BERRY LANE
City
MEMPHIS
State or Country (if foreign address)
TN
ZIP Code
38119 -
Telephone Number (include area code)
9014843533
E-Mail Address (if available) 
WPOLLACK@MIDSOUTH.RR.COM
FCC Registration Number:
0006731699
Call Sign 
KBOA-FM
Facility ID Number 
48549
2. Contact Representative (if other than Licensee/Permittee)
STUART W. NOLAN, JR.
Firm or Company Name
WOOD, MAINES & BROWN, CHARTERED
Telephone Number (include area code)
2022935333
E-Mail Address (if available)
WMB@LEGALCOMPASS.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)
4. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
Governmental Entity Fee-exempt Report Other THIS MERELY AMENDS A PREVIOUS REPORT FOR WHICH THE FILING FEE HAS ALREADYT BEEN PAID.
N/A (Fee Required)



Section II - Ownership Information

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
KBOA-FM 33673 PIGGOTT AR FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KBOA 33674 KENNETT MO AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KCRV 53976 CARUTHERSVILLE MO AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KCRV-FM 53977 CARUTHERSVILLE MO FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KMIS 48550 PORTAGEVILLE MO AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KTMO 48549 NEW MADRID MO FM



All of the information furnished in this Report is accurate as of 09/30/2004 (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
ARTICLES OF INC. STATE OF TENNESSEE 07/29/1985

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
BY LAWS N/A 08/02/1985


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]


Capitalization


Capitalization (Only licensees, permittees, or a reporting entity with a majority interest in or that otherwise excercises de facto control over the subject licensee or permittee shall respond.)

Class of stock (preferred, common or other)
Voting or Non-voting
Number of Shares
Authorized
Issued and Outstanding
Treasury
Unissued
COMMON
V
250000
100000
150000


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 SYDNEY POLLACK, 342 RIVER OAKS BLVD., MEMPHIS, TN 38120
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 PRES/DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address MARILYN POLLACK, 342 RIVER OAKS BLVD., MEMPHIS, TN 38120
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 TREASURER/DIRECTOR
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address WILLIAM POLLACK, 6655 POPLAR AVENUE, SUITE 600, GERMANTOWN, TN 38138
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 EXEC. VP/DIRECTOR
7. Percentage of votes 29.00
8. Percentage of total assets (equity debt plus) 29.00

1. Name and Address DAVID POLLACK, TRUSTEE, UNDER DECLARATION OF TRUST DATED 12/09/1996, AND AS GUARDIAN OF NOAH, ELIZABETH AND JACOB POLLACK, 14474 TEAKCRESTM CHESTERFIELD, MO 63017
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 VP/DIRECTOR
7. Percentage of votes 41.00
8. Percentage of total assets (equity debt plus) 29.00

1. Name and Address ROBERT POLLACK, 128 WALNUT RIDGE LANE, CORDOVA, TN 38018
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 VP/DIRECTOR
7. Percentage of votes 29.00
8. Percentage of total assets (equity debt plus) 29.00

1. Name and Address NOAH POLLACK,, 14474 TEAKCRESTM CHESTERFIELD, MO 63017
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 SHAREHOLDER
7. Percentage of votes
8. Percentage of total assets (equity debt plus) 4.00

1. Name and Address ELIZABETH POLLACK,, 14474 TEAKCRESTM CHESTERFIELD, MO 63017
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 SHAREHOLDER
7. Percentage of votes
8. Percentage of total assets (equity debt plus) 4.00

1. Name and Address JACOB POLLACK, , 14474 TEAKCRESTM CHESTERFIELD, MO 63017
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 SHAREHOLDER
7. Percentage of votes
8. Percentage of total assets (equity debt plus) 4.00


(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]



SECTION III - CERTIFICATION


I certify that I am EXECUTIVE VICE PRESIDENT

(Official Title)


of POLLACK BROADCASTING CO.

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

Signature
WILLIAM H. POLLACK
Date
10/01/2004
Telephone Number of Respondent (Include area code) 9014843533

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
Exhibit 4
Description:
FAMILY RELATIONSHIPS AND REASONS FOR THIS AMENDED REPORT

SYDNEY AND MARILYN POLLACK ARE HUSBAND AND WIFE. WILLIAM, DAVID AND ROBERT POLLACK ARE THEIR SONS. NOAH, ELIZABETH AND JACOB ARE DAVID'S CHILDREN.

THIS AMENDED REPORT IS SUBMITTED TO REFLECT THAT VOTING INTERESTS ARISING FROM THE EQUITY HELD BY DAVID'S THREE MINOR CHILDREN ARE CONTROLLED BY THEIR FATHER.   IT IS ALSO INTENDED TO CORRECT AN INADVERTENT OMISSION ON THE SUBMISSION OF OWNERSHIP REPORTS IN 2003 AND 2004 THAT DID NOT LIST THE LICENSEE'S TWO NEWEST ACQUISITIONS, AM RADIO STATION KMIS, PORTAGEVILLE, MISSOURI, AND FM RADIO STATION KTMO, NEW MADRID, MISSOURI. THERE WAS, OF COURSE, NO ATTEMPT TO CONCEAL THE OWNERSHIP OF THESE STATIONS FROM THE COMMISSION, AS FCC CONSENT TO THE ASSIGNMENT OF THEIR LICENSES WAS SOUGHT AND RECEIVED, AND NOTICE OF CONSUMMATION WAS PROVIDED TO THE COMMISSION. WE APOLOGIZE FOR ANY CONFUSION ARISING FROM THE ERROR.

Attachment 4