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 - 20041201BTC
Section I - General
1. Legal Name of the Licensee/Permittee
PATAPHYSICAL BROADCASTING FOUNDATION, INC.
Mailing Address
203 8TH AVE
City
SANTA CRUZ
State or Country (if foreign address)
CA
ZIP Code
95062 -
Telephone Number (include area code)
8314762800
E-Mail Address (if available) 
FCC Registration Number:
0001540152
Call Sign 
KUSP
Facility ID Number 
51718
2. Contact Representative (if other than Licensee/Permittee)
JOHN CRIGLER, ESQUIRE
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 10/25/2004 (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
KUSP 51718 SANTA CRUZ CA FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KBDH 51720 SAN ARDO CA FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
K206BQ 51715 HOLLISTER CA FX

Call Letters
Facility ID Number
Location (City/State)
Class of service
K207CN 51719 SANTA CRUZ CA FX

Call Letters
Facility ID Number
Location (City/State)
Class of service
K207DH 106446 CARMEL HIGHLANDS CA FX

Call Letters
Facility ID Number
Location (City/State)
Class of service
K212AA 51716 LOS GATOS CA FX

Call Letters
Facility ID Number
Location (City/State)
Class of service
K290AE 51717 BIG SUR VALLEY CA FX

Call Letters
Facility ID Number
Location (City/State)
Class of service
K217EK 51713 PALO COLORADO CANYON CA FX


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 AND BYLAWS OF PATAPHYSICAL BROADCASTING FOUNDATION, INC. STATE OF CALIFORNIA


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. KATIE OLSEN, 3254 MISSION DRIVE #B, SANTA CRUZ, CA 95065
b. Citizenship. US

c. Office held.

PRESIDENT

d. Percent of interest held.

5.88

e. Principal profession or occupation.

EXECUTIVE SECRETARY

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. SUSAN GOLDSTEIN, 734 CHESTNUT ST. #A, SANTZ CRUZ CA 95060
b. Citizenship. US

c. Office held.

SECRETARY

d. Percent of interest held.

5.88

e. Principal profession or occupation.

OWNER, REAL ESTATE BROKERAGE

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. GARY GREEN, PO BOX 336, SANTA CRUZ, CA 95061
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

MARKETING MANAGER, CONFERENCE AND VISITORS COUNCIL

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. GWEN MARCUM, 2214 OCEAN ST. EXT., SANTA CRUZ, CA 95060
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

BOOKSTORE OWNER

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. P.J. SWIFT, 305 DICKENS WAY, SANTA CRUZ, CA 95064
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

TEACHER

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. MICHAEL FITZGERALD, 303 BRACKNEY ROAD, BEN LOMOND, CA 95005
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

BEHAVIORAL HEALTH MANAGER

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. JEFF EMERY, P.O. BOX 711, FELTON, CA 95018
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

WINEMAKER

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. PETER GLYNN, 207 WASHBURN ST, SANTA CRUZ, CA 95060
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

COMPUTER SERVICES MANAGER, MAILING SERVICE

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. TERRY GREEN, 203 8TH AVE, SANTA CRUZ, CA 95062
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

GENERAL MANAGER, KUSP

f. By whom appointed or elected.

APPOINTED BY BOARD OF DIRECTORS

g. Existing interests

NA

a. Name and Address. LEIGH HILL, 8160 PINE DRIVE, FELTON, CA 95018
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

TEACHER

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. JOHN HIRST, 742 N BRANCIFORTE AVE, SANTA CRUZ, CA 95062
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

TRANSPORTATION EDUCATOR

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. BRUCE LARSEN, 125 SOUTH PARK WAY, SANTA CRUZ, CA 95062
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

CONTRACTOR

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. ALAN MERTENS, 127 SERRA CT, SANTA CRUZ, CA 95060
b. Citizenship. US

c. Office held.

TREASURER

d. Percent of interest held.

5.88

e. Principal profession or occupation.

ELECTRONICS ENGINEER

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. WES MODES, 548 REDWOOD DR, FELTON, CA 95018
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

ARTIST

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. VACANT
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

TBD

f. By whom appointed or elected.

APPOINTED BY BOARD OF DIRECTORS

g. Existing interests

NA

a. Name and Address. DEANNA ZACHARY, 2987 REDWOOD DR, APTOS, CA 95003
b. Citizenship. US

c. Office held.

VICE PRESIDENT

d. Percent of interest held.

5.88

e. Principal profession or occupation.

RESEARCH ANALYST

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. STEPHEN SLADE, 646 SOUTHVIEW TERRACE, SANTA CRUZ, CA 95060
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

5.88

e. Principal profession or occupation.

DEVELOPMENT DIRECTOR, ELKHORN SLOUGH FOUNDATION

f. By whom appointed or elected.

ELECTED BY FOUNDATION MEMBERSHIP

g. Existing interests

NA

a. Name and Address. PATAPHYSICAL BROADCASTING FOUNDATION, INC., 203 8TH AVE, SANTA CRUZ, CA 95062
b. Citizenship. US

c. Office held.

LICENSEE

d. Percent of interest held.

100.00

e. Principal profession or occupation.

LICENSEE

f. By whom appointed or elected.

NA

g. Existing interests

NA




SECTION III - CERTIFICATION


I certify that I am PRESIDENT

(Official Title)


of PATAPHYSICAL BROADCASTING FOUNDATION, 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
KATIE OLSEN
Date
11/30/2004
Telephone Number of Respondent (Include area code) 8314762800


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