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.

BON - 20041119AEU
Section I - General
1. Legal Name of the Licensee/Permittee
COLORADO STATE UNIVERSITY - PUEBLO KTSC 89.5
Mailing Address
2200 BONFORTE BLVD.
City
PUEBLO
State or Country (if foreign address)
CO
ZIP Code
81001 - 4901
Telephone Number (include area code)
7195492821
E-Mail Address (if available) 
SAM.LOVATO@COLOSTATE-PUEBLO.EDU
FCC Registration Number:
0011436706
Call Sign 
KTSC-FM
Facility ID Number 
69148
2. Contact Representative (if other than Licensee/Permittee)
COLORADO STATE UNIVERSITY - PUEBLO KTSC 89.5
Firm or Company Name

Mailing Address

City
State or Country (if foreign address)
ZIP Code
-
Telephone Number (include area code)
7195492821
E-Mail Address (if available)
SAM.LOVATO@COLOSTATE-PUEBLO.EDU
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 11/19/2004 (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
KTSC-FM 69148 PUEBLO CO 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. DONALD HAMSTRA 1929 EGBERT BRIGHTON, CO 80601
b. Citizenship. US

c. Office held.

CHAIR

d. Percent of interest held.

11.11

e. Principal profession or occupation.

BRIGHTON MEDICAL GROUP

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. JEFF SHOEMAKER 966 S. YORK STREET DENVER, COLORADO 80209
b. Citizenship. US

c. Office held.

VICE CHAIR

d. Percent of interest held.

11.11

e. Principal profession or occupation.

PROFESSIONAL

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. PATRICK GRANT 4655 HUMBOLDT STREET DENVER, CO 80216
b. Citizenship. US

c. Office held.

THIRD EXECUTIVE COMMITTEE MEMBER SECRETARY

d. Percent of interest held.

11.11

e. Principal profession or occupation.

NATIONAL WESTERN STOCK SHOW

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. CONNIE CALAWAY 1023 HERITAGE DRIVE CARBONDALE, CO 81623
b. Citizenship. US

c. Office held.

VOTING MEMBER

d. Percent of interest held.

11.11

e. Principal profession or occupation.

PROFESSIONAL

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. PHYLLIS 'DIANE' EVANS 512 WILCOX STREET CASTLE ROCK, CO 80104
b. Citizenship. US

c. Office held.

VOTING MEMBER

d. Percent of interest held.

11.11

e. Principal profession or occupation.

LAND TITLE GUARNTEE COMPANY

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. A. FRED KERST 202 REMINGTON STREET FORT COLLINS, CO 80524
b. Citizenship. US

c. Office held.

VOTING MEMBER

d. Percent of interest held.

11.11

e. Principal profession or occupation.

REMINGTON REDSTONE CORPORATION

f. By whom appointed or elected.

BOARD OF GOVERORS

g. Existing interests

KCSU-FM

a. Name and Address. CHAD C. MCWHINNEY 2725 ROCKY MOUNTAIN AVENUE, SUITE 200 LOVELAND, CO 80538
b. Citizenship. US

c. Office held.

VOTING MEMBER

d. Percent of interest held.

11.11

e. Principal profession or occupation.

MCWHINNEY REAL ESTATE SERVICES, INC.

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. CHARLES W. SMITH 400 WEST 16TH STREET PUEBLO, CO 81003
b. Citizenship. US

c. Office held.

TREASURER, FOURTH EXECUTIVE COMMITTEE MEMBER

d. Percent of interest held.

11.11

e. Principal profession or occupation.

PARKVIEW HEALTH SYSTEM

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. REGINALD L. WASHINGTON 10103 RIDGEGATE PARKWAY, SUITE 107 LONE TREE, CO 80124
b. Citizenship. US

c. Office held.

VOTING MEMBER

d. Percent of interest held.

11.11

e. Principal profession or occupation.

PROFESSIONAL

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. JESSE LAUCHNER CSU FORT COLLINS, CO 80523
b. Citizenship. US

c. Office held.

STUDENT REP CSU

d. Percent of interest held.

0.00

e. Principal profession or occupation.

STUDENT

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. TYSON VALENZUELA CSU-P PUEBLO, CO 81001
b. Citizenship. US

c. Office held.

STUDENT REP CSU-PUEBLO

d. Percent of interest held.

0.00

e. Principal profession or occupation.

STUDENT

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. DR. PAUL KUGRENS CSU FORT COLLINS, CO 80523
b. Citizenship. US

c. Office held.

FACULTY REP CSU

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BIOLOGY DEPARTMANT CSU

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM

a. Name and Address. DR. ROY SONNEMA CSU-P PUEBLO, CO 81001
b. Citizenship. US

c. Office held.

FACULTY REP CSU-PUEBLO

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ART DEPARTMENT, CSU-PUEBLO

f. By whom appointed or elected.

BOARD OF GOVERNORS

g. Existing interests

KCSU-FM




SECTION III - CERTIFICATION


I certify that I am SAM LOVATO

(Official Title)


of COLORADO STATE UNIVERSITY - PUEBLO KTSC 89.5

(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
SAM LOVATO
Date
11/19/2004
Telephone Number of Respondent (Include area code) 7195492430


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