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 - 20050801AWL
Section I - General
1. Legal Name of the Licensee/Permittee
MODESTO ADVENTIST ACADEMY
Mailing Address
2031 ACADEMY PLACE
City
CERES
State or Country (if foreign address)
CA
ZIP Code
95307 -
Telephone Number (include area code)
2095371201
E-Mail Address (if available) 
FCC Registration Number:
0013824990
Call Sign 
KADV
Facility ID Number 
43333
2. Contact Representative (if other than Licensee/Permittee)
DONALD MARTIN
Firm or Company Name
DONALD E. MARTIN, P.C.
Mailing Address

City
State or Country (if foreign address)
ZIP Code
-
Telephone Number (include area code)
7036422344
E-Mail Address (if available)
DEMPC@PRODIGY.NET
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 07/25/2005 (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
KADV 43333 MODESTO CA 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. MR. MATT TRESENRITER, 3801 ARGONAUT DRIVE, MODESTO, CA 95355
b. Citizenship. US

c. Office held.

CHAIRMAN, DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

OCCUPATON THERAPIST

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MR. RODNEY DIEDE, 2029 BRIDGET MARIE DRIVE, MODESTO, CA 95351
b. Citizenship. US

c. Office held.

TREASURER, DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SCHOOL BUSINESS MANAGER

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MR. DONALD B. KRPALEK, 2704 RIVER VALLEY CIRCLE, MODESTO, CA 95351
b. Citizenship. US

c. Office held.

SECRETARY, DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SCHOOL PRINCIPAL

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MR. TONY TREVINO, 1101 SYLVAN AVENUE, #B2, MODESTO, CA 95350
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

CPA

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. DR. STAN BAKER, 1268 PARKS ROAD, HUGHSON, CA 95326
b. Citizenship. US

c. Office held.

VICE CHAIRMAN, DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ORAL SURGEON

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MR. LARRY BENNETT, 5412 REATHER COURT, RIVERBANK, CA 95367
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

COMPUTER SPECIALIST

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MR. VERN BILOFF, P.O. BOX 770, CLOVIS, CA 93613
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

CHURCH ADMINISTRATOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MRS. KARLA BURNS, 1000 HERNDON AVENUE, MODESTO, CA 95351
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

CHILD CARE

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. PASTOR RICK CASEBIER, 905 CEDAR RIDGE ROAD, TURLOCK, CA 95382
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PASTOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MRS DENISE FLUENCE, 1412 AVENEDA DEL RIO, MODESTO, CA 95356
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

HOME MAKER

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MR. DAVID HUDGENS, 907 BURGUNDY LANE, MODESTO, CA 95351
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

COMPUTER TECHNICIAN

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MR. JEFF LEMOS, 2105 TIM BELL ROAD, WATERFORD, CA 95386
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

CONSTRUCTION

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MRS. WENDY LOCH, 2041 RAPUNZEL COURT, OAKDALE, CA 95362
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

NURSE

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MRS. KRISTY MABEE, 261 RIVER VALLEY CIRCLE, MODESTO, CA 95351
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SPEECH THERAPIST

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. PASTOR CLARK MCCALL, 1290 WALNUT STREET, OAKDALE, CA 95361
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PASTOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. PASTOR KEITH MULLIGAN, 1015 MUNCHKIN DRIVE, MODESTO, CA 95351
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PASTOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. PASTOR EFRIEN PIEDRA, P.O. BOX 580497M NIDESTIM CA 95358
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PASTOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MRS. MARLA RASMUSSEN, 1712 CANDLER LANE, MODESTO, CA 95350
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

TEACHER

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. PASTOR RON RASMUSSEN, 1712 CANDLER LANE, MODESTO, CA 95350
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PASTOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MRS. LAURI RICHARDS, 1401 ROCKHAVEN DRIVE, MODESTO, CA 95356
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SCHOOL NURSE

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. PASTOR JAMES SCARBOROUGH, 817 VAN NORSTRAND COURT, MODESTO, CA 95354
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PASTOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. PASTOR PAUL SCHOOLEY, 1808 WYLIE, MODESTO, CA 95354
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PASTOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MR. CHRIS SINNETT, 1821 MERLOT DRIVE, MODESTO, CA 95351
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SALES

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MS. JODI SMITH, 2454 TOPEKA AVENUE, RIVERBANK, CA 95367
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ENGINEER

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MRS. SHELLY STEARNS, 11067 DOERKSEN ROAD, DENAIR, CA 95316
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

HOME MAKER

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE




SECTION III - CERTIFICATION


I certify that I am PRINCIPAL AND BOARD SECRETARY

(Official Title)


of MODESTO ADVENTIST ACADEMY

(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
DONALD B. KRPALEK
Date
07/29/2005
Telephone Number of Respondent (Include area code) 2095374521


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