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 - 20050822AEY
Section I - General Information
1. Legal Name of the Applicant 
CCR-TRI CITIES IV, LLC
Mailing Address
501 SOUTH CHERRY STREET
SUITE 480
City
DENVER
State or Country (if foreign address)
CO
ZIP Code
80246 -
Telephone Number (include area code)
3034686500
E-Mail Address (if available) 
FCC Registration Number:
0008371122
Call Sign 
Facility ID Number 
10513
2. Contact Representative (if other than Licensee/Permittee)
ELIZABETH HAMMOND
Firm or Company Name
DRINKER BIDDLE & REATH LLP
Telephone Number (include area code)
2028428843
E-Mail Address (if available)
EHAMMOND@DBR.COM
3. Name of entity, if other than licensee or permittee, for which report is filed
ARLINGTON CAPITAL EMPLOYEE CO-INVESTMENT, LLC
Mailing Address
600 NEW HAMPSHIRE AVENUE, NW
SUITE 660

City
WASHINGTON
State or Country (if foreign address)
DC
ZIP Code
20037 -
Telephone Number (include area code)
2023377500
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 PARENT ENTITY
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
KONA 67668 KENNEWICK-RICHLAND WA AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KONA-FM 67669 KENNEWICK WA FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KZHR 35125 DAYTON WA FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KROP 63470 BRAWLEY CA AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KSIQ 63471 BRAWLEY CA FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KOWL 55493 SOUTH LAKE TAHOE CA AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KRLT 55494 SOUTH LAKE TAHOE CA FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KTAN 23446 SIERRA VISTA AZ AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KZMK 23445 SIERRA VISTA AZ FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
K257AS 73628 RIDGWAY CO TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K257AT 73621 NUCLA & NATURITA CO TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K257AU 73623 PAONIA, ETC CO TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K267AB 73629 GUNNISON CO TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
WBAZ 52061 BRIDGEHAMPTON NY FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
WBEA 52060 SOUTHOLD NY FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
WEHM 52059 SOUTHAMPTON NY FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
WHBE 18218 EAST HAMPTON NY FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KWCD 22972 BISBEE AZ FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KBLJ 7047 LA JUNTA CO AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KTHN 7046 LA JUNTA CO FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KLMR 174 LAMAR CO AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KLMR-FM 175 LAMAR CO FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KCAP 50355 HELENA MT AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KZMT 50357 HELENA MT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KHKR-FM 49724 EAST HELENA MT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KEYZ 10511 WILLISTON ND AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KYYZ 10510 WILLISTON ND FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KTHC 10513 SIDNEY MT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KMON 62330 GREAT FALLS MT AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KMON-FM 62331 GREAT FALLS MT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KLFM 56665 GREAT FALLS MT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KVVR 84237 DUTTON MT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KBLL 27515 HELENA MT AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KBLL-FM 27517 HELENA MT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KSTV 9746 STEPHENVILLE TX AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KSTV-FM 15742 DUBLIN TX FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KYOX 82135 COMMANCHE TX FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KUBC 73626 MONTROSE CO AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KKXK 73624 MONTROSE CO FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KBNG 89280 RIDGWAY CO FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
K232BW 73622 TELLURIDE CO TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K233AH 78388 OURAY CO TX



All of the information furnished in this Report is accurate as of 08/15/2005 (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
CERTIFICATE OF FORMATION ARLINGTON CAPITAL EMPLOYEE CO-INVESTMENT, LLC 04/13/2000

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
LIMITED LIABILITY COMPANY AGREEMENT ARLINGTON CAPITAL EMPLOYEE CO-INVESTMENT 05/25/2000


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]



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 ARLINGTON CAPITAL EMPLOYEE CO-INVESTMENT, LLC, 600 NEW HAMPSHIRE AVENUE, NW, SUITE 660, WASHINGTON, D.C. 20037
2. Gender (male or female) N/A
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 DE
6. Positional Interest
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address PAUL G. STERN, C/O ARLINGTON CAPITAL, 600 NEW HAMPSHIRE AVENUE, NW, SUITE 660, WASHINGTON, D.C. 20037
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 MEMBER
7. Percentage of votes 25.00
8. Percentage of total assets (equity debt plus) 35.56

1. Name and Address RAYMOND W. SMITH, C/O ARLINGTON CAPITAL, 600 NEW HAMPSHIRE AVENUE, NW, SUITE 660, WASHINGTON, D.C. 20037
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 MEMBER
7. Percentage of votes 25.00
8. Percentage of total assets (equity debt plus) 35.56

1. Name and Address ROBERT I. KNIBB, C/O ARLINGTON CAPITAL, 600 NEW HAMPSHIRE AVENUE, NW, SUITE 660, WASHINGTON, D.C. 20037
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 MEMBER
7. Percentage of votes 25.00
8. Percentage of total assets (equity debt plus) 17.77

1. Name and Address JEFFREY H. FREED, C/O ARLINGTON CAPITAL, 600 NEW HAMPSHIRE AVENUE, NW, SUITE 660, WASHINGTON, D.C. 20037
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 MEMBER
7. Percentage of votes 25.00
8. Percentage of total assets (equity debt plus) 11.11

1. Name and Address PERRY W. STEINER, C/O ARLINGTON CAPITAL, 600 NEW HAMPSHIRE AVENUE, NW, SUITE 660, WASHINGTON, D.C. 20037
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 MANAGING DIRECTOR
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 0.00


(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 MANAGER

(Official Title)


of ARLINGTON CAPITAL EMPLOYEE CO-INVESTMENT, LLC

(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
PERRY W. STEINER
Date
08/22/2005
Telephone Number of Respondent (Include area code) 2023377500

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 1
Description:
DESCRIPTION OF RESPONDENT

RESPONDENT IS A LIMITED LIABILITY COMPANY.

Attachment 1


Exhibit 2
Description:
OTHER EQUITY AND FINANCIAL INTERESTS

NOTE THAT THE PERCENT OF TOTAL ASSETS FIGURE SET FORTH IN QUESTION NO. 9(A) IS BASED ON THE CAPITAL CONTRIBUTIONS OF EACH MEMBER. EACH MEMBER ALSO IS ENTITLED TO A PERCENTAGE OF PROFITS THAT IS DIFFERENT FROM HIS PERCENTAGE OF CAPITAL CONTRIBUTIONS. BECAUSE THERE ARE NO MULTIPLE OWNERSHIP ISSUES PRESENT IN THIS APPLICATION INVOLVING THE COMMISSIONS EQUITY-DEBT-PLUS CALCULATION AND DUE TO THE DIFFICULTY OF CALCULATING THE PERCENT OF TOTAL ASSETS BASED ON A COMBINATION OF THE MEMBERS PERCENTAGE OF CAPITAL AND PERCENTAGE OF PROFITS, THE PERCENT TOTAL ASSETS REPORTED FOR THESE MEMBERS IS BASED SOLELY ON THEIR CAPITAL CONTRIBUTIONS.

Attachment 2


Exhibit 3
Description:
OTHER AUTHORIZATIONS

CCR-STEPHENVILLE III, LLC, AN INDIRECT SUBSIDIARY OF ARLINGTON CAPITAL EMPLOYEE CO-INVESTMENT, LLC, IS THE PROPOSED ASSIGNEE IN AN APPLICATION FOR CONSENT TO THE ASSIGNMENT OF LICENSE OF RADIO STATION KCOM(AM), COMANCHE, TX, FILE NO. BAL-20050218ACF. CCR-STEPHENVILLE, L.P. IS PROGRAMMING KCOM UNDER A TIME BROKERAGE AGREEMENT.

ROBERT I. KNIBB AND JEFFREY H. FREED, TWO OF THE MEMBERS OF ARLINGTON CAPITAL EMPLOYEE CO-INVESTMENT, LLC ('ALEC'), ARE ALSO MEMBERS OF ARLINGTON CAPITAL GROUP II, L.L.C. ('ACG II'). PERRY STEINER, THE MANAGING DIRECTOR OF ALEC, ALSO IS A MEMBER OF ACG II. ACG II IS THE INDIRECT PARENT OF MLB-HAGERSTOWN-CHAMBERSBURG IV, LLC, THE LICENSEE OF THE FOLLOWING RADIO BROADCAST STATIONS:
WCHA(AM), CHAMBERSBURG, PA, FACILITY ID NO. 10110
WIKZ(FM), CHAMBERSBURG, PA, FACILITY ID NO. 10108
WQCM(FM), GREENCASTLE, PA, FACILITY ID NO. 25128
WHAG(AM), HALFWAY, MD, FACILITY ID NO. 23466
WDLD(FM), HALFWAY, MD, FACILITY ID NO. 23469

Attachment 3