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.

BOS - 20060130ATS
Section I - General Information
1. Legal Name of the Applicant 
BUSTOS MEDIA OPERATING, LLC
Mailing Address
3100 FITE CIRCLE
SUITE 101
City
SACRAMENTO
State or Country (if foreign address)
CA
ZIP Code
95827 -
Telephone Number (include area code)
9163686332
E-Mail Address (if available) 
ABUSTOS@BUSTOSMEDIA.COM
FCC Registration Number:
0011502481
Call Sign 
Facility ID Number 
53506
2. Contact Representative (if other than Licensee/Permittee)
FRANCISCO R. MONTERO, ESQ
Firm or Company Name
FLETCHER, HEALD & HILDRETH, P.L.C.
Telephone Number (include area code)
7038120400
E-Mail Address (if available)
MONTERO@FHHLAW.COM
3. Name of entity, if other than licensee or permittee, for which report is filed
BUSTOS MEDIA INVESTMENT ASSOCIATES, LLC
Mailing Address
1750 LAGOON VIEW DRIVE

City
TIBURON
State or Country (if foreign address)
CA
ZIP Code
94920 -
Telephone Number (include area code)
4154354929
E-Mail Address (if available)
TMOFFET@AMSTERDAMPACIFIC.NET
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
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
WDDW 53506 STURTEVANT WI FM



All of the information furnished in this Report is accurate as of 01/09/2006 (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]



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 BUSTOS MEDIA INVESTMENT ASSOCIATES, LLC, 1750 LAGOON VIEW DRIVE, TIBURON CA 94920
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 US
6. Positional Interest RESPONDENT
7. Percentage of votes 0.00
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address JAVIER D. PEREZ, 984 TRINITY HILLS LANE, LIVERMORE CA 94550
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 33.33
8. Percentage of total assets (equity debt plus) 33.33

1. Name and Address CARLOS A. DUHARTE, 748 NEWMAN DRIVE, SOUTH SAN FRANCISCO CA 94080
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 16.67
8. Percentage of total assets (equity debt plus) 16.67

1. Name and Address SALVADOR HOMERO CAMPOS,103 REEVES WAY, FOLSOM CA 95630
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 8.33
8. Percentage of total assets (equity debt plus) 8.33

1. Name and Address FELIPE CHAVEZ, 9124 GRECO COURT, SACRAMENTO CA 95829
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 6.67
8. Percentage of total assets (equity debt plus) 6.67

1. Name and Address JOSE S. REYNOSO, 9083 ACORN RIDGE CIRCLE, ELK GROVE CA 95758
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 5.67
8. Percentage of total assets (equity debt plus) 5.67

1. Name and Address HUMBERTO C. PEREZ, 1153 AMBERHILL AVENUE, GALT CA 95632
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 10.00
8. Percentage of total assets (equity debt plus) 10.00

1. Name and Address ANA A. JAUREGUI-PEREZ, 972 ANDERSON CIRCLE, WOODLAND CA 95776
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 MEMBER
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address CESAR VALDIOSERA , 3100 FITE CIRCLE, SACRAMENTO CA 95827
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 4.50
8. Percentage of total assets (equity debt plus) 4.50

1. Name and Address CARLOS MARTIN VALDEZ, 2722 S. REDWOOD RD. #1, SALT LAKE CITY, UT 84119
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 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address ED DISTEL, 10866 S. LANGFORD LN, #1064, SOUTH JORDAN, UT 84095
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 2.50
8. Percentage of total assets (equity debt plus) 2.50

1. Name and Address ANGELICA GODINEZ, 5712 DEEPDALE WAY, ELK GROVE, CA 95758
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 MEMBER
7. Percentage of votes 2.33
8. Percentage of total assets (equity debt plus) 2.33

1. Name and Address THOMAS MOFFET, 1750 LAGOON VIEW DRIVE, TIBURON CA 94920
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 CA
6. Positional Interest MANAGER
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 BUSTOS MEDIA INVESTMENT ASSOCIATES, 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
THOMAS MOFFET
Date
01/27/2006
Telephone Number of Respondent (Include area code) 4154354929

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:
TYPE OF ENTITY

LIMITED LIABILITY COMPANY.

Attachment 1


Exhibit 3
Description:
OTHER AUTHORIZATIONS

THE RESPONDENT HAS INTERESTS IN THE FOLLOWING LICENSEES AND STATIONS THROUGH ITS INVESTMENT IN BUSTOS MEDIA ENTERPRISES, LLC AND BUSTOS MEDIA, LLC:

BUSTOS MEDIA OPERATING, LLC, LICENSEE OF
WDDW, STURTEVANT, WI (FIN: 53506)

BUSTOS MEDIA OF UTAH LICENSE, LLC, LICENSEE OF
KXTA, CENTERVILLE, UT (FIN: 69557)
KDUT, RANDOLPH, UT, (FIN: 88272)
KDUT-FM1, BOUNTIFUL, UT, (FIN: 122076)
KDUT-FM2, SALT LAKE CITY, UT, (FIN:122078)
KDUT-FM3, OGDEN UT (FIN: 123370)
KDUT-FM4, AMERICAN FORK, UT (FIN: 131417)
KDUT-FM5, PROVO, UT,(FIN: 131424)

ROCKY MOUNTAIN RADIO NETWORK, INC., LICENSEE OF
KBMG, EVANSTON WY (FIN: 20029)
KBMG-FM1, BOUNTIFUL, UT (FIN: 161732
KBMG-FM2, SALT LAKE CITY, UT (FIN: 161730)
KBMG-FM3, PROVO, UT (FIN: 161809)
KBMG-FM4, ODGEN, UT (FIN: 161733)

BUSTOS MEDIA OF CALIFORNIA LICENSE, LLC, LICENSEE OF
KTTA, ESPARTO, CA (FIN: 51221),
KBBU, MODESTO CA (FIN: 43335),
KKFS, LINCOLN, CA (FIN: 56366).
BUSTOS MEDIA OF CALIFORNIA LICENSE, LLC ALSO PROGRAMS KLMG (FORMERLY KSFS), JACKSON, CA (FIN: 24464) AND KBAA (FORMERLY KCEE), GRASS VALLEY, CA (FIN: 87969) PURSUANT TO A LOCAL MARKETING AGREEMENT;

BUSTOS MEDIA OF OREGON LICENSE, LLC, LICENSEE OF
KMUZ, GRESHAM,OR (FIN: 51210),
KGDD, OREGON CITY, OR (FIN: 2431),
KXMG, PORTLAND, OR (FIN: 71752),
KZNY, MILWAUKIE, OR (FIN: 68212),

BUSTOS MEDIA OF EASTERN WASHINGTON LICENSE, LLC, LICENSEE OF
KULE(AM), EPHRATA, WA (FIN: 4041),
KULE-FM, EPHRATA, WA (FIN: 4042),
KZTA, NACHES, WA (FIN: 36006),
KYXE, UNION GAP, WA (FIN: 64506),
KZTS, SUNNYSIDE, WA (FIN: 4757),
KMMG, WESTON, OR (FIN: 78697),
KZTB, BENTON CITY, WA (FIN: 4758),
KZML, QUINCY, WA (FIN: 15137),
KZML-FM1, WENATCHEE, WA (FIN: 137979),
K286BC, EDGEMONT, WA (FIN: 139326),
K248BG, ELLENSBURG, WA (FIN: 139349),
K285FN, KENNEWICK WEST, WA (FIN: 139179),
K225AR, WENATCHEE, WA (FIN: 139113),
K269EU, ROYAL CITY, WA (FIN: 139111),
K291AS, MATTAWA, WA (FIN: 139108),
K229AD, YAKIMA, WA (FIN: 82285),
AND THE PROPOSED ASSIGNEE OF KHTO, MILTON-FREEWATER, OR (FIN: 953) IN FCC FILE NO. BALPH-20051228AAK;

BUSTOS MEDIA OF SEATTLE LICENSE, LLC, LICENSEE OF
KWMG, AUBURN-FEDERAL WAY, WA (FIN: 33683),
KDDS-FM, ELMA, WA (FIN: 33622);

AND BUSTOS MEDIA OF IDAHO LICENSE, LLC, LICENSEE OF
KDBI, EMMETT, ID (FIN: 54509),
AND THE APPROVED ASSIGNEE OF KQTA, HOMEDALE, ID (FIN: 87812) IN FCC FILE NO. BALH-20050607ADC.


Attachment 3