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.

BOA - 20070601ACH
Section I - General Information
1. Legal Name of the Applicant 
ADELANTE MEDIA OF UTAH LICENSE LLC
Mailing Address
500 MEDIA PLACE
City
SACARAMENTO
State or Country (if foreign address)
CA
ZIP Code
95815 -
Telephone Number (include area code)
9163686300
E-Mail Address (if available) 
ABUSTOS@BUSTOSMEDIA.COM
FCC Registration Number:
0012288817
Call Sign 
Facility ID Number 
20029
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 ENTERPRISES, 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)
9163686300
E-Mail Address (if available)
ABUSTOS@BUSTOSMEDIA.COM
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
KBMG 20029 EVANSTON WY FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KXTA 69557 CENTERVILLE UT AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KDUT 88272 RANDOLPH UT FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KDBI 54509 EMMETT ID FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KQTA 87812 HOMEDALE ID FM



All of the information furnished in this Report is accurate as of 05/31/2007 (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 STATE OF DELAWARE 07/20/2004

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
CERTIFICATE OF AMENDMENT STATE OF DELAWARE 08/25/2004

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 BUSTOS MEDIA ENTERPRISES, LLC 08/27/2004

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
INVESTORS RIGHTS AGREEMENT BUSTOS MEDIA ENTERPRISES, LLC, BUSTOS MEDIA, LLC AND THE PERSONS NAMED ON SCHEDULES A AND B 08/27/2004

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
INVESTMENT AGREEMENT BUSTOS MEDIA ENTERPRISES, LLC, BUSTOS MEDIA, LLC AND THE PERSONS NAMED ON SCHEDULES 2.1(A) AND 2.1(B) 08/27/2004

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
CREDIT AGREEMENT BY AND AMONG BUSTOS MEDIA OPERATING, LLC AND EACH OF ITS SUBSIDIARIES THAT ARE SIGNATORIES HERETO, THE LENDERS THAT ARE SIGNATORIES HERETO AND NEWSTAR CP FUNDING AS JOINT LEAD ARRANGER AND SYNDICATION AGENT 01/21/2005

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
SECURITY AGREEMENT WELLS FARGO FOOTHILL, INC. 01/21/2005


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]


Capitalization


Capitalization (Only licensees, permittees, or a reporting entity with a majority interest in or that otherwise excercises de facto control over the subject licensee or permittee shall respond.)

Class of stock (preferred, common or other)
Voting or Non-voting
Number of Shares
Authorized
Issued and Outstanding
Treasury
Unissued
PREFERRED
S
11955

Class of stock (preferred, common or other)
Voting or Non-voting
Number of Shares
Authorized
Issued and Outstanding
Treasury
Unissued
SERIES A COMMON
S
44000000

Class of stock (preferred, common or other)
Voting or Non-voting
Number of Shares
Authorized
Issued and Outstanding
Treasury
Unissued
SERIES B COMMON
S
1562130

Class of stock (preferred, common or other)
Voting or Non-voting
Number of Shares
Authorized
Issued and Outstanding
Treasury
Unissued
SERIES C COMMON
S
1562130

Class of stock (preferred, common or other)
Voting or Non-voting
Number of Shares
Authorized
Issued and Outstanding
Treasury
Unissued
SERIES D COMMON
S
1025490


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 PLEASE SEE ATTACHMENT 2
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 NA
6. Positional Interest NA
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 PRESIDENT

(Official Title)


of BUSTOS MEDIA ENTERPRISES,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
AMADOR BUSTOS
Date
05/31/2007
Telephone Number of Respondent (Include area code) 9163686300

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 (LLC)

Attachment 1


Exhibit 2
Description:
OWNER INFORMATION

THE ATTACHED CHART DISCLOSES OWNERSHIP INFORMATION ABOUT THIS ENTITY. WHEN AN ATTRIBUTABLE OWNER IS ITSELF AN ENTITY, RATHER THAN A NATURAL PERSON, ITS OWNERSHIP INTERESTS ARE SEPARATELY DISCLOSED IN A SEPARATE OWNERSHIP REPORT FILED FOR THAT ENTITY.

Attachment 2
Description
Owner Information


Exhibit 3
Description:
OTHER AUTHORIZATIONS

EACH OF THE RESPONDENT'S THREE DIRECTORS HOLDS ONE-THIRD VOTING CONTROL IN THE COMPANY AND, THEREFORE, THE SAME LEVEL OF CONTROL IN EACH OF ITS OTHER WHOLLY-OWNED SUBSIDIARIES AND THEIR STATIONS. THESE DIRECTORS ARE: AMADOR BUSTOS, ALBERT J. DOBRON (NAMED BY ALTA BUSTOS INVESTOR CORP.)AND PATRICK D. BRUBAKER (NAMED BY PROVIDENCE GROWTH INVESTORS L.P.).

BUSTOS MEDIA OF WISCONSIN LICENSE, LLC, LICENSEE OF
WDDW, STURTEVANT, WI (FIN: 53506)
WBWT-LP, MILWAUKEE, WI (FIN: 56213)
WBWT-LP (DIGITAL COMPANION CHANNEL), MILWAUKEE, WI (FIN 168398)

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)
KLMG, JACKSON, CA (FIN: 24464)
KBAA, GRASS VALLEY, CA (FIN: 87969)

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

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)
KZTB, MILTON-FREEWATER, OR (FIN: 953)
KZTB-FM1, LA GRANDE, OR (FIN: 165134)
KMMG, 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).

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

BUSTOS MEDIA OF IDAHO LICENSE, LLC, LICENSEE OF
KDBI, EMMETT, ID (FIN: 54509)
KQTA, HOMEDALE, ID (FIN: 87812).

AMADOR BUSTOS, CEO, PRESIDENT AND DIRECTOR, IS ALSO MANAGER AND A MEMBER OF BUSTOS MEDIA HOLDINGS, LLC, THE LICENSEE OF:
KZSJ, SAN MARTIN, CALIFORNIA (FIN: 30906)
KREH, PECAN GROVE, TEXAS, (FIN: 71631)

AMADOR BUSTOS IS ALSO THE SOLE MAJORITY SHAREHOLDER OF AND BUSTOS MEDIA OF COLORADO LICENSE CORP., LICENSEE OF KGDQ, COLORADO SPRINGS, CO (FIN: 70822).

INFORMATION ON THE MEDIA HOLDINGS OF OTHER INVESTORS IS ATTACHED


Attachment 3
Description
Attributable Interests of the Alta Entities
Attributable Interests of the Providence Entities


Exhibit 4
Description:
FAMILY RELATIONSHIPS

JOHN AND AMADOR S. BUSTOS ARE BROTHERS.

Attachment 4