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 - 20110805AAN
Section I - General
1. Legal Name of the Licensee/Permittee
HUMBOLDT STATE UNIVERSITY ADVANCEMENT FOUNDATION
Mailing Address
1 HARPST STREET
City
ARCATA
State or Country (if foreign address)
CA
ZIP Code
95521 -
Telephone Number (include area code)
7078266085
E-Mail Address (if available) 
FCC Registration Number:
0019598291
Call Sign 
NEW
Facility ID Number 
184514
2. Contact Representative (if other than Licensee/Permittee)
JEROLD L. JACOBS, ESQ.
Firm or Company Name
COHN AND MARKS LLP
Mailing Address

City
State or Country (if foreign address)
ZIP Code
-
Telephone Number (include area code)
2024524823
E-Mail Address (if available)
JEROLD.JACOBS@COHNMARKS.COM
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 07/30/2011 (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
NEW 184514 MCKINLEYVILLE 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. GARY BLATNICK, 880 NORTHCREST DR., CRESCENT CITY CA 95531
b. Citizenship. US

c. Office held.

CHAIR, BD. OF DIRECTORS

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. KENNETH DAVLIN, 3731 U ST., EUREKA CA 95501
b. Citizenship. US

c. Office held.

VICE-CHAIR, BD. OF DIRECTORS

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED CONSULTING ENGINEER

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. BURT NORDSTROM, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

SECRETARY, BD. OF DIRECTORS

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNIVERSITY ADMINISTRATOR

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. NICHOLAS FRANK, PO BOX 1235, TRINIDAD CA 95570
b. Citizenship. US

c. Office held.

TREASURER, BD. OF DIRECTORS

d. Percent of interest held.

0.00

e. Principal profession or occupation.

INTERNATIONAL BUSINESS CONSULTANT

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. ROBIN BAILIE, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

DIR. OF STEWARDSHIP, HSUAF

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. REGINA BENZONELLI, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSWOMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. HEATHER BERNIKOFF-RABOY, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

STATE GOVERNMENT OFFICIAL

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. JAMES BROWN, PO BOX 3040, TRINIDAD CA 95570
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. STEVEN R. BROWN, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. RACHEL BROWNELL, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

STUDENT

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. DICK CUNEO, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. JUDY DVORAK, 525 ASHTON AVE., PALO ALTO CA 94306-3608
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED MARKETING DIR.

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. MARY GLENN, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PROFESSOR

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. MICHAEL FIELDING, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED ACCOUNTANT

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. LAURA JACKSON, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNIVERSITY ADMINISTRATOR

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. DAN JOHNSON, 5251 ERICSON WAY, ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. DAVID KALB, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. LISA KLYCE, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED BUSINESSWOMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. JOHN MCBETH, 1837 O ST., EUREKA CA 95501
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. ALISTAIR W. MCCRONE, 3493 BUTTERMILK LA., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED UNIVERSITY PRESIDENT

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. CHUCK PETRUSHA, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. JASON RAMOS, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. DR. ROLLIN C. RICHMOND, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNIVERSITY PRESIDENT

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. DUNCAN ROBINS, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. GEORGE SCHMIDBAUER, PO BOX 33293, EUREKA CA 95502
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. ROBERT SNYDER, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNIVERSITY ADMINISTRATOR

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. MICHAEL STOCKSTILL, PO BOX 515511, IRVINE CA 92619
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BUSINESSMAN

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE

a. Name and Address. FRANK WHITLATCH, 1 HARPST ST., ARCATA CA 95521
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNIVERSITY ADMINISTRATOR

f. By whom appointed or elected.

BD. OF DIRECTORS

g. Existing interests

NONE




SECTION III - CERTIFICATION


I certify that I am SECRETARY

(Official Title)


of HUMBOLDT STATE UNIVERSITY ADVANCEMENT FOUNDATION

(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
BURT NORDSTROM
Date
07/30/2011
Telephone Number of Respondent (Include area code) 7078265146


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