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 - 20130801AVD
Section I - General
1. Legal Name of the Licensee/Permittee
CENTRAL VALLEY CHRISTIAN ACADEMY
Mailing Address
2020 ACADEMY PLACE
City
CERES
State or Country (if foreign address)
CA
ZIP Code
95307 -
Telephone Number (include area code)
2095374521
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
P.O. BOX 8433
City
FALLS CHURCH
State or Country (if foreign address)
VA
ZIP Code
22041 -
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 07/31/2013 (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. MATT TRESENRITER, 3801 ARGONAUT DRIVE, MODESTO, CA 95355
b. Citizenship. US

c. Office held.

DIRECTOR, BOARD CHAIR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

OCCUPATONAL THERAPIST

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. VICTOR GAINES, 2208 AMBER LEAF LANE, CERES, CA 95307
b. Citizenship. US

c. Office held.

DIRECTOR, TREASURER

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. WAYNE DUNBAR, 2716 RIVER VALLEY CIRCLE, MODESTO, CA 95351
b. Citizenship. US

c. Office held.

DIRECTOR, PRINCIPAL

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. JAY COOK, 3019 SHOEMAKER AVENUE, MODESTO, CA 95358
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. MICHAEL FANSELAU, 2019 BRISTOL PARK CIRCLE, TURLOCK, CA 95382
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

HUMAN RESOURCES DIRECTOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. NINA HERMAN, 4316 EAST ORANGEBURG AVENUE, MODESTO, CA 95355
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

DENTAL ASSISTANT

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. DAVID GILLHAM, 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. JOHN BELL, 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.

PASTOR

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. ANTONIO CANO, 2454 TERRALINDA, 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. GAIL MONTEITH, 11531 EAST SERVICE ROAD, DENAIR, CA 95316
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

HOMEMAKER

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. CARLOS GARCIA, 2307 CARMICHAEL WAY, 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. 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.

DENTAL LAB TECHNICIAN

f. By whom appointed or elected.

CONSTITUTENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. STEPHANIE MONTEITH, 11625 EAST SERVICE ROAD, DENAIR, CA 95316
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

DENTAL LAB TECHNICIAN

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. STELLA JAMES, 2829 BLUE MOON COURT, CERES, CA 95307
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

FOOD SERVICE

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. SHERRIE WENDT, 818 VINEWOOD DRIVE, MODESTO, CA 95351
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PHYSICAL THERAPIST

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. BRYAN DEL VALLE, 1614 H STREET, 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. TOM VILLALOVOS, 2104 CANANT AVENUE, MODESTO, CA 95350
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SMALL BUSINESS OWNER

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. BRIAN LENSER, P.O. BOX 576644, MODESTO, CA 95357
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PHYSICIAN

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. GODFREY MIRANDA, 301 CLARATINE AVENUE, MODESTO, CA 95355
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. 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. HANANIAH RUFF, 4375 ANDERSON WAY, MERCED, CA 95348
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. RON HILL, 2300 DEN HOLDER DRIVE, MODESTO, CA 95356
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. MICHAEL GARCIA, 2304 BEACHWOOD DRIVE, CERES, CA 95307
b. Citizenship. US

c. Office held.

DIRECTOR

d. Percent of interest held.

0.00

e. Principal profession or occupation.

MEDICAL LAB

f. By whom appointed or elected.

CONSTITUENCY CHURCHES

g. Existing interests

NONE

a. Name and Address. ANIL KANDA, 1633 CENTRAL AVENUE, CERES, CA 95307
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




SECTION III - CERTIFICATION


I certify that I am PRINCIPAL

(Official Title)


of CENTRAL VALLEY CHRISTIAN 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
WAYNE DUNBAR
Date
08/01/2013
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