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 - 20130925AGL
Section I - General
1. Legal Name of the Licensee/Permittee
OREGON ST BD OF HIGHER ED FOR UNIV OF OREGON
Mailing Address
1292 UNIVERSITY OF OREGON
City
EUGENE
State or Country (if foreign address)
OR
ZIP Code
97401 - 1292
Telephone Number (include area code)
5413450800
E-Mail Address (if available) 
FCC Registration Number:
0001552736
Call Sign 
KWAX
Facility ID Number 
90266
2. Contact Representative (if other than Licensee/Permittee)
PAUL BJORNSTAD
Firm or Company Name
UNIVERSITY OF OREGON
Mailing Address
75 CENTENNIAL LOOP
City
EUGENE
State or Country (if foreign address)
OR
ZIP Code
97401 -
Telephone Number (include area code)
5413450800
E-Mail Address (if available)
KWAX@UOREGON.EDU
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 09/03/2013 (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
KWAX 62413 EUGENE OR FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KWVZ 90266 FLORENCE OR FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KWRX 90887 REDMOND OR FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KMKR 59346 CANYONVILLE OR 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]


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 (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)


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. MATTHEW W. DONEGAN, 111 SW 5TH AVENUE, STE 3850, PORTLAND OR 97204
b. Citizenship. US

c. Office held.

PRESIDENT-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

FOREST CAPITAL PARTNERS, LLC

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. JILL W. EILAND, 5200 NE ELAM YOUNG PARKWAY, HILLSBORO OR 97124
b. Citizenship. US

c. Office held.

VICE PRESIDENT-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

INTEL CORPORATE AFFAIRS MANAGER

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. BRIANNA R. COULOMBE, C/O PRESIDENT'S OFFICE ONE UNIVERSITY BLVD LA GRANDE OR 97850-2807
b. Citizenship. US

c. Office held.

MEMBER-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

STUDENT

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. KIRK E. SCHUELER, 2500 NE NEFF ROAD, BEND, OR 97701
b. Citizenship. US

c. Office held.

MEMBER-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

CHIEF ADMINISTRATIVE OFFICER, ST. CHARLES HEALTH SYSTEM

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. DAVID V. YADEN, 275 NORTH SHORE RD, LAKE OSWEGO, OR 97034
b. Citizenship. US

c. Office held.

MEMBER-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED, VOLUNTEER

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. ALLYN FORD, PO BOX 1088, ROSEBURG, OREGON
b. Citizenship. US

c. Office held.

MEMBER-OREGON ST BD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ROSEBURG FOREST PRODUCTS

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. LYNDA M. CIUFFETTI, 2082 CORDLEY HALL, CORVALLIS OR 97331
b. Citizenship. US

c. Office held.

MEMBER-OREGON ST BD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PROFESSOR

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. DR. ORCILIA FORBES C/O CHANCELLOR'S OFFICE, PORTLAND PO BOX 751 PORTLAND OR 97201-0751
b. Citizenship. US

c. Office held.

MEMBER-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

HIGHER EDUCATION ADMINISTRATION (RETIRED)

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. JAMES L. FRANCESCONI, 200 SW MARKET, STE 1777, PORTLAND, OR 97201
b. Citizenship. US

c. Office held.

MEMBER-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ATTORNEY, HAGLUND KELLEY, LLP

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. FARBODD A. GANJIFARD, 149 SNELL HALL, CORVALLIS, OR 97330
b. Citizenship. US

c. Office held.

MEMBER-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

STUDENT

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. DR. JAMES MIDDLETON, COCC 2600 NW COLLEGE WAY BEND OR 97701
b. Citizenship. US

c. Office held.

MEMBER-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PRESIDENT, CENTRAL OREGON COMMUNITY COLLEGE

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. PAUL J. KELLY JR., 3625 NE MERGES DRIVE, PORTLAND, OR 97212
b. Citizenship. US

c. Office held.

MEMBER-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED ATTORNEY, ARBITRATOR/MEDIATOR

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. DR. EMILY J. PLEC COMMUNICATIONS STUDIES, WOU 345 N. MONMOUTH AVE MONMOUTH OR 97361
b. Citizenship. US

c. Office held.

MEMBER-OREGON STATE BOARD OF HIGHER EDUCATION

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PROFESSOR

f. By whom appointed or elected.

GOVERNOR OF OREGON

g. Existing interests

NONE

a. Name and Address. OREGON ST BD OF HIGHER ED FOR UNIV OF OREGON
b. Citizenship. NA

c. Office held.

ENTITY

d. Percent of interest held.

100.00

e. Principal profession or occupation.

NA

f. By whom appointed or elected.

NA

g. Existing interests

THE OREGON STATE BD OF HIGHER EDUCATION ALSO HOLDS INTERESTS IN KWVA, KEOL, KBVR, KTEC, KAGI, KLMF, KNCA, KNHT, KNSQ, KNYR, KSBA, KSJK, KSJK, KSMF, KSOR, KSRG, KSRS, KLDD, KSKF, KSKX.




SECTION III - CERTIFICATION


I certify that I am DIRECTOR OF BROADCASTING

(Official Title)


of OREGON ST BD OF HIGHER ED FOR UNIV OF OREGON

(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
PAUL C BJORNSTAD
Date
09/25/2013
Telephone Number of Respondent (Include area code) 5413450800


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