Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0031 (September 2004)
FOR FCC USE ONLY
 
Consummation Notice

Read Instructions/FAQ before filling out form

FOR COMMISSION USE ONLY
FILE NO.

Section I - General Information
1. Legal Name of the Applicant
FIRST FREE WILL BAPTIST CHURCH OF HEALDTON
Mailing Address
PO BOX 779

City
HEALDTON
State or Country (if foreign address)
OK
Zip Code
73438 -
Telephone Number (include area code)
5804652352
E-Mail Address (if available)
FCC Registration Number:
0017008426
Call Sign 
KAZC
Facility ID Number
177138
2. Contact Representative (if other than licensee/permittee)
FIRST FREE WILL BAPTIST CHURCH OF HEALDTON
Firm or Company Name

Mailing Address
PO BOX 779

City
HEALDTON
State or Country (if foreign address)
OK
ZIP Code
73438 -
Telephone Number (include area code)
5804652352

E-Mail Address (if available)

3. Purpose:
Consummation Notice
Extension of Consummation
Notification of Non-consummation
4. Consummation for:
Assignment of License and/or Permit
Transfer of Control
5.
Lead Station File Number:     BALED - 20130910ABH
Lead Facility ID:    177138
6.

File Number Facility ID Call Sign Will not Consummate
BALED-20130910ABH 177138
KAZC


7.
Date of consummation:    12/23/2013
8. FRN of the Licensee (post-consummation): 0010252344

I hereby certify that the referenced assignment of license/transfer of control was consummated within the required time period, on the date indicated in #7 above.

Typed or Printed Name of Person Signing
DERRICK BOLIN
Typed or Printed Title of Person Signing
PASTOR
Signature
Date
12/24/2013

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