Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0009 (June 2010)
FCC 316
FOR FCC USE ONLY
 
APPLICATION FOR CONSENT TO ASSIGN BROADCAST STATION CONSTRUCTION PERMIT OR LICENSE OR TO TRANSFER CONTROL OF ENTITY HOLDING BROADCAST STATION CONSTRUCTION PERMIT OR LICENSE

Read INSTRUCTIONS Before Filling Out Form

FOR COMMISSION USE ONLY
FILE NO.

BTCED - 20150408AAN
Section I - General Information
1. Legal Name of the Licensee/Permittee
WRVM, INC.
Mailing Address
PO BOX 212

City
SURING
State or Country (if foreign address)
WI
Zip Code
54174 -
Telephone Number (include area code)
9208422900
E-Mail Address (if available)
WRVM@WRVM.ORG
FCC Registration Number:
0005043542
Call Sign
WRVM
Facility ID Number
73974
2. Contact Representative (if other than licensee/permittee)
ALAN KILGORE
Firm or Company Name
WRVM, INC.
Mailing Address
PO BOX 212

City
SURING
State or Country (if foreign address)
WI
ZIP Code
54174 -
Telephone Number (include area code)
9203737569

E-Mail Address (if available)
AKILGORE@WRVM.ORG
3. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
Governmental Entity Noncommercial Educational Licensee/Permittee Other
N/A (Fee Required)
4.
a.  Voluntary Assignment or Transfer of Control  Involuntary Assignment or Transfer of Control
Amendment to pending application
File number of pending application: -

If an amendment, submit as an Exhibit a listing, by Section and Question Number, of the portions of the pending application that are being revised.

[Exhibit 1]

b.

Applicant certifies that the use of FCC Form 316 is appropriate for this transaction.

 

Yes No
See Explanation in
[Exhibit 2]
5.

Were any of the authorizations that are the subject of this application obtained through the Commission's competitive bidding procedures (see 47 C.F.R. Sections 1.2111(a) and 73.5000)?

If yes, list pertinent authorizations in an Exhibit.

Yes No

[Exhibit 3]



NOTE: In addition to the information called for in this section, an explanatory exhibit providing full particulars must be submitted for each question for which a "No" response is provided.

Section II - Assignor/Transferor

1. Certification.   Assignor/Transferor certifies that it has answered each question in this application based on its review of the application instructions and worksheets. Assignor/Transferor further certifies that where it has made an affirmative certification below, this certification constitutes its representation that the application satisfies each of the pertinent standards and criteria set forth in the application instructions and worksheets. Yes No
2.
Application for (check one): Consent to Assign Construction Permit Consent to Transfer Control of Permittee
Consent to Assign License Consent to Transfer Control of Licensee
Amendment to pending application
3.
Legal Name of the Assignor/Transferor
WRVM, INC. (OLD BOARD)
Mailing Address
PO BOX 212

City
SURING
State or Country (if foreign address)
WI
Zip Code
54174 - 0212
Telephone Number (include area code)
9208422900
E-Mail Address (if available)

WRVM@WRVM.ORG
4.
Contact Representative (if other than Assignor/Transferor)

Firm or Company Name

Mailing Address


City
State or Country (if foreign address)
Zip Code
-
Telephone Number (include area code)

E-Mail Address (if available)

 
If more than one Transferor, submit the information requested in Questions 3 and 4 for each transferor.
[Exhibit 4]
5. Authorizations to be Assigned/Transferred. List the authorized stations and construction permits to be assigned/transferred. Provide the Facility Identification Number and the Call Sign, or the Facility Identification Number and the File Number of the Construction Permit, and the location, for each station to be assigned/transferred. Include main stations, FM and/or TV translator stations, LPTV stations, FM and/or TV booster stations.

[Enter Station Information]


List the authorized stations and construction permits to be assigned/transferred. Provide the Facility Identification Number and the Call Sign, or the Facility Identification Number and the File Number of the Construction Permit, and the location, for each station to be assigned/transferred. Include main stations, FM and/or TV translator stations, LPTV stations,, FM and/or TV booster stations.

Facility ID Number
Call Sign or Construction Permit File Number
City
State
73974 WRVM - SURING WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
176585 WHJL - MERRILL WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
59353 WMVM - GOODMAN WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
85042 WPVM - STURGEON BAY WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
176342 WYVM - SHEBOYGAN WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
89736 W203AV - NORTH FOND DU LAC WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
90881 W206BK - MINOCQUA WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
122219 W207CM - MERCER WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
122231 W217BO - MARSHFIELD WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
144208 W220DP - IRONWOOD MI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
141036 W226BM - WISCONSIN RAPIDS WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
154852 W232BE - STEVENS POINT WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
148031 W236AS - PARK FALLS WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
71610 W237AW - IRON RIVER MI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
150568 W237CE - HOWARDS GROVE WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
148035 W246AY - PARK FALLS WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
155072 W250AV - PARK FALLS WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
122222 W254BB - MEDFORD WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
155076 W254BP - WISCONSIN RAPIDS WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
142649 W255CB - POWERS MI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
140875 W263BQ - SHEBOYGAN WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
122186 W263BS - RHINELANDER WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
155136 W264BE - MANITOWOC WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
155174 W264BK - WAUKAU WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
150229 W265CR - NEKOOSA WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
73058 W267BB - WAUSAU WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
150234 W268BC - OSHKOSH WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
143318 W268BG - GREEN BAY WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
150176 W269CJ - APPLETON WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
155161 W272BT - MOSINEE WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
141054 W276BC - ELLISON BAY WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
155773 W277BP - STURGEON BAY WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
14545 W280AF - PHELPS WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
148608 W280DT - LAC DU FLAMBEAU WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
36490 W292CG - LAND O' LAKES WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
14549 W296AD - EAGLE RIVER WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
143483 W297AH - WAUTOMA WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
143372 W266CC - ABBOTSFORD WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
142464 W286CR - PLYMOUTH WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
141114 W287CI - SHEBOYGAN WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
140960 W287CJ - NORWAY MI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
144821 W290CO - IRON MOUNTAIN WI

Facility ID Number
Call Sign or Construction Permit File Number
City
State
140995 W296CI - STEVENS POINT WI


6.
Agreements for Sale/Transfer of Station.
a. If the transaction is voluntary, Assignor/Transferor certifies that:
  i. it has placed in licensee's/permittee's public inspection file(s) and submitted as an exhibit to this item copies of all agreements for the assignment/transfer of the station(s);
  ii. these documents embody the complete and final understanding between assignor/transferor and assignee/transferee; and
  iii. these agreements comply fully with the Commission's rules and policies.
b. If the transaction is involuntary, the Assignor/Transferor certifies that court orders or other authorizing documents have been issued and that it has placed in the licensee's/permittee's public inspecition file(s) and submitted to the Commission copies of such court orders or other authorizing documents.
Exhibit Required
Yes No
N/A

[Exhibit 5]


Yes No
N/A

[Exhibit 6]

7.
Character Issues. Assignor/Transferor certifies that neither licensee/permittee nor any party to the application has or has had any interest in, or connection with:
a. any broadcast application in any proceeding where character issues were left unresolved or were resolved adversely against the applicant or any party to the application; or
b. any pending broadcast application in which character issues have been raised.
Yes No

See Explanation in
[Exhibit 7]

8.
Adverse Findings. Assignor/Transferor certifies that, with respect to the assignor/transferor and each party to the application, no adverse finding has been made, nor has an adverse final action been taken by any court or administrative body in a civil or criminal proceeding brought under the provisions of any law related to any of the following: any felony; mass media-related antitrust or unfair competition; fraudulent statements to another governmental unit; or discrimination.
Yes No
See Explanation in
[Exhibit 8]
9. Auction Authorization. Assignor/transferor certifies that more than five years have passed since the issuance of the construction permit for the station being assigned, where that permit was acquired in an auction through the use of a bidding credit or other special measure. Yes No
N/A


See Explanation in
[Exhibit 9]
10. Anti-Drug Abuse Act Certification. Assignor/Transferor certifies that neither licensee/permittee nor any party to the application is subject to denial of federal benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862. Yes No

I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.

Typed or Printed Name of Person Signing
ELWOOD R ANDERSON
Typed or Printed Title of Person Signing
PRESIDENT
Signature
Date
04/08/2015
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).



NOTE: In addition to the information called for in this section, an explanatory exhibit providing full particulars must be submitted for each question for which a "No" response is provided.

Section III - Assignee/Transferee

1. Certification.   Assignee/Transferee certifies that it has answered each question in this application based on its review of the application instructions and worksheets. Assignee/Transferee further certifies that where it has made an affirmative certification below, this certification constitutes its representation that the application satisfies each of the pertinent standards and criteria set forth in the application instructions and worksheets. Yes No
2.
Legal Name of the Assignee/Transferee
WRVM, INC. (NEW BOARD)
Mailing Address
PO BOX 212

City
SURING
State or Country (if foreign address)
WI
Zip Code
54174 - 0212
Telephone Number (include area code)
9208422900
E-Mail Address (if available)

WRVM@WRVM.ORG
3.
Contact Representative (if other than Assignee/Transferee)

Firm or Company Name

Mailing Address


City
State or Country (if foreign address)
Zip Code
-
Telephone Number (include area code)

E-Mail Address (if available)

 
If more than one Transferee, submit the information requested in Questions 2 and 3 for each transferee.
[Exhibit 10]
4.
Agreements for Sale/Transfer of Station. Assignee/Transferee certifies that:
a. the written agreements in the licensee/permittee's public inspection file embody the complete and final agreement for the sale or transfer of the station(s); and
b. these agreements comply fully with the Commission's rules and policies.
Yes No
[Exhibit 11]
5. Changes in interests as a result of assignment/transfer.
a. [Enter Changes in Interests Information]

Changes in Interests as a Result of Assignment/Transfer

(A) NAMES AND ADDRESSES OF ANY PARTY TO APPLICATION HOLDING AN ATTRIBUTABLE INTEREST
(B)
CITIZENSHIP
INTEREST HELD
(C) BEFORE TRANSFER OR ASSIGNMENT
(D) AFTER TRANSFER OR ASSIGNMENT
(1) Percentage Vote
(2) PercentageTotal Assets

(Equity plus Debt)

(1) Percentage Votes
(2) PercentageTotal Assets

(Equity plus Debt)

ELWOOD R ANDERSON; 902 EAST F STREET; IRON MOUNTAIN, MI 49801 US 16.67 0 14.29 0

(A) NAMES AND ADDRESSES OF ANY PARTY TO APPLICATION HOLDING AN ATTRIBUTABLE INTEREST
(B)
CITIZENSHIP
INTEREST HELD
(C) BEFORE TRANSFER OR ASSIGNMENT
(D) AFTER TRANSFER OR ASSIGNMENT
(1) Percentage Vote
(2) PercentageTotal Assets

(Equity plus Debt)

(1) Percentage Votes
(2) PercentageTotal Assets

(Equity plus Debt)

LOWELL BENGRY; N 104 LYNCH STREET; STEPHENSON, MI 49887 US 16.67 0 14.29 0

(A) NAMES AND ADDRESSES OF ANY PARTY TO APPLICATION HOLDING AN ATTRIBUTABLE INTEREST
(B)
CITIZENSHIP
INTEREST HELD
(C) BEFORE TRANSFER OR ASSIGNMENT
(D) AFTER TRANSFER OR ASSIGNMENT
(1) Percentage Vote
(2) PercentageTotal Assets

(Equity plus Debt)

(1) Percentage Votes
(2) PercentageTotal Assets

(Equity plus Debt)

SANDRA A ABEL; 1840 OLIVE STREET; OSHKOSH, WI 54901 US 16.67 0 14.29 0

(A) NAMES AND ADDRESSES OF ANY PARTY TO APPLICATION HOLDING AN ATTRIBUTABLE INTEREST
(B)
CITIZENSHIP
INTEREST HELD
(C) BEFORE TRANSFER OR ASSIGNMENT
(D) AFTER TRANSFER OR ASSIGNMENT
(1) Percentage Vote
(2) PercentageTotal Assets

(Equity plus Debt)

(1) Percentage Votes
(2) PercentageTotal Assets

(Equity plus Debt)

ROGER W BEABER, JR; 14733 COUNTY ROAD W (PO BOX 125); MOUNTAIN, WI 54149 US 16.67 0 14.29 0

(A) NAMES AND ADDRESSES OF ANY PARTY TO APPLICATION HOLDING AN ATTRIBUTABLE INTEREST
(B)
CITIZENSHIP
INTEREST HELD
(C) BEFORE TRANSFER OR ASSIGNMENT
(D) AFTER TRANSFER OR ASSIGNMENT
(1) Percentage Vote
(2) PercentageTotal Assets

(Equity plus Debt)

(1) Percentage Votes
(2) PercentageTotal Assets

(Equity plus Debt)

RONALD MUELLER; N13023 J 1 ROAD; CARNEY, MI 49812 US 16.67 0 0 0

(A) NAMES AND ADDRESSES OF ANY PARTY TO APPLICATION HOLDING AN ATTRIBUTABLE INTEREST
(B)
CITIZENSHIP
INTEREST HELD
(C) BEFORE TRANSFER OR ASSIGNMENT
(D) AFTER TRANSFER OR ASSIGNMENT
(1) Percentage Vote
(2) PercentageTotal Assets

(Equity plus Debt)

(1) Percentage Votes
(2) PercentageTotal Assets

(Equity plus Debt)

ERIC JOHN MCLEAN; N11443 VIRG LANE (PO BOX 229); WAUSAUKEE, WI 54177 US 16.67 0 14.29 0

(A) NAMES AND ADDRESSES OF ANY PARTY TO APPLICATION HOLDING AN ATTRIBUTABLE INTEREST
(B)
CITIZENSHIP
INTEREST HELD
(C) BEFORE TRANSFER OR ASSIGNMENT
(D) AFTER TRANSFER OR ASSIGNMENT
(1) Percentage Vote
(2) PercentageTotal Assets

(Equity plus Debt)

(1) Percentage Votes
(2) PercentageTotal Assets

(Equity plus Debt)

JAMES W DAVIES; 221 S SAUK TRAIL RD; OOSTBURG, WI 53070 US 0 0 14.29 0

(A) NAMES AND ADDRESSES OF ANY PARTY TO APPLICATION HOLDING AN ATTRIBUTABLE INTEREST
(B)
CITIZENSHIP
INTEREST HELD
(C) BEFORE TRANSFER OR ASSIGNMENT
(D) AFTER TRANSFER OR ASSIGNMENT
(1) Percentage Vote
(2) PercentageTotal Assets

(Equity plus Debt)

(1) Percentage Votes
(2) PercentageTotal Assets

(Equity plus Debt)

ROBERT KENNETH JOHNSON; 1642 LYON LANE; HATLEY, WI 54440 US 0 0 14.29 0


or [Exhibit 12]
 
 
b. Applicant certifies that equity interests not set forth above are non-attributable.
Yes No

N/A

[Exhibit 13]

6. Other Authorizations. List call signs, locations, and facility identifiers of all other broadcast stations in which assignee/transferee or any party to the application has an attributable interest. N/A

[Exhibit 14]

7. Acquisition of Control. List the file number and date of grant of FCC Form 301, 314, or 315 application by which the Commission approved the qualifications of the individual or entity with a pre-existing interest in the licensee/permittee that is now acquiring control of the licensee/permittee as a result of the grant of this application. N/A

[Exhibit 15]

8.
Character Issues. Assignee/Transferee certifies that neither assignee/transferee nor any party to the application has or has had any interest in, or connection with:
a. any broadcast application in any proceeding where character issues were left unresolved or were resolved adversely against the applicant or any party to the application; or
b. any pending broadcast application in which character issues have been raised.
Yes No

See Explanation in
[Exhibit 16]

9.
Adverse Findings. Assignee/Transferee certifies that, with respect to the assignee/transferee and each party to the application, no adverse finding has been made, nor has an adverse final action been taken by any court or administrative body in a civil or criminal proceeding brought under the provisions of any law related to any of the following: any felony; mass media-related antitrust or unfair competition; fraudulent statements to another governmental unit; or discrimination.
Yes No

See Explanation in
[Exhibit 17]

10. Alien Ownership and Control. Assignee/Transferee certifies that it complies with the provisions of Section 310 of the Communications Act of 1934, as amended, relating to interests of aliens and foreign governments. Yes No

See Explanation in
[Exhibit 18]

11. Auction Authorization. Assignee/transferee certifies that where less than five years have passed since the issuance of the construction permit and the permit had been acquired in an auction through the use of a bidding credit or other special measure, it would qualify for such credit or other special measure. Yes No
N/A


See Explanation in
[Exhibit 19]
12. Anti-Drug Abuse Act Certification. Assignee/transferee certifies that neither licensee/permittee nor any party to the application is subject to denial of federal benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862. Yes No

I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations. I hereby waive any claim to the use of any particular frequency as against the regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and request an authorization in accordance with this application. (See Section 304 of the Communications Act of 1934, as amended.)

Typed or Printed Name of Person Signing
ELWOOD R ANDERSON
Typed or Printed Title of Person Signing
PRESIDENT
Signature
Date
04/08/2015
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 2
Description:
FORM 316 IS THE PROPER FORM

THE APPLICANT REQUESTS CONSENT FOR TRANSFER OF CONTROL AS A NONCOMMERCIAL LICENSEE. FCC FORM 316 IS USED TO SEEK CONSENT FOR SUCH A TRANSFER RESULTING FROM THE RESIGNATION OF EXISTING BOARD MEMBERS WHEN ELECTIONS OF REPLACEMENT OR NEW BOARD MEMBERS OCCUR OVER A PERIOD OF TIME. THERE ARE NO STOCKHOLDERS OR OTHER 'OWNERS' OF THE NONPROFIT CORPORATION, BUT ONLY VOTING TRUSTEES, AND THE LICENSEE HOLDS LICENSES OF THE NONCOMMERCIAL STATIONS. THEREFORE, THE NEW LICENSEE AND THE OLD LICENSEE IS THE VERY SAME ENTITY.

Attachment 2


Exhibit 5
Description:
AGREEMENT

SINCE THE TRANSFER IS THE RESULT OF CHANGES IN THE BOARD OVER A PERIOD OF TIME (PLEASE SEE EXHIBIT 2), THERE IS NO AGREEMENT OTHER THAN BOARD ACTION FOR DIRECTOR CHANGE PENDING FCC CONSENT.

Attachment 5


Exhibit 11
Description:
AGREEMENT

PLEASE SEE EXHIBIT 5.

Attachment 11


Attachment 12
Description
Exhibit 12 - Changes Over Time


Attachment 14
Description
Exhibit 14 - Other Stations