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1. | Legal Name of the Applicant WITHERS BROADCASTING COMPANY OF SOUTHEAST MISSOURI, LLC |
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Mailing Address POST OFFICE BOX 1508 |
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City MOUNT VERNON |
State or Country (if foreign address) IL |
Zip Code 62864 - 1508 |
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Telephone Number (include area code) 6182423500 |
E-Mail Address (if available) |
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FCC Registration Number: 0011303831 |
Call Sign KBXB |
Facility ID Number 16548 |
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2. | Contact Representative (if other than licensee/permittee) DAWN M. SCIARRINO, ESQ. |
Firm or Company Name SCIARRINO & SHUBERT, PLLC |
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Mailing Address 5425 TREE LINE DRIVE |
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City CENTREVILLE |
State or Country (if foreign address) VA |
ZIP Code 20120 - |
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Telephone Number (include area code) 2022569551 |
E-Mail Address (if available) DAWN@SCIARRINOLAW.COM |
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3. | Purpose:![]() |
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4. | Consummation for:![]() |
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Lead Facility ID: 16548 | ||||||||||
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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 DANA R. WITHERS |
Typed or Printed Title of Person Signing EXECUTOR |
Signature |
Date 11/16/2015 |
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).