CDBS Print

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 - 20160527ACV

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

All of the information furnished in this Report is accurate as of 08/01/2015 (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

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]

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

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.	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.	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

a. Name and Address.
b. Citizenship.
c. Office held.
d. Percent of interest held.
e. Principal profession or occupation.
f. By whom appointed or elected.
g. Existing interests

a. Name and Address.	BENJAMIN MAXSON, 4344 COPPER CLIFF LANE, MODESTO, CA 95355
b. Citizenship.	US
c. Office held.	DIRECTOR, PRINCIPAL
d. Percent of interest held.	0.00
e. Principal profession or occupation.	SCHOOL PRINICPAL
f. By whom appointed or elected.	CONSTITUENCY CHURCHES
g. Existing interests	NONE

a. Name and Address.	MIRIAM E BLACKERBY, 1813 STONE CRESS COURT, CERES, CA 95307
b. Citizenship.	US
c. Office held.	DIRECTOR
d. Percent of interest held.	0.00
e. Principal profession or occupation.	BUSINESS MANAGER
f. By whom appointed or elected.	CONSTITUENT 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 BENJAMIN MAXSON	Date 08/06/2015
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