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 - 20161003ADB
Section I - General
1. Legal Name of the Licensee/Permittee
COMMUNITY BROADCASTING, INC.
Mailing Address
10550 BARKLEY
SUITE 100
City
OVERLAND PARK
State or Country (if foreign address)
KS
ZIP Code
66212 -
Telephone Number (include area code)
9136427770
E-Mail Address (if available) 
FCC Registration Number:
0005014162
Call Sign 
KSIV-FM
Facility ID Number 
91037
2. Contact Representative (if other than Licensee/Permittee)
KATHLEEN VICTORY
Firm or Company Name
FLETCHER, HEALD & HILDRETH, PLC
Mailing Address
1300 NORTH 17TH STREET
11TH FLOOR
City
ARLINGTON
State or Country (if foreign address)
VA
ZIP Code
22209 -
Telephone Number (include area code)
7038120400
E-Mail Address (if available)
VICTORY@FHHLAW.COM
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 10/01/2016 (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
KLCV 12837 LINCOLN NE FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KSIV-FM 4276 ST. LOUIS MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KCRL 85069 SUNRISE BEACH MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KSCV 1622 SPRINGFIELD MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KBMP 91037 ENTERPRISE KS FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KARF 78930 INDEPENDENCE KS FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KMOZ 53651 ROLLA MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KTAA 1247 BIG SANDY TX FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KKCV 164111 ROZEL KS FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KTFC 17199 SIOUX CITY IA FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KTFG 17200 SIOUX RAPIDS IA FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KAYH 79130 FAYETTEVILLE AR FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KOFC 72491 FAYETTEVILLE AR FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KCGR 173701 ORAN MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KJCV 160983 JACKSON WY AM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KPBR 173704 POPLAR BLUFF MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KFCV 173766 DIXON MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KWCV 175725 WALNUT RIDGE AR FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
WECV 67633 NASHVILLE TN FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
WNRZ 67638 DICKSON TN FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KYLF 174965 ADRIAN MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
WMCV 184958 FARMERSBURG IN FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KJRG 35021 NEWTON KS FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KMCV 84371 HIGH POINT MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KJCV-FM 89276 COUNTRY CLUB MO FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KCVW 6506 KINGMAN KS FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KQCV-FM 6488 SHAWNEE OK FM

Call Letters
Facility ID Number
Location (City/State)
Class of service
KCVN 69844 COZAD NE 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)
ARTICLES OF INCORPORATION DELAWARE 10/06/1986

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)
BYLAWS BOARD OF DIRECTORS 10/06/2003


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. RICHARD P. BOTT, 11512 JUNIPER DRIVE, LEAWOOD, KS 66211
b. Citizenship. US

c. Office held.

PRESIDENT AND DIRECTOR

d. Percent of interest held.

25.00

e. Principal profession or occupation.

BROADCASTER

f. By whom appointed or elected.

BOARD OF DIRECTORS

g. Existing interests

6491, 6492, 6487, 6489, 6499, 6507, 6508, 6504, 66670, 129517, 25031, 71464, 160981 & 6486

a. Name and Address. SHERLEY E. BOTT, 11512 JUNIPER DRIVE, LEAWOOD, KS 66211
b. Citizenship. US

c. Office held.

SECRETARY, TREASURER AND DIRECTOR

d. Percent of interest held.

25.00

e. Principal profession or occupation.

BROADCASTER

f. By whom appointed or elected.

BOARD OF DIRECTORS

g. Existing interests

SEE ENTRY FOR RICHARD P. BOTT

a. Name and Address. RICHARD P. BOTT, II, 11974 CONNELL, OVERLAND PARK, KS 66213
b. Citizenship. US

c. Office held.

VICE PRESIDENT AND DIRECTOR

d. Percent of interest held.

25.00

e. Principal profession or occupation.

BROADCASTER

f. By whom appointed or elected.

BOARD OF DIRECTORS

g. Existing interests

SEE ENTRY FOR RICHARD P. BOTT; ADD 56244

a. Name and Address. CHARLES M. WATKINS, 1747 PENNSYLVANIA AVE., NW WASHINGTON, DC 20006
b. Citizenship. US

c. Office held.

VICE PRESIDENT AND DIRECTOR

d. Percent of interest held.

25.00

e. Principal profession or occupation.

LAWYER

f. By whom appointed or elected.

BOARD OF DIRECTORS

g. Existing interests

NONE




SECTION III - CERTIFICATION


I certify that I am VICE PRESIDENT

(Official Title)


of COMMUNITY BROADCASTING, INC.

(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
RICHARD P. BOTT, II
Date
10/03/2016
Telephone Number of Respondent (Include area code) 9136427770


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