Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0010 (June 2002)
FCC 323
FOR FCC USE ONLY
 
OWNERSHIP REPORT FOR COMMERCIAL BROADCAST STATIONS

Read INSTRUCTIONS Before Filling Out Form

FOR COMMISSION USE ONLY
FILE NO.

BOA - 20010328AAH
Section I - General Information
1. Legal Name of the Applicant 
SBS, LLC
Mailing Address
2810 BEAVER AVENUE
City
FORT WAYNE
State or Country (if foreign address)
IN
ZIP Code
46807 -
Telephone Number (include area code)
2197451970
E-Mail Address (if available) 
FCC Registration Number:

Call Sign 
WSHI
Facility ID Number 
29204
2. Contact Representative (if other than Licensee/Permittee)
RICHARD F. SWIFT, ESQUIRE
Firm or Company Name
IRWIN, CAMPBELL & TANNENWALD
Telephone Number (include area code)
2027280400
E-Mail Address (if available)
RSWIFT@ICTPC.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)
NA
4. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
Governmental Entity Fee-exempt Report Other
N/A (Fee Required)



Section II - Ownership Information

5.

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
WSHI 29204 COLUMBIA CITY IN FM



All of the information furnished in this Report is accurate as of 03/20/2001 (Date must comply with 47 C.F.R. Section 73.3615(a), i.e., information must be current within 60 days of filing of this report, when 5(a) below is checked.)

This Report is filed for (check one)
6.
Respondent is:
Sole proprietorship Not-for-profit corporation Limited partnership
For-profit corporation General partnership Other
If "Other", describe nature of the respondent in an Exhibit.
[Exhibit 1]
7.
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 Date of Expiration
OPERATING AGREEMENT OF SBS, LLC MEMBERS OF SBS, LLC 03/21/1997 03/21/2050


8. Capitalization (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 Capitalization Information]



9.
(a.) List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
[Enter Owner Information]

Owner Information

List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
(Read carefully - The numbered items below refer to line numbers in the following table.)
1. Name and address of respondent and each party to the respondent holding an attributable interest (if other than individual also show name, address and citizenship of natural person authorized to vote the stock or holding the attributable interest). List the respondent first, officers next, then directors and, thereafter, remaining stockholders and other entities with attributable interests, and partners.
2. Gender (male or female).
3. Ethnicity (check one).
4. Race (select one or more).
5. Citizenship.
6. Positional interest: Officer, director, general partner, limited partner, LLC member, investor/creditor attributable under the Commission's equity/debt plus standard, etc.
7. Percentage of votes.
8. Percentage of total assets (equity debt plus).

1. Name and Address COVINGTON PARTNERSHIP, P.O. BOX 9560, FORT WAYNE, INDIANA 46899
2. Gender (male or female)
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest NONE
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address FURTURAL LIFE INSURANCE COMPANY, 2810 BEAVER AVENUE, FORT WAYNE, INDIANA 46807
2. Gender (male or female)
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address STEVEN R. SHINE, 2810 BEAVER AVENUE, FORT WAYNE, IN 46807
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest CHIEF OPERATING OFFICER
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address LAWRENCE E. SHINE, 111 EAST WAYNE STREET, SUITE 800, FORT WAYNE, INDIANA 46802
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest NONE
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address THOMAS K. SHINE, 8677 LOGO 7 COURT, INDIANAPOLIS, INDIANA 46219
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest NONE
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address DR. HERBERT J. KAROL, P. O. BOX 35356, SARASOTA, FLORIDA 34241
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest NONE
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address JOEL A. FREMION, 701 COLUMBIA AVENUE, FORT WAYNE, IN 46805 AND MARIAN FREMION, 10929 SHIREGREEN LANE, FORT WAYNE, IN 46804
2. Gender (male or female)
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest NONE
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address DOUGLAS E. ULMER, 8009 SOUTH CALHOUN STREET, FORT WAYNE, INDIANA 46802
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest NONE
7. Percentage of votes
8. Percentage of total assets (equity debt plus)


(b) Respondent certifies that equity and financial interests not set forth in response to Question 9(a) are non-attributable. Yes No

N/A

See Explanation in
[Exhibit 2]

(c) Is the respondent or any party holding an attributable interest in the respondent also the holder of an attributable interest in any other broadcast station or in any cable or newspaper entities in the same market or with overlapping signals in the same broadcast service, as described in 47 C.F.R. Sections 73.3555 and 76.501? Yes No
If "Yes", submit an Exhibit identifying the holder of that other attributable interest, listing the call signs, locations and facilities identifiers of such other broadcast stations, and describing the nature and size of the ownership interest and the positions held in the other broadcast, cable or newspaper entities. [Exhibit 3]
(d) Are any of the individuals listed in response to Question 9(a) related as parent-child, husband-wife, brothers and sisters?

Yes No

 

If "Yes", submit an Exhibit setting forth full information as to the family relationship

[Exhibit 4]

(e) Is respondent seeking an attribution exemption for any officer or director with duties unrelated to the licensee or permittee?

If "Yes", submit an Exhibit identifying that individual by name and title, fully describing that individual's duties and responsibilities, and explaining why that individual should not be attributed an interest.

Yes No

[Exhibit 5]



SECTION III - CERTIFICATION


I certify that I am CHIEF OPERATING OFFICER

(Official Title)


of SBS, LLC

(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 5, Section II and in no event prior to that date.)

Signature
STEVEN R. SHINE
Date
03/27/2001
Telephone Number of Respondent (Include area code) 2197451970

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:
ATTRIBUTABLE INTERESTS

EACH OF THE FOLLOWING HAVE ONE OF EIGHT VOTES AND 12.5 PERCENT OF TOTAL ASSETS:

1.   STEVEN R. SHINE
2.   LAWRENCE E. SHINE
3.   THOMAS K. SHINE
4.   DR. HERBERT J. KAROL
5.   COVINGTON PARTNERSHIP
6.   JOEL A. FREMION AND MARIAN FREMION, JOINTLY, VOTED BY JOEL FEMION
7.   FUTURAL LIFE INSURANCE COMPANY
8.   DOUGLAS E. ULMER

COVINGTON PARTNERSHIP IS AN INDIANA PARTNERSHIP OWNED EQUALLY BY ANDREW F. BROOKS (50 PERCENT) AND JOHN BROOKS (50 PERCENT) WHO ARE COUSINS AND US CITIZENS. THE SHARE IN THE LICENSEE WILL BE VOTED BY ANDREW F. BROOKS.

FUTURAL LIFE INSURANCE COMPANY ('FUTURAL') IS AN ARIZONA CORPORATION LICESEND TO DO BUSINESS IN INDIANA. FUTURAL IS OWNED BY PHILIP TERRELL (33 1/3 PERCENT) AND MARGARET L. TERRELL (66 2/3 PERCENT), EACH OF WHOM ARE US CITIZENS. MARGARET L. TERRELL IS THE MOTHER OF PHILIP TERRELL. THE SHARE IN THE LICENSEE HELD BY FUTURAL WILL BE VOTED BY PHILIP TERRELL.

Attachment 2


Exhibit 4
Description:
FAMILY RELATIONSHIPS

IN ADDITION TO THOSE RELATIONSHIPS IN EXHIBIT 2, STEVEN R. SHINE, LAWRENCE E. SHINE, AND THOMAS K. SHINE ARE BROTHERS, AND MARIAN FREMION AND JOEL A. BREMION ARE MOTHER AND SON.

Attachment 4