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 - 20010928AAX
Section I - General Information
1. Legal Name of the Applicant 
MAVERICK MEDIA OF HAWAII LICESNEE LLC
Mailing Address
C/O PUTBRESE HUNSAKER & TRENT, P.C.
P.O. BOX 217
City
STERLING
State or Country (if foreign address)
VA
ZIP Code
20167 - 0217
Telephone Number (include area code)
7034378400
E-Mail Address (if available) 
FCCMAN@EARTHLINK.NET
FCC Registration Number:
0005018213
Call Sign 
KHLO
Facility ID Number 
31601
2. Contact Representative (if other than Licensee/Permittee)
JOHN C. TRENT, ESQ.
Firm or Company Name
PUTBRESE HUNSAKER & TRENT
Telephone Number (include area code)
7034378400
E-Mail Address (if available)
FCCMAN@EARTHLINK.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)
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
KHLO 37210 HILO HI AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KKBG 52468 HILO HI FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KKOA 37211 VOLCANO HI FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KLEO 52443 KAHALUU HI FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KUMU 31600 HONOLULU HI AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KUMUFM 31601 HONOLULU HI FM



All of the information furnished in this Report is accurate as of 09/24/2001 (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]



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]


(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 MANAGER

(Official Title)


of MAVERICK MEDIA OF HAWAII LICENSEE 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
GARY S. ROZYNEK
Date
09/24/2001
Telephone Number of Respondent (Include area code) 2032272800

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 1
Description:
OTHER ENTITY

THE LICENSEE IS A LIMITED LIABILITY CORPORATION.

Attachment 1


Exhibit 3
Description:
OTHER BROADCAST INTEREST/CERTIFICATION

THIS REPORT IS SUBMITTED AS AN OWNERSHIP REPORT CERTIFICATION. THERE HAS BEEN NO OWNERSHIP CHANGE SINCE THE LAST REPORT WAS SUBMITTED TO THE FCC ON JULY 31, 2001. THE ONLY 'CHANGE' HAS BEEN IN THE COMPANY NAME WHICH IS NOW 'MAVERICK MEDIA OF HAWAII LICESNEE LLC'.

Attachment 3