4. |
All of the information furnished in this Report is accurate as of 11/08/2002 (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
|
KVTI |
12068 |
TACOMA WA |
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]
|
|
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. |
KAY HARLAN, 523 SOUTH 61ST STREET, TACOMA, WA 98408 |
b. Citizenship. |
US |
c. Office held.
|
CHAIR |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATION |
f. By whom appointed or elected.
|
GOVERNOR OF WASHINGTON |
g. Existing interests
|
NONE |
a. Name and Address. |
WALT W. WAISATH, JR., 602 EAST 93RD STREET, TACOMA, WA 98445 |
b. Citizenship. |
US |
c. Office held.
|
VICE-CHAIR |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
PUBLIC TRANSPORTATION |
f. By whom appointed or elected.
|
GOVERNOR OF WASHINGTON |
g. Existing interests
|
NONE |
a. Name and Address. |
DR. SHARON M. MCGAVICK, 2116 N. LAWRENCE, TACOMA, WA 98406 |
b. Citizenship. |
US |
c. Office held.
|
SECRETARY |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
COLLEGE PRESIDENT |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NONE |
a. Name and Address. |
JOSEPH KOSAI, 5306 80TH STREET SW, LAKEWOOD, WA 98499 |
b. Citizenship. |
US |
c. Office held.
|
TRUSTEE |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
RESTAURANT OWNER |
f. By whom appointed or elected.
|
GOVERNOR OF WASHINGTON |
g. Existing interests
|
NONE |
a. Name and Address. |
JOSE VELIZ, 809 NORTH G STREET, #2, TACOMA, WA 98403 |
b. Citizenship. |
US |
c. Office held.
|
TRUSTEE |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
FINANCIAL PLANNER |
f. By whom appointed or elected.
|
GOVERNOR OF WASHINGTON |
g. Existing interests
|
NONE |
a. Name and Address. |
SHAUNA RAE WEATHERBY, 5710 69TH COURT WEST, UNIVERSITY PLACE, WA 98467 |
b. Citizenship. |
US |
c. Office held.
|
TRUSTEE |
d. Percent of interest held.
|
1.00 |
e. Principal profession or occupation.
|
CONSULTANT |
f. By whom appointed or elected.
|
GOVERNOR OF WASHINGTON |
g. Existing interests
|
NONE |
|
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).