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 |
NEXTMEDIA INVESTORS LLC |
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 |
DE |
6. Positional Interest |
RESPONDENT |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
100.00 |
1. Name and Address |
THOMAS WEISEL CAPITAL PARTNERS EMPLOYEE FUND, L.P., ONE MONTGOMERY STREET, SUITE 3700, SAN FRANCISCO, CA 94104 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.31 |
1. Name and Address |
TWP 2000 CO-INVESTMENT FUND, L.P., ONE MONTGOMERY STREET, SUITE 3700, SAN FRANCISCO, CA 94104 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.51 |
1. Name and Address |
TWP CEO FOUNDERS CIRCLE (QP), L.P., ONE MONTGOMERY STREET, SUITE 3700, SAN FRANCISCO, CA 94104 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
2.86 |
1. Name and Address |
TWP CEO FOUNDERS CIRCLE (AI), L.P., ONE MONTGOMERY STREET, SUITE 3700, SAN FRANCISCO, CA 94104 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.78 |
1. Name and Address |
THOMAS WEISEL CAPITAL PARTNERS (DUTCH), L.P., ONE MONTGOMERY STREET, SUITE 3700, SAN FRANCISCO, CA 94104 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.79 |
1. Name and Address |
THOMAS WEISEL CAPITAL PARTNERS (DUTCH II),L.P., ONE MONTGOMERY STREET, SUITE 3700, SAN FRANCISCO, CA 94104 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.79 |
1. Name and Address |
WESTON PRESIDIO CAPITAL III, L.P., C/O WESTON PRESIDIO CAPITAL, 343 SANSOME STREET, SUITE 1210, SAN FRANCISCO, CA 94101 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
16.66 |
8. Percentage of total assets (equity debt plus) |
17.75 |
1. Name and Address |
WPC ENTREPENEUR FUND, L.P. C/O WESTON PRESIDIO CAPITAL, 343 SANSOME STREET, SUITE 1210, SAN FRANCISCO, CA 94101 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.88 |
1. Name and Address |
ALTA COMMUNICATIONS VIII, L.P., 1 POST OFFICE SQUARE, SUITE 3800, BOSTON, MA 02109 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
16.66 |
8. Percentage of total assets (equity debt plus) |
11.47 |
1. Name and Address |
ALTA COMMUNICATIONS VIII-B, L.P., 1 POST OFFICE SQUARE, SUITE 3800, BOSTON, MA 02109 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.63 |
1. Name and Address |
ALTA VIII ASSOCIATES, LLC, 1 POST OFFICE SQUARE, SUITE 3800, BOSTON, MA 02109 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
ALTA-COMM VIII S BY S, LLC, 1 POST OFFICE SQUARE, SUITE 3800, BOSTON, MA 02109 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.18 |
1. Name and Address |
NEXTMEDIA SELECT PARTNERS, LLC, 6312 S. FIDDLER'S GREEN CIRCLE, SUITE 360-E, ENGLEWOOD, CO 80111 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
1.33 |
1. Name and Address |
THOMAS WEISEL CAPITAL PARTNERS, L.P. ONE MONTGOMERY STREET, SUITE 3700, SAN FRANCISCO, CA 94104 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
33.66 |
8. Percentage of total assets (equity debt plus) |
33.88 |
1. Name and Address |
PNE MEDIA LLC, 2014 STANLEY TERRACE, UNION, NJ 08083 |
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 |
DE |
6. Positional Interest |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
9.36 |
1. Name and Address |
PHILIP W. HALPERIN, 343 SANSOME STREET, SUITE 1210, SAN FRANCISCO, CA 94101 |
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 |
BOARD MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
THOMAS WEISEL, ONE MONTGOMERY STREET, SUITE 3700, SAN FRANCISCO, CA 94104 |
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 |
BOARD MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
MICHAEL DOLAN, ONE MONTGOMERY STREET, SUITE 3700, SAN FRANCISCO, CA 94104 |
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 |
BOARD MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
CARL E. HIRSCH, 1260 N. OCEAN BLVD, PALM BEACH, FL 33480 |
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 |
MEMBER, EXECUTIVE CHAIRMAN AND BOARD MEMBER |
7. Percentage of votes |
15.63 |
8. Percentage of total assets (equity debt plus) |
4.18 |
1. Name and Address |
STEVEN DINETZ, 1034 SKYLAND DRIVE, ZEPHYR COVE, NV 89448 |
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 |
MEMBER, BOARD MEMBER, PRESIDENT AND CEO |
7. Percentage of votes |
15.63 |
8. Percentage of total assets (equity debt plus) |
4.18 |
1. Name and Address |
SAMUEL WELLER, 5555 PINE COURT, GREENWOOD, CO 80121 |
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 |
MEMBER, SR.EX.VP, CO-COO RADIO DIV. |
7. Percentage of votes |
0.31 |
8. Percentage of total assets (equity debt plus) |
0.08 |
1. Name and Address |
ALLEN STIEGLITZ, 9138 E. CHARTER OAK DRIVE, SCOTTSDALE, AZ 85260 |
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 |
MEMBER |
7. Percentage of votes |
0.12 |
8. Percentage of total assets (equity debt plus) |
0.03 |
1. Name and Address |
SEAN R. STOVER, 698 E. FAIRCHILD DRIVE, HIGHLANDS RANCH, CO 80126 |
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 |
MEMBER, CFO AND TREASURER |
7. Percentage of votes |
0.31 |
8. Percentage of total assets (equity debt plus) |
0.08 |
1. Name and Address |
STEVEN SMITH, 6427 ACRES DRIVE, INDEPENDENCE, OH 44131 |
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 |
MEMBER, VP OF FINANCE |
7. Percentage of votes |
0.31 |
8. Percentage of total assets (equity debt plus) |
0.08 |
1. Name and Address |
MATTHEW L. LEIBOWITZ, 8 WEST RIVO ALTO DRIVE, MIAMI BEACH, FL 33139 |
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 |
MEMBER, SECRETARY |
7. Percentage of votes |
0.63 |
8. Percentage of total assets (equity debt plus) |
0.14 |
1. Name and Address |
JEFFREY DINETZ, 14 WAGON TRAIL, MAHWAH, NEW JERSEY, 07430 |
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 |
MEMBER, EXECUTIVE VP, CO-COO OF RADIO DIVISION |
7. Percentage of votes |
0.31 |
8. Percentage of total assets (equity debt plus) |
0.08 |
1. Name and Address |
BRIAN W. MCNEILL, ONE POST OFFICE SQUARE, SUITE 3800, BOSTON, MA 02109 |
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 |
BOARD MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
RICHARD F. RAMBALDO, 1324 SOUTH SHORE, APT 308, ERIE, PA 16505 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
1.02 |
1. Name and Address |
JAMES HOOKER, 651 LEONARD PARKWAY, CRYSTAL LAKE, IL 60014 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.68 |
1. Name and Address |
TONY JACOBSON, 13355 54 AVENUE, N, PLYMOTH, MN 55442 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.06 |
1. Name and Address |
JAMES ARABANOS, 16161 GLADYS LANE, MINNTONKA, MN 55345 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.11 |
1. Name and Address |
MARK SPANIOL, 1561 CREEK RUN TRAIL, EXCELSIOR, MN 55331 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.04 |
1. Name and Address |
MICHAEL ANSELMO, 8212 NORMAN CREEK TRAIL, BLOOMINGTON, MN 55437 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.03 |
1. Name and Address |
SCHUYLER HANSEN, 8811 S. TUSCANY LANE, HIGLANDS RANCH, CO 80130 |
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 |
MEMBER, ASSISTANT SECRETARY AND ASSISTANT TREASURER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
JAMES MATALONE, 2627 PLEASANT PLACE, SARASOTA, FL 34239 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
JAMES E. RHUDE, 2200 E 41 STREET, HIBBING, MN |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.03 |
1. Name and Address |
BRUCE WASHBURN, 410 LONDONBERRY, SARASOTA, FL 34240 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.01 |
1. Name and Address |
SCOT MCARTOR, 1763 SOUTH DRIVE, SARASOTA, FL 34239 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.02 |
1. Name and Address |
MICHAEL MORRILL, 1723 SOUTH DRIVE, SARASOTA, FL 34239 |
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 |
MEMBER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.01 |
|
(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.
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Yes No
[Exhibit 5]
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