4. |
All of the information furnished in this Report is accurate as of 03/30/2004 (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. |
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Biennial |
b. |
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Transfer of Control or Assignment of License/Permit |
|
c. |
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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
|
WBNI-FM |
53745 |
FORT WAYNE IN |
FM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
WBOI |
93623 |
ORLAND IN |
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 INCLUDING BY LAWS |
BOARD OF TRUSTEES |
07/09/1981 |
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|
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6. |
Is the governing board directly or indirectly under the control of another entity? |
Yes No
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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. |
MARK ADAIR; 12810 CALAWAY DRIVE; FORT WAYNE, IN 46845 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
ACCOUNTING |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
JIM ATOR; 5828 PORT ROYAL; FORT WAYNE, IN 46815 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
MUSICIAN |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
BEN CHRISTY; 229 BAROUCHE PLACE; FORT WAYNE, IN 46845 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
UNIVERSITY DEAN |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
CLIFFORD CLARKE; 2703 CROSSBRANCH COURT; FORT WAYNE, IN 46825 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
INSURANCE |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
ADAM COX; 1520 KENSINGTON BLVD.; FORT WAYNE, IN 46805 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
ATTORNEY |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
KEITH DAVIS; 10526 WILLOWCREEK DRIVE; FORT WAYNE, IN 46845 |
b. Citizenship. |
US |
c. Office held.
|
PAST CHAIRMAN |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
BANKING |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
ROB DRUMMOND; 2711 NORTHAVEN CT; FORT WAYNE, IN 46825 |
b. Citizenship. |
US |
c. Office held.
|
VICE CHAIRMAN |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
BUSINESS SERVICES |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
ALAN DUFF; 15924 THUNDERBIRD RD; HUNTERTOWN, IN 46748 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
BANKING |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
SHARON EISBART; 4235 RESERVATION TRAIL; FORT WAYNE, IN 46814 |
b. Citizenship. |
US |
c. Office held.
|
AT LARGE |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
CORPORATE ART |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
ELIZABETH FREDERICK; 6710 WEST CANAL POINT LANE; FORT WAYNE, IN 46804 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
ATTORNEY |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
BETSY THAL GEPHART; 428 TIMBERLAKE TRAIL; FORT WAYNE, IN 46804 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
MUSICIAN |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
GINNY JOHNSON; 10102 CIRCLEWOOD DRIVE; FORT WAYNE, IN 46804 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATOR |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
MIKE KELLY; 1514 WINDSOR WOODS BLVD.; FORT WAYNE, IN 46845 |
b. Citizenship. |
US |
c. Office held.
|
TREASURER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
HEATING AND COOLING |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
PAUL LAGEMANN; 10616 TIDEWATER TRAIL; FORT WAYNE, IN 46845 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
HOME FURNISHINGS |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
BETH MILLER; 3307 ROSEWOOD DRIVE; FORT WAYNE, IN 46804 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
MARKETING |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
DAVID SWANSON; 126 LAMONT ROAD; HUNTINGTON, IN 46750 |
b. Citizenship. |
US |
c. Office held.
|
CHAIRMAN |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
HUMAN RESOURCES |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
ANNE WATKINS; STEUBEN COUNTY COMMUNITY FOUNDATION; 207 SOUTH WAYNE STREET, SUITE A; ANGOLA, IN 46703 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
PHILANTHROPY |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
CATHERINE WILCOX; 3030 FOX CHASE RUN; FORT WAYNE, IN 46825 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
ATTORNEY |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
JANE WILKS; 1612 BENHAM DRIVE; FORT WAYNE, IN 46815 |
b. Citizenship. |
US |
c. Office held.
|
SECRETARY |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
LEADERSHIP DEVELOPMENT |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
JACQUE WILSON; 505 GLENMOOR DRIVE; FORT WAYNE, IN 46804 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
ATTORNEY |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
DANIEL ZWEIG; 7012 BITTERSWEET MOORS COURT; FORT WAYNE, IN 46814 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
INVESTMENT BROKER |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
BRUCE HAINES; 5018 WHEATON COURT; FORT WAYNE, IN 46835 |
b. Citizenship. |
US |
c. Office held.
|
PRESIDENT AND GENERAL MANAGER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
NIPR PRESIDENT AND GM |
f. By whom appointed or elected.
|
BOARD OF TRUSTEES |
g. Existing interests
|
NA |
a. Name and Address. |
SEE NOTE BELOW |
b. Citizenship. |
NA |
c. Office held.
|
NA |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
NA |
f. By whom appointed or elected.
|
NA |
g. Existing interests
|
NOTE: THE LICENSEE NAME HAS BEEN CHANGED FROM PUBLIC BROADCASTING OF NE IND., INC. TO NORTHEAST INDIANA PUBLIC RADIO, INC. A SEPARATE NOTICE OF NAME CHANGE WILL BE FILED WITH THE FCC. THIS IS A NAME CHANGE ONLY - NO CHANGE TO THE OWNERSHIP STRUCTURE. |
|
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).