4. |
All of the information furnished in this Report is accurate as of 05/28/2004 (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. |
|
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
|
WKSU-FM |
34045 |
KENT OH |
FM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
WKSV |
34040 |
THOMPSON OH |
FM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
WKRW |
34046 |
WOOSTER OH |
FM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
WKRJ |
34042 |
NEW PHILADELPHIA OH |
FM |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
WNRK |
90728 |
NORWALK OH |
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. |
LYNNE DRAGOMIER, NORTH CANTON, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU BOARD OF TRUSTEES CHAIR |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
MANUFACTURING |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
R. DOUGLAS COWAN, STOW, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU BOARD OF TRUSTEES VICE CHAIR |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
SERVICE INDUSTRY |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
JAMES SCHUBERT, KENT, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU BOARD OF TRUSTEES SECRETARY |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
MANUFACTURING |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
ANDREW BANKS, BRATENAHL, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU BOARD OF TRUSTEES MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
INFORMATION TECHNOLOGY |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
SANDRA HARBRECHT, WORTHINGTON, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU BOARD OF TRUSTEES MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
MANUFACTURING |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
GEORGE JENKINS, DUBLIN, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU BOARD OF TRUSTEES MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
LAW |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
PATRICK MULLIN, GATES MILLS, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU BOARD OF TRUSTEES MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
ACCOUNTING |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
CAROL CARTWRIGHT |
b. Citizenship. |
US |
c. Office held.
|
KSU PRESIDENT |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATION |
f. By whom appointed or elected.
|
KSU BOARD OF TRUSTEES |
g. Existing interests
|
NONE |
a. Name and Address. |
PAUL GASTON, HUDSON, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU VICE PRESIDENT |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATION |
f. By whom appointed or elected.
|
KSU PRESIDENT |
g. Existing interests
|
NONE |
a. Name and Address. |
DAVID CREAMER, KENT, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU VICE PRESIDENT FOR BUSINESS AND FINANCE |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATION |
f. By whom appointed or elected.
|
KSU PRESIDENT |
g. Existing interests
|
NONE |
a. Name and Address. |
KATHY STAFFORD, STOW, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU VICE PRESIDENT FOR UNIVERSITY RELATIONS AND DEVELOPMENT |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATION |
f. By whom appointed or elected.
|
KSU PRESIDENT |
g. Existing interests
|
NONE |
a. Name and Address. |
CAROLYN DEASY PIZZUTO, CHAGRIN FALLS, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU VICE PRESIDENT FOR HUMAN RESOURCES |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATION |
f. By whom appointed or elected.
|
KSU PRESIDENT |
g. Existing interests
|
NONE |
a. Name and Address. |
DON TOLLIVER, SILVER LAKE, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU VICE PRESIDENT FOR INFORMATION SERVICES |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATION |
f. By whom appointed or elected.
|
KSU PRESIDENT |
g. Existing interests
|
NONE |
a. Name and Address. |
HAROLD GOLDSMITH, STOW, OH |
b. Citizenship. |
US |
c. Office held.
|
KSU VICE PRES. FOR ENROLLMENT MANAGEMENT AND STUDENT AFFAIRS |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATION |
f. By whom appointed or elected.
|
KSU PRESIDENT |
g. Existing interests
|
NONE |
a. Name and Address. |
ALLEN BARTHOLET, AKRON, OH |
b. Citizenship. |
US |
c. Office held.
|
WKSU EXECUTIVE DIRECTOR & GENERAL MANAGER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
BROADCASTING |
f. By whom appointed or elected.
|
KSU VICE PRESIDENT FOR UNIVERSITY RELATIONS AND DEVELOPMENT |
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).