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Licensee/Permittee Information | ||||||
1. | Legal Name of the Licensee/Permittee ICA BROADCASTING I, LTD. |
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Mailing Address 700 N. GRANT STREET SUITE 600 |
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City ODESSA |
State or Country (if foreign address) TX |
ZIP Code 79761 - |
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Telephone Number (include area code) 4325805672 |
E-Mail Address (if available) MARKS@CBS7.COM |
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Station / Facility Information | ||||||
2. | FCC Registration Number 0003758976 |
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Call Sign KOSA-TV |
Facility ID Number 6865 |
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Community of License: City ODESSA |
State TX |
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3. | Currently Assigned Channels: | |||||
a. DTV Channel: 31 Not Applicable | ||||||
b. NTSC Channel: 7 Not Applicable | ||||||
Contact Information (if different from licensee/permittee) | ||||||
4. | Contact Representative RICHARD J. HAYES, JR. |
Firm or Company Name ATTORNEY AT LAW |
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Mailing Address 8404 LEE'S RIDGE ROAD |
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City WARRENTON |
State or Country (if foreign address) VA |
ZIP Code 20186 - |
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Telephone Number (include area code) 5403499970 |
E-Mail Address (if available) FCCLAW@RJHAYES.COM |
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Purpose of Form: | ||||||
5. |
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1. | Channel Election: (SELECT ONE) |
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International Coordination. | ||||
2 | Is the licensee/permittee electing a channel that is subject to a pending international coordination issue?
If yes, licensee/permittee must attach an explanation as an Exhibit to this form. |
Yes No [Exhibit 1] |
Section III
I certify that the statements in this form are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations. I hereby waive any claim to the use of any particular frequency as against the regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and request an authorization in accordance with this election form. (See Section 304 of the Communications Act of 1934, as amended.)
Typed or Printed Name of Person Signing BARRY MARKS |
Typed or Printed Title of Person Signing PRESIDENT |
Signature |
Date 12/24/2004 |
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).