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Licensee/Permittee Information | ||||||
1. | Legal Name of the Licensee/Permittee RAYCOM NATIONAL LICENSE SUBSIDIARY, LLC |
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Mailing Address RSA TOWER, 20TH FLOOR 201 MONROE STREET |
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City MONTGOMERY |
State or Country (if foreign address) AL |
ZIP Code 36104 - |
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Telephone Number (include area code) 3342061400 |
E-Mail Address (if available) RBRYAN@RAYCOMMEDIA.COM |
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Station / Facility Information | ||||||
2. | FCC Registration Number 0011515392 |
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Call Sign WXIX-TV |
Facility ID Number 39738 |
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Community of License: City NEWPORT |
State KY |
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3. | Currently Assigned Channels: | |||||
a. DTV Channel: 29 ![]() |
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b. NTSC Channel: 19 ![]() |
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Contact Information (if different from licensee/permittee) | ||||||
4. | Contact Representative MATTHEW S. DELNERO, ESQ |
Firm or Company Name COVINGTON & BURLING |
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Mailing Address 1201 PENNSYLVANIA AVENUE, N.W. |
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City WASHINGTON |
State or Country (if foreign address) DC |
ZIP Code 20004 - 2401 |
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Telephone Number (include area code) 2026625543 |
E-Mail Address (if available) MDELNERO@COV.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. |
![]() ![]() [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 REBECCA S. BRYAN |
Typed or Printed Title of Person Signing VICE PRESIDENT |
Signature |
Date 01/19/2005 |
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).