Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0386 (July 2002)
FOR FCC USE ONLY
 
Extension of Existing Engineering STA

Read Instructions/FAQ before filling out form

FOR COMMISSION USE ONLY
FILE NO.

BEDSTA - 20050920ACL
Section I - General Information
1. Legal Name of the Applicant
BOARD OF GOVERNORS OF MISSOURI STATE UNIVERSITY
Mailing Address
901 S. NATIONAL AVE.

City
SPRINGFIELD
State or Country (if foreign address)
MO
Zip Code
65897 -
Telephone Number (include area code)
4178365878
E-Mail Address (if available)
ARLENDIAMOND@MISSOURISTATE.EDU
FCC Registration No
0002487056
Call Sign
KOZJ
Facility ID Number
51101
2. Contact Representative (if other than licensee/permittee)
TODD D. GRAY
Firm or Company Name
DOW, LOHNES & ALBERTSON, PLLC
Mailing Address
1200 NEW HAMPSHIRE AVE. , NW
SUITE 800

City
WASHINGTON
State or Country (if foreign address)
DC
ZIP Code
20036 - 6802
Telephone Number (include area code)
2027762000

E-Mail Address (if available)
TGRAY@DOWLOHNES.COM
3. Purpose:
Engineering STA
Extension of Existing Engineering STA         File Number: BDSTA - 20031016ACN
Legal STA
Extension of Existing Legal STA         
4. Service: DS 
5. Community of License:
City: JOPLIN     State: MO
6. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
Governmental Entity Noncommercial Educational Licensee/Permittee Other
N/A (Fee Required)
7.
Please explain in detail the "extraordinary circumstances" which warrant temporary operations at variance from the Commission's Rules. In addition, please specify 1)the specific rules and/or policies from which the applicant seeks temporary relief; 2) how the public interest will be furthered by grant; and 3) the expected duration of the STA and the licensee's plan for restoration of licensed operation. If requesting variance with other than authorized technical facilities, please specify the exact facilities sought
[Exhibit 36]
8.
Anti-Drug Abuse Act Certification. Applicant certifies that neither applicant nor any party to the application is subject to denial of federal benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862.
Yes No

I hereby certify that the statements in this application 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.
Typed or Printed Name of Person Signing
GREG BURRIS
Typed or Printed Title of Person Signing
VP, ADMINISTRATIVE & INFORMATION SERVICES
Signature
Date (mm/dd/yyyy)
09/19/2005

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).



Exhibits
Attachment 36
Description
KOZJ STA EXT REQ
KOZJ STA- BDSTA-20031016ACN