7. |
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 |
Date of Expiration |
RESTATED CERTIFICATE OF INCORPORATION OF ABC, INC. |
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01/18/1999 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
ARTICLES OF INCORPORATION, AS AMENDED, OF CAPITAL CITIES COMMUNICATIONS, INC. |
|
|
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CERTIFICATE OF AMENDMENT OF CERTIFICATE OF INCORPORATION OF CAPITAL CITIES COMMUNICATIONS, INC. |
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01/03/1986 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
RESTATED CERTIFICATE OF INCORPORATION OF CAPITAL CITIES/ABC, INC. |
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01/03/1986 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CERTIFICATE OF AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF CAPITAL CITIES/ABC, INC. |
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05/20/1988 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CERTIFICATE OF CHANGE OF CAPITAL CITIES/ABC, INC. |
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05/23/1988 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CERTIFICATE OF CHANGE OF CAPITAL CITIES/ABC, INC. |
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02/15/1989 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CERTIFICATE OF AMENDMENT OF CERTIFICATE OF INCORPORATION OF CAPITAL CITIES/ABC, INC. |
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03/13/1990 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
RESTATED CERTIFICATE OF INCORPORATION OF CAPITAL CITIES/ABC, INC. |
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05/20/1994 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CERTIFICATE OF INCORPORATION OF CAPITAL CITIES/ABC, INC. |
|
02/09/1996 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
BY-LAWS OF CAPITAL CITIES/ABC, INC., RESTATED AS OF APRIL 19, 1995 AND THEREAFTER AS AMENDED THROUGH SEPTEMBER 18, 1990 |
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04/19/1995 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
BY-LAWS OF CAPITAL CITIES/ABC, INC. |
|
02/09/1996 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
NETWORK AFFILIATION AGREEMENT, BETWEEN AMERICAN BROADCASTING COMPANIES, INC. AND WPVI-TV, RENEWED EFFECTIVE AUGUST 15, 1989. AMENDED EFFECTIVE AUGUST 21, 1989 TO PROVIDE NETWORK NON-DUPLICATION PROTECTION. |
WPVI-TV |
08/21/1989 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
NETWORK AFFILIATION AGREEMENT, BETWEEN AMERICAN BROADCASTING COMPANIES, INC. AND WPVI-TV, DATED DECEMBER 21, 1990, EFFECTIVE AUGUST 15, 1991; AUTOMATICALLY RENEWABLE FOR SUCCESSIVE TWO-YEAR TERMS. THIS CONTRACT SUPERSEDES CONTRACT NUMBER 13 ABOVE. |
WPVI-TV |
12/21/1990 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
MODIFICATION DATED SEPTEMBER 20, 1991, EFFECTIVE JANUARY 6, 1992, REPLACING SCHEDULE A CONTAINED IN NETWORK AFFILIATION AGREEMENT, BETWEEN AMERICAN BROADCASTING COMPANIES, INC. AND WPVI-TV, SET FORTH IN CONTRACT NUMBER 13 ABOVE. |
WPVI-TV |
09/20/1991 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
NOTICE OF NETWORK STATION RATE ADJUSTMENT DATED APRIL 13, 1992, PURSUANT TO SCHEDULE A OF NETWORK AFFILIATION AGREEMENT, BETWEEN AMERICAN BROADCASTING COMPANIES, INC. AND WPVI-TV, SET FORTH IN CONTRACT NUMBER 13 ABOVE. |
WPVI-TV |
04/13/1992 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
NETWORK AFFILIATION AGREEMENT, BETWEEN AMERICAN BROADCASTING COMPANIES, INC. AND WPVI-TV DATED APRIL 15, 1993, EFFECTIVE JULY 2, 1993 FOR A TERM OF TWO YEARS; SUPERSEDES CONTRACT NUMBER 13 ABOVE. |
WPVI-TV |
04/15/1993 |
|
Description of contract or instrument |
Name of person or organization with whom contract is made |
Date of Execution |
Date of Expiration |
CERTIFICATE OF AMENDMENT TO THE CERTIFICATE OF INCORPORATION OF CAPITAL CITIES/ABC, INC. (CHANGING NAME TO 'ABC, INC.') DATED SEPTEMBER 18, 1996. |
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9. |
(a.) |
List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
[Enter Owner Information]
Owner Information
List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
(Read carefully - The numbered items below refer to line numbers in the following table.) |
1. Name and address of respondent and each party to the respondent holding an attributable interest (if other than individual also show name, address and citizenship of natural person authorized to vote the stock or holding the attributable interest). List the respondent first, officers next, then directors and, thereafter, remaining stockholders and other entities with attributable interests, and partners.
2. Gender (male or female).
3. Ethnicity (check one).
4. Race (select one or more).
5. Citizenship. 6. Positional interest: Officer, director, general partner, limited partner, LLC member, investor/creditor attributable under the Commission's equity/debt plus standard, etc.
7. Percentage of votes.
8. Percentage of total assets (equity debt plus).
|
1. Name and Address |
BRAVERMAN, ALAN N., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
EXECUTIVE VICE PRESIDENT AND GENERAL COUNSEL |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
BUETTNER, ANNE L., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Female
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
TREASURER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
CONVERSE, DAVID |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VP & DIR. OF ENGINEERING OWNED TV STATIONS |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
FAIN, T. SCOTT, 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
SENIOR VICE PRESIDENT - COUNSEL |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
FOXLEY, GRIFFITH W., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
SENIOR VICE PRESIDENT - CORPORATE LEGAL COUNSEL |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
HANFORD, JAMES D., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
ASSISTANT TREASURER |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
HARE, JOHN, 13725 MONTFORT DRIVE, DALLAS, TX 75240 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VP & PRESIDENT OF RADIO DIV. - BROADCAST GROUP |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
HARRIS, LORI R., 77 WEST 66TH STREET, 16TH FLOOR, NEW YORK, NY 10023 |
2. Gender (male or female) |
Female
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VICE PRESIDENT - COUNSEL |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
HEADLEY, JONATHAN S., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VICE PRESIDENT |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
HOBERMAN, HENRY, 77 WEST 66TH STREET, 15TH FLOOR, NEW YORK, NY 10023 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
SENIOR VICE PRESIDENT - COUNSEL |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
IGER, ROBERT A., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
DIRECTOR, PRESIDENT |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
LISS, JR., WALTER C., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VP AND CHAIRMAN OF OWNED TELEVISION |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
MENTON, TANYA L., 77 WEST 66TH STREET, 15TH FLOOR, NEW YORK, NY 10023 |
2. Gender (male or female) |
Female
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VICE PRESIDENT - COUNSEL |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
POLON, MITCHELL K., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VICE PRESIDENT |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
REED, MARSHA L., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Female
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
DIRECTOR, SECRETARY |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
ROSEN, JEFFREY S., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
SENIOR VICE PRESIDENT - HUMAN RESOURCES |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
RUTHIZER, JEFFREY, 77 WEST 66TH STREET, 15TH FLOOR, NEW YORK, NY 10023 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
SENIOR VICE PRESIDENT - LABOR RELATIONS |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
SANTANIELLO, JOSEPH M., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VICE PRESIDENT, ASSISTANT SECRETARY |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
STAGGS, THOMAS O., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VICE PRESIDENT |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
STEWART, JANE B., 77 WEST 66TH STREET, 16TH FLOOR, NEW YORK, NY 10023 |
2. Gender (male or female) |
Female
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VICE PRESIDENT |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
THOMPSON, DAVID K., 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
DIRECTOR, VICE PRESIDENT |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
WERTSCHING, RICHARD, 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
VICE PRESIDENT - SOURCING AND RPOCUREMENT, MEDIA NETWORKS |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
WESTIN, DAVID, 77 WEST 66TH STREET, NEW YORK, NY 10023 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
SR VP AND PRESIDENT - ABC NEWS |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
YEOMAN, DEREK, 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
SR VP - PLANNING AND CONTROL |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
YOUNGER, LAURIE, 500 SOUTH BUENA VISTA STREET, BURBANK, CA 91521 |
2. Gender (male or female) |
Female
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
PRESIDENT - BUENA VISTA WORLDWIDE TELEVISION |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
1. Name and Address |
ZUCKER, JOHN W., 77 WEST 66TH STREET, 16TH FLOOR, NEW YORK, NY 10023 |
2. Gender (male or female) |
Male
|
3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
5. Citizenship |
US |
6. Positional Interest |
ASSISTANT SECRETARY |
7. Percentage of votes |
0.00 |
8. Percentage of total assets (equity debt plus) |
0.00 |
|
(b) |
Respondent certifies that equity and financial interests not set forth in response to Question 9(a) are non-attributable. |
Yes No
N/A
See Explanation in
[Exhibit 2]
|
(c) |
Is the respondent or any party holding an attributable interest in the respondent also the holder of an attributable interest in any other broadcast station or in any cable or newspaper entities in the same market or with overlapping signals in the same broadcast service, as described in 47 C.F.R. Sections 73.3555 and 76.501? |
Yes No |
If "Yes", submit an Exhibit identifying the holder of that other attributable interest, listing the call signs, locations and facilities identifiers of such other broadcast stations, and describing the nature and size of the ownership interest and the positions held in the other broadcast, cable or newspaper entities. |
[Exhibit 3] |
(d) |
Are any of the individuals listed in response to Question 9(a) related as parent-child, husband-wife, brothers and sisters?
|
Yes No
|
|
If "Yes", submit an Exhibit setting forth full information as to the family relationship
|
[Exhibit 4]
|
(e) |
Is respondent seeking an attribution exemption for any officer or director with duties unrelated to the licensee or permittee?
If "Yes", submit an Exhibit identifying that individual by name and title, fully describing that individual's duties and responsibilities, and explaining why that individual should not be attributed an interest.
|
Yes No
[Exhibit 5]
|
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