Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0010 (June 2002)
FCC 323
FOR FCC USE ONLY
 
OWNERSHIP REPORT FOR COMMERCIAL BROADCAST STATIONS

Read INSTRUCTIONS Before Filling Out Form

FOR COMMISSION USE ONLY
FILE NO.

BOA - 20050829ACF
Section I - General Information
1. Legal Name of the Applicant 
BETTER LIFE TELEVISION, INC.
Mailing Address
P.O. BOX 766
City
GRANTS PASS
State or Country (if foreign address)
OR
ZIP Code
97528 -
Telephone Number (include area code)
5414743089
E-Mail Address (if available) 
KBLN@BETTERLIFETV.TV
FCC Registration Number:
0005078076
Call Sign 
Facility ID Number 
5010
2. Contact Representative (if other than Licensee/Permittee)
DONALD MARTIN
Firm or Company Name
DONALD E. MARTIN, P.C.
Telephone Number (include area code)
7036422344
E-Mail Address (if available)
DEMPC@PRODIGY.NET
3. Name of entity, if other than licensee or permittee, for which report is filed

Mailing Address


City
State or Country (if foreign address)
ZIP Code
-
Telephone Number (include area code)
E-Mail Address (if available)
4. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
Governmental Entity Fee-exempt Report Other NONPROFIT ENTITY
N/A (Fee Required)



Section II - Ownership Information

5.

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
KBLN 83306 GRANTS PASS OR TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
K22FC 24574 GRANTS PASS OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K44FH 5006 COOS BAY OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K56FN 5009 MERLIN OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K48GO 5012 CAVE JUNCTION OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K48IW 130869 KLAMATH FALLS OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K17EZ 5004 ROGUE RIVER OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K48HV 5008 KLAMATH FALLS OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K47GI 5011 GRANTS PASS OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K33GJ 128672 MERLIN OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K18GB 129254 MEDFORD OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K47HT 5007 ROSEBURG OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K25IM 5005 MEDFORD OR TX


Call Letters
Facility ID Number
Location (City/State)
Class of service
K23EX 5010 MEDFORD OR TX



All of the information furnished in this Report is accurate as of 09/30/2005 (Date must comply with 47 C.F.R. Section 73.3615(a), i.e., information must be current within 60 days of filing of this report, when 5(a) below is checked.)

This Report is filed for (check one)
6.
Respondent is:
Sole proprietorship Not-for-profit corporation Limited partnership
For-profit corporation General partnership Other
If "Other", describe nature of the respondent in an Exhibit.
[Exhibit 1]
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]



8. Capitalization (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 Capitalization Information]



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 DELMER WAGNER; 36505 DITCH CREEK ROAD; ROGUE RIVER, OR 97526
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, DIRECTOR
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address ROBERT L. HEISLER; 747 CAROLLWOOD DRIVE; GRANTS PASS, OR 97527
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 PRESIDENT, DIRECTOR
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address OLEN NATIONS; 3013 PEARCE PARK ROAD; GRANTS PASS, OR 97526
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 SECRETARY, DIRECTOR
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address DON EISNER; P O BOX 5746; GRANTS PASS, OR 97527-0746
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address KEITH BABCOCK; 953 ARNOLD LANE; MEDFORD, OR 97501
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address RON BECHTEL; 3424 DELTA WATERS ROAD; MEDFORD, OR 97504
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address LYLE COCHRAN; 81 MOUNTAIN DR.;ROSEBURG, OR 97470
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address PAUL GORDON; 613 SILVERADO WAY; EAGLE POINT, OR 97524
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address HOLLY RUEB; 13603 MODOC ROAD; WHITE CITY, OR 97503
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address DR. WALTER MACPHEE; 255 BRUSH CREEK ROAD; CRESCENT CITY, CA 95531
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address MERRITT HURST; P O BOX 449;MALIN, OR 97632
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address RICHARD SURROZ; P O BOX 1142; GRANTS PASS, OR 97528
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address JUDY RANDAHL; P O BOX 5239; CENTRAL POINT, OR 97502
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address BOB STARCHER; 1487 SOUTH OAKDALE; MEDFORD, OR 97501
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address GEORGE WHITE; 1088 COACHMAN DRIVE; CENTRAL POINT, OR 97502
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address DR. WILLARD REGESTER; 11989 WILLIAMS HIGHWAY; GRANTS PASS, OR 97527
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address PATTY HYLAND, 6661 LOWER RIVER ROAD, GRANTS PASS, OR 97526
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
7. Percentage of votes 5.50
8. Percentage of total assets (equity debt plus) 0.00

1. Name and Address BOB MCREYNOLDS, 93341 BEAVER CREEK LANE, COOS BAY, OR 97420
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
7. Percentage of votes 5.50
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]



SECTION III - CERTIFICATION


I certify that I am VICE PRESIDENT

(Official Title)


of BETTER LIFE TELEVISION

(Exact legal title or name of respondent)


and that I have examined this Report and that to the best of my knowledge and belief, all statements in this Report are true, correct and complete.

(Date of certification must be within 60 days of the date shown in Question 5, Section II and in no event prior to that date.)

Signature
DELMER WAGNER
Date
09/30/2005
Telephone Number of Respondent (Include area code) 5414743089

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