Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0084 (June 2002)
FCC 323-E
FOR FCC USE ONLY
 
Ownership Report For Noncommercial Educational Broadcast Station

Read INSTRUCTIONS Before Filling Out Form

FOR COMMISSION USE ONLY
FILE NO.

BOA - 20051121AHL
Section I - General
1. Legal Name of the Licensee/Permittee
NORTHERN MINNESOTA PUBLIC TELEVISION, INC.
Mailing Address
BSU BOX 9
1500 BIRCHMONT DRIVE
City
BEMIDJI
State or Country (if foreign address)
MN
ZIP Code
56601 -
Telephone Number (include area code)
2187513407
E-Mail Address (if available) 
BSANFORD@LAKELANDPTV.ORG
FCC Registration Number:
0003916293
Call Sign 
KAWE
Facility ID Number 
49578
2. Contact Representative (if other than Licensee/Permittee)
TODD D. GRAY
Firm or Company Name
DOW, LOHNES & ALBERTSON
Mailing Address

City
State or Country (if foreign address)
ZIP Code
-
Telephone Number (include area code)
2027762000
E-Mail Address (if available)
TGRAY@DOWLOHNES.COM
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)



Section II - Ownership Information

4.
All of the information furnished in this Report is accurate as of 11/21/2005 (Date must comply with 47 C.F.R. Section 73.3615(d), i.e., information must be current within 60 days of filing of this report, when 4(a) below is checked.)

This Report is filed for (check one)
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
KAWE 49578 BEMIDJI MN TV

Call Letters
Facility ID Number
Location (City/State)
Class of service
KAWB 49579 BRAINERD MN TV


5.
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 (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)
NMPTV ARTICLES OF INCORPORATION STATE OF MN 10/14/1970 N/A

Description of Contract or Instrument Name of person or organization with whom contract is made Date of Execution (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)
NMPTV AMMENDMENT TO ARTICLES OF INCORPORATION STATE OF MN 06/29/1976 N/A

Description of Contract or Instrument Name of person or organization with whom contract is made Date of Execution (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)
NMPTV BYLAWS STATE OF MN 06/01/2004 N/A

Description of Contract or Instrument Name of person or organization with whom contract is made Date of Execution (mm/dd/yyyy) Date of Expiration (mm/dd/yyyy)
PBS MEMBERSHIP CERTIFICATION PBS 04/20/2002 N/A


6.
Is the governing board directly or indirectly under the control of another entity?
Yes No
If Yes, is a separate FCC Form 323-E submitted for such entity?
Yes No
 7.
List officers, members of governing board, and holders of 1% or more ownership interest, if any. Use one column for each individual or entity. Attach supplemental pages, if necessary.
[Enter Owner Information]

Owner Information
List officers, members of governing board, and holders of 1% or more ownership interest, if any. Use one column for each individual or entity. Attach supplemental pages if necessary.
(Read carefully - The numbered items below refer to line numbers in the following table.)
a. Name and address of officer, member of governing board, and holders of 1% or more ownership interest (if other than individual also show name, address and citizenship of natural person authorized to vote the interest). List officers first, then board members, and thereafter, holders of 1% or more ownership interest, if any.
b. Citizenship.
c. Office held.
d. Percent of interest held.
e. Principal profession or occupation.
f. By whom appointed or elected.
g. Existing interests in any other broadcast station, including the nature and size of such interests.
a. Name and Address. REBECCA ANDERSON, 513 BEMIDJI AVE NW, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ATTORNEY

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. KAY MACK, 2324 CARR LAKE RD SW, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

PRESIDENT

d. Percent of interest held.

0.00

e. Principal profession or occupation.

COUNTY GOVERNMENT

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. MARY KAY KLEIN, 510 ANNE ST - SUITE C, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ATTORNEY

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. RANDY BURG, 1826 MONROE AVE SW, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ATTORNEY

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. ROLLIN BUCK, 461 TYRON DRIVE, BRAINERD, MN 56401
b. Citizenship. US

c. Office held.

VICE PRESIDENT

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ACCOUNTING / TAX PREP.

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. MARJ BUNDGAARD, PO BOX 768, CROSS LAKE, MN 56442
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

MEDIA MANAGEMENT

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. JEAN CASTLE, 13100 TURTLE RIVER LAKE RD NE, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED / LEISURE MGMT.

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. KARIN NELSON, 1324 KRAMER LANE RD SW, PILLAGER, MN 56473
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

TAX ACCOUNTANT

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. JOHN BRESSLER, 108 STONER AVE NE, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED / EDUCATION

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. SARA DUNLAP, 10641 OAKRIDGE RD, BRAINERD, MN 56401
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

HEALTH CARE

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. DAVID HENSCHKE, 702 SOUTH 5TH STREET, BRAINERD, MN 56401
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

EDUCATOR

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. ALAN JOHNSON, 2626 24TH AVE, PINE RIVER, MN 56474
b. Citizenship. US

c. Office held.

SECRETARY

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SVC. BUSINESS OWNER

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. JON QUISTGAARD, BSU MS 3 - 1500 BIRCHMONT DRIVE NE, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

UNIVERSITY PRESIDENT

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. AUDREY RICHARDSON, 28339 COUNTY RD 93, LAPORTE, MN 56461
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

CONSULTANT

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. THOMAS SCHWARTZ, 3330 IRVINE AVE NW, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

FUNERAL DIRECTOR

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. DR. LARRY STEMBER, 1776 STONE LAKE RD SW, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

CHIROPRACTOR

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. GARY GANGELHOFF, 3528 BIRCHMONT DRIVE, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

HOTEL OPERATOR

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. TOM WELLE, PO BOX 670, BEMIDJI, MN 56619
b. Citizenship. US

c. Office held.

TREASURER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

BANK PRESIDENT

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. THOR THORSON, 9915 SANDBERG RD, BRAINERD, MN 56401
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SMALL BUSINESS OWNER

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. TRAVIS ANNETTE, 3511 CEDAR LANE NW, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

ADMINISTRATOR

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. DR JIM HESS, 3601 BIRCHMONT DRIVE NE, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

SCHOOL SUPERINTENDENT

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

N/A

a. Name and Address. WILLIAM M. SANFORD, 4497 CARVER RD NE, BEMIDJI, MN 56601
b. Citizenship. US

c. Office held.

GENERAL MANAGER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

MANAGER

f. By whom appointed or elected.

BOARD APPOINTMENT

g. Existing interests

AS THE GENERAL MANAGER. MR. SANFORD IS AUTHORIZED BY THE BOARD TO EXECUTE AND CERTIFY LEGAL DOCUMENTS, INCLUDING FCC APPLICATIONS, ON BEHALF OF THE LICENSEE.




SECTION III - CERTIFICATION


I certify that I am GENERAL MANAGER

(Official Title)


of NORTHERN MINNESOTA PUBLIC TELEVISION, INC.

(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 4, Section II and in no event prior to that date.)

Signature
WILLIAM M. SANFORD
Date
11/21/2005
Telephone Number of Respondent (Include area code) 2187513407


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