|
1. | Legal Name of the Applicant TOTAL LIFE COMMUNITY EDUCATIONAL FOUNDATION |
|||
Mailing Address P.O. BOX 6968 |
||||
City SPRINGDALE |
State or Country (if foreign address) AR |
Zip Code 72766 - |
||
Telephone Number (include area code) 4793612900 |
E-Mail Address (if available) |
|||
FCC Registration No 0006591986 |
Call Sign KSBN-TV |
Facility ID Number 67347 |
||
2. | Contact Representative (if other than licensee/permittee) JOSEPH C. CHAUTIN, III |
Firm or Company Name HARDY, CAREY, CHAUTIN & BALKIN, LLP |
||
Mailing Address 110 VETERANS BLVD. SUITE 300 |
||||
City METAIRIE |
State or Country (if foreign address) LA |
ZIP Code 70005 - |
||
Telephone Number (include area code) 5048304646 |
E-Mail Address (if available) JCHAUTIN@HARDYCAREY.COM |
|||
3. | Purpose: Engineering STA |
|||
Extension of Existing Engineering STA File Number: BDSTA - 20021011ACB | ||||
Legal STA | ||||
Extension of Existing Legal STA | ||||
4. | Service: DS | |||
5. | Community of License: City: SPRINGDALE State: AR |
|||
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. |
|
[Exhibit 36] | ||
8. |
|
Yes No |
Typed or Printed Name of Person Signing
HAROLD R. HARRIS |
Typed or Printed Title of Person Signing CFO & SECRETARY |
Signature |
Date (mm/dd/yyyy) 12/23/2005 |
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).