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 - 20110929AIC
Section I - General
1. Legal Name of the Licensee/Permittee
IOWA PUBLIC BROADCASTING BOARD
Mailing Address
P.O. BOX 6450
City
JOHNSTON
State or Country (if foreign address)
IA
ZIP Code
50131 - 6450
Telephone Number (include area code)
5152423100
E-Mail Address (if available) 
DKM@IPTV.ORG
FCC Registration Number:
0002586535
Call Sign 
Facility ID Number 
5471
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
IOWA PUBLIC BROADCASTING BOARD
Mailing Address
P.O. BOX 6450

City
JOHNSTON
State or Country (if foreign address)
IA
ZIP Code
50131 -
Telephone Number (include area code)
5152423100
E-Mail Address (if available)



Section II - Ownership Information

4.
All of the information furnished in this Report is accurate as of 09/08/2011 (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
KDIN-TV 29102 DES MOINES IA DT

Call Letters
Facility ID Number
Location (City/State)
Class of service
KSIN-TV 29096 SIOUX CITY IA DT

Call Letters
Facility ID Number
Location (City/State)
Class of service
KTIN 29100 FORT DODGE IA DT

Call Letters
Facility ID Number
Location (City/State)
Class of service
KYIN 29086 MASON CITY IA DT

Call Letters
Facility ID Number
Location (City/State)
Class of service
KBIN-TV 29108 COUNCIL BLUFFS IA DT

Call Letters
Facility ID Number
Location (City/State)
Class of service
KHIN 29085 RED OAK IA DT

Call Letters
Facility ID Number
Location (City/State)
Class of service
KIIN 29095 IOWA CITY IA DT

Call Letters
Facility ID Number
Location (City/State)
Class of service
KQIN 5471 DAVENPORT IA DT

Call Letters
Facility ID Number
Location (City/State)
Class of service
KRIN 29114 WATERLOO IA DT


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)
BOARD BYLAWS NA 02/08/2006

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)
CODE OF IOWA NA

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 USERS AGREEMENT PUBLIC BROADCASTING SERVICE 07/07/1974 ANNUAL RNW


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. IOWA PUBLIC BROADCASTING BOARD, P.O. BOX 6450, JOHNSTON, IA 50131
b. Citizenship. US

c. Office held.

ENTITY

d. Percent of interest held.

100.00

e. Principal profession or occupation.

NA

f. By whom appointed or elected.

NA

g. Existing interests

a. Name and Address. DANIEL K. MILLER, 1077 - 45TH ST., DES MOINES, IA 50311
b. Citizenship. US

c. Office held.

EXECUTIVE DIRECTOR AND GENERAL MANAGER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

TV MANAGEMENT

f. By whom appointed or elected.

IOWA PUBLIC BROADCASTING BOARD

g. Existing interests

NONE

a. Name and Address. ROBERT W. HALL, 1602 DURANT STREET, HARLAN, IA 51537
b. Citizenship. US

c. Office held.

BOARD PRESIDENT

d. Percent of interest held.

0.00

e. Principal profession or occupation.

LAWYER

f. By whom appointed or elected.

GOVERNOR

g. Existing interests

NONE

a. Name and Address. SUSAN MCDERMOTT, 2012 BLAKE BLVD., SE, CEDAR RAPIDS, IA 52403
b. Citizenship. US

c. Office held.

BOARD VICE-PRESIDENT

d. Percent of interest held.

0.00

e. Principal profession or occupation.

COMMUNITY VOLUNTEER

f. By whom appointed or elected.

GOVERNOR

g. Existing interests

NONE

a. Name and Address. BETTY JEAN FURGERSON, 1320 WENIG ROAD NE, APT. 4, CEDAR RAPIDS, IA 52402
b. Citizenship. US

c. Office held.

BOARD PRESIDENT EMERITA

d. Percent of interest held.

0.00

e. Principal profession or occupation.

RETIRED

f. By whom appointed or elected.

STATE BOARD OF REGENTS

g. Existing interests

NONE

a. Name and Address. BETTIE A. BOLAR, 2155 230TH STREET, MARSHALLTOWN, IA 50158
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.

COMMUNITY COLLEGE SUPERINTENDENTS

g. Existing interests

NONE

a. Name and Address. CHARLES C. EDWARDS, JR., 3720 ONEIDA POINT, DES MOINES, IA 50321
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

DEAN, DRAKE UNIVERSITY

f. By whom appointed or elected.

IOWA BOARD OF EDUCATION

g. Existing interests

NONE

a. Name and Address. GARY STEINKE, 9601 MADISON AVENUE, URBANDALE, IA 50322
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PRESIDENT OF IOWA ASSOC OF IND. COLLEGES AND UNIVERSITIES

f. By whom appointed or elected.

PRIVATE COLLEGES AND UNIVERSITIES ASSOCIATION

g. Existing interests

NONE

a. Name and Address. BRENT SIEGRIST, 204 LORI LANE, COUNCIL BLUFFS, IA 51503-7787
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.

ADMINISTRATORS OF THE AREA EDUCATION AGENCIES

g. Existing interests

NONE

a. Name and Address. ROSE VASQUEZ, 118 WATER STREET, # 425, DES MOINES, IA 50309
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.

GOVERNOR

g. Existing interests

NONE

a. Name and Address. DR. BILL WITHERS, 1303 13TH STREET NW, WAVERLY, IA 50677
b. Citizenship. US

c. Office held.

BOARD MEMBER

d. Percent of interest held.

0.00

e. Principal profession or occupation.

PROFESSOR

f. By whom appointed or elected.

GOVERNOR

g. Existing interests

NONE

a. Name and Address. WILLIAM T. HAYES, IOWA PUBLIC TELEVISION, 6450 CORPORATE DRIVE, P.O. BOX 6450, JOHNSTON, IA 50131
b. Citizenship. US

c. Office held.

DIRECTOR OF ENGINEERING AND TECHNOLOGY

d. Percent of interest held.

0.00

e. Principal profession or occupation.

DIRECTOR OF ENGINEERING AND TECHNOLOGY

f. By whom appointed or elected.

NA

g. Existing interests

(FOR SIGNATORY PURPOSES)

a. Name and Address. MOLLY M. PHILLIPS, IOWA PUBLIC TELEVISION, 6450 CORPORATE DRIVE, P.O. BOX 6450, JOHNSTON, IA 50131
b. Citizenship. US

c. Office held.

DIRECTOR OF COMMUNICATIONS AND COMMUNITY ENGAGEMENT

d. Percent of interest held.

0.00

e. Principal profession or occupation.

DIRECTOR OF COMMUNICATIONS AND COMMUNITY ENGAGEMENT

f. By whom appointed or elected.

NA

g. Existing interests

(FOR SIGNATORY PURPOSES)




SECTION III - CERTIFICATION


I certify that I am EXECUTIVE DIRECTOR AND GENERAL MANAGER

(Official Title)


of IOWA PUBLIC BROADCASTING BOARD

(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
DANIEL K. MILLER
Date
09/28/2011
Telephone Number of Respondent (Include area code) 5152423100


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