1. |
Certification. Applicant certifies that it has answered each question in this application based on its review of the application instructions and worksheets. Applicant further certifies that where it has made an affirmative certification below, this certification constitutes its representation that the application satisfies each of the pertinent standards and criteria set forth in the application instructions and worksheets. |
Yes No |
2. |
Parties to the Application.
a. |
List the applicant, and, if other than a natural person, its officers, directors, stockholders with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the applicant, list separately its officers, directors, stockholders with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach additional pages if necessary.
(1) |
Name and address of the applicant and each party to the application 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 applicant first, officers next, then directors and, thereafter, remaining stockholders and other entities with attributable interests, and partners. |
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(2)
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Citizenship. |
(3) |
Positional Interest: Officer, director, general partner, limited partner, LLC member, investor/creditor attributable under the Commission's equity/debt plus standard, etc. |
(4) |
Percentage of votes. |
(5) |
Percentage of total assets (equity plus debt). |
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[Enter Parties/Owners Information]
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b. |
Applicant certifies that equity and financial interests not set forth above are non-attributable. |
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Yes No
N/A
See Explanation in
[Exhibit 2] |
3. |
Other Authorizations. List call signs, locations, and facility identifiers of all other broadcast stations in which applicant or any party to the application has an attributable interest. |
N/A
[Exhibit 3]
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4. |
Multiple Ownership.
a. |
Is the applicant or any party to the application the holder of an attributable radio joint sales agreement or an attributable radio or television time brokerage agreement in the same market as the station subject to this application?
If "YES," radio applicants must submit as an Exhibit a copy of each such agreement for radio stations.
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Yes No
[Exhibit 4]
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b. |
Applicant certifies that the proposed facility complies with the Commission's multiple ownership rules and cross-ownership rules.
Radio applicants only: If "Yes," submit an Exhibit providing information regarding the market, broadcast station(s), and other information necessary to demonstrate compliance with 47 C.F.R. § 73.3555(a).
All Applicants: If "No," submit as an Exhibit a detailed explanation in support of an exemption from, or waiver of, 47 C.F.R. § 73.3555.
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Yes No
[Exhibit 5]
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c. |
Applicant certifies that the proposed facility:
(1) |
does not present an issue under the Commission's policies relating to media interests of immediate family members; |
(2) |
complies with the Commission's policies relating to future ownership interests; and |
(3) |
complies with the Commission's restrictions relating to the insulation and non-participation of non-party investors and creditors. |
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Yes No
See Explanation in
[Exhibit 6]
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d. |
Does the Applicant claim status as an "eligible entity," that is, an entity that qualifies as a small business under the Small Business Administration's size standards for its industry grouping (as set forth in 13 C.F.R. § 121-201), and holds: |
(1) |
30 percent or more of the stock or partnership interests and more than 50 percent of the voting power of the corporation or partnership that will own the media outlet; or |
(2) |
15 percent or more of the stock or partnership interests and more than 50 percent of the voting power of the corporation or partnership that will own the media outlet, provided that no other person or entity owns or controls more than 25 percent of the outstanding stock or partnership interests; or |
(3) |
more than 50 percent of the voting power of the corporation that will own the media outlet (if such corporation is a publicly traded company)? |
All applicants: If "Yes," submit as an Exhibit a detailed showing demonstrating proof of status as an eligible entity. |
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Yes No
See Explanation in
[Exhibit 7]
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5. |
Character Issues. Applicant certifies that neither applicant nor any party to the application has or has had any interest in or connection with:
a. |
any broadcast application in any proceeding where character issues were left unresolved or were resolved adversely against the applicant or party to the application; or
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b. |
any pending broadcast application in which character issues have been raised. |
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Yes No
See Explanation in
[Exhibit 8]
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6. |
Adverse Findings. Applicant certifies that, with respect to the applicant and any party to the application, no adverse finding has been made, nor has an adverse final action been taken by any court or administrative body in a civil or criminal proceeding brought under the provisions of any law related to any of the following: any felony; mass media-related antitrust or unfair competition; fraudulent statements to another government unit; or discrimination. |
Yes No
See Explanation in
[Exhibit 9]
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7. |
Alien Ownership and Control. Applicant certifies that it complies with the provisions of Section 310 of the Communications Act of 1934, as amended, relating to interests of aliens and foreign governments. |
Yes No
See Explanation in
[Exhibit 10]
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8. |
Program Service Certification. Applicant certifies that it is cognizant of and will comply with its obligations as a commission licensee to present a program service responsive to the issues of public concern facing the station's community of license and service area. |
Yes No |
9. |
Local Public Notice. Applicant certifies that it has or will comply with the public notice requirements of 47 C.F.R. Section 73.3580. |
Yes No |
10. |
Auction Authorization. If the application is being submitted to obtain a construction permit for which the applicant was the winning bidder in an auction, then the applicant certifies, pursuant to 47 C.F.R. Section 73.5005(a), that it has attached an exhibit containing the information required by 47 C.F.R. Sections 1.2107(d), 1.2110(i), 1.2112(a) and 1.2112(b), if applicable.
An exhibit is required unless this question is inapplicable.
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Yes No
N/A
[Exhibit 11]
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11. |
Anti-Drug Abuse Act Certification. Applicant certifies that neither applicant nor any party to the application is subject to denial of federal benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862. |
Yes No |
12. |
Equal Employment Opportunity (EEO). If the applicant proposes to employ five or more full-time employees, applicant certifies that it is filing simultaneously with this application a Model EEO Program Report on FCC Form 396-A. |
Yes No
N/A
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13. |
Petition for Rulemaking/Counterproposal to Add New FM Channel to FM Table of Allotments. If the application is being submitted concurrently with a Petition for Rulemaking or Counterproposal to Amend the FM Table of Allotments (47 C.F.R. section 73.202) to add a new FM channel allotment, petitioner/counter-proponent certifies that, if the FM channel allotment requested is allotted, petitioner/counter-proponent will apply to participate in the auction of the channel allotment requested and specified in this application. |
Yes No
N/A |
14. |
Tribal Priority - Threshold Qualifications. Is the Applicant applying for an FM allotment set forth in a Public Notice announcing a Tribal Threshold Qualifications window? An Applicant answering "Yes" must provide an Exhibit demonstrating that it would have been qualified to add the allotment for which it is applying using the Tribal Priority. |
Yes No
N/A
[Exhibit 12] |
Typed or Printed Name of Person Signing
RONALD L. ULLOA |
Typed or Printed Title of Person Signing
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Signature
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Date
03/25/2010 |
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).
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).
SECTION III-E - DTS Engineering |
GENERAL QUESTIONS. Complete the following questions that relate to the proposed DTS facility as a whole. |
1. |
Channel Number: 23 |
2. |
Zone:
I II III |
3. |
Reference Point Coordinates for Table of Distances, in accordance with Section 73.626(c) of the rules:
Latitude:
Degrees 33 Minutes 58 Seconds 0 North South
Longitude:
Degrees 116 Minutes 55 Seconds 40 West East
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4. |
File Number for Current Authorized Service Area: - |
5. |
The proposed DTS facility will operate on the DTV channel for this station as established in the Post-Transition DTV Table of Allotments, 47 C.F.R. Section 73.622(i). |
Yes No
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6. |
The proposed DTV station satisfies the interference protection provisions of 47 C.F.R. Sections 73.616 and 73.626.
If "No," attach as an Exhibit justification.
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Yes No
[Exhibit 51]
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7. |
The proposed DTV station satisfies the coverage requirement in 47 C.F.R. Section 73.625 and, therefore, will encompass the allotted principal community.
If "No," attach as an Exhibit justification. |
Yes No
[Exhibit 52]
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8. |
The proposed DTS facility satisfies the requirements in 47 C.F.R. Section 73.626 in the following respects: |
(a) |
The combined coverage from all of the DTS transmitters in the proposed DTS facility covers all of the station's authorized service area, as required in 47 C.F.R. Section 73.626(f)(1).
If "No," attach as an Exhibit justification. |
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Yes No
[Exhibit 53]
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(b) |
Each DTS transmitter's coverage is contained within either the DTV station's Table of Distances area (47 C.F.R. Section 73.626 (c)) or its authorized service area, except where such coverage is of a minimal amount and necessary to meet the requirements of 47 C.F.R. Section 73.626(f)(1).
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Yes, coverage entirely contained within station's authorized service area. |
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Yes, but coverage exceeds station's authorized service area by "minimal amount". |
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No |
Attach as an Exhibit a justification if "No" or if "Yes but coverage exceeds station's authorized service area by minimal amount". |
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[Exhibit 54]
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(c) |
Each DTS transmitter's coverage is contiguous with at least one other DTS transmitter's coverage, as required in 47 C.F.R. Section 73.626(e)(3).
If "No," attach as an Exhibit justification.
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Yes No
[Exhibit 55]
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(d) |
The coverage from one or more DTS transmitter(s) in the DTS facility provide(s) principal community coverage, as required in 47 C.F.R. Section 73.626(e)(4).
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Yes, one transmitter provides principal community coverage. |
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Yes, multiple transmitters provide principal community coverage. |
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No |
If "No," or if "Yes, multiple transmitters provide principal community coverage," attach as Exhibit No. an Exhibit justification. |
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[Exhibit 56] |
(e) |
The combined field strength of all of the DTS transmitters in the proposed DTS facility do not cause interference to another station in excess of the criteria specified in 47 C.F.R. Section 73.616, as required in 47 C.F.R. Section 73.626(e)(5).
If "No," attach as an Exhibit justification.
Note: The combined field strength level shall be determined by a "root-sum-square" calculation, where the combined field strength level at a given location is equal to the square root of the sum of the squared field strengths from each transmitter in the DTS network at that location.
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Yes No
[Exhibit 57]
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(f) |
Each DTS transmitter in the proposed DTS facility is located within either the DTV station's Table of Distances area or its authorized service area.
If "No," attach as an Exhibit justification.
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Yes No
[Exhibit 58]
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9. |
Environmental Protection Act. |
(a) |
The proposed DTS facility will not have a significant environmental impact, including exposure of workers or the general public to levels of RF radiation exceeding the limits specified in 47 C.F.R. Sections 1.1307 and 1.1310. |
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Yes No
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(b) |
Submit in an Exhibit the following for each transmitter site in the proposed DTS facility:
If "Yes," provide a brief explanation for each site of why an Environmental Assessment is not required. Also describe in the Exhibit the steps that will be taken to limit RF radiation exposure to the public and to persons authorized access to each transmitter site.
Note: By checking "Yes" to this question, the applicant also certifies that it, in coordination with other users of each transmitter site, will reduce power or cease operation as necessary to protect persons having access to each site, transmitter or antenna from radio frequency electromagnetic exposure in excess of FCC guidelines.
If "No," provide an Environmental Assessment as required by 47 C.F.R. Section 1.1311.
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[Exhibit 59]
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10. |
The proposed DTS facility satisfies the requirements of 47 C.F.R. Section 73.1030 regarding notification to radio astronomy installations, radio receiving installations and FCC monitoring stations. |
Yes No
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11. |
The antenna structures to be used by the proposed DTS facility have been registered with the Commission and will not require re-registration to support the proposed antennas, OR the FAA has previously determined that the proposed antenna structures will not adversely effect safety in air navigation and these structures qualify for later registration under the Commission's phased registration plan, OR the proposed installation on these antenna structures do not require notification to the FAA pursuant to 47 C.F.R. Section 17.7. |
Yes No
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