Federal Communications Commission
Washington, D.C. 20554		 Approved by OMB
3060-0010 (June 2014)
FOR FCC USE ONLY
 

FCC 323
OWNERSHIP REPORT FOR COMMERCIAL BROADCAST STATIONS

 FOR COMMISSION USE ONLY
FILE NO. BOA-20131218AXE
Section I - General Information
1. Legal Name of the Respondent
VIACOM INC.
Street Address (1)
1501 M STREET, NW
Street Address (2)
City
WASHINGTON 		State or Country (if foreign address)
DC
ZIP Code
20005 -
Telephone Number (include area code)
2027857300 		E-Mail Address (if available) 
KEITH.MURPHY@VIACOM.COM
FCC Registration Number:
0014249874 		Call Sign 
KVMM-CD 		Facility ID Number 
18741
2. Contact Representative
JOHN W. BAGWELL, ESQ. 		Firm or Company Name
LERMAN SENTER PLLC
Street Address (1)
2000 K STREET, NW
Street Address (2)
SUITE 600
City
WASHINGTON 		State or Country (if foreign address)
DC 		ZIP Code
20006 -
Telephone Number (include area code)
2024298970 		E-Mail Address (if available)
JBAGWELL@LERMANSENTER.COM
3. Nature of Respondent (See Instructions for definitions)
radio button not selected Licensee
radio button not selected Permittee
radio button selected Entity with an attributable interest
4. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
radio button not selectedGovernmental Entity radio button selected radio button not selectedOther Other radio button not selected N/A (Fee Required)
5. All of the information furnished in this Report is accurate as of 10/01/2013
(Date entered must (1) be Oct. 1 of the filing year when filing a Biennial Ownership Report (or Nov. 1, 2009 in the case of the initial filing); or (2) be no more than 60 days prior to the date of filing when filing a non-biennial Ownership Report.)
6. Purpose: This Report is filed for: (choose one)
a. radio button selected Biennial
b. radio button not selected Validation and Resubmission of a previously filed Biennial Report (certifying no change from previous Report)
c. radio button not selected Transfer of Control or Assignment of License/Permit
d. radio button not selected Report by Permittee filing within 30 days after the grant of a construction permit for a new commercial AM, FM or full power television broadcast station.
e. radio button not selected Update / certification of accuracy of an initial Ownership Report filed by Permittee (filing in conjunction with Permittee's application for a station license)
f. radio button not selected Amendment to a previously filed Ownership Report
File Number: -
If an Amendment, submit as an Exhibit a listing by Section and Question Number the portions of the previous Report that are being revised.
7. Licensee and Station Information. The stations listed below are all licensed to the following person or entity:
Licensee Name Licensee's FCC Registration Number (FRN)
VIACOM INTERNATIONAL INC.
0014247977
FRN Help: CORES Home

Station List

This Report is filed for the following stations:
Copy Call Sign Facility ID Number Location (City/State) Class of service Delete Copy
1. , CALIFORNIA Class A TV

(Check/Uncheck All)
 
8. Respondent is:
radio button not selected Sole Proprietorship radio button not selected Not-for-profit corporation radio button not selected Limited partnership
radio button selected For-profit corporation radio button not selected General partnership radio button not selected Other
If "Other," describe nature of the Respondent in an Exhibit.  
 
 

Section II-B - Biennial Ownership Information
1. Contract Information. List all contracts and other instruments required to be filed by 47 C.F.R. Section 73.3613. (Only Licensees, or Respondents with a majority interest in or that otherwise exercise de facto control over the subject Licensee shall respond. Other Respondents should select "Not Applicable" in response to this question.) If the agreement is a local marketing agreement (LMA) or a joint sales agreement (JSA), or if the agreement is a network affiliation agreement, check the appropriate box; otherwise, select "Other" for non-LMA/JSA or network affiliation agreements.
checkbox checked Not Applicable

Contract Information

   



2. Capitalization (Only Licensees or entities with a majority interest in or that otherwise exercises de facto control over the subject Licensee shall respond.)
checkbox checked Not Applicable

Capitalization Information


(Check/
Uncheck All)
 
3. (a.) Ownership Interests. This Question requires Respondents to enter detailed information about ownership interests by generating a series of subforms. Answer each question on each subform. The first subform listing should be for the Respondent itself. If the Respondent is not a natural person, also list each of the officers, directors, stockholders, noninsulated partners, members and other persons or entities with a direct attributable interest in the Respondent. (A "direct" interest is one that is not held through any intervening companies or entities.) In the case of vertical or indirect ownership structures, report only those interests in the Respondent that also represent an attributable interest in the Licensee for which the Report is being submitted.

List each person or entity with a direct attributable interest in the Respondent separately. Entities that are part of an organizational structure that includes holding companies or other forms of indirect ownership must file separate ownership reports. In such a structure do not report or file separate reports for persons or entities that do not have an attributable interest in the Licensee for which the report is being submitted.

Ownership Interests Information
Copy 1. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button selected Respondent
radio button not selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox checked Other (please specify):
FCC Registration Number
0014249874
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox checked N/A (entity)  
Gender
radio button not selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button not selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 2. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019371939
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 3. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367325
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 4. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367739
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 5. Name  
Address Street


City/State
, DISTRICT OF COLUMBIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367838
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 6. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367317
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 7. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367820
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 8. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367937
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 9. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367283
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 10. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367747
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 11. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367762
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 12. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367929
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 13. Name  
Address Street


City/State
, DISTRICT OF COLUMBIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367879
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 14. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367895
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 15. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0019367309
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 16. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023123953
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 17. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023102114
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 18. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023104151
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 19. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023094741
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 20. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023091838
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 21. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023093453
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 22. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023102122
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 23. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023091515
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 24. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023093032
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 25. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023102593
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 26. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023092257
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 27. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023131329
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 28. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023096621
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 29. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023100613
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 30. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023091366
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 31. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023124076
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 32. Name  
Address Street


City/State
, CALIFORNIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023105471
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 33. Name  
Address Street


City/State
, CALIFORNIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023103815
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 34. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023107196
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 35. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023102221
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 36. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023138407
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 37. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023091473
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 38. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023097082
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 39. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023091481
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 40. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023095102
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 41. Name  
Address Street


City/State
, NEW YORK
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0023102031
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  
Copy 42. Name  
Address Street


City/State
, MASSACHUSETTS
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):
FCC Registration Number
0009072380
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)		 checkbox checked N/A (entity)  
Gender
radio button not selected Male radio button not selected Female
Ethnicity
 radio button not selected Hispanic or Latino
 radio button not selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)		 %  

(Check/
Uncheck All)

  (b.)

Respondent certifies that any equity and financial interests not reported in response to Question 3(a) are non-attributable.


If "No," submit as an Exhibit an explanation.

 radio button selectedYes radio button not selectedNo
(c.) Does the Respondent or any person/entity with an attributable interest in the Respondent also hold an attributable interest in any other broadcast station, or in any newspaper entities in the same market, as defined in 47 C.F.R. Section 73.3555?

If "Yes", provide information describing the interest(s), using EITHER the subform OR the spreadsheet option below for the applicable type of interest (broadcast or newspaper). Respondents with a large number (50 or more) of entries to submit should use the spreadsheet option. NOTE: Spreadsheets must be submitted in a special "XML Spreadsheet" format with the appropriate structure that is specified in the documentation. For instructions on how to use the spreadsheet option to complete this question (including templates to start with), please Click Here.

Broadcast Interest Information

Newspaper Interest Information

radio button selectedYes radio button not selectedNo
(d.)

Are any of the individuals listed in response to Question 3(a) married, related as parent-child, or related as siblings?

If "Yes", complete the information describing the relationship.


Familial Relationships


(Check/Uncheck All)
 

radio button not selectedYes radio button selectedNo
(e.) Is Respondent seeking an attribution exemption for any officer or director with duties unrelated to the Licensee ?

If "Yes", complete the information in the required fields and submit an Exhibit fully describing that individual's duties and responsibilities, and explaining why that individual should not be attributed an interest.

Exemption Information List

Copy
Name
Title
  Delete Copy
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
 

(Check/
Uncheck All)

radio button selectedYes radio button not selectedNo
4.  

Respondent's Interests Held. Each Respondent other than a Licensee should list the name and FCC Registration Number of all entities in which the Respondent holds a direct attributable ownership interest, where that listed entity has an attributable ownership interest in the Licensee of the stations associated with the Report. Licensees should select "N/A" in response to this question.


For any listing that includes the name of a person or entity reported on multiple Ownership Reports, ensure that the FRN information is consistent among all such Ownership Reports. Respondents should coordinate with each other to ensure such consistency.

Respondent's Interests

Copy 1. Name
FCC Registration Number
Delete Copy
 

(Check/Uncheck All)
 

checkbox not checked N/A
5.   Organizational Chart. LICENSEES ONLY: Attach a flowchart or similar document showing the Licensee's vertical ownership structure including the Licensee and all persons/entities that have attributable interests in the Licensee.


Non-Licensee Respondents should select "N/A" in response to this question.

 

 checkbox checked N/A

SECTION III - CERTIFICATION


I certify that I am SENIOR VP, DEPUTY GENERAL COUNSEL AND ASSISTANT SECRETARY

(Official Title)


of VIACOM 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 the signature below must (1) be no earlier than Oct. 1 of the filing year when filing a Biennial Ownership Report (and no earlier than Nov. 1, 2009 in the case of the initial filing); or (2) be no more than 60 days prior to the date of filing when filing a non-biennial Ownership Report.)

Signature
DANIEL M. MANDIL 		Date
12/18/2013
Telephone Number of Respondent (Include area code) 2128466000

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
Exhibit 3
Description: EXHIBIT 3

THE OFFICERS AND DIRECTORS OF VIACOM INC. MAY OWN A SMALL NUMBER OF SHARES OF THE CLASS A AND/OR CLASS B COMMON STOCK OF VIACOM INC., A PUBLICLY TRADED COMPANY. IN EACH CASE, SUCH OWNERSHIP IS LESS THAN ONE PERCENT OF THE CLASS A AND/OR CLASS B COMMON STOCK. IN NO EVENT DOES AN OFFICER OR DIRECTOR OF VIACOM INC. HAVE AN ATTRIBUTABLE INTEREST IN VIACOM INC. UNDER THE EQUITY DEBT PLUS ATTRIBUTION STANDARD.
Copy 1 - Exhibit 4
Description: EXHIBIT 4

VIACOM INC. ("VIACOM") IS A GLOBAL ENTERTAINMENT COMPANY THAT OPERATES IN OVER 160 COUNTRIES AND TERRITORIES AND CREATES TELEVISION PROGRAMS, MOTION PICTURES, SHORT-FORM VIDEO, APPLICATIONS ("APPS"), GAMES, CONSUMER PRODUCTS, SOCIAL MEDIA AND OTHER ENTERTAINMENT CONTENT. VIACOM HAS ANNUAL REVENUES OF APPROXIMATELY $14 BILLION. CLASS A TELEVISION STATION KVMM-CD IS VIACOM'S ONLY BROADCAST STATION AND ITS REVENUES ARE DE MINIMIS. THE FCC LICENSEE OF KVMM IS VIACOM INTERNATIONAL INC. ("VII"), A WHOLLY-OWNED SUBSIDIARY OF VIACOM. KVMM'S DAY-TO-DAY OPERATIONS ARE MANAGED BY THE OFFICERS AND DIRECTORS OF VII AND THE VIACOM OFFICERS AND DIRECTORS DISCLOSED IN QUESTION 3(A) OF THIS REPORT. ALL DECISIONS REGARDING KVMM'S DAY-TO-DAY OPERATIONS ARE MADE BY SUCH OFFICERS AND DIRECTORS, AND THEY HAVE AUTHORITY TO MANAGE KVMM ON A DAY-TO-DAY BASIS WITHOUT SEEKING APPROVALS FROM THE VIACOM BOARD OF DIRECTORS OR ANY OTHER OFFICER. THE OFFICERS AND DIRECTORS LISTED IN THIS QUESTION 3(E) DO NOT PERFORM DUTIES AND DO NOT HAVE RESPONSIBILITIES RELATED TO THE DAY-TO-DAY OPERATIONS OF KVMM.
Copy 2 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 3 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 4 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 5 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 6 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 7 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 8 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 9 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 10 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 11 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 12 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.
Copy 13 - Exhibit 4
Description: EXHIBIT 4

SEE COPY 1 OF EXHIBIT 4.


 Spreadsheets
Description
2013 Viacom Inc. Spreadsheet