Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0010 (June 2002)
FCC 323
FOR FCC USE ONLY
 
OWNERSHIP REPORT FOR COMMERCIAL BROADCAST STATIONS

Read INSTRUCTIONS Before Filling Out Form

FOR COMMISSION USE ONLY
FILE NO.

BOA - 19990601AED
Section I - General Information
1. Legal Name of the Applicant 
RAYCOM MEDIA, INC.
Mailing Address
RSA TOWER 20TH FLOOR
201 MONROE ST.
City
MONTGOMERY
State or Country (if foreign address)
AL
ZIP Code
36104 -
Telephone Number (include area code)
2026625120
E-Mail Address (if available) 
FCC Registration Number:

Call Sign 
KFVS-TV
Facility ID Number 
70482
2. Contact Representative (if other than Licensee/Permittee)
RAYCOM MEDIA, INC.
Firm or Company Name
C/O WILLIAM FITZ, ESQ.
Telephone Number (include area code)
2026625120
E-Mail Address (if available)

3. Name of entity, if other than licensee or permittee, for which report is filed

Mailing Address


City
State or Country (if foreign address)
ZIP Code
-
Telephone Number (include area code)
E-Mail Address (if available)
NA
4. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
Governmental Entity Fee-exempt Report Other
N/A (Fee Required)



Section II - Ownership Information

5.

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
WACH 19199 COLUMBIA SC TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
WMC 19185 MEMPHIS TN AM


Call Letters
Facility ID Number
Location (City/State)
Class of service
KFVS 592 CAPE GIRARDEAU MO TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
KOLD 48663 TUCSON AZ TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
KSLA 70482 SHREVEPORT LA TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
KWWL 593 WATERLOO LA TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
WAFB 589 BATON ROUGE LA TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
WAFF 591 HUNTSVILLE AL TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
WECT 48666 WILMINGTON NC TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
WMCFM 59449 MEMPHIS TN FM


Call Letters
Facility ID Number
Location (City/State)
Class of service
WMC 19184 MEMPHIS TN TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
WTNZ 19200 KNOXVILLE TN TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
WTOC 590 SAVANNAH GA TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
WTVM 595 COLUMBUS GA TV



All of the information furnished in this Report is accurate as of 06/01/1999 (Date must comply with 47 C.F.R. Section 73.3615(a), i.e., information must be current within 60 days of filing of this report, when 5(a) below is checked.)

This Report is filed for (check one)
6.
Respondent is:
Sole proprietorship Not-for-profit corporation Limited partnership
For-profit corporation General partnership Other
If "Other", describe nature of the respondent in an Exhibit.
[Exhibit 1]
7.
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 Date of Expiration
SHAREHOLDERS AGREEMENT BRYAN KENT HAWKINS, WILLIAM C. ZORTMAN, STEPHEN I BURR, AND RAYCOM MEDIA, INC. 05/02/1996 12/31/2005


8. Capitalization (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 Capitalization Information]


Capitalization


Capitalization (Only licensees, permittees, or a reporting entity with a majority interest in or that otherwise excercises de facto control over the subject licensee or permittee shall respond.)

Class of stock (preferred, common or other)
Voting or Non-voting
Number of Shares
Authorized
Issued and Outstanding
Treasury
Unissued
COMMON STOCK
V
3000
2000
1000
0

Class of stock (preferred, common or other)
Voting or Non-voting
Number of Shares
Authorized
Issued and Outstanding
Treasury
Unissued
PREFERRED SERIES A
N
166302
166302
0
0


9.
(a.) List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
[Enter Owner Information]

Owner Information

List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
(Read carefully - The numbered items below refer to line numbers in the following table.)
1. Name and address of respondent and each party to the respondent 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 respondent first, officers next, then directors and, thereafter, remaining stockholders and other entities with attributable interests, and partners.
2. Gender (male or female).
3. Ethnicity (check one).
4. Race (select one or more).
5. Citizenship.
6. Positional interest: Officer, director, general partner, limited partner, LLC member, investor/creditor attributable under the Commission's equity/debt plus standard, etc.
7. Percentage of votes.
8. Percentage of total assets (equity debt plus).

1. Name and Address JEFFREY ROSSER, 7208 WAVERLY AVENUE, OKLAHOMA CIT,
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT-TELEVISION
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address JOHN E. HAYES, 9854 WYNCREST CIRCLE, MONTGOMERY, AL 36104
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest PRESIDENT AND DIRECTOR
7. Percentage of votes 17.00
8. Percentage of total assets (equity debt plus) 17.00

1. Name and Address PAUL H. MCTEAR,JR, 8030LAKERIDGE DRIVE, MONTGOMERY, AL 36117
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND TREASURER
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address REBECCA S. BRYAN, 3615 HILLVIEW CLOSE, MONTGOMERY, AL 36106
2. Gender (male or female) Female
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT, SECRETARY AND GENERAL COUNSEL
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address C. WAYNE DAUGHTERTY, 1104 SEATON CIRCLE, MONTGOMERY, AL 36117
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT-TELEVISION
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address JOHN LLEWELLYN, 7161 WYNGROVE DRIVE MONTOGEMERY AL. 36
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT-TELEVEISION
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address MARY CAROLE MCDONNELL, 24028 PARK CASINO, CALABASAS,CA 91302
2. Gender (male or female) Female
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE-PRESIDENT-PROGRAM
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address ERIC BRAUN, 1282 GLEN GRATTAN AVE., MONTGOMERY, AL 36111
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT-NEWS
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address MELISSA D TRAPP, 7649 ARROWLEAF DRIVE MONTGOMERY, AL 36117
2. Gender (male or female) Female
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT, CORPORATE CONTROLLER AND ASST. SECRETARY
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address J. CLYDE BAUCOM, 3307 THOMAS AVENUE, MONTGOMERY, AL 36111
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT-HUMAN RESOURCES
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address DAVID A. FOLSOM, 9878 WYNCREST DRIVE, MONTGOMERY, AL 36117
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT-TECHNOLOGY
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address ANNE T. ADKINS, 8855 HALCYON FOREST TR. MONTGOMERY, AL 36117-3483
2. Gender (male or female) Female
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE PRESIDENT-MARKETING
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address JOHN S. STEIN, 3605 SARATOGA DRIVE, NASHVILLE, TN 37205
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest CHAIRMAN OF THE BOARD AND DIRECTOR
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address JAMES R. SEFERT, 313 GRIFFIN ROAD, EASLEY, SC 29640
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest VICE CHAIRMAN OF THE BOARD AND DIRECTOR
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address JOHN L. LILLIE, JR, 705 HELMSDALE PL., SOUTH BRENTWOOD,TN 37027
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest DIRECTOR
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address HAROLD BRIDGEWOOD, 25-10 30 ROAD, ASTORIA, NY 11102
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest DIRECTOR
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address BRUNO M. FRANCISCI, 51-72 72ND PLACE, MASPETH, NY 11377
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest DIRECTOR
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address BARBARA A. THOMAS, 1441 MILNER STREET, SOUTH, BIRMINGHAM, AL 35205
2. Gender (male or female) Female
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest DIRECTOR
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address DIANE GRISWOLD, 2801 HIGHWAY 280 SOUTH, BIRMINGHAM, AL 35202
2. Gender (male or female) Female
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest DIRECTOR
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address JOSEPH D. HILL, 8625 PISA DRIVE, ORLANDO, FL. 32810
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest DIRECTOR
7. Percentage of votes 5.00
8. Percentage of total assets (equity debt plus) 5.00

1. Name and Address WILLIAM C. ZORTMAN, 1916 WAYSIDE ROAD, KNOXVILLE, TN 37923
2. Gender (male or female) Male
3. Ethnicity (check one) Hispanic or Latino
Not Hispanic or Latino
4. Race (select one or more) American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
5. Citizenship US
6. Positional Interest NA
7. Percentage of votes 13.00
8. Percentage of total assets (equity debt plus) 13.00


(b) Respondent certifies that equity and financial interests not set forth in response to Question 9(a) are non-attributable. Yes No

N/A

See Explanation in
[Exhibit 2]

(c) Is the respondent or any party holding an attributable interest in the respondent also the holder of an attributable interest in any other broadcast station or in any cable or newspaper entities in the same market or with overlapping signals in the same broadcast service, as described in 47 C.F.R. Sections 73.3555 and 76.501? Yes No
If "Yes", submit an Exhibit identifying the holder of that other attributable interest, listing the call signs, locations and facilities identifiers of such other broadcast stations, and describing the nature and size of the ownership interest and the positions held in the other broadcast, cable or newspaper entities. [Exhibit 3]
(d) Are any of the individuals listed in response to Question 9(a) related as parent-child, husband-wife, brothers and sisters?

Yes No

 

If "Yes", submit an Exhibit setting forth full information as to the family relationship

[Exhibit 4]

(e) Is respondent seeking an attribution exemption for any officer or director with duties unrelated to the licensee or permittee?

If "Yes", submit an Exhibit identifying that individual by name and title, fully describing that individual's duties and responsibilities, and explaining why that individual should not be attributed an interest.

Yes No

[Exhibit 5]



SECTION III - CERTIFICATION


I certify that I am VICE PRESIDENT, SECRETARY AND GENERAL COUNSEL

(Official Title)


of RAYCOM MEDIA, INC.

(Exact legal title or name of respondent)


and that I have examined this Report and that to the best of my knowledge and belief, all statements in this Report are true, correct and complete.

(Date of certification must be within 60 days of the date shown in Question 5, Section II and in no event prior to that date.)

Signature
RAYCOM MEDIA, INC.
Date
06/16/1999
Telephone Number of Respondent (Include area code) 3342061400

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