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 - 20010928ADF
Section I - General Information
1. Legal Name of the Applicant 
SISTEMA UNIVERSITARIO ANA G. MENDEZ, INC.
Mailing Address
PO BOX 21345
City
SAN JUAN
State or Country (if foreign address)
PR
ZIP Code
00928 -
Telephone Number (include area code)
7877510178
E-Mail Address (if available) 
FCC Registration Number:

Call Sign 
WMTJ
Facility ID Number 
2174
2. Contact Representative (if other than Licensee/Permittee)
ARIEL DIAZ
Firm or Company Name
WMTJ
Telephone Number (include area code)
7877662600
E-Mail Address (if available)
CA_ADIAZ@SUAGM.EDU
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)
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
WMTJ 2174 FAJARDO PR TV


Call Letters
Facility ID Number
Location (City/State)
Class of service
WQTO 2175 PONCE PR TV



All of the information furnished in this Report is accurate as of 09/19/2001 (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
ARTICLES OF INCORPORATION NA 04/23/1978 12/31/2050

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
BYLAWS NA 09/30/1978 12/31/2048

Description of contract or instrument Name of person or organization with whom contract is made Date of Execution Date of Expiration
NATIONAL PROGRAMS SERVICES PBS 05/31/2001 05/31/2002


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]



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 JAIME R. ESCALONA, 1687 LILAS ST. URB. SANTA MARIA, SAN JUAN, PR 00927
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address JUAN JOSE JIMENEZ, J-6 BILBAO ST. URB. VILLA CLEMENTINA, GUAYNABO, PR 00969
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address JOSE F. MENDEZ, 1841 ACACIA ST. URB. SANTA MARIA, SAN JUAN PR 00926
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address JUAN M. GARCIA PASSALACQUA, COND. PARQUE DE LAS FUENTES, APARTMENT 503, HATO REY SAN JUAN, PR 00918
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address ANTONIO J. AMADEO-MURGA, COND. CANDINA REEF #454, 2CANDINA ST. SAN JUAN PR 00907
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address MARIA I. BURCKHART 650-C HERNANDEZ ST. MIRAMAR, SAN JUAN PR 00907
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address ANTONIO DE HARO, D14 VILLA VERDE, GUAYNABO, PR 00966
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address HECTOR A. FELICIANO, 213 ROSSY ST. URB, BALDRICH, SAN JUAN PR. 00918
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address RITA DIMARTINO, URB. CATHEDRAL AVE APARTMENT 1002 EAST, WASHINGTON DC 20036
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address LUIS G. FORTUNO, W3 LOMA ALTA ST. GARDEN HILLS, GARDEN HILLS, GUAYNABO, PR 00966
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address NESTOR DE JESUS POU, 163 REINA ANA ST. VILLAS DE TORRIMAR, GAYNABO, PR 00969
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address JOSE J. VILLAMIL, 566 ABOLICION ST. URB. BALDRICH, SAN JUAN PR 00918
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address DIEGO CHEVERE, #12, 3 ST. MANSIONES DE TINTILLO HILLS, CUAYNABO, PR 00966
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address IVAR A. PIETRI, J 1 CLUB DRIVE, GARDEN HILLS GUAYNABO, PR 00966
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address JORGE A. PIERLUISI, JR, C8 GAVIOTA ST. URB. TIERRA ALTA, GUAYNABO. PR 00696
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address MARIO F. GAZIAMBIDE,JR. 104 DE DIEGO AVE. URB. SAN FRANCISCO, SAN JUAN PR 00927
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)

1. Name and Address FLORENCIO PAGAN CRUZ, D12, 17 ST. QUINTAS DE CUPEY, SAN JUAN PR 00926
2. Gender (male or 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
7. Percentage of votes
8. Percentage of total assets (equity debt plus)


(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 AND GENERAL MANAGER

(Official Title)


of ANA G. MENDEX UNIVERSITY SYSTEM/WMTJ-TV

(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
ANA G. MENDEZ UNIVERSITY SYSTEM/WMTJ-TV
Date
09/26/2001
Telephone Number of Respondent (Include area code) 7877662600

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