4. |
All of the information furnished in this Report is accurate as of 09/29/2003 (Date must comply with 47 C.F.R. Section 73.3615(d), i.e., information must be current within 60 days of filing of this report, when 4(a) below is checked.)
This Report is filed for (check one)
a. |
|
Biennial |
b. |
|
Transfer of Control or Assignment of License/Permit |
|
c. |
|
Other |
d. |
Amendment to pending application |
for the following stations:
[Enter Station Information]
Station List
This Report is filed for the following stations:
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KDIN-TV |
29102 |
DES MOINES IA |
TV |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KBIN-TV |
29108 |
COUNCIL BLUFFS IA |
TV |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KHIN |
29085 |
RED OAK, IA |
TV |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KIIN |
29095 |
IOWA CITY IA |
TV |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KRIN |
29114 |
WATERLOO IA |
TV |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KSIN-TV |
29096 |
SIOUX CITY IA |
TV |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KTIN |
29100 |
FORT DODGE IA |
TV |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KYIN |
29086 |
MASON CITY IA |
TV |
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
KQIN |
5471 |
DAVENPORT IA |
TV |
|
|
5. |
List all contracts and other instruments required to be filed by 47 C.F.R. Section 73.3613. (Only licensees, permittees, or a reporting entity with a majority interest in or that otherwise exercises de facto control over the subject licensee or permittee shall respond.)
[Enter Contract/Instrument Information]
Contracts/Instruments Information
List all contracts and other instruments required to be filed by 47 C.F.R. Section 73.3613. (Only licensees, permittees, or a reporting entity with a majority interest in or that otherwise exercises de facto control over the subject shall respond.)
Description of Contract or Instrument |
Name of person or organization with whom contract is made |
Date of Execution (mm/dd/yyyy) |
Date of Expiration (mm/dd/yyyy) |
BYLAWS |
NA |
10/15/1987 |
|
Description of Contract or Instrument |
Name of person or organization with whom contract is made |
Date of Execution (mm/dd/yyyy) |
Date of Expiration (mm/dd/yyyy) |
CODE OF IOWA |
NA |
|
|
Description of Contract or Instrument |
Name of person or organization with whom contract is made |
Date of Execution (mm/dd/yyyy) |
Date of Expiration (mm/dd/yyyy) |
PBS USERS AGREEMENT |
PUBLIC BROADCASTING SERVICE |
07/07/1974 |
ANNUAL RNW |
|
|
6. |
Is the governing board directly or indirectly under the control of another entity? |
Yes No
|
If Yes, is a separate FCC Form 323-E submitted for such entity? |
Yes No
|
|
7. |
List officers, members of governing board, and holders of 1% or more ownership interest, if any. Use one column for each individual or entity. Attach supplemental pages, if necessary. |
[Enter Owner Information]
Owner Information
List officers, members of governing board, and holders of 1% or more ownership interest, if any. Use one column for each individual or entity. Attach supplemental pages if necessary.
(Read carefully - The numbered items below refer to line numbers in the following table.) |
a. Name and address of officer, member of governing board, and holders of 1% or more ownership interest (if other than individual also show name, address and citizenship of natural person authorized to vote the interest). List officers first, then board members, and thereafter, holders of 1% or more ownership interest, if any.
b. Citizenship.
c. Office held.
d. Percent of interest held.
e. Principal profession or occupation.
f. By whom appointed or elected.
g. Existing interests in any other broadcast station, including the nature and size of such interests.
|
a. Name and Address. |
DANIEL K. MILLER, 1077 - 45TH ST., DES MOINES, IA 50311 |
b. Citizenship. |
US |
c. Office held.
|
EXECUTIVE DIRECTOR AND GENERAL MANAGER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
TV MANAGEMENT |
f. By whom appointed or elected.
|
IOWA PUBLIC BROADCASTING BOARD |
g. Existing interests
|
NONE |
a. Name and Address. |
JOHN T. BLONG, CHANCELLOR, EASTERN IOWA COMMUNITY COLLEGE DISTRICT, 306 WEST RIVER DR., DAVENPORT, IA 52801 |
b. Citizenship. |
US |
c. Office held.
|
BOARD VICE-PRESIDENT |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
COMMUNITY COLLEGE PRESIDENT |
f. By whom appointed or elected.
|
COMMUNITY COLLEGE SUPERINTENDENTS |
g. Existing interests
|
NONE |
a. Name and Address. |
BETTY JEAN FURGERSON, 600 COTTAGE ST., WATERLOO, IA 50703 |
b. Citizenship. |
US |
c. Office held.
|
BOARD PRESIDENT |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
RETIRED |
f. By whom appointed or elected.
|
STATE BOARD OF REGENTS |
g. Existing interests
|
BOARD MEMBER AND SECRETARY OF AFRO-AMERICAN COMMUNITY BROADCASTING, INC., PUBLIC RADIO STATION KBBG. |
a. Name and Address. |
ROBERT W. HALL, CHILDS & HALL, PO BOX 726, HARLAN, IA 51537 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
ATTORNEY |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
JOHN V. HARTUNG, PRESIDENT, IOWA ASSOC. OF INDEPENDENT COLLEGES AND UNIVERSITIES, 505 - 5TH AVE., SUITE 1030, DES MOINES, IA 50309-2399 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
EDUCATION |
f. By whom appointed or elected.
|
STATE ASSOCIATION OF PRIVATE COLLEGES AND UNIVERSITIES |
g. Existing interests
|
NONE |
a. Name and Address. |
SUSAN MCDERMOTT, 2012 BLAKE BLVD., SE, CEDAR RAPIDS, IA 52403 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
RETIRED |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
MARY JEAN MONTGOMERY, 1105 GRAND AVE., SPENCER, IA 51301 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
COMMUNITY VOLUNTEER |
f. By whom appointed or elected.
|
STATE BOARD OF EDUCATION |
g. Existing interests
|
NONE |
a. Name and Address. |
GRANT L. PRICE, PROFESSOR, WARTBURG COLLEGE, 222 - 9TH ST., NW, PO BOX 1003, WAVERLY,IA 50677 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
COLLEGE PROFESSOR |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
RACHEL STAUFFER, CYBUS CAPITAL MARKETS, 520 WALNUT ST. SUITE 500, DES MOINES, IA 50309 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
FINANCE |
f. By whom appointed or elected.
|
GOVERNOR |
g. Existing interests
|
NONE |
a. Name and Address. |
ALBERT N. WOOD, RIVER OAKS FARM, 3700 - 120TH ST., ESTHERVILLE, IA 51334 |
b. Citizenship. |
US |
c. Office held.
|
BOARD MEMBER |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
FARMER |
f. By whom appointed or elected.
|
ADMINISTRATORS OF THE AREA EDUCATION AGENCIES |
g. Existing interests
|
NONE |
a. Name and Address. |
WILLIAM T. HAYES |
b. Citizenship. |
NA |
c. Office held.
|
DIRECTOR OF ENGINEERING |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
NA |
f. By whom appointed or elected.
|
NA |
g. Existing interests
|
(FOR SIGNATORY PURPOSES.) |
a. Name and Address. |
MOLLY PHILLIPS |
b. Citizenship. |
NA |
c. Office held.
|
DIRECTOR OF PUBLIC AND GOVERNMENTAL RELATIONS |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
NA |
f. By whom appointed or elected.
|
NA |
g. Existing interests
|
(FOR SIGNATORY PURPOSES.) |
a. Name and Address. |
EXPLANATION FOR SECTION II, # 6 |
b. Citizenship. |
NA |
c. Office held.
|
NA |
d. Percent of interest held.
|
0.00 |
e. Principal profession or occupation.
|
NA |
f. By whom appointed or elected.
|
NA |
g. Existing interests
|
THE IOWA PUBLIC BROADCASTING BOARD IS INDIRECTLY CONTROLLED BY THE IOWA LEGISLATURE, BY STATE STATUTE. |
|