1. |
Certification. Assignor/Transferor certifies that it has answered each question in this application based on its review of the application instructions and worksheets. Assignor/Transferor further certifies that where it has made an affirmative certification below, this certification constitutes its representation that the application satisfies each of the pertinent standards and criteria set forth in the application instructions and worksheets. |
Yes No |
2. |
Application for (check one): |
|
Consent to Assign Construction Permit |
|
Consent to Transfer Control of Permittee |
|
Consent to Assign License |
|
Consent to Transfer Control of Licensee |
|
Amendment to pending application |
|
3. |
Legal Name of the Assignor/Transferor
JEFFREY H. SMULYAN (DE JURE)
|
Mailing Address
ONE EMMIS PLAZA
40 MONUMENT CIRCLE, SUITE 700
|
City
INDIANAPOLIS |
State or Country (if foreign address)
IN |
Zip Code
46204 - |
Telephone Number (include area code)
3172660100 |
E-Mail Address (if available)
|
|
4. |
Contact Representative (if other than Assignor/Transferor)
JOHN E. FIORINI, III
|
Firm or Company Name
WILEY REIN & FIELDING LLP
|
Mailing Address
1776 K STREET, NW
|
City
WASHINGTON |
State or Country (if foreign address)
DC |
Zip Code
20006 - |
Telephone Number (include area code)
2027197145
|
E-Mail Address (if available)
JFIORINI@WRF.COM
|
|
|
If more than one Transferor, submit the information requested in Questions 3 and 4 for each transferor. |
[Exhibit 4] |
|
5. |
Authorizations to be Assigned/Transferred. List the authorized stations and construction permits to be assigned/transferred. Provide the Facility Identification Number and the Call Sign, or the Facility Identification Number and the File Number of the Construction Permit, and the location, for each station to be assigned/transferred. Include main stations, FM and/or TV translator stations, LPTV stations, FM and/or TV booster stations.
[Enter Station Information]
List the authorized stations and construction permits to be assigned/transferred. Provide the Facility Identification Number and the Call Sign, or the Facility Identification Number and the File Number of the Construction Permit, and the location, for each station to be assigned/transferred. Include main stations, FM and/or TV translator stations, LPTV stations,, FM and/or TV booster stations.
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
4150 |
WLUK-TV |
- |
GREEN BAY |
WI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
4144 |
KHON-TV |
- |
HONOLULU |
HI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
4146 |
KHAW-TV |
- |
HILO |
HI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
4145 |
KAII-TV |
- |
WAILUKU |
HI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36917 |
KGMB |
- |
HONOLULU |
HI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36914 |
KGMD-TV |
- |
HILO |
HI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36920 |
KGMV |
- |
WAILUKU |
HI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
4143 |
WALA-TV |
- |
MOBILE |
AL |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
83943 |
WBPG |
- |
GULF SHORES |
AL |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
4149 |
WVUE |
- |
NEW ORLEANS |
LA |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
70649 |
WFTX |
- |
CAPE CORAL |
FL |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
70655 |
WTHI-TV |
- |
TERRE HAUTE |
IN |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
53465 |
WKCF |
- |
CLERMONT |
FL |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36912 |
WSAZ-TV |
- |
HUNTINGTON |
WV |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36918 |
KGUN |
- |
TUCSON |
AZ |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35190 |
KMTV |
- |
OMAHA |
NE |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35380 |
KOIN |
- |
PORTLAND |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48575 |
KRQE |
- |
ALBUQUERQUE |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48556 |
KBIM-TV |
- |
ROSWELL |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48589 |
KREZ-TV |
- |
DURANGO |
CO |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
4151 |
W40AN |
- |
ESCANABA |
MI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
4147 |
K55DZ |
- |
LIHUE |
HI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36907 |
K57BI |
- |
WAIMEA |
HI |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36909 |
K69BZ |
- |
LIHUE, ETC. |
|
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
53462 |
W04CN |
- |
COCOA, ETC. |
FL |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36921 |
W16CE |
- |
CHARLESTON |
WV |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36915 |
K16EO |
- |
ORO VALLEY/TUCSON |
AZ |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
36911 |
K02BW |
- |
CASAS ADOBES |
AZ |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35373 |
K31CR |
- |
PRINEVILLE, ETC. |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35374 |
K34DC |
- |
ASTORIA |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35371 |
K38CZ |
- |
LINCOLN CITY/NEWPORT |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35384 |
K11SE |
- |
BEND |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35381 |
K52AK |
- |
PRINEVILLE, ETC. |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35376 |
K64BK |
- |
THE DALLES |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35375 |
K65AE |
- |
TERREBONNE |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
67106 |
K52ET |
- |
TILLAMOOK |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35382 |
K63AW |
- |
GRAYS RIVER, ETC. |
OR |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48560 |
K09EP |
- |
GRANTS, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
5478 |
K08LA |
- |
BLACK LAKE |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
70216 |
K11AW |
- |
ROY |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
25509 |
K11NV |
- |
GUADALUPITA |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48580 |
K13OX |
- |
MUD CANYON |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
22272 |
K22EW |
- |
MORA |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35562 |
K38EC |
- |
EAGLE NEST |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48581 |
K44CJ |
- |
TUCUMCARI |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
35563 |
K45EC |
- |
SILVER CITY |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48588 |
K43GW |
- |
RATON, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48564 |
K57CF |
- |
CARRIZOZO, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48566 |
K67BG |
- |
CABALLO |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48585 |
K83AT |
- |
FARMINGTON, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48573 |
K63DU |
- |
LORDSBURG |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
19107 |
K66BH |
- |
NAVAJO COMP STATION |
AZ |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48572 |
K21FD |
- |
TAOS, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48552 |
K11OD |
- |
CARRIZOZO, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48579 |
K13OY |
- |
MESCALERO |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48587 |
K29DP |
- |
LORDSBURG |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48559 |
K43FI |
- |
LAS VEGAS |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48558 |
K44DD |
- |
CHAMA |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48569 |
K47DI |
- |
COYOTE CANYON |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48561 |
K57AW |
- |
DEMING |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48568 |
K25HJ |
- |
HORNSBY RANCH, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48571 |
K44GD |
- |
CROWNPOINT |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
23045 |
K67CE |
- |
GALLINA |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48565 |
K69AE |
- |
COLFAX, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
70695 |
K06BN |
- |
WAGON MOUND |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
13437 |
K08ES |
- |
RED RIVER |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
11465 |
K48GK |
- |
GALLUP |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
125596 |
K39FY |
- |
ZUNI |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
125582 |
K28HM |
- |
THOREAU |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
54181 |
K06KP |
- |
QUEMADO |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
59098 |
K62CU |
- |
SANTA ROSA |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48551 |
K49BY |
- |
CLOVIS |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48557 |
K40GC |
- |
DORA |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48554 |
K16BZ |
- |
RUIDOSO |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48563 |
K49FX |
- |
ALAMOGORDO |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
51292 |
K04NS |
- |
PAGOSA SPRINGS |
CO |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
51294 |
K43GT |
- |
PAGOSA SPRINGS |
CO |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48570 |
K13VW |
- |
CHINLE |
AZ |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48582 |
K30GL |
- |
MANY FARMS |
AZ |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48586 |
K26EP |
- |
DULCE/LUMBERTON |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48567 |
K11JO |
- |
BLOOMFIELD, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48577 |
K08FR |
- |
AZTEC |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48562 |
K21AX |
- |
FARMINGTON |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48590 |
K02IL |
- |
PAGOSA SPRINGS |
CO |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48592 |
K06JF |
- |
CORTEZ |
CO |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48595 |
K42DI |
- |
BAYFIELD/IGNACIO |
CO |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48591 |
K66AV |
- |
SUNETHA/NUTRIA |
CO |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
48593 |
K31FV |
- |
DURANGO & HERMOSA |
CO |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
47276 |
K65CG |
- |
ALAMOGORDO, ETC. |
NM |
Facility ID Number
|
Call Sign |
or Construction Permit File Number |
City
|
State
|
11568 |
K54CC |
- |
TRUTH OR CONSEQUENCE |
NM |
|
6. |
Agreements for Sale/Transfer of Station.
a. If the transaction is voluntary, Assignor/Transferor certifies that: |
i. |
it has placed in licensee's/permittee's public inspection file(s) and submitted as an exhibit to this item copies of all agreements for the assignment/transfer of the station(s); |
ii. |
these documents embody the complete and final understanding between assignor/transferor and assignee/transferee; and |
iii. |
these agreements comply fully with the Commission's rules and policies. |
b. If the transaction is involuntary, the Assignor/Transferor certifies that court orders or other authorizing documents have been issued and that it has placed in the licensee's/permittee's public inspecition file(s) and submitted to the Commission copies of such court orders or other authorizing documents.
Exhibit Required |
|
|
Yes No
N/A
[Exhibit 5]
Yes No
N/A
[Exhibit 6] |
7. |
Character Issues. Assignor/Transferor certifies that neither licensee/permittee nor any party to the application has or has had any interest in, or connection with:
a. |
any broadcast application in any proceeding where character issues were left unresolved or were resolved adversely against the applicant or any party to the application; or |
b. |
any pending broadcast application in which character issues have been raised. |
|
|
Yes No
See Explanation in
[Exhibit 7]
|
8. |
Adverse Findings. Assignor/Transferor certifies that, with respect to the assignor/transferor and each party to the application, no adverse finding has been made, nor has an adverse final action been taken by any court or administrative body in a civil or criminal proceeding brought under the provisions of any law related to any of the following: any felony; mass media-related antitrust or unfair competition; fraudulent statements to another governmental unit; or discrimination. |
|
Yes No
See Explanation in
[Exhibit 8]
|
9. |
Auction Authorization. Assignor/transferor certifies that more than five years have passed since the issuance of the construction permit for the station being assigned, where that permit was acquired in an auction through the use of a bidding credit or other special measure. |
Yes No
N/A
See Explanation in
[Exhibit 9] |
10. |
Anti-Drug Abuse Act Certification. Assignor/Transferor certifies that neither licensee/permittee nor any party to the application is subject to denial of federal benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862. |
Yes No |
I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations. I hereby waive any claim to the use of any particular frequency as against the regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and request an authorization in accordance with this application. (See Section 304 of the Communications Act of 1934, as amended.)