Licensing and Management System

1. Respondent

FRN	Entity Name
0005423389	Nashville Public Television, Inc.

FRN

Entity Name

0005423389

Nashville Public Television, Inc.

Street Address	City (and Country if non U.S. address)	State ("NA" if non-U.S. address)	Zip Code	Phone	Email
161 Rains Avenue	Nashville	TN	37203	+1 (615) 259-9325	dtidwell@wnpt.org

2. Contact Representative

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Name	Organization
Matthew S. DelNero, Esq.	Covington & Burling LLP

Street Address	City (and Country if non U.S. address)	State	Zip Code	Phone	Email
One CityCenter 850 Tenth Street, N.W.	Washington	DC	20001	+1 (202) 662-5543	mdelnero@cov.com

Street Address

City (and Country if non U.S. address)

State

Zip Code

Phone

Email

One CityCenter

850 Tenth Street, N.W.

Washington

DC

20001

+1 (202) 662-5543

mdelnero@cov.com

3. Application Filing Fee

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Not Applicable

4. Control of Respondent

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(a) Provide the following information about the Respondent:
Relationship to stations/permits	Licensee
Is the Respondent's governing board (or other governing entity) directly or indirectly under the control of another entity?		No

(b) Provide the following information about this report:
Purpose	Biennial
"As of" date	10/01/2019 When filing a biennial ownership report or validating and resubmitting a prior biennial ownership report, this date must be Oct. 1 of the year in which this report is filed.
Reason for Amendment	The report is being amended to revise the ownership interests section.

5. Licensee(s) and Station(s)

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Respondent is filing this report to cover the following Licensee(s) and station(s):

Licensee/Permittee Name	FRN
Nashville Public Television, Inc.	0005423389

Fac. ID No.	Call Sign	City	State	Service
41398	WNPT	NASHVILLE	TN	DTV

1. 47 C.F.R. Section 73.3613 Documents

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Licensee Respondents that hold authorizations for one or more full power television, AM, and/or FM stations should list all contracts and other instruments set forth in 47 C.F.R. Section 73.3613(a) through (c) for the facility or facilities listed on this report. If the agreement is a network affiliation agreement, check the appropriate box. Otherwise, select “Other.” Non-Licensee Respondents should select “Not Applicable” in response to this question.

Document Information
Description of contract or instrument	Charter of WDCN Public Television Corporation
Parties to contract or instrument	Tennessee Non-Profit Corporation
Date of execution	05/1998
Date of expiration	No expiration date
Agreement type (check all that apply)	Other Agreement Type: Charter

Document Information
Description of contract or instrument	Amended and Restated By-Laws
Parties to contract or instrument	Tennessee Non-Profit Corporation
Date of execution	04/1999
Date of expiration	No expiration date
Agreement type (check all that apply)	Other Agreement Type: Amended and Restated By-Laws

Document Information
Description of contract or instrument	Articles of Amendment to the Charter of WDCN Public Television Corporation to Change the Name to Nashville Public Television, Inc.
Parties to contract or instrument	Tennessee Non-Profit Corporation
Date of execution	01/2001
Date of expiration	No expiration date
Agreement type (check all that apply)	Other Agreement Type: Articles of Amendment to the Charter

Document Information
Description of contract or instrument	Membership Certification
Parties to contract or instrument	Public Broadcasting Service
Date of execution	07/2019
Date of expiration	06/2020
Agreement type (check all that apply)	Other Agreement Type: Membership Certification

2. Ownership Interests

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(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, members of the governing board (or other governing entity), stockholders, and any other persons or entities with a direct attributable interest in the Respondent pursuant to the standards set forth in 47 C.F.R. Section 73.3555. (A “direct” interest is one that is not held through any intervening companies or entities.) List each interest holder with a direct attributable interest in the Respondent separately.

Leave the percentage of total assets (Equity Debt Plus) field blank for an interest holder unless that interest holder has an attributable interest in the Respondent solely on the basis of the Commission’s Equity Debt Plus attribution standard, 47 C.F.R. Section 73.3555, Note 2(i).

In the case of vertical or indirect ownership structures, list only those interests in the Respondent that also represent an attributable interest in the Licensee(s) for which the report is being submitted.

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 a separate report for, any interest holder that does not have an attributable interest in the Licensee(s) for which the report is being submitted.

Please see the Instructions for further detail concerning interests that must be reported in response to this question.

The Respondent must provide an FCC Registration Number for each interest holder reported in response to this question. Please see the Instructions for detailed information and guidance concerning this requirement.

Ownership Information
FRN	0005423389
Entity Name	Nashville Public Television, Inc.
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Respondent
Positional Interests (check all that apply)	Respondent
Tribal Nation or Tribal Entity	Interest holder is not a Tribal nation or Tribal entity
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	0.0%
	Equity	0.0%
	Total assets (Equity Debt Plus)	0.0%
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122810
Name	Jeff W. Gregg
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Officer, Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Talent Agent, Creative Artists Agency
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122812
Name	Eleanor McDonald
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Officer, Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Vice President and General Counsel, Ingram Industries, Inc.
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122814
Name	Kevin Crane
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Officer, Member of Governing Board (or other governing entity)
Principal Profession or Occupation	NPT President and CEO
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122836
Name	Emily Bowman
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Attorney
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122837
Name	Jennifer R. Frist
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Community Volunteer
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122842
Name	Thomas J. Higgins
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	President - Consumer Integrated Group, Bridgestone Americas, Inc.
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122843
Name	Charlene M. Lebous
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Community Volunteer
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122845
Name	Jana Lisle Parham
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Senior Vice President - Wealth Management
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122850
Name	Yanika C. Smith-Bartley
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Senior Director, Employment Counsel, Asurion
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	Black or African American
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122855
Name	Jessica J. Thomas
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Attorney, Remington Outdoor Company
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	Black or African American
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122884
Name	Karen H. Thompson
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Assistant Vice President, Strategic Resource Group
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	Black or African American
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122885
Name	Denine Torr
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Director, Community Initiatives, Dollar General Coporation
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990122886
Name	Peter Westerholm
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	District 6 Council Member
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990138231
Name	Kathy Mattea
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Singer-Songwriter
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990138235
Name	Meg Underwood
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Senior Managing Director, Ankura Consulting
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990138236
Name	Jeffrey Buntin, Jr.
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	President and CEO, The Buntin Group
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990138237
Name	Sarah Teague
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Senior Credit Officer, Pinnacle Financial Partners
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

Ownership Information
FRN	9990138238
Name	Megan Swift Wiggins
Address	PO Box
	Street 1	161 Rains Avenue
	Street 2
	City	Nashville
	State ("NA" if non-U.S. address)	TN
	Zip/Postal Code	37203
	Country (if non-U.S. address)	United States
Listing Type	Other Interest Holder
Positional Interests (check all that apply)	Member of Governing Board (or other governing entity)
Principal Profession or Occupation	Sales Manager-Dell EMC
By Whom Appointed or Elected	Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	5.6%
	Equity	0.0%
	Total assets (Equity Debt Plus)
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?			No

(b) Respondent certifies that any interests, including equity, financial, or voting interests, not reported in this filing are non-attributable.
If "No," submit as an exhibit an explanation.

Yes

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(c) Is Respondent seeking an attribution exemption for any officer or director with duties wholly unrelated to the Licensee(s)?

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.

No

3. Organizational Chart (Licensees Only)

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Attach a flowchart or similar document showing the Licensee’s vertical ownership structure including the Licensee and all entities that have attributable interests in the Licensee. Licensees with a single parent entity may provide a brief explanatory textual Exhibit in lieu of a flowchart or similar document. Licensees without parent entities should so indicate in a textual Exhibit.

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

File Name	Uploaded By	Attachment Type	Description
Nashville Public Television (Exhibit 5 Ownership Chart for 2019 Biennial).pdf	Applicant	Ownership Chart	Exhibit 5 Ownership Chart

Certification

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Section	Question	Response
Authorized Party to Sign	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).
Certification	I certify 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.	Official Title: Interim CEO Exact Legal Title or Name of Respondent: Nashville Public Television, Inc. Name: Daniel Tidwell Phone: 6152599325 06/10/2021

Section

Question

Response

Authorized Party to Sign

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).

Certification

I certify 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.

Official Title: Interim CEO

Exact Legal Title or Name of Respondent: Nashville Public Television, Inc.

Name: Daniel Tidwell

Phone: 6152599325

06/10/2021

Licensing and Management System

(REFERENCE COPY - Not for submission)Amendment to a Non-Commercial Broadcast Stations Biennial Ownership Report

Section I - General Information

1. Respondent

2. Contact Representative

3. Application Filing Fee

4. Control of Respondent

5. Licensee(s) and Station(s)

Respondent is filing this report to cover the following Licensee(s) and station(s):

Section II – Biennial Ownership Information

1. 47 C.F.R. Section 73.3613 Documents

2. Ownership Interests

3. Organizational Chart (Licensees Only)

Section III - Certification

Certification