Go to the Federal Communications Commission homepage at www.fcc.gov

Licensing and Management System

Approved by OMB 3060-0084
July 2019
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)Noncommercial Broadcast Stations Biennial Ownership Report (FCC Form 323-E)

File Number:
0000174544
Submit Date:
2021-11-30
FRN:
0023703663
Purpose:
Noncommercial Broadcast Stations Biennial Ownership Report
Status:
Received
Status Date:
11/30/2021
Filing Status:
Active

Section I - General Information

1. Respondent

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FRN Entity Name

0023703663

BD. Regents, U. Syst. of GA DBA Fort Valley State University

Street Address City (and Country if non U.S. address) State ("NA" if non-U.S. address) Zip Code Phone Email

1005 State University Drive

Fort Valley

GA

31030

+1 (478) 737-6441

elliss@fvsu.edu

2. Contact Representative

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Name Organization

Gary S. Smithwick, Esq.

Smithwick & Belendiuk, P.C.

Street Address City (and Country if non U.S. address) State Zip Code Phone Email

5028 Wisconsin Avenue, N.W.

Suite 301

Washington

DC

20016

+1 (202) 363-4560

gsmithwick@fccworld.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 10/01/2021

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.

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
BD. Regents, U. Syst. of GA DBA Fort Valley State University 0023703663
Fac. ID No. Call Sign City State Service
184736 WFVS-FM REYNOLDS GA FM

Section II – Biennial Ownership Information

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.

Not Applicable.

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 0023703663
Entity Name BD. Regents, U. Syst. of GA DBA Fort Valley State University
Address PO Box
Street 1 1005 State University Drive
Street 2
City Fort Valley
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31030
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 9990118961
Name Kessell D. Stelling, Jr.
Address PO Box
Street 1 Synovus Financial Corp.
Street 2 1111 Bay Avenue
City Columbus
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31902
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 Chairman and CEO Synovus
By Whom Appointed or Elected Governor
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 5.5%
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?

Yes

Ownership Information
FRN 9990125852
Name Sarah-Elizabeth Langford Reed
Address PO Box
Street 1 3040 Peachtree Road, Unit 1901
Street 2
City Atlanta
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30305
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 Board Member, Various Educational Entities
By Whom Appointed or Elected Governor
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 5.5%
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?

Yes

Ownership Information
FRN 9990118955
Name C. Thomas Hopkins, Jr., MD.
Address PO Box
Street 1 The Orthopaedic Sports and Injury Center of Griffin
Street 2 717 South 8th Street
City Griffin
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30224
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 Doctor
By Whom Appointed or Elected Governor
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 5.5%
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?

Yes

Ownership Information
FRN 9990118968
Name Don L. Waters
Address PO Box
Street 1 Waters Capital Partners, LLC.
Street 2 200 E St. Julian Street, #100
City Savannah
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31401
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 Member, Board of Regents, University System of Georgia
By Whom Appointed or Elected Governor
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 5.5%
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?

Yes

Ownership Information
FRN 9990129328
Name Sachin Shailendra
Address PO Box
Street 1 SG Contracting, Inc.
Street 2 1760 Peachtree St., SW, #100
City Atlanta
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30309
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 - SG Contracting, Inc.
By Whom Appointed or Elected Governor
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race Asian
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 5.5%
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 9990118959
Name Neil L. Pruitt, Jr.
Address PO Box
Street 1 PruittHealth
Street 2 1626 Jergens Court
City Norcross
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30093
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 Chairman and CEO PruittHealth, Inc
By Whom Appointed or Elected Governor
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 5.5%
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?

Yes

Ownership Information
FRN 9990125855
Name Paul Jones, Ph.D.
Address PO Box
Street 1 Office of the President - Huntington Hall
Street 2 1005 State University Drive
City Fort Valley
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31030
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
Principal Profession or Occupation University President
By Whom Appointed or Elected Board of Regents
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race Black or African American
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 9990118971
Name Philip A. Wilheit, Sr.
Address PO Box
Street 1 Wilheit Packaging
Street 2 P.O. Box 111
City Gainesville
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30503
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, Wilheit Packaging and Marketing Images
By Whom Appointed or Elected Governor
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 5.5%
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?

Yes

Ownership Information
FRN 9990118956
Name James M. Hull
Address PO Box
Street 1 Hull Property Group, LLC
Street 2 P.O. Box 204227
City Augusta
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30917
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 Founder and Managing Principal of Hull Property Group, LLC
By Whom Appointed or Elected Govenor
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 5.5%
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?

Yes

Ownership Information
FRN 9990145325
Name Cade Joiner
Address PO Box
Street 1 3522 Ashford Dunwoody Road
Street 2
City Brookhaven
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30319
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 Founder, Shred-X Secure Document Destruction
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990145326
Name C. Everett Kennedy, III.
Address PO Box
Street 1 1000 Bermuda Run Road
Street 2
City Statesboro
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30458
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 Chief Executive officer and Broker of Berkshire Hathaway Kennedy Realty
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990145327
Name Rachel B. Little
Address PO Box
Street 1 3945 Beaver Road
Street 2
City Loganville
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30052
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 Paralegal, Boehringer Ingelheim
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990145328
Name Lowery Houston May
Address PO Box
Street 1 3 Central Plaze, #333
Street 2
City Rome
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30161
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 Volunteer Land Management
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990145332
Name Harold Reynolds
Address PO Box
Street 1 6340 Lake Oconee Parkway
Street 2
City Greensboro
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30642
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 Chief Executive Officer of BankSouth Holding
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990145334
Name T. Dallas Smith
Address PO Box
Street 1 101 Marietta Street, #2350
Street 2
City Atlanta
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30303
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 Founder and Chief Executive Officer at T. Dallas Smith and Company
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990141653
Name W. Allen Gudenrath
Address PO Box
Street 1 770 Saint Andrews Drive
Street 2
City Macon
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31210
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, Morgan StanleyWealth Management
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990141658
Name Jose R. Perez
Address PO Box
Street 1 4321 Doerun Court
Street 2
City Peachtree Corners
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30092
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 Retired President, Target Market Trends, Inc.
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990141656
Name Samuel D. Holmes
Address PO Box
Street 1 3550 Lenox Road, NE, #2300
Street 2
City Atlanta
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30326
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 Vice Chairman, CBRE, Inc.
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990141655
Name Barbara Rivera Holmes
Address PO Box
Street 1 225 West Broad Avenue
Street 2
City Albany
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31701
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, Albany Area Chamber of Commerce
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990141654
Name Erin Hames
Address PO Box
Street 1 1700 Piedmont Avenue, NE
Street 2
City Atlanta
State ("NA" if non-U.S. address) GA
Zip/Postal Code 30324
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 Headmaster, Heritage Preparatory School
By Whom Appointed or Elected Governor of the State of Georgia
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 5.5%
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?

Yes

Ownership Information
FRN 9990147199
Name Govind Kannan, Ph.D.
Address PO Box
Street 1 1005 State University Drive
Street 2
City Fort Valley
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31030
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
Principal Profession or Occupation Vice President of Economic Development and Land Grant Affairs
By Whom Appointed or Elected President
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race Asian
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 9990147201
Name Timothy Hatchett, Ph.D.
Address PO Box
Street 1 1005 State University Drive
Street 2
City Fort Valley
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31030
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
Principal Profession or Occupation Vice President, Student Affairs and Encollment Management
By Whom Appointed or Elected President
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race Black or African American
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 9990147203
Name Michelle Martin
Address PO Box
Street 1 1005 State University Drive
Street 2
City Fort Valley
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31030
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
Principal Profession or Occupation Vice Presiident of business and Finance
By Whom Appointed or Elected President
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 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 9990147218
Name Anthony Holloman, Ed.D.
Address PO Box
Street 1 1005 State University Drive
Street 2
City Fort Valley
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31030
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
Principal Profession or Occupation Vice President of Institutional Advancement
By Whom Appointed or Elected President
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race Black or African American
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 9990147220
Name Olufunke Fontenot, Ed.D.
Address PO Box
Street 1 1005 State University Drive
Street 2
City Fort Valley
State ("NA" if non-U.S. address) GA
Zip/Postal Code 31030
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
Principal Profession or Occupation Provost and Vice President of Academic Affairs
By Whom Appointed or Elected President
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 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

(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.


There is no vertical ownership structure for this client


Section III - Certification

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: President

Exact Legal Title or Name of Respondent: Fort Valley State University

Name: Paul Jones , Ph.D..

Phone: 4787376441


11/30/2021