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

Licensing and Management System

Approved by OMB 3060-0010
September 2019
Go to the Federal Communications Commission homepage at www.fcc.gov

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

File Number:
0000163637
Submit Date:
2021-10-13
FRN:
0011488822
Purpose:
Commercial Broadcast Stations Biennial Ownership Report
Status:
Received
Status Date:
10/25/2021
Filing Status:
Active

Section I - General Information

1. Respondent

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FRN Entity Name

0011488822

Green River Foundation

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

12401 SE 320th Street

Auburn

WA

98092

+1 (253) 833-9111

kgrg@greenriver.edu

2. Contact Representative

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Name Organization

Tom Evans Krause

Green River Foundation

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

12401 SE 320th Street

Auburn

WA

98092

+1 (253) 833-9111

kgrg@greenriver.edu

3. Application Filing Fee

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Question Response

Is this application being submitted without a filing fee?

Yes

If this application is being submitted without a filing fee, Indicate reason for fee exemption.

Other

Provide Explanation: Not-For-Profit Corporation operating KGRG as a non-commercial station

4. Nature of Respondent

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(a) Provide the following information about the Respondent:

Relationship to stations/permits

Licensee

Nature of Respondent

Not-for-profit corporation

(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
Green River Foundation 0011488822
Fac. ID No. Call Sign City State Service
14061 KGRG ENUMCLAW WA AM

Section II – Biennial Ownership Information

1. 47 C.F.R. Section 73.3613 and Other 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. In addition, attributable Local Marketing Agreements (LMAs) and attributable Joint Sales Agreements (JSAs) must be disclosed by the licensee of the brokering station on its ownership report. If the agreement is an attributable LMA, an attributable JSA, or a network affiliation agreement, check the appropriate box. Otherwise, select “Other.” Non-Licensee Respondents, as well as Licensee Respondents that only hold authorizations for Class A television and/or low power television stations, should select “Not Applicable” in response to this question.


Document Information
Description of contract or instrument ARTICLES OF INCORPORATION
Parties to contract or instrument GREEN RIVER FOUNDATION
Date of execution 09/1975
Date of expiration No expiration date
Agreement type
(check all that apply)
Other

Agreement Type: None

Document Information
Description of contract or instrument BYLAWS
Parties to contract or instrument GREEN RIVER FOUNDATION
Date of execution 02/1995
Date of expiration No expiration date
Agreement type
(check all that apply)
Other

Agreement Type: None

Document Information
Description of contract or instrument ARTICLES OF AMENDMENT
Parties to contract or instrument GREEN RIVER FOUNDATION
Date of execution 12/1977
Date of expiration No expiration date
Agreement type
(check all that apply)
Other

Agreement Type: None

Document Information
Description of contract or instrument ARTICLES OF AMENDMENT
Parties to contract or instrument GREEN RIVER FOUNDATION
Date of execution 01/1981
Date of expiration No expiration date
Agreement type
(check all that apply)
Other

Agreement Type: None

Document Information
Description of contract or instrument ARTICLES OF AMENDMENT
Parties to contract or instrument GREEN RIVER FOUNDATION
Date of execution 02/1984
Date of expiration No expiration date
Agreement type
(check all that apply)
Other

Agreement Type: None

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, directors, stockholders, non-insulated partners, non-insulated members, 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 0011488822
Entity Name Green River Foundation
Address PO Box
Street 1 12401 SE 320th Street
Street 2
City Auburn
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98092
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% Jointly Held?

No

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 9990057409
Name Shirley Bean
Address PO Box
Street 1 3827 N. 7th Street
Street 2
City Tacoma
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98406
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
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 4.4% Jointly Held?

No

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 9990057417
Name Nancy Colson
Address PO Box
Street 1 1214 O Street NE
Street 2
City Auburn
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98002-3515
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990057433
Name Chuck Folsom
Address PO Box
Street 1 2121 218th Avenue E.
Street 2
City Sumner
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98390
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
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 4.4% Jointly Held?

No

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 9990057458
Name John Hayes Holman
Address PO Box
Street 1 11603 SE 322nd Street
Street 2
City Auburn
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98092
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990057490
Name Frank Rasmussen
Address PO Box
Street 1 24476 SE 177th Street
Street 2
City Maple Valley
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98038
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
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 4.4% Jointly Held?

No

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 9990057508
Name Jim Rottle
Address PO Box
Street 1 32021 169th Avenue SE
Street 2
City Auburn
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98092
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990057540
Name Deb Casey
Address PO Box
Street 1 235 1st Avenue NE
Street 2
City Issaquah
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98027
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990118964
Name Gail Spurrell
Address PO Box
Street 1 13516 SE 251st Place
Street 2
City Kent
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98042
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990118969
Name Suzanne Johnson
Address PO Box
Street 1 7053 Lindsay Avenue SE
Street 2 Apt. 0102
City Auburn
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98092
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
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 4.4% Jointly Held?

No

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 9990118970
Name Bruce DeJong
Address PO Box
Street 1 20001 16th Street E.
Street 2
City Lake Tapps
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98391
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990118972
Name Mary Beth Sheehan
Address PO Box
Street 1 1301 H Street SE
Street 2
City Auburn
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98002
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
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 4.4% Jointly Held?

No

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 9990118973
Name John Schneider
Address PO Box
Street 1 20827 26th Street Court E.
Street 2
City Lake Tapps
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98391
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990118974
Name Jim Tanasse
Address PO Box
Street 1 29838 201st Place SE
Street 2
City Kent
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98042
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
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 4.4% Jointly Held?

No

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 9990137275
Name Adriana Pachuca Cruson
Address PO Box
Street 1 24510 120th Street E.
Street 2
City Buckley
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98321
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship MX
Gender

Female

Ethnicity

Hispanic or Latino

Race White
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.4% Jointly Held?

No

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 9990137276
Name Rolita Ezeonu
Address PO Box
Street 1 7645 39th Avenue S.
Street 2
City Seattle
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98118
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Female

Ethnicity

Not Hispanic or Latino

Race Native Hawaiian or Other Pacific Islander
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.4% Jointly Held?

No

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 9990137279
Name Shad McOmber
Address PO Box
Street 1 2230 56th Street SE
Street 2
City Auburn
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98092
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990137280
Name Dave Pouliot
Address PO Box
Street 1 24330 249th Avenue SE
Street 2
City Maple Valley
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98038
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990137281
Name Bob Filson
Address PO Box
Street 1 11400 SE 326th Place
Street 2
City Auburn
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98092
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990137282
Name Char Grinolds
Address PO Box
Street 1 25111 120th Place SE
Street 2
City Kent
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98030
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Female

Ethnicity

Not Hispanic or Latino

Race Asian
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.4% Jointly Held?

No

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 9990144111
Name Awale Farah
Address PO Box
Street 1 25122 117th Court SE
Street 2
City Kent
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98030
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990144112
Name Matt Maury
Address PO Box
Street 1 725 Ninth Avenue
Street 2 Unit 1201
City Seattle
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98104
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
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 4.4% Jointly Held?

No

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 9990144113
Name Tevin Gladney
Address PO Box
Street 1 1110 29th Avenue South
Street 2 Unit B
City Seattle
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98144
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race Asian, Black or African American
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.4% Jointly Held?

No

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 9990144114
Name Cisco Malpartida Smith
Address PO Box
Street 1 8218 South 124th Street
Street 2
City Seattle
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98178
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Director
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Hispanic or Latino

Race White
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.4% Jointly Held?

No

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) Does the Respondent or any reported interest holder hold an attributable interest in any newspaper entities in the same market as any station for which this report is filed, as defined in 47 C.F.R. Section 73.3555?


If "Yes," provide information describing the interest(s), using EITHER the subform OR the spreadsheet option below. Respondents with a large number (50 or more) of entries to submit should use the spreadsheet option.


NOTE: Spreadsheets must be submitted in a special XML Spreadsheet format with the appropriate structure that is specified in the documentation. For instructions on how to use the spreadsheet option to complete this question (including templates to start with), please Click Here.


If using the subform, 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 newspaper entity solely on the basis of the Commission’s Equity Debt Plus attribution standard, 47 C.F.R. Section 73.3555, Note 2(i). If using an XML Spreadsheet, enter “NA” into the percentage of total assets (Equity Debt Plus) field for an interest holder unless that interest holder has an attributable interest in the newspaper entity solely on the basis of the Commission’s Equity Debt Plus attribution standard.


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.

No

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(d) Are any of the individuals listed as an attributable interest holder in the Respondent married to each other or related to each other as parent‐child or as siblings?

If "Yes," provide the following information for each such the relationship.

No

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(e) 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.


Licensee Green River Foundation does not have a parent entity.


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: Green River Foundation

Name: James G Tanasse

Phone: 2069548499


10/13/2021