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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:
0000163646
Submit Date:
2021-10-13
FRN:
0016922205
Purpose:
Noncommercial Broadcast Stations Biennial Ownership Report
Status:
Submitted
Status Date:
10/13/2021
Filing Status:
Active

Section I - General Information

1. Respondent

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FRN Entity Name

0016922205

Native American Community Board, Inc.

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

P.O. Box 572

Lake Andes

SD

57356

+1 (605) 487-7072

charon@charles-mix.com

2. Contact Representative

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Name Organization

Alan Korn

Law Office of Alan Korn

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

1442-A Walnut Street, PMB 387

Berkeley

CA

94709

+1 (510) 548-7300

alan@alankorn.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
Native American Community Board, Inc. 0016922205
Fac. ID No. Call Sign City State Service
172838 KDKO LAKE ANDES SD 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 0016922205
Entity Name Native American Community Board, Inc.
Address PO Box
Street 1 P.O. Box 572
Street 2
City Lake Andes
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57356
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 9990142733
Name Charon Asetoyer
Address PO Box
Street 1 155 North 4th Avenue
Street 2
City Lake Andes
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57356
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
Principal Profession or Occupation Non-Profit Director
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 American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 20.0%
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 9990117697
Name Katrina Crantrell
Address PO Box 254
Street 1
Street 2
City Round Mountain
State ("NA" if non-U.S. address) CA
Zip/Postal Code 96084
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer
Principal Profession or Occupation Executive Director of Women's Health Clinic
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 American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 20.0%
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 9990117698
Name Mia Luluqusien
Address PO Box
Street 1 704 E. 15th Street
Street 2
City Oakland
State ("NA" if non-U.S. address) CA
Zip/Postal Code 94606
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 Public Health Consultant
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 American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 20.0%
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 9990117699
Name Kimberly Mettler-Chase
Address PO Box
Street 1 711 Robinson Avenue
Street 2
City San Diego
State ("NA" if non-U.S. address) CA
Zip/Postal Code 92103
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 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 American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 20.0%
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 9990117702
Name Flo Hare
Address PO Box
Street 1 835-1/2 Lake Street
Street 2
City Lake Andes
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57356
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 Tribal Member
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 American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 20.0%
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.


Licensee is a free-standing entity with no parent ownership or subsidiary by any other person or entity. All members of the governing board lack any other cognizable media interest.


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: Executive Director

Exact Legal Title or Name of Respondent: Native American Community Board

Name: Charon Asetoyer

Phone: 6054877072


10/13/2021