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:
0000174584
Submit Date:
2021-11-30
FRN:
0016980435
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

0016980435

Rosebud Sioux Tribe

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

PO Box 430

Rosebud

SD

57570

+1 (605) 747-2291

roger@rst-nsn.gov

2. Contact Representative

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Name Organization

Melodie A. Virtue

Foster Garvey PC

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

1000 Potomac St., NW

Suite 200

Washington

DC

20007

+1 (202) 298-2527

melodie.virtue@foster.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
Rosebud Sioux Tribe 0016980435
Fac. ID No. Call Sign City State Service
66334 KINI CROOKSTON NE FM
173502 KOYA ROSEBUD 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.


Document Information
Description of contract or instrument Constitution and Bylaws of the Rosebud Sioux Tribe of South Dakota
Parties to contract or instrument Rosebud Sioux Tribe of Indians of the Rosebud Indian Reservation in the State of South Dakota
Date of execution 09/2007
Date of expiration No expiration date
Agreement type
(check all that apply)
Other

Agreement Type: Constitution and Bylaws of the Rosebud Sioux Tribe of South Dakota

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 0016980435
Entity Name Rosebud Sioux Tribe
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 9990126108
Name Scott Herman
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer, Other - President; Member of Governing Board (or other governing entity)
Principal Profession or Occupation Public Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.2%
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 9990126112
Name Russell Eagle Bear
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.3%
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 9990126122
Name Lisa White Pipe
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.3%
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 9990126180
Name C. Steve Brave, Jr.
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.3%
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 9990141576
Name Martha Blue Thunder
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.3%
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 9990141581
Name Stephan Denoyer, III.
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer, Other - Treasurer; Member of Governing Board (or other governing entity)
Principal Profession or Occupation Public Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.3%
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 9990141590
Name Eileen Shot
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.3%
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 9990147228
Name William Kindle
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer, Other - Vice President of Rosebud Sioux TribeMember of Governing Board (or other governing entity)
Principal Profession or Occupation Public Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.2%
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 9990147252
Name Nicole Marshall
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Officer, Other - Secretary of Rosebud Sioux TribeMember of Governing Board (or other governing entity)
Principal Profession or Occupation Public Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.2%
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 9990147254
Name Dwight D. Spotted Tail
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.2%
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 9990147255
Name Fremont Fallis
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.2%
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 9990147256
Name Wayne Frederick
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.2%
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 9990147257
Name Raymond Crow Eagle
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.2%
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 9990147258
Name Dennis C. Spotted Tail
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.2%
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 9990147259
Name William Marshall
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.2%
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 9990147260
Name Stanley Wooden Knife
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
Citizenship US
Gender

Male

Ethnicity

Not Hispanic or Latino

Race American Indian or Alaska Native
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 4.2%
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 9990147261
Name Donna Hollow Horn Bear
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.2%
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 9990147262
Name Tenille Black Feather
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.2%
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 9990147263
Name Micah Lunderman
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.2%
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 9990147264
Name Jordan Rahn
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.2%
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 9990147265
Name Shere Wright-Plank
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.2%
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 9990147266
Name Pam Kills in Water
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.2%
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 9990147267
Name Vanessa Red Hawk-Thompson
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.2%
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 9990147268
Name Dera Iyotte
Address PO Box 430
Street 1
Street 2
City Rosebud
State ("NA" if non-U.S. address) SD
Zip/Postal Code 57570
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 Official
By Whom Appointed or Elected Rosebud Sioux Tribe
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 4.2%
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.


Licensee 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: Rosebud Sioux Tribe

Name: Scott Herman

Phone: 6057472381


11/30/2021