Licensing and Management System

FRN	Entity Name
0016855967	Sequim Community Broadcasting

Street Address	City (and Country if non U.S. address)	State ("NA" if non-U.S. address)	Zip Code	Phone	Email
609 West Washington Street	Sequim	WA	98382	+1 (360) 681-0000	jeff@ksqmfm.com

Name	Organization
John Joseph McVeigh, Esq.	J.J. McVeigh, Attorney At Law

Street Address	City (and Country if non U.S. address)	State	Zip Code	Phone	Email
16230 Falls Road Box 128	Butler	MD	21023-0128	+1 (443) 927-6657	kd4vs@comcast.net

Not Applicable

(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.

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

Licensee/Permittee Name	FRN
Sequim Community Broadcasting	0016855967

Fac. ID No.	Call Sign	City	State	Service
172153	KSQM	SEQUIM	WA	FM

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	Articles of Incorporation
Parties to contract or instrument	The Incorporator, the Registered Agent, and the Secretary of State of the State of Washington
Date of execution	04/2005
Date of expiration	No expiration date
Agreement type (check all that apply)	Other Agreement Type: Organic Document

Document Information
Description of contract or instrument	Certificate of Incorporation
Parties to contract or instrument	The Secretary of State of the State Of Washington
Date of execution	04/2005
Date of expiration	No expiration date
Agreement type (check all that apply)	Other Agreement Type: Organic Document

Document Information
Description of contract or instrument	Amendment to Articles of Incorporation
Parties to contract or instrument	The Board of Directors and the Secretary of State of the State of Washington
Date of execution	01/2007
Date of expiration	No expiration date
Agreement type (check all that apply)	Other Agreement Type: Organic Document

Document Information
Description of contract or instrument	(Amended) By-Laws
Parties to contract or instrument	The Directors
Date of execution	12/2006
Date of expiration	No expiration date
Agreement type (check all that apply)	Other Agreement Type: Organic Document

Document Information
Description of contract or instrument	Consent Action Further Amending By-laws
Parties to contract or instrument	The Directors
Date of execution	10/2007
Date of expiration	No expiration date
Agreement type (check all that apply)	Other Agreement Type: Organic Document

(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	0016855967
Entity Name	Sequim Community Broadcasting
Address	PO Box
	Street 1	609 West Washington Street
	Street 2
	City	Sequim
	State ("NA" if non-U.S. address)	WA
	Zip/Postal Code	98382
	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	9990130798
Name	Jeffrey Allen Bankston
Address	PO Box	4153
	Street 1
	Street 2
	City	Sequim
	State ("NA" if non-U.S. address)	WA
	Zip/Postal Code	98382
	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	Real-Estate Investor
By Whom Appointed or Elected	The Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	16.7%
	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	9990130823
Name	Lynda L. Perry
Address	PO Box	3187
	Street 1
	Street 2
	City	Sequim
	State ("NA" if non-U.S. address)	WA
	Zip/Postal Code	98382
	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	Graphic Artist
By Whom Appointed or Elected	The Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Female
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	16.7%
	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	9990135287
Name	George Dooley
Address	PO Box
	Street 1	234 Lake Sharon Lane
	Street 2
	City	Port Angeles
	State ("NA" if non-U.S. address)	WA
	Zip/Postal Code	98362
	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	Retired
By Whom Appointed or Elected	The Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	16.7%
	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	9990135288
Name	Al Friess
Address	PO Box
	Street 1	165 Madigan Place
	Street 2
	City	Sequim
	State ("NA" if non-U.S. address)	WA
	Zip/Postal Code	98382
	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 Business Executive
By Whom Appointed or Elected	The Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	16.7%
	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	0029118148
Name	Scott Scherer
Address	PO Box
	Street 1	143 Red Deer Drive
	Street 2
	City	Port Angeles
	State ("NA" if non-U.S. address)	WA
	Zip/Postal Code	98362
	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	Retired
By Whom Appointed or Elected	The Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	16.7%
	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	2130013366
Name	Derek Brown
Address	PO Box
	Street 1	140 Horizon View Drive
	Street 2
	City	Sequim
	State ("NA" if non-U.S. address)	WA
	Zip/Postal Code	98382
	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	Banking
By Whom Appointed or Elected	The Board of Directors
Citizenship, Gender, Ethnicity, and Race Information (Natural Persons Only)
	Citizenship	US
	Gender	Male
	Ethnicity	Not Hispanic or Latino
	Race	White
Interest Percentages (enter percentage values from 0.0 to 100.0)	Voting	16.7%
	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

(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

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.

The Repondent is a Not-for-Profit Corporation organized under the laws of the State of Washington. It is governed by a Board of Directors. Each Director is a natural person.

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: Vice-President Exact Legal Title or Name of Respondent: Sequim Community Broadcasting Name: Jeffrey Allen Bankston Phone: 3606810000 11/30/2021