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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:
0000174580
Submit Date:
2021-11-30
FRN:
0021980784
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

0021980784

KHOI FM

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

622 Douglas Avenue

Ames

IA

50010-6470

+1 (515) 292-2878

khoiradio@gmail.com

2. Contact Representative

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Name Organization

Lynne Carey

KHOI FM

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

622 Douglas Avenue

Ames

IA

50010-6470

+1 (515) 292-2878

khoiradio@gmail.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
KHOI FM 0021980784
Fac. ID No. Call Sign City State Service
175288 KHOI STORY CITY IA 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 0021980784
Entity Name KHOI FM
Address PO Box
Street 1 622 Douglas Avenue
Street 2
City Ames
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50010-6470
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 9990127186
Name Thomas L. Beell
Address PO Box
Street 1 1217 Roosevelt Avenue
Street 2
City Ames
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50010
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 Professor of Journalism
By Whom Appointed or Elected Board
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 10.0%
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 9990127194
Name Mary E. Richards
Address PO Box
Street 1 720 Kellogg Avenue
Street 2 Apt. 201
City Ames
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50010-6251
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 Board
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 10.0%
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 9990147700
Name Paul Hertz
Address PO Box
Street 1 1013 Gaskill Dr
Street 2
City Ames
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50014
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 Organist
By Whom Appointed or Elected Board
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 10.0%
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 9990147777
Name Lynne Carey
Address PO Box
Street 1 436 Lynne Dr.
Street 2
City Nevada
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50201
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 Board
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 10.0%
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 9990147780
Name Tammy Koolbeck
Address PO Box
Street 1 4009 Aldrin Ave
Street 2
City Ames
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50014
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 Director
By Whom Appointed or Elected Board
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 10.0%
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 9990147960
Name Kerry Pat Schlarbaum, Mr.
Address PO Box
Street 1 19775 600th Ave.
Street 2
City Ames
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50010-6470
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
By Whom Appointed or Elected Board
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 10.0%
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 9990147979
Name Sam Wormley
Address PO Box
Street 1 1205 Scholl Road,
Street 2
City Ames
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50014-3969
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 Research Scientist
By Whom Appointed or Elected Board
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 10.0%
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 9990148014
Name Jim Popken
Address PO Box
Street 1 921 9th Street, Unit 303,
Street 2
City Ames,
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50010
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 Electrcial Engineer
By Whom Appointed or Elected Board
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 10.0%
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 9990148021
Name Ruth K. Wiedemeier
Address PO Box
Street 1 780 S 500th Ave
Street 2
City Ames
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50014
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 Business Mgr
By Whom Appointed or Elected Board
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 10.0%
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 9990148181
Name Anne Kinzel
Address PO Box
Street 1 720 DUFF AVE,
Street 2
City AMES IA 50010-6354
State ("NA" if non-U.S. address) IA
Zip/Postal Code 50010-6354
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 University Project Director
By Whom Appointed or Elected Board
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 10.0%
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.


KHOIfm is the sole entity holding this license


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: Station Manager

Exact Legal Title or Name of Respondent: KHOI FM

Name: Michael Murphy

Phone: 5152922878


11/30/2021