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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 Non-Biennial Ownership Report (FCC Form 323)

File Number:
0000173484
Submit Date:
2021-11-30
FRN:
0031687320
Purpose:
Commercial Broadcast Stations Non-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

0031687320

Allan C. Mayer Jr. Exempt Descendants Trust

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

PO Box 941

Manson

WA

98331

+1 (206) 457-9366

allan@amjr.com

2. Contact Representative

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Name Organization

David G. O'Neil, Esq.

Rini O'Neil, PC

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

2101 L Street, NW

Suite 300

Washington

DC

20037

+1 (202) 955-3931

doneil@rinioneil.com

3. Application Filing Fee

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Not Applicable

4. Nature of Respondent

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(a) Provide the following information about the Respondent:

Relationship to stations/permits

Entity required to file a Form 323 because it holds an attributable interest in one or more Licensees

Nature of Respondent

Other

Trust

(b) Provide the following information about this report:
Purpose Transfer of control or assignment of license/permit
"As of" date 11/28/2021

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)/Permittees(s) and Station(s)/Permit(s)

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Respondent is filing this report to cover the following Licensee(s)/Permittee(s) and station(s)/permit(s):
Licensee/Permittee Name FRN
Chelan Valley Media Group LLC 0031130370
Fac. ID No. Call Sign City State Service
49366 KOZI-FM CHELAN WA FM
49370 KOZI CHELAN WA AM
162412 KZAL MANSON WA FM

Section II – Non-Biennial Ownership Information

1. 47 C.F.R. Section 73.3613 and Other Documents

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Licensee/Permittee Respondents 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/Permittee 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, 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) or Permittee(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) or Permittee(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 0031687320
Entity Name Allan C. Mayer Jr. Exempt Descendants Trust
Address PO Box 941
Street 1
Street 2
City Manson
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98331
Country (if non-U.S. address) United States
Listing Type

Respondent

Positional Interests
(check all that apply)

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

No

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 0031687429
Name Allan C. Mayer, Jr.
Address PO Box 941
Street 1
Street 2
City Manson
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98331
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Other - Trustee
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 33.3% Jointly Held?

No

Total assets (Equity Debt Plus) 100.0%
Does interest holder have an attributable interest in one or more broadcast stations that do not appear on this report?

No

Ownership Information
FRN 0031687346
Name Debra Mayer
Address PO Box 941
Street 1
Street 2
City Manson
State ("NA" if non-U.S. address) WA
Zip/Postal Code 98331
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Other - Trustee
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 33.3% Jointly Held?

No

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 9990147709
Name Timothy N. Thompson
Address PO Box
Street 1 Sedgwick Advisors, LLC
Street 2 111 E. Busse Avenue, Suite 601
City Mount Prospect
State ("NA" if non-U.S. address) IL
Zip/Postal Code 60056
Country (if non-U.S. address) United States
Listing Type

Other Interest Holder

Positional Interests
(check all that apply)

Other - Trustee
Interest Percentages
(enter percentage values from 0.0 to 100.0)
Voting 33.3% Jointly Held?

No

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) 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.

Yes

Family Relationships
FRN 0031687346 Name Debra Mayer
FRN 0031687429 Name Allan C Mayer , Jr. .
Relationship Spouses
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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

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: Trustee

Exact Legal Title or Name of Respondent: Allan C. Mayer Jr. Exempt Descendants Trust

Name: Allan C. Mayer , Jr.

Phone: 2064579366


11/30/2021