Go to the Federal Communications Commission homepage at www.fcc.gov

Licensing and Management System

Approved by OMB 3060-1178
July 2019
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)FCC Form 399: Eligibility Certification

Facility ID:
27268
Service:
LPD
Call Sign:
KHWB-LD
Channel:
34 (UHF)
File Number:
0000086428
FRN:
0011489424
Eligibility Status:
Not Determined
Date Submitted:
10/15/2019

Applicant Information

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Applicant Address Phone Email Applicant Type

HIS WORD BROADCASTING CO.

Chuck Giddens

PO Box 72917

Springfield, OR 97475

United States

+1 (541) 870-7208 chuck@hiswordbroadcasting.org Not-for-Profit

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

Chuck Giddens

Secretary/Treasure

HIS WORD BROADCASTING CO.

Chuck Giddens

PO Box 72917

Springfield, OR 97475

United States

+1 (541) 870-7208 chuck@hiswordbroadcasting.org Legal Representative

DANIEL Mooney

CHIEF ENGINEER

Ridgeline Broadcast Services, LLC

Daniel Mooney

39341 HOWARD ROAD

MARCOLA, OR 97454

United States

+1 (541) 954-7042 dan@ridgelinebroadcast.com Technical Representative

Eligibility Information

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Section Question Response
LPTV/Translator Eligibility Selected LMS File Number of Granted Displacement Construction Permit
There is no Granted Displacement Construction Permit for this facility because this facility has been granted a License to Cover. Yes
The Station was licensed or had an application for license (FCC Form 2100 Schedule D) pending on April 13, 2017. Yes
The Station was licensed and transmitting for not less than 2 hours in each day of the week and not less than a total of 28 hours per calendar week for 9 of the 12 months prior to April 13, 2017. Yes
Licensee has attached true copies of documents or other evidence that demonstrate the Station's operation as described in Section III.1.a.ii. Yes
Licensee is not requesting reimbursement for payments previously received or expected to be received from the Fund and is not requesting reimbursement of expenses paid or expected to be paid by any other source. Yes

Certification

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Section Question Response
Submission of Eligibility Certification WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS IN 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), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).
  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Eligibility Certification Form on behalf of the above-named entity.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  4. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Chuck Giddens

President


10/15/2019

Attachments

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Information not provided.