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Licensing and Management System

Approved by OMB 3060-0031
October 2020
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)Amendment to an Assignment

File Number:
BALCDT-20150917ADC
Submit Date:
09/17/2015
Call Sign:
KHME
Facility ID:
17688
FRN:
0018223693
State:
South Dakota
City:
RAPID CITY
Service:
DTV
Purpose:
Assignment Amendment
Status:
Superceded
Status Date:
12/07/2015
Filing Status:
InActive


General Information

Section Question Response
Attachments Are attachments (other than associated schedules) being filed with this application?

Fees, Waivers, and Exemptions

Section Question Response
Fees Is the applicant exempt from FCC application Fees? No
Indicate reason for fee exemption:
Waivers Does this filing request a waiver of the Commission's rule(s)?
Total number of rule sections involved in this waiver request:

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

RUSHMORE MEDIA COMPANY, INC.

Assignor

Doing Business As: RUSHMORE MEDIA COMPANY, INC.

660 FLORMANN ST

SUITE 100

RAPID CITY, SD 57701

United States

+1 (605) 343-6161 LGREEN@SCHURZ.COM Other

Authorization Holder Name

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

JACK N. GOODMAN

LAW OFFICES OF JACK N GOODMAN

1200 NEW HAMPSHIRE AVE NW

STE 600

WASHINGTON, DC 20036

+1 (202) 776-2045 JACK@JACKNGOODMAN.COM

DEREK TESLIK

COOLEY LLP

1299 PENNSYLVANIA AVENUE, NW

SUITE 700

WASHINGTON, DC 20004

+1 (202) 776-2668 DTESLIK@COOLEY.COM

Alien Ownership

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Question Response
1) Is the applicant a foreign government or the representative of any foreign government as specified in Section 310(a) of the Communications Act?
2) Is the applicant an alien or the representative of an alien? (Section 310(b)(1))
3) Is the applicant a corporation, or non-corporate entity, that is organized under the laws of any foreign government? (Section 310(b)(2))
4) Is the applicant an entity of which more than one-fifth of the capital stock, or other equity or voting interest, is owned of record or voted by aliens or their representatives or by a foreign government or representative thereof or by any entity organized under the laws of a foreign country? (Section 310(b)(3))
5) Is the applicant directly or indirectly controlled by any other entity of which more than one-fourth of the capital stock, or other equity or voting interest, is owned of record or voted by aliens, their representatives, or by a foreign government or representative thereof, or by any entity organized under the laws of a foreign country? (Section 310(b)(4))
6) Has the applicant received a declaratory ruling(s) under Section 310(b)(4) of the Communications Act?
7) In connection with this application, is the applicant filing a foreign ownership Petition for Declaratory Ruling pursuant to Section 310(b)(4) of the Communications Act?

Parties to the Application (0)

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Information not provided.

Certification

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Section Question Response
General Certification Statements The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by authorization or otherwise, and requests an Authorization in accordance with this application (See Section 304 of the Communications Act of 1934, as amended.).
The Applicant certifies that neither the Applicant nor any other party to the application is subject to a denial of Federal benefits pursuant to §5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §862, because of a conviction for possession or distribution of a controlled substance. This certification does not apply to applications filed in services exempted under §1.2002(c) of the rules, 47 CFR . See §1.2002(b) of the rules, 47 CFR §1.2002(b), for the definition of "party to the application" as used in this certification §1.2002(c). The Applicant certifies that all statements made in this application and in the exhibits, attachments, or documents incorporated by reference are material, are part of this application, and are true, complete, correct, and made in good faith.
Authorized Party to Sign

FAILURE TO SIGN THIS APPLICATION MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID

Upon grant of this application, the Authorization Holder may be subject to certain construction or coverage requirements. Failure to meet the construction or coverage requirements will result in automatic cancellation of the Authorization. Consult appropriate FCC regulations to determine the construction or coverage requirements that apply to the type of Authorization requested in this application.

WILLFUL FALSE STATEMENTS MADE ON THIS FORM OR ANY ATTACHMENTS ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. Code, Title 18, §1001) AND/OR REVOCATION OF ANY STATION AUTHORIZATION (U.S. Code, Title 47, §312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, §503).

I certify that this application includes all required and relevant attachments.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.


Attachments

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File Name Uploaded By Attachment Type Description
1687178_20141734.pdf Applicant All Purpose Exhibit 13: Asset Purchase Agreement
1687178_20142436.pdf Applicant All Purpose Exhibit 6 -- Schurz Communications
1694215_1325795.txt Applicant All Purpose AMENDMENT
1694215_1325796.txt Applicant All Purpose AGREEMENTS
1694215_1325797.txt Applicant All Purpose EXHIBIT 13-UPDATED COMPREHENSIVE EXHIBIT
1694215_1325798.txt Applicant All Purpose EXHIBIT 14-PARTIES TO THE APPLICATION
1694215_1325799.txt Applicant All Purpose EXHIBIT 16-OTHER AUTHORIZATIONS
1694215_1325800.txt Applicant All Purpose EXHIBIT 18-MULTIPLE OWNERSHIP
1694215_20550680.pdf Applicant All Purpose Exhibit 13: Updated Comprehensive Exhibit