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Licensing and Management System

Approved by OMB 3060-0906
May 2015
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)Annual DTV Ancillary/Supplementary Services Report

File Number:
0000006854
Submit Date:
11/30/2015
Call Sign:
K40CG-D
Facility ID:
55596
FRN:
0004311916
State:
Colorado
City:
YUMA
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
11/30/2015
Filing Status:
Active


General Information

Section Question Response
Attachments Are attachments (other than associated schedules) being filed with this application? No

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

REGION 1 TRANSLATOR ASSOCIATION

Doing Business As: REGION 1 TRANSLATOR ASSOCIATION

323 W 4TH AVE

YUMA, CO 80759

United States

+1 (970) 630-3854 RFSYSTEMSLLC@GMAIL.COM Government Entity

Authorization Holder Name

Contact Representatives (1)

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Contact Name Address Phone Email Contact Type

Ed Lake

CHIEF OPERATOR

RF Systems LLC

323 W. 4th Ave

Yuma, CO 80759

United States

+1 (970) 630-3854 rfsystemsllc@gmail.com Technical Representative

Ancillary/Supplementary Services

Section Question Response
For the twelve-month period ended September 30th, has the DTV licensee or permittee provided, at any time during the period, an ancillary or supplementary service as defined by 47 C.F.R. Section 73.624? No
Are there any other stations by the same licensee that have not provided such services? Yes
Call Sign City State Licensee
K24EZ-D IDALIA CO REGION 1 TRANSLATOR ASSOCIATION
K36AC-D YUMA CO REGION 1 TRANSLATOR ASSOCIATION
K34AC-D YUMA CO REGION 1 TRANSLATOR ASSOCIATION
K41MT-D WRAY CO REGION 1 TRANSLATOR ASSOCIATION
K41IT-D HAXTUN CO REGION 1 TRANSLATOR ASSOCIATION
K25GZ-D HOLYOKE CO REGION 1 TRANSLATOR ASSOCIATION
K16EK-D IDALIA CO REGION 1 TRANSLATOR ASSOCIATION
K21FF-D HOLYOKE CO REGION 1 TRANSLATOR ASSOCIATION
K51IL-D JULESBURG CO REGION 1 TRANSLATOR ASSOCIATION
K45IS-D JULESBURG CO REGION 1 TRANSLATOR ASSOCIATION
K50LP-D ANTON CO REGION 1 TRANSLATOR ASSOCIATION
K15FD-D HOLYOKE CO REGION 1 TRANSLATOR ASSOCIATION
K39LU-D WRAY CO REGION 1 TRANSLATOR ASSOCIATION
K29HD-D IDALIA CO REGION 1 TRANSLATOR ASSOCIATION
K11UW-D AKRON CO REGION 1 TRANSLATOR ASSOCIATION
K27IH-D HOLYOKE CO REGION 1 TRANSLATOR ASSOCIATION
K08ND-D AKRON CO REGION 1 TRANSLATOR ASSOCIATION
K48GA-D WRAY CO REGION 1 TRANSLATOR ASSOCIATION
K14KL-D PLEASANT VALLEY CO REGION 1 TRANSLATOR ASSOCIATION
K43JJ-D HAXTUN CO REGION 1 TRANSLATOR ASSOCIATION
K33GM-D HAXTUN CO REGION 1 TRANSLATOR ASSOCIATION
K28IX-D PLEASANT VALLEY CO REGION 1 TRANSLATOR ASSOCIATION
K39HM-D HAXTUN CO REGION 1 TRANSLATOR ASSOCIATION
K31IH-D WRAY CO REGION 1 TRANSLATOR ASSOCIATION
K26FP-D IDALIA CO REGION 1 TRANSLATOR ASSOCIATION
K22KW-D JULESBURG CO REGION 1 TRANSLATOR ASSOCIATION
K17KX-D ANTON CO REGION 1 TRANSLATOR ASSOCIATION
K17EU-D HOLYOKE CO REGION 1 TRANSLATOR ASSOCIATION
K30HA-D YUMA CO REGION 1 TRANSLATOR ASSOCIATION
K30GO-D PLEASANT VALLEY CO REGION 1 TRANSLATOR ASSOCIATION
K35GO-D HAXTUN CO REGION 1 TRANSLATOR ASSOCIATION
K31FZ-D HAXTUN CO REGION 1 TRANSLATOR ASSOCIATION
K20HM-D IDALIA CO REGION 1 TRANSLATOR ASSOCIATION
K18GM-D PLEASANT VALLEY CO REGION 1 TRANSLATOR ASSOCIATION
K42GI-D YUMA CO REGION 1 TRANSLATOR ASSOCIATION
K24FU-D PLEASANT VALLEY CO REGION 1 TRANSLATOR ASSOCIATION
K32AB-D YUMA CO REGION 1 TRANSLATOR ASSOCIATION
K16ET-D PLEASANT VALLEY CO REGION 1 TRANSLATOR ASSOCIATION
K18FO-D IDALIA CO REGION 1 TRANSLATOR ASSOCIATION
K22CQ-D IDALIA CO REGION 1 TRANSLATOR ASSOCIATION
K49IN-D JULESBURG CO REGION 1 TRANSLATOR ASSOCIATION
K26GX-D PLEASANT VALLEY CO REGION 1 TRANSLATOR ASSOCIATION
K20KO-D JULESBURG CO REGION 1 TRANSLATOR ASSOCIATION
K20GK-D PLEASANT VALLEY CO REGION 1 TRANSLATOR ASSOCIATION
K28JH-D YUMA CO REGION 1 TRANSLATOR ASSOCIATION
K46FF-D WRAY CO REGION 1 TRANSLATOR ASSOCIATION
K38AD-D YUMA CO REGION 1 TRANSLATOR ASSOCIATION
K14LB-D IDALIA CO REGION 1 TRANSLATOR ASSOCIATION
K29GI-D HOLYOKE CO REGION 1 TRANSLATOR ASSOCIATION
K44FM-D WRAY CO REGION 1 TRANSLATOR ASSOCIATION
K18KH-D JULESBURG CO REGION 1 TRANSLATOR ASSOCIATION
K47JH-D JULESBURG CO REGION 1 TRANSLATOR ASSOCIATION
K19EG-D HOLYOKE CO REGION 1 TRANSLATOR ASSOCIATION
K50FJ-D WRAY CO REGION 1 TRANSLATOR ASSOCIATION

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

Ed Lake

Cheif Operator


11/30/2015

Attachments

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Information not provided.