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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:
0000016581
Submit Date:
11/01/2016
Call Sign:
K28JN-D
Facility ID:
168165
FRN:
0005095062
State:
Utah
City:
MANTI, ETC.
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
11/01/2016
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

SANPETE COUNTY

Doing Business As: SANPETE COUNTY

Sandy Neill

160 North Main Street

MANTI, UT 84642

United States

+1 (435) 835-2131 sancoclerk@gmail.com Government Entity

Authorization Holder Name

Contact Representatives (3)

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Contact Name Address Phone Email Contact Type

Claudia Jarrett

Commissioner

Sanpete County

Claudia Jarrett

160 North Main Street

Manti, UT 84642

United States

+1 (435) 527-3566 claudiaj@cut.net Legal Representative

Reggie Parsons

Technical Representative

Sanpete County

Reggie Parsons

PO Box 152

Monroe, UT 84754

United States

+1 (435) 979-3727 rkp_4@hotmail.com Technical Representative

MAURI Kent Parsons

Central Utah TV Translator Coordinator

Sanpete County

Mauri Kent Parsons

371 SOUTH 460 EAST

P.O. BOX 473

MONROE, UT 84754

United States

+1 (435) 527-3508 MAURIPARSONS@HOTMAIL.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
K16IB-D MOUNT PLEASANT UT SANPETE COUNTY
K31FN-D MANTI & EPHRAIM UT SANPETE COUNTY
K22FW-D MOUNT PLEASANT UT SANPETE COUNTY
K41LI-D MAYFIELD UT SANPETE COUNTY
K17JE-D MAYFIELD UT SANPETE COUNTY
K17JD-D MOUNT PLEASANT UT SANPETE COUNTY
K18IU-D MAYFIELD UT SANPETE COUNTY
K41LE-D FOUNTAIN GREEN UT SANPETE COUNTY
K26IH-D MANTI, ETC. UT SANPETE COUNTY
K35JK-D FOUNTAIN GREEN UT SANPETE COUNTY
K46KT-D MAYFIELD UT SANPETE COUNTY
K48IL-D MOUNT PLEASANT UT SANPETE COUNTY
K40KN-D MAYFIELD UT SANPETE COUNTY
K21IC-D MOUNT PLEASANT UT SANPETE COUNTY
K36MI-D FOUNTAIN GREEN UT SANPETE COUNTY
K25GS-D MANTI AND EPHRAIM UT SANPETE COUNTY
K39KH-D FOUNTAIN GREEN UT SANPETE COUNTY
K42IY-D FOUNTAIN GREEN UT SANPETE COUNTY
K30KJ-D MANTI & EPHRAIN UT SANPETE COUNTY
K18IV-D MOUNT PLEASANT UT SANPETE COUNTY
K15HG-D MOUNT PLEASANT UT SANPETE COUNTY
K38LH-D MAYFIELD UT SANPETE COUNTY
K29EM-D MANTI & EPHRAIM UT SANPETE COUNTY
K22IX-D MAYFIELD UT SANPETE COUNTY
K39KG-D MAYFIELD UT SANPETE COUNTY
K32JB-D FOUNTAIN GREEN UT SANPETE COUNTY
K30KK-D FOUNTAIN GREEN UT SANPETE COUNTY
K19GN-D MOUNT PLEASANT UT SANPETE COUNTY
K15CD-D MAYFIELD UT SANPETE COUNTY
K46HO-D MOUNT PLEASANT UT SANPETE COUNTY
K40KO-D FOUNTAIN GREEN UT SANPETE COUNTY
K24HJ-D MANTI, ETC. UT SANPETE COUNTY
K34KQ-D FOUNTAIN GREEN UT SANPETE COUNTY
K50HL-D MOUNT PLEASANT UT SANPETE COUNTY
K38MV-D FOUNTAIN GREEN UT SANPETE COUNTY
K16HV-D MAYFIELD UT SANPETE COUNTY

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.

Mauri Parsons

Central Utah TV Translator Coordinator


11/01/2016

Attachments

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Information not provided.