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

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:
0000018933
Submit Date:
12/05/2016
Call Sign:
K08PK-D
Facility ID:
43370
FRN:
0001591460
State:
Arizona
City:
BULLHEAD CITY
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
12/05/2016
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

MOHAVE COUNTY BOARD OF SUPERVISORS

Applicant

Doing Business As: MOHAVE COUNTY BOARD OF SUPERVISORS

PO BOX 7000

KINGMAN, AZ 86402

United States

+1 (928) 753-0729 kkeane@duanemorris.com Other

Authorization Holder Name

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

LOUIS R. DUTREIL , JR. .

CONSULTING ENGINEER

DUTREIL, LUNDIN & RACKLEY

DUTREIL LUNDIN & RACKLEY INC

201 FLETCHER AVE

SARASOTA, FL 34237

United States

+1 (941) 329-6004 BOBJR@DLR.COM Technical Representative

WILLIAM KEANE

Attorney

DUANE MORRIS LLP

505 9th Street, N.W.

Suite 1000

Washington, DC 20004

United States

+1 (202) 776-5243 KKEANE@DUANEMORRIS.COM Legal Representative

Ancillary/Supplementary Services

Call Sign City State Licensee
K42CP-D PEACH SPRINGS AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K46CG-D GOLDEN VALLEY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K04GT-D BULLHEAD CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K41FT-D KINGMAN AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K49EU-D CHLORIDE AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K43GU-D DOLAN SPRINGS AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K36FZ-D MEADVIEW AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K42EU-D TOPOCK AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K27EJ-D COLORADO CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K23DK-D MEADVIEW AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K31GZ-D LAKE HAVASU CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K34EF-D KINGMAN AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K38IR-D LAKE HAVASU CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K25DH-D MEADVIEW AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K46GI-D LAKE HAVASU CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K27DA-D BIG SANDY VALLEY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K26GF-D PEACH SPRINGS AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K23FV-D KINGMAN AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K48AY-D KINGMAN AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K17BN-D NEEDLES CA MOHAVE COUNTY BOARD OF SUPERVISORS
K32DW-D CHLORIDE AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K31EA-D LITTLEFIELD AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K21FU-D TOPOCK AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K08PK-D BULLHEAD CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K35EI-D DOLAN SPRINGS AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K29FD-D LAKE HAVASU CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K30GG-D CHLORIDE AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K12OF-D BULLHEAD CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K39FV-D LAKE HAVASU CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K35EE-D MOCCASIN AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K03IL-D BULLHEAD CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K44DK-D KINGMAN AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K16EV-D BULLHEAD CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K43GJ-D LAKE HAVASU CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K31HY-D NEEDLES, ETC. CA MOHAVE COUNTY BOARD OF SUPERVISORS
K47HE-D MEADVIEW AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K21EG-D GOLDEN VALLEY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K21EA-D LAKE HAVASU CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K41BZ-D DOLAN SPRINGS AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K42CQ-D CHLORIDE AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K38GR-D MEADVIEW AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K49GE-D KINGMAN AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K31BI-D KINGMAN AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K05MR-D BULLHEAD CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K07YJ-D BULLHEAD CITY AZ MOHAVE COUNTY BOARD OF SUPERVISORS
K50CY-D KINGMAN AZ MOHAVE COUNTY BOARD OF SUPERVISORS

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.

Mike Hendrix

COUNTY ADMINISTRATOR


12/05/2016

Attachments

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Information not provided.