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:
0000033987
Submit Date:
10/20/2017
Call Sign:
K19JW-D
Facility ID:
181318
FRN:
0003720687
State:
Hawaii
City:
MAUNA LOA
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
10/20/2017
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

HAWAII PUBLIC TELEVISION FOUNDATION

Doing Business As: HAWAII PUBLIC TELEVISION FOUNDATION

P.O. BOX 29805

HONOLULU, HI 96820

United States

+1 (808) 462-5000 KYAMAMOTO@PBSHAWAII.ORG Not-for-Profit

Authorization Holder Name

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

MARGARET MILLER

GRAY MILLER PERSH LLP

1200 New Hampshire Ave. NW

Suite 410

Washington, DC 20036

United States

+1 (202) 776-2914 MMILLER@GRAYMILLERPERSH.COM Legal Representative

John Nakahira

CHIEF ENGINEER

PBS Hawaii

John Nakahira

315 Sand Island Access Road

Honolulu, HI 96819

United States

+1 (808) 462-5055 jnakahira@pbshawaii.org 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
K30JE-D LIHUE HI HAWAII PUBLIC TELEVISION FOUNDATION
K34IS-D KILAUEA HI HAWAII PUBLIC TELEVISION FOUNDATION
K21IA-D WAIPAKE HI HAWAII PUBLIC TELEVISION FOUNDATION
K41JT-D KILAUEA MILTARY CAMP HI HAWAII PUBLIC TELEVISION FOUNDATION
K36IJ-D ANAHOLA, ETC. HI HAWAII PUBLIC TELEVISION FOUNDATION
K28JV-D HILO HI HAWAII PUBLIC TELEVISION FOUNDATION
K50JT-D HAKALAU HI HAWAII PUBLIC TELEVISION FOUNDATION
K31IZ-D NAALEHU HI HAWAII PUBLIC TELEVISION FOUNDATION
K28JM-D WAIMEA HI HAWAII PUBLIC TELEVISION FOUNDATION
K29HL-D HANALEI, ETC. HI HAWAII PUBLIC TELEVISION FOUNDATION
K35II-D SOUTH POINT HI HAWAII PUBLIC TELEVISION FOUNDATION

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.

Leslie Wilcox

President and CEO


10/20/2017

Attachments

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Information not provided.