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:
0000063834
Submit Date:
11/30/2018
Call Sign:
K41MF-D
Facility ID:
43003
FRN:
0006118814
State:
Minnesota
City:
GRANITE FALLS
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
11/30/2018
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

MINNESOTA VALLEY TV IMPROVEMENT CORPORATION

Doing Business As: MVTV Wireless

P.O.BOX A

GRANITE FALLS, MN 56241

United States

+1 (320) 564-4970 dlrichter@mvtvwireless.com Not-for-Profit

Authorization Holder Name

Contact Representatives (3)

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Contact Name Address Phone Email Contact Type

Darryl DeLawder

President

DeLawder Communications, Inc.

Darryl DeLawder

PO Box 1095

Ashburn, VA 20146

United States

+1 (703) 299-6559 delawder@aol.com Technical Representative

SHELLEY SADOWSKY

Shelley Sadowsky, LLC

5938 Dorchester Way

ROCKVILLE, MD 20852

United States

+1 (202) 997-9392 shelley@sadowskycommlaw.com Legal Representative

Thomas UPPMAN

TECHNICAL CONSULTANT

Uppman Technical Services

Thomas Uppman

27408 Scenic Byway Road

BELLE PLAINE, MN 56011

United States

+1 (952) 237-3783 thomas@uppmantech.com Technical Representative

Ancillary/Supplementary Services

Ancillary/Supplementary Services Provided. Briefly describe below the service provided; the amount of gross revenues received therefrom and the amount of DTV bitstrearm used to provide such service.


Description of Service Gross Revenues ($) Bitstream Used
Subscription Video Programming 11887.0 7
Total amount of gross revenues derived from feeable ancillary or supplementary services: $ 11887.0
The Annual DTV Service Fee which is 5 percent of the total of gross Revenue is: $ 594.35

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.

Daniel L. Richter

President


11/30/2018

Attachments

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Information not provided.