| Section | Question | Response |
|---|---|---|
| Attachments | Are attachments (other than associated schedules) being filed with this application? | No |
| Section | Question | Response |
|---|---|---|
| Fees | Is the applicant exempt from FCC application Fees? | Yes |
| Indicate reason for fee exemption: | Amendment submitted per staff request | |
| Waivers | Does this filing request a waiver of the Commission's rule(s)? | No |
| Total number of rule sections involved in this waiver request: |
| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
Xana Oregon, LLC |
Thomas Hodgins 45 Campbell Road Walla Walla, WA 99362 United States |
+1 (509) 527-1000 | tomh@kujam.com | Limited Liability Company |
| Contact Name | Address | Phone | Contact Type | |
|---|---|---|---|---|
|
Mark B. Denbo , Esq . Legal Counsel Smithwick & Belendiuk, P.C. |
Mark Denbo 5028 Wisconsin Avenue, N.W. Suite 301 Washington, DC 20016 United States |
+1 (202) 350-9656 | mdenbo@fccworld.com | Legal Representative |
|
Erik Swanson , PE . Consulting Engineer Hatfield and Dawson |
Erik Swanson HATFIELD & DAWSON CONSULTING ENGINEERS 9500 GREEN AVENUE NORTH SEATTLE, WA 98103 United States |
+1 (206) 783-9151 | eswanson@hatdaw.com | Technical Representative |
|
Kathleen Victory FCC Fletcher Heald & Hildreth, PLC |
1300 N. 17th Street Suite 1100 Arlington, VA 22209 United States |
+1 (703) 812-0473 | victory@fhhlaw.com | Legal Representative |
| Question | Response |
|---|---|
| 1) Is the applicant a foreign government or the representative of any foreign government as specified in Section 310(a) of the Communications Act? | No |
| 2) Is the applicant an alien or the representative of an alien? (Section 310(b)(1)) | No |
| 3) Is the applicant a corporation, or non-corporate entity, that is organized under the laws of any foreign government? (Section 310(b)(2)) | No |
| 4) Is the applicant an entity of which more than one-fifth of the capital stock, or other equity or voting interest, is owned of record or voted by aliens or their representatives or by a foreign government or representative thereof or by any entity organized under the laws of a foreign country? (Section 310(b)(3)) | No |
| 5) Is the applicant directly or indirectly controlled by any other entity of which more than one-fourth of the capital stock, or other equity or voting interest, is owned of record or voted by aliens, their representatives, or by a foreign government or representative thereof, or by any entity organized under the laws of a foreign country? (Section 310(b)(4)) | No |
| 6) Has the applicant received a declaratory ruling(s) under Section 310(b)(4) of the Communications Act? | No |
| 7) In connection with this application, is the applicant filing a foreign ownership Petition for Declaratory Ruling pursuant to Section 310(b)(4) of the Communications Act? | No |
| Party Name | Address | Phone | Positional Interest | |
|---|---|---|---|---|
|
247 Media Ministries |
25375 SW Parkway Avenue Suite 20 Wilsonville, OR 97070 United States |
+1 (503) 819-5810 | david.harms@247mediaministries.com |
|
|
David Harms Mr. |
10941 SW AMatzen Dr. Wilsonville, OR 97070 United States |
+1 (503) 819-5810 | david.harms@247mediaministries.com |
|
|
Larry Briggs Mr. |
7307 Breveland Tigard, OR 97035 United States |
+1 (503) 997-2270 | larry@v2a.com |
|
|
Barbara Harms Mrs. |
10941 SW AMatzen Dr. Wilsonville, OR 97070 United States |
+1 (503) 840-0717 | barbara_harms5@gmail.com |
|
|
Anastasia Carter Ms. |
11898 SW Palermo St. Wilsonville, OR 97070 United States |
+1 (503) 550-1014 | Amc111878@gmail.com |
|
|
James Autry Mr. |
25375 SW Parkway Avenue Suite 200 Wilsonville, OR 97070 United States |
+1 (503) 515-5647 | james@servingourneighbors.org |
|
|
Katherine Fiedler Ms. |
25375 SW Parkway Avenue Suite 200 Wilsonville, OR 97070 United States |
+1 (503) 309-4217 | kfiedler@EPICEVENTSGLOBAL.COM |
|
| 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. | ||
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. |
05/26/2022 |
| File Name | Uploaded By | Attachment Type | Description |
|---|---|---|---|
| 1. KYOZ and K239CL Assignor Statement - Agreements For Sale-Transfer of Station.docx | Applicant | Assignor Legal Certifications | Assignor Statement Regarding Agreements for Sale/Transfer of Station |
| 247 Ministries Other Interests.PDF | Applicant | Assignee Legal Certifications | Assignee - Other Interests |
| 2. KYOZ and K239CL Assignor Other Authorizations.pdf | Applicant | Assignor Legal Certifications | Assignor Other Authorizations |
| KYOZ and K239CL APA .pdf | Applicant | Assignee Legal Certifications | Asset Purchase Agreement |
| KYOZ and K239CL Draft Secured Promissory Note 3.24.22.pdf | Applicant | Assignee Legal Certifications | KYOZ and K39CL Draft Secured Promissory Note |
| KYOZ and K239CL Purpose for Second Amendment.pdf | Applicant | Amendment | KYOZ - K239CL Purpose of Second Amendment |
| KYOZ - K239CL Security Agreement..pdf | Applicant | Assignee Legal Certifications | Security Agreement |
| KYOZ - Purpose of Amendment.pdf | Applicant | Amendment | Purpose of Amendment |
| Multiple Ownership Compliance Exhibit.PDF | Applicant | Assignee Legal Certifications | Multiple Ownership Compliance Exhibit |
