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

Licensing and Management System

Approved by OMB 3060-1206
March 2015
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)Schedule 381 Certification

File Number:
0000004156
Submit Date:
07/09/2015
Call Sign:
KIEM-TV
Facility ID:
53382
FRN:
0023258130
State:
California
City:
EUREKA
Service:
DTV
Purpose:
Schedule 381 Certification
Status:
Received
Status Date:
07/09/2015
Filing Status:
Active


General Information

Section Question Response
Attachments Are attachments (other than associated schedules) being filed with this application? Yes

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

POLLACK/BELZ BROADCASTING COMPANY, LLC

William H. Pollack

5500 POPLAR AVE.

SUITE 1

MEMPHIS, TN 38119

United States

+1 (901) 685-3993 whpollack@gmail.com Limited Liability Company

Authorization Holder Name

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

Harold Stanton

MS Broadcast Consultants

P.O. Box 500

Sumrall, MS 39482

United States

+1 (601) 336-0015 hastanton2013@yahoo.com Technical Representative

Barry Wood

Wood, Martin & Hardy, PC

Barry D. Wood

3300 Fairfax Drive

Suite 202

Arlington, VA 22201

United States

+1 (703) 465-2361 wood@legalcompass.com Legal Representative

Schedule 381

Section Question Response
Database Certification License File Number: BLCDT-20090622AGO
Licensee hereby certifies that it has reviewed its license authorization/construction permit and underlying Database Technical Information for its Eligible Facility as reflected in File Number BLCDT-20090622AGO and it is accurate and complete to the best of its knowledge
Information on Licensed Facility Transmitter Make: Larcan
Transmitter Model: TTP60ML
Transmitter Maximum Power Output: 18.0
Transmitter Type: Solid State
Licensee's Primary Antenna Antenna Type: Batwing
Is the licensee’s primary antenna capable of operating over multiple channels (e.g., broadband)? No
Is the licensee’s primary antenna shared? No
Antenna Location: Top Mount
Licensee's Primary Transmission Line Transmission Line Type: Flexible
Antenna Support Structure Year of last structural analysis conducted on the structure: Other
Under what structural standard was the last structural analysis conducted: Other
Does the licensee own this antenna support structure: Yes

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.

William H. Pollack

President


07/09/2015

Attachments

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File Name Uploaded By Attachment Type Description
KIEM-381TowerExhibit.pdf Applicant General Information Tower Structural Analysis Exhibit