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:
0000006033
Submit Date:
11/16/2015
Call Sign:
K45JM-D
Facility ID:
167864
FRN:
0009466624
State:
Utah
City:
MARYSVALE
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
11/16/2015
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

PIUTE COUNTY

Applicant

Doing Business As: PIUTE COUNTY

Piute County

550 NORTH MAIN

JUNCTION, UT 84740

United States

+1 (435) 527-3508 mauriparsons@hotmail.com Other

Authorization Holder Name

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

Kerry Dalton

Piute County Technician

PIUTE COUNTY

PO Box 132

Circleville, UT 84723

United States

+1 (435) 527-3508 mauriparsons@hotmail.com Technical Representative

MAURI Kent Parsons

Piute County Technical Adviser

MP Electronics

Mauri Parsons

371 SOUTH 460 EAST

P.O. BOX 473

MONROE, UT 84754

United States

+1 (435) 527-3508 mauriparsons@hotmail.com Technical Representative

Ancillary/Supplementary Services

Call Sign City State Licensee
K23KW-D CIRCLEVILLE UT PIUTE COUNTY
K40IX-D ANTIMONY UT PIUTE COUNTY
K31IY-D CIRCLEVILLE UT PIUTE COUNTY
K41LD-D ANTIMONY UT PIUTE COUNTY
K32HN-D CIRCLEVILLE, ETC. UT PIUTE COUNTY
K25LS-D CIRCLEVILLE UT PIUTE COUNTY
K19GM-D CIRCLEVILLE UT PIUTE COUNTY
K47KO-D MARYSVALE UT PIUTE COUNTY
K50JV-D MARYSVALE UT PIUTE COUNTY
K38JS-D ANTIMONY UT PIUTE COUNTY
K44JU-D ANTIMONY UT PIUTE COUNTY
K42IX-D ANTIMONY UT PIUTE COUNTY
K36IG-D ANTIMONY UT PIUTE COUNTY
K46KN-D MARYSVALE UT PIUTE COUNTY
K46IV-D ANTIMONY UT PIUTE COUNTY
K43MV-D MARYSVALE UT PIUTE COUNTY
K27KU-D CIRCLEVILLE UT PIUTE COUNTY
K21IB-D CIRCLEVILLE UT PIUTE COUNTY
K48LU-D MARYSVALE UT PIUTE COUNTY

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.

Mauri Kent Parsons

Piute county Technical Adviser


11/16/2015

Attachments

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Information not provided.