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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:
0000016564
Submit Date:
10/31/2016
Call Sign:
K38AJ-D
Facility ID:
58860
FRN:
0004530846
State:
Utah
City:
BLANDING/MONTICELLO
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
10/31/2016
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

SAN JUAN COUNTY

Doing Business As: SAN JUAN COUNTY

Wayne Johnson

PO Box 1570

PO BOX 1570

CORTEZ, CO 81321

United States

+1 (970) 565-2129 SANJUANCOUNTYTV@SANJUANCOUNTY.ORG Government Entity

Authorization Holder Name

Contact Representatives (1)

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Contact Name Address Phone Email Contact Type

WAYNE JOHNSON

technical representative

SAN JUAN COUNTY

WAYNE JOHNSON

PO BOX 1570

CORTEZ, CO 81321

United States

+1 (970) 749-0310 SANJUANCOUNTYTV@SANJUANCOUNTY.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
K34JN-D MONTEZUMA CREEK-ANET UT SAN JUAN COUNTY
K21IV-D OLJETO UT SAN JUAN COUNTY
K19HB-D OLJETO UT SAN JUAN COUNTY
K19HE-D BLUFF UT SAN JUAN COUNTY
K21IX-D MONTEZUMA CRK/ANETH UT SAN JUAN COUNTY
K16HI-D NAVAJO MOUNTAIN UT SAN JUAN COUNTY
K20JE-D NAVAJO MTN.SCH.,ETC. UT SAN JUAN COUNTY
K23JC-D MONTEZUMA CRK/ANETH UT SAN JUAN COUNTY
K43MD-D BLANDING, ETC UT SAN JUAN COUNTY
K20JF-D OLJETO UT SAN JUAN COUNTY
K21IU-D NAVAJO MTN.SCH.,ETC. UT SAN JUAN COUNTY
K22IE-D NAVAJO MTN.SCH.,ETC. UT SAN JUAN COUNTY
K25JT-D BLANDING/MONTICELLO UT SAN JUAN COUNTY
K18IA-D OLJETO UT SAN JUAN COUNTY
K20KC-D MEXICAN HAT, ETC UT SAN JUAN COUNTY
K17IH-D MONTEZUMA CREEK-ANET UT SAN JUAN COUNTY
K22IF-D OLJETO UT SAN JUAN COUNTY
K21IW-D MEXICAN HAT UT SAN JUAN COUNTY
K23KC-D BLUFF, ETC UT SAN JUAN COUNTY
K17JF-D BLUFF, ETC UT SAN JUAN COUNTY
K16HK-D MEXICAN HAT UT SAN JUAN COUNTY
K19HA-D NAVAJO MTN.SCH.,ETC. UT SAN JUAN COUNTY
K44AG-D BLANDING/MONTICELLO UT SAN JUAN COUNTY
K21KC-D BLUFF, ETC UT SAN JUAN COUNTY
K18HZ-D NAVAJO MOUNTAIN UT SAN JUAN COUNTY
K17IE-D NAVAJO MOUNTAIN SCHO UT SAN JUAN COUNTY
K45GM-D BLANDING/MONTICELLO UT SAN JUAN COUNTY
K19IG-D MEXICAN HAT, ETC UT SAN JUAN COUNTY
K46AF-D BLANDING/MONTICELLO UT SAN JUAN COUNTY
K15HM-D MONTEZUMA CRK./ANETH UT SAN JUAN COUNTY
K22IG-D MEXICAN HAT UT SAN JUAN COUNTY
K33JO-D BLUFF & AREA UT SAN JUAN COUNTY
K15HN-D BLUFF & AREA UT SAN JUAN COUNTY
K33JN-D MONTEZUMA CK & ANETH UT SAN JUAN COUNTY
K36AK-D BLANDING/MONTICELLO UT SAN JUAN COUNTY
K17JH-D MEXICAN HAT, ETC UT SAN JUAN COUNTY
K18IB-D MEXICAN HAT UT SAN JUAN COUNTY
K19HU-D MONTEZUMA CK&ANETH UT SAN JUAN COUNTY
K34JO-D BLUFF & AREA UT SAN JUAN COUNTY
K16HJ-D OLJETO UT SAN JUAN COUNTY
K17IF-D OLJETO UT SAN JUAN COUNTY
K42AD-D BLANDING/MONTICELLO UT SAN JUAN 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.

Wayne Johnson

technical adviser


10/31/2016

Attachments

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Information not provided.