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Approved by OMB 3060-0031
October 2020
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)Amendment to an Assignment

File Number:
BALET-20050223ABP
Submit Date:
02/23/2005
Call Sign:
KSMQ-TV
Facility ID:
28510
FRN:
0006649545
State:
Minnesota
City:
AUSTIN
Service:
TV
Purpose:
Assignment Amendment
Status:
Superceded
Status Date:
04/28/2005
Filing Status:
InActive


General Information

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

Fees, Waivers, and Exemptions

Section Question Response
Fees Is the applicant exempt from FCC application Fees? Yes
Indicate reason for fee exemption:
Waivers Does this filing request a waiver of the Commission's rule(s)?
Total number of rule sections involved in this waiver request:

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

INDEPENDENT SCHOOL DISTRICT #492

Assignor

Doing Business As: INDEPENDENT SCHOOL DISTRICT #492

2000 8TH AVENUE, N.W.

AUSTIN, MN 55912

United States

+1 (507) 433-0678 KSMQ@KSMQ.ORG Other

Authorization Holder Name

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

LAWRENCE M. MILLER

SCHWARTZ, WOODS & MILLER

1233 20TH STREET, NW

SUITE 610

WASHINGTON, DC 20036

+1 (202) 833-1700 MILLER@SWMLAW.COM

LAWRENCE M. MILLER

SCHWARTZ, WOODS & MILLER

1233 20TH STREET, NW

SUITE 610

WASHINGTON, DC 20036

+1 (202) 833-1700 MILLER@SWMLAW.COM

Alien Ownership

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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?
2) Is the applicant an alien or the representative of an alien? (Section 310(b)(1))
3) Is the applicant a corporation, or non-corporate entity, that is organized under the laws of any foreign government? (Section 310(b)(2))
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))
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))
6) Has the applicant received a declaratory ruling(s) under Section 310(b)(4) of the Communications Act?
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?

Parties to the Application (9)

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Party Name Address Phone Email Positional Interest

VICTORIA SIMONSEN

1209 CRESTVIEW ROAD ALBERT LEA MN

MN 56007

Positional Interest:
DIRECTOR
Citizenship:
United States
Percentage of Votes:
%
Percentage of Total Assets:
%

TRIXIE GOLBERG

1827 CREEKSIDE DRIVE OWATONNA MN

MN 55060

Positional Interest:
DIRECTOR
Citizenship:
United States
Percentage of Votes:
%
Percentage of Total Assets:
%

LILIANA SILVESTRY

610 4TH AVENUE S.W. AUSTIN MN

MN 55912

Positional Interest:
DIRECTOR
Citizenship:
United States
Percentage of Votes:
%
Percentage of Total Assets:
%

JULIE CRAVEN

2801 8TH AVENUE S.W. AUSTIN MN

MN 55912

Positional Interest:
DIRECTOR
Citizenship:
United States
Percentage of Votes:
%
Percentage of Total Assets:
%

GARY EVANS

4820 8TH STREET WINONA

MN 55987

Positional Interest:
DIRECTOR
Citizenship:
United States
Percentage of Votes:
%
Percentage of Total Assets:
%

DR. TERRENCE LEAS

22171 733RD AVENUE ALBERT LEA MN

MN 56007

Positional Interest:
DIRECTOR
Citizenship:
United States
Percentage of Votes:
%
Percentage of Total Assets:
%

DR. MICHAEL BEQUETTE

1973 CENTURY VALLEY ROAD N.E. ROCHESTER

MN 55906

Positional Interest:
DIRECTOR
Citizenship:
United States
Percentage of Votes:
%
Percentage of Total Assets:
%

DR. JAMES HURM

603 24TH STREET S.W. AUSTIN MN

MN 55912

Positional Interest:
DIRECTOR
Citizenship:
United States
Percentage of Votes:
%
Percentage of Total Assets:
%

DR. CANDACE F. RASKIN

2502 7TH AVENUE S.W. AUSTIN MN

MN 55912

Positional Interest:
DIRECTOR
Citizenship:
United States
Percentage of Votes:
%
Percentage of Total Assets:
%

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.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.


Attachments

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File Name Uploaded By Attachment Type Description
1058533_1681421.pdf Applicant All Purpose RESOLUTION
1058533_1681422.pdf Applicant All Purpose FORM 340, SECTION II, PAGE 1
1058533_303744.txt Applicant All Purpose PURPOSE OF AMENDMENT
1058533_303745.txt Applicant All Purpose RESOLUTION
1058533_303746.txt Applicant All Purpose FORM 340, SECTION II, PAGE 1
1058533_303747.txt Applicant All Purpose RESOLUTION
1058533_6117433.pdf Applicant All Purpose FORM 340, SECTION II, PAGE 1