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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:
BAFEDT-20121025ACD
Submit Date:
10/25/2012
Call Sign:
KYIN
Facility ID:
29086
FRN:
0002586535
State:
Iowa
City:
MASON CITY
Service:
DTV
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
10/26/2012
Filing Status:
Active


General Information

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

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

IOWA PUBLIC BROADCASTING BOARD

Applicant

Doing Business As: IOWA PUBLIC BROADCASTING BOARD

P.O. BOX 6450

JOHNSTON, IA 50131

United States

+1 (515) 242-3100 DKM@IPTV.ORG Other

Authorization Holder Name

Contact Representatives (1)

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Contact Name Address Phone Email Contact Type

TODD D. GRAY

DOW LOHNES PLLC

United States

+1 (202) 776-2000 TGRAY@DOWLOHNES.COM Legal Representative

Ancillary/Supplementary Services

Ancillary/Supplementary Services Provided. Briefly describe below the service provided; the amount of gross revenues received therefrom and the amount of DTV bitstrearm used to provide such service.


Description of Service Gross Revenues ($) Bitstream Used
IOWA RADIO READING INFORMATION SERVICE 0.0 110 KBPS
NATIONAL DATACAST, INC. 0.0 100 KBPS
Total amount of gross revenues derived from feeable ancillary or supplementary services: $ 0.0
The Annual DTV Service Fee which is 5 percent of the total of gross Revenue is: $

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.

DANIEL K. MILLER


Attachments

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Information not provided.