Licensing and Management System

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
NORTHWESTERN ILLINOIS RADIO FELLOWSHIP, INC. Doing Business As: NORTHWESTERN ILLINOIS RADIO FELLOWSHIP, INC.	MIKE ST. ORES 208 W STEPHENSON STREET FREEPORT, IL 61032 United States	+1 (815) 235-2507	mickeysaint@gmail.com	Not-for-Profit

Contact Representatives Information (1)

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Contact Name	Address	Phone	Email	Contact Type
Jeffrey Duke Southmayd ATTORNEY SOUTHMAYD & MILLER	JEFFEY D SOUTHMAYD 158 South Riverwalk Drive, Palm Coast, FL, USA PALM COAST, FL 32137 United States	+1 (386) 846-5134	jdsouthmayd@msn.com	Legal Representative

Consummation Extension Details

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New Requested Consummation Date

Extension Details	Response
This is a first request for a ninety (90) day extension of the deadline to consummate the referenced assignment of license/transfer of control application.	Y
This is a second or greater extension of time for consummation request.	N

Certification

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Section	Question	Response
Authorized Party to Sign	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 declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Dave Timm PRESIDENT 05/22/2024

Attachments

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Information not provided.