| Section | Question | Response |
|---|---|---|
| Attachments | Are attachments (other than associated schedules) being filed with this application? | No |
| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
CALVARY CHAPEL OF COSTA MESA, INC. Doing Business As: CALVARY CHAPEL OF COSTA MESA, INC. |
Lance Emma 3000 W. MACARTHUR BLVD. SUITE 500 SANTA ANA, CA 92704 United States |
+1 (714) 918-6207 |
lemma@cccm.com |
Corporation |
| Contact Name | Address | Phone | Contact Type | |
|---|---|---|---|---|
|
Mark A Balkin Hardy, Carey, Chautin & Balkin, LLP |
1080 West Causeway Approach Mandeville, LA 70471 United States |
+1 (985) 629-0777 |
mbalkin@hardycarey.com |
Legal Representative |
|
ROBERT H BRANCH , Jr . Technical Consultant Robert Branch Technical Consultant |
212 HONEY TREE LANE LYNCHBURG, VA 24502 United States |
+1 (434) 385-5295 |
RBRANCH@EARTHLINK.NET |
Technical Representative |
| Date of Consummation | FRN of Licensee Post-consummation |
|---|---|
| 2021-06-18 | 0006611180 |
Select all the authorizations in the table below that will not be consummated
| Call Sign | Facility ID | File Number | Will Not Consummate |
|---|---|---|---|
| KWTH | 87122 | 0000137341 |
| 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. | Mark Balkin Counsel 06/21/2021 |
