| Section | Question | Response |
|---|---|---|
| Attachments | Are attachments (other than associated schedules) being filed with this application? | No |
| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
PATRICIA E. VAN ZANDT Licensee Doing Business As: PATRICIA VAN ZANDT |
PATRICIA VAN ZANDT 194 GODFREY ROAD EDGEWATER, FL 32141 United States |
+1 (217) 899-7190 |
RLVZ@aol.com |
Individual |
| Contact Name | Address | Phone | Contact Type | |
|---|---|---|---|---|
|
RICHARD VAN ZANDT Technical Consultant Van Zandt Engineering |
194 GODFREY ROAD EDGEWATER, FL 32141 United States |
+1 (217) 899-7190 |
RLVZ@AOL.COM |
Technical Representative |
| Date of Consummation | FRN of Licensee Post-consummation |
|---|---|
| 2021-12-27 | 0007013675 |
Select all the authorizations in the table below that will not be consummated
| Call Sign | Facility ID | File Number | Will Not Consummate |
|---|---|---|---|
| WGNX | 164225 | 0000157820 |
| 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. | PATRICIA E. VAN ZANDT LICENSEE 12/29/2021 |
