| Section | Question | Response |
|---|---|---|
| Attachments | Are attachments (other than associated schedules) being filed with this application? | No |
| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
Juan Carlos Matos Owner Doing Business As: JUAN CARLOS MATOS BARRETO |
Juan Carlos Matos Barreto PO Box 7707 CAGUAS, PR 00726 United States |
+1 (787) 529-8917 |
JUAN97FM@GMAIL.COM |
Individual |
| Contact Name | Address | Phone | Contact Type | |
|---|---|---|---|---|
|
Donald Martin Attorney Law Office of Donald E Martin |
Donald Martin P.O. Box 8433 Falls Church, VA 22041 United States |
+1 (703) 642-2344 |
dempc@prodigy.net |
Legal Representative |
|
Juan Carlos Matos Barreto , Mr. . License Holder OWNER |
Juan Carlos Matos Barreto P.O. BOX 7707 CAGUAS, PR 00726 United States |
+1 (787) 529-8917 |
JUAN97FM@GMAIL.COM |
License Holder |
|
Doug Vernier Consulting Engineer Doug Vernier 1600 Picturesque Dr. Cedar Falls, IA 50613 |
Doug Vernier 1600 Picturesque Dr. Cedar Falls, IA 50613 United States |
+1 (319) 266-8402 |
dvernier@v-soft.com |
Technical Representative |
| Call Sign | Facility ID | File Number |
|---|---|---|
| WKHD-LD | 188817 | 0000214841 |
| 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. | Juan Carlos Matos Barreto Licensee/Owner 08/30/2023 |
