| Section | Question | Response |
|---|---|---|
| Attachments | Are attachments (other than associated schedules) being filed with this application? | No |
| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
BASIN MEDIACTIVE, LLC Doing Business As: BASIN MEDIACTIVE, LLC |
404 MAIN STREET SUITE 4 KLAMATH FALLS, OR 97601 United States |
+1 (541) 882-8833 |
SUPPORT@MYBASIN.COM |
Limited Liability Company |
| Contact Name | Address | Phone | Contact Type | |
|---|---|---|---|---|
|
Dawn Sciarrino Managing Member Sciarrino & Shubert, PLLC |
330 Franklin Road Suite 135A-133 Brentwood, TN 37027 United States |
+1 (202) 256-9551 |
dawn@sciarrinolaw.com |
Legal Representative |
|
Rob Siems Basin Mediactive |
404 Main St Suite 4 Klamath Falls, OR 97601 United States |
+1 (541) 850-7114 |
rob@mybasin.com |
Technical Representative |
| Date of Consummation | FRN of Licensee Post-consummation |
|---|---|
| 2022-11-10 | 0020563748 |
Select all the authorizations in the table below that will not be consummated
| Call Sign | Facility ID | File Number | Will Not Consummate |
|---|---|---|---|
| KLAD | 3408 | 0000202990 | |
| KLAD-FM | 3409 | 0000202991 | |
| KAGO | 23245 | 0000202992 | |
| KHIC | 190240 | 0000202993 | |
| KFXX-FM | 23246 | 0000202994 | |
| K282CB | 202145 | 0000202995 | |
| KAGO-FM | 198620 | 0000202996 | |
| K225CW | 202144 | 0000202997 | |
| K227CU | 28779 | 0000202998 |
| 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. | Stacy L Ingstad The Robert J. Ingstad Estate, Stacy L. Ingstad, Personal Representative 11/14/2022 |
