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October 2020
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(REFERENCE COPY - Not for submission) Amendment to an Assignment

File Number:
BALH-20110801ALA
Submit Date:
08/01/2011
Lead Call Sign:
KNIV
Facility ID:
20304


FRN:
0026780916
Service:
Full Power FM
Purpose:
Assignment Amendment
Status:
Granted
Status Date:
10/19/2011
Filing Status:
Active


General Information

Section Question Response
Attachments Are attachments (other than associated schedules) being filed with this application?

Fees, Waivers, and Exemptions

Section Question Response
Fees Is the applicant exempt from FCC application Fees? No
Indicate reason for fee exemption:
Is the applicant exempt from FCC regulatory Fees?
Waivers Does this filing request a waiver of the Commission's rule(s)?
Total number of rule sections involved in this waiver request:

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SIMMONS-SLC, LS, LLC

Assignor

Doing Business As: SIMMONS-SLC, LS, LLC

515 S. 700 E. #1C

SALT LAKE CITY, UT 84102

United States

+1 (801) 524-2600

ACCOUNTING@SIMMONSMEDIA.COM

OTH

Contact Representatives (4)

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Contact Name Address Phone Email Contact Type

KEVIN LATEK

DOW LOHNES, PLLC

1200 NEW HAMPSHIRE AVE. NW

SUITE 800

WASHINGTON, DC 20036

+1 (202) 776-2594

KLATEK@DLALAW.COM

DAVID MARX

DORSEY & WHITNEY LLP

KEARNS BUILDING SUITE 1000

136 SOUTH MAIN STREET

SALT LAKE, UT 84101

+1 (801) 933-7363

MARX.DAVID@DORSEY.COM

SIMMONS-SLC, LS, LLC

515 S. 700 E. #1C

SALT LAKE CITY, UT 84102

United States

+1 (801) 524-2600

ACCOUNTING@SIMMONSMEDIA.COM

MAV MEDIA, LLC

ATTN: DAVID B. HANCOCK

880 W. CENTER STREET

NORTH SALT LAKE CITY, UT 84054

United States

+1 (801) 936-5557

Parties to the Application (25)

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Party Name Address Phone Email Positional Interest

ROBERT J. WHETTEN

401 HOLLYDALE DRIVE EL PASO

TX 79912

Positional Interest:
ATTRIBUTABLE INTEREST HOLDER, LOS NEITOS WHETTEN LOPEZ, LLC
Citizenship:
United States
Percentage of Votes:
2%
Percentage of Total Assets:
2%

LOS NEITOS WHETTEN LOPEZ LLC

401 HOLLYDALE DRIVE EL PASO

TX 79912

Positional Interest:
MEMBER, MAVCAP LLC
Citizenship:
United States
Percentage of Votes:
2%
Percentage of Total Assets:
2%

ELOY S. VALLINA AVENIDA ZARCO

Positional Interest:
ATTRIBUTABLE INTEREST HOLDER, VALGES, INTERNATIONAL LTD.
Citizenship:
Mexico
Percentage of Votes:
7%
Percentage of Total Assets:
7%

VALGES INTERNATIONAL LTD AVENIDA ZARCO

Positional Interest:
MEMBER, MAVCAP, LLC
Citizenship:
Bouvet Island
Percentage of Votes:
7%
Percentage of Total Assets:
7%

ISRAEL BRENER REFORMA

Positional Interest:
ATTRIBUTABLE INTEREST HOLDER, BREMAV, INTERNATIONAL LTD
Citizenship:
Mexico
Percentage of Votes:
2.3%
Percentage of Total Assets:
0%

PABLO BRENER REFORMA

Positional Interest:
ATTRIBUTABLE INTEREST HOLDER, BREMAV, INTERNATIONAL LTD.
Citizenship:
Mexico
Percentage of Votes:
4.7%
Percentage of Total Assets:
4.7%

BREMAV INTERNATIONAL LTD. REFORMA

Positional Interest:
MEMBER, MAVCAP, LLC
Citizenship:
Bouvet Island
Percentage of Votes:
7%
Percentage of Total Assets:
7%

MAVCAP LLC

601 SOUTH 10TH STREET SUITE 102 LAS VEGAS

NV 89101

Positional Interest:
ATTRIBUTABLE INTEREST HOLDER IN MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
16%
Percentage of Total Assets:
16%

JOHN HILLAM

1801 SOUTH 200 WEST KAYSVILLE

UT 84037

Positional Interest:
VICE PRESIDENT, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

LYNN CALL

276 EAST 9TH AVENUE AFTON

WY 83110

Positional Interest:
VICE PRESIDENT, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

DAN MURRAY

1907 NORTH 400 WEST CENTERVILLE

UT 84014

Positional Interest:
VICE PRESIDENT, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

TIM TAYLOR

1944 SHADOW VALLEY DRIVE OGDEN

UT 84403

Positional Interest:
VICE PRESIDENT, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

ROGER GREEN

2426 EAST 50 SOUTH LAYTON

UT 84040

Positional Interest:
EXEC. VICE PRESIDENT, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

SPENCER HEWLETT

82 E. PEACHTREE DRIVE CENTERVILLE

UT 84014

Positional Interest:
EXEC. VICE PRESIDENT, CFO, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

DOUG FOXLEY

60 SOUTH 600 EAST SUITE 15 SALT LAKE CITY

UT 84102

Positional Interest:
DIRECTOR, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

AVLIN NEW

1502 RAY STREET SAN ANGELO

TX 76904

Positional Interest:
DIRECTOR, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

MAURICE MINNO

1236 COLONY WAY PALM SPRINGS

CA 92262

Positional Interest:
DIRECTOR, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

THOMAS K. WELCH 34 C ASPEN DRIVE

PO BOX 982193 PARK CITY

UT 84098

Positional Interest:
DIRECTOR, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

BRAD CALL

477 EAST 3550 SOUTH BOUNTIFUL

UT 84010

Positional Interest:
EXEC. VICE PRESIDENT, MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

MICHAEL CALL

673 SO. PARKWAY DRIVE NORTH SALT LAKE

UT 84054

Positional Interest:
PRESIDENT, CEO MAVERIK, INC.
Citizenship:
United States
Percentage of Votes:
0%
Percentage of Total Assets:
0%

MAVERIK INC.

880 WEST CENTER STREET NORTH SALT LAKE

UT 84054

Positional Interest:
MAV MEDIA LLC MEMBER
Citizenship:
United States
Percentage of Votes:
49%
Percentage of Total Assets:
49%

BRAD PLOWMAN

466 E. WILDE CHERRY WAY SANDY

UT 84070

Positional Interest:
MAV MEDIA LLC MEMBER
Citizenship:
United States
Percentage of Votes:
2%
Percentage of Total Assets:
2%

SCOT MATHEWS

640 PARKWAY DRIVE NORTH SALT LAKE

UT 84054

Positional Interest:
MAV MEDIA LLC MEMBER
Citizenship:
United States
Percentage of Votes:
24.%
Percentage of Total Assets:
24.%

NICOLAS VICENTE

84087

Positional Interest:
MAV MEDIA LLC MEMBER
Citizenship:
United States
Percentage of Votes:
24.%
Percentage of Total Assets:
24.%

MAV MEDIA LLC

880 WEST CENTER STREET NORTH SALT LAKE

UT 84054

Positional Interest:
ASSIGNEE
Citizenship:
United States
Percentage of Votes:
100%
Percentage of Total Assets:
100%



Alien Ownership

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Question Response
1) Is the applicant a foreign government or the representative of any foreign government as specified in Section 310(a) of the Communications Act? Yes
2) Is the applicant an alien or the representative of an alien? (Section 310(b)(1))
3) Is the applicant a corporation, or non-corporate entity, that is organized under the laws of any foreign government? (Section 310(b)(2))
4) Is the applicant an entity of which more than one-fifth of the capital stock, or other equity or voting interest, is owned of record or voted by aliens or their representatives or by a foreign government or representative thereof or by any entity organized under the laws of a foreign country? (Section 310(b)(3))
5) Is the applicant directly or indirectly controlled by any other entity of which more than one-fourth of the capital stock, or other equity or voting interest, is owned of record or voted by aliens, their representatives, or by a foreign government or representative thereof, or by any entity organized under the laws of a foreign country? (Section 310(b)(4))
6) Has the applicant received a declaratory ruling(s) under Section 310(b)(4) of the Communications Act?
6a) Enter the citation of the applicable declaratory ruling by DA/FCC number or the FCC Record citation, release date, or any other identifying information.
7) Has there been any change in the applicant's foreign ownership since issuance of the declaratory ruling(s) cited in response to Question 6?
7a) Enter the File or Docket Number of the Petition for Declaratory Ruling that the applicant has filed for its foreign ownership in connection with this application pursuant to Section 310(b)(4) of the Communications Act.
8) Does the applicant certify that it is in compliance with the terms and conditions of the foreign ownership declaratory ruling(s) cited in response to Question 6?
9) In connection with this application, is the applicant filing a foreign ownership Petition for Declaratory Ruling pursuant to Section 310(b)(4) of the Communications Act?

Certification

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Section Question Response
General Certification Statements The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by authorization or otherwise, and requests an Authorization in accordance with this application (See Section 304 of the Communications Act of 1934, as amended.).  
The Applicant certifies that neither the Applicant nor any other party to the application is subject to a denial of Federal benefits pursuant to §5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862, because of a conviction for possession or distribution of a controlled substance. This certification does not apply to applications filed in services exempted under §1.2002(c) of the rules, 47 CFR . See §1.2002(b) of the rules, 47 CFR § 1.2002(b), for the definition of "party to the application" as used in this certification § 1.2002(c). The Applicant certifies that all statements made in this application and in the exhibits, attachments, or documents incorporated by reference are material, are part of this application, and are true, complete, correct, and made in good faith.  
Authorized Party to Sign

FAILURE TO SIGN THIS APPLICATION MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID

Upon grant of this application, the Authorization Holder may be subject to certain construction or coverage requirements. Failure to meet the construction or coverage requirements will result in automatic cancellation of the Authorization. Consult appropriate FCC regulations to determine the construction or coverage requirements that apply to the type of Authorization requested in this application.

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.


Attachments

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File Name Uploaded By Attachment Type Description Upload Status
1433942_8319045.pdf Applicant All Purpose LMA agreement for 104 7 Done with Virus Scan and/or Conversion
1433942_8319046.pdf Applicant All Purpose 1st amendment to lma agreement 104.7 Done with Virus Scan and/or Conversion
1433942_8319048.pdf Applicant All Purpose APA for sale of 104.7 july 2011 Done with Virus Scan and/or Conversion
1433942_8319049.pdf Applicant All Purpose escrow agreement 104.7 sale july 2011 Done with Virus Scan and/or Conversion
1433942_8319050.pdf Applicant All Purpose other media exhibit simmons media Done with Virus Scan and/or Conversion
1433942_8319187.pdf Applicant All Purpose side agreement for sale of studio equipment from trust I Done with Virus Scan and/or Conversion
1433942_8384777.pdf Applicant All Purpose Assignee Attributable Parties to the Application Done with Virus Scan and/or Conversion
1433942_8391081.pdf Applicant All Purpose kniv multi ownership study Done with Virus Scan and/or Conversion
1449939_8686565.pdf Applicant All Purpose Exhibit -- Amendment A Done with Virus Scan and/or Conversion
1449939_8691897.pdf Applicant All Purpose Amendment A to Exhibit 13 Done with Virus Scan and/or Conversion
1449939_969977.txt Applicant All Purpose AGREEMENTS FOR SALE OF STATIONS Done with Virus Scan and/or Conversion
1449939_969978.txt Applicant All Purpose EXHIBIT 12 Done with Virus Scan and/or Conversion
1449939_969979.txt Applicant All Purpose AMENDENT A TO EXHIBIT 13 Done with Virus Scan and/or Conversion
1449939_969980.txt Applicant All Purpose EXHIBIT 15 Done with Virus Scan and/or Conversion