| Section | Question | Response |
|---|---|---|
| Attachments | Are attachments (other than associated schedules) being filed with this application? |
| 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 | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
DOUGLAS ROAD RADIO, INC. Assignor Doing Business As: DOUGLAS ROAD RADIO, INC. |
1301 E. DOUGLAS ROAD MISHAWAKA, IN 46545 United States |
+1 (574) 233-3141 |
JROBERTS@DOUGLASROADRADIO.COM |
OTH |
| Contact Name | Address | Phone | Contact Type | |
|---|---|---|---|---|
|
JACK N. GOODMAN LAW OFFICES OF JACK N GOODMAN |
1200 NEW HAMPSHIRE AVE NW STE 600 WASHINGTON, DC 20036 |
+1 (202) 776-2045 |
JACK@JACKNGOODMAN.COM |
|
|
DAVID D. OXENFORD WILKINSON BARKER KNAUER, LLP |
1800 M STREET, NW SUITE 800N WASHINGTON, DC 20036 |
+1 (202) 783-4141 |
DOXENFORD@WBKLAW.COM |
|
|
DOUGLAS ROAD RADIO, INC. |
1301 E. DOUGLAS ROAD MISHAWAKA, IN 46545 United States |
+1 (574) 233-3141 |
JROBERTS@DOUGLASROADRADIO.COM |
|
|
WSJM, INC. |
P.O. BOX 107 ST. JOSEPH, MI 49085 United States |
+1 (269) 925-1111 |
GOLSON107@GMAIL.COM |
| Party Name | Address | Phone | Positional Interest | |
|---|---|---|---|---|
|
THERESE K TIMM |
2528 BAKER ROAD LACROSSE WI 54601 |
|
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|
SCOTT SHAW |
813 KING STREET LACROSSE WI 54601 |
|
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|
RANDY HURLEY |
201 4TH STREET WAUNAKEE WI 53597 |
|
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|
PHIL FISHER |
4633 SIGNATURE DR. MIDDLETON WI 53562 |
|
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|
DAVID DOETSCH |
510 DUNE RIDGE NORTH ST. JOSEPH MI 49085 |
|
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|
THOMAS KUSHAK |
48 HICKORY PT SPRINGFIELD IL 62712 |
|
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|
RICHARD RECORD |
3615 EBNER COULEE ROAD LACROSSE WI 54601 |
|
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|
BEN FISHER |
8300 BURDETTE RD UNIT #770 BETHESDA MD 20817 |
|
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|
JASON MCCUTCHIN |
1707 E. BLOCKAGE COURT REPUBLIC MO MO 65728 |
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THOMAS WALKER |
7709 WELTON DR. MADISON WI 53719 |
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|
GAYLE OLSON |
1326 MARGARET ST. JOSEPH MI 49085 |
|
||
|
WSJM INC. |
P.O. BOX 107 ST. JOSEPH MI 49085 |
|
| 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? |
| 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. | |
| File Name | Uploaded By | Attachment Type | Description | Upload Status |
|---|---|---|---|---|
| 1696182_1328269.txt | Applicant | All Purpose | A | Done with Virus Scan and/or Conversion |
| 1696182_1328270.txt | Applicant | All Purpose | EXHIBIT 13 - AGREEMENTS | Done with Virus Scan and/or Conversion |
| 1696182_1328271.txt | Applicant | All Purpose | ASSIGNEE'S OTHER BROADCAST INTERESTS | Done with Virus Scan and/or Conversion |
| 1696182_20616360.pdf | Applicant | All Purpose | Multiple Ownership Study | Done with Virus Scan and/or Conversion |
| 1696182_20623793.pdf | Applicant | All Purpose | Asset Purchase Agreement | Done with Virus Scan and/or Conversion |
| 1696182_20623795.pdf | Applicant | All Purpose | Side Letter | Done with Virus Scan and/or Conversion |
