Licensing and Management System

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?	Yes
	Indicate reason for fee exemption:	EXTENSION
	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
KM LPTV OF CHICAGO-13, L.L.C. Applicant Doing Business As: KM LPTV OF CHICAGO-13, L.L.C.	3654 WEST JARVIS AVENUE SKOKIE, IL 60076 United States	+1 (847) 674-0864	MYOUNGHWABAE@GMAIL.COM	OTH

Contact Representatives (1)

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Contact Name	Address	Phone	Email	Contact Type
AARON P. SHAINIS, ESQ. SHAINIS & PELTZMAN, CHARTERED	1850 M STREET, NW SUITE 240 WASHINGTON, DC 20036 United States	+1 (202) 293-0011	AARON@S-PLAW.COM	Legal Representative

Channel and Facility Information

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Section	Question	Response
Program Test Authority	The application is operating pursuant to automatic program test authority
	The applicant is requesting program test authority
Proposed Community of License	State	Illinois
	City	CHICAGO
	Channel
	Frequency

Antenna Location Data

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Section	Question	Response
Antenna Structure Registration	Do you have an FCC Antenna Structure Registration (ASR) Number?
	ASR Number
Coordinates (NAD83)	Latitude	- -
	Longitude	- -
	Structure Type
	Overall Structure Height
	Support Structure Height
	Ground Elevation (AMSL)
Antenna Data	Height of Radiation Center Above Ground Level	Horizontal: Vertical:
	Height of Radiation Center Above Mean Sea Level	Horizontal: Vertical:
	Effective Radiated Power	Horizontal: Vertical:
	Transmitter Power Output
	Proposed Allotment or Assignment - Coordinates (NAD83)	Latitude	- -
Longitude		- -

Antenna Technical Data

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Section	Question	Response
Antenna Type	Antenna Type
Primary Station	Call Sign
	Facility ID
	Frequency
	Channel
	Service Code
	City
	State
Delivery Method	Delivery Method
	If Other, Please specify:
Transmitting Antenna	Manufacturer:
	Model
	Antenna Number of Sections:
	Antenna Spacing Between Sections:

Directional Antenna Relative Field Value

Degree	Value	Degree	Value	Degree	Value	Degree	Value

Additional Azimuths

Degree	Value

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.	MYOUNG HWA BAE 02/20/2013

Attachments

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File Name	Uploaded By	Attachment Type	Description	Upload Status
1405605_7358775.pdf	Applicant	All Purpose	EXHIBIT 45 - ENGINEERING STATEMENT	Done with Virus Scan and/or Conversion
1405605_7370948.pdf	Applicant	All Purpose	Legal Statement	Done with Virus Scan and/or Conversion
1542067_1088519.txt	Applicant	All Purpose	EXTRAORDINARY CIRCUMSTANCES	Done with Virus Scan and/or Conversion
1542067_11264540.pdf	Applicant	All Purpose	ENGINEERING STATEMENT	Done with Virus Scan and/or Conversion
1542067_11264543.pdf	Applicant	All Purpose	WOCK LEGAL STATEMENT	Done with Virus Scan and/or Conversion