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?	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
W. RUSSELL WITHERS, JR. Applicant Doing Business As: W. RUSSELL WITHERS, JR.	POST OFFICE BOX 1508 MOUNT VERNON, IL 62864 United States	+1 (618) 242-3500	WRWITHERS@MVN.NET	OTH

Contact Representatives (1)

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Contact Name	Address	Phone	Email	Contact Type
ROBERT WALKER	POST OFFICE BOX 28961 AUSTIN, TX 78755 United States	+1 (512) 784-6253		Legal Representative

Extension Request

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Section	Question	Response
Extension Request	Please enter the new requested expiration date:

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.	W. RUSSELL WITHERS, JR.

Attachments

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File Name	Uploaded By	Attachment Type	Description	Upload Status
1265753_676793.txt	Applicant	All Purpose	EXPLANATION	Done with Virus Scan and/or Conversion