Form FCC Form 345 FCC Form 345 Application for Consent to Assign Construction Permit or

Approved by 0MB
3060-0075

Federal Communications Commission
Washingion, D. C. 20553

FOR
FCC
USE
ONLY

FCC 345
APPLICATION FOR TRANSFER OF CONTROL
OF A CORPORATE LICENSEE OR PERMITTEE,
OR FOR ASSIGNMENT OF LICENSE OR PERMIT
OF TV OR FM TRANSLATOR STATION OR LOW
POWER TELEVISION STATION

FOR COMMISSION USE ONLY
FILE NO.

Section 1 General Information
-

Legal Name of the Licensee/Permittee

Mailing Address

City

State or Countty (if foreign address)

Telephone Ntimber (include area code)

E-Mail Address (if available)

FCC Registration Number

2.

Call Sign

Contact Representative (if other than licensee/permittee)

ZIP Code

Facility ID Number

firm or Company Name

Mailing Address

3.

City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address (if available)

If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1116):
Governmental Entity

4.

ZIP Code

LI

Noncommercial Educational Licensee

LI

Other

Were any of the authorizations that are the subject of this application obtained through the
Commissions competitive bidding procedures (see 47 C.F.R. Sections 1.2111(a) and
73 .5 00 1)?

LI

Yes LINo

Exhibit No.

If yes, list pertinent authorizations in an Exhibit.

All previous editions obsolete.

FCC foim 345

NOTE: In addition to the information called for in this section, an explanatory exhibit providing full particulars must be
submitted for each question for which a “No” response is provided.
Section II Assignor/Transferor
-

Certification. Licensee/permittee certifies that it has answered each question in this
application based on its review of the application instructions and worksheets. Licensee
further certifies that where it has made an affirmative certification below, this certification
constitutes its representation that the application satisfies each of the pertinent standards
and criteria set forth in the application instructions and worksheets.

DYes ENo

Application for (check only one box for A and B):

2.

A.

El

Consent to Assignment

Consent to Transfer Control

Amendment to pending application
Exhibit No

If an amendment, submit as an Exhibit a listing by Section and Question
Number of the portions of the pending application that are being revised.

El

n.
3.

TV Translator

Low Power TV

El

FM Translator

E

Digital LowPower TV

El

Digital TV Translator

Legal Name of the Assignor/Transferor

Mailing Address

City

FCC Registration Number

State orCountiy (if foreign address)

I

Telephone Number (include area code)

E-Mail Address (if avafisble)

If more than one transferor, submit the information requested in question 1. for each
transferor.
4.

Contact Representative (if other than assignor)

ZIP Code

Exhibit No

Firm or Company Name

Mailing Address
City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address (if available)

5.

Authorizations to be Assigned/Transferred. List call signs, locations and facility
identifiers of all authorizations to be assigned/transferred. Include construction permits and
file numbers. List main station authorizations and any FM and/or TV translator stations,
LPTV stations, FM and/or TV booster stations.

6.

Agreements for Sale/Transfer of Station. Licensee/permittee certifies that:
a. it has placed in its station records and submitted to the Commission as an Exhibit to
this application copies of all agreements for the sate/transfer of the station(s);

b.

these documents embody the complete and final understanding
licensee/permiffee and assignee/transferee; and
c. these agreements comply fully with the Commission’s rules and policies.

FCC Form 345 (Page 2)

between

ZIP Code

Exhibit No.

DYes ENo
Exhibit

No.

See Explanation
in Exhibit No.

7.

Character Issues. Licensee/permittee certifies that neither licensee/permittee nor any
party to the application has or has had any interest in, or connection with:

El El
Yes

No

See Explanation
in Exhibit No.

See Explanation
in Exhibit No.

a. any broadcast application in any proceeding where character issues were left
unresolved or were resolved adversely against the applicant or party to the
application; or
b. any pending broadcast application in which character issues have been raised.
8.

Adverse findings. Licensee/permittee certifies that, with respect to the licensee/permittee
and any party to the application, no adverse finding has been made, nor has adverse final
action been taken by any court or administrative body in a civil or criminal proceeding
brought under the provisions of any law related to the following: any felony; mass mediarelated antitrust or unfair competition; fraudulent statements to another government unit; or
discrimination.

E1 LI
Yes

No

9.

Local Public Notice. Licensee/permittee certifies that it has or will comply with the
public notice requirements of47 C.F.R. Section 73.3580.

El El

No

10.

Auction Authorization. Licensee/permiftee certifies that more than five years have
passed since the issuance of the construction permit for the station being
assigned/transferred, where that permit was acquired in an auction through the use of a
bidding credit or other special measure.

El LI
El

ii.

Anti-Drug Abuse Act Certification. Licensee/permittee certifies that neither
licensee/permittee nor any party to the application is subject to denial of federal benefits
pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862.

El

12.

Anti-Discrimination
Certification.
Licensee/permittee
certifies
that
neither
licensee/permittee nor any party to the application have violated the Commission’s
prohibition against discrimination on the basis of race, color, religion, national origin or
sex in the sale of commercially operated FM translator, TV translator, or low power
television stations.

El El
El

Yes

Yes

No

See Explanation
in Exhibit No.

N/A

Yes

ElNo

Yes

No

See Explanation
in Exhibit No

N/A

I certif’ that the statements in this application are true, complete, and correct to the best of my knowledge and belief and are made in
good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.
‘

Typed or Printed Name of Person Signing

Typed or Printed Title of Person Signing

Signature

Date

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S.
CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION Of ANY STATION LICENSE OR CONSTRUCTION
PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(l)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

FCC Form 345 (Page 3)

NOTE: In addition to the information called for in this section, an explanatory exhibit providing full particulars must be
submitted for each question for which a “No” response is provided.
Section II]

-

Assignee/Transferee

Certification. Assignee/transferee certifies that it has answered each question in this
application based on its review of the application instructions and worksheets.
Assignee/transferee further certifies that where it has made an affirmative certification
below, this certification constitutes its representation that the application satisfies each of
the pertinent standards and criteria set forth in the application instructions and worksheets.

i

1J

Yes

IlNo

Legal Name of the Assignee/transferee

Mailing Address

City

State or Country (if foreign address)

FCC Registration Number

E-Mail Address (if available)

Telephone Number (include area code)

If more than one transferee, submit the information requested
transferee.

in

Contact Representative (if other than assignee)

ZIP Code

question I. for each

Exhibit No.

Firm or Company Name

Mailing Address

City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address (if available)

Nature of Applicant. Assignee/transferee is:

4.

LI
LI
a.

5

ZIP Code

an individual
a limited partnership

LI
LI

a general partnership
a not-for-profit corporation

LI
LI
LI

a for-profit corporation
a limited liability company (LLC/LC)
other

If’other,’ describe nature of transferee in an Exhibit.

Agreements for Sale! Transfer of Station. Assignee/Transferee certifies that:

Exhibit No.

[] El
Yes

a.

the written agreements in the licensee/permittee’s station records and submitted to the
Commission embody the complete and final agreement for the sale of the station(s)
which are to be assigned; and

b. these agreements comply fully with the Commission’s rules and policies.
FCC Form 345 (Page 4)

No

See Explanation
in Exhibit No.

6.

Character Issues. Assignee/Transferee certifies that neither assignee/transferee nor any
party to the application has or has had any interest in, or connection with:
a.

b.

El El
Yes

No

See Explanation
in Exhibit No.

No

See Explanation
in Exhibit No.

any broadcast application in any proceeding where character issues were left
unresolved or were resolved adversely against the applicant or party to the
application; or
any pending broadcast application in which character issues have been raised.

7.

Adverse Findings. Assignee/Transferee certifies that, with respect to the
assignee/transferee and any party to the application, no adverse finding has been made, nor
has an adverse final action been taken by any court or administrative body in a civil or
criminal proceeding brought under the provisions of any law related to the following: any
felony; mass media-related antitrust or unfair competition; fraudulent statements to another
governmental unit; or discrimination.

LI LI

8.

Alien Ownership and Control. Assignee/Transferee certifies that it complies with the
provisions of Section 310 of the Communications Act of 1934, as amended, relating to
interests of aliens and foreign governments.

El Yes ElNo

9.

financial Qualifications. Assignee/Transferee certifies that sufficient net liquid assets are
on hand or are available from committed sources to consummate the transaction and
operate the station(s) for three months.

LI El

10.

Rebroadcast Certification. for applicants proposing translator rebroadcasts who are not
the licensee of the primary station, the applicant certifies that written authority has been
obtained from the licensee of the station whose programs are to be retransmitted.

El

Yes

Yes

No

Yes

ElNO

See Explanation
in Exhibit No

See Explanation
in Exhibit No.

El

N/A

Primary station proposed to be rebroadcast:
facility ID Number

ii.

a.

b.

Call Sign

City

State

Applicant certifies that it is not the licensee orpermittee of the commercial primary
station being rebroadcast and that neither it nor any parties to the application have any
interest in or connection with the commercial primary station being rebroadcast. See
47 C.F.R. Section 74.1232(d).

El
El

Applicant certifies that the FM translator’s (a) I mV/rn coverage contour does not
extend beyond the protected contour of the commercial FM primary station to be
rebroadcast, or (b) entire 1 mV/m coverage contour is contained within the greater of
either: (I) the 2 mV/rn daytime contour of the commercial AM primary station to be
rebroadcast, or (ii) a 25-mile radius centered at the commercial AM primary station’s
transmitter site.

E1 LI
El

Yes

ElNo

See Explanation
in Exhibit No.

N/A

Yes

No

See Explanation
in Exhibit No,

N/A

NOTE: If No to a. and b., and no waiver has been requested in an Exhibit, this
application is unacceptable for filing. See 47 C.F.R. Section 74.1232(d).
If No to a. and Yes to b. applicant is prohibited from receiving any support, before or after
construction, either directly or indirectly from the commercial primary station being
rebroadcast or from any person or entity having any interest whatsoever, or any connection
with the primary FM station. Interested and connected parties include group owners,
corporate parents, shareholders, officers, directors, employees, general and limited
partners, family members and business associates. See 47 C.F.R. Section 74.1232(e).

FCC form 345 (Page 5)

12.

13.

Applicant certifies that it is in compliance with 47 C.F.R. Section 74.1 232(e), which
prohibits a FM translator station whose coverage contour extends beyond the protected
contour of the commercial FM primaiy station being rebroadcast, from receiving support
(except for specified technical assistance), before, during, or after construction, directly or
indirectly, from the primary station, or any person or entity having any interest in, or
connection tvith, the primary station.

LI
LI

Auction Authorization. Assignee/Transferee certifies that where tess than five years have
passed since the issuance of the construction permit and the permit had been acquired in an
auction through the use of a bidding credit or other special measure, it would qualifr for
such credit or other special measure.

LI LI

EN
N/A

Yes

L_J

See Explanation
in Exhibit No

No

See Explanation
in Exhibit No

N/A

14.

Anti-Drug Abuse Act Certification. Assignee/transferee certifies that neither assignee
nor any party to the application is subject to denial of federal benefits pursuant to Section
5301 of the Anti-Drug Abuse Act of 1988,21 U.S.C. Section 862.

LI LI

15.

Equal Employment Opportunity (EEO). If the applicant proposes to employ five or
more full-time employees, applicant certifies that it is filing simultaneously with this
application a Model EEO Program Report on FCC Form 396-A.

LI

Yes

No

Yes ENO

LI

N/A

I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made
in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations. I hereby waive any
claim to the use of any particular frequency as against the regulatory power of the United States because of the previous use of the
same, whether by license or otherwise, and request an authorization in accordance with this application. (See Section 304 of the
Communications Act of 1934, as amended.)
Typed or Printed Name of Person Signing

Typed or Printed Title of Person Signing

Signature

Date

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S.
CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION Of ANY STATION LICENSE OR CONSTRUCTION
PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

FCC Form 345 (Page 6)