1. |
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. |
Yes No
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2. |
Legal Name of the Assignee/Transferee
CHURCHILL MEDIA III, LLC
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Mailing Address
871 COUNTRY CLUB ROAD
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City
EUGENE |
State or Country (if foreign address)
OR |
Zip Code 97401 - |
Telephone Number (include area code) 5413434100 |
E-Mail Address (if available)
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If more than one transferee, submit the information requested in question 1 for each transferor. |
[Exhibit 8]
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3. |
Contact Representative (if other than assignee)
WENDY J. BAKER, ESQ.
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Firm or Company Name
ARLIE & COMPANY
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Telephone Number (include area code) 5413445500
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E-Mail Address (if available)
WENDY@ARLIE.COM
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4. |
Nature of Applicant. Assignee/transferee is:
an individual |
a general partnership |
a for-profit corporation |
a limited partnership |
a not-for-profit corporation |
a limited liability company (LLC/LC) |
other |
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a. If "other", describe nature of applicant in an Exhibit. |
[Exhibit 9] |
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5. |
Agreements for Sale/Transfer of Station. Assignee/Transferee certifies that:
a. |
the written agreements in the licensee/permittee's station records embody the complete and final agreement for the sale of the station(s) which are to be assigned; and these |
b. |
agreements comply fully with the Commission's rules and policies. |
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Yes No
See Explanation in
[Exhibit 10]
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6. |
Character Issues. Assignee/Transferee certifies that neither applicant nor any party to the application has or has had any interest in or connection with:
a. |
any broadcast application in any proceeding where character issues were left unresolved or were resolved adversely against the applicant or party to the a application; or |
b. |
any pending broadcast application in which character issues have been raised. |
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Yes No
See Explanation in
[Exhibit 11]
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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 any of the following: any felony; mass media-related antitrust or unfair competition; fraudulent statements to another government unit; or discrimination. |
Yes No
See Explanation in
[Exhibit 12]
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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. |
Yes No
See Explanation in
[Exhibit 13]
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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. |
Yes No
See Explanation in
[Exhibit 14]
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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 |
Yes No
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11. |
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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 74.1231(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 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).
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12. |
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13. |
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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. |
Yes No |
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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. |
Yes No N/A |
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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
SUZANNE ARLIE |
Typed or Printed Title of Person Signing
MANAGING MEMBER |
Signature
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Date
09/06/2007 |
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