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, 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. |
|
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
10/09/2007 |
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