Form 405

0167-EX-RR-2000 Text Documents

Claircom Licensee Corporation

2000-10-20ELS_42438

— EC 40 5 105 ‘ ‘ Approved by OMB FCC USE ONLY 2l 20. 3060—0093 Federat Communications Commission See instructions for Washington, DC 20554 burden statement. APPLICATION FOR RENEWAL OF RADIO STATION LICENSE PEXAKFPaxIp IN SPECIFIED SERVICES (47 CFR Parts 5, 21, 22, 23, 25 and 101) File Number, Call Sign | Service Class of Station READ INSTRUCTIONS AND NOTICE ON REVERSE BEFORE COMPLETING 1. Name of Applicant (must be identical with that shown on current authorization) Claircom Licensee Corporation Mailing Street Address, P. O. Box, City, State and ZIP Code of Applicant 700 Fifth Avenue, Suite 2100, Seattle, Washington 98104 Internet Address {Area Code) Telephone Number Call Sign or Other FCC Identifier Identify Rulepart under which this KF2XIJD filing is made: 5.55 (d) 2. FEE DATA (Refer to 47 CFR Section 1.1105 or to appropriate Fee Filing Guide for information) (a) Fee Type Code (b) Fee Multiple (c) Fee Due for Fee Type Code in 2(a) EAE 1 50 .00 3. Application is for renewal of license in exact conformity with the existing license as specified below: {a) File Number (b) Date Issued (c) Call Sign (d) Location 4422 —EX—~RR— 1998 12/4/98 KF2XJID Seattle, Washington (e) Nature of Service (f) Class of Station (g) Expiration Date Experimental XD FX December 1, 2000 4. Note any changes which have been made since the last application covering this station was filed (i.e. discontinuance of use of a frequency, type of emission, transmitter, etc.) N 5. Items 5(a) and (b) apply to Part 21 and Part 101 licensees only. 5.(a) Has there been removal of equipment or alteration of facilities so as to render the station not operational? If "YES", indicate when: 13/i‘ D YES D NO (b) If this is a Multipoint Distribution Service (MDS) station, is there an ownership interest in, control by, affiliation with, or leasing arrangement with a cable television company? N/ A D YES D NO 6. Applicant represents that there has been no change in applicant‘s organization and no transfer of control or changes in the applicant‘s relation to the station or financial responsibility; that the applicant‘s most recent application or report embodying this information, as identified below, is to be considered as a part of this application, and the truth statements therein contained is hereby reaffirmed. Note here any further exceptions not already covered in questions 4 and 5. File Number: 04413—CL—MR—97 See Exhibit No. 1 Date: 7. CERTIFICATION © Neither the applicant nor any other party to the application is subject to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti—Drug Abuse Act of 1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. ® The applicant hereby waives any claim to the use of any particular frequency or electromagnetic spectrum as against the regulatory power of the United States because of the previous use of same, whether by license or otherwise, and requests authorization in accordance with this application. (See Section 304 of the Communications Act of 1934, as amended.) © The applicant acknowledges that all statements made in this application and attached exhibits are considered material representations, and that all the exhibits are a material part hereof and are incorporated herein as if set out in full in this application; undersigned certifies that all statements in this application are true, complete and correct to the best of his/her knowledge and belief and are made in good faith. * Applicant certifies that construction of the station would NOT be an action which is likely to have a significant environmental effect. See the Commission‘s Rules, 47 CFR 1.1301—1.1319. WILLEFUL FALSE STATEMENTS MADE 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). Name of Applicant (must correspond with Item 1) Title of Applicant Claircom Licensee Corporation [//(( //(,(,/,/01 /'\ SIGNATURE V nz DATE t) /1 (2d . 4 Designate appropfiafe—Classification: — [_] individual [_] Member of [] Officer & Member of [X Authorized Rep. [~] Official of Partnership Applicant‘s Association of Corporation Government Entity FCC 405 June 1997


Document Created: 2000-10-20 11:40:48
Document Modified: 2000-10-20 11:40:48
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