Form 405

0128-EX-RR-1999 Text Documents

M/A-COM, INC.

1999-10-06ELS_19700

FCC 405 Approved by OME |FCC USE ONLY ak faa: 3060—0093 Federal Communications Commission See instructions for Washington, DC 20554 burden statement. APPLICATION FOR RENEWAL OF RADIO STATION LICENSE IN SPECIFIED SERVICES ( 47 CFR Parts 5, 21, 22, 23, 25 and 101) F"Ofi"bé([QR.JW W%?)(TM C Service Class of Station READ INSTRUCTIONS AND NOTICE ON REVERSE BEFORE COMPLETING NC an AmPCo Mdiling Steet Addréss, P. 0. Box, City, 8 P Code of A 101] Paw luzke?E%Ool io wou"_i14. !01 $5.23295 internet Addreoss (Area Code) Telephone Number 4 79—4{[2a2 —4b607 Call Sign or Other FCC Identifier Identity Ruilepart under which this wWAaAYLLTM fi'inafil?mad-' 3ec. 5.202(a). (@) ¢(f) 2. FEE DATA (Refer to 47 CFR Section 1.1105 or to appropriate Fee Filing Guide for information) 11 J EP C (a) Fee Type Code (b) Fee Multiple (c) Fee Due for Fee Type Code in 2(a) |};%: EA £ [ P 45.00 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 S42) —Ex—PL—46| nech 13az] WA@RXIH _|&12NT (NYCQCCr (4) 414 (e) Nature of Service (f) Class of Station (g) Expiratio Eype@:iMentalL. ¥D_ Ey 40 3 12q 4. Note any changes which have been made since |holast applicdtion covering this station was filod (e. discontinuance of use of a frequency, type of emission, fransmilter, etc.) 5. Items 5(a) and (b) apply to Part 21 and Part 101 licensess 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: [_] ves l:l NO (b) If this is a Multipoint Distribution Service (MDS) station, is there an ownership interest D ves D No in, control by, affiliation with, or leasing arrangement with a cable television company? 6. Applicant represents that there has been no change in applicant‘s organization and no fransfer of contfrol 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 idenfifed beiow, 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: Date: 7. CERTIFICATION #Neither the applicant nor any other party to the application is subject to a denial of Federal benelfits 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 parlicular 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 aftached exhibits are considered material representations, and that all the exhibits are a material part herecf and are incorporated herein as if set out in full in this application; undersigned cerfifies 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 thaf consfruction of the station would NOT be an action which is likely to have a significant envirenmental effect. 1.1301—1.1319. WiILLFUL 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 i FORFEITURE ———ose. (U.$. CODE, TITLE 47, SECTION 503). a t st correspond with Item 1) Titfle of Applicant mt bre. 4 Bus. Dwz,fiwfl’" SIGNATURE DATE l Designate — rlate classification: 211/99 {_] inaiffdual [_] Member of [] officer & Member of [XAuthorized Rep [7] Official of Partnership Applicant‘s Association of COrporaflonL//A‘M g:;;mmm' FCC 405 June 1997


Document Created: 2001-08-15 08:40:17
Document Modified: 2001-08-15 08:40:17
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