Form 405

0026-EX-RR-2001 Text Documents

STATE OF CALIFORNIA, DGS-TELECOMMUNICATIONS DIVISION

2001-01-05ELS_43662

FCC 405 Approved by OMB |FCC USE ONLY e hea: 3060—0093 Federal Communications Commission See instructions for Washington, DC 20554 burden statement. APPLICATION FOR RENEWAL OF RADIO STATION LICENSE IN SPECIFIED SERVICES( 47 CER Parts 5, 21, 22, 23, 25 and 101) |fle N e ind eX w V 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) CALIFORNIA, STATE OF Mailing Street Address, P. 0. Box, City, State and ZIP Code of Applicant 601 Sequoia Pacific Blvd., Sacramento, CA 95814—0282 Internet Address (Area Code) Telephone Number qgnash@telecom. ags. ca.gov |__(916) 657—9454 Call Sign or Other FCC Identifier Identify Rulepart under which this wWA2XWU filing is made: 5.202(c) 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 forFee Type Code in 2(a) FoR:recusr onLy: 3. Application is for renewailof license in exact conformity with the existing license as specified below: (a) File Number (b) Date Issued (c) Call Sign (d) Location . 0030—EX—PL—1999 3—3—99 wWAZXWU Hathaway Pines, CA (e) Nature of Service (1) Class of Station (g) Expiration Date Experimental xD FX 3—1—2001 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.) None 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 facilifies so as to rendert the station not operational? If "YES®, indicate when: . [:] YES [Q NO (b) If this is a Mulfipoint Distribution Service (MDS) station, is there an ownership interest D ves No in, control by, affiliction 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 control or changes in fho 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: 0030—EX—PL—1999 Date: 12—26—98 7. CERTIFICATION ®eNeither 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 of distribution of a controlled substance. ®The applicant hereby waives any claim to the use of any parliculor frequency or electromagnelic spectrum as against the reguiatory 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.) e The applicant acknowledges that all statements made in this application and attached exhibits are considered material reptesentations, and that all the exhibits are a material part hereof and are incorporated herein as if set out in full in this appliecation; undersigned certifies that all statements in this application are true, complete and correct to the best of his/her knowledge and belie! and are made in good faith. e Applicant certfifies 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. 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 FORFEITURE (U.5. CODE, TITLE 47, SECTION 503). Name of Applicant (must correspond with Item 1) Tifle of Applicant State of California . GLEN_ S. NASH, CSA VII SIGNATURE DATE /%W 2 DEt Doov Designate appropriate classification: D Individual D Member of D Officer & Member of D Authorized Rep. g'::::\::.nt Partnership Applicant‘s Association of Corporation Entity re~~ iNf hima 1007


Document Created: 2001-01-05 13:49:00
Document Modified: 2001-01-05 13:49:00
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