Attachment amendment to applica

This document pretains to SAT-AMD-19960612-00084 for Amended Filing on a Satellite Space Stations filing.

IBFS_SATAMD1996061200084_1157637

FCCIMELLON JUN 17 1996 FEDERAL COMMUNICATIONS COMMISSION Approved by OMB 3060—0589 FCC REMITIANCE ADVICE Bmpires 22897 AIVNIIIYO pagE Nno. _ 1 or SPECIAL USB_ &$ $(# ¥ (Iimu‘l instructions carefully BEEFORE proceeding.) 127—sSatamol 4 PAYOR INFORMATIO (1) FCC ACCOUNT NUMBER Did you have a number prior to this? Enterit. AOUNT/PAID(dollars and cents) Lo Ls 1111 s [sT olsIa L7 [ _1 _{ [ [ OJ [ [ [ $ 1150 °_ on (3) PAYOR NAME‘(If}_:aying by credit card, enter name exactly as it appears on your card) ] UN 2 7 1996 Diqital Satellite Broadcasting Corporatinn & (4) STREET ADDRESS LINE NO. 1 alollite Policy Br. . C 120 Lakeside Avenue ks — (5) STREET ADDRESS LINE NO. 2 suite 310 * (6) orty (7) STATE (8) ZIP CODE Seattle WA 98122—A578 (9) DAYTIME TELEPHONE NUMBER (Include area code) (10) COUNTRY CODE (if not U.S.A) 206) 328—0 ITEM #1 INFORMATION (11A) NAME OF APPLICANT, LICENSEE, REGULATEE, OR DEBTOR Digital Satellite Broadcasting Corporation & Hhc Noi uncitls FoTca h (12A) FCC CALL SIGN/OTHER ID (18A) ZIP CODE (14A) PAYMENT TYPE CODE (15A) QUANTITY (16A) rEE puE® FoR PAYMENT TYPE CODE / IN BLOCK 14 ; C W Y $ 1,150,.00 (17A) FCC CODE 1 (18A) FCC CODE 2 (19A) ADDRESS LINE NO. 1 (20A) ADDRESS LINE NO. 2) (21A) CITWSTATE OR COUNTRY CODE ITEM #2 INFORMATION (11B) NAME OF APPLICANT, LICENSEE, REGULATEE, OR DEBTOR (12B) FCC CALL SIGN/OTHER ID (13B) ZIP CODE (14B) PAYMENT TYPE CODE (llsB) QUANTITY (16B) rEE DUE FOR PAYMENT TYPE CODE IN BLOCK 14 $ (17B) FCC CODE 1 (18B) FCC CODE 2 (19B) ADDRESS LINE NO. 1 (20B) ADDRESS LINE NO. 2 (21}) CITYSTATE OR COUNTRY CODE secopit card pavuent wrorvuino~ mm (22) MASTERCARD/VISA ACCOUNT NUMBER: [] Mastercard EXPIRATION DATE: 4 Month Year [j Visa AUTHORIZED SIGNATURE DATE (23) T hereby authorize the FCC to charge my VISA or Mastercard for the service(s)/authorization(s) herein describe. 1¥ See public burden estimate on reverse. FC(). FORM 159

Digital | Satellite Broadcasting - Corporation June 12, 1996 Federal Communications Commission Satellite & Radiocomm. Div. P.O. Box 358160 Pittsburgh, PA 15251—5160 Re: Amendment to Application, File Nos. 28—DSS—LA—93, 12/13—DSS—P—93 To whom it may concern: Digital Satellite Broadcasting Corporation (DSBC) hereby amends its pending application to reflect minor changes in the ownership, officers and Board of Directors of the corporation. These changes are reflected in the attached FCC Form 430 of which an original and nine copies are enclosed. Attached is a check for $1,150.00, fee code CWY. Please direct any questions regarding this matter to the undersigned. Sincerely, Douglas J. Minster Vice President encls. 120 Lakeside Avenue, Svite 310 « Seattle, WA 98122 + (206) 324—2181 « Fax (206}328—0015 1667 K Street N.W., Suite 801 + Woshington, D.C. 20006 + (202) 466—3044 « Fox (202) 466—3055

FCC 430 FEDERAL COMMUNICATIONS COMMISSION Approved by ovG Washington, OC 20554 ' 3060—0 105 Expres 2/28/96 LICENSEE QUALFICATION REPORT us g See reverse side for information regarding public burden statement. INSTRUCTIONS A. The ‘Filer" of this report is defined to include: (1) An applicant, where this report is submitted in connection with applications for common carrier and satellite radio authority as required for such applications; or (2) A licensee or permittes, where ths report & requred by the Commusion‘s Rules to be submitted on an annual basis. B. Submit an original and one copy {sign original only) to the Fedsral Communications Commnigsion, Washington, NC 20554. If more than one radio service is lsted in Iitem 6, submit an additional copy for each such additional service. !f this report is being submitted in connection with an application for radio authority, attach it to that application. c. Do not submit a fee with this report. _ 1. Business Name and Address (Number, Street, State and ZIP 2. (Area Code) Telephone Number: Code) of Filer‘s Principal Office: (206) 328—0808 Digital Satellite Broadcasting Corporation 3. If this report supercedes a previously 120 Lakeside Avenue, Ste.s 310 . filed report, specify its date: Seattle, WA 98122—6578 — 8 /16/93 4. Filer is (check one): 5. Under the laws of what State (or other {] individual [ Partnership kJ Corporation Jurlsdiction) is the Filer organized? [] Other (Specify): | Delaware 6. List the common carrler and satellite radio services in which Filer has applied or is a current licensee or permittee: . Private Satellite carrier. 7(a) Has the Filer or any party to this application had any FCC station license or ~ qy N permit revoked or had any application for permit, license or renewal denled by es o this Commisslon? If "YES", attach as Exhibit l a statement giving call sign and file nvlbor of liceinse or permit revoked and relating cireumstances. (b) Has any court t finally finally a adjudged the Fller, or any person e directly t or Indirectly C ves ¥ No controlling the Filer, guillty of unlawfully monopolizing or attempting unlawfully to monopolize radio communication, directly or Indirectly, through control of manufacture or sale of radio apparatus, exclusive traffic arrangement, or other means of unfair methods of competition? i "YES", attech as Exhibit I! a statement relating the facts. (c) Has the Fller, or any party to this application, or any person directly or Indirectly v[_'_]Yes K) No controlling the Fller ever been convicted of a felony by any state or Federal Court? it "YES", attach as Exhibit Hl o statement relating the facts (d) is the Filer, or any person directly or Indirectly controlling the Filer, presently {ves No a party in any matter referred to iItems 7(b) and 7(c)? If "VES", attach as Exhibit N a statement relating the facts. 8. is the Fller, directly or Indirectly, through stock ownership, contract or otherwise, DYe$ [ No currently interested In the ownership or control of any other radio stations licensed by this Commission? if 'YES’. submit as Exhibit Y¥ the name of each such licensee and the licensee‘s relation to the Filer. + t If Filer is an individual (sole proprietorship) or partnership, answer the following and I:tem 11: 9(a) Full Legal Name and Residentlal Address (b) is Individual or each member {Number, Street, State and ZIP Code) of + of a partnership a citizen of Individual or Partners: the United States? — [ Y¥es [ No (c) is individual or any member of a partnership a representative of an allen or of a foreign government? ]Yes [] No FCC 430 — Page 1 March 1993

If Fller Is a corporation, answer the following and !tern 11: 10(a) Attach as Exhibit VI the names, addresses, and citlzenship of those stockholders owning of record and/or voting 10 percent or more of the Filer‘s voting stock and the percentages so held. in the case of fiduclary control, Indicate the beneficlary(les) or class of beneficlaries. See Exhibit VI (b) List below, or attach as Exhlbit Vil the names and addresses of the officers and directors of the Filer. See Exhibit VII {c) is the Fller directly or Indirectly controlled by any other corporation? If "YES", attach as Exhibit Vill a statemaent {including organizational disgrams where appropriate) which fully &] Yes C] No and completely identifies the nature and extent of control. Include the following: (1) the address and primary business ef the controlling corporation and any intermaediate subsidiaries; (2) the names, addresses, and citizenship of those steckholders holding 10 percent or more of the controlling cerporation‘s veting steck; (8) the approximate percentage of total veling stock held by euch such stockholder; and (4¢) the names and addresses fo the president and directors of the controlling corporation. See Exhibit VIII {d) is any officer or director of the Filer an alien? ]Yes K No {e) is Is more more than than one—fifth one o of the capital ap stock o of the e Filer stock Fl er owned owned of record or CJ¥esj & No voted by allens or their representatives, or by a foreign government or representa— tive(s) thereof, or by a corporation organized under the laws of a foreign country? {f) is the Filer directly or Indirectly controlled: {(1) by any other corporation of which any officer or more than one—~fourth of the directors are allens, or (2) by any L] ¥es K No foreign corporation or corporation of which more than one—fourth of the capital stock Is owned or voted by allens or their representatives, or by a foreign government or representatives thereotf. . (g) If any answer to questions (d), (e) or (f) is "YES", attach as Exhiblt IX a statement identifying the allens or foreign entities, their nationality, their relationship to the Filer, and the percentage of stock they own or vote. 11. CERTFICATION This report constitutes a material part of any application which cross—references it, and alil statements made in the at— tached exhibits are a materlal part thereof. The ownership information contained in this report does not constitute an ap— plication for, or Commission approvali ‘of, any transfer of control or assignment of radlo facilities. The undersigned, in— dividually and for the Fller, hereby certifies that the statements made herein are true, complete and correct to the best of Filer‘s knowledge and belief, and are made in good faith. snsAT ; * ARE PUNISHABLE 8y FINE AND |g/13/9g ymiepmiio 12| Digital Satellite oo e m Douglas J. Minster Broadcasting Corporakion REVOCATION OF ANY STATION — T Title LIcEense or constRruction T~gnature PERMIT (U.S. Code, . . Title 47, Section 3 12{aX1). [ 6«7[;,,,/ %;é:,_ Vice President NOTICE TO INDIVIDUALS REQUIRED BY THE PRIVACY ACT OF 1974 AND THE PAPERWORK REDUCTION AcT of 1isso The solicitation of personal information requested in this form is to determine if you are qualified to become or remain a licensee in a common carriee or satellite radio service pursuant to the Communications Act of 1934, as amended. No authorization can be granted unless all information requested is provided. Your response is required to obtain the requested authorization or retain an authorization. Public reporting burden for this collection of information is estrated to average 2 hours per response, including the time for reviewing irstruc— tions, ssarching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send: comments regarding ths burden estimate or any other aspect of this coliection of information, including suggestions for reducing this burden to Federal Communications Commission, Office of Managing Drector, Washington, DC 20554, and to Office of Management and Budget, Paperwork Reduction Project (3060—0105), Washington, OC 20503. FCC 430 — Page 2 March 1993

DSBC FCC Form 430 June 12, 1996 EXHIBIT VI STOCKHOLDERS OWNING OF RECORD AND/OR VOTING 10 PERCENT OR MORE OF DSBC‘s VOTING STOCK Name & Address Percentage of Stock Ownership DSBC Founders Corporation 57% 120 Lakeside Ave. Suite 310 Seattle, WA 98122—6578 Cleartel Satellite Communications, Inc. 33% 1232 22"" Street, N.W. Suite 500 Washington, DC 20037 CL Investment Partnership II, LP 10% 3 East 54th Street 17th Floor NY, NY 10022 All of the above are United States entities.

DSBC FCC Form 430 June 12, 1996 EXHIBIT VHI OFFICERS AND DIRECTORS OF DSBC Name & Address Title Joseph N. Walter Chairman/Treasurer 120 Lakeside Ave. Suite 310 Seattle, WA 98122—6578 William M. Caldwell, IV President/Director 11925 Wilshire Blvd. Suite 313 Los Angeles CA 90025 Douglas J. Minster Vice President & 1667 K Street, NW. Secretary/Director Suite 801 Washington, DC 20006 Theodore Ammon Director 3 East 54th Street 17th Floor NY, NY 10022 Ulysses G. Auger, II Director 1232 22"" Street, NW. Suite 500 Washington, DC 20037 Vernon L. Fotheringham Director 500 108th Avenue, N.E. Suite 2600 Bellevue, WA 98004 W. Theodore Pierson, Jr. Director 1667 K Street, NW. Suite 801 Washington, DC 20006

DSBC FCC Form 430 June 12, 1996 EXHIBIT VIH NATURE AND EXTENT OF CONTROL OF DSBC BY OTHER CORPORATION DSBC is 57% owned and controlled by DSBC Founders Corporation (Founders) which is chartered in the State of Delaware and is qualified to do business in Washington State. 1. Address and Primary Business 120 Lakeside Ave. Suite 310 Seattle, WA 98122—6578 The primary business of Founders is the ownership of DSBC. 2—4. Name, Address, Citizenship of Stockholders Holding 10% or More of the Voting Stock of Founders Name & Address Stock Ownership Title Vernon L. Fotheringham 28.7% Chairman 500 108th Avenue, N.E. Suite 2600 Bellevue, WA 98004 Joseph N. Walter 28.7% President/ 120 Lakeside Ave. Director Suite 310 Seattle, WA 98122—6578 W. Theodore Pierson, Jr. 15.2% Vice 1667 K Street, NW. President/ Suite 801 Director Washington, D.C. 20006 Richard L. Anglin, Jr. 24.4% Director 3558 Voyager Circle ’ Del Mar Heights, CA 92130—1852 All of the above are United States citizens.


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Document Modified: 2016-11-03 14:19:37
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