Form FCC Form 323-E FCC Form 323-E OWNERSHIP REPORT FOR NONCOMMERCIAL BROADCAST STATIONS

Title: Ownership Report for Noncommercial Educational Broadcast Stations, FCC Form 323-E; Section 73.3615, Ownership Reports

FCC Form 323-E - 3060-0084 Nonsubstantive Change Request (April 2019)

Ownership Report for Noncommercial Educational Broadcast Station

OMB: 3060-0084

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Federal Communications Commission
Washington, D.C. 20554

Approved by OMB
3060-0084

FCC FORM 323-E
INSTRUCTIONS FOR OWNERSHIP REPORT FOR NONCOMMERCIAL BROADCAST STATIONS
GENERAL INSTRUCTIONS
1. Definitions. For the purposes of completing this form:
(1) A Licensee is a natural person or an entity that
holds a Commission license for a noncommercial
educational broadcast station.
(2) A Permittee is a natural person or an entity that
holds a Commission construction permit for a
noncommercial educational broadcast station.
(3) A Respondent is any person or entity that is
required to file Form 323-E.
2. Filing Requirements: Non-Biennial Ownership
Reports. Licensees and Permittees of noncommercial
educational AM, FM, or full power television stations
must file Form 323-E to report all attributable interests in
the Licensee or Permittee as follows.
(1) Transfers of Control/Assignment of License or
Construction Permit. Licensees and Permittees
must file Form 323-E within 30 days after the
consummation of a transfer of control or an
assignment of a noncommercial educational AM,
FM, or full power television station license or
construction permit. See 47 C.F.R. Section
73.3615(f). Note: FCC consent is required
prior to consummation of transfers of
control/assignments
of
broadcast
authorizations.
(2) Post-grant of Construction Permit. A Permittee
of a new noncommercial educational AM, FM, or
full power television broadcast station must file
Form 323-E within 30 days after the grant of an
original construction permit. See 47 C.F.R.
Section 73.3615(e)(i).
(3) Application for Station License. On the date that
a Permittee applies for a license to cover an
original construction permit for a new
noncommercial educational AM, FM, or full
power television broadcast station, the Permittee
must file Form 323-E to update its ownership
information. A filer may choose to certify the
continuing accuracy and completeness of a
previously-filed ownership report. If the permit

was not assigned or transferred since it was first
granted, the filer may certify the continuing
accuracy and completeness of a previously-filed
report that was submitted pursuant to item (1),
above (i.e., a report that was filed in connection
with grant of the original construction permit). If
the permit was assigned or transferred since it
was first granted, the filer may certify the
continuing accuracy and completeness of a
previously-filed report that was submitted
pursuant to item (2), above (i.e., a postconsummation ownership report). In either case,
the information in the previously-filed report
must remain accurate. See 47 C.F.R. Section
73.3615(e)(ii).
In the case of organizational structures that include
holding companies or other forms of indirect ownership,
a separate FCC Form 323-E must be filed for each entity
in the organizational structure that has an attributable
interest in the Licensee or Permittee. If a Permittee or
Licensee holds multiple construction permits and/or
station licenses for which the filing of a non-biennial
ownership report was triggered pursuant to (1), (2), or (3),
above, and the information submitted on the Permittee’s
or Licensee’s ownership report is equally applicable to
each such permit and/or license, the Licensee or Permittee
may file a single Form 323-E listing all such licenses
and/or permits. Similarly, if a non-Licensee/Permittee
Respondent holds attributable interests in multiple
Licensees or Permittees and the information submitted on
the Respondent’s ownership report is equally applicable
to each such Licensee/Permittee and all associated
licenses/permits, the Respondent may file a single Form
323-E listing all such Licensees/Permittees and
licenses/permits. Notwithstanding the foregoing, any
Respondent that both (1) is a Licensee and/or Permittee
and (2) holds attributable interests in one or more
Licensees and/or Permittees must file two ownership
reports – one as a Licensee/Permittee and one as a nonLicensee/Permittee Respondent.
3. This form is not to be used to request a transfer of
control or assignment of license or construction permit.
The appropriate forms for use in connection with such
transfers or assignments are FCC Forms 314, 315, and/or
316. See 47 C.F.R. Sections 73.3540 and 73.3541. It is
the responsibility of the Licensee or Permittee to
FCC Form 323-E Instructions
April 2019

determine if a given transaction constitutes a transfer of
control or an assignment.

provide the name, organization, and contact information
for the Respondent’s representative.

4. Filing Requirements: Biennial Reports. Licensees
of noncommercial educational AM, FM, and full power
television broadcast stations, as well as Licensees of Class
A Television and Low Power Television (LPTV) stations,
must file FCC Form 323-E every two years to report all
attributable interests in the Licensee. Ownership reports
must be filed by December 1 in all odd-numbered years.
The information in each ownership report shall be current
as of October 1 of the year in which the ownership report
is filed. See 47 C.F.R. Section 73.3615(d).

Licensee/Permittee Respondents. The name of the
Licensee or Permittee should be stated exactly as it
appears on the station’s existing license or construction
permit. The current street address or post office box used
by the Licensee or Permittee for receipt of Commission
correspondence should be set forth. Any change in the
name of the Licensee or Permittee, which does not
involve a change in ownership requiring prior
Commission approval, can be communicated to the
Commission by letter. Changes in the mailing address
previously used by the Licensee or Permittee should be
promptly transmitted to the Commission. See 47 C.F.R.
Section 1.5. Licensees and permittees should submit
address changes via the Media Bureau electronic filing
system
(http://www.fcc.gov/encyclopedia/mediabureau-filing-systems-and-databases).

In the case of organizational structures that include
holding companies or other forms of indirect ownership,
a separate FCC Form 323-E must be filed for each entity
in the organizational structure that has an attributable
interest in the Licensee. If a Licensee holds multiple
station licenses and the information submitted on the
Licensee’s ownership report is equally applicable to each
such license, the Licensee may file a single Form 323-E
listing all such licenses. Similarly, if a non-Licensee
Respondent holds attributable interests in multiple
Licensees and the information submitted on the
Respondent’s ownership report is equally applicable to
each such Licensee and all licenses, the Respondent may
file a single Form 323-E listing all such Licensees and
licenses. Notwithstanding the foregoing, any Respondent
that both (1) is a Licensee and (2) holds attributable
interests in one or more Licensees must file two
ownership reports – one as a Licensee and one as a nonLicensee Respondent.

FRN. The Respondent must provide its FRN – a ten-digit
unique entity identifier. An FRN can be obtained through
the Commission Registration System (CORES), which is
listed
among
the
FCC
E-Filing
systems
(https://www.fcc.gov/licensingdatabases/general/online-filing).
If a Respondent submits and/or is listed as an attributable
interest holder on multiple ownership reports, it must
provide the same FRN on all such ownership reports.
Filers should coordinate with each other to ensure such
consistency.
Questions concerning CORES FRNs can be directed to
the CORES help desk via email at [email protected] or
by calling 1-877-480-3201 (Mon.-Fri. 8 a.m.-6 p.m. ET).

If there has been no change in the information submitted
since the filing of the last biennial report, and that last
biennial report was filed electronically via the
Commission’s Licensing and Management System
(LMS) using the current version of Form 323-E, a
Licensee or other Respondent may electronically validate
and resubmit its previously-filed biennial Form 323-E.

Respondent and Report Information. Select the
appropriate option to indicate whether the Respondent, is
(1) a Licensee;
(2) a Permittee (non-biennial reports only); or

5. Electronic Filing of FCC Form 323-E. All Form
323-E filings must be submitted electronically. Use the
Media
Bureau
electronic
filing
system
(http://www.fcc.gov/encyclopedia/media-bureaufiling-systems-and-databases).

(3) an entity required to file a Form 323-E because it
holds an attributable interest in one or more
Licensees or, in the case of non-biennial reports,
Permittees.

SECTION I – GENERAL INFORMATION (All
Respondents Must Complete)

Also indicate whether the Respondent’s governing board
(or other governing entity) is directly or indirectly under
the control of another entity. If “yes” is selected, a
separate Form 323-E must be submitted for each such
controlling entity.

Respondent and Contact Representative. Enter the
legal name, address, contact information and FCC
Registration Number (FRN) of the Respondent. Also
2

Indicate whether the report is (1) filed to satisfy the
biennial filing requirement; (2) a validation and
resubmission of a previously-filed biennial report
(certifying no change from the previously-filed biennial
report), (3) filed in connection with a transfer of control
or assignment of permit or license, (4) a report by a
Permittee within 30 days after the grant of a construction
permit; (5) a report in conjunction with a Permittee’s
application for a station license, or (6) a certification of
accuracy of a previously filed ownership report by a
Permittee (report in conjunction with a Permittee’s
application for a station license). Purposes (1) and (2)
apply only to biennial filings, while purposes (3) – (6)
apply only to non-biennial filings.

prefilling capabilities within the LMS to create the new
report.
Also enter the “as of” date in the field provided. When
filing a biennial ownership report, the date entered must
be Oct. 1 of the filing year.
Licensee/Permittee and License/Permit Information.
All Licensee/Permittee Respondents must enter the name
and FRN of the Licensee/Permittee and provide
information for each license/permit held by the
Licensee/Permittee and covered by the ownership report,
including call sign, Facility ID Number, community of
license, and class of service. All non-Licensee/Permittee
Respondents must enter the name and FRN for each
Licensee/Permittee covered by the ownership report. In
addition, such Respondents must provide the required
information for each license/permit that is held by one of
those Licensee(s)/Permittee(s) and covered by the
ownership report.

A Respondent with a current and unamended biennial
ownership report on file with the Commission that is still
accurate and that was filed using the current electronic
version of Form 323-E may select option (2) to validate
and resubmit the Respondent’s previously-filed biennial
ownership report. A Respondent that selects this option
will not be permitted to make changes to the information
provided under Licensee/Permittee and License/Permit
Information or to Section II-B of the new report. If such
changes are needed, the Respondent should NOT select
option (2) but instead should make use of the report
copying/prefilling capabilities within LMS to create the
new report.

Facility ID Number. Facility ID numbers can be located
by using the “Station Search” at the Media Bureau
electronic
filing
system
(http://www.fcc.gov/encyclopedia/media-bureaufiling-systems-and-databases). In addition, the Facility
ID Number is included on all broadcast authorizations and
postcards.

If a report is filed pursuant to option (6), provide the file
number of the previously-filed report that is being
certified. A Respondent that selects this option will not
be permitted to make changes to the information provided
under
Licensee/Permittee
and
License/Permit
Information or to Section II-A of the new report. If such
changes are needed, the Respondent should NOT select
option (6) and should instead select option (5) and make
use of the report copying/ prefilling capabilities within
LMS to create the new report.

FRN. Filers must provide an FRN – a ten-digit unique
identifier – for each licensee/permittee that appears on the
report. An FRN can be obtained through the CORES,
which is listed among the FCC E-Filing systems
(https://www.fcc.gov/licensingdatabases/general/online-filing).

Respondents may also amend a previously filed
ownership report. Respondents should select this option
only if the purpose of the filing is to correct one or more
errors in a previously-submitted report. Filing an
amendment will update the previously-filed report, and
the resulting report will have the same file number as the
previously-filed report. When submitting an amendment,
a Respondent must provide the File Number of the
previously-filed report and an exhibit listing the portions
of the previous report that are being revised. A
Respondent that wishes to create a new report based on
data contained in a previously-submitted report should
NOT amend the previously-submitted report. Instead,
the Respondent should make use of the report copying/

SECTION II-A – NON-BIENNIAL OWNERSHIP
INFORMATION

Questions concerning CORES FRNs can be directed to
the CORES help desk via email at [email protected] or
by calling 1-877-480-3201 (Mon.-Fri. 8 a.m.-6 p.m. ET).

Contract Information. Licensees and Permittees of full
power noncommercial educational television stations,
AM radio stations, and FM radio stations are required to
provide to the Commission upon request copies of any
contracts or other instruments, or modifications thereof,
relating to the ownership, control, or management of the
Licensee or Permittee or to its stock. See 47 C.F.R.
Section 73.3613. Licensees and Permittees must provide
the Commission with copies of all contracts or
instruments of the types specified in Section 73.3613
within seven days of a request by the FCC. The filing
requirement is not limited to executed contracts, but
3

includes documents such as options, pledges, and other
executory agreements and contracts relating to
ownership, control, or management.

non-insulated members and other persons or entities with
a direct attributable interest in the Respondent. (A
“direct” interest is one that is not held through any
intervening companies or entities.) In the case of vertical
or indirect ownership structures, report only those
interests in the Respondent that also represent an
attributable interest in the Licensee(s) and/or Permittee(s)
for which the report is being submitted.

Licensee/Permittee Respondents should list all
documents set forth in Section 73.3613(a) through (c) for
all of the stations covered by the report. For each contract
or instrument, the Respondent should provide a
description of the document, a listing of the parties, the
month and year of execution, and the month and year of
expiration (if the agreement is perpetual or does not have
a fixed expiration date, select “No Expiration Date”). In
addition, the Respondent should indicate whether each
document is a network affiliation agreement or another
type of document. If “other” is selected, filers may use
the text box to provide additional information about the
agreement. Each contract/instrument must be identified
and listed directly in the fields provided. For the
purposes of completing this question only a listing of
the relevant contract and instruments, including the
specific information discussed above, is required. Do
not attach copies of the contracts/instruments to the
form.

List each person or entity with a direct attributable interest
in the Respondent separately. Entities that are part of an
organizational structure that includes holding companies
or other forms of indirect ownership must file separate
ownership reports. In such a structure, do not report or
file separate reports for persons or entities that do not have
an attributable interest in the Licensee(s) and/or
Permittee(s) for which the report is being submitted.
Attributable Agreements. Pursuant to Section 73.3555,
Notes 2(j) and 2(k), certain agreements give rise to an
attributable interest in a Licensee or Permittee. Any party
to such agreement that creates an attributable interest in
the Licensee/Permittee by virtue of the standards set forth
in 73.3555, Notes 2(j) and 2(k) must be listed in the
Ownership Interests Section of the report filed by the
Licensee/Permittee – regardless of whether or not the
Licensee/Permittee itself is a party to the agreement(s). In
addition, each such party must file its own ownership
report(s), pursuant to the standards set forth in these
Instructions, in connection with the relevant
Licensee/Permittee and license(s)/permit(s).

This question does not apply to non-Licensee/Permittee
Respondents.
Ownership Interests. As used in this question, an
attributable interest is an ownership interest in or
relationship to a Licensee that confers on its holder a
certain degree of influence or control over the Licensee as
defined in the Commission’s rules. For guidance
concerning attributable interests, Respondents should
consult the instructions below. In addition, Respondents
should review the Commission’s attribution policies and
standards, which are set forth in 47 C.F.R. Section
73.3555, as revised and explained in Review of the
Commission’s Regulations Governing Attribution of
Broadcast and Cable/MDS Interests, MM Docket No. 94150, 14 FCC Rcd 12559 (1999), recon. granted in part,
16 FCC Rcd 1097 (2000) and Report and Order in MM
Docket No. 83-46, 97 FCC 2d 997 (1984), recon. granted
in part, 58 RR 2d 604 (1985), further modified on recon.,
61 RR 2d 739 (1986). Finally, Respondents should
consult Promoting Diversification of Ownership in the
Broadcasting Services, MB Docket No. 07-294, Second
Report and Order, and Order on Reconsideration, 31 FCC
Rcd 398, 422-24, paras. 47-50 (2016).

FRNs. Respondents must provide an FRN – a ten-digit
unique identifier – for each entity reported on Form 323E. An FRN can be obtained through CORES, which is
listed
among
the
FCC
E-Filing
systems
(https://www.fcc.gov/licensingdatabases/general/online-filing).
For each individual (but not entities) reported on Form
323-E, a Respondent must provide a CORES FRN, a
Restricted Use FRN (RUFRN), or a Special Use FRN
(SUFRN). While Respondents are encouraged to report
either a CORES FRN or RUFRN for each individual on
Form 323-E, Respondents also have the option of
reporting an SUFRN for an individual interest holder.
However, if an individual has already obtained an
RUFRN or CORES FRN (or if an RUFRN or CORES
FRN has already been obtained on behalf of an
individual), the Respondent must report that existing
RUFRN or CORES FRN for that individual. If an
RUFRN or CORES FRN has been previously reported for
an individual on one or more ownership report filings
(either commercial or noncommercial), the Respondent
must use that previously-reported RUFRN or CORES

FRN for that individual on all current and future
ownership report filings.

If a party submits and/or is listed as an attributable interest
holder on multiple ownership reports, it must provide the
same FRN on all such ownership reports, regardless of
whether that FRN is a CORES FRN, RUFRN, or SUFRN.
Filers should coordinate with each other to ensure such
consistency.

Before generating or submitting an SUFRN for an
individual, Respondents should read the Commission’s
Form 323 and Form 323-E Frequently Asked Questions
concerning the SUFRN (https://www.fcc.gov/media/
ownership-report-commercial-broadcast-stationform-323). By reporting an SUFRN for an individual, the
Respondent affirms to the Commission that the
Respondent attempted and was unable to identify an
existing CORES FRN or RUFRN for that individual
based on previous ownership reports and information that
is publicly available in the CORES database. See
Promoting Diversification of Ownership in the
Broadcasting Services, MB Docket No. 07-294, Order on
Reconsideration, 32 FCC Rcd 3440, 3448, para. 13
(2017).

The guidance concerning SUFRNs provided in Media
Bureau Announces Online Availability of Revised
Biennial Form 323, an Instructional Workshop on the
Revised Form, and the Possibility of Obtaining a Special
Use FRN for the Form, MB Docket No. 07-294, Public
Notice, 24 FCC Rcd 14329 (Med. Bur. 2009) has been
superseded as discussed herein and as provided in
Promoting Diversification of Ownership in the
Broadcasting Services, MB Docket No. 07-294, Second
Report and Order, and Order on Reconsideration, 31 FCC
Rcd 398 (2016), recon. granted in part, Order on
Reconsideration, 32 FCC Rcd 3440 (2017).

The Commission reminds filers of their obligation to
review the ownership report and affirm that, to the best of
the filer’s “knowledge and belief, all statements in [the
ownership report] are true, correct, and complete.” This
includes verifying that the CORES FRN or RUFRN
reported for each reported party is correct and that no
SUFRN has been used for an individual who has
previously been reported with a CORES FRN or RUFRN
on one or more ownership report filings (either
commercial or noncommercial) or who has an assigned
CORES FRN or RUFRN that is publicly available in the
CORES.

Questions concerning CORES FRNs and RUFRNs can be
directed to the CORES help desk via email at
[email protected] or by calling 1-877-480-3201 (Mon.Fri. 8 a.m.-6 p.m. ET).
Address Information. Provide address information for
the interest holder in the relevant fields.
Listing Type. Indicate whether the interest holder is the
Respondent on the report. Respondent interest holders
should be identified on the first subform of Part (a).

If an SUFRN has not been reported previously for an
individual on any ownership report filings (either
commercial or noncommercial), and, pursuant to the
instructions and standards set forth above, the Respondent
determines that the individual does not have an existing
CORES FRN or RUFRN, the Respondent may click the
button on the relevant subform for Part (a) to generate an
SUFRN for that individual. If an SUFRN has been
previously reported for an individual on one or more
ownership report filings (either commercial or
noncommercial) and, pursuant to the discussion and
standards set forth above, the Respondent determines that
the individual does not have an existing CORES FRN or
RUFRN, the Respondent must report the previously-used
SUFRN for the individual.

Positional Interests: For each interest holder other than
the Respondent, check the boxes for each type of interest
in the Respondent held by the interest holder. If “other”
is selected, specify the interest type.
Principal Profession or Occupation: Indicate the
principal profession or occupation of the reported
individual. Interest holders that are not natural persons
are not required to answer this item.
By Whom Appointed or Elected: Indicate the person(s)
responsible for appointing or electing the reported
individual. Interest holders that are not natural persons
are not required to answer this item.
Percentages of Votes and Total Assets (Equity Debt
Plus). For each interest holder other than the Respondent,
provide the interest holder’s voting percentage in the
Respondent in the field provided. If the interest holder
holds an attributable interest in the Respondent solely
pursuant to the Commission’s Equity Debt Plus
attribution standard, provide the interest holder’s
percentage of total assets (Equity Debt Plus) in the field

RUFRNs and SUFRNs may only be used to file
ownership reports, and may not be used for any other
purpose at the FCC. RUFRNs and SUFRNs are only
available for natural persons. In addition, RUFRNs and
SUFRNs are not available for any natural person who is a
Respondent on one or more ownership reports.
5

provided. Otherwise, leave the total assets (Equity Debt
Plus) field blank.

Licensee Respondents that hold one or more licenses for
full power noncommercial educational television stations,
AM radio stations, and/or FM radio stations should list all
documents set forth in Section 73.3613(a) through (c) for
all of the stations covered by the report. For each contract
or instrument, the Respondent should provide a
description of the document, a listing of the parties, the
month and year of execution, and the month and year of
expiration (if the agreement is perpetual or does not have
a fixed expiration date, select “No Expiration Date”). In
addition, the Respondent should indicate whether each
document is a network affiliation agreement or another
type of document. If “other” is selected, filers may use
the text box to provide additional information about the
agreement. Each contract/instrument must be identified
and listed directly in the fields provided. For the
purposes of completing this question only a listing of
the relevant contract and instruments, including the
specific information discussed above, is required. Do
not attach copies of the contracts/instruments to the
form.

Other Broadcast Interests. Use the radio buttons on the
subform to indicate whether the interest holder reported
on that subform also has attributable interests in one or
more broadcast stations other than those covered by the
current ownership report.
Part (b). Respondents must indicate that the information
provided in Part (a) of this question is complete by
certifying that all interests, including equity, financial, or
voting interests, not reported in response to Part (a) are
non-attributable.
Part (c). If the Respondent seeks an attribution
exemption for any officer or member of the governing
board (or other governing entity) with duties wholly
unrelated to the Licensee(s)/Permittee(s), select “Yes”
and enter the name and title of the each such individual in
the applicable fields. For each such individual, provide
an exhibit establishing that he or she will not exercise
authority or influence in areas that will affect the
Respondent or the Licensee(s)/Permittee(s) and station(s)
covered by the report. This exhibit should describe that
individual’s duties and responsibilities and explain the
manner in which such individual is insulated from the
Respondent and, therefore, should not be attributed an
interest.

Licensee respondents that hold only authorizations for
Class A Television or LPTV stations should select “Not
Applicable” in response to this question and should not
provide any information concerning contracts or other
instruments.
This question
Respondents.

When responding to Part (c), Respondents should note
that exemption from attribution cannot be invoked for an
officer or member of the governing board (or other
governing entity) unless he or she does not, and will not,
have the ability to influence the broadcast operations of
the Permittee(s)/Licensee(s) or Station(s). See 47 C.F.R.
§ 73.3555, Note 2(g).
SECTION II-B
INFORMATION

–

BIENNIAL

does

not

apply

non-Licensee

Ownership Interests. As used this question, an
attributable interest is an ownership interest in or
relationship to a Licensee that confers on its holder a
certain degree of influence or control over the Licensee as
defined in the Commission’s rules. For guidance
concerning attributable interests, Respondents should
consult the instructions below. In addition, Respondents
should review the Commission’s attribution policies and
standards, which are set forth in 47 C.F.R. Section
73.3555, as revised and explained in Review of the
Commission’s Regulations Governing Attribution of
Broadcast and Cable/MDS Interests, MM Docket No. 94150, 14 FCC Rcd 12559 (1999), recon. granted in part,
16 FCC Rcd 1097 (2000) and Report and Order in MM
Docket No. 83-46, 97 FCC 2d 997 (1984), recon. granted
in part, 58 RR 2d 604 (1985), further modified on recon.,
61 RR 2d 739 (1986). Finally, Respondents should
consult Promoting Diversification of Ownership in the
Broadcasting Services, MB Docket No. 07-294, Second
Report and Order, and Order on Reconsideration, 31 FCC
Rcd 398, 422-24, paras. 47-50 (2016).

OWNERSHIP

Contract Information.
Licensees of full power
noncommercial educational television stations, AM radio
stations, and FM radio stations are required to provide to
the Commission upon request copies of any contracts or
other instruments, or modifications thereof, relating to the
ownership, control, or management of the Licensee or to
its stock. See 47 C.F.R. Section 73.3613. Licensees must
provide the Commission with copies of all contracts or
instruments of the types specified in Section 73.3613
within seven days of a request by the FCC. The filing
requirement is not limited to executed contracts, but
includes documents such as options, pledges, and other
executory agreements and contracts relating to
ownership, control, or management.
6

Part (a). Respondents must enter detailed information
about ownership interests by generating a series of
subforms. Answer each item on each subform. The first
subform listing should be for the Respondent itself. If the
Respondent is not a natural person, also list each of the
officers, directors, stockholders, non-insulated partners,
non-insulated members and other persons or entities with
a direct attributable interest in the Respondent. (A
“direct” interest is one that is not held through any
intervening companies or entities.) In the case of vertical
or indirect ownership structures, report only those
interests in the Respondent that also represent an
attributable interest in the Licensee(s) for which the report
is being submitted.

RUFRN or CORES FRN for that individual. If an
RUFRN or CORES FRN has been previously reported for
an individual on one or more ownership report filings
(either commercial or noncommercial), the Respondent
must use that previously-reported RUFRN or CORES
FRN for that individual on all current and future
ownership report filings.

Before generating or submitting an SUFRN for an
individual, Respondents should read the Commission’s
Form 323 and Form 323-E Frequently Asked Questions
concerning the SUFRN (https://www.fcc.gov/media/
ownership-report-commercial-broadcast-stationform-323). By reporting an SUFRN for an individual, the
Respondent affirms to the Commission the Respondent
attempted and was unable to identify an existing CORES
FRN or RUFRN for that individual based on previous
ownership reports and information that is publicly
available in the CORES database. See Promoting
Diversification of Ownership in the Broadcasting
Services, MB Docket No. 07-294, Order on
Reconsideration, 32 FCC Rcd 3440, 3447, para. 13
(2017).

Attributable Agreements. Pursuant to Section 73.3555,
Notes 2(j) and 2(k), certain agreements give rise to an
attributable interest in a Licensee. Any party to such
agreement that is attributable in the Licensee by virtue of
the standards set forth in 73.3555, Notes 2(j) and 2(k)
must be listed in the Ownership Interests Section of the
report filed by the Licensee – regardless of whether or not
the Licensee itself is a party to the agreement(s). In
addition, each such party must file its own ownership
report(s), pursuant to the standards set forth in these
Instructions, in connection with the relevant Licensee(s)
and license(s).

FRNs. Respondents must provide an FRN – a ten-digit
unique identifier – for each entity reported on Form 323E. An FRN can be obtained through the Commission
Registration System, CORES, which is listed among the
FCC E-Filing systems (https://www.fcc.gov/licensingdatabases/general/online-filing).

If an SUFRN has not been reported previously for an
individual on any ownership report filings (either
commercial or noncommercial), and, pursuant to the
instructions and standards set forth above, the Respondent
that the individual does not have an existing CORES FRN
or, the Respondent may click the button on the relevant
subform for Part (a) to generate an SUFRN for that
individual. If an SUFRN has been previously reported for
an individual on one or more ownership report filings
(either commercial or noncommercial) and, pursuant to
the discussion and standards set forth above, the
Respondent determines that the individual does not have
an existing CORES FRN or RUFRN, the Respondent
must report the previously-used SUFRN for the
individual.

For each individual (but not entities) reported on Form
323-E, a Respondent must provide a CORES FRN, a
Restricted Use FRN (RUFRN), or a Special Use FRN
(SUFRN). While Respondents are encouraged to report
either a CORES FRN or RUFRN for each individual on
Form 323-E, Respondents also have the option of
reporting an SUFRN for an individual interest holder.
However, if an individual has already obtained an
RUFRN or CORES FRN (or if an RUFRN or CORES
FRN has already been obtained on behalf of an
individual), the Respondent must report that existing

RUFRNs and SUFRNs may only be used to file
ownership reports, and may not be used for any other
7

purpose at the FCC. RUFRNs and SUFRNs are only
available for natural persons. In addition, RUFRNs and
SUFRNs are not available for any natural person who is a
Respondent on one or more ownership reports.

ownership policies have historically applied. In addition
to citizenship and gender information, Part (a)seeks
information concerning the ethnicity and race of reported
individuals. Interest holders that are not natural persons
are not required to answer this item.

Ethnicity. Indicate whether or not the individual being
reported is Hispanic or Latino (i.e., a person of Cuban,
Mexican, Puerto Rican, South or Central American, or
other Spanish Culture or origin, regardless of race).
Race. The five racial categories are as follows:

(1) American Indian or Alaska Native. A person
having origins in any of the original peoples of
North and South America (including Central
America), and who maintains tribal affiliation or
community attachment.
(2) Asian. A person having origins in any of the
original peoples of the Far East, Southeast Asia,
or the Indian Subcontinent including, for
example, Cambodia, China, India, Japan, Korea,
Malaysia, Pakistan, the Philippine Islands,
Thailand, and Vietnam.

Questions concerning CORES FRNs and RUFRNs can be
directed to the CORES help desk via email at
[email protected] or by calling 1-877-480-3201 (Mon.Fri. 8 a.m.-6 p.m. ET).

(3) Black or African American. A person having
origins in any of the black racial groups of Africa.

Address Information. Provide address information for
the interest holder in the relevant fields.

(4) Native Hawaiian or Other Pacific Islander. A
person having origins in any of the original
peoples of Hawaii, Guam, Samoa, or other
Pacific Islands.

Listing Type. Indicate whether the interest holder is the
Respondent on the report. Respondent interest holders
should be identified on the first subform of Part (a).

(5) White. A person having origins in any of the
original peoples of Europe, the Middle East, or
North Africa.

Positional Interests. For each interest holder other than
the Respondent, check the boxes for each type of interest
in the Respondent held by the interest holder. If “other”
is selected, specify the interest type.

Check all racial categories that apply to the individual
being reported.
Tribal Nation or Tribal Entity. The Respondent may
use the checkbox provided to identify any entity reported
in response to Part (a) that is a Tribal Nation or Tribal
entity. For purposes of this item, a Tribal Nation or Tribal
entity means any Indian or Alaska Native Tribe, band,
nation, pueblo, village or community which is
acknowledged by the federal government to constitute a
government-to-government relationship with the United
States and eligible for the programs and services
established by the United States for Indians. See The
Federally Recognized Indian Tribe List Act of 1994
(Indian Tribe Act), Pub. L. 103-454, 108 Stat. 4791
(1994) (the Secretary of the Interior is required to publish
in the Federal Register an annual list of all Indian Tribes

Principal Profession or Occupation. Indicate the
principal profession or occupation of the reported
individual. Interest holders that are not natural persons
are not required to answer this item.
By Whom Appointed or Elected. Indicate the person(s)
responsible for appointing or electing the reported
individual. Interest holders that are not natural persons
are not required to answer this item.
Citizenship, Gender, Ethnicity, and Race Information.
Among other things, Part (a) seeks information as to those
persons to which the Commission’s minority and female
8

which the Secretary recognizes to be eligible for the
special programs and services provided by the United
States to Indians because of their status as Indians);
Statement of Policy on Establishing a Government-toGovernment Relationship with Indian Tribes, Policy
Statement, 16 FCC Rcd 4078, 4080 (2000); see also 47
C.F.R. §§ 73.3573(f)(6) & Note 5, 73.7000.

Licensee Ownership Structure Chart. Licensees must
include as an attachment a chart or similar document
showing the Licensee’s vertical or other ownership
structure including the Licensee and all entities that have
attributable interests in the Licensee. Any chart format is
acceptable provided that it (a) meets the technical
requirements for the submission of attachments via the
Commission’s online filing system; and (b) accurately
depicts the Licensee’s complete ownership structure, as
described above. Licensee Respondents with a single
parent entity may provide a brief explanatory textual
exhibit in lieu of a flowchart or similar document.
Licensee Respondents with no parent entities should so
indicate in a textual exhibit. This question does not apply
to non-Licensee Respondents.

Percentages of Votes, Equity, and Total Assets (Equity
Debt Plus). For each interest holder other than the
Respondent, provide the interest holder’s voting and
equity percentages in the Respondent in the fields
provided. If the interest holder holds an attributable
interest in the Respondent solely pursuant to the
Commission’s Equity Debt Plus attribution standard,
provide the interest holder’s percentage of total assets
(Equity Debt Plus) in the field provided. Otherwise, leave
the total assets (Equity Debt Plus) field blank.

SECTION III – CERTIFICATION (All Respondents
Must Complete)

The person certifying the accuracy of the information in
this report must be the individual Licensee or Permittee,
an appropriate officer or member of the governing board
(or other governing entity) of the Licensee or Permittee.
If this report is filed for a Respondent that is not a
Licensee or Permittee, the person certifying the accuracy
of the information must be an appropriate officer or
member of the governing board (or other governing
entity) of the Respondent. The date of the signature must
be no earlier than Oct. 1 of the filing year when filing a
biennial ownership report.

Part (b). Respondents must indicate that the information
provided in Part (a) of this question is complete by
certifying that all interests, including equity, financial, or
voting interests, not reported in response to Part (a) are
non-attributable.
Part (c). If the Respondent seeks an attribution
exemption for any officer or member of the governing
board (or other governing entity) with duties wholly
unrelated to the Licensee(s)/Permittee(s), select “Yes”
and enter the name and title of the each such individual in
the applicable fields. For each such individual, provide
an exhibit establishing that he or she will not exercise
authority or influence in areas that will affect the
Respondent or the Licensee(s)/Permittee(s) and station(s)
covered by the report. This exhibit should describe that
individual’s duties and responsibilities and explain the
manner in which such individual is insulated from the
Respondent and, therefore, should not be attributed an
interest.

FCC NOTICE REQUIRED BY THE PAPERWORK
REDUCTION ACT AND THE PRIVACY ACT
We have estimated that each response to this collection of
information will take 1 to 1.5 hours. Our estimate
includes the time to read the instructions, look through
existing records, gather and maintain the required data,
and actually complete and review the form or response. If
you have any comments on this burden estimate, or on
how we can improve the collection and reduce the burden
it causes you, please write to the Federal Communications
Commission, AMD-PERM, Paperwork Reduction
Project (3060-0084), Washington, DC 20554. We will
also accept your comments via the Internet if you send
them to [email protected].
Please DO NOT SEND
COMPLETED APPLICATIONS TO THIS ADDRESS.
Remember - you are not required to respond to a
collection of information sponsored by the Federal
government, and the government may not conduct or
sponsor this collection, unless it displays a currently valid
OMB control number or if we fail to provide you with this
notice. This collection has been assigned an OMB control
number of 3060-0084.

The Federal Communications Commission (FCC or
Commission) is soliciting this information under
authority of Sections 1, 2(a), 4(i), 257, 303(r), 307, 309,
and 310 of the Communications Act of 1934, as amended,
as part of its responsibilities that relate to the ownership
of non-commercial broadcast stations, including radio
and television stations. The Commission needs this
information to process FCC Form 323-E, “Ownership
Report for Noncommercial Broadcast Stations.”

and Non-Commercial Broadcast Stations.” In addition to
those disclosures generally permitted under 5 U.S.C.
552a(b) of the Privacy Act, all or a portion of the records
or information contained in this system may be disclosed
to authorized entities, as is determined to be relevant and
necessary, outside the FCC as a routine use pursuant to 5
U.S.C. 552a(b)(3) as follows. In each of these cases, the
FCC will determine whether disclosure of the records is
compatible with the purpose for which the records were
collected.

The authority under which the FCC requires filers to
comply with the requirements of FCC Form 323-E,
“Ownership Report for Noncommercial Broadcast
Stations,” including the submission of their personally
identifiable information, is derived from 47 C.F.R.
Sections 73.3555 and 73.3615.

1. Public Access – documents filed in LMS are
publicly available via the Commission’s web
site;
2. Adjudication and Litigation – to the Department
of Justice (DOJ), or other administrative body
before which the FCC is authorized to appear,
when: (a) the FCC or any component thereof; or
(b) any employee of the FCC in his or her
official capacity; or (c) any employee of the FCC
in his or her individual capacity where DOJ or
the FCC has agreed to represent the employee;
or (d) the United States is a party to litigation or
has an interest in such litigation, and the use of
such records by the DOJ or the FCC is deemed
by the FCC to be relevant and necessary to the
litigation;

The Commission uses these records in this system:
1. To assess the data contained in responses to FCC
Form 323-E,
“Ownership
Report
for
Noncommercial Broadcast Stations,” which the
Commission uses to undertake studies of
minority and female ownership that include but
are not limited to: Studies that support the
Commission’s diversity policy goals and other
ownership studies to support its statutory
requirement to review the media ownership rules
quadrennially to determine whether they are
necessary in the public interest as the result of
competition. This form is filed:

3. Financial obligations under the Debt Collection
Acts –to other Federal agencies for the purpose
of collecting and reporting on delinquent debts
as authorized by the Debt Collection Act of 1982
or the Debt Collection Improvement Act of
1996. A record from this system may be
disclosed to any Federal, state, or local agency
to conduct an authorized computer matching
program in compliance with the Privacy Act of
1974, as amended, to identify and locate
individuals who are delinquent in their
repayment of certain debts owed to the U.S.
Government. A record from this system may be
used to prepare information on items considered
income for taxation purposes to be disclosed to
Federal, state, and local governments;

(a) To satisfy the biennial filing requirement
(Biennial Ownership Report);
(b) As a validation and resubmission of a
previously filed Biennial Ownership Report;
(c) In connection with the transfer of control or
assignment of a broadcast station;
(d) By a permittee within 30 days after the grant
of a construction permit and on the date that
the permittee files its license application;
(e) As a certification of accuracy of the initial or
post-consummation Ownership Report filed
by the permittee in conjunction with its
application for a station license; or
(f) As an amendment of a previously filed
Ownership Report.

4. Law enforcement and Investigation – to disclose
pertinent information to the appropriate Federal,
state, or local agency responsible for
investigating, prosecuting, enforcing, or
implementing a statute, rule, regulation, or
order, where the FCC becomes aware of an
indication of a violation or a potential violation
of a civil or criminal law or regulation;

2. Any other uses of FCC Form 323-E within the
Commission’s authority.
The PII that is contained in FCC Form 323-E and the PII
that may be stored in the Commission’s information
system(s) are covered by the FCC system of records
notice, FCC/MB-1, “Ownership Reports for Commercial
10

5. Congressional Inquiries – to provide
information to a Congressional office from the
record of an individual in response to an inquiry
made from that Congressional office made at the
request of that individual;

a risk of harm to economic or property interests,
identity theft or fraud, or harm to the security or
integrity of this system or other systems or
programs (whether maintained by the
Commission or another agency or entity) that
rely upon the compromised information; and (3)
the disclosure made to such agencies, entities,
and persons is reasonably necessary to assist in
connection with the Commission’s efforts to
respond to the suspected or confirmed
compromise and prevent, minimize, or remedy
such harm; and

6. Government-wide Program Management and
Oversight – to the National Archives and
Records Administration for use in its records
management inspections; to the Government
Accountability Office (GAO) for oversight
purposes; to DOJ in order to obtain that
department’s advice regarding disclosure
obligations under the Freedom of Information
Act; or to the Office of Management and Budget
in order to obtain that office’s advice regarding
obligations under the Privacy Act;

8. Non-Federal Personnel – to disclose information
to contractors performing or working on a
contract for the Federal Government.
THE FOREGOING NOTICE IS REQUIRED BY
THE PAPERWORK REDUCTION ACT OF 1995,
P.L. 104-13, OCTOBER 1, 1995, 44 U.S.C. 3507 AND
THE PRIVACY ACT OF 1974, PUBLIC LAW 93579, DECEMBER 31, 1974, 5 U.S.C. SECTION
552A(E)(3).

7. Breach Notification – to appropriate agencies,
entities, and persons when (1) the Commission
suspects or has confirmed that the security or
confidentiality of information in the system of
records has been compromised; (2) the
Commission has determined that as a result of
the suspected or confirmed compromise there is

Ownership Report for Noncommercial
Broadcast Stations (FCC Form 323-E)

Approved by OMB
3060-0084
Estimated time per response: 1 to 1.5 hours

Section I – General Information
1. Respondent

FRN

Name

[FRN]

[respondent name]

City (and Country
if non-U.S.
address)

Street Address

[street address 1]
[street address 2]

2. Contact
Representative

Zip
Code

Phone

[state]

[zip]

[phone]

[email]

Name

Organization

[name]

[organization]

Street Address

[street address 1]
[street address 2]

3. Respondent
and Report
Information

[city]

State (“NA”
if non-U.S.
address)

City (and Country
if non-U.S. address)

State (“NA”
if non-U.S.
address)

Zip
Code

Phone

[city]

[state]

[zip]

[phone]

[email]

(a) Provide the following information about the Respondent:
Relationship
to stations/
permits

Control of
Respondent

Licensee

Permittee (non-biennial reports only)

Entity required to file a Form 323-E because it holds an attributable interest in one or
more Licensees or, in the case of a non-biennial report, Permittees
Is the Respondent’s governing board (or other governing entity) directly or
indirectly under the control of another entity?
If Yes, each such controlling entity is considered to have an attributable
interest in the Respondent, and a separate Form 2100, Schedule 323-E must be
submitted for each such controlling entity.

Yes
No

(b) Provide the following information about this report:
Purpose

(1) Biennial
(2) Validation and resubmission of a previously filed biennial report (certifying no
change from previous report) Provide file number of report that is being validated and
FCC Form 323-E
April 2019

resubmitted:

[file number]

(3) Transfer of control or assignment of license/permit
(4) Report by Permittee filing within 30 days after the grant of a construction permit
for a new noncommercial AM, FM, or full power television broadcast station
(5) Report filed by Permittee in conjunction with Permittee’s application for a station
license
(6) Certification of accuracy of an initial or post-consummation ownership report filed
by Permittee in conjunction with Permittee’s application for a station license
Provide file number of report being certified:

[file number]

(7) Amendment to a previously filed ownership report Submit an Exhibit listing, by
Section and Question Number, the portions of the previous report that are being revised.
“As of” date

All of the information furnished in this report is accurate as of the following date
(mm/dd/yyyy): [date]
When filing a biennial ownership report or validating and resubmitting a prior biennial
ownership report, this date must be Oct. 1 of the year in which this report is filed.

4. Licensee(s)/
Permittee(s)
and Stations(s)/
Permit(s)

Respondent is filing this report to cover the following Licensee(s)/Permittee(s) and license(s)/permit(s):
Licensee/Permittee Name

FRN

[licensee name]

[FRN]

Fac. ID No.

Call Sign

City

State

Service

[Fac. ID No.]

[call sign]

[city]

[state]

[service]

Section II-A – Non-Biennial Ownership Information
1. 47 C.F.R.
Section
73.3613
Documents

Licensee/Permittee Respondents should list all contracts and other instruments set forth in
47 C.F.R. Section 73.3613(a) through (c) for the facility or facilities listed on this report. If the
agreement is a network affiliation agreement, check the appropriate box. Otherwise, select
“Other.” Non-Licensee/Permittee Respondents should select “Not Applicable” in response to
this question.
Document Information

FCC Form 323-E (Page 2)

Description of contract or instrument

[description of contract or instrument]

Parties to contract or instrument

[parties to contract or instrument]

Date of execution (mm/yyyy)

[date of execution]

Not
Applicable

Date of expiration (mm/yyyy)

[date of expiration]

Agreement type (check all that apply)

Network Affiliation Agreement
Other

2. Ownership
Interests

No expiration date

Indicate agreement type:

[agreement type]

(a) Ownership Interests. This Question requires Respondents to enter detailed information about
ownership interests by generating a series of subforms. Answer each question on each subform. The first
subform listing should be for the Respondent itself. If the Respondent is not a natural person, also list each
of the officers, members of the governing board, stockholders, and any other persons or entities with a
direct attributable interest in the Respondent pursuant to the standards set forth in 47 C.F.R. Section
73.3555. (A “direct” interest is one that is not held through any intervening companies or entities.) List
each interest holder with a direct attributable interest in the Respondent separately.
Leave the percentage of total assets (Equity Debt Plus) field blank for an interest holder unless that interest
holder has an attributable interest in the Respondent solely on the basis of the Commission’s Equity Debt
Plus attribution standard, 47 C.F.R. Section 73.3555, Note 2(i).
In the case of vertical or indirect ownership structures, list only those interests in the Respondent that also
represent an attributable interest in the Licensee(s) or Permittee(s) for which the report is being submitted.
Entities that are part of an organizational structure that includes holding companies or other forms of
indirect ownership must file separate ownership reports. In such a structure do not report, or file a
separate report for, any interest holder that does not have an attributable interest in the Licensee(s) or
Permittee(s) for which the report is being submitted.
Please see the Instructions for further detail concerning interests that must be reported in response to this
question.
The Respondent must provide an FCC Registration Number for each interest holder reported in response to
this question. Please see the Instructions for detailed information and guidance concerning this
requirement.
Ownership Information
FRN

[FRN]

Name

[name]

Address

Street 1

[street 1]

Street 2

[street 2]

City

[city]

State (“NA” if non-U.S. address)

[state]

Zip/Postal Code

[zip]

Country (if non-U.S. address)

[country]

Listing Type

FCC Form 323-E (Page 3)

Respondent

Other interest holder

Positional Interests
(check all that apply)

Officer

Parent entity

Member of governing board (or other governing entity)
Other Specify interest type:
Principal Profession or
Occupation

[profession]

By Whom Appointed or
Elected

[appointed/elected by]

Interest Percentages
(enter percentage values
from 0.0 to 100.0)

[interest type]

N/A (entity)

Voting

[voting]

Total assets
(Equity Debt Plus)

[total assets]

Does interest holder have an attributable interest in one or
more broadcast stations that do not appear on this report?

Yes

(b) Respondent certifies that any interests, including equity, financial, or voting interests, not
reported in response to Question 2(a) are non-attributable.

Yes

If “No,” submit as an exhibit an explanation.

(c) Is Respondent seeking an attribution exemption for any officer or member of the governing
board (or other governing entity) with duties wholly unrelated to the Licensee(s) or
Permittee(s)?

Yes
No

If “Yes,” complete the information in the required fields and submit an Exhibit fully describing
that individual’s duties and responsibilities, and explaining why that individual should not be
attributed an interest.
Attribution Exemptions
Name

[name]

Title

[title]

Section II-B – Biennial Ownership Information
1. 47 C.F.R.
Section
73.3613
Documents

Licensee Respondents that hold authorizations for one or more full power television, AM,
and/or FM stations should list all contracts and other instruments set forth in 47 C.F.R.
Section 73.3613(a) through (c) for the facility or facilities listed on this report. If the
agreement is a network affiliation agreement, check the appropriate box. Otherwise, select
“Other.” Non-Licensee Respondents should select “Not Applicable” in response to this
question.
Document Information

FCC Form 323-E (Page 4)

Description of contract or instrument

[description of contract or instrument]

Parties to contract or instrument

[parties to contract or instrument]

Not
Applicable

Date of execution (mm/yyyy)
Date of expiration (mm/yyyy)

[date of execution]
[date of expiration]

Agreement type (check all that apply)

Network Affiliation Agreement
Other

2. Ownership
Interests

No expiration date

Indicate agreement type:

[agreement type]

(a) This Question requires Respondents to enter detailed information about ownership interests by
generating a series of subforms. Answer each question on each subform. The first subform listing should
be for the Respondent itself. If the Respondent is not a natural person, also list each of the officers,
members of the governing board (or other governing entity), stockholders, and any other persons or
entities with a direct attributable interest in the Respondent pursuant to the standards set forth in 47 C.F.R.
Section 73.3555. (A “direct” interest is one that is not held through any intervening companies or entities.)
List each interest holder with a direct attributable interest in the Respondent separately.
Leave the percentage of total assets (Equity Debt Plus) field blank for an interest holder unless that interest
holder has an attributable interest in the Respondent solely on the basis of the Commission’s Equity Debt
Plus attribution standard, 47 C.F.R. Section 73.3555, Note 2(i).
In the case of vertical or indirect ownership structures, list only those interests in the Respondent that also
represent an attributable interest in the Licensee(s) for which the report is being submitted.
Entities that are part of an organizational structure that includes holding companies or other forms of
indirect ownership must file separate ownership reports. In such a structure do not report, or file a
separate report for, any interest holder that does not have an attributable interest in the Licensee(s) for
which the report is being submitted.
Please see the Instructions for further detail concerning interests that must be reported in response to this
question.
The Respondent must provide an FCC Registration Number for each interest holder reported in response to
this question. Please see the Instructions for detailed information and guidance concerning this
requirement.
Ownership Information

FCC Form 323-E (Page 5)

FRN

[FRN]

Name

[name]

Address

Street 1

[street 1]

Street 2

[street 2]

City

[city]

State (“NA” if non-U.S.
address)

[state]

Zip/Postal Code

[zip]

Country (if non-U.S. address)

[country]

Listing Type
Positional Interests
(check all that apply)

Respondent
Officer

Other interest holder
Parent entity

Member of governing board (or other governing entity)
Other Specify interest type:
Principal Profession or
Occupation

[profession]

By Whom Appointed or
Elected

[appointed/elected by]

Citizenship, Gender,
Ethnicity, and Race
Information (Natural
Persons Only)

[interest type]
N/A (entity)

N/A (entity)

N/A (entity)
Citizenship
Gender
Ethnicity

[citizenship]
Male

Female

Hispanic or Latino
Not Hispanic or Latino

Race (Check all categories
that apply to the individual
being reported)

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Tribal Nation or Tribal
Entity
Interest Percentages
(enter percentage values
from 0.0 to 100.0)

Yes
Voting

[voting]

Equity

[equity]

Total assets
(Equity Debt Plus)

[total assets]

Does interest holder have an attributable interest in one
or more broadcast stations that do not appear on this
report?

FCC Form 323-E (Page 6)

Yes

(b) Respondent certifies that any interests, including equity, financial, or voting interests, not
reported in response to Question 2(a) are non-attributable.

Yes

If “No,” submit as an exhibit an explanation.

(c) Is Respondent seeking an attribution exemption for any officer or member of the governing
board (or other governing entity) with duties wholly unrelated to the Licensee(s)?

Yes
No

3. Organizational
Chart (Licensees
Only)

[name]

Title

[title]

Attach a flowchart or similar document showing the Licensee’s vertical ownership structure
including the Licensee and all entities that have attributable interests in the Licensee.
Licensees with a single parent entity may provide a brief explanatory textual Exhibit in lieu of a
flowchart or similar document. Licensees without parent entities should so indicate in a
textual Exhibit.

Not
Applicable

Non-Licensee Respondents should select “N/A” in response to this question.

Section III – Certification
I certify that I am
[title]
(official title)
of
[respondent]
(exact legal title or name of Respondent)
and that I have examined this report and that to the best of my knowledge and belief, all statements in this report are true,
correct and complete.
Signature

[signature]

Date (mm/dd/yyyy) (When filing a biennial ownership report, date of
signature below must be no earlier than Oct. 1 of the filing year.)

[date]

Telephone Number (Include area code)

[telephone number]

WILLFUL FALSE STATEMENTS 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).

FCC Form 323-E (Page 7)

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