Form FCC Form 324 FCC Form 324 Operator, Mail Address, and Operational Information Chan

Section 76.1610, Change of Operational Information; FCC Form 324, Operator, Mail Address, and Operational Status Changes

FCC 324

Operator, Mail Address, and Operational Information Changes

OMB: 3060-1045

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FEDERAL COMMUNICATIONS COMMISSION

WASHINGTON, DC 20554


OPERATOR, MAIL ADDRESS, AND OPERATIONAL INFORMATION CHANGES


FCC Form 324



  1. Indicate the nature of the operational change



Ownership Change



Legal Name Change



Assumed / dba Name Change



Mailing Address Change



Operational Status Change



Physical System ID Change



  1. Indicate legal name, dba name, mailing address, and telephone number of the cable system operator.


Legal Name

     

FCC Registration No. (FRN)

    -  -    

Assumed/ doing business as name (dba)

     

Mailing Address

     

City

     

State

  

Zip Code

     

Telephone No.

(     )    -      

Email (optional)

     @     .   


  1. Indicate whether the operator is an individual, private association, partnership, corporation, or Government entity.



Individual



Private Association


Partnership



Corporation



Government Entity



  1. Indicate the Physical System Identifier (PSID) if the community will be served by a different system:      


  1. Describe the change to CUID (e.g. operation terminated, community merged, merging PSIDs, etc.)



     







  1. If the community is merged, provide the Community Unit Identifier (CUID) that it is being merged into:      


  1. Indicate on Exhibit 1 the names and the Community Unit Identifiers (CUIDs) (e.g. , CA0001) affected.


  1. Certification


By signing below, the operator also certifies that neither the operator nor any other “party” to the notification 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. § 862. For the definition of a “party” for this purpose refer to 47 C.F.R. § 1.2002(b).

Type or Print Name

     

Title

     

Signature

     

Date

     

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (18 U.S.C. § 1001) AND/OR REVOCATION OF ANY STATION LICENSE (47 U.S.C. § 312 (a) (1)), AND/OR FORFEITURE (47 U.S.C. § 503(b)).



EXHIBIT 1



FCC Identifier

Community Name

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

Use Additional Pages As Needed


INSTRUCTIONS FOR FCC FORM 324


OPERATOR, MAIL ADDRESS, AND OPERATIONAL STATUS CHANGES


A cable operator is required to notify the Commission in writing within 30 days following a change to the operator, legal name, mail address, and operational status change (47 CFR § 76.1610). No fees are required for § 76.1610 changes.



  1. Indicate the nature of the operational change by checking the appropriate box or boxes. Possible changes include: ownership change, legal name change, assumed/does business as (dba) name change, mailing address change, community operational status change, and/or physical system identification (PSID) change.


  1. Provide the cable operator’s legal name, FCC Registration Number (FRN), any assumed name for doing business as (dba) in the community, complete mailing address including zip code, and telephone number in the spaces provided.


  1. Indicate whether the operator is an individual, private association, partnership, corporation, or government entity by checking the appropriate box. If the operator is a partnership, the legal name of the partner responsible for communications with the Commission shall be supplied.


  1. Indicate the Physical System Identifier if the community will be served by a different system.

  2. If the Physical System Id (PSID) of the community(ies) is changing, indicate the new PSID that will serve the community in the space provided. If the community is being served from a new headend that does not yet have a PSID, a new PSID will be assigned to the community provided in Exhibit 1. A separate Form 324 is required for each new PSID assignment.

  3. For an operational status change, describe the nature of the change in the box provided. In order to merge a community into another community, both the existing CUID and the CUID into which the community is being merged must be provided.

  4. List all the Community Unit Identifiers (CUIDs) and the corresponding names of the communities affected by this form on Exhibit 1.


  1. The person responsible for this form must provide their name, title, signature, and the date in the space provided.


Send completed Form 324 to:


Federal Communications Commission

Media Bureau

445 12th Street, SW

Washington, DC 20554


FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT


If you do not provide the information requested on this form, the application may be returned without action having been taken upon it or its processing may be delayed while a request is made to provide the missing information. Your response is required to obtain the requested authorization.


We have estimated that each response to this collection of information will take 30 minutes. 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 e-mail them to [email protected] or send them to the Federal Communications Commission, AMD-PERM, Paperwork Reduction Project (3060-1045), Washington, DC 20554. 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 of if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-1045.


THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, P.L. 104-13, OCTOBER 1, 1995, 44 U.S.C. 3507.






Federal Communications Commission Approved by OMB

Washington, D.C. 20554 3060-1045

December 2003

File Typeapplication/msword
AuthorWayne T. McKee
Last Modified ByCathy.Williams
File Modified2006-09-27
File Created2006-09-27

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