Application for Transfer of Control of a Corporate Licensee or Permittee, or Assignment of License or Permit for an FM or TV Translator Station or a Low Power Television Station - FCC Form 345

Federal Communications Commission
Washington, D.C. 20554

Not Yet Approved by OMB
3060-0075
Estimated Time per Response – 1.25 hours

INSTRUCTIONS – FORM 2100, SCHEDULE 345 - APPLICATION FOR CONSENT TO ASSIGN
CONSTRUCTION PERMIT OR LICENSE FOR TV OR FM TRANSLATOR STATION OR LOW POWER
TELEVISION STATION OR TO TRANSFER CONTROL OF ENTITY HOLDING TV OR FM TRANSLATOR
OR LOW POWER TELEVISION STATION
The following Instructions track the Non-Pro Forma Assignment or Transfer of Control of CP or License
Application flow in LMS for TV Translator or FM Translator Stations or LPTV Stations:
GENERAL INSTRUCTIONS
Form 2100, Schedule 345, tracks the application flow in LMS when applying for FCC consent to: (1) assign the construction
permit or license for a TV translator or FM translator station or a low power television station; (2) transfer control of an entity
holding a TV translator or FM translator station or a low power television station; or (3) assign or transfer any associated
auxiliary stations (see 47 CFR Part 74, Subparts D, E, F, and H) and UHF translator booster stations (see 47 CFR §74.701),
provided that the transaction does not also involve the transfer or assignment of a commonly owned or controlled full-service
AM, FM, or TV station.
NOTE: When the licensee/permittee of a full-service AM, FM, or TV station files an application for assignment of a permit or
license or for transfer of control, which includes a TV translator or FM translator or low-power television (LPTV) license or
permit, the applicant will follow the application flow on FCC Form 2100, Schedules 314, 315, or 316, for all associated
stations involved in the transaction. This application flow in Schedule 345 pertains only to applications to assign or transfer
control of TV translator, FM translator, or LPTV station licenses or permits unaccompanied by the assignment or transfer of
control of an associated full-service broadcast station authorization.
The form consists of the following sections:
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GENERAL INFORMATION
FEES, WAIVERS, AND EXEMPTIONS
ASSIGNMENT/TRANSFER TYPE
AUTHORIZATIONS TO BE ASSIGNED/TRANSFERRED
ASSIGNMENT/TRANSFER QUESTIONS
LICENSEE/PERMITTEE INFORMATION*
LICENSEE/PERMITTEE CONTACT REPRESENTATIVES*
LICENSEE/PERMITTEE LEGAL CERTIFICATIONS*†
ASSIGNOR/TRANSFEROR INFORMATION
ASSIGNOR/TRANSFEROR CONTACT REPRESENTATIVES
ASSIGNOR LEGAL CERTIFICATIONS**
CHANGES IN INTEREST*†
ASSIGNEE/TRANSFEREE INFORMATION
ASSIGNEE/TRANSFEREE CONTACT REPRESENTATIVES
PARTIES TO THE APPLICATION / ADD PARTY TO THE APPLICATION†
PARTIES TO THE APPLICATION CERTIFICATION†
ASSIGNEE/TRANSFEREE LEGAL CERTIFICATIONS†

All previous editions obsolete.

FCC Schedule 345 Instructions
October 2020

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ASSIGNEE/TRANSFEREEE ALIEN OWNERSHIP
REBROADCAST CERTIFICATION SUMMARY
APPLICATION SUMMARY
LICENSEE/PERMITTEE CERTIFY AND SIGNATURE*
ASSIGNEE/TRANSFEREE CERTIFY AND SIGNATURE
ASSIGNOR/TRANSFEROR CERTIFY AND SIGNATURE

The applicant must complete all sections displayed to it. No section may be omitted. The sections identified with an asterisk
(*) should only be displayed to applicants transferring control of the entity holding the license for an FM or TV translator
station or low-power TV (LPTV) station. The Assignor Legal Certifications section, identified with two asterisks (**), will
only display to applicants assigning an authorization for an FM or TV translator or an LPTV station.
The sections identified with a dagger (†) contain questions or certifications that are not applicable to applicants using this
application flow. In some cases the entire section is not applicable, in others only certain questions are not applicable. For
these questions and certifications the applicant should respond “N/A.” Please read the instructions for these sections
carefully to determine which questions/certifications, if any, require a response other than “N/A.”
This application form makes many references to FCC rules. Applicants should have on hand and be familiar with current
broadcast rules in Title 47 of the Code of Federal Regulations (CFR):
(1)
(2)
(3)
(4)

Part 0
Part 1
Part 73
Part 74

"Commission Organization"
"Practice and Procedure"
"Radio Broadcast Services"
"Experimental Radio, Auxiliary, Special Broadcast, and Other Program Distributional Services"

FCC Rules may be purchased from the Government Publishing Office. Current prices and purchasing information may be
obtained from the GPO Bookstore Website at https://bookstore.gpo.gov/. An up-to-date electronic version of Title 47 of the
CFR may be accessed at https://www.ecfr.gov/cgi-bin/textidx?SID=0970bd71b3f8da40f9fc92f01b613dfd&mc=true&tpl=/ecfrbrowse/Title47/47tab_02.tpl .
Electronic filing of this application is mandatory. See https://enterpriseefiling.fcc.gov/dataentry/login.html. Similarly,
any amendment to the application must be filed electronically. The amendment should contain the following information
to identify the associated application:
(1)
(2)
(2)
(3)
(4)
(5)
(6)

Applicant's name
Facility ID Number
Call letters or specify "NEW" station
Channel number
Station location
File number of application being amended (if known)
Date of filing of application being amended (if file number is not known)

Applicants should follow the procedures set forth in Parts 0, 1, 73, and 74 of the Commission's Rules.
Public Notice Requirements
47 CFR §73.3580 requires that applicants for consent to assignment or transfer of control of an entity holding a construction
permit or license for a TV or FM translator station or an LPTV station that does not originate local programming give local
notice by posting notice online, either on the station website or a website affiliated with the station, its licensee, or its

parent entity, or otherwise by posting notice on a publicly accessible, locally targeted website, for 30 continuous days
following acceptance of the application for filing, in the form prescribed in 47 CFR § 73.3580(b)(2).
An applicant for consent to assignment or transfer of control of an entity holding a construction permit or license for an LPTV
station that locally originates programming is, in addition to giving online notice as detailed above, also required to provide
public notice by broadcasting announcements pursuant to 47 CFR § 73.3580(c)(4)(ii), at least once per week, Monday
through Friday, from 7:00 a.m. to 11:00 p.m. local time, six times over a four consecutive week period, in the form
prescribed in 47 CFR § 73.3580(b)(1), unless the station is off the air, in which case it shall post online notice. If the station
is off the air, it shall provide online notice only.
The public notice requirements set forth above also apply with respect to major amendments to applications as defined in
47 CFR §73.3578(b).
Compliance or intent to comply with the public notice requirements must be certified by the Licensee/Permittee in the
Licensee/Permittee Legal Certifications Section of this application in the case of a transfer of control. Compliance or intent
to comply with the public notice requirements must be certified by the Assignor in the Assignor Legal Certifications Section
of the application in the case of an assignment.
FCC Registration Number (FRN). To comply with the Debt Collection Improvement Act of 1996, the applicant
must enter its FRN, a ten-digit unique entity identifier for anyone doing business with the Commission. If you do not have
an FRN, you can obtain one through the FCC’s CORES (COmmission REgistration System) web page. Go to
https://www.fcc.gov/licensing-databases/commission-registration-system-fcc and follow the links to register and update
an existing Username account, or to create or update a Username account (NOTE: Please use the Updated CORES System,
as the legacy system is being retired and is displayed for archival purposes only). For further assistance with CORES, you
may view tutorial videos at https://www.fcc.gov/licensing-databases/fcc-registration-system-cores/commissionregistration-system-video-tutorials, or you can call the FRN help desk from 8:00 a.m. to 6:00 p.m. Eastern Time at 1-877480-3201.
Online Public Inspection File. A copy of the completed application and all related documents shall be made available for
inspection by the public in the station's online public inspection file, pursuant to the requirements of 47 CFR § 73.3526 for
commercial stations, and Section 73.3527 for noncommercial educational stations.
Defective or incomplete applications will be dismissed. Inadvertently accepted applications are also subject to dismissal.
In accordance with 47 CFR § 1.65, applicants have a continuing obligation to advise the Commission, through amendments,
of any substantial and material changes in the information furnished in this application. This requirement continues until the
FCC action on this application is no longer subject to reconsideration by the Commission or review by any court.
This application requires applicants to certify compliance with many statutory and regulatory requirements. Detailed
instructions provide additional information regarding Commission rules and policies. These materials are designed to track
the standards and criteria that the Commission applies to determine compliance and to increase the reliability of applicant
certifications. They are not intended to be a substitute for familiarity with the Communications Act and the Commission's
regulations, policies, and precedent. While applicants are required to review all application instructions, they are not
required to complete or retain any documentation created or collected to complete the application.
This application is presented primarily in a "Yes/No" certification format. However, it contains appropriate places for
submitting explanations and attachments where necessary or appropriate. Each certification constitutes a material
representation. Applicants may only mark the "Yes" certification when they are certain that the response is correct. A "No"
response is required if the applicant is requesting a waiver of a pertinent rule and/or policy, or where the applicant is

uncertain that the application fully satisfies the pertinent rule and/or policy. Thus, a "No" response to any of the certification
items will not cause the immediate dismissal of the application provided that an appropriate attachment is submitted.
A representative from the assignor/transferor, the assignee/transferee, and (in the case of an application to transfer
control) the licensee/permittee must electronically sign the application. The signature will consist of the electronic
equivalent of the typed name of the individual submitting the application as the applicants or applicants’ authorized
representative(s). Depending on the nature of the applicants, the application should be signed as follows: if a sole
proprietorship, personally; if a partnership, by a general partner; if a corporation, by an officer; for an unincorporated
association, by a member who is an officer; if a governmental entity, by such duly elected or appointed official as is
competent under the laws of the particular jurisdiction. Counsel may sign the application for his or her client, but only in
cases of the applicant's disability or absence from the United States. In such cases, counsel must separately set forth why the
application is not signed by the client. In addition, as to any matter stated on the basis of belief instead of personal
knowledge, counsel shall separately set forth the reasons for believing that such statements are true. See 47 CFR § 73.3513.
The electronic signature will consist of the electronic equivalent of the typed name of the individual. See Report and Order
in MM Docket No. 98-43, 13 FCC Rcd 23056, 23064 (1998), ¶ 17.
GENERAL INFORMATION
When you first log in to LMS, you are taken to the “Saved Applications” page, which will display any applications you have
begun and saved but not filed, if any. At the top of the Saved Applications page, below the header, you will then select the
“Facilities” tab. This will take you to a page listing all facilities associated with the FCC Registration Number (FRN) used to
log in to LMS. You will select one facility as the “lead” facility of the assignment or transfer of control application (you will
have the ability to add facilities to the application at the “Authorizations to be Assigned” or “Authorizations to be
Transferred” screen, immediately below). Select the lead facility by clicking on its Facility ID number in the list.
Once you have selected the lead facility for the application, you will be taken to its Facility Details page. At the top of the
Facility Details page is a button labeled “File an Application.” Click on this button and you will see a pull-down menu of
application types that you can file. To begin a non-pro forma assignment or transfer of control application, select
“Assignment of Authorization non-pro forma” or “Transfer of Control non-pro forma” from the list. Making this selection
will take you to the series of questions and certifications required for a non-pro forma (non-short form) assignment or
transfer of control application, as detailed below.
Application Description: In the space provided, give a brief (255 characters or fewer) description of the application.
This is to assist you in identifying this discrete application and will be displayed only in your LMS Application
workspace. It will not be made a part of your application or be displayed to others.
Uploaded Attachments: Indicate by clicking “Yes” or “No” whether the application includes attachments other than
required attachments. Required attachments are those that must be filed in response to application questions, and may
only be required if certain answers are given.
FEES, WAIVERS, AND EXEMPTIONS
Fees: The Commission is statutorily required to collect charges for certain regulatory services to the public. Generally,
applicants seeking authority to assign or transfer control of licenses or permits of broadcast stations are required to submit a
fee with their application. Government entities, however, are exempt from this fee requirement. Exempt entities include
possessions, states, cities, counties, towns, villages, municipal organizations, and political organizations or subparts thereof
governed by elected or appointed officials exercising sovereign direction over communities or governmental programs. Also

exempt are full-service NCE radio and TV broadcast licensees and permittees, and LPFM licensees and permittees,
provided that the proposed facility will be operated noncommercially. See 47 CFR § 1.1116.
When filing a fee-exempt application, an applicant must select “Yes” to the question asking if the applicant is exempt from
FCC application fees. If selecting “Yes,” explain in the text box that opens the reason for the fee exemption.
The Application Fee Filing Guide for Media Bureau, obtainable at https://www.fcc.gov/document/media-bureauapplication-fee-filing-guide-1, contains a list of the required fees and Fee Type Codes needed to complete this application.
The Commission's fee collection program utilizes a U.S. Treasury lockbox bank for maximum efficiency of collection and
processing.
The Commission’s fees website contains general information on various methods for paying application filing and other fees.
See https://www.fcc.gov/licensing-databases/fees.
The most convenient method for paying fees is from the Application Submitted page, which appears immediately after
submitting the application, by clicking the “Pay Fees” button at the bottom of the page. This will automatically take you
to the Commission’s online Fee Filer. Applicants can also make payments directly through the Commission’s online Fee
Filer system, https://www.fcc.gov/licensing-databases/fees/fee-filer. You may log in to Fee Filer using your FCC
Registration Number (FRN – see above) and password. The Fee Filer home page contains links to information concerning
how to pay Commission fees.
For further information regarding the applicability of a fee, the fee code, the amount of the fee, or the payment of the fee,
applicants should consult the "Application Fee Filing Guide for Media Bureau," which may be accessed at
https://www.fcc.gov/document/media-bureau-application-fee-filing-guide-1 .
Waivers: If any waiver of the Commission’s rules is requested at any part of the application, including a waiver of the
Commission’s Local Radio Ownership Rule as a result of an approved incubation relationship, select “Yes” to this question.
If selecting “Yes,” complete the box that opens by stating the number of rule sections for which you request waiver. You
must then submit an attachment setting forth the waiver(s) sought and the legal justification for waiver.
ASSIGNMENT / TRANSFER TYPE
When you first log in to LMS, you are taken to the “Saved Applications” page, which will display any applications you have
begun and saved but not filed, if any. At the top of the Saved Applications page, below the header, you will then select the
“Facilities” tab. This will take you to a page listing all facilities associated with the FCC Registration Number (FRN) used to
log in to LMS. You will select one facility as the “lead” facility of the assignment or transfer of control application (you will
have the ability to add facilities to the application at the “Authorizations to be Assigned/Transferred” screen, immediately
below). Select the lead facility by clicking on its Facility ID number in the list.
Once you have selected the lead facility for the application, you will be taken to its Facility Details page. At the top of the
Facility Details page is a button labeled “File an Application.” Click on this button and you will see a pull-down menu of
application types that you can file. To begin a non-pro forma assignment or transfer of control application, select
“Assignment of Authorization non-pro forma” or “Transfer of Control non-pro forma” from the list. Making this selection
will take you to the series of questions and certifications required for a non-pro forma (non-short form) assignment or
transfer of control application. Making this selection will also pre-fill a “No” response to the “Application/Transfer Type”
question, “Is this application a pro forma Assignment of Authorization/Transfer of Control?”

AUTHORIZATIONS TO BE ASSIGNED / TRANSFERRED
On this page there are two tables displayed side-by-side. The left-hand table (Select Call Signs) should list all facilities
associated with the FCC Registration Number (FRN) used to log in to LMS to file the application. Select each facility listed
that is to be assigned or transferred in the application. Each selected facility should then appear in the right-hand table
(Selected Call Signs). If you wish to select all displayed facilities, click the “All” box at the top of the Select Call Signs
table.
Unless specifically enumerated as excluded authorizations, the licenses for all subsidiary communications services (SCAs),
FM and TV booster stations, and all auxiliary service stations authorized under Subparts D, E, F, and H of 47 CFR Part 74
will be included in the assignment/transfer of control of the license or permit of the primary station(s). Applicants should
complete the table.
If the station(s) to be assigned/transferred are not displayed, or cannot be selected, click on the “please review the list of
Facility ID’s associated with one or more FRN’s” link. This will display a list of facilities that are associated with FRNs
other than the one used to log in to the application.
ASSIGNMENT / TRANSFER QUESTIONS
Auction Authorization. This question asks whether any of the authorizations to be assigned or transferred were obtained
through the Commission’s competitive bidding procedures, 47 CFR §§ 1.2101 and 73.5000 et seq. If answering “yes,”
submit an attachment explaining which authorizations were so obtained, in which auction, and when the authorization was
granted.
Under the Commission's competitive bidding licensing procedures, applicants seeking to assign or transfer control of a
broadcast construction permit or license obtained by means of competitive bidding must inform the Commission that the
permit or license was obtained through competitive bidding. The applicant must identify those authorizations that were
obtained through competitive bidding, and for which FCC consent to assignment/transfer of control is sought in this
application.
Noncommercial Educational Maintenance of Comparative Qualifications. This question asks whether any of the
authorizations to be assigned or transferred were obtained through the Commission’s “point system” procedures for
noncommercial educational stations, 47 CFR § 73.7000 et seq. If answering “yes,” submit an attachment explaining which
authorizations were so obtained, in which filing window, and when the authorization was granted.
Under the Commission’s licensing procedures for stations operating on channels reserved for noncommercial educational
use, applicants seeking to assign or transfer control of a noncommercial educational TV, FM, or FM translator station
received as a result of evaluation in a point system are subject to certain restrictions if the station has not after the point
system operated for four years with a minimum operating schedule. Applicants seeking to assign or transfer control of a
low power FM station are similarly subject to certain restrictions if (1) it has been less than 18 months since the initial
construction permit was granted; or (2) the station was received as a result of evaluation in an LPFM point system. See
instructions for Low Power FM Permits and Licenses Only below.
The applicant must indicate whether any authorizations were obtained through a point system. Answer “yes” if any of the
reserved channel noncommercial educational stations involved in the assignment or transfer of control were authorized
pursuant to a point system selection procedure, regardless of whether the authorization was issued to the applicant or to a
predecessor. Applicants operating on reserved channels should answer “no” if all stations were authorized using a method
other than point system (such as award to a single applicant, authorization pursuant to a settlement agreement among all

mutually exclusive parties, or selection of an applicant based on comparison pursuant to 47 U.S.C. Section 307(b) (fair
distribution) only).
Applicants who answered “yes” to whether any authorizations were obtained through a point system must also answer
whether all stations awarded by the point system have satisfied the four-year “maintenance of comparative qualifications”
period. Applicants should answer “yes” if, between the time of the point system authorization and the time of the present
application, the station has operated pursuant to that authorization for four years (48 months) on-air, pursuant to the
Commission’s minimum operating schedule. Applicants with stations not yet meeting the four-year “maintenance of
comparative qualifications” period should answer “no” and provide an attachment identifying the stations that have not
met the period, and demonstrating that the transaction is consistent with 47 CFR Section 73.7005(a). Pursuant to that rule
section, the applicant must demonstrate the following: (1) that the proposed assignee/transferee would qualify for points
equal to or greater than those of the party that prevailed in the point system; and (2) that consideration received and/or
promised does not exceed the assignor’s/transferor’s legitimate and prudent expenses in applying for and constructing the
station.
Tribal Priority Holding Period. This question asks whether any of the authorizations to be assigned or transferred were
obtained using the Commission’s Tribal Priority for federally recognized Native American tribes. If answering “yes,”
upload an attachment explaining which authorizations were so obtained and when the authorization was granted. Also if
answering “yes,” you are next asked whether all such stations obtained using the Tribal Priority have operated for at least
four years with a minimum operating schedule since authorization grant. If answering “no” to this question, you are further
asked whether both the assignor/transferor and assignee/transferee qualify for the Tribal Priority in all respects. If answering
“no” to this question, you must upload an attachment demonstrating that the proposed transaction is consistent with the
established Tribal Priority holding period restrictions, or that the policy should be waived in this instance.
Under the Commission’s Tribal Priority (see Policies to Promote Rural Radio Service and to Streamline Allotment and
Assignment Procedures, First Report and Order, 25 FCC Rcd 1583 (2010) (Rural First R&O), modified, Second Report
and Order, 26 FCC Rcd 2556 (2011) (Rural Second R&O), modified, Third Report and Order, 26 FCC Rcd 17642 (2011)
(Rural Third R&O), and 47 CFR § 73.7002(b)(1) [applicable only to noncommercial educational stations]), individuals or
entities obtaining
(a) an AM authorization for which the applicant or a predecessor claimed and received a dispositive Section
307(b) priority because it qualified for the Tribal Priority; or
(b) an FM commercial non-reserved band station awarded:
(1) to the applicant or a predecessor as a singleton Threshold Qualifications Window applicant,
(2) to the applicant or a predecessor after a settlement among Threshold Qualifications Window
applicants, or
(3) to the applicant or a predecessor after an auction among a closed group of bidders composed only of
threshold qualified tribal applicants (pursuant to the Threshold Qualifications procedures set forth in the
Rural Third R&O, 26 FCC Rcd at 17645-50); or
(c) a reserved-band NCE FM station for which the applicant or predecessor claimed and received the Tribal
Priority in a fair distribution analysis as set forth in 47 CFR Section 73.7002(b)(1) may not assign or transfer the
authorization during the period beginning with issuance of the construction permit, until the conclusion of four
years of on-air operations, unless the assignee/transferee also qualifies for the Tribal Priority.
The applicant must indicate whether any authorizations were obtained after award of a dispositive Section 307(b)
preference using the Tribal Priority, through Threshold Qualifications procedures, or through the Tribal Priority as
applied before the NCE fair distribution analysis set forth in 47 CFR § 73.7002(b). Answer “yes” if any of the
stations involved in the assignment or transfer of control were

(a) an AM authorization for which the applicant or a predecessor claimed and received a dispositive Section
307(b) priority because it qualified for the Tribal Priority; or
(b) an FM commercial non-reserved band station awarded through the Threshold Qualifications procedures
detailed in the preceding paragraph; or
(c) a reserved-band NCE FM station for which the applicant or predecessor claimed and received the Tribal
Priority in a fair distribution analysis as set forth in 47 CFR § 73.7002(b)(1).
Applicants who indicate that any authorization was obtained using a Tribal Priority must also indicate whether all
stations acquired using the Tribal Priority have completed four years of on-air operations, thus satisfying the four-year
holding period for such stations. Applicants should answer “yes” if, between the time of construction permit issuance
and the time of the present application, the station has operated pursuant to that authorization for four years (48
months) on-air, pursuant to the Commission’s minimum operating schedule. Applicants with stations not yet meeting
the four-year holding period should answer “no” and proceed to the next question.
Applicants who answered “no” to the question asking whether all stations acquired using the Tribal Priority have
satisfied the holding period requirement must indicate whether both the assignor/transferor and assignee/transferee are
individuals or entities qualifying for the Tribal Priority in all respects. To qualify for the Tribal Priority, an applicant
must meet all of the following qualifications:
(A)

The applicant is a “Tribe” as defined in 47 CFR § 73.7000 (while the definitions in 47 CFR § 73.7000 apply
only to NCE stations, the definition of “Tribe” accurately describes the qualifications for commercial as well
as NCE applicants), a consortium of Tribes, or an entity 51 percent or more of which is owned or controlled
by a Tribe or Tribes. Qualifying Tribes or Tribal entities must be those at least a portion of whose Tribal
Lands lie within the principal community contour of the proposed facility. Although the 51 or greater
percent Tribal control threshold need not consist of a single Tribe, the qualifying entity must be 51 percent or
more owned or controlled by Tribes at least a portion of whose Tribal Lands lie within the proposed facility’s
principal community contour;

(B)

(1) At least 50 percent of the area within the proposed principal community contour is over that Tribe’s
Tribal Lands, or (2) the proposed principal community contour (a) encompasses 50 percent or more of that
Tribe’s Tribal Lands, (b) serves at least 2,000 people living on Tribal Lands, and (c) the total population on
Tribal Lands residing within the proposed station’s service contour constitutes at least 50 percent of the total
covered population (and, in the case of either (B)(1) or (B)(2), the proposed station’s principal community
contour does not cover more than 50 percent of the Tribal Lands of a Tribe that is not a party to the
application). To the extent that a Tribe lacks Tribal Lands, the Commission will be receptive to requests for
waiver of the above-listed tribal land coverage provisions that demonstrate a geographic area identified with
the Tribe. Likewise, the Commission will entertain requests for waiver of the other requirements where
appropriate; see Rural Second R&O, 26 FCC Rcd at 2561-63;

(C)

The proposed community of license must be located on Tribal Lands; and

(D)

The proposed service must constitute first or second aural (reception) service, or first local Tribal-owned
commercial transmission service at the proposed community of license.

For purposes of this item, the definition of “Tribal Lands” is the same as that set forth at footnote 15 of the Rural First
R&O, and as further set forth at paragraphs 8-10 and 59 of the Rural Second R&O. As noted above, an applicant whose
stations were initially acquired through the Tribal Priority may only assign or transfer the station(s) during the four-year

holding period to another individual or entity qualifying for the Tribal Priority. Applicants not meeting the qualifications
for the Tribal Priority and proposing an assignment or transfer of control during the holding period should answer “no”
and provide an exhibit identifying the assignee/transferee(s) not qualifying for the Tribal Priority and/or the station(s) that
have not met the holding period, and demonstrating that the transaction is consistent with the Tribal Priority policies set
forth in the Rural First R&O, or that a waiver of the policies underlying the Tribal Priority is warranted.
LICENSEE/PERMITTEE INFORMATION
This section will only display if the application seeks to transfer control of an entity holding a construction permit or license
for a TV or FM translator station or an LPTV station.
Licensee/Permittee Name and Type: Select the Licensee/Permittee Type (e.g., Individual, Unincorporated Association,
Trust, Government Entity, etc.) from the drop-down menu. In the box below the drop-down menu, enter the exact legal
name of the Licensee/Permittee or Licensee/Permittee entity. The name of the Licensee/Permittee must be stated exactly
as it appears on the authorization to be transferred. If the applicant is a corporation, the applicant should list the exact
corporate name; if a partnership, the name under which the partnership does business; if an unincorporated association, the
name of an executive officer, his/her office, and the name of the association; and, if an individual applicant, the person's full
legal name. If the Licensee/Permittee is doing business under a fictitious business name or name other than the official name
of the entity, you may enter that in the “Doing Business As” box.
Licensee/Permittee Contact Information: Enter the Licensee/Permittee’s postal address, telephone number, and Email
address in the spaces provided. Select the applicant’s Country and State from the drop-down menus.
LICENSEE/PERMITTEE CONTACT REPRESENTATIVES
This section will only display if the application seeks to transfer control of an entity holding a construction permit or license
for a TV or FM translator station or an LPTV station.
If the Licensee/Permittee is represented by a third party (such as, for example, legal counsel), that person's name, firm or
company, and telephone/electronic mail address may be specified as Contact Representative. Otherwise, a party to the
application or another person associated with the applicant may be designated as Contact Representative. This is the person
with whom the Commission will communicate regarding the application. At least one Contact Representative must be
designated. To add a Contact Representative, click the “Add Contact” button at the top right of the screen.
Contact Type: Select the button that best describes the contact type, whether Legal Representative (e.g., attorney),
Technical Representative (e.g., engineer), or Other.
Contact Name: Enter the name of the Contact Representative. If the Contact Representative is the same as the applicant,
you can pre-fill the Contact Name and Contact Information fields with the applicant information previously provided, by
clicking the “Pre-fill From Applicant Details” button.
Contact Information: Enter the Contact Representative’s postal address, telephone number, and Email address in the
spaces provided. If the representative works for a firm or company, enter that name in the Company Name space. Select the
Contact Representative’s Country and State from the drop-down menus.
If you have more than one Contact Representative, click the “Save & Add Another” button at the bottom of the screen and
complete for the next Contact Representative. When you are finished, click “Save & Continue.” You will be displayed a
summary screen listing your Contact Representative(s). From this screen you may delete a Contact Representative or edit

the information provided. If you have no further Contact Representative information to add or edit, click “Save &
Continue.”
LICENSEE/PERMITTEE LEGAL CERTIFICATIONS
This section will only display if the application seeks to transfer control of an entity holding a construction permit or license
for a TV or FM translator station or an LPTV station.
Agreements for Transfer of Control of Station. All applicants must submit to the Commission with this application and
place in the station records of each subject station a complete and final copy of the unredacted contract for the transfer(s) of
control of the authorizations that are the subject of this application, including all exhibits and attachments. The application
and contracts must be retained in the station records until final action is taken on this application, with the exception that any
application granted pursuant to a waiver of any Commission rule must be retained in the station records for as long as the
waiver is in effect. Under 47 CFR § 74.781 (for low power TV, TV translator, or TV booster stations) and 74.1281 (for FM
translator and FM booster stations), licensees must maintain “adequate station records, including the current instrument of
authorization, official correspondence with the FCC, contracts, permission for rebroadcast, and other pertinent documents.”
The station records are to be kept for two years, and are to be maintained at a suitable location in one of the communities of
license for the station, except that the station records of a booster station or translator owned by the licensee of the primary
station may be kept at the same place where the primary station records are kept. See 47 CFR §§ 73.3526(e)(2) (for
commercial stations) and 73.3527(e)(2) (for noncommercial educational stations). Applicants must certify their compliance
with these requirements.
This item asks applicants to certify that the agreements for transfer of control of the subject authorizations "comply fully with
the Commission's rules and policies." In order to complete this certification, applicants must consider a broad range of
issues. The applicant should take particular care in responding to this question if it also holds a time brokerage agreement
(also known as a local marketing agreement) pursuant to which the transferee will supply programming to a station in the
market, or a joint sales agreement pursuant to which the transferee will sell commercial advertising time for a station in the
market.
Other Authorizations. In LMS, this question displays to all applicants. However, for a transaction involving only the
transfer of control of a permit or license for an FM or TV translator station or a low-power TV (LPTV) station (i.e., does
not include any full-service station), the applicant should select "N/A" in response to this question.
Character Issues/Adverse Findings. These questions require an evaluation of any unresolved character issues involving the
Licensee/Permittee or any of its principals, as well as any relevant adverse findings by a court or administrative body.
The Character Issues question requires the Licensee/Permittee to certify that neither it nor any party to the application has
had any interest in or connection with an application that was or is the subject of unresolved character issues. A
Licensee/Permittee must disclose in response to the Adverse Findings question whether the Licensee/Permittee or any party
to the application has been the subject of a final adverse finding with respect to certain relevant non-broadcast matters. The
Commission's character policies and litigation reporting requirements for broadcast applicants focus on misconduct which
violates the Communications Act or a Commission rule or policy and on certain specified non-FCC misconduct. In
responding to these questions, applicants should review the Commission's character qualifications policies, which are fully
set forth in Character Qualifications, 102 FCC 2d 1179 (1985), reconsideration denied, 1 FCC Rcd 421 (1986), as modified,
5 FCC Rcd 3252 (1990) and 7 FCC Rcd 6564 (1992).
Note: As used in these questions, the term "party to the application" includes any individual or entity whose ownership or
positional interest in the Licensee/Permittee is attributable. An attributable interest is an ownership interest in or relation to a
Licensee/Permittee which will confer on its holder that degree of influence or control over the Licensee/Permittee sufficient

to implicate the Commission's multiple ownership rules. See Report and Order in MM Docket No. 83-46, 97 FCC 2d 997
(1984), reconsideration granted in part, 58 RR 2d 604 (1985), further modified on reconsideration, 61 RR 2d 739 (1986).
Character Issues: Where the response to either of the Character Issues questions is "No," the Licensee/Permittee must
submit an attachment that includes an identification of the party having had the interest, the call letters and location of the
station or file number of the application or docket, and a description of the nature of the interest or connection, including
relevant dates. The Licensee/Permittee should also fully explain why the unresolved character issue is not an impediment to
a grant of this application.
Adverse Findings: In responding to the Adverse Findings question, the Licensee/Permittee should consider any relevant
adverse finding. Where that adverse finding was fully disclosed to the Commission in an application filed on behalf of this
station or in another broadcast station application and the Commission, by specific ruling or by subsequent grant of the
application, found the adverse finding not to be disqualifying, it need not be reported again and the Licensee/Permittee may
respond "Yes" to this item. However, an adverse finding that has not been reported to the Commission and considered in
connection with a prior application would require a "No" response.
Where the response to the Adverse Findings question is "No," the Licensee/Permittee must provide in an attachment a full
disclosure of the persons and matters involved, including an identification of the court or administrative body and the
proceeding (by dates and file numbers), and the disposition of the litigation. Where the requisite information has been earlier
disclosed in connection with another pending application, or as required by 47 CFR § 1.65(c), the Licensee/Permittee need
only provide an identification of that previous submission by reference to the file number in the case of an application, the
call letters of the station regarding which the application or Section 1.65 information was filed, and the date of filing. The
Licensee/Permittee should also fully explain why the adverse finding is not an impediment to a grant of this application.
Local Public Notice. This question requires the Licensee/Permittee to certify that it has complied, or will comply, with the
local public notice requirements found in 47 CFR § 73.3580.
Auction Authorization. This question requires the Licensee/Permittee to certify that the proposed transfer will comply with
the "unjust enrichment" provisions of the Commission's broadcast competitive bidding rules, 47 CFR § 73.5007(c).
Licensees/Permittees must review the instructions for the Auction Authorization question in the Transferee Legal
Certifications Section before completing this question.
Anti-Discrimination Certification. This question requires the Licensee/Permittee to certify that neither it nor any party
to the application has violated the Commission's prohibition against discrimination on the basis of race, color, religion,
national origin or sex in the sale of commercially operated AM, FM, TV, Class A TV or international broadcast stations.
See Promoting Diversification of Ownership in the Broadcasting Services, Report and Order and Third Further Notice of
Proposed Rule Making, 23 FCC Rcd 5922 (2008) (Diversity Order and Diversity Third FNPRM). Where the response to
this question is "no," the Licensee/Permittee must provide in an exhibit a full disclosure of the persons and matters
involved. The Licensee/Permittee should also fully explain why the violation is not an impediment to a grant of this
application. For transactions involving the sale or transfer of noncommercial educational FM stations, noncommercial
educational TV stations, or broadcast stations in the AM, Class A TV, or international broadcast services that are operated
on a noncommercial basis, the Licensee/Permittee should select "N/A" in response to this question.
ASSIGNOR / TRANSFEROR INFORMATION
Assignor/Transferor Name and Type: Select the Assignor/Transferor Type (e.g., Individual, Unincorporated
Association, Trust, Government Entity, etc.) from the drop-down menu. In the box below the drop-down menu, enter the
exact legal name of the assignor/transferor or assignor/transferor entity. The name of the applicant must be stated exactly

in this item. If the assignor/transferor is a corporation, the applicant should list the exact corporate name; if a partnership, the
name under which the partnership does business; if an unincorporated association, the name of an executive officer, his/her
office, and the name of the association; and, if an individual applicant, the person's full legal name. If the assignor/transferor
is doing business under a fictitious business name or name other than the official name of the entity, enter that in the “Doing
Business As” box.
Assignor/Transferor Contact Information: Enter the assignor/transferor’s postal address, telephone number, and Email
address in the spaces provided. Select the assignor/transferor’s Country and State from the drop-down menus. Click Save &
Continue when done.
You will next be taken to an Assignor/Transferor Information summary page, from which you may choose to add more
assignors/transferors. When you are finished, click Continue.
ASSIGNOR / TRANSFEROR CONTACT REPRESENTATIVES
If the assignor/transferor is represented by a third party (such as, for example, legal counsel), that person's name, firm or
company, and telephone/electronic mail address may be specified as Contact Representative. Otherwise, a party to the
application or another person associated with the applicant may be designated as Contact Representative. This is the person
with whom the Commission will communicate regarding the application. At least one Contact Representative must be
designated. To add a Contact Representative, click the “Add Contact” button at the top right of the screen.
Contact Type: Select the button that best describes the contact type, whether Legal Representative (e.g., attorney),
Technical Representative (e.g., engineer), or Other.
Contact Name: Enter the name of the Contact Representative. If the Contact Representative is the same as the
assignor/transferor, you can pre-fill the Contact Name and Contact Information fields with the applicant information
previously provided, by clicking the “Pre-fill From Applicant Details” button.
Contact Information: Enter the Contact Representative’s postal address, telephone number, and Email address in the
spaces provided. If the representative works for a firm or company, enter that name in the Company Name space. Select the
Contact Representative’s Country and State from the drop-down menus.
If you have more than one Contact Representative, click the “Save & Add Another” button at the bottom of the screen and
complete for the next Contact Representative. When you are finished, click “Save & Continue.” You will be displayed a
summary screen listing your Contact Representative(s). From this screen you may delete a Contact Representative or edit
the information provided. If you have no further Contact Representative information to add or edit, click “Save &
Continue.”
ASSIGNOR LEGAL CERTIFICATIONS
This section will only display if the application seeks to assign a construction permit or license for a TV or FM translator
station or an LPTV station.
Agreements for Sale of Station. All applicants must submit to the Commission with this application and place in the
station records of each subject station a complete and final copy of the unredacted contract for the assignment of the
authorizations that are the subject of this application, including all exhibits and attachments. The application and contracts
must be retained in the station records until final action is taken on this application, with the exception that any application
granted pursuant to a waiver of any Commission rule must be retained in the public file for as long as the waiver is in effect.

Under 47 CFR § 74.781 (for low power TV, TV translator, or TV booster stations) and 74.1281 (for FM translator and FM
booster stations), licensees must maintain “adequate station records, including the current instrument of authorization, official
correspondence with the FCC, contracts, permission for rebroadcast, and other pertinent documents.” The station records are
to be kept for two years, and are to be maintained at a suitable location in one of the communities of license for the station,
except that the station records of a booster station or translator owned by the licensee of the primary station may be kept at the
same place where the primary station records are kept. See 47 CFR §§ 73.3526(b), 73.3527(b). Accordingly, in this item,
applicants are asked to certify that a complete copy of the assignment application (with unredacted contracts) has been placed
in the station’s records.
Applicants are also asked to certify that the contracts/agreements for assignment of the subject authorizations "comply fully
with the Commission's rules and policies." In order to complete this certification, applicants must consider a broad range of
issues.
Other Authorizations. In LMS, this question displays to all applicants. However, for a transaction involving only the
assignment of a permit or license for an FM or TV translator station or a low-power TV (LPTV) station (i.e., does not
include any full-service station), the applicant should select "N/A" in response to this question.
Character Issues/Adverse Findings. These questions require an evaluation of any unresolved character issues involving the
assignor or any of its principals, as well as any relevant adverse findings by a court or administrative body.
The Character Issues question requires the assignor to certify that neither it nor any party to the application has had any
interest in or connection with an application that was or is the subject of unresolved character issues. An assignor must
disclose in response to the Adverse Findings question whether the assignor or any party to the application has been the
subject of a final adverse finding with respect to certain relevant non-broadcast matters. The Commission's character
policies and litigation reporting requirements for broadcast applicants focus on misconduct which violates the
Communications Act or a Commission rule or policy and on certain specified non-FCC misconduct. In responding to these
questions, applicants should review the Commission's character qualifications policies, which are fully set forth in Character
Qualifications, 102 FCC 2d 1179 (1985), reconsideration denied, 1 FCC Rcd 421 (1986), as modified, 5 FCC Rcd 3252
(1990) and 7 FCC Rcd 6564 (1992).
Note: As used in these questions, the term "party to the application" includes any individual or entity whose ownership or
positional interest in the assignor is attributable. An attributable interest is an ownership interest in or relation to an assignor
which will confer on its holder that degree of influence or control over the assignor sufficient to implicate the Commission's
multiple ownership rules. See Report and Order in MM Docket No. 83-46, 97 FCC 2d 997 (1984), reconsideration granted
in part, 58 RR 2d 604 (1985), further modified on reconsideration, 61 RR 2d 739 (1986).
Character Issues: Where the response to either of the Character Issues questions is "No," the assignor must submit an
attachment that includes an identification of the party having had the interest, the call letters and location of the station or file
number of the application or docket, and a description of the nature of the interest or connection, including relevant dates.
The assignor should also fully explain why the unresolved character issue is not an impediment to a grant of this application.
Adverse Findings: In responding to the Adverse Findings question, the assignor should consider any relevant adverse
finding. Where that adverse finding was fully disclosed to the Commission in an application filed on behalf of this station or
in another broadcast station application and the Commission, by specific ruling or by subsequent grant of the application,
found the adverse finding not to be disqualifying, it need not be reported again and the assignor may respond "Yes" to this
item. However, an adverse finding that has not been reported to the Commission and considered in connection with a prior
application would require a "No" response.

Where the response to the Adverse Findings question is "No," the assignor must provide in an attachment a full disclosure of
the persons and matters involved, including an identification of the court or administrative body and the proceeding (by dates
and file numbers), and the disposition of the litigation. Where the requisite information has been earlier disclosed in
connection with another pending application, or as required by 47 CFR § 1.65(c), the assignor need only provide an
identification of that previous submission by reference to the file number in the case of an application, the call letters of the
station regarding which the application or Section 1.65 information was filed, and the date of filing. The assignor should
also fully explain why the adverse finding is not an impediment to a grant of this application.
Local Public Notice. This question requires the assignor to certify that it has complied, or will comply, with the local public
notice requirements found in 47 CFR § 73.3580.
Auction Authorization. This question requires the assignor to certify that the proposed assignment will comply with the
"unjust enrichment" provisions of the Commission's broadcast competitive bidding rules, 47 CFR § 73.5007(c). Assignors
must review the instructions for the Auction Authorization question in the Assignee Legal Certifications Section before
completing this question.
Anti-Discrimination Certification. This question requires the assignor to certify that neither it nor any party to the
application has violated the Commission's prohibition against discrimination on the basis of race, color, religion, national
origin or sex in the sale of commercially operated AM, FM, TV, Class A TV or international broadcast stations. See
Promoting Diversification of Ownership in the Broadcasting Services, Report and Order and Third Further Notice of
Proposed Rule Making, 23 FCC Rcd 5922 (2008) (Diversity Order and Diversity Third FNPRM). Where the response to
this question is "no," the assignor must provide in an exhibit a full disclosure of the persons and matters involved. The
assignor should also fully explain why the violation is not an impediment to a grant of this application. For transactions
involving the sale or transfer of noncommercial educational FM stations, noncommercial educational TV stations, or
broadcast stations in the AM, Class A TV, or international broadcast services that are operated on a non-commercial basis,
the assignor should select "N/A" in response to this question.
CHANGES IN INTEREST
In LMS, this question will display to all applicants seeking to transfer control of an entity holding a construction permit or
license. However, for a transaction involving only the transfer of control of a permit or license for an FM or TV translator
station or a low-power TV (LPTV) station (i.e., does not include any full-service station), the applicant should select
"N/A" in response to this question.
ASSIGNEE / TRANSFEREE INFORMATION
When you come to this page for the first time, there will be no assignees or transferees listed. To add assignee(s) or
transferee(s), click the “Add Assignee” or “Add Transferee” button at the top of the page.
Assignee/Transferee Name and Type: You may enter the assignee/transferee’s FRN in the box provided and, if you
wish, may click the “Pre-fill Assignee Details” or “Pre-fill Transferee Details” button to fill the fields with information
pertaining to the FRN entered. NOTE: you will see a box warning that continuing to pre-fill the information will delete
any information already in those fields. You may click “Cancel” to go back to fill the fields manually, or “Pre-fill
Assignee/Transferee Information” to continue.
Select the Assignee/Transferee Type (e.g., Individual, Unincorporated Association, Trust, Government Entity, etc.) from
the drop-down menu. In the box below the drop-down menu, enter the exact legal name of the applicant or applicant
entity. The name of the assignee/transferee must be stated exactly in this item. If the assignee/transferee is a corporation,

the applicant should list the exact corporate name; if a partnership, the name under which the partnership does business; if an
unincorporated association, the name of an executive officer, his/her office, and the name of the association; and, if an
individual applicant, the person's full legal name. If the assignee or transferee is doing business under a fictitious business
name or name other than the official name of the entity, enter that in the “Doing Business As” box.
Assignee/Transferee Information: Enter the applicant’s postal address, telephone number, and Email address in the spaces
provided. Select the applicant’s Country and State from the drop-down menus.
Noncommercial Educational / LPFM Qualifications and Educational Program (Radio Applicants Only):
In LMS, this question displays to applicants seeking to assign a construction permit or license for a TV or FM translator
station or an LPTV station. However, for a transaction involving only the assignment of a permit or license for an FM or
TV translator station or a low-power TV (LPTV) station (i.e., does not include any full-service station), the applicant
should select "N/A" in response to this question.
When you are finished entering assignee/transferee Information, click the Continue button at the bottom of the page. This
will take you to a page listing the information that you entered for the assignee/transferee. You can also edit information for
an assignee/transferee by clicking the Edit button on the right-hand side of the entry. If there are more assignees or
transferees, click the Add Assignee or Add Transferee button at the top of the page and repeat the process for all assignees or
transferees. When you are done, click Continue.
ASSIGNEE / TRANSFEREE CONTACT REPRESENTATIVES
If the assignee or transferee is represented by a third party (such as, for example, legal counsel), that person's name, firm or
company, and telephone/electronic mail address may be specified as Contact Representative. Otherwise, a party to the
application or another person associated with the applicant may be designated as Contact Representative. This is the person
with whom the Commission will communicate regarding the application. At least one Contact Representative must be
designated. To add a Contact Representative, click the “Add Contact” button at the top right of the screen.
Contact Type: Select the button that best describes the contact type, whether Legal Representative (e.g., attorney),
Technical Representative (e.g., engineer), or Other.
Contact Name: Enter the name of the Contact Representative.
Contact Information: Enter the Contact Representative’s postal address, telephone number, and Email address in the
spaces provided. If the representative works for a firm or company, enter that name in the Company Name space. Select the
Contact Representative’s Country and State from the drop-down menus.
If you have more than one Contact Representative, click the “Save & Add Another” button at the bottom of the screen and
complete for the next Contact Representative. When you are finished, click “Save & Continue.” You will be displayed a
summary screen listing your Contact Representative(s). From this screen you may delete a Contact Representative or edit
the information provided. If you have no further Contact Representative information to add or edit, click “Save &
Continue.”
PARTIES TO THE APPLICATION

In LMS, this question displays to all applicants. However, for a transaction involving only the assignment or transfer of
control of a permit or license for an FM or TV translator station or a low-power TV (LPTV) station (i.e., does not include
any full-service station), the applicant should select "N/A" in response to this question.
PARTIES TO THE APPLICATION CERTIFICATION
In LMS, this question displays to all applicants. However, for a transaction involving only the assignment or transfer of
control of a permit or license for an FM or TV translator station or a low-power TV (LPTV) station (i.e., does not include
any full-service station), the applicant should select "N/A" in response to this question.

ASSIGNEE / TRANSFEREE LEGAL CERTIFICATIONS
Agreements for Sale of Station. This question requires the assignee/transferee to certify that the written agreement
submitted with the application and contained in the licensee/permittee's station records embodies the complete and final
agreement between the parties and that the agreement complies fully with the Commission's rules and policies regarding
station sales contracts. The assignee/transferee must undertake an independent evaluation of the contract in order to make
this certification. The applicant should take particular care in answering this question if it has an attributable time
brokerage or local marketing agreement, or an attributable joint sales agreement, for the stations subject to the application
or for any other stations in the same market.
Other Authorizations. In LMS, this question displays to all applicants. However, for a transaction involving only the
assignment or transfer of control of a permit or license for an FM or TV translator station or a low-power TV (LPTV)
station (i.e., does not include any full-service station), the applicant should select "N/A" in response to this question.
Multiple Ownership. This item consists of several questions/certifications regarding compliance with the Commission's
broadcast ownership rules, including restrictions on investor insulation and participation of non-party investors and creditors.
In LMS, this question displays to all applicants. However, for a transaction involving only the assignment or transfer of
control of a permit or license for an FM or TV translator station or a low-power TV (LPTV) station (i.e., does not include
any full-service station), the applicant should select "N/A" in response to these questions/certifications.
Joint Sales/Time Brokerage Agreements. In LMS, this question displays to all applicants. However, for a transaction
involving only the assignment or transfer of control of a permit or license for an FM or TV translator station or a low-power
TV (LPTV) station (i.e., does not include any full-service station), the applicant should select "N/A" in response to this
question.
Multiple Ownership/Cross-Ownership Rules. In LMS, this question displays to all applicants. However, for a transaction
involving only the assignment or transfer of control of a permit or license for an FM or TV translator station or a low-power
TV (LPTV) station (i.e., does not include any full-service station), the applicant should select "N/A" in response to this
question.
Media Interests of Family Members/Future Ownership Interests/Insulation of Non-Party Investors and Creditors. In LMS,
this question displays to all applicants. However, for a transaction involving only the assignment or transfer of control of a
permit or license for an FM or TV translator station or a low-power TV (LPTV) station (i.e., does not include any fullservice station), the applicant should select "N/A" in response to this question.

Eligible Entity. In LMS, this question displays to all applicants. However, for a transaction involving only the assignment
or transfer of control of a permit or license for an FM or TV translator station or a low-power TV (LPTV) station (i.e., does
not include any full-service station), the applicant should select "N/A" in response to this question.
Grandfathered Cluster of Stations. In LMS, this question displays to all applicants. However, for a transaction involving
only the assignment or transfer of control of a permit or license for an FM or TV translator station or a low-power TV
(LPTV) station (i.e., does not include any full-service station), the applicant should select "N/A" in response to this question.
NCE Diversity of Ownership Points. In LMS, this question displays to all applicants. However, for a transaction involving
only the assignment or transfer of control of a permit or license for an FM or TV translator station or a low-power TV
(LPTV) station (i.e., does not include any full-service station), the applicant should select "N/A" in response to this
question.
Character Issues/Adverse Findings. These questions require the assignee/transferee to certify that neither it nor any party
to the application has had any interest in or connection with an application that was or is the subject of unresolved character
issues. An assignee/transferee must disclose whether it or any party to the application has been the subject of a final adverse
finding with respect to certain relevant non-broadcast matters. The Commission's character policies and litigation reporting
requirements for broadcast applicants focus on misconduct which violates the Communications Act or a Commission rule or
policy, and on certain specified non-FCC misconduct. In responding to these questions, applicants should review the
Commission's character qualification policies, which are fully set forth in Policy Regarding Character Qualifications In
Broadcast Licensing, Amendment of Rules of Broadcast Practice and Procedure Relating to Written Responses to
Commission Inquiries, and the Making of Misrepresentations to the Commission by Permittees and Licensees, Report,
Order and Policy Statement, 102 F.C.C.2d 1179 (1985), recon. denied, 1 FCC Rcd 421 (1986), as modified, 5 FCC Rcd
3252 (1990) and 7 FCC Rcd 6564 (1992).
Where the response is "No," the assignee/transferee must upload an exhibit that includes an identification of the party having
had the interest, the call letters and location of the station or file number of the application or docket, and a description of the
nature of the interest or connection, including relevant dates. The assignee/transferee should also fully explain why the
unresolved character issue is not an impediment to a grant of this application.
The assignee/transferee should consider any relevant adverse finding that occurred within the past ten years. Where that
adverse finding was fully disclosed to the Commission in an application filed on behalf of this station or in another broadcast
station application and the Commission, by specific ruling or by subsequent grant of the application, found the adverse
finding not to be disqualifying, it need not be reported again and the assignee/transferee may respond "Yes" to this item.
However, an adverse finding that has not been reported to the Commission and considered in connection with a prior
application would require a "No" response.
Where the response is "No," the assignee/transferee must provide in an exhibit a full disclosure of the persons and matters
involved, including an identification of the court or administrative body and the proceeding (by dates and file numbers), and
the disposition of the litigation. Where the requisite information has been earlier disclosed in connection with another
pending application, or as required by 47 CFR § 1.65(c), the applicant need only provide an identification of that previous
submission by reference to the file number in the case of an application, the call letters of the station regarding which the
application or Section 1.65 information was filed, and the date of filing. The assignee/transferee should also fully explain
why the adverse finding is not an impediment to a grant of this application.
NOTE: As used in this question, the term "party to the application" includes any individual or entity whose ownership or
positional interest in the applicant is attributable. An attributable interest is an ownership interest in or relation to an
applicant or licensee which will confer on its holder that degree of influence or control over the applicant or licensee

sufficient to implicate the Commission's multiple ownership rules. See 47 CFR § 73.3555, as revised and explained in
Review of the Commission's Regulations Governing Attribution of Broadcast and Cable/MDS Interests, FCC 99-207,
released August 6, 1999. See also Report and Order in MM Docket No. 83-46, 97 FCC 2d 997 (1984), reconsideration
granted in part, 58 RR 2d 604 (1985), further modified on reconsideration, 61 RR 2d 739 (1986). General guidelines are set
forth below.
INVESTORS AND CREDITORS: Certain interests held by substantial investors in, or creditors of, the applicant may
also be attributable and the investor reportable as a party to the application, if the interest falls within the Commission's
equity/debt plus (EDP) attribution standard. Under the EDP standard, the interest held is attributable if, aggregating both
equity and debt, it exceeds 33 percent of the total asset value (all equity plus all debt) of the applicant – a broadcast station
licensee, cable television system, daily newspaper or other media outlet subject to the Commission’s broadcast multiple
ownership or cross-ownership rules – AND the interest holder also holds (1) an attributable interest in a media outlet in
the same market, or (2) supplies over 15 percent of the total weekly broadcast programming hours of the station in which
the interest is held. For example, the equity interest of an insulated limited partner in a limited partnership applicant would
normally not be considered attributable, but, under the EDP standard, that interest would be attributable if the limited
partner’s interest exceeded 33 percent of the applicant’s total asset value AND the limited partner also held a 5 percent
voting interest in a radio or television station licensee in the same market.
The interest holder may, however, exceed the 33 percent threshold without triggering attribution where such investment
would enable an eligible entity to acquire a broadcast station provided that: (1) the combined equity and debt of the
interest holder in the eligible entity is less than 50 percent, or (2) the total debt of the interest holder in the eligible entity
does not exceed 80 percent of the asset value of the station being acquired by the eligible entity and the interest holder
does not hold any equity interest, option, or promise to acquire an equity interest in the eligible entity or any related entity.
See In re Promoting Diversification of Ownership in the Broadcasting Services, Report and Order and Third Further
Notice of Proposed Rule Making, 23 FCC Rcd 5922 (Mar. 5, 2008).
The Commission defines an “eligible entity” as any entity that qualifies as a small business under the Small Business
Administration’s size standards for its industry grouping, as set forth in 13 C.F.R. § 121-201, and holds (1) 30 percent or
more of the stock or partnership interests and more than 50 percent of the voting power of the corporation or partnership
that will own the media outlet; or (2) 15 percent or more of the stock or partnership interests and more than 50 percent of
the voting power of the corporation or partnership that will own the media outlet, provided that no other person or entity
owns or controls more than 25 percent of the outstanding stock or partnership interests; or (3) more than 50 percent of the
voting power of the corporation that will own the media outlet if such corporation is a publicly traded company.
INDIVIDUAL APPLICANT: The natural person seeking to hold in his or her own right the authorization specified in this
application is a party to the application.
PARTNERSHIP APPLICANT: Each partner, including all limited partners may be parties to the application. However, a
limited partner in a limited partnership is not considered a party to the application IF the limited partner is not materially
involved, directly or indirectly, in the management or operation of the media-related activities of the partnership. Sufficient
insulation of a limited partner for purposes of this certification would be assured if the limited partnership arrangement:
(1)

specifies that any exempt limited partner (if not a natural person, its directors, officers, partners, etc.) cannot act as
an employee of the limited partnership if his or her functions, directly or indirectly, relate to the media enterprises
of the company;

(2)

bars any exempt limited partner from serving, in any material capacity, as an independent contractor or agent with
respect to the partnership's media enterprises;

(3)

restricts any exempted limited partner from communicating with the licensee or the general partner on matters
pertaining to the day-to-day operations of its business;

(4)

empowers the general partner to veto any admissions of additional general partners admitted by vote of the exempt
limited partners;

(5)

prohibits any exempt limited partner from voting on the removal of a general partner or limits this right to situations
where the general partner is subject to bankruptcy proceedings, as described in Sections 402 (4)-(5) of the Revised
Uniform Limited Partnership Act, is adjudicated incompetent by a court of competent jurisdiction, or is removed
for cause, as determined by an independent party;

(6)

bars any exempt limited partner from performing any services to the limited partnership materially relating to its
media activities, with the exception of making loans to, or acting as a surety for, the business; and

(7)

states, in express terms, that any exempt limited partner is prohibited from becoming actively involved in the
management or operation of the media businesses of the partnership.

Notwithstanding conformance of the partnership agreement to these criteria, however, if the applicant has actual knowledge
of a material involvement of a limited partner in the management or operation of the media-related businesses of the
partnership, the limited partner will be considered as a party to this application.
LIMITED LIABILITY COMPANY APPLICANT: The Commission treats an LLC as a limited partnership, each of
whose members is considered to be a party to the application. However, where an LLC member is insulated in the manner
specified above with respect to a limited partnership and where the relevant state statute authorizing the LLC permits an LLC
member to insulate itself in accordance with the Commission's criteria, that LLC member is not considered a party to the
application.
CORPORATE APPLICANT: Each officer, director and owner of stock accounting for 5% or more of the issued and
outstanding voting stock of the applicant is considered a party to the application. Where the 5% stock owner is itself a
corporation, each of its stockholders, directors and "executive" officers (president, vice-president, secretary, treasurer or their
equivalents) is considered a party to this application UNLESS the applicant submits as an exhibit a statement establishing
that an individual director or officer will not exercise authority or influence in areas that will affect the applicant or the
station. In this statement, the applicant should identify the individual by name and title, describe the individual's duties and
responsibilities, and explain the manner in which such individual is insulated from the corporate applicant and should not be
attributed an interest in the corporate applicant or considered a party to this application. In addition, a person or entity
holding an ownership interest in the corporate stockholder of the applicant is considered a party to this application ONLY IF
that interest, when multiplied by the corporate stockholder's interest in the applicant, would account for 5% or more of the
issued and outstanding voting stock of the applicant. For example, where Corporation X owns stock accounting for 25% of
the applicant's votes, only Corporation X shareholders holding 20 percent or more of the issued and outstanding voting stock
of Corporation X have a 5% or more indirect interest in the applicant (.25 x .20 = .05) and, therefore, are considered parties
to this application. In applying the multiplier, any entity holding more than 50% of its subsidiary will be considered a 100%
owner. Where the 5% stock owner is a partnership, each general partner and any limited partner that is not insulated,
regardless of the partnership interest, is considered a party to the application.
Stock subject to stockholder cooperative voting agreements accounting for 5% or more of the votes in a corporate applicant
will be treated as if held by a single entity and any stockholder holding 5% or more of the stock in that block is considered a
party to this application.

An investment company, insurance company or trust department of a bank is not considered a party to this application, IF its
aggregated holding accounts for less than 20% of the outstanding votes in the applicant AND IF:
(1)

such entity exercises no influence or control over the corporation, directly or indirectly; and

(2)

such entity has no representatives among the officers and directors of the corporation.

ANY OTHER APPLICANT: Each executive officer, member of the governing board and owner or holder of 5% or more
of the votes in the applicant is considered a party to the application.
Financial Qualifications. An assignee/transferee must certify that it is financially qualified to effectuate its proposal, with
sufficient net liquid assets on hand or available from committed sources of funds to consummate the transaction and operate
the facilities for three months without additional revenue. This certification includes all contractual requirements, if any, as
to collateral, guarantees, and capital investments. See Revision of Application for Construction Permit for Commercial
Broadcast Station (FCC Form 301) and Modification of Processing Standards for Determining the Financial
Qualifications of Broadcast Station Purchasers, 87 F.C.C.2d 200 (1981).
If the assignee/transferee cannot make this certification, the assignee/transferee must answer “No” to this question and
upload an attachment containing information relevant to an exemption or waiver from this policy. Documentation
supporting a “Yes” certification need not be submitted with this application, but must be made available to the Commission
upon request. Financial statements relied on to make this certification should be prepared in accordance with generally
accepted accounting principles.
Program Service Certification. In LMS, this question displays to all applicants. However, for a transaction involving
only the assignment or transfer of control of a permit or license for an FM or TV translator station or a low-power TV
(LPTV) station (i.e., does not include any full-service station), the applicant should select "N/A" in response to this
question.
Auction Authorization. The competitive bidding rules adopted by the Commission include certain provisions to prevent
"unjust enrichment" by entities that acquire broadcast authorizations through the use of bidding credits or other special
measures. Specifically, the holder of a broadcast license or construction permit, who successfully utilized a bidding credit to
obtain the authorization, is required to reimburse the government for the total amount of the bidding credit, plus interest
based on the rate for ten-year U.S. Treasury obligations applicable on the date the construction permit was granted, as a
condition for Commission approval of any assignment or transfer of that license or construction permit, if the authorization
will be acquired by an entity that does not meet the eligibility criteria for the bidding credit. See 47 CFR § 73.5007. The
amount of this payment will be reduced over a five-year period. See 47 CFR § 73.5007. No payment is required if (1) the
authorization is transferred or assigned more than five years after the initial issuance of the construction permit; or (2) the
proposed transferee or assignee meets the eligibility criteria for the bidding credit.
In accordance with these provisions, this item requires that the assignee/transferee certifies that either (1) more than five
years have passed since the assignor/transferor received its authorization(s) via the competitive bidding process; or (2) the
proposed assignee/transferee meets the eligibility criteria for the bidding credit. If such certification cannot be made, then
the assignee/transferee must answer "No" and tender the applicable reimbursement payment to the United States
Government. See 47 CFR §§ 73.5007, 73.5008.
Equal Employment Opportunity Program. Applicants seeking authority to obtain assignment or transfer of control of the
construction permit or license of a commercial, noncommercial, or international broadcast station are required to afford equal

employment opportunity to all qualified persons and to refrain from discriminating in employment and related benefits on
the basis of race, color, religion, national origin or sex. See 47 CFR § 73.2080. Pursuant to these requirements, an applicant
that proposes to employ five or more full-time employees in its station employment unit must establish a program designed
to assure equal employment opportunity for women and minority groups (that is, Blacks not of Hispanic origin, Asian or
Pacific Islanders, American Indians or Alaskan Natives, and Hispanics). This program is submitted to the Commission as
the Broadcast Equal Opportunity Model Program Report on FCC Form 2100, Schedule 396-A. If the applicant proposes to
employ five or more full-time employees, applicant should select “Yes” to certify that it is filing simultaneously with this
application a Model EEO Program Report on FCC Form 2100, Schedule 396-A. If an applicant proposes to employ fewer
than five full-time employees in its station employment unit, no EEO program for women or minorities need be filed, and the
applicant should select “N/A.”
General guidelines for developing a model Equal Employment Opportunity program are set forth in FCC Form 2100,
Schedule 396-A.
NOTE: This Broadcast Equal Employment Opportunity Model Program Report (FCC Form 2100, Schedule 396-A) is to be
utilized only by applicants for new construction permits and by assignees and transferees.
ASSIGNEE / TRANSFEREE ALIEN OWNERSHIP
All applications must comply with section 310 of the Communications Act, as amended. Specifically, section 310 proscribes
issuance of a construction permit or station license to an alien, a representative of an alien, a foreign government or the
representative thereof, or a corporation organized under the laws of a foreign government. This proscription also applies
with respect to any entity of which more than 20% of the capital stock is owned or voted by aliens, their representatives, a
foreign government or its representative, or an entity organized under the laws of a foreign country. The Commission may
also deny a construction permit or station license to a licensee directly or indirectly controlled by another entity of which
more than 25% of the capital stock is owned or voted by aliens, their representatives, a foreign government or its
representative, or another entity organized under the laws of a foreign country. Any such applicant seeking Commission
consent to exceed this 25% benchmark in section 310(b)(4) of the Act must do so by filing a petition for declaratory ruling
pursuant to section 1.5000-04.
Compliance with section 310 is determined by means of a two-pronged analysis, one pertaining to voting interests and the
second to ownership interests. See, e.g., BBC License Subsidiary L.P., 10 FCC Rcd 10968 (1995). The voting interests held
by aliens in a licensee through intervening domestically organized entities are determined in accordance with the multiplier
guidelines for calculating indirect ownership interests in an applicant as set forth in the "Corporate Applicant" Instructions
above. For example, if an alien held a 30-percent voting interest in Corporation A which, in turn, held a non-controlling 40percent voting interest in Licensee Corporation B, the alien interest in Licensee Corporation B would be calculated by
multiplying the alien's interest in Corporation A by that entity's voting interest in Licensee Corporation B. The resulting
voting interest (30% x 40% = 12%) would not exceed the 25% statutory benchmark. However, if Corporation A held a
controlling 60% voting interest in Corporation B, the multiplier would not be utilized and the full 30 percent alien voting
interest in Corporation A would be treated as a 30 percent interest in Licensee Corporation B, i.e., an impermissible 30%
indirect alien voting interest in the licensee. If Partnership A held a 40% voting interest in Licensee Corporation B, that
voting interest would be similarly impermissible if any general partner or any non-insulated limited partner of partnership A
was an alien, regardless of his or her partnership interest. See also Review of Foreign Ownership Policies for Broadcast,
Common Carrier and Aeronautical Radio Licensees Under Section 310(b)(4) of the Communications Act of 1934, as
Amended, Report and Order, 31 FCC Rcd 11272, paras. 67-72 (2016) (2016 Foreign Ownership Order).

Applicants must also comply with the separate alien equity ownership benchmark restrictions of section 310. Under the
second prong of the analysis, an applicant must determine the pro rata equity holdings of any alien investor in a licensee
entity or its parent. In calculating alien ownership, the same voting interest multiplier rules apply.
In order to complete this two-pronged analysis, an applicant must determine the citizenship of each entity holding either a
voting or equity interest or explain how it determined the relevant percentages. Corporate applicants and licensees whose
stock is publicly traded must determine the citizenship of interest holders who are known or should be known to the
company in the ordinary course of business, including: (1) registered shareholders; (2) officers, directors, and employees;
(3) interest holders reported to the Securities and Exchange Commission; (4) beneficial owners identified in annual or
quarterly reports and proxy statements; and (5) any other interest holders that are actually known to the company, such as
through transactions, litigation, proxies, or any other source. Statistical sampling surveys are no longer necessary.
Although direct inquiry and publicly available resources may be used to determine citizenship of known or should-beknown interest holders, street addresses are not sufficient for this purpose. For more detailed information on identifying
and calculating foreign interests, see 2016 Foreign Ownership Order, paras. 44-72.
If the combined total foreign ownership (foreign voting interests and foreign equity interests) identified under this
methodology does not exceed 25%, a declaratory ruling is not necessary to grant the application. A subsidiary or affiliate
of a licensee already named in a foreign ownership declaratory ruling may rely on that ruling, and by certifying
compliance with the provisions of section 310 of the Communications Act of 1934, as amended, relating to interests of
aliens and foreign governments, certifies that it and the licensee named in the declaratory ruling are in compliance with the
terms and conditions of the original foreign ownership declaratory ruling. See 47 CFR § 1.5004(b). This item asks
whether the applicant has received a foreign ownership declaratory ruling and whether the applicant complies with the
terms of that prior declaratory ruling. Alternatively, it asks whether the applicant is filing for a foreign ownership
declaratory ruling in connection with this application.
REBROADCAST CERTIFICATION SUMMARY
Rebroadcast Certification. An FM or TV Translator operator proposing to rebroadcast the signal of a primary station which
it does not own must obtain written permission of that station prior to retransmission of that signal. See 47 CFR §§ 74.784
(TV Translators) and 74.1284 (FM Translators). The assignee/transferee in an FM translator or TV translator transaction must
certify that such authority has been received.
Low Power Television Station (LPTV) applicants, as well as FM translator or TV translator applicants proposing to
rebroadcast the signal of a primary station that they properly own, should mark the box labeled "N/A."
Additionally, the Commission must be notified of the call letters of each primary station rebroadcast, as well as any changes in
primary stations. Enter the Facility ID number of each station rebroadcast into the field provided. Entering the Facility ID
number(s) will populate the Call Sign, City, and State of each station rebroadcast.
For purposes of this item, "rebroadcast" means the reception by radio of the programs or other signals of a radio or television
station and the simultaneous or subsequent retransmission of such program or signals for direct reception by the general
public. See 47 CFR §§ 74.784(a) and 74.1284(a).
Compliance with 47 CFR Section 74.1232(d). This two-part question relates to the applicant's compliance with the
restrictions on FM translator operation adopted by the Commission in MM Docket No. 88-140. In that rule making
proceeding, the Commission tightened and/or clarified several technical and operational requirements for FM translator
stations after affirming that the proper role for that service was to supplement the service provided by full-service FM radio
broadcast stations. The amended regulations prohibit the licensee of a commercial FM station that will be rebroadcast, or
any entity "having any interest whatsoever [in] or any connection with" the licensee of such a "primary" station, from

owning an FM translator that will operate outside the protected service contour of that primary station. Because of the
potential for abuse, the Commission intended this restriction to be read very broadly. Report and Order in MM Docket No.
88-140, 5 FCC Rcd at 7244, note 25 (1990). Therefore, pursuant to 47 CFR §74.1232(d), interested and connected parties
include, but are not limited to, group owners, corporate parents, shareholders, officers, directors, employees, general and
limited partners, family members, and business associates. "Business associates" has been defined to include a situation in
which one of the translator principals owns or works for a business that advertises on the primary station. Letter to Mr. Eric
Redd and Christopher D. Imlay, Esq., DA 98-876, 13 FCC Rcd 25,188 (M.M. Bur. 1998). The underlying rationale for this
prohibition has been to prevent FM station licensees from using FM translators as a competitive means for extending their
stations' service areas.
NOTE: Section 74.1232(d) does not apply to FM translator applicants proposing noncommercial educational
operation.
In situations where a licensee establishes that the proposed facility's service contour will include a substantial amount of
"white area," the Commission may grant requests for waiver of Section 74.1232(d). The Commission has defined a "white
area" as any area outside the coverage contour of any full-time aural service. In order for licensees of commercial primary
stations to have an interest in or connection with translators serving such areas, the Commission requires a showing of a lack
of service in accordance with the stated "white area" definition. See Report and Order in MM Docket No. 88-140, 5 FCC
Rcd 7212, 7216 (1990); Kevin C. Boyle, Esq., 11 FCC Rcd 2348 (M.M. Bur. 1996).
Accordingly, the first part of this question asks the applicant to certify that the FM translator applicant is not also the licensee
or permittee of the commercial primary station to be rebroadcast and that none of the principals in the FM translator
applicant have any interest in or connection with the primary station. If there is any interest or connection whatever, the
applicant must answer "No" to this question, and must disclose or describe the relationship or connection in an uploaded
exhibit.
The second part of this question asks the applicant to certify that the FM translator station will be used as a fill-in service.
In the FM service, the coverage contour of the FM translator station must not extend beyond the protected coverage
contour of the commercial FM primary station to be rebroadcast. For purposes of this question, the “protected coverage
contour” is:
Non-reserved band
Class B Stations

0.5mV/m 54 dBu (50,50) contour

Non-reserved band
Class B1 Stations

0.7 mV/m 57 dBu (50,50) contour

All other FM
Station Classes

1 mV/m 60 dBu (50,50) contour

The Commission adopted rules in MB Docket No. 07-172 that would allow AM stations to use FM translator stations to
rebroadcast the AM signal locally, retransmitting their AM programming as a fill-in service. The cross-service translating
rules limit FM translators to providing fill-in service only, specifically within the primary AM station’s authorized service
area. In 2017, the Commission modified 47 CFR § 74.1201(g), allowing an FM translator station rebroadcasting an AM
broadcast station to be located such that the 60 dBµ contour of the FM translator station must be contained within the
greater of either (a) the 2 mV/m daytime contour of the AM station, or (b) a 25-mile radius centered at the AM station’s

transmitter site. Revitalization of the AM Radio Service, Second Report and Order, MB Docket 13-249, 32 FCC Rcd 1724
(2017).
Therefore, in the AM service, the FM translator’s entire 1 mV/m coverage contour must be contained within the greater of
either: (i) the 2 mV/m daytime contour of the commercial AM primary station to be rebroadcast, or (ii) a 25-mile radius
centered at the commercial AM primary station’s transmitter site.
If the answer to both parts of the question is “No” and no waiver has been justified, the application will be dismissed as
unacceptable for filing under 47 CFR §§ 73.3566(a) and 74.1232(d).
Applicants for FM booster stations, as well as applicants proposing noncommercial educational translator operation, should
mark "N/A" to both parts of this question.
Compliance with 47 CFR § 74.1232(e). This question requires the FM translator applicant to certify that it complies with
the rule regarding financial and technical assistance from the primary station to be rebroadcast, which rule also was adopted
by the Commission in MM Docket No. 88-140. Applicants proposing FM translator operation for which the translator
contour extends beyond the protected contour of the commercial primary station to be rebroadcast may not "receive any
support, either directly or indirectly, from the commercial primary FM radio broadcast station" or from any entity "having
any interest whatsoever [in] or any connection with" the licensee of such a commercial primary station. See 47 CFR §
74.1232(e). Pursuant to 47 CFR §74.1232(e), "[i]nterested and connected parties" include but are not limited to group
owners, corporate parents, shareholders, officers, directors, employees, general and limited partners, family members, and
business associates. This provision is to be interpreted very broadly. Report and Order in MM Docket No. 88-140, 5 FCC
Rcd at 7244, note 25 (1990). "Business associates" has been defined to include a situation in which one of the translator
principals owns or works for a business that advertises on the primary station. Letter to Mr. Eric Redd and Christopher D.
Imlay, Esq., DA 98-876 13 FCC Rcd 25188 (M.M. Bur. 1998).
Notwithstanding these restrictions, FM translators may receive "technical assistance" from the commercial primary station to
the extent of installing or repairing equipment or making adjustments to equipment to ensure compliance with the terms of
the translator operator's construction permit and license. "Technical assistance" here refers to actual services provided by the
primary station's technical staff or compensation for the time and services provided by independent engineering personnel. It
does not include the provision of equipment for the translator's operation or direct funding for the translator operator's
discretionary use. Furthermore, such technical assistance must occur after the issuance of the translator's construction permit
or license in order to meet expenses incurred by installing, repairing, or making adjustments to equipment. Thus, applicants
for new FM translator stations may not be promised or receive financial or technical assistance during the application process
from the commercial primary station or any person interested in or connected with that station. Memorandum Opinion and
Order in MM Docket No. 88-140, 8 FCC Rcd 5093, 5096 (1993).
47 CFR § 74.1232(e) provides that an other area FM translator station (i.e., FM translator station whose coverage contour
extends beyond the protected contour of the commercial FM primary station) shall not receive any support, before, during,
or after construction, either directly or indirectly, from the commercial primary FM radio broadcast station, or from any
person or entity having an interest or connection with the commercial primary FM station. For the purposes of this rule,
interested and connected parties extend to group owners, corporate parents, shareholders, officers, directors, employees,
general and limited partners, family members, business associates, and advertisers.
If the translator applicant is receiving or has been promised from the primary station or any party interested in or connected
to that station: (1) financial support; (2) technical support over and above what is specified in Section 74.1232(e); or (3)
technical assistance of any sort prior to grant of the requested permit, it should answer "No" to this question and provide all
pertinent details and, if necessary, request a waiver by uploading an explanatory exhibit.

Applicants for FM booster stations, as well as applicants proposing noncommercial educational translator operation, should
mark "N/A" to this question.
Since the primary station financial support and technical assistance prohibition of Section 74.1232(e) does not apply to
“fill-in” FM translators, applicants proposing to rebroadcast the signal of an AM primary station should mark “N/A” to
this question.

APPLICATION SUMMARY
Before certifying and signing the application, you will view the Application Summary page, which displays the
information entered in the various sections of this application, allowing you to review the information before certifying,
signing, and submitting the application. In particular, the Application Summary page displays any missing or erroneous
information that must be entered or corrected before you can proceed to application certification and signature. If you see
a red box near the top of the Application Summary page that reads, “This application is incomplete or contains errors,”
you will need to make corrections before certifying.
To correct errors or omissions in the application, go to the Application Sections bar on the right side of the page. This
lists all of the major application sections. An application section that is complete will have a green checkmark next to its
name; a section that is incomplete or that has errors will have a red “X” next to its name. Click on the name of a section
that indicates errors, and you will be taken back to that section to complete it and/or to correct any errors.
Once you have corrected all incompletions and errors, the Application Summary page will display green checkmarks next
to all application sections in the Application Sections bar. Click the Continue to Certify button at the bottom of the screen
to continue to certify and sign the application.
LICENSEE/PERMITTEE / ASSIGNEE/TRANSFEREE / ASSIGNOR/TRANSFEROR CERTIFY AND
SIGNATURE
General Certification Statements: The Licensee/Permittee, Assignee/Transferee, and Assignor/Transferor must certify
that the statements in this application are true, complete, and correct to the best of their knowledge and belief, and are
made in good faith. Licensee/Permittee, Assignee/Transferee, and Assignor/Transferor must acknowledge that all
certifications and uploaded Exhibits are considered material representations. Transferee must waive any claim to the use of
any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of
the previous use of such frequency(ies) or spectrum, whether by authorization or otherwise. Licensee/Permittee,
Assignee/Transferee, and Assignor/Transferor must also certify that neither they nor any party to the application is subject
to denial of federal benefits pursuant to section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862.
Section 5301 of the Anti-Drug Abuse Act of 1988 provides federal and state court judges the discretion to deny federal
benefits to individuals convicted of offenses consisting of the distribution or possession of controlled substances. Federal
benefits within the scope of the statute include FCC authorizations. The Licensee/Permittee, Assignee/Transferee, and
Assignor/Transferor, by electronically signing the application, certify that neither they nor any party to this application has
been convicted of such an offense or, if they or any party have been so convicted, they are not ineligible to receive the
authorization sought by this application because of section 5301.

NOTE: With respect to this certification, the term "party to the application" includes, if the Licensee/Permittee,
Assignee/Transferee, or Assignor/Transferor is an individual, that individual; if a corporation or unincorporated association,
all officers, directors, or persons holding five percent or more of the outstanding stock or shares (voting and/or non-voting)
of the Licensee/Permittee, Assignee/Transferee, or Assignor/Transferor; all members if a membership association; and if the
Licensee/Permittee, Assignee/Transferee, or Assignor/Transferor is a partnership, all general partners and all limited
partners, including both insulated and non-insulated limited partners, holding a five percent or more interest in the
partnership. See 47 CFR § 1.2002(b)-(c).
Authorized Party to Sign: The Licensee/Permittee, Assignee/Transferee, and Assignor/Transferor must
electronically sign the application. Depending on the nature of the Licensee/Permittee, Assignee/Transferee, and
Assignor/Transferor , the application should be signed as follows: if a sole proprietorship, personally; if a partnership, by a
general partner; if a corporation, by an officer; for an unincorporated association, by a member who is an officer; if a
governmental entity, by such duly elected or appointed official as is competent under the laws of the particular jurisdiction.
Counsel may sign the application for his or her client, but only in cases of the applicant's disability or absence from the
United States. In such cases, counsel must separately set forth why the application is not signed by the client. In addition, as
to any matter stated on the basis of belief instead of personal knowledge, counsel shall separately set forth the reasons for
believing that such statements are true. See 47 CFR § 73.3513. The electronic signature will consist of the electronic
equivalent of the typed name of the individual. See Report and Order in MM Docket No. 98-43, 13 FCC Rcd 23056, 23064
(1998), ¶ 17.
Licensee/Permittee, Assignee/Transferee, and Assignor/Transferor must also check the box to certify that they have
submitted with the application all required and relevant attachments.
Click the “Submit Application” button to submit the application. The application is not considered to be submitted unless
and until you click the “Submit Application” button.

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT
We have estimated that each response to this collection of information will take 1.25 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 Email them to [email protected] or send them to the Federal
Communications Commission, AMD-PERM, Paperwork Reduction Project (3060-0075), 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 or if we fail to provide you with this notice. This
collection has been assigned an OMB control number of 3060-0075.
THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, P.L. 104-13,
OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.