Form 316-IBFS_clean

Federal Communications Commission Approved by OMB

Washington, D.C. 20554 3060-1290
Estimated Time Per Response: 10 hours

Edition Date: April 2023

INSTRUCTIONS FOR FCC FORM 316-IBFS

APPLICATION FOR CONSENT TO ASSIGN INTERNATIONAL BROADCAST STATION CONSTRUCTION PERMIT OR LICENSE OR TRANSFER OF CONTROL OF ENTITY HOLDING AN INTERNATIONAL BROADCAST STATION CONSTRUCTION PERMIT OR LICENSE

GENERAL INSTRUCTIONS

1. This form is to be used when applying for FCC consent to: (1) assign an international broadcast station construction permit or license; or (2) transfer of control of an entity holding a international broadcast station construction permit or license only where:

1. There is an assignment from an individual or individuals (including partnerships) to a corporation owned and controlled by such individuals or partnerships without any substantial change in their relative interests;

2. There is an assignment from a corporation to its individual stockholders without effecting any substantial change in the proportion or disposition of their interests;

3. There is an assignment or transfer by which certain stockholders retire, provided that the interest transferred to the remaining stockholders is not a controlling interest;

4. There is a corporate reorganization which involves no substantial change in the beneficial ownership of the corporation;

5. There is an assignment or transfer: (a) from a corporation to a wholly owned subsidiary thereof; (b) from a wholly owned subsidiary to the corporate parent; (c) from one wholly owed subsidiary to another; or (d) from one corporation to another corporation owned or controlled by the assignor's/ transferor's stockholders in substantially similar proportions;

6. There is an assignment or transfer of less than a controlling interest in a partnership;

7. There is an involuntary assignment or transfer of a controlling interest in a licensee/permittee to an executor, administrator, or other court-appointed individual caused by death or other legal disability; or

8. There is an involuntary assignment or transfer of a controlling interest in a licensee/permittee to a courtappointed federal trustee (in bankruptcy proceedings) or receiver (in state court receivership proceedings).

See 47 C.F.R. Section 73.3540. Section I, Item 4 requires applicants to certify that the proposed transaction fits into one of the listed categories.

Note: This form does not cover assignments or transfers from an executor/administrator or other court-appointed officer to the ultimate beneficiary or assignments or transfers from a trustee or receiver to an ultimate third-party purchaser. Those transactions must be filed on either FCC Form 314-IBFS or 315-IBFS, as appropriate.

2. Generally, use of this form is prohibited if the previously approved principals of the licensee/permittee will not retain more than 50 percent of the station's voting rights or when more than 50 percent of the station's voting rights is being assigned or transferred, irrespective of whether or not the recipient(s) are already holders of such stock. The Commission reserves the right to require the parties to file an application for consent to the proposed transaction on FCC Forms 314-IBFS or 315-IBFS For additional information on the scope of applications that can be filed on FCC Form 316-IBFS, see Metromedia, Inc., 98 FCC 2d 300, reconsideration denied, 56 RR 2d 1198 (1984).

3. This FCC Form consists of the following sections:

1. General Information (licensee and contact representatives, if any)

2. Assignor/Transferor

3. Licensee/Permittee

4. Assignee/Transferee

The Licensee/Permittee must complete Sections I and III.

The Transferor(s)must complete Section II.

The Transferee(s)must complete Section IV.

4. 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 (C.F.R.):

1. Part 0 "Commission Organization"

2. Part 1 "Practice and Procedure"

3. Part 73 "Radio Broadcast 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

5. Mandatory Electronic Filing of Application Forms. The Commission is currently developing electronic versions of various international broadcast station application and reporting forms, such as this application form. As each application form and report goes online, the Commission will by Public Notice announce its availability and the procedures to be followed for accessing and filing the application form or report electronically via the Commission’s International Bureau Filing System (IBFS). For a six-month period following the issuance of the Public Notice, the subject application form or report can continue to be filed with the Commission through a modified electronic filing process that involves filing a non-docketed pleading through the Commission’s Electronic Comment Filing System (ECFS). Electronic filing through IBFS will become mandatory, on a form-by-form basis, six months after each application form or report becomes available for filing electronically.

6. Mandatory electronic filing of IBS applications and reporting requirements commenced on July 13, 2021. See Mandatory Electronic Filing of Section 325(c) Applications, International Broadcast Applications, and Dominant Carrier Section 63.10(c) Quarterly Reports, IB Docket No. 21-265. Until an electronic version of this form becomes available through IBFS, applicants should file this form through the Commission’s ECFS system. Paper versions of this form will not be accepted for filing, unless accompanied by an appropriate request for waiver of the electronic filing requirement. Applicants can access the IBFS and ECFS electronic filing systems via the Internet from the Commission’s website at: http://licensing.fcc.gov/myibfs/ https://www.fcc.gov/ecfs/filings/nodocket

7. Public Notice Requirements:

1. 47 C.F.R. Section 73.3580(a)(5) requires that applicants for consent to transfer of control of a construction permit or license for an international broadcast station post notice of the application on a publicly accessible, locally targeted website that targets the local community in which the international broadcast station’s transmission facilities are located (e.g., local government internet website, local community bulletin board internet website), for 30 continuous days following acceptance of the application for filing, in the form prescribed in 47 CFR § 73.3580(b)(2).

2. Intent to comply with the public notice requirements must be certified by the Licensee in Item 9 of Section II of this application.

8. Applicants should provide all information called for by this application. If any portions of the application are not applicable, the applicant should so state. Defective or incomplete applications will be returned without consideration. Inadvertently accepted applications are subject to dismissal. In accordance with 47 C.F.R. Section 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.

9. This application requires applicants to certify compliance with many statutory and regulatory requirements. Detailed instructions and worksheets provide additional information regarding Commission rules and policies. These materials are designed to track the standards and criteria which 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 and worksheets, they are not required to complete or retain any documentation created or collected to complete the application. See Section II, Item 1 and Section III, Item 1.

10. This application is presented primarily in a "Yes/No" certification format. However, it contains places for submitting explanations and exhibits 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 exhibit is submitted.

11. Signature(s). Depending on the nature of the applicant, 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; if an unincorporated association, by a member who is an officer; for 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 shall separately set forth the reasons for believing that such statements are true. When an application is filed electronically both parties must electronically sign, the electronic signature will consist of the electronic equivalent of the typed name of the individual. See 1998 Biennial Regulatory Review -- Streamlining of Mass Media Applications, Rules, and Processes, 13 FCC Rcd 23056, 23064, para. 17 (1998). In cases involving involuntary assignments or transfers, the application need not be signed by the assignor/transferor. Rather, the court document appointing the estate executor/administrator, trustee, receiver, or other may take the place of assignor/transferor's signature in Section II. In this case, the applicant must submit documentation (enabling court order, letters testamentary, etc.) of its legal capacity to execute the application as an exhibit, as required in Section II, Item 6.

12. Waivers: If any waiver of the Commission’s rules is requested at any part of the application, the applicant must specify the number of rule sections for which the waiver is requested. In addition, the applicant must also submit an attachment setting forth the waiver(s) sought and the legal justification for waiver.

Approved by OMB control number: 3060-1260. We have estimated that each response to this collection of information will take up to 10 hours. Please refer to the notice on the last page of the instructions for additional information required by the Paperwork Reduction Act.

INSTRUCTIONS FOR SECTION I: GENERAL INFORMATION

Items 1-2: Names/Addresses. In Section I, the Licensee should use only those state abbreviations approved by the U.S. Postal Service.

The name of the Licensee must be stated in Item 1 exactly as it appears in the authorization to be transferred.

The exact and complete name of the Licensee must be stated in Item 1: if the Licensee is a corporation, the exact corporate name; if a limited liability company, the exact limited liability company 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.

Licensee must enter their postal address, telephone number, and email address in the spaces provided. To comply with the Debt Collection Improvement Act of 1996, the applicant must enter its FCC Registration Number (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://apps2.fcc.gov/fccUserReg/pages/login.htm 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 call the FRN help desk from 8:00 a.m. to 6:00 p.m. Eastern Time at 1-877- 480-3201.

Licensee must provide FRN, Call Sign, and Facility ID number of the license or permit to be Transferred.

If the Licensee is represented by a third party (for example, legal counsel), that person's name, firm or company, mailing address and telephone/email address may be specified in Item 2. This is the person with whom the Commission will communicate regarding the application. At least one Contact Representative must be designated for the licensee. The Contact Representative may be the same as the licensee, in which case leave Item 2 blank.

Item 3: Fees. The Commission is statutorily required to collect charges for certain regulatory services to the public. Generally, applicants seeking to transfer licenses or permits of international broadcast stations are required to submit a fee with the filing of the 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.

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 follows the reason for the fee exemption. The Commission’s fees website contains general information on various methods for paying application filing and other 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.

A separate fee payment must be submitted for each application filed. Where multiple stations are being transferred on one application, a single payment covering the total required fee, calculated according to the number of international station permits or licenses covered by that application, must be made.

For further information regarding the applicability of a fee, the fee code, the amount of the fee, or the fee payment procedures, applicants should consult the " International and Satellite Services Fee Filing Guide," which may be accessed at https://www.fcc.gov/licensing-databases/fees/application-processing-fees.

Item 4: Nature of Application. This application form may be used for both voluntary and involuntary assignments and transfers of control. Item 4a requests the applicant to specify the precise nature of the transaction proposed. In the case of an amendment to a pending application, this item also requests the file number of the associated application.

Additionally, Item 4b requires the applicant to certify that FCC Form 316-IBFS is suitable for the proposed transaction. In responding to this question, the applicant should review the "General Instructions" set forth above. If the applicant is not certain that Form 316-IBFS can be used, it should check the box marked "No" and submit an exhibit explaining why it believes Form 316-IBFS to be appropriate.

INSTRUCTIONS FOR SECTION II -ASSIGNOR/TRANSFEROR

A. Item 1: Certification. Each applicant is responsible for the information that the application instructions and worksheets convey. As a key element in the Commission's streamlined licensing process, a certification that these materials have been reviewed and that each question response is based on the applicant's review is required.

B. Item 2: Type of Application. FCC Form 316-IBFS may be utilized for both assignments of license/permit and transfers of control, so long as the proposed transaction meets any one of the criteria set forth in General Instruction A above. Each type of application, even in a pro forma matter for which Form 316-IBFS is appropriate, requires a slightly different staff analysis. For that reason, Item 2 of Section II requires the assignor/transferor to specify whether the parties seek consent to an assignment or transfer of control.

C. Item 3: Legal Name/Address. The name of the assignor or each transferor must be stated in Section II, Item 3: if the assignor/transferor is a corporation, 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 assignor/transferor, the person's full legal name.

D. Item 4: Contact Representative. If the assignor/transferor has retained a representative (for example, legal counsel) for purposes of prosecuting the FCC Form 316-IBFS, that person's name, firm or company name, mailing address, telephone number, and e-mail address should be specified in Section II, Item 4.

E. Item 5: Authorizations to be Transferred. Unless specifically enumerated as excluded authorizations, the authorizations for all International Broadcast Stations will be included in the transfer of control of the license. Applicants should complete the table.

F. Item 6: Agreements for Sale/Transfer of Station. All applicants for voluntary assignment or transfer on FCC Form 316-IBFS must submit to the Commission with this application a complete and final copy of the unredacted contract for the sale of the authorizations that are the subject of this application, including all exhibits and attachments. The application and contracts must be retained, with the exception that any application granted pursuant to a waiver of any Commission rule must be retained for as long as the waiver is in effect.

In Item 6a.iii, applicants for voluntary assignment or transfer are 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. Worksheet #1 provides guidance on key compliance issues to facilitate applicants' review of their proposed transactions, and to help applicants identify issues where additional explanatory exhibits may be required or helpful.

If the application is requesting approval of an involuntary assignment or transfer, the applicant should check the box marked "N/A" and respond to the certification in Item 6b.

All applicants for involuntary assignment or transfer on FCC Form 316-IBFS are required by Item 6b to certify that the court orders or other appropriate documents duly authorizing it to file the instant application have been issued and that certified copies of such court orders, Letters Testamentary, Letters of Administration, or other documents have been submitted with the application. A certified copy of the document(s) must also be retained 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 for as long as the waiver is in effect.

J. Items 7 and 8: Character Issues/Adverse Findings. These questions require an evaluation of any unresolved character issues involving the assignor/transferor or any of its principals, as well as any relevant adverse findings by a court or administrative body. Applicants should review the instructions for Section III, Items 5, 8, and 9 of this form before completing this item.

L. Item 10: Anti-Drug Abuse Act Certification. This question requires the Assignor/Transferor to certify that neither it nor any party to the application is subject to denial

of federal benefits pursuant to the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862. Applicants should review the instructions for Section III, Item 12, of this form before completing this item.

M. Item 11: 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 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 Item 10 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 international broadcast services that are operated on a non-commercial basis, the licensee/permittee should select "N/A" in response to this question.

INSTRUCTIONS FOR SECTION III -ASSIGNEE/TRANSFEREE

A. Item 1: Certification. Assignees/ transferees must review the instructions for Section II, Item 1 before completing this item.

B. Item 2: Legal Name/Address. The name of the assignee or each transferee must be stated exactly in Section III, Item 2. The name of the assignee/transferee shall be the exact corporate name, if transferee is a corporation; if a partnership, the name of all general partners and 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 the assignee or transferee(s) are individual applicants, the full legal name of each person.

C. Item 3: Contact Representative. If the assignee/transferee has retained a representative (for example, legal counsel) for purposes of prosecuting the FCC Form 316-IBFS, that person's name, firm or company name, mailing address, telephone number, and e-mail address should be specified in Section III, Item 3.

D. Item 4: Agreements for Sale/Transfer of Station. This question requires the assignee/transferee to certify that the written agreement submitted to the Commission 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. Worksheet #1 provides guidance on key compliance issues to facilitate applicants' review of their proposed transactions, and to help applicants identify issues where additional explanatory exhibits may be required or helpful.

E. Item 5: Changes in interest as a result of assignment/transfer. This item requires the applicant to set forth, in tabular form, a listing of the names, addresses, and citizenship of all parties to this application. This includes all parties with attributable interests in the station(s) to be assigned or transferred who are giving up any portion of that interest, as well as any person who will acquire an attributable interest in the station(s).

As used in this application form, 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. In responding to Item 5, applicants should review the Commission's multiple ownership attribution policies and standards which are set forth in the Notes to 47 C.F.R. Section 73.3555, as revised and explained in Review of the Commission's Regulations Governing Attribution of Broadcast and Cable/MDS Interests, 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).

Generally, insulated limited partners or members of a limited liability corporation, certain investors, and certain creditors are not considered parties to the application. However, as set forth in Worksheet #2 entitled, "Investor Insulation and Non-Party Influence over Assignee/Transferee," the holder of such an interest may be deemed a party to the application and, if so, must be listed in the table in Section III, Item 5. In the event that the Investor Insulation and Non-Party Influence over Assignee/Transferee worksheet requires the submission of an explanatory exhibit, the assignee/transferee must respond "No" to Section III, Item 5 and complete this exhibit.

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, aggregating both equity and debt, must exceed 33% 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 rules AND the interest holder must either also hold an attributable interest in a media outlet in the same market or supply over 15% 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. However, under the EDP standard, that interest would be attributable if the limited partner's interest exceeded 33% of the applicant's total asset value AND the limited partner also held a 5% voting interest in a radio or television station licensee in the same market.

Additionally, "parties to the application" includes the following with respect to each of the listed applicant entities:

INDIVIDUAL APPLICANT: The natural person seeking to hold in his or her own right the authorization specified in this application.

PARTNERSHIP APPLICANT: Each partner, including all limited partners. 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 mediarelated 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, the requisite certification cannot be made 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. In the event that the applicant cannot certify as to the noninvolvement of a limited partner, the limited partner will be considered as a party to this application.

LIMITED LIABILITY COMPANY APPLICANT: The Commission treats a LLC as a limited partnership, each of whose members is considered to be a party to the application. However, where a 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 a LLC member to insulate itself in accordance with the Commission's criteria, that LLC member is not considered a party to the application. In such a case, the applicant should certify "Yes" in response to Section III, Item 5.

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 applicant. 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 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 non-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 and an applicant may properly certify in response to Section III, Item 5b that such entity's interest is non-attributable 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 applicant.

F. Item 7: Acquisition of Control. This question addresses the specific situation in which a single individual or entity, which already has an attributable interest in the station(s) involved in this transaction, seeks to acquire "control" of the station(s). So long as not more than 50 percent of the voting stock is changing hands in the proposed transaction, see General Instruction B above, a single entity may acquire control via FCC Form 316-IBFS, provided that such person or entity previously has been approved as an attributable owner of the station(s) pursuant to a "long form" FCC Form 314-IBFS or 315-IBFS; alternatively, the person or entity seeking control in this application could have been approved as a party to the original construction permit application for the station(s) on FCC Form 309. Section III, Item 7 asks the assignee/transferee to list the file number and date of grant of the application pursuant to which the Commission approved such person's or entity's qualifications to own the station(s).

For purposes of this question, "control" may be either "positive" (in which case the person or entity will end up with more than 50 percent of the voting rights in the station(s)) or "negative" (in which case the person or entity will have exactly 50 percent of the voting rights in the station(s)).

If qualification for short-form treatment is not based on the acquiring entity's prior approval on FCC Forms 309, 314-IBFS, or 315-IBFS, the applicant should mark the box labeled "N/A".

G. Items 8 and 9: Character Issues/Adverse Findings. Section III, Item 8 requires the 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. Item 9 inquires whether the transferee or any party to the application has been the subject of a final adverse finding with respect to certain non-broadcast matters. In reviewing these questions, applicants are advised that Commission character policies and litigation reporting requirements for broadcast applicants have been revised with a view to focusing on misconduct which violates the Communications Act or a Commission rule or policy and on certain specified non-FCC misconduct. In responding to Items 8 and 9, Section III, applicants should review the Commission's character qualification 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).

Where the response to Item 8 is "No," the assignee/transferee must submit 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 the referenced matter, setting forth the reasons why the matter is not an impediment to a grant of this application.

In responding to Item 9, 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 to Item 9 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 C.F.R. Section 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 the referenced matter, setting forth reasons why the matter is not an impediment to a grant of this application.

H. Item 10: 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, the representative of an alien, a foreign government or a 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 et seq. of the Commission’s rules.

Compliance with Section 310 is determined by means of a two-prong 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 for Section III, Item 5. 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's voting interest in Corporation B was 60%, 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% alien indirect 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 noninsulated limited partner of Partnership A was an alien, regardless of their 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).

Assignees/transferees in FCC Form 316-IBFS must also comply with the separate alien equity ownership benchmark restrictions of Section 310. Under the second prong of the analysis, an assignee/transferee must determine the pro rata equity holdings of any alien investor in a licensee entity or its parent. In calculating equity alien ownership, the same voting interest multiplier rules apply.

In order to complete this two-prong analysis, an assignee/transferee must determine the citizenship of each shareholder 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 shouldbe-known 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).

J. Item 12: Anti-Drug Abuse Act Certification. This question requires the assignee/transferee to certify that neither it nor any party to the application is subject to denial of federal benefits pursuant to the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 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. A "Yes" response to Section III, Item 12 constitutes a certification that neither the assignee/transferee nor any party to this application has been convicted of such an offense or, if it has, it is not ineligible to receive the authorization sought by this application because of Section 5301.

With respect to this question only, the term "party to the application" includes if the applicant is an individual, that individual; if the applicant is a corporation or unincorporated association, all officers, directors, or persons holding 5 percent or more of the outstanding stock or shares (voting and/or non-voting) of the applicant; and if the applicant is a partnership, all general partners and all limited partners, including both insulated and non-insulated limited partners, holding a 5 percent or more interest in the partnership.

K. Item 13: 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 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 Item 10 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 international broadcast services that are operated on a non-commercial basis, the licensee/permittee should select "N/A" in response to this question.

FCC NOTICE REQUIRED BY THE PAPERWORK

REDUCTION ACT

We have estimated that each response to this collection of information will take 1.5 to 4.5 hours. Our estimate includes the time to read the instructions, look through existing records, gather and maintain the required data, and actually complete and review the form or response. If you have any comments on this burden estimate, or on how we can improve the collection and reduce the burden it causes you, please e-mail them to [email protected] or send them to the Federal Communications Commission, AMD-PERM, Paperwork Reduction Project (3060-0009), Washington, DC 20554. Please DO NOT SEND COMPLETED APPLICATIONS TO THIS ADDRESS. Remember - you are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number of if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-0009.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, P.L. 10413, OCTOBER 1, 1995, 44 U.S.C. 3507.

WORKSHEET # 1

SALES CONTRACT EVALUATION WORKSHEET

This worksheet may be used by the assignor/transferor in responding to Section II, Item 6 of FCC Form 316-IBFS; it may also be used by the assignee/transferee in responding to Section III, Item 4. The assignor/transferor and assignee/transferee must review these questions with respect to all contractual documents, agreements, and/or understandings between the assignor and the assignee.

1. SALES CONTRACT

Do the written contracts and/or agreements the licensee/permittee will submit to the Commission embody the complete and final agreement for the sale of the station(s) which are to be assigned or transferred?

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Yes

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No

Are there any unwritten agreements between the assignor/transferor and the assignee/transferee which have not been referenced in the contract documents to be submitted with the application?

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Yes

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No

If ''Yes,'' the terms of these agreements must be reduced to writing and submitted along with the other contract documents.

Are there any written or oral agreements between the assignor/transferor and the assignee/transferee regarding future contractual arrangements arising out of this transaction?

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Yes

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No

If ''Yes,'' the terms of these agreements must be reduced to writing and submitted along with the other contract documents.

Have there been any amendments to the contract?

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Yes

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No

If ''Yes,'' the amendment (or its material terms, if the amendment is not in writing) must be submitted as an amendment to the application. Note: The obligation to submit all amendments to the contract continues until Commission action on the subject application is no longer subject to administrative or judicial review.

Do these documents provide the assignee/transferee with ultimate control over and use of all necessary physical property without reservation?

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Yes

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No

Do these documents provide the assignee/transferee with ultimate control over station programming without reservation?

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Yes

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No

Note: The response to both Questions 2 and 3 must be ''Yes'' in order to certify that the contractual documents ''comply fully with the Commission's rules and policies.'' If ''No,'' the applicant must mark ''No'' and disclose all details of any restriction on the assignee/transferee's complete control of the station in an exhibit to the application.

2. TIME BROKERAGE/LOCAL MARKETING AGREEMENTS/JOINT SALES AGREEMENTS

This worksheet also may be used in connection with the certifications regarding the contract(s) between the assignor/transferor and the assignee/transferee, Section II, Item 6 and Section III, Item 4. They are intended for use when the sales agreements between the assignor/transferor and the assignee/transferee include a ''time brokerage agreement,'' ''local marketing agreement,'' or any other document pursuant to which the assignee/transferee provides programming for the subject station(s) prior to Commission approval of the proposed assignment or transfer of control.

	Do any agreements entered into by the assignor/transferor and the assignee/transferee contain a time brokerage agreement or local marketing agreement pursuant to which the assignee/transferee will provide programming to the station prior to Commission approval of the assignee/transferee's acquisition of the station?	☐	Yes	☐	No
	If ''Yes,'' has the assignor/transferor retained sufficient rights and obligations over the station's personnel, programming, and finances such that it retains control of the station under applicable Commission precedent, i.e., does the licensee/permittee:
	retain the right to reject/substitute programming without excessive fee or penalty?	☐	Yes	☐	No
	retain the right to terminate the agreement without excessive fee or penalty?	☐	Yes	☐	No
	retain responsibility for broadcasting programming to meet local needs?	☐	Yes	☐	No
	retain the obligation to prepare and file the quarterly issues/programs list?	☐	Yes	☐	No
	retain the responsibility to comply with the Commission's political programming rules?	☐	Yes	☐	No
	retain the obligation to pay station expenses?	☐	Yes	☐	No
	Note: If the response to any of these questions is ''No,'' the agreement may not comport with existing Commission precedent. The applicant should therefore mark ''No'' in the appropriate certification and supply an exhibit explaining how the agreement does not amount to a premature assumption of control by the assignee/transferee.

WORKSHEET #2

INVESTOR INSULATION AND NON-PARTY INFLUENCE OVER ASSIGNEE/TRASNFEREE APPLICANT

This section of the worksheet may be used in connection with Section III, Item 5, which requires the assignee/transferee to certify that it complies with the Commission's restrictions relating to the insulation and non-participation of non-party investors and creditors. See, e.g., Review of the Commission's Regulations Governing Attribution of Broadcast and Cable/MDS Interests, Report and Order, 14 FCC Rcd 12559 (1999). It indicates the kinds of contractual relationships that may, in the Commission's view, exceed the authority of a properly insulated investor or demonstrate some indicia of de facto control by a creditor.

1. Investor Insulation

If an assignee/transferee is a limited partnership or a limited liability company ("LLC'') that seeks to insulate partners or members in accordance with the Commission's attribution rules, the assignee/transferee shall ensure that each such limited partner or LLC member is not materially involved, directly or indirectly, in the management or operation of the media-related activities of the partnership or LLC. To ensure that each such limited partner or LLC member is not materially involved, directly or indirectly, in the management or operation of the media-related activities of the partnership or LLC, the applicant must answer the following inquiries. Do the limited partnership or LLC enabling documents:

specify that any exempt limited partner/LLC member (if not a natural person, its directors, officers, partners, etc.) cannot act as an employee of the limited partnership/LLC member if his or her functions, directly or indirectly, relate to the media enterprises of such entity?	☐	Yes	☐	No
bar any exempt limited partner/LLC from serving, in any material capacity, as an independent contractor or agent with respect to the partnership/LLC's media enterprises?	☐	Yes	☐	No
restrict any exempt limited partner/LLC member from communicating with the limited partnership/LLC, the general partner, or any LLC management committee on matters pertaining to the day-to-day operations of its business?	☐	Yes	☐	No
empower the general partner/LLC management committee to veto any admissions of additional general partners/LLC members admitted by vote of the exempt limited partners/LLC members?	☐	Yes	☐	No
prohibit any exempt limited partner/LLC member from voting on the removal of a general partner/LLC member or limit this right to situations where the general partner/LLC member is (i) subject to bankruptcy proceedings, as described in Section 402(4)-(5) of the Revised Uniform Limited Partnership Act, (ii) is adjudicated incompetent by a court of competent jurisdiction, or (iii) is removed for cause, as determined by an independent party?	☐	Yes	☐	No
bar any exempt limited partner/LLC member from performing any services to the limited partnership/LLC materially relating to its media activities, with the exception of making loans to, or acting as a surety for, the business?	☐	Yes	☐		No
state, in express terms, that any exempt limited partner/LLC member is prohibited from becoming actively involved in the management or operation of the media businesses of the limited partnership/LLC?	☐	Yes	☐		No

If the answer is ''Yes'' to each of these conditions with regard to every limited partner and LLC member that the applicant seeks to insulate and the relevant state statute authorizing the LLC permits a LLC member to insulate itself in accordance with the Commission's criteria, the applicant may certify that it complies with the Commission's restrictions regarding insulation of non-party investors. If ''No'' to the foregoing, the applicant must submit an exhibit detailing the rights of any non-party investor and setting forth the applicant's reasons for not treating the investor as a party to the application.

2. Non-Party Influence Over Assignee/Transferee

1. Non-party investors, i.e., investors with nonattributable interests, may have very limited powers over the operations of a licensee. Accordingly, with respect to any agreement, arrangement or understanding involving insulated parties or other investors with nonattributable interests, including creditors, secured parties, program suppliers, and any other persons not disclosed as parties to this application, does such agreement:

i.	give any non-party investor the right to vote on any matters decided by the assignee/transferee's board of directors, partnership committee or other management group?	☐	Yes	☐	No
ii.	give any non-party investor the right to attend, or appoint an observer to attend, assignee/transferee board, partnership or other management meetings?	☐	Yes	☐	No
iii.	place any limitation on assignee/transferee programming discretion?	☐	Yes	☐	No
iv.	give any non-party investor the right to vote on, approve or restrict assignee/transferee 's actions on any matter relating to programming, personnel or finances?	☐	Yes	☐	No
v.	give any non-party creditor or any bond, debenture or warrant holder the right to vote on, approve or restrict the assignee/transferee 's actions on any matter relating to programming, personnel or finances?	☐	Yes	☐	No
vi.	give any non-party creditor or any bond, debenture or warrant holder the right to share in the profits of the assignee/transferee?	☐	Yes	☐	No
vii.	give any non-party creditor or any bond, debenture or warrant holder the right to share in the profits of the assignee/transferee?	☐	Yes	☐	No
viii.	give any non-party investor, creditor, or bond, debenture or warrant holder the right to vote on, approve or deny the selection or removal of a general partner of an assignee/transferee partnership or a member of the assignee/transferee 's governing body?	☐	Yes	☐	No
ix.	give any non-party investor, creditor, or bond, debenture or warrant holder the right to convert, tender or require the tendering of stock pursuant to a put-or-call agreement based on the actions of the assignee/transferee relating to programming, personnel or financing?	☐	Yes	☐	No

If the answer to all of these conditions is ''No'' with regard to every non-party investor and creditor, and there are no other provisions that cede de facto control to a non-party, applicant may certify that it complies with the Commission's restrictions regarding non-participation of non-party investors and creditors. If the answer to any of these inquiries is ''Yes,'' the applicant must submit an exhibit detailing the rights of any non-party investor and setting forth fully the applicant's reasons for not treating the investor as a party to the application.

2. With respect to any loan agreement, has the assignee/transferee ensured that such agreement:

i.	includes an unconditional promise by the assignee/transferee to pay on demand or on a specific date a sum certain?	☐	Yes		☐		No
ii.	contains a fixed or defined variable rate of interest on the loan?	☐	Yes		☐		No
iii.	does not prohibit the redemption of the loan by the assignee/transferee, or permit redemption at the option of the lender only?	☐	Yes		☐		No

If the answer to each of these inquiries is ''Yes,'' and if there are no other provisions that may give non-party investors control, the applicant may conclude that it complies with the Commission's restrictions regarding non-participation of non-party investors and creditors. If not, the applicant must submit an exhibit detailing the rights of the lender and the obligations of the assignee/transferee for each loan agreement.

FCC FORM 316-IBFS

APPLICATION FOR CONSENT TO ASSIGN BROADCAST STATION CONSTRUCTION PERMIT OR LICENSE OR TO TRANSFER CONTROL OF ENTITY HOLDING BROADCAST STATION CONSTRUCTION PERMIT OR LICENSE

Section I - General Information

1.

Legal Name of the Licensee/Permitee

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Mailing Address

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City

State or Country (if foreign address)

Zip code

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Telephone Number (Include Area Code)

E-Mail Address (if available)

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FCC Registration Number

Call Sign

Facility ID Number

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2.

Contact Representative (if other than licensee/permitee)

Firm or Company Name

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Mailing Address

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City

State or Country (if foreign address)

Zip code

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Telephone Number (Include Area Code)

E-Mail Address (if available)

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Is the applicant exempt from FCC application fees?

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Yes

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No

If you answered “yes”, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):

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Governmental Entity

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Noncommercial/Educational

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Other, Explanation in Exhibit No.:

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Purpose of Application

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Voluntary Assignment or Transfer of Control

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Involuntary Assignment or Transfer of Control

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Amendment of Pending Application

If an amendment, what is the File Number of pending application:

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If an amendment, submit as an Exhibit a listing by Section and Question Number of the Exhibit No. portions of the pending application that are being revised.

Exhibit No.:

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Applicant certifies that the use of FCC Form 316-IBFS is appropriate for this transaction.

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Yes

☐

No

See Explanation in Exhibit No.:

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Section II - Assignor/Transferor

1.

Certification. Assignor/Transferor certifies that it has answered each question in this application based on its review of the application instructions and worksheets. Assignor/Transferor further certifies that where it has made an affirmative certification below, this certification constitutes its representation that the application satisfies each of the pertinent standards and criteria set forth in the application instructions and worksheets.

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Yes

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No

2.

Application for (check one):

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Consent to Assign Construction Permit/License

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Consent to Transfer Control of Permittee/Licensee

3.

Legal Name of the Assignor/Transferor

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Mailing Address

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City

State or Country (if foreign address)

Zip code

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Telephone Number (Include Area Code)

E-Mail Address (if available)

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FCC Registration Number

Call Sign

Facility ID Number

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4.

Contact Representative (if other than licensee/permitee)

Firm or Company Name

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Mailing Address

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City

State or Country (if foreign address)

Zip code

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Telephone Number (Include Area Code)

E-Mail Address (if available)

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If more than one Transferor, submit the information requested in Questions 3 and 4 for each transferor

Exhibit No.:

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Authorizations to be Transferred. List the authorized stations and construction permits to be transferred. Provide the Facility Identification Number and the Call Sign, or the Facility Identification Number and the File Number of the Construction Permit, and the location, for each station to be transferred.

Facility ID Number(s)

Callsign or Construction Permit File Number

City

State

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6.

Agreements for Sale of Station.

If the transaction is voluntary, Assignor/Transferor certifies that:

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Yes

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No

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N/A

it has submitted to the Commission as an. Exhibit to this application copies of all agreements for the sale of the station(s);

these documents embody the complete and final understanding between licensee/permittee and transferee; and

Exhibit No.:

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these agreements comply fully with the Commission's rules and policies.

if the transaction is involuntary, the Assignor/Transferor certifies that court orders or other authorizing documents have been issued and that it has submitted to the Commission copies of such court orders or other authorizing documents.

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Yes

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No

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N/A

Exhibit No.:

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7.

Character Issues. Licensee/permittee certifies that neither licensee/permittee nor any party to the application has or has had any interest in, or connection with:

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Yes

☐

No

any broadcast application in any proceeding where character issues were left unresolved or were resolved adversely against the applicant or any party to the application; or

Exhibit No.:

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any pending broadcast application in which character issues have been raised.

8.

Adverse Findings. Licensee/permittee certifies that, with respect to the licensee/permittee and each party to the application, no adverse finding has been made, nor has an adverse final action been taken by any court or administrative body in a civil or criminal proceeding brought under the provisions of any law related to any of the following: any felony; mass media-related antitrust or unfair competition; fraudulent statements to another governmental unit; or discrimination.

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Yes

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No

Exhibit No.:

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9.

Local Public Notice. Licensee/permittee certifies that it will comply with the public notice requirements of 47 C.F.R. Section 73.3580.

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Yes

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No

10.

Anti-Drug Abuse Act Certification. The Applicant certifies that neither it nor any other party to the application is subject to a denial of Federal benefits, including FCC benefits pursuant to section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862, because of a conviction for possession or distribution of a controlled substance.  See 47 CFR § 1.2002(b) for the meaning of "party to the application" for these purposes.

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Yes

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No

11.

Anti-Discrimination Certification. Licensee/permittee certifies that neither licensee/permittee nor any party to the application have violated the Commission's prohibition against discrimination on the basis of race, color, religion, national origin or sex in the sale of commercially operated international broadcast stations.

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Yes

☐

No

I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.

First Name:

M.I.:

Last Name:

Suffix:

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Title:

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Signature:

Date:

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FAILURE TO SIGN THIS FORM MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPSONMENT (U.S. Code, Title 18, Section 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. Code, Title 47, Section 312(a), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503)

Section III - Transferee

Certification. Transferee(s) certify that it (they) has answered each question in this application based on its (their) review of the application instructions and worksheets. Transferee(s) further certify that where it (they) has made an affirmative certification below, this certification constitutes its (their) representation that the application satisfies each of the pertinent standards and criteria set forth in the application instructions and worksheets.

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Yes

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No

2.

Legal Name of the Transferee

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Mailing Address

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City

State or Country (if foreign address)

Zip code

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Telephone Number (Include Area Code)

E-Mail Address (if available)

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FCC Registration Number

Call Sign

Facility ID Number

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3.

Contact Representative (if other than transfere)

Firm or Company Name

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Mailing Address

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City

State or Country (if foreign address)

Zip code

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Telephone Number (Include Area Code)

E-Mail Address (if available)

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If more than one transferee, submit the information requested in questions 2 and 3 for each transferor.

Exhibit No.:

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4.

Agreements for Sale of Station. Assignee/Transferee certifies that:

Transferor certifies that:

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Yes

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No

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N/A

the written agreements submitted to the Commission embody the complete and final agreement for the sale or transfer of the station(s); and

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these agreements comply fully with the Commission's rules and policies.

5.

Changes in interests as a result of transfer

Names and addresses of any party to application holding an attributable interest

Citizenship

Interest held

Before transfer or assignment

After transfer or Assignment

Percentage votes

Percentage Total assets (Equity plus debt)

Percentage votes

Percentage Total assets (Equity plus debt)

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Applicant certifies that equity and financial interests not set forth above are nonattributable

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Yes

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No

Exhibit No.:

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6.

Other Authorizations. List call signs, locations, and facility identifiers of all other broadcast stations in which assignee/transferee or any party to the application has an attributable interest

Exhibit No.:

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N/A

7.

Acquisition of Control. List the file number and date of grant of FCC Form 309, 314-IBFS, or 315-IBFS application by which the commission approved the qualifications of the individual or entity with a pre-existing interest in the licensee/pennittee that is now acquiring control of the licensee/permittee as a result of the grant of this application

Exhibit No.:

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N/A

8.

Character Issues. Licensee/permittee certifies that neither licensee/permittee nor any party to the application has or has had any interest in, or connection with:

☐

Yes

☐

No

any broadcast application in any proceeding where character issues were left unresolved or were resolved adversely against the applicant or any party to the application; or

Exhibit No.:

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any pending broadcast application in which character issues have been raised.

9.

Adverse Findings. Licensee/permittee certifies that, with respect to the licensee/permittee and each party to the application, no adverse finding has been made, nor has an adverse final action been taken by any court or administrative body in a civil or criminal proceeding brought under the provisions of any law related to any of the following: any felony; mass media-related antitrust or unfair competition; fraudulent statements to another governmental unit; or discrimination.

☐

Yes

☐

No

Exhibit No.:

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10.

Alien Ownership and Control. Assignee/Transferee certifies that it complies with the provisions of Section 310 of the Communications Act of 1934, as amended, relating to interests of aliens and foreign governments.

☐

Yes

☐

No

Exhibit No.:

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11.

Local Public Notice. Licensee/permittee certifies that it will comply with the public notice requirements of 47 C.F.R. Section 73.3580.

☐

Yes

☐

No

12.

Anti-Drug Abuse Act Certification. The Applicant certifies that neither it nor any other party to the application is subject to a denial of Federal benefits, including FCC benefits pursuant to section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862, because of a conviction for possession or distribution of a controlled substance.  See 47 CFR § 1.2002(b) for the meaning of "party to the application" for these purposes.

☐

Yes

☐

No

13.

Anti-Discrimination Certification. Licensee/permittee certifies that neither licensee/permittee nor any party to the application have violated the Commission's prohibition against discrimination on the basis of race, color, religion, national origin or sex in the sale of commercially operated international broadcast stations.

☐

Yes

☐

No