310 Broadcast Q1 | 310 Broadcast Q1 | 310 Broadcast Q1 | 310 Broadcast Q1 |
Company Name | Business Address | Principal Place of Business | Place of Incorporation |
310 Broadcast Q2 | 310 Broadcast Q2 | 310 Broadcast Q2 | 310 Broadcast Q2 | 310 Broadcast Q2 | 310 Broadcast Q2 | 310 Broadcast Q2 | 310 Broadcast Q2 |
Company Name | Business Address | Foreign Entity or Foreign-Government controlled Entity? | Country of Incorporation (if United States, include state of incorporation) | Principal Place of Business | General Business Type (e.g., holding company, investment firm) | Email Addresses | Related Phone Numbers |
Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q24 | Broadcast 310 Q2, Q19, Q24 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast 310 Q19 | Broadcast 310 Q2, Q19, Q24, Q25 | Broadcast Q19 | Broadcast Q19 | Broadcast 310 Q2, Q19, Q24, Q25 |
First Name | Last Name | Aliases | Company Name | Business Address (if applicable) | Country of Residence | City of Residence | State of Residence | Date of Birth (E.g. MM/DD/YYYY) | Place of Birth (E.g. State, Country) | SSN | Passport (Country) | Passport # | Citizenship | Additional Citizenship Countries | U.S. Lawful Permanent Resident (E.g. Yes/No) | Alien Number | Residence Address | Personal Cell Phone Number | Business Phone Number | Home Phone Number | Company Role/Title and/or Ownership % |
Type of Access (E.g. Read or Read/Write) | Access to: (Pick: Physical Facilities/Equipment; Customer Records; Network/Monitoring/Audit Features; Electronic Interfaces?) | Triage Question (Pick all that apply: Owners; Officers; Foreign Access; LEPOC) | |
310 Broadcast Q22 | 310 Broadcast Q22 | 310 Broadcast Q22 | 310 Broadcast Q22 | 310 Broadcast Q22 | 310 Broadcast Q22 | 310 Broadcast Q22 |
Category of Employee (e.g., Publicity Agent, Information-Service Employee, remote sales force, billing support, executives, technical support, content review, content approval) | Where are, or will, those employees be located for purposes of work? (e.g., Country)? | Access to Licensee's Network | Access to Licensee's Business Locations | Access to Licensee's physical facilities, equipment, or network elements owned, controlled, or leased by the Licensee | Access to any production facilities, or equipment, whether under the direct control of either the Licensee or under the control of independent third parties tasked or contracted for services | Access to Customer/listener records of any kind, including billing records, listening platform used (e.g., app, online, subscription service) and other listener profile information, such as geolocation information, listening habits, political or national affiliation, and aggregated or compiled data of customers obtained as a result of the provision of services or acquired from third parties for any purpose. |
310 Broadcast Q26 | 310 Broadcast Q26 |
Address (complete postal address) | Location Type (e.g., Facilities, whether owned, leased, used or shared; Broadcast Locations; Edititorial Locations; Data Storage Locations; Locations where content is reviewed, whether or not content is edited). |
310 Broadcast Q27 | 310 Broadcast Q27 |
Type of Broadcast License Held (or Applied for) by the Licensee (e.g., radio, television) | Geographic Area of Service |
310 Broadcast Q34(a) | 310 Broadcast Q34(a) | 310 Broadcast Q34(a) | 310 Broadcast Q34(a) |
Physical Addresses of All Storage Facilities | Storage Location Countries | Data Custodian | Are Individuals with Access U.S. Citizens or non-U.S. citizens? |
310 Broadcast Q34(b) | 310 Broadcast Q34(b) | 310 Broadcast Q34(b) | 310 Broadcast Q34(b)(i) |
Company Name | Business Address | Business Relationship to Licensee | What U.S. Customer Data is disclosed to this party? |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |