Document
ROA-AMD Form
ICR 202606-3060-007 · OMB 3060-0357 · Object 169402801.
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | ROA-AMD Form |
| Author | Cathy Williams |
| File Modified | 2026-06-02 |
| File Created | 2025-05-14 |
| Conversion State | complete |
Extracted Text
ICFS Form - ICFS Portal https://fccuat.servicenowservices.com/ibfs?id=app&subsystem=ROA&... • Indicates required FCC 240 ROA-AMD Save as Draft FEDERAL COMMUNICATIONS COMMISSION FCC Application to Amend a Pending Recognized Operating Agency (ROA) Application Appnncd by 0MB 3060-0357 Estimated Time Per Response: 2 hours Edition Date:May2025 I j� Review to Submit I See Instructions r! Print Form r! A.1 This is an application for the amendment of file number: ROA-AMD-20250424-00038 O • A.2 Applicant must attach a narrative statement describing the changes to the application being made in this amendment. MP-P-licant Information *FRN I I 0027003144 Name private private private Doing Business As (OBA) private Street Address private Street Address 2 private City private State Attention I private private private Title private Phone I privateprivate Fax I private private Email I [email protected] • Applicant/licensee Legal Entity Type I Limited Liability Company Zip Code/Postal Code I I private Country 2. Contact Information 0 Check here if same as Applicant FRN I I 0027003144 Name private private private Doing Business As (DBA) private Street Address private Attention I private private private Title private Phone I privateprivate Street Address 2 Fax City Email Contact State • Relationship private private private Engineer Zip Code/Postal Code private l of3 5/7/2025, 9:04 AM