| 9. |
| (a.) |
List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
[Enter Owner Information]
Owner Information
List the respondent, and, if other than a natural person, its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. If a corporation or partnership holds an attributable interest in the respondent, list separately its officers, directors, stockholders and other entities with attributable interests, non-insulated partners and/or members. Create a separate row for each individual or entity. Attach supplemental pages, if necessary.
(Read carefully - The numbered items below refer to line numbers in the following table.) |
1. Name and address of respondent and each party to the respondent holding an attributable interest (if other than individual also show name, address and citizenship of natural person authorized to vote the stock or holding the attributable interest). List the respondent first, officers next, then directors and, thereafter, remaining stockholders and other entities with attributable interests, and partners.
2. Gender (male or female).
3. Ethnicity (check one).
4. Race (select one or more).
5. Citizenship. 6. Positional interest: Officer, director, general partner, limited partner, LLC member, investor/creditor attributable under the Commission's equity/debt plus standard, etc.
7. Percentage of votes.
8. Percentage of total assets (equity debt plus).
|
| 1. Name and Address |
ZELL MILLER, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
NICK WALLER, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
REGIONAL VICE-PRESIDENT - TELEVISION |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
GENE ELDER, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
DON RAY, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
REGIONAL VICE PRESIDENT - TELEVISION |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
J. MACK ROBINSON, 3500 TUXEDO ROAD, NW, ATLANTA, GA 30305 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR, CHAIRMAN, CEO |
| 7. Percentage of votes |
36.03 |
| 8. Percentage of total assets (equity debt plus) |
36.03 |
| 1. Name and Address |
ROBERT S. PRATHER, JR., 1843 WEST WESLEY ROAD, NE, ATLANTA, GA 30327 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR, PRESIDENT, COO |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
JACKSON S. COWART IV, 247 DANBURY LANE, ALBANY, GA 31707 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
CHIEF ACCOUNTING OFFICER, ASSISTANT SECRETARY |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
VANCE F. LUKE, 10993 LUNA POINT ROAD, TALLAHASSEE, FL 32312 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
CONTROLLER, ASSISTANT SECRETARY |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
ROBERT A. BEIZER, 5406 GOLDSBORO ROAD, BETHESDA, MD 20817 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
VICE PRESIDENT - LAW & DEVELOPMENT, SECRETARY |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
JAMES C. RYAN, 1820 BROOKHAVEN CIRCLE, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
SVP, CHIEF FINANCIAL OFFICER |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
MARTHA GILBERT, 3157 PALMYRA ROAD, ALBANY, GA 31707 |
| 2. Gender (male or female) |
Female
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
ASSISTANT VICE PRESIDENT - BENEFITS |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
WAYNE M. MARTIN, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
REGIONAL VICE PRESIDENT - TELEVISION |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
WILLIAM E. MAYER III, 2520 E. DOUBLEGATE DRIVE, ALBANY, GA 31707 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR, CHAIRMAN OF THE BOARD |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
HILTON W. HOWELL, JR., 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR, VICE CHAIRMAN |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
JASON A. EFFINGER, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
REGIONAL VICE PRESIDENT - TV |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
CHARLIE PETERSON, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Female
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
REGIONAL VICE PRESIDENT - TV |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
PATRICK DALBEY, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
REGIONAL VICE PRESIDENT - TELEVISION |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
TRACEY JONES, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Female
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
REGIONAL VICE PRESIDENT - TELEVISION |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
ROBERT SMITH, 4370 PEACHTREE ROAD, NE, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
REGIONAL VICE PRESIDENT - TELEVISION |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
RICHARD L. BOGER, 303 TOWNSEND PLACE, NW, ATLANTA, GA 30319 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
RAY M. DEAVER, 3420 NORTH RIDGE DRIVE, WACO, TX 77610 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
HOWELL W. NEWTON, 219 BROOKLYN AVENUE, FORSYTH, GA 31029 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
HUGH NORTON, 830 GULFSHORE DRIVE, UNIT 5121, DESTIN, FL 32541 |
| 2. Gender (male or female) |
Male
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
| 1. Name and Address |
HARRIET J. ROBINSON, 3500 TUXEDO ROAD, NW, ATLANTA, GA 30305 |
| 2. Gender (male or female) |
Female
|
| 3. Ethnicity (check one) |
Hispanic or Latino
Not Hispanic or Latino |
| 4. Race (select one or more) |
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
|
| 5. Citizenship |
US |
| 6. Positional Interest |
DIRECTOR |
| 7. Percentage of votes |
0.00 |
| 8. Percentage of total assets (equity debt plus) |
0.00 |
|
| (b) |
Respondent certifies that equity and financial interests not set forth in response to Question 9(a) are non-attributable. |
Yes No
N/A
See Explanation in
[Exhibit 2]
|
| (c) |
Is the respondent or any party holding an attributable interest in the respondent also the holder of an attributable interest in any other broadcast station or in any cable or newspaper entities in the same market or with overlapping signals in the same broadcast service, as described in 47 C.F.R. Sections 73.3555 and 76.501? |
Yes No |
| If "Yes", submit an Exhibit identifying the holder of that other attributable interest, listing the call signs, locations and facilities identifiers of such other broadcast stations, and describing the nature and size of the ownership interest and the positions held in the other broadcast, cable or newspaper entities. |
[Exhibit 3] |
| (d) |
Are any of the individuals listed in response to Question 9(a) related as parent-child, husband-wife, brothers and sisters?
|
Yes No
|
| |
If "Yes", submit an Exhibit setting forth full information as to the family relationship
|
[Exhibit 4]
|
| (e) |
Is respondent seeking an attribution exemption for any officer or director with duties unrelated to the licensee or permittee?
If "Yes", submit an Exhibit identifying that individual by name and title, fully describing that individual's duties and responsibilities, and explaining why that individual should not be attributed an interest.
|
Yes No
[Exhibit 5]
|
|