| 5. |
| a. |
|
Biennial |
b. |
|
Transfer of Control or Assignment of License/Permit |
|
c. |
|
Other |
| d. |
Amendment to pending application |
for the following stations:
[Enter Station Information]
Station List
This Report is filed for the following stations:
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WISH-TV |
39269 |
INDIANAPOLIS, IN |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WCTX |
33081 |
NEW HAVEN, CT |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WOOD-TV |
36838 |
GRAND RAPIDS, MI |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WOTV |
10212 |
BATTLE CREEK, MI |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WAVY-TV |
71127 |
PORTSMOUTH, VA |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WVBT |
65387 |
VIRGINIA BEACH, VA |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WIVB-TV |
7780 |
BUFFALO, NY |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WNLO |
71905 |
BUFFALO, NY |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| KXAN-TV |
35920 |
AUSTIN, TX |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| KXAM-TV |
35909 |
LLANO, TX |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WLFI-TV |
73204 |
LAFAYETTE, IN |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WAPA-TV |
52073 |
SAN JUAN, PR |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WWLP |
6868 |
SPRINGFIELD, MA |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WNJX-TV |
73336 |
MAYAGUEZ, PR |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WJPX |
58340 |
SAN JUAN, PR |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WJWN-TV |
58342 |
SAN SEBASTIAN, PR |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WDTN |
65690 |
DAYTON, OH |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WPRI-TV |
47404 |
PROVIDENCE, RI |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WUPW |
19190 |
TOLEDO, OH |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WAND |
70852 |
DECATUR, IL |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WIRS |
39887 |
YAUCO, PR |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WTIN |
26681 |
PONCE, PR |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WTNH |
74109 |
NEW HAVEN, CT |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WKPV |
58341 |
PONCE, PR |
TV |
|
Call Letters
|
Facility ID Number
|
Location (City/State)
|
Class of service
|
| WANE-TV |
39270 |
FORT WAYNE, IN |
TV |
All of the information furnished in this Report is accurate as of 05/06/2004 (Date must comply with 47 C.F.R. Section 73.3615(a), i.e., information must be current within 60 days of filing of this report, when 5(a) below is checked.)
This Report is filed for (check one)
|
| 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 |
LIN TV CORP., 4 RICHMOND SQUARE, SUITE 200, PROVIDENCE, RI 02906 |
| 2. Gender (male or 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 |
RESPONDENT |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
GARY R. CHAPMAN, 29 RIDGE ROAD, BRISTOL, RI 02809 |
| 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 |
OFFICER & DIRECTOR |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
PAUL KARPOWICZ, 9 SUNRISE ROAD, BRISTOL, RI 02809 |
| 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 |
OFFICER & DIRECTOR |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
GREGORY M. SCHMIDT, 3940 MORRISON STREET, N.W., WASHINGTON, DC 20015 |
| 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 |
OFFICER |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
DEBORAH R. JACOBSON, 166 ARLINGTON AVENUE, PROVIDENCE, RI 02906 |
| 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 |
OFFICER |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
PETER E. MALONEY, 22 FORT HILL ROAD, BRISTOL, RI 02809 |
| 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 |
OFFICER |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
JOHN S. VIALL, 6 LILLIAN DRIVE, NORTH READING, MA 01864 |
| 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 |
OFFICER |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
DENISE M. PARENT, C/O LIN TV CORP., 4 RICHMOND SQUARE, SUITE 200, PROVIDENCE, RI 02906 |
| 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 |
OFFICER |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
WILLIAM A. CUNNINGHAM, 15 BERNARD AVE., BARRINGTON, RI 02806 |
| 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 |
OFFICER |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
MARCIA L. GREENE, C/O LIN TELEVISION CORPORATION, 11 DUPONT CIRCLE, N.W., SUITE 365, WASHINGTON, DC 20036 |
| 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 |
OFFICER |
| 7. Percentage of votes |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
RANDALL S. FOJTASEK, BRAZOS INVESTMENT PARTNERS, 300 CRESCENT COURT, SUITE 1740, DALLAS, TX |
| 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 |
35.00 |
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
ROYAL W. CARSON, III, CARSON PRIVATE CAPITAL, INC., 1925 CEDAR SPRINGS, L.B. #204, DALLAS TX 75201 |
| 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 |
35.00 |
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
DR. WILLIAM H. CUNNINGHAM, THE UNIVERSITY OF TEXAS AT AUSTIN, 21ST & GUADALUPE, HARRY RANSOM CENTER, RM. 3.358, AUSTIN, TX 78705 |
| 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 |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
WILLIAM S. BANOWSKY, JR., MAGNOLIA PICTURES, 600 CONGRESS AVE., SUITE 1400, AUSTIN, TX 78701 |
| 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 |
|
| 8. Percentage of total assets (equity debt plus) |
|
| 1. Name and Address |
WILMA H. JORDAN, THE JORDAN EDMISTON GROUP, 150 EAST 52ND STREET, 18TH FLOOR, NEW YORK, NY 10022 |
| 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 |
|
| 8. Percentage of total assets (equity debt plus) |
|
|
| (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]
|
|