Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0010 (June 2014)
FOR FCC USE ONLY
 

FCC 323
OWNERSHIP REPORT FOR COMMERCIAL BROADCAST STATIONS

FOR COMMISSION USE ONLY
FILE NO. BOA-20100708JAD

Section I - General Information
1. Legal Name of the Respondent
CAPSTAR BROADCASTING PARTNERS, INC.
Street Address (1)
2625 S. MEMORIAL DRIVE
Street Address (2)
SUITE A
City
TULSA
State or Country (if foreign address)
OK

ZIP Code
74129 -

Telephone Number (include area code)
9186644581
E-Mail Address (if available) 
FCCCONTACT@CLEARCHANNEL.COM
FCC Registration Number:
0019970540
Call Sign 
WVHU
Facility ID Number 
505
2. Contact Representative
DORANN BUNKIN
Firm or Company Name
WILEY REIN LLP
Street Address (1)
1776 K STREET, NW
Street Address (2)
City
WASHINGTON
State or Country (if foreign address)
DC
ZIP Code
20006 -
Telephone Number (include area code)
2027197231
E-Mail Address (if available)
DBUNKIN@WILEYREIN.COM
3. Nature of Respondent (See Instructions for definitions)
radio button not selected Licensee
radio button not selected Permittee
radio button selected Entity with an attributable interest
4. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):
radio button not selectedGovernmental Entity radio button not selected Fee-exempt Report radio button not selectedOther Other radio button not selected N/A (Fee Required)
5. All of the information furnished in this Report is accurate as of 11/01/2009
(Date entered must (1) be Oct. 1 of the filing year when filing a Biennial Ownership Report (or Nov. 1, 2009 in the case of the initial filing); or (2) be no more than 60 days prior to the date of filing when filing a non-biennial Ownership Report.)
6. Purpose: This Report is filed for: (choose one)
a. radio button selected Biennial
b. radio button not selected Validation and Resubmission of a previously filed Biennial Report (certifying no change from previous Report)
c. radio button not selected Transfer of Control or Assignment of License/Permit
d. radio button not selected Report by Permittee filing within 30 days after the grant of a construction permit for a new commercial AM, FM or full power television broadcast station.
e. radio button not selected Update / certification of accuracy of an initial Ownership Report filed by Permittee (filing in conjunction with Permittee's application for a station license)
f. radio button not selected Amendment to a previously filed Ownership Report
File Number: -
If an Amendment, submit as an Exhibit a listing by Section and Question Number the portions of the previous Report that are being revised.
7. Licensee and Station Information. The stations listed below are all licensed to the following person or entity:
Licensee Name Licensee's FCC Registration Number (FRN)
CAPSTAR TX LIMITED PARTNERSHIP
0003474947
FRN Help: CORES Home

Station List

This Report is filed for the following stations:
Copy Call Sign Facility ID Number Location (City/State) Class of service Delete Copy
1. , WEST VIRGINIA AM Station
2. , CALIFORNIA AM Station
3. , WISCONSIN AM Station
4. , ALABAMA AM Station
5. , OHIO AM Station
6. , NORTH CAROLINA AM Station
7. , LOUISIANA AM Station
8. , VIRGINIA AM Station
9. , DELAWARE AM Station
10. , SOUTH CAROLINA AM Station
11. , GEORGIA AM Station
12. , CALIFORNIA AM Station
13. , TEXAS AM Station
14. , TEXAS AM Station
15. , NEBRASKA AM Station
16. , MARYLAND AM Station
17. , NEW MEXICO AM Station
18. , CALIFORNIA AM Station
19. , TEXAS AM Station
20. , TEXAS AM Station
21. , TENNESSEE AM Station
22. , CALIFORNIA AM Station
23. , WEST VIRGINIA AM Station
24. , MICHIGAN AM Station
25. , ALABAMA AM Station
26. , HAWAII AM Station
27. , OHIO AM Station
28. , NEBRASKA AM Station
29. , GEORGIA AM Station
30. , CALIFORNIA FM Station
31. , CALIFORNIA FM Station
32. , FM Station
33. , ALABAMA FM Station
34. , ALABAMA FM Station
35. , ALABAMA FM Station
36. , ALASKA FM Station
37. , ALASKA FM Station
38. , ALASKA FM Station
39. , ARKANSAS FM Station
40. , ALASKA FM Station
41. , CALIFORNIA FM Station
42. , ALASKA FM Station
43. , CALIFORNIA FM Station
44. , SOUTH CAROLINA FM Station
45. , MARYLAND FM Station
46. , PENNSYLVANIA FM Station
47. , PENNSYLVANIA FM Station
48. , FLORIDA FM Station
49. , NEW MEXICO FM Station
50. , OKLAHOMA FM Station
51. , NEBRASKA FM Station
52. , MARYLAND FM Station
53. , NEW MEXICO FM Station
54. , NEW MEXICO FM Station
55. , SOUTH CAROLINA FM Station
56. , TEXAS FM Station
57. , OHIO FM Station
58. , TEXAS FM Station
59. , TEXAS FM Station
60. , KENTUCKY FM Station
61. , TENNESSEE FM Station
62. , HAWAII FM Station
63. , MISSOURI FM Station
64. , MAINE FM Station
65. , NEW HAMPSHIRE FM Station
66. , MASSACHUSETTS FM Station
67. , NEW HAMPSHIRE FM Station
68. , CALIFORNIA FM Station
69. , TEXAS FM Station
70. , COLORADO FM Station
71. , TEXAS FM Station
72. , VIRGINIA FM Station
73. , VIRGINIA FM Station
74. , OHIO FM Station
75. , KANSAS FM Station
76. , HAWAII FM Station
77. , OHIO FM Station
78. , OHIO FM Station
79. , GEORGIA FM Station
80. , ARKANSAS FM Station
81. , WISCONSIN FM Station
82. , WASHINGTON FM Station
83. , CONNECTICUT FM Station
84. , NEW HAMPSHIRE FM Station
85. , NEW HAMPSHIRE FM Station
86. , ARIZONA FM Station
87. , ARIZONA FM Station
88. , NORTH CAROLINA FM Station
89. , NORTH CAROLINA FM Station
90. , KANSAS FM Station
91. , KANSAS FM Station
92. , NORTH CAROLINA FM Station
93. , CALIFORNIA FM Station
94. , TEXAS FM Station
95. , TEXAS FM Station
96. , IDAHO FM Station
97. , PENNSYLVANIA FM Station
98. , GEORGIA FM Station
99. , GEORGIA FM Station
100. , NORTH CAROLINA FM Station
101. , SOUTH CAROLINA FM Station
102. , MISSISSIPPI FM Station
103. , TENNESSEE FM Station
104. , ALASKA FM Station
105. , IOWA FM Station
106. , ALABAMA FM Station
107. , SOUTH CAROLINA FM Station
108. , CONNECTICUT FM Station
109. , WEST VIRGINIA FM Station
110. , RHODE ISLAND FM Station
111. , TENNESSEE FM Station
112. , GEORGIA FM Station
113. , OKLAHOMA FM Station
114. , KENTUCKY FM Station
115. , WEST VIRGINIA FM Station
116. , NORTH CAROLINA FM Station
117. , NEW YORK FM Station
118. , NORTH CAROLINA FM Station
119. , MASSACHUSETTS FM Station
120. , NORTH CAROLINA FM Station
121. , NORTH CAROLINA FM Station
122. , VIRGINIA FM Station
123. , VIRGINIA FM Station
124. , MARYLAND FM Station
125. , NORTH CAROLINA FM Station
126. , CONNECTICUT FM Station
127. , VIRGINIA FM Station
128. , NEW MEXICO FM Station
129. , COLORADO FM Station
130. , FLORIDA AM Station
131. , SOUTH CAROLINA AM Station
132. , ALASKA AM Station
133. , ALASKA AM Station
134. , CALIFORNIA AM Station
135. , IOWA AM Station
136. , ALASKA AM Station
137. , MARYLAND AM Station
138. , PENNSYLVANIA AM Station
139. , DELAWARE AM Station
140. , WEST VIRGINIA AM Station
141. , WISCONSIN AM Station
142. , PENNSYLVANIA AM Station
143. , FLORIDA AM Station
144. , FLORIDA AM Station
145. , PENNSYLVANIA AM Station
146. , KENTUCKY AM Station
147. , ARKANSAS AM Station
148. , ALABAMA AM Station
149. , HAWAII AM Station
150. , NEW HAMPSHIRE AM Station
151. , MASSACHUSETTS AM Station
152. , NEW HAMPSHIRE AM Station
153. , TEXAS AM Station
154. , KENTUCKY AM Station
155. , MISSISSIPPI AM Station
156. , CONNECTICUT AM Station
157. , NEW YORK AM Station
158. , RHODE ISLAND AM Station
159. , MICHIGAN AM Station
160. , LOUISIANA AM Station
161. , HAWAII AM Station
162. , FLORIDA AM Station
163. , MICHIGAN AM Station
164. , VIRGINIA AM Station
165. , WISCONSIN AM Station
166. , ALABAMA AM Station
167. , ALABAMA AM Station
168. , WISCONSIN AM Station
169. , WASHINGTON AM Station
170. , NEW HAMPSHIRE AM Station
171. , ARIZONA AM Station
172. , IOWA AM Station
173. , CALIFORNIA AM Station
174. , TEXAS AM Station
175. , GEORGIA AM Station
176. , INDIANA AM Station
177. , MISSISSIPPI AM Station
178. , SOUTH CAROLINA AM Station
179. , WASHINGTON AM Station
180. , WISCONSIN AM Station
181. , OHIO AM Station
182. , MISSISSIPPI AM Station
183. , MISSISSIPPI AM Station
184. , SOUTH CAROLINA AM Station
185. , WEST VIRGINIA AM Station
186. , ARKANSAS AM Station
187. , NEBRASKA FM Station
188. , WEST VIRGINIA FM Station
189. , OHIO FM Station
190. , OHIO FM Station
191. , NORTH CAROLINA FM Station
192. , LOUISIANA FM Station
193. , SOUTH CAROLINA FM Station
194. , DELAWARE FM Station
195. , DELAWARE FM Station
196. , VIRGINIA FM Station
197. , DELAWARE FM Station
198. , WISCONSIN FM Station
199. , MISSISSIPPI FM Station
200. , ALABAMA FM Station
201. , WEST VIRGINIA FM Station
202. , NEW YORK FM Station
203. , GEORGIA FM Station
204. , ALABAMA FM Station
205. , ALABAMA FM Station
206. , CALIFORNIA FM Station
207. , TEXAS FM Station
208. , TEXAS FM Station
209. , CALIFORNIA FM Station
210. , FLORIDA FM Station
211. , TENNESSEE FM Station
212. , ALASKA FM Station
213. , WISCONSIN FM Station
214. , WISCONSIN FM Station
215. , PENNSYLVANIA FM Station
216. , SOUTH CAROLINA FM Station
217. , FLORIDA FM Station
218. , FLORIDA FM Station
219. , KENTUCKY FM Station
220. , ARKANSAS FM Station
221. , ALABAMA FM Station
222. , MISSISSIPPI FM Station
223. , ARIZONA FM Station
224. , ALABAMA FM Station
225. , TEXAS FM Station
226. , WISCONSIN FM Station
227. , WISCONSIN FM Station
228. , KENTUCKY FM Station
229. , MISSISSIPPI FM Station
230. , MICHIGAN FM Station
231. , MICHIGAN FM Station
232. , TEXAS FM Station
233. , COLORADO FM Station
234. , COLORADO FM Station
235. , LOUISIANA FM Station
236. , MICHIGAN FM Station
237. , VIRGINIA FM Station
238. , WISCONSIN FM Station
239. , NEBRASKA FM Station
240. , ALABAMA FM Station
241. , WEST VIRGINIA FM Station
242. , CONNECTICUT FM Station
243. , SOUTH CAROLINA FM Station
244. , GEORGIA FM Station
245. , MICHIGAN FM Station
246. , LOUISIANA FM Station
247. , ALABAMA FM Station
248. , HAWAII FM Station
249. , CALIFORNIA FM Station
250. , CALIFORNIA FM Station
251. , HAWAII FM Station
252. , ARKANSAS FM Station
253. , ARKANSAS FM Station
254. , OHIO FM Station
255. , WISCONSIN FM Station
256. , NEBRASKA FM Station
257. , TEXAS FM Station
258. , PENNSYLVANIA FM Station
259. , INDIANA FM Station
260. , INDIANA FM Station
261. , TENNESSEE FM Station
262. , MISSISSIPPI FM Station
263. , PENNSYLVANIA FM Station
264. , WASHINGTON FM Station
265. , WASHINGTON FM Station
266. , WEST VIRGINIA FM Station
267. , TEXAS FM Station
268. , KANSAS FM Station
269. , TEXAS FM Station
270. , TEXAS FM Station
271. , ALABAMA FM Station
272. , VIRGINIA FM Station
273. , VIRGINIA FM Station
274. , TEXAS FM Station
275. , PENNSYLVANIA FM Station
276. , OHIO FM Station
277. , TEXAS FM Station
278. , COLORADO FM Station
279. , FLORIDA FM Station
280. , OHIO FM Station
281. , SOUTH CAROLINA FM Station
282. , NORTH CAROLINA FM Station
283. , NORTH CAROLINA FM Station
284. , MISSISSIPPI FM Station
285. , MISSISSIPPI FM Station
286. , ALABAMA FM Station

(Check/Uncheck All)
 
8. Respondent is:
radio button not selected Sole Proprietorship radio button not selected Not-for-profit corporation radio button not selected Limited partnership
radio button selected For-profit corporation radio button not selected General partnership radio button not selected Other
If "Other," describe nature of the Respondent in an Exhibit.  
 
 

Section II-B - Biennial Ownership Information

1. Contract Information. List all contracts and other instruments required to be filed by 47 C.F.R. Section 73.3613. (Only Licensees, or Respondents with a majority interest in or that otherwise exercise de facto control over the subject Licensee shall respond. Other Respondents should select "Not Applicable" in response to this question.) If the agreement is a local marketing agreement (LMA) or a joint sales agreement (JSA), or if the agreement is a network affiliation agreement, check the appropriate box; otherwise, select "Other" for non-LMA/JSA or network affiliation agreements.
checkbox checked Not Applicable

Contract Information

   



2. Capitalization (Only Licensees or entities with a majority interest in or that otherwise exercises de facto control over the subject Licensee shall respond.)
checkbox not checked Not Applicable

Capitalization Information

Copy Class of stock
(preferred, common or other)
Voting or Non-voting Number of shares  
Authorized Issued and
Outstanding
Treasury Unissued  
1. radio button not selected Preferred
radio button selected Common
radio button not selected Other (specify)
radio button selected Voting
radio button not selected Non-Voting
 

(Check/
Uncheck All)
 
3. (a.) Ownership Interests. This Question requires Respondents to enter detailed information about ownership interests by generating a series of subforms. Answer each question on each subform. The first subform listing should be for the Respondent itself. If the Respondent is not a natural person, also list each of the officers, directors, stockholders, noninsulated partners, members and other persons or entities with a direct attributable interest in the Respondent. (A "direct" interest is one that is not held through any intervening companies or entities.) In the case of vertical or indirect ownership structures, report only those interests in the Respondent that also represent an attributable interest in the Licensee for which the Report is being submitted.

List each person or entity with a direct attributable interest in the Respondent separately. Entities that are part of an organizational structure that includes holding companies or other forms of indirect ownership must file separate ownership reports. In such a structure do not report or file separate reports for persons or entities that do not have an attributable interest in the Licensee for which the report is being submitted.

Ownership Interests Information

Copy 1. Name  
Address Street


City/State
, OKLAHOMA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button selected Respondent
radio button not selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019970540
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox checked N/A (entity)  
Gender
radio button not selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button not selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 2. Name  
Address Street


City/State
, OKLAHOMA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button not selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox not checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0012882049
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox checked N/A (entity)  
Gender
radio button not selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button not selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox not checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 3. Name  
Address Street


City/State
, OKLAHOMA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019414994
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 4. Name  
Address Street


City/State
, OKLAHOMA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019414911
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 5. Name  
Address Street


City/State
, OKLAHOMA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019414960
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 6. Name  
Address Street


City/State
, OKLAHOMA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019417062
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%  
Copy 7. Name  
Address Street


City/State
, OKLAHOMA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee radio button selected Licensee (or Officer/Director of Licensee)
radio button not selected Person with attributable interest
radio button not selected Entity with attributable interest
Positional Interest
(Check all that apply)

checkbox checked Officer
checkbox not checked Director
checkbox not checked General Partner
checkbox not checked Limited Partner
checkbox not checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox not checked Other (please specify):

FCC Registration Number
0019417070
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button selected Male radio button not selected Female
Ethnicity
radio button not selected Hispanic or Latino
radio button selected Not Hispanic or Latino
Race (Check all that apply)
checkbox not checked American Indian or Alaska Native
checkbox not checked Asian
checkbox not checked Black or African American
checkbox not checked Native Hawaiian or Other Pacific Islander
checkbox checked White
Citizenship
  Percentage of votes %  
  Percentage of equity %  
  Percentage of total assets
(equity debt plus)
%