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-20111125EFS

Section I - General Information
1. Legal Name of the Respondent
THOMAS H. LEE ADVISORS, LLC
Street Address (1)
100 FEDERAL STREET
Street Address (2)
35TH FLOOR
City
BOSTON
State or Country (if foreign address)
MA

ZIP Code
02110 -

Telephone Number (include area code)
6172271050
E-Mail Address (if available) 
FCC Registration Number:
0019764000
Call Sign 
KEX
Facility ID Number 
11271
2. Contact Representative
KATHLEEN A. KIRBY
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)
2027193360
E-Mail Address (if available)
KKIRBY@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 selected 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 10/01/2011
(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)
CITICASTERS LICENSES, INC.
0018273367
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. , KENTUCKY AM Station
2. , OHIO AM Station
3. , IOWA AM Station
4. , WISCONSIN FM Station
5. , OHIO FM Station
6. , OHIO FM Station
7. , NEW YORK FM Station
8. , OREGON FM Station
9. , NEW MEXICO FM Station
10. , NEW MEXICO FM Station
11. , ARIZONA FM Station
12. , UTAH FM Station
13. , NEVADA FM Station
14. , WYOMING FM Station
15. , NEW YORK FM Station
16. , MARYLAND FM Station
17. , MISSOURI FM Station
18. , MINNESOTA FM Station
19. , FLORIDA FM Station
20. , GEORGIA FM Station
21. , OREGON FM Station
22. , OREGON FM Station
23. , CALIFORNIA FM Station
24. , OHIO FM Station
25. , ILLINOIS FM Station
26. , TENNESSEE FM Station
27. , TEXAS FM Station
28. , WASHINGTON AM Station
29. , GEORGIA AM Station
30. , KENTUCKY AM Station
31. , CALIFORNIA AM Station
32. , NEW YORK AM Station
33. , NEW YORK AM Station
34. , GEORGIA AM Station
35. , IOWA FM Station
36. , SOUTH CAROLINA FM Station
37. , FLORIDA FM Station
38. , GEORGIA FM Station
39. , NEW YORK FM Station
40. , OHIO FM Station
41. , WISCONSIN FM Station
42. , NEW YORK FM Station
43. , FLORIDA FM Station
44. , IOWA FM Station
45. , KENTUCKY FM Station
46. , FLORIDA FM Station
47. , FLORIDA FM Station
48. , MARYLAND FM Station
49. , FLORIDA FM Station
50. , FLORIDA FM Station
51. , NEW YORK FM Station
52. , UTAH FM Station
53. , ILLINOIS FM Station
54. , MISSOURI FM Station
55. , OHIO FM Station
56. , COLORADO FM Station
57. , COLORADO FM Station
58. , IOWA FM Station
59. , NEW MEXICO FM Station
60. , OHIO FM Station
61. , OHIO FM Station
62. , CALIFORNIA FM Station
63. , FLORIDA FM Station
64. , OHIO FM Station
65. , IOWA FM Station
66. , IOWA FM Station
67. , WASHINGTON FM Station
68. , GEORGIA FM Station
69. , NEVADA FM Station
70. , OHIO FM Station
71. , UTAH FM Station
72. , TEXAS FM Station
73. , OHIO AM Station
74. , WISCONSIN FM Station
75. , WISCONSIN FM Station
76. , OHIO FM Station
77. , OHIO FM Station
78. , OHIO FM Station
79. , OHIO FM Station
80. , OHIO FM Station
81. , OHIO FM Station
82. , OHIO FM Station
83. , COLORADO AM Station
84. , COLORADO AM Station
85. , COLORADO AM Station
86. , COLORADO AM Station
87. , COLORADO FM Station
88. , COLORADO FM Station
89. , COLORADO FM Station
90. , COLORADO FM Station
91. , COLORADO FM Station
92. , WASHINGTON AM Station
93. , WASHINGTON FM Station
94. , WASHINGTON FM Station
95. , WASHINGTON FM Station
96. , OHIO AM Station
97. , IOWA AM Station
98. , CALIFORNIA AM Station
99. , FLORIDA AM Station
100. , OHIO AM Station
101. , OREGON AM Station
102. , OHIO AM Station
103. , DELAWARE AM Station
104. , CALIFORNIA AM Station
105. , NORTH DAKOTA AM Station
106. , FLORIDA AM Station
107. , OHIO AM Station
108. , CALIFORNIA AM Station
109. , FLORIDA AM Station
110. , IOWA AM Station
111. , FLORIDA AM Station
112. , OHIO AM Station
113. , NORTH DAKOTA AM Station
114. , ILLINOIS AM Station
115. , FLORIDA AM Station
116. , GEORGIA AM Station
117. , COLORADO AM Station
118. , MISSOURI AM Station
119. , IOWA AM Station
120. , CALIFORNIA AM Station
121. , OHIO AM Station
122. , OREGON AM Station
123. , OHIO AM Station
124. , IOWA AM Station
125. , OHIO AM Station
126. , OHIO AM Station
127. , MARYLAND AM Station
128. , UTAH AM Station
129. , CALIFORNIA FM Station
130. , NORTH DAKOTA FM Station
131. , MISSOURI FM Station
132. , CALIFORNIA FM Station
133. , FLORIDA FM Station
134. , GEORGIA FM Station
135. , WYOMING FM Station
136. , IOWA FM Station
137. , WASHINGTON FM Station
138. , SOUTH CAROLINA FM Station
139. , CALIFORNIA FM Station
140. , NORTH DAKOTA FM Station
141. , NEW YORK FM Station
142. , SOUTH CAROLINA FM Station
143. , GEORGIA FM Station
144. , OHIO FM Station
145. , NORTH DAKOTA FM Station
146. , ILLINOIS FM Station
147. , OHIO FM Station
148. , TEXAS FM Station
149. , OHIO FM Station
150. , OHIO FM Station
151. , ARIZONA FM Station
152. , MARYLAND FM Station
153. , FLORIDA FM Station
154. , MISSISSIPPI FM Station
155. , OHIO FM Station
156. , CALIFORNIA FM Station
157. , OHIO FM Station
158. , KENTUCKY FM Station
159. , KENTUCKY FM Station
160. , OREGON FM Station
161. , UTAH FM Station
162. , IOWA FM Station
163. , KENTUCKY FM Station
164. , OHIO FM Station
165. , NEVADA FM Station
166. , FLORIDA FM Station
167. , OHIO FM Station
168. , OHIO FM Station
169. , OHIO FM Station
170. , OHIO FM Station
171. , OHIO FM Station
172. , IOWA FM Station
173. , MINNESOTA FM Station
174. , PENNSYLVANIA FM Station
175. , IOWA FM Station
176. , OHIO FM Station
177. , OHIO AM Station
178. , WISCONSIN AM Station
179. , OHIO AM Station
180. , OHIO AM Station
181. , OHIO AM Station
182. , OHIO AM Station
183. , OHIO AM 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 not selected For-profit corporation radio button not selected General partnership radio button 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 checked Not Applicable

Capitalization Information


(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
, MASSACHUSETTS
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
0019764000
  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
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox checked Other (please specify):

FCC Registration Number
0019762020
  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 3. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019762228
  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
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019762244
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button 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
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019762269
  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
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019762293
  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
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019762319
  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 8. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox checked Other (please specify):

FCC Registration Number
0019762335
  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 9. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019762343
  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 10. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019762368
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button 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 11. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019762400
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button 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 12. Name  
Address Street


City/State
, MASSACHUSETTS
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 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 checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox checked Other (please specify):

FCC Registration Number
0019762426
  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 13. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019762434
  Gender, Ethnicity, Race and Citizenship Information
(Natural Persons)
checkbox not checked N/A (entity)  
Gender
radio button not selected Male radio button 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 14. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox checked Other (please specify):

FCC Registration Number
0019762863
  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 15. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019763564
  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 16. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019763572
  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 17. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox checked Other (please specify):

FCC Registration Number
0019763598
  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 18. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019763614
  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 19. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 checked LC/LLC/PLLC Member
checkbox not checked Owner
checkbox not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox checked Other (please specify):

FCC Registration Number
0019763622
  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 20. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019763630
  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 21. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019763655
  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 22. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019763663
  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 23. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019763671
  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 24. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019763689
  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 25. Name  
Address Street


City/State
, MASSACHUSETTS
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 selected Person with attributable interest
radio button not 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 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
0019763713
  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