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. BOS-20170831ARF

Section I - General Information
1. Legal Name of the Respondent
ATLANTIC AMERICAN CORPORATION
Street Address (1)
4370 PEACHTREE ROAD, NE
Street Address (2)
City
ATLANTA
State or Country (if foreign address)
GA

ZIP Code
30319 -

Telephone Number (include area code)
4042665500
E-Mail Address (if available) 
FCC Registration Number:
0025100025
Call Sign 
KABY-TV
Facility ID Number 
48659
2. Contact Representative
JOAN STEWART, ESQ.
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)
2027197438
E-Mail Address (if available)
JSTEWART@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 08/01/2017
(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 not 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 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)
GRAY TELEVISION LICENSEE, LLC
0018223693
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. , TEXAS Television
2. , NEBRASKA Television
3. , COLORADO Television
4. , COLORADO Television
5. , NEBRASKA Television
6. , NEVADA Television
7. , TEXAS Television
8. , TEXAS Television
9. , KENTUCKY Television
10. , VIRGINIA Television
11. , GEORGIA Television
12. , WISCONSIN Television
13. , VIRGINIA Television
14. , KANSAS Television
15. , TENNESSEE Television
16. , KENTUCKY Television
17. , VIRGINIA Class A TV
18. , VIRGINIA TV Translator or LPTV station
19. , MICHIGAN Television
20. , NORTH CAROLINA Television
21. , FLORIDA Television
22. , KENTUCKY Television
23. , WISCONSIN Television
24. , INDIANA Television
25. , NEBRASKA Television
26. , GEORGIA Television
27. , WISCONSIN Television
28. , WEST VIRGINIA Television
29. , GEORGIA Television
30. , WEST VIRGINIA Television
31. , MISSISSIPPI Television
32. , ALABAMA Television
33. , VIRGINIA Class A TV
34. , NEBRASKA Television
35. , WEST VIRGINIA TV Translator or LPTV station
36. , WEST VIRGINIA TV Translator or LPTV station
37. , FLORIDA TV Translator or LPTV station
38. , ALABAMA TV Translator or LPTV station
39. , NEBRASKA TV Translator or LPTV station
40. , TEXAS TV Translator or LPTV station
41. , COLORADO TV Translator or LPTV station
42. , NEBRASKA TV Translator or LPTV station
43. , NEBRASKA TV Translator or LPTV station
44. , NEBRASKA TV Translator or LPTV station
45. , NEBRASKA TV Translator or LPTV station
46. , NEBRASKA TV Translator or LPTV station
47. , COLORADO TV Translator or LPTV station
48. , NEBRASKA TV Translator or LPTV station
49. , NEBRASKA TV Translator or LPTV station
50. , WEST VIRGINIA TV Translator or LPTV station
51. , OHIO Television
52. , SOUTH DAKOTA Television
53. , SOUTH DAKOTA Television
54. , NORTH DAKOTA Television
55. , NORTH DAKOTA Television
56. , NORTH DAKOTA Television
57. , NORTH DAKOTA Television
58. , SOUTH DAKOTA Television
59. , SOUTH DAKOTA Television
60. , SOUTH DAKOTA Television
61. , NORTH DAKOTA Television
62. , LOUISIANA Television
63. , LOUISIANA Television
64. , NEBRASKA Television
65. , NORTH DAKOTA TV Translator or LPTV station
66. , NEBRASKA TV Translator or LPTV station
67. , TEXAS Television
68. , IDAHO Television
69. , IDAHO TV Translator or LPTV station
70. , MAINE Television
71. , COLORADO TV Translator or LPTV station
72. , SOUTH DAKOTA TV Translator or LPTV station
73. , COLORADO TV Translator or LPTV station
74. , COLORADO TV Translator or LPTV station
75. , TEXAS TV Translator or LPTV station
76. , NEBRASKA Class A TV
77. , WYOMING Television
78. , WYOMING Television
79. , TEXAS Television
80. , WYOMING Television
81. , WYOMING TV Translator or LPTV station
82. , WYOMING TV Translator or LPTV station
83. , WYOMING TV Translator or LPTV station
84. , WYOMING TV Translator or LPTV station
85. , NORTH DAKOTA TV Translator or LPTV station
86. , MICHIGAN Television
87. , OHIO Television
88. , ARKANSAS TV Translator or LPTV station
89. , GEORGIA Class A TV
90. , KANSAS Television
91. , KANSAS Television
92. , KANSAS Television
93. , KANSAS Television
94. , KANSAS Television
95. , VIRGINIA Television
96. , MISSOURI Television
97. , MISSOURI TV Translator or LPTV station
98. , ALASKA Television
99. , NEBRASKA Television
100. , WYOMING Television
101. , NEBRASKA TV Translator or LPTV station
102. , WYOMING Class A TV
103. , TENNESSEE Television
104. , MICHIGAN Television
105. , MICHIGAN TV Translator or LPTV station
106. , ALASKA Class A TV
107. , IOWA Television
108. , ALASKA Television
109. , IOWA Television
110. , ALASKA Television
111. , MAINE Television
112. , WISCONSIN Television
113. , VERMONT Television
114. , FLORIDA Television
115. , WEST VIRGINIA Television
116. , WEST VIRGINIA Television
117. , WEST VIRGINIA TV Translator or LPTV station
118. , FLORIDA TV Translator or LPTV station
119. , ALABAMA TV Translator or LPTV station
120. , FLORIDA TV Translator or LPTV station
121. , WEST VIRGINIA TV Translator or LPTV station
122. , VIRGINIA TV Translator or LPTV station
123. , WYOMING TV Translator or LPTV station
124. , LOUISIANA TV Translator or LPTV station
125. , ALASKA TV Translator or LPTV station
126. , NORTH DAKOTA TV Translator or LPTV station
127. , NORTH DAKOTA TV Translator or LPTV station
128. , MISSOURI TV Translator or LPTV station
129. , NORTH DAKOTA TV Translator or LPTV station
130. , MISSOURI TV Translator or LPTV station
131. , ALABAMA TV Translator or LPTV station
132. , ILLINOIS TV Translator or LPTV station
133. , ALASKA TV Translator or LPTV station
134. , WISCONSIN TV Translator or LPTV station
135. , WYOMING TV Translator or LPTV station
136. , SOUTH DAKOTA TV Translator or LPTV station
137. , TEXAS TV Translator or LPTV station
138. , LOUISIANA TV Translator or LPTV station
139. , LOUISIANA TV Translator or LPTV station
140. , TEXAS TV Translator or LPTV station
141. , WYOMING TV Translator or LPTV 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-A - Non-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, Permittees, or Respondents with a majority interest in or that otherwise exercise de facto control over the subject Licensee or Permittee 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 , Permittees, 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 or Permittee 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 or Permittee for which the report is being submitted.

Ownership Interests Information

Copy 1. Name  
Address Street


City/State
, GEORGIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button selected Respondent
radio button not selected Other Interest Holder
Relationship to Licensee/Permittee radio button not selected Licensee/Permittee (or Officer/Director of Licensee/Permittee)
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 not checked Stockholder
checkbox not checked Attributable Creditor
checkbox not checked Attributable Investor
checkbox checked Other (please specify):

FCC Registration Number
0025100025
  Percentage of votes %  
  Percentage of total assets
(equity debt plus)
%  
Copy 2. Name  
Address Street


City/State
, GEORGIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee/Permittee radio button not selected Licensee/Permittee (or Officer/Director of Licensee/Permittee)
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 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
0020014908
  Percentage of votes %  
  Percentage of total assets
(equity debt plus)
%  
Copy 3. Name  
Address Street


City/State
, GEORGIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee/Permittee radio button not selected Licensee/Permittee (or Officer/Director of Licensee/Permittee)
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 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
9990109606
  Percentage of votes %  
  Percentage of total assets
(equity debt plus)
%  
Copy 4. Name  
Address Street


City/State
, GEORGIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee/Permittee radio button not selected Licensee/Permittee (or Officer/Director of Licensee/Permittee)
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 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
9990109598
  Percentage of votes %  
  Percentage of total assets
(equity debt plus)
%  
Copy 5. Name  
Address Street


City/State
, GEORGIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee/Permittee radio button not selected Licensee/Permittee (or Officer/Director of Licensee/Permittee)
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 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
9990109614
  Percentage of votes %  
  Percentage of total assets
(equity debt plus)
%  
Copy 6. Name  
Address Street


City/State
, GEORGIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee/Permittee radio button not selected Licensee/Permittee (or Officer/Director of Licensee/Permittee)
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 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
9990109622
  Percentage of votes %  
  Percentage of total assets
(equity debt plus)
%  
Copy 7. Name  
Address Street


City/State
, GEORGIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee/Permittee radio button not selected Licensee/Permittee (or Officer/Director of Licensee/Permittee)
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 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
9990109630
  Percentage of votes %  
  Percentage of total assets
(equity debt plus)
%  
Copy 8. Name  
Address Street


City/State
, GEORGIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee/Permittee radio button not selected Licensee/Permittee (or Officer/Director of Licensee/Permittee)
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 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
0022537922
  Percentage of votes %  
  Percentage of total assets
(equity debt plus)
%  
Copy 9. Name  
Address Street


City/State
, GEORGIA
Postal/ZIP Code
-
Country (if not U.S.)
Listing Type radio button not selected Respondent
radio button selected Other Interest Holder
Relationship to Licensee/Permittee radio button not selected Licensee/Permittee (or Officer/Director of Licensee/Permittee)
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 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
0020015335
  Percentage of votes %  
  Percentage of total assets
(equity debt plus)
%  

(Check/
Uncheck All)

  (b.)

Respondent certifies that any equity and financial interests not reported in response to Question 3(a) are non-attributable.


If "No," submit as an Exhibit an explanation.

radio button selectedYes radio button not selectedNo
(c.) Does the Respondent or any person/entity with an attributable interest in the Respondent also hold an attributable interest in any other broadcast station, or in any newspaper entities in the same market, as defined in 47 C.F.R. Section 73.3555?

If "Yes", provide information describing the interest(s), using EITHER the subform OR the spreadsheet option below for the applicable type of interest (broadcast or newspaper). Respondents with a large number (50 or more) of entries to submit should use the spreadsheet option. NOTE: Spreadsheets must be submitted in a special "XML Spreadsheet" format with the appropriate structure that is specified in the documentation. For instructions on how to use the spreadsheet option to complete this question (including templates to start with), please Click Here.


Broadcast Interest Information

Newspaper Interest Information

radio button not selectedYes radio button selectedNo
(d.)

Are any of the individuals listed in response to Question 3(a) married, related as parent-child, or related as siblings?

If "Yes", complete the information describing the relationship.


Familial Relationships

Copy Name Parent/ Child Spouse Siblings Delete Copy
1. radio button not selected radio button selected radio button not selected
2. radio button selected radio button not selected radio button not selected

(Check/Uncheck All)
 

radio button selectedYes radio button not selectedNo
(e.) Is Respondent seeking an attribution exemption for any officer or director with duties unrelated to the Licensee  or Permittee ?

If "Yes", complete the information in the required fields and submit an Exhibit fully describing that individual's duties and responsibilities, and explaining why that individual should not be attributed an interest.

Exemption Information List

 

(Check/
Uncheck All)

radio button not selectedYes radio button selectedNo

SECTION III - CERTIFICATION


I certify that I am AN OFFICER

(Official Title)


of ATLANTIC AMERICAN CORPORATION

(Exact legal title or name of Respondent)


and that I have examined this Report and that to the best of my knowledge and belief, all statements in this Report are true, correct and complete.

(Date of the signature below must (1) be no earlier than Oct. 1 of the filing year when filing a Biennial Ownership Report (and no earlier than 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.)

Signature
HILTON H. HOWELL, JR.
Date
08/31/2017
Telephone Number of Respondent (Include area code) 4042665500

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

 

Exhibits
Attachment 2
Description
Ownership Calculation