Federal Communications Commission
Washington, D.C. 20554
March 2005
FOR FCC USE ONLY
 
Change in Official Mailing Address for Broadcast Station

Read Instructions/FAQ before filling out form

FOR COMMISSION USE ONLY
FILE NO.

1. Legal Name of the Licensee
ADELANTE MEDIA OF WISCONSIN LICENSE LLC
Mailing Address
500 MEDIA PLACE

City
SACRAMENTO
State or Country (if foreign address)
CA
ZIP Code
95815 -
Telephone Number (include area code)
9163686300
E-Mail Address (if available) 
FCC Registration No
0015155567

If the above fields do not contain the desired values, use the ‘Change Account Address’ button to go to the Account Maintenance screen where you can make changes for this CDBS account.

[Change Account Address]

2. Enter the station information for each facility this address change affects.

[Enter Station Information]


Station Information

Enter one row for each station to be updated. Call Sign, Facility ID, Service and Licensee name must match what is currently reflected in CDBS. You can follow the link to locate the required information in CDBS Public Access
1 Call Sign Facility ID Service Licensee Name
WDDW
53506
FM
BUSTOS MEDIA OF WISCONSIN LICENSE, LLC

2 Call Sign Facility ID Service Licensee Name
WBWT-LP
56213
TX
BUSTOS MEDIA OF WISCONSIN LICENSE, LLC

3 Call Sign Facility ID Service Licensee Name
NEW
168398
LD
BUSTOS MEDIA OF WISCONSIN LICENSE, LLC


I certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.

Typed or Printed Name of Person Signing
AMADOR BUSTOS
Typed or Printed Title of Person Signing
PRESIDENT OF ULTIMATE PARENT
Signature
Date
01/08/2007

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).