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
SINCLAIR PORTLAND LICENSEE, LLC
Mailing Address
C/O MILES S. MASON, PILLSBURY WINTHROP SHAWPITTMAN LLP
1200 SEVENTEENTH STREET, NW

City
WASHINGTON
State or Country (if foreign address)
DC
ZIP Code
20036 -
Telephone Number (include area code)
2026638195
E-Mail Address (if available) 
MILES.MASON@PILLSBURYLAW.COM
FCC Registration No
0023174519

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
KATU
21649
DT
SINCLAIR PORTLAND LICENSEE, LLC

2 Call Sign Facility ID Service Licensee Name
K18HH-D
21657
LD
SINCLAIR PORTLAND LICENSEE, LLC

3 Call Sign Facility ID Service Licensee Name
K26DB-D
21650
TX
SINCLAIR PORTLAND LICENSEE, LLC

4 Call Sign Facility ID Service Licensee Name
K35LD-D
21651
LD
SINCLAIR PORTLAND LICENSEE, LLC

5 Call Sign Facility ID Service Licensee Name
K38GS-D
21653
LD
SINCLAIR PORTLAND LICENSEE, LLC

6 Call Sign Facility ID Service Licensee Name
K42CZ-D
21660
TX
SINCLAIR PORTLAND LICENSEE, LLC

7 Call Sign Facility ID Service Licensee Name
K43EJ-D
21662
LD
SINCLAIR PORTLAND LICENSEE, LLC

8 Call Sign Facility ID Service Licensee Name
K47OP-D
21648
TX
SINCLAIR PORTLAND LICENSEE, 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
DAVID B. AMY
Typed or Printed Title of Person Signing
SINCLAIR TELEVISION GROUP, INC.
Signature
Date
12/21/2016

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).