Broadcast Mid Term Report Fcc397 (Page 2 of 3) in pdf

SEND NOTICES AND COMMUNICATIONS TO THE FOLLOWING NAMED PERSON AT THE ADDRESS

INDICATED BELOW:

Name

Street Address

City

State

Zip Code

Telephone No.

(

)

FILING INSTRUCTIONS

Broadcast station licensees are required to afford equal employment opportunity to all qualified persons and to refrain from

discriminating in employment and related benefits on the basis of race, color, national origin, religion, and sex. See 47 C.F.R.

Section 73.2080. Pursuant to these requirements, a television station employment unit that employs five or more full-time station

employees must file a full and complete Broadcast Mid-Term Report. If a television station employment unit employs fewer than

five full-time employees, only the first two pages of this report need be filed.

A copy of this Mid-Term Report must be kept in the station's public file.

Failure to meet these requirements may result in

sanctions or remedies. These requirements are contained in 47 C.F.R. Section 73.2080 and are authorized by the Communications

Act of 1934, as amended.

Consider as "full-time" employees all those permanently working 30 or more hours a week.

SECTION I.

Does your station employment unit employ fewer than five full-time employees, if television, or fewer

Yes

than eleven full-time employees, if radio?

If yes, you do not have to file this form with the FCC. However, you have the option to complete the certification below, return

the form to the FCC, and place a copy in your station(s) public file. You do not have to complete the rest of this form. If your

station employment unit employs five or more full-time employees, if television, or eleven or more full-time employees, if radio,

you must complete all of this form and follow all instructions.

CERTIFICATION

This report must be certified, as follows:

A. By licensee, if an individual;

B. By a partner, if a partnership (general partner, if a limited partnership);

C. By an officer, if a corporation or an association; or

D. By an attorney of the licensee, in case of physical disability or absence from the United States of the licensee.

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).

I certify to the best of my knowledge, information and belief, all statements contained in this report are true and correct.

Signed

Name of Respondent

Title

Telephone No. (include area code)

Date

FCC 397 (Page 2)

September 2002

Broadcast Mid Term Report Fcc397 Page 2

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