Fcc Form 327 Application For Cable Television Relay Service Station License (Page 4 of 12) in pdf

YES

3. Will the applicant provide program material to eligible systems other than those which the applicant owns

or operates?

If "YES," attach as Exhibit A-1 a copy of a written contract specifying that service will be provided on

a non-profit, cost-sharing basis: or a copy of a written statement specifying that service will be provided

without charge.

4. (a) Has the applicant or any of its controlling parties had any FCC station license, permit, or authorization

revoked?

If "YES," attach as Exhibit A-2 a statement identifying the license, permit, or authorization

revoked and the circumstances relevant to the revocation.

(b) Is the applicant or any of its partners, members, or owners, a foreign government or the representative thereof?

5. If this is a renewal, indicate whether legal or engineering changes have been made since the last license application.

6. Attach as Exhibit A-3 a statement showing that the applicant is eligible pursuant to 47 C.F.R. § 78.13 to be a licensee.

7. For a new station or major change, (e.g., a change in azimuth or transmit antenna or an increase in power or frequency, etc.)

attach as Exhibit A-4 a statement or showing detailing the results of a frequency coordination study performed pursuant to

47 C.F.R. § 78.36 by a technically qualified person or entity (e.g., local coordinating committees, frequency coordinator, etc.).

8. List all attachments, exhibits, and or specifications that will be included on this schedule:

CERTIFICATION

All the statements made in this application and attached exhibits are considered material representations, and all the exhibits are a material part hereof

and are incorporated herein as if set out in full in the application.

The applicant certifies that neither the applicant nor any other party to the application is subject to a denial of Federal benefits pursuant to

47 C.F.R. § 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862, because of a conviction for possession or distribution of a controlled

substance. This certification does not apply to applications filed in services exempted under 47 C.F.R. § 1.2002(c). See 47 C.F.R. § 1.2002(b) for the

definition of "party to the application" as used in this certification.

The applicant certifies that the applicant has a current copy of the Commission's rules governing the Cable Television Relay Service (CARS).

The applicant waives any claim to the use of any particular frequency as against the regulatory power of the United States because of the previous use

of the same whether by license or otherwise and requests an authorization in accordance with this application.

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE

I CERTIFY that the statements in this application are true, complete,

PUNISHABLE BY FINE OR IMPRISONMENT OR BOTH.

and correct to the best of my knowledge and belief and are made in

See 18 U.S.C. § 1001.

good faith.

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FCC 327