Fcc Form 327 Application For Cable Television Relay Service Station License Page 5
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12APPLICATION FOR CABLE TELEVISION RELAY SERVICE STATION LICENSE
SCHEDULE B. Control and Ownership Information (The information submitted in this schedule should enable the Commission to
identify all entities which either directly or indirectly control the applicant.)
SECTION I. Control and Ownership
1.
The following information must be provided for the applicant; for each member or partner, if the applicant is an
unincorporated association or partnership; and for each cable television owner or operator, if the applicant is a cooperative
enterprise wholly owned by cable television owners or operators. Indicate the legal name; the entity (if the entity has no EIN use
Social Security Number (SSN)), the type of entity (1 = Individual, 2 = Partnership, 3 = Corporation, 4 = Unincorporated
Association, or 5 = Governmental Entity); the Internal Revenue Service Employer Identification Number (EIN) used by the entity
(if the entity has no EIN, use the applicant’s Social Security Number (SSN)). If the entity is a non-governmental corporation,
indicate the state under whose laws the corporation is organized.
Legal Name (if person, last name first)
EIN or SSN
Entity Code
State
2.
Attach as Exhibit B-1 the information requested of the applicant in item 1 for each entity which either directly or indirectly
controls the applicant. Place this information in a detailed block diagram or family tree showing the direct or indirect control of the
applicant, including percentage of control, including the final controlling entity or entities. The final controlling entity or entities
should be specifically identified.
SECTION II. Assignment of License or Transfer of Control
Attach as Exhibit B-2 a statement describing the proposed assignment of license or transfer of control. The assignment of
license or transfer of control shall not be completed until authorized by the Commission. The Commission must be notified of
consummation no later than 30 days after it occurs.
Licensee Information
FRN
Legal Name (if person, last name first)
Business Name
Mailing Address
City
State
Zip Code
Telephone No.
E-mail Address
(
)
WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE OR IMPRISONMENT OR BOTH.
See 18 U.S.C. § 1001.
Print Full Name
Print Title
Signature
Date (mm/dd/yyyy)
FCC 327
Approved by OMB
3060-0055
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal