Entity - Federal Communications Commission · 3) The Lessee certifies lhal nether a nor any other pany to the Rpp~cat\onlNn is suqea \o a denla\ ot Federa\ knefh punuan\ \t Section

$Page 1: Entity - Federal Communications Commission · 3) The Lessee certifies lhal nether a nor any other pany to the Rpp~cat\onlNn is suqea \o a denla\ ot Federa\ knefh punuan\ \t Section$
Licensee Information FRN

18) FCC Registration Number: ooo704993~ I Entity

19) Licensee is a(n) (Select One): ( )Individual ( )Unincorporated Association ( )Trust ( )Government Entity ( )Corporation ( )Limited Liability Company

( )General Partnership ( )Limited Partnership ( )Limited Liability Partnership ( )Consortium

( )Other:

21) Licensee Name (if individual):

Licensee Name 20) Licensee Name ( i entiy):

First: MI: Last: sumx:

23) P.O. Box: And 24) Street Address: /Or

28) Telephone Number:

Ethniclty: ( )Hispanic or Latino

( )Not Hispanic or Latino

29) FAXNurnbec

Gender: ( )Male

( )Female 1 Race:

(

( )Asian

( )Black or African-American

(

( )White

)American Indian or Alaska Native

)Native Hawaiian or Other Pacific Islander

32) Name: First: MI: Last: suffi:

I I", I

37) City: 38) State: 39) Zip Code:


42) E-Mail Address:

41) FAX Number:

35) P.O. BOX: And

FCC 606 -Main Form July 2007. Page 4

36) Street Address:

44) Lessee is a(n) (Select One): ( )Individual ( JUnincorporated Association ( )TNs~ ( )Government Entity ( x )Corporation ( )Limited Liability Company

( )General Partnership ( )Limited Partnership ( )Limited Liabilily Partnership ( )Consortium

( )Other:

1

45) If the Lessee name is being updated, is the update a result from the sale (or transfer of control) of the lease@) to another party and for which proper Commission approval has not been received or proper notification not provided?

( )xes No

Name of Real Party in Interest 49) Name of Real Party in Interest: Cellco Pa,,nership

47) Lessee Name (if individual):

50) FCC Registration Number (FRN): ooo3290673

First: MI: Last: suffix:

51) P.O. BOX: 2000

53) Alexandria 54) State: lMN 55) zip Code: sB308

And 10 r

52) Street Address: 390s D~~~~ Street sw

56) Telephone Number: (320)7624000

58) Address: [email protected]

I 57) FAX Number: (320)808-2510 ~

19) Demographics (Optional): Race: (

( )Asian


(

J )White



) Check here if same as Lessee Information 60) Name: First: MI: Last: suffu:

61) Company Name: Lukas. Nace, Gutiemz 8 Sachs. Chtd.

62) Allention To: David Nace

Address 63) P.O. Box:

65) City: M ~ L ~ ~ ~ 66) State: 67) Zip Code: 22102

I And I 64) StreetAddress: 1650 Tysons Blvd.. Suite 1600 /Or

68) Telephone Number: (70315(u-8661 I 69) FAX Number: (703)584-8695

70) E-Mail Address: dnBCe~ccIaW,COm

ithnlcity: ( )Hispanic or Latino


Gender: ( )Male

( )Female

Lessee Contact Information Contact Name (if other than Lessee)

I

( )General Partnership ( )Limited Partnership ( )Limited Liabilii Partnership ( )Consortium

( )Ofher:

73) If the Sublessee name is being updated. is the update a result from the sale (or transfer of control) of the sublease(s) to another

74) Sublessee Name (if entity):

75) Sublessee Name (if individual):

76) Attention To:

Sublessee Name ( ) xes NO

party and for which proper Commission approval has not been received or proper notification not provided? ~

MI: Last: suffix: First:

Sublessee Information FRN 71) FCC Registration Number: I

Race: Ethnicity: Gender: ( ( )Hispanic or Latino ( )Male )American Indian or Alaska Native

I I I I 89) Company Name:

90) Attention To:

Address 91) P.O. Box: And 92) Street Address:

93) city: 94) State: 95) Zip Code:


98) E-Mail Address:

/Or

97) FAX Number:

Address 79) P.O. Box: And 80) Street Address:

81) City: 82) State:

W) Telephone Number:

86) E-Mail Address:

/Or 83) Zip Code:

85) FAX Number:

( )Asian


( )Native Hawaiian or Other Pacific Islander

( )Not Hispanic or Latino ( )Female

Sublessee Contact Information Contact Name (if other than Sublessee)

) Check here if same as Sublessee Information 1 MI: 1 Last: 1 suffii: 88) Name: 1 First: I

FCC 608 - Main Form July 2007 -Page 6

102) Transferee Name (ti individual): I I I I

103) Attention To: Michael Samsock

First: MI: 1 Last: 1 suffix:

Name of Real Party in Interest 104) Name of Real Party in interest: Cellco Parmemhip 1

108) City: Waohlngton

105) FCC Registration Number (FRN): 0003290673

109) State: DC 110) Zip Code: 2ooos

I l l ) Telephone Number: (202)589-3768

114) Demographics (Optional): i Race: I Ethnicitv: I Gender: I

112) FAX Nmber: (202)589-3750

(

( )Asin


(



( )White

( )&panic or Latino ( )Male

( )No1 Hispanic or Latino ( )Female

Transferee Contact Information Contact Name (if other than Transferee)

120) city: Washington

117) Anention To:

121) State: DC 122) ZipCode: 2-

I ‘125) E-Mail Address: nvictoryewileyretn.com

FCC 608 -Main Form July 2007 -Page 7

Transferor Information FRN

126) FCC Regislration Number: 00037f5919 1 Entity

127) Transferor is a h ) (Select One): ( )Individual ( )Unincorporated Associatwn ( )Trust ( )Government Entity (x )Corporation ( )Limited Liability Company

( )General Partnership ( )Limited Parlnership ( )Limited Liability Partnership ( )Consortium

( )Other:

131) P.O. Box: And /Or 132) Street Address: 3906 Dakota street sw

133) civ Alexandria 134) State: MN 135) Zip Code: 56308

136) Telephone Number: (320)762-200~ 1 137) Number: (320)808-2510

138) E-Mail Address: [email protected] ~

( )Asian


Race: ( )American Indian or Alaska Native

( )No1 Hispanic or Latino

Ethniclty: ( )Hispanic or Latino

( )Native Hawaiian or Other Pacific Islander I

140) Name:

( )While

First: MI: Last: suffix:

Gender: ( )Male

( )Female

141) Company Name:

142) Attention To: Lukas, Nace, Gutierrez 8 Sachs, Chtd.

David Nace

I And I /Or 'Iree1 Address: 1650 Tysons Blvd.. Suite 1500 143) P.O. Box:

145) City: McLean 146) State: 147) Zip Code: 22102

.1

148) Telephone Number: (703,584-8661 149) FAX Number: (703)5w-8895 150) E-Mail Address: dnacwcclaw,com

FCC 608 - Main Form July 2007 -Page 8 I

Ownership Disclosure Information

151b) If the answer to 151a is 'Yes', provide the File Number of FCC Form 602 that has been filed in conjunction with this FCC Form 608 filing or that is already on file with the FCC and remains accurate.

FCC F O ~ 602

I ( Y )Yes Bo f s ~ a ) IS the Appkant required to file FCC Fom 602, Ownership Disclosure Information for the wireless

Telecommunications Services?

File Number: 0003159157

152) is the Applicant a foreign government or the representative of any foreign government? ( N ) Y e s No

153) IS the Applicant an alien or the representative of an alien?

154) is the Applicant a corporation organized under the laws of a foreign government?

155) Is the Applicant a corporation of whicn more tnan one-fan of the capltal stow is owned of record or voted by aliens or 1he.r represenlal ves or by a foreign government or representatwe thereof or Dy any corporation organized under tne laws of a foreign country?

( N ) xes No

( N ) r e s NO

156a) Is the Applzcant oirectly or indirectly controlled by any other wrporalion of which more than one-fodrth of the capital stock is owned of record or voted by adaens, their representatives. or by a forelgn government or represenlatne tnereof. or by any corporation organized under the l m s of a foreign country?

157) Has the Applicant or any party to this filing had any FCC station authorization. license. or construction permit revoked or had any appiicatbn for an initial. mcdification or renewal of FCC station authorization. licsnse or construction permit denied by the Commission?

( N ) Xes 80

158) Has the Applicant or any party to this filing, or any party directly or indirectly controlling tne Applicant or any party to ( N ) X e s Yo this filing ever been convicted of a felony by any state or Federal courl?

( Y ) x e s go

159) Has any courl finally adjudged the Applicant or any party directly or indirectly controlling Applicant guiity of unlawfully monopolizing or attempting unlawfully to monopolize radio communication. directly or indirectly. through control of manufacture or sale of radio apparatus, exclusive trafftc arrangement. or any other means or unfair methods of competition?

156b) if the answer to 1568 is 'Yes'. has the Applicant received a ruling@) under Section 310(b)(4) of the Communications Act with respect to the same radio aervice(s) and geographic coverage area@) involved in this filing?

If the answer to 156b is 'Yes', provide in an exhibl the citation(s) of the declaratory ruliw(s) received by the Applicant (i.e., DA or FCC Number, FCC Record citation when available, and release date).

( N ) Xes No

I If the answer to 156b is 'NO'. attach to this filing a date-stamped wpy of a request for a foreign ownership ruling pursuant to Section 310(b)(4) of the Communications Act.

FCC 608 - Main Form July 2007. Page 9

1)

2)

The Licensee agrees that Ihe Lease is not a sale or transfar of Ihe license Iseif.

The Licensee certifies that it will not consent to assignment of the Lease except to the extent such assignment complies with the Commission's Rules and Regulations.

3) The licensee certifies !ha! X holds exclusive use rights to use the licensed spectrum. I

160) First Name:

4) The Licensee certifies that it is no( in default on any payment for Commission licenses and that 1 is not delinquent on any non-tax debt owed lo any federal agency.

MI: Last Name: suffix:

The Licensee certifies that all of its statements made in this ApplicationlNotification and in the schedules, exhibits, attachmen-, or documents incorporated by reference are material, are part of this ApplicationlNotIficatlon, and are true, complete, correct, and made in good faith.

162) Signature: 163) Date:


.esse Certification Statements 1) The Lessee agrees that the Lease is not a sale or transfer of the license itseif.

164) First Name:

2) The Lessee acknowledges that it is required to comply with the Commission's Rules and Regulations and other applicable law at all times, and if the Lessee fails lo so comply, the LeaselSublease may be revoked, cancelled. or terminated by either the Licensee or the Commission.

MI: Last Name: SUffK

3) The Lessee certifies lhal nether a nor any other pany to the R p p ~ c a t \ o n l N n is suqea \o a denla\ ot Federa\ knefh punuan\ \t Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 6 862, because of a wnvicfion for possesson or distribution of a controlled substance. (See Section 1.2002(bl of the rules. 47 CFR § 12002(bJ. for the definition of "party to the application" as used m this certmcation )

The -essee hereDy accepts Commission oversght and enforcement consistent with the license and lease authorization. The Lessee acknowledges that it must cooperate fully with any investigation or inquiry conducted either by the Commission or the Llwnsee. allow the Commission or the Licensee to COndJCt on-slte nspections 01 transmiss,on faciliies. and suspend operattons at the direction 01 the Commcssion or the Licensee and to the extent that sucn suspension of operation would be consistent with applicable Commission polici+Ss.

The Lessee acknow eoges Inat in the event an authorizat40n neld by a Licensee that has associated wiih it a spectrum #easing arrangement that is tne subject of tnls flling is revoked. cancelleo, terminated. or otnerwise ceases to be in effect. tne Lessee will have no continuing authority to Lse the ,eased spectrm ana will be rewire0 to terminate its operations no .ate{ than the dale on wnKh the Llcenfee ceases 10 have any authority to operate under the license, mess otherwise authorized by the Commission.

Tne Lessee agrees the Lease shall not be assigned to any entity that is not eligioie or qualified to enter into a spectrum leasing arrangement unaer the Commission's Rules and Regulations.

The Lessee waives any claim to the &e of any particular frequency or of the electromagnetic Spectrum as agamst the regulatory power of the United States because 01 tne previous use of the same. whether by spectrum lease or otnemise.

4)

51

6 )

7)

8) The Lessee certifies that it is not in oefault on any payment for Commmon licenses and that it is not delinquent on any non-tax debt owed to any federal agency

The Lessee cenilies that all of Its statements made In this ApplicationlNotiBcation and in the schedules, exhibits, altachmenb. or documents incorporated by reference are material. are pan of this APPlicationlNotiflcation. and are true. c0mDlete. correct. and made In



Sublessee Certification Statements 1) The Sublessee agrees that the Lease is not a sale or transfer of the license itself.

168) First Name:

The Sublessee acknowledges that it is required to comply with the Commission's Rules and Regulations and other applicable law at all times, and if the Sublessee fails to so comply. the Lease may be revoked, cancelled, or terminated by either the Licensee or the Commission.

The Sublessee certifies that neither it nor any other party to the ApplicationINotification is subject to a denial of Federal benefw pumuant to Section 5301 of the AntiIDrug Abuse Act of 1988, 21 U.S.C. § 862. because of a wnviction for possession or distribution of a controlled substance. (See Section 1.2002(b) of the rules. 47 CFR g 1.2002(b). for the definition of ''party to the application" as used in this certification.)

The Sublessee hereby accepts Commission oversight and enforcement consistent with the license and lease authorization. The Sublessee acknowledges that it must cooperate fully with any investigation or inquiry conducted either by the Commission or the Licensee. allow the Commission or the Licensee to conduct on-site inspections of transmission facilities. and suspend operations at the direction of the Commission or the Licensee and to the extent that such suspension of operation would be consistent with applicable Commission policies.

The Sublessee acknowledges that in the event an authorization held by a Licensee that has entered into a spectrum leasing arrangement is revoked, cancelled. terminated, or otherwise ceases to be in effect. the Sublessee will have no continuing authority to use the leased spectrum and will be required to terminate its operations no later than the date on which the Licensee ceases to have any authority to operate under the license, unless otherwise authorized by the Commission.

The Sublessee agrees the Leaselsublease shall not be assigned to any en t i i that is not eligible or qualified to enter into a spectrum leasing arrangement under the Cornmission's Rules and Regulations.

The Sublessee waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by spectrum lease or otherwise.

The Sublessee cetiies that it is not in defaun on any payment for Commission licenses and that it is not delinquent on any non-tax debt owed to any federal agency.

The Sublessee certifies that all of its statements made In this Application/Notificatlon and In the schedules, exhibits. attachments, or documents incorporated by reference are material, are part of this ApplicatlonlNotification, and are true, complete, correct, and made In good

2)

3)

4)

5)

6 )

7)

8)

MI: Last Name: suwx


FCC 608 - Matn Form July 2007 page 12

rransferee Certification Statements 1) The Transferee agrees that the LeaselSublease is not a sale or transfer of the license itself.

172) First Name: John

The Transferee acknowledges that it is required to comply with the Commission's Rules and Regulations and other applicable law at all times, and if the Transferee fails to so comply. the Leaselsublease may be revoked, Cancekd, 01 teminated by ether Lmnm w \he Commission.

The Transferee certifies that neither it nor any other party to the AppiicationlNotication is subject to a denial of Federal benefb pursuant to Section 5301 of the AntiDrug Abuse Act of 1988, 21 U.S.C. $ 862, because of a conviction for possession or distribution of a controlled substance. (See Section 1.2002(b) of the rules, 47 CFR 5 4.2002(b). for the definition of '"par+, to the application" as Med in this cetiication.)

The Transferee hereby accepts Commission oversight and enforcement consistent with the license and lease authorization. The Transferee acknowledges that it must cooperate fully with any investigation or inquiry conducted either by the Commission or the Licensee. allow the Commission or the Licensee to conduct on-site inspections of transmission faciliies. and suspend operations. at the direction of the Commission or the Licensee and to the extent that such suspension of operation would be consistent with the applicable Commission policies.

The Transferee acknowledges that in the event an authorization held by a Licensee that has associated with it a spectrum leasing arrangement that is the.subject of this filing is revoked, cancelled. terminated, or otherwise ceases to be in effect. the Transferee will have no continuing authority to use the leased spectrum and will be required to terminate its operations no later than the date on which the Licensee ceases to have any authority to operate under the license, unless otherwise authorized by the Commission.

3)

4)

5)

MI: Last Name: sum: T Scott 111

6) The Transferee agrees the Lease shall not be assigned io any entity that is not eligible or qualified to enter into a spectrum leasing arrangement under the Commission's Rules and Regulations.

The Transferee waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by spectrum lease or otherwise.

The Transferee oertifEs that it is not in default on any payment for Commission licenses and that it is not delinquent on any non-tax debt owed to any federal agency.

7)

8)

The Transferee certifies that all of its statements made in this ApplicatIonlNotification and in the schedules, exhibits, attachments, or documents incorporated by reference are material, are part of this ApplIcationlNotlfkation, and are true, complete, correct, and made In good faiih.

174) Signature: John T Scott 111

175) Date: 09/04/2007

FCC 608 - Main Form July 2007 page 13

Transferor Certification Statements The Transferor certifies either (1) that control of the LesseelSublessee will not be transferred until consent of the Federal Communications Commission has been given, or (2) that prior Commission consenl is no1 required because the LeaseSublease is subject to streamlined notification procedures for pro f o n a lransfers of control. See Section 1.948(~)(1) of the Commission's Rules.

1 )

176) First Name: Richard

2) The Transferor certifies that it is not in defaun on any payment for Commission licenses and that it is not delinquent on any non-tax debt owed lo any federal agency.

The Transferor certifies that all of its statements made in this AppllcationlNofification and in the schedules, exhibits, abchmenh, or documents Incorporated by reference are material, are part of this ApplicationlNotlficatlon. and are true, complete, correct, and made In good faith.

MI: Last Name: suffu: P Ekstrand

178) Signature: Richard P Ekstrand

I I I 177) Title: Prerident

179) Date: 09/04/2007


Private Commons Manager Certification Statements I 1) The LicenseelLesseelSublessee manaoer of the Private Commons cenlfies that 11 will retain de facto control of the use of the sDectNm under 1

180) First Name:

~- ~~~

Ihe Private Commons arrangement, including that it will maintain reasonable oversight over the users' use of the SpectNm under the arrangement so as to ensure that the use of the spectrum. and communications equipment employed. comply with all technical and service rules applicable under the license authorization.

The LicenseelLesseelSublessee manager of the Private COInmOnS arrangement wtifies that i\ Wi\\ md\ntain the abili\y under the arrangement Cmply wifh all the lechnicaland service rules applicable under the license authoriraiion.

2) ensure \ha\ users

The LicenseelLesseelSublessee manager of the Private Commons arrangement certifies that all of its statements made in this Notiication and in the schedules, exhibits, attachments, or documents incorporated by reference are material, are part of this Notification, and are true, complete, correct, and made In good hlth.

MI: Last Name: s u l k 1 182) Signature 183) Date

FCC 608 -Main Form July ZOO7 - Page I S

185) 186) 187) 188) Frequency

Leaselsubleasel Code (Microwave only) Number

1 84)

Private Commons Call Sign($ or Radio Service Location Number Path Number

* Note: Questions 186 - 190 are for New Leases involving spectrum associated with site-based authorizations when only a portion of the licensed locations, paths andlor frequencies will be leased.


189) 190) Lower Upper

Frequency (MHz) Frequency (MHz)

Identifier(@

LO00002373

LO00002374

cw - PCS Broadband

cw - PCS Broadband

FCC 608 Schedule D

la) Has this Transfer of Control already occurred?

Federal Communications Commission

( N ) xes NO 1

Approved by OM0 3080 - 1058

%e 808 Main Form lnslrudons for public burden estimate

3) Is this application a pm forma Transfer of Control?

Schedule for Transfer of Control of a Lessee or a Sublessee

( N ) xes lo

Transaction Information

I Ib) If the response to Item l a is 'Yes', provide the date the transaction occurred (MMIDDIYYYY):

I I Voluntary or Involuntary (Select Only One) I 2) The Transfer of Control is: I IX Voluntarv I

Type of Transfer

5) How willhas the Transfer of Control beheen accomplished?

( ) Courtorder

( ) Reorganization or Liquidation

( x ) Transfer of Stock or Other Ownership Interests

( ) Other (Voting Trust Agreement, Management Contract, etc.)

FCC 608 -Schedule D July 2007 -Page 1

0 Cross Reference to Lead APDhcation 0910412007

Cellco Partnership d/b/a Verizon Wireless Rural Cellular Corp. FCC Form 6031608

September 2007 Page 1 of 1

CROSS REFERENCE

This application is one of a series of applications filed by Cellco Partnership d/b/a Verizon Wireless ("Verizon Wireless") and Rural Cellular Corp. ("RCC") seeking Commission consent to the transfer of control of the radio station licenses, leases, and 214 authorizations of RCC to Verizon Wireless. The lead application for the proposed transaction is the application of RCC Atlantic Licenses, LLC, ULS File No. 0003 155487.

DCI -115398.01

8

neielerir;e clopy ur i iy . v u iwi IVI~I I io irie rclcl as ari tippiicdiiur~.

lb) If this filing is for an Amendment (AM) or Wdhdrawal (WD), enter the File Number of the pending ApplicationlNotification currently on file with the FCC.

Submitted: 09/04/2007 at 18:OO:OO File Number: 0003162072

File Number:

FCC Form 608 FCC Application or Notification for Spectrum Leasing Arrangementl A ~ ~ M ~ ~ O M E Main Form Notification of a Private Commons Arrangement 3060-1058

Wireless Telecommunications Bureau Public Safety and Homeland Security Bureau

See 608 Main Form Instructions

For public buden estimate

2a) Classification of Filing (Select only one):

( x ) ML - Spectrum Manager

( ) TL - De Facto Transfer

General Information Application/Notitication Purpose

la ) Purpose of Filing (Select only one).

( ) LN-New ( ) LM - Modification ( ) LU -Administrative Update

( x ) LT -Transfer of Control ( ) LE-ExiendtheTerm ( ) LC-Cancel

( ) AM-Amendment ( ) WD-Withdraw

2b) Type of Filing

( X )L-Lease

( ) S -Sublease (Must be filed Manually)

2c) This filing will be a Private Commons Arrangement of a (Select only one):

( ) N-License

( ) L- Lease

( )S-Sublease

2d) If a private Commons Arrangement ofa L~~~~ or Sublease, choose the legal type (Select only one):

( ) M Spectrum Manager

( ) T -De Facto Transfer

I Term of LeaselSublease (Only for Transfer of Control of a Lessee or Sublessee, or a Revision to Extend the Term of a Lease or Sublease)

3) indicate whether the existing LeaselSublease is: ( X ) Long-Term or ( ) Short-Term

4b) If the answer to 4a is 'Y', is this filing the lead ApplicationlNotification?

4c) If the answr to 4a is 'Y' and the answer to 4b is 'N, provide the File Number of the bad ApplicationlNotification.

Other Wireless Licenses

( Y ) xes Eo 4a) Is this filing part of a series of related filings invohring other wireless license(s) or leasets) held by the Applicant, affiliates of the Applicant (e.g., parents. subsidiaries, or commonty-controlled entniis). or third parties that are not included on this filing and for which Commission approval or notification is required?

( N )Xes Eo

!%%Y#5%rj

5) Are attachments (other than associated schedules) being filed with this Application/Notification?

fees and Waivers

( Y No

6) is the applicant exempt from FCC application fees?

If the answer to 6 is 'Yes', attach an exhibit demonstrating how the applicant is exempt from FCC application fees.

Waiver of C o m m i s s i o n Rules

Ea) Does this filing include a request for waiver of the Commission's Rules (other than a request for application fee waivers)?

if the answer to 8a is 'Yes'. attach an exhibl specifying the rule section@) for which a waiver is being requested and including a justification for the waiver request.

8b) If the answer to 8a is 'Yes'. enter the number of rule section(s) invoked.

( N )Yes NO

Number of Rule Section(s):

7) 1s a waiveddeferral of the FCC application fees being requested?

If the answer to 7 is 'Yes'. attach a date-stamped copy of the request for waiveddeferral of the FCC application fees.

( N )Yes No


11) Does the Applicant propose to provide service interconnected io the public telephone network? ( )Yes No

12a) Does this filing invoke any spectrum associated with any licenses that were originally awarded with bidding credits within the last five years?

(N )Yes NO

Competition Related Information

interconnected mobile voice andlor dafa services that would create a geographic overlap wilh anofher license authorization(s) or Spectrum Leasing Arrangement(s) in which the Applicant already holds direct or indirect interests (of 10 percent or more), either as a licensee or Spectrum LesseeISublessee, and that could also be used to provide interconnected mobile voice andlor data services?

14a) Does the Applicant (LessealSublessee) hold direct or indirect interests (of 10 percent or more) in any entity that already has access to 10 MHz or more of Cellular, Broadband PCS, or Specialized Mobile Radio (SMR) spectrum through license(s) or spectrum leaseshubleases in the same geographic area?

14b) WouldlDoes this Spectrum Leasing Arrangement reduce the number of entities providing service (using spectrum in any of the three setvices listed in 148 above) in the affected market(s)?

\y !$J

( Y ) I - No

( Y )Xes No

15a) Will the requested facilities be used lo provide multichannel video programming service?

15bj if tne answer 10 t5a 1s Yes' does the Applicant operate. control or have an attributable interest (as defined in Section 27 1202 of the Commissions Rules) in a cable television system whose franchise area IS lowted within the geograpnc service area of the requested facilmer?

( )Xes No

If 'Yes'. provide an exhibit explaining how the Applicant (LessdSublessee) complies with Section 27.1202 of the Commission's Rules or justifying a waiver of that rule. If a waiver of the Commission's Rule($) is being requested, 8a must be answered 'Yes'.

Educational Broadband Service (EBS) - Part 21 Programming Requirements

16) Does the Applicant compk with the programming requirements wntained in Section 27.1203 of the ( )Xes No Commission's Rules?

If 'No', provide an exhibit explaining how the Assigneefhansferee complies with Section 27.1203 of the Commission's Rules or justifying a waiver of that rule. If a waiver of the Commission's Rule(s) is being requested. 8a must be answered 'Yes'.

17) Is the Applicant a public safety e n t i or otherwise an entity that will use the leased spectrum to provide wmmunications in support of public safety operations pursuant to Section 90.523 of the Commission's Rules?

FCC 608 - Maln Form July 2007 -Page 3

( )Xes Bo

Licensee Information FRN

18) FCC Registration Number: ooo4884540 I Entity

19) Licensee is a(n) (Select One): ( )Individual ( )Unincorporated Association ( )Trust ( )Government Entity ( )Corporation ( )Limited Liability Company


21) Licensee Name (if individual):

I I ( )Other:

First: MI: Last: Suffu:

Licensee Name 20) Licensee Name ( i ent i ) : 1

23) P.O. Box. And 24) Street Address: /Or



( )Asian



29) FAX Number:

Ethnicity: ( )H!spanic or Latino

32) Name:

( )No1 Hispanic or Latino

First: MI: Last: Suffu:

Gender: ( )Male

( )Female

35) P.O. Box: And /Or

36) Street Address:

37) City:

FCC 608 - Maln Form July 2007 - Page 4

38) State: 39) Zip Code:

40) Telephone Number: 41) FAX Number:

Lessee Information

45) If the Lessee name is being updated, is the update a resun from the sale (or transfer of control) of the lease(s) to another p a w

FRN I 43) FCC Regislration Number: ooo2622934

( )xes No

I Entity

I

44) Lessee is aln) (Select One): ( )Individual ( )Uninwrporated Association ( )Trust ( )Government Entity ( x )Corporation ( )Limited Liability Company

51) P.O. Box: 2000

( )General Partnership ( )Limited Partnership ( )Limited Liability Partnership ( )Consortium I

And 52) Street Address: 3905 Dakota Straet sw /Or

54) State: MN 53) City: Alexandria 55) Zip Code: 56308

1 58) E-Mail [email protected] I

) Check here if same as Lessee Information 60) Name First MI Last sumx

61) Company Name Lukas, Nace, GU~I~ITEZ a Sachs, C W .

62) Attention To Nace

Address 63) P O BOX

65) McLean

I ;"": 1 64) Address 1650 Tysons Blvd., Suite 1500

66) State 67) ZIP Code 22102

68) Telephone Number (703)5848861 1 69) FAX Number (703)584-8695

70) Address [email protected]

59) Demographics (Optional): Race: (

( )Asian


(

( )White



Lessee Contact Information

Ethnicity: ( )Hepanic or Latino


Gender: ( )Male

( )Female

Sublessee Information FRN

71) FCC Registration Number: 1


( )Other.

73) If the Sublessee name is being updated, is the update a resun from the sale (or transfer of wntrol) of the sublease(s) to another

74) Sublessee Name (if entity):

Sublessee Name ( ) r e s Bo

party and for which proper Commission approval has not been received or proper notification not provided?

75) Sublessee Name (if individual): First: MI: Last: suffi:

76) Attention To:

i i Entity

72) Sublessee IS a(n) (Select One): ( )\ndlvidua\ ( )Unincorporated Associatiin ( )Trust ( )Governmen\ Entity [ )Corporation ( )Limited Liability Company

79) P.O. Box: And 80) Street Address: /Or

Race: ( )American indian or Alaska Native

( )Asian

( )Eta& or Afrkan-Amerin

( )Native Hawaiian or Other Paciftc islander

Ethnicity: Gender: ( )Hispanic or Latino ( )Male


88) Name:

( )Female

suffu: First: MI: Last:

Sublessee Contact Information Contact Name (if other than Sublessee)

93) City: 94) State: 95) Zipcode:


Transferee Information FRN

99) FCC Registration Number: ooo3290673

102) Transferee Name (I individual): Flrst: MI:

Entity 100) Transferee is a(n) (Select One): ( )Individual ( )Unincorporated Association ( )Trust ( )Government Entity ( )Corporation ( )Limited Liability Company

Last: suffix:

106) P.O. Box:

IO8) city: Washington

And for

107) Street Address: 1300 I Street, NW - Suite 400 West

109) State: DC 110) Zip Code: 2ooo5

I l l ) Telephone Number: (202)589-3768 I 11’) Number: (202)589-3750


1 ‘I3) E-Maii Address: mlchael.samrock~erlzonwireless.com I

Ethnicity: ( )Hispanic or Latino

I ) Check here if same as Transferee Information 115) Name: First: MI: Last: suffix:

Nancy J victory 116) Company Name: Wiley Rein LLP

11 7) Anention To:

Address 118) P.O. Box:

120) city: Washington 121) State: DC 122) Zip Code: 20006

And /Or

119) Street Address: ,776 K Street, NW

123) Telephone Number: (202)719-7344 124) FA% Number: (zoz)71e-tsss

1’5) E-Mail Address: nvictorywwileyrein.com

( )Asian


( )Native Hawaiian or Other Paciftc islander

I ( )Not Hispanic or Latino

Gender: ( )Male

( )Female

Transferor Information FRN

126) FCC Registration Number: 00037f5919 I

129) Transferor Name (if individual): First:

Entify 127) Transferor is a(n) (Select One): ( )Individual ( )Unincorporated Association ( )Trust ( )Government Entity (x )Corporation ( )Limited Liability Company

( )General Parlnershtp ( )Limited Partnership ( )Limited Liability Partnership ( )Consortium

( )Other:

MI: Last: Sufi:


Ethnlcity: Gender: ( )Hispanic or Latino ( )Male

( )Asian



145) City: M ~ L ~ ~ ~


146) State: 147) ZipCode: 2 2 , ~ 2

( )Female

Transferor Contact Information Contact Name (if other than Transferor)

) Check here if same as Transferor Information 140) Name: I First: I MI: I Last: I sullu:

141) Company Name:

142) Attention To: Lukas. Nace, Gutierrez (L Sachs. CMd.

David Nace


Documents

Entity - Federal Communications Commission · 3) The Lessee certifies lhal nether a nor any other pany to the Rpp~cat\onlNn is suqea \o a denla\ ot Federa\ knefh punuan\ \t Section