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Application for assignment of license - Classical South Florida ...

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CDBS Print<br />

13. Anti-Drug Abuse Act Certification. Assignee certifies that neither assignee nor any party to the<br />

application is subject to denial <strong>of</strong> federal benefits pursuant to Section 5301 <strong>of</strong> the Anti-Drug<br />

Abuse Act <strong>of</strong> 1988, 21 U.S.C. Section 862.<br />

14. Equal Employment Opportunity (EEO). If the applicant proposes to employ five or more fulltime<br />

employees, applicant certifies that it is filing simultaneously with this application a Model<br />

EEO Program Report on FCC Form 396-A.<br />

I certify that the statements in this application are true, complete, and correct to the best <strong>of</strong> my knowledge and belief, and are<br />

made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations. I<br />

hereby waive any claim to the use <strong>of</strong> any particular frequency as against the regulatory power <strong>of</strong> the United States because <strong>of</strong><br />

the previous use <strong>of</strong> the same, whether by <strong>license</strong> or otherwise, and request an authorization in accordance with this<br />

application. (See Section 304 <strong>of</strong> the Communications Act <strong>of</strong> 1934, as amended.)<br />

Typed or Printed Name <strong>of</strong> Person Signing<br />

Typed or Printed Title <strong>of</strong> Person Signing<br />

DOUG EVANS<br />

PRESIDENT<br />

Signature Date<br />

2/13/2012<br />

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S.<br />

CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION<br />

PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).<br />

Exhibits<br />

Exhibit 5<br />

Description: EXHIBIT 5<br />

A COPY OF THE ASSET PURCHASE AGREEMENT ('APA') ASSOCIATED WITH THE PROPOSED ASSIGNMENT<br />

IS ATTACHED HERETO. THE SCHEDULES AND EXHIBITS TO THE APA HAVE NOT BEEN INCLUDED. THE<br />

EXCLUDED SCHEDULES ARE AS FOLLOWS:<br />

SCHEDULE 1.1(A) FCC AUTHORIZATIONS<br />

SCHEDULE 1.1(B) TANGIBLE PERSONAL PROPERTY<br />

SCHEDULE 1.1(C) REAL PROPERTY LEASE<br />

EXHIBIT A TO APA PROMISSORY NOTE<br />

ADDITIONALLY, THE ESCROW AGREEMENT IN CONNECTION WITH THE TRANSACTION IS NOT INCLUDED.<br />

THIS AGREEMENT, THE SCHEDULES AND THE EXHIBITS IDENTIFIED ABOVE CONTAIN PROPRIETARY<br />

INFORMATION AND/OR ARE NOT GERMANE TO THE COMMISSION'S CONSIDERATION OF THIS<br />

APPLICATION. SEE LUJ, INC. AND LONG NINE, INC., 17 FCC RCD 16980 (2002). THE EXCLUDED MATERIAL<br />

WILL BE PROVIDED TO THE COMMISSION UPON REQUEST.<br />

Attachment 5<br />

Asset Purchase Agreement<br />

Exhibit 6<br />

Description: EXHIBIT 6<br />

Description<br />

Page 11 <strong>of</strong> 13<br />

[Exhibit 25]<br />

Yes No<br />

Yes No<br />

N/A<br />

WAY MEDIA, INC. IS PERMITTE OF KAWA(FM), SPANISH FORK, UT (FACILITY ID NO. 172067) AND KBWY<br />

(FM), PRYOR, MT (FACILITY ID NO. 74509), AND LICENSEE OF:<br />

https://licensing.fcc.gov/cgi-bin/ws.exe/prod/cdbs/<strong>for</strong>ms/prod/cdbsmenu.hts?context=25&f...<br />

2/15/2012

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