List call sign and location of all
stations included on this statement. List commonly owned stations that
share one or more employees. Also list stations operated by the
licensee pursuant to a time brokerage agreement. Indicate on the table
below which stations are operated pursuant to a time brokerage
agreement. To the extent that licensees include stations operated
pursuant to a time brokerage agreement on this report, responses or
information provided in Sections I through II should take into
consideration the licensee's EEO compliance efforts at brokered
stations, as well as any other stations, included on this form. For
purposes of this form, a station employment unit is a station or a
group of commonly owned stations in the same market that share at
least one employee.
CONTACT PERSON IF OTHER THAN
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 license renewal applicant whose station employment
unit employs five or more full-time station employees must file a
report of its activities to ensure equal employment opportunity. If a
station employment unit employs fewer than five full-time employees,
no equal employment opportunity program information need be filed. If
a station employment unit is filing a combined report, a copy of the
report must be filed with each station's renewal application.
A copy of this report must be kept
in the station's public file. These actions are required to obtain
license renewal. Failure to meet these requirements may result in
sanctions or license renewal being delayed or denied. These
requirements are contained in 47 C.F.R. Section 73.2080 and are
authorized by the Communications Act of 1934, as amended.
COMPLAINTS. Have any pending or resolved complaints been filed
during this license term before any body having competent
jurisdiction under federal, state, territorial or local law,
alleging unlawful discrimination in the employment practices of
If so, provide a brief
description of the complaint(s), including the persons involved,
the date of the filing, the court or agency, the file number (if
any), and the disposition or current status of the matter.
Does your station employment
unit employ fewer than five full-time employees?
"full-time" employees all those permanently working 30
or more hours a week.
If your station employment unit
employs fewer than five full-time employees, 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, you must complete all of this form and follow all
This report must be certified, as
A. By licensee, if an individual;
B. By a partner, if a partnership (general partner, if a limited
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
of the licensee.
FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR
CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION
LICENSE OR CONSTRUCTION PERMIT (
CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (
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.
No. ( include area code)
purpose of this document is to provide broadcast licensees, the FCC, and the
public with information about whether the station is meeting equal
employment opportunity requirements.
broadcast station must provide equal employment opportunity to all qualified
individuals without regard to their race, color, national origin, religion
or sex in all personnel actions including recruitment, evaluation,
selection, promotion, compensation, training and termination.
FOR IMPLEMENTATION A
broadcast station must assign a particular official overall responsibility
for equal employment opportunity at the station. That official's name and
is also the responsibility of all persons at a broadcast station making
employment decisions with respect to recruitment, evaluation, selection,
promotion, compensation, training and termination of employees to ensure
that no person is discriminated against in employment because of race,
color, religion, national origin or sex.
EEO PUBLIC FILE REPORT
Attach as an exhibit one copy of each of the EEO public file reports
from the previous two years. Stations are required to place annually
such information as is required by 47 C.F.R. Section 73.2080 in their
NARRATIVE STATEMENT Provide
a statement in an exhibit which demonstrates how the station achieved
broad and inclusive outreach during the two-year period prior to
filing this application. Stations that have experienced difficulties
in their outreach efforts should explain.
NOTICE TO INDIVIDUALS REQUIRED BY THE PRIVACY ACT AND THE PAPERWORK
FCC is authorized under the Communications Act of 1934, as amended, to
collect the personal information we request in this report. We will use the
information you provide to determine if the benefit requested is consistent
with the public interest. If we believe there may be a violation or
potential violation of a FCC statute, regulation, rule or order, your
request may be referred to the Federal, state or local agency responsible
for investigating, prosecuting, enforcing or implementing the statute, rule,
regulation or order. In certain cases, the information in your request may
be disclosed to the Department of Justice or a court or adjudicative body
when (a) the FCC; or (b) any employee of the FCC; or (c) the United States
Government, is a party to a proceeding before the body or has an interest in
the proceeding. In addition, all information provided in this form will be
available for public inspection. If you owe a past due debt to the federal
government, any information you provide may also be disclosed to the
Department of Treasury Financial Management Service, other federal agencies
and/or your employer to offset your salary, IRS tax refund or other payments
to collect that debt. The FCC may also provide this information to these
agencies through the matching of computer records when authorized. We have
estimated that each response to this collection of information will average
5 hours. Our estimate includes the time to read the instructions, look
through existing records, gather and maintain required data, and actually
complete and review the form or response. If you have any comments on this
estimate, or on how we can improve the collection and reduce the burden it
causes you, please write the Federal Communications Commission, AMD-PERM,
Paperwork Reduction Project (3060-0113), Washington, D. C. 20554. We will
also accept your comments via the Internet if you send them to firstname.lastname@example.org.
Remember - you are not required to respond to a collection of information
sponsored by the Federal government, and the government may not conduct or
sponsor this collection, unless it displays a currently valid OMB control
number or if we fail to provide you with this notice. This collection has
been assigned an OMB control number of 3060-0113.
FOREGOING NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, P.L. 93-579, DECEMBER 31, 1974, 5
U.S.C. 552a(e)(3), AND THE PAPERWORK REDUCTION ACT OF 1995, P.L. 104-13, OCTOBER 1, 1995,
44 U.S.C. 3507.