Notification for Spectrum Manager Lease Clause Samples

Notification for Spectrum Manager Lease. In order for Sensus to apply to the FCC on the Customer’s behalf for a spectrum manager lease, Customer must complete the information below in boxes one (1) through ten (10) and certify via authorized signature. Customer’s signature will indicate that Customer authorizes Sensus to file the spectrum manager lease notification on FCC Form 608 with the Customer as spectrum Lessee, and if Customer does not already have one, ownership disclosure information on FCC Form 602. Is Customer contact information same as above? Yes No (If No, complete box 2 below) Customer/Lessee is a(n) (Select one): Individual ǀ Unincorporated Association ǀ Trust Government Entity ǀ Corporation ǀ Limited Liability Company ǀ General Partnership Limited Partnership ǀ Limited Liability Partnership ǀ Consortium ǀ Other FCC Form 602: FCC File Number of Customer’s Form 602 Ownership Information: . If Customer has not filed a Form 602, Sensus will file one for Customer. Please complete questions 5, 6, and 7 below if Customer does not have a Form 602 on file. Customer must complete items 8, 9 and 10 irrespective of whether Customer has an ownership report on file. Customer Tax ID: ▇▇-▇▇▇▇▇▇▇ Name ▇▇▇▇▇ ▇▇▇▇▇ Title: Director of Santa ▇▇▇▇ Water Email: ▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇ Phone: ▇▇▇-▇▇▇-▇▇▇▇ If Customer/Lessee is a government entity, list the names of the Mayor and all Council Members below, as well as verify citizenship and ownership interests in any entity regulated by the FCC. Such ownership must be disclosed where a mayor/council member owns 10% or more, directly or indirectly, or has operating control of any entity subject to FCC regulation. If any answer to Ownership question is Yes, or any answer to Citizenship question is No, provide an attachment with further explanation. US Citizen? Ownership Disclosure? Mayor: ▇▇▇▇ ▇▇▇▇▇▇ Yes No Yes No Council Member: ▇▇▇ ▇▇▇▇▇▇▇▇▇▇ Yes No Yes No Council Member: ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ Yes No Yes No Council Member: ▇▇▇▇▇ ▇▇▇▇▇ Yes No Yes No Council Member: ▇▇▇▇▇ ▇▇▇▇▇▇▇ Yes No Yes No Council Member: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Yes No Yes No Council Member: ▇▇▇▇ ▇▇▇▇▇▇▇ Yes No Yes No 1) Is the Customer/Lessee a foreign government or the representative of any foreign government? Yes No 1) Has the Customer or any party to this application had any FCC station authorization, license, or construction permit revoked or had any application for an initial, modification or renewal of FCC station authorization, license or construction permit denied by the Commission? Yes No 2) Has ...
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