OPEN VIDEO SYSTEM
OPEN VIDEO SYSTEM
CERTIFICATION APPLICATION
ATTENTION:
CABLE
SERVICES
BUREAU
March 17, 2003
VIA FEDERAL EXPRESS
Federal Communications Commission
Office of the Secretary
445 12th St. S.W.
Washington, DC 20554
RE: OPEN VIDEO SYSTEM CERTIFICATION APPLICATION
Transmitted herewith for filing are the following documents:
• Original Form 1275 Certification for Open Video Systems for the Minnesota communities of South Haven.
• Attached statement of ownership, including all affiliated entities.
• Certificate of service that the application was filed on the above community along with a statement informing the local community of the Commission's requirements in paragraph (e) of this section for filing oppositions and comments.
• 3.5 inch disk with the application and attachments in electronic format.
By copy of this letter Lakedale Telephone Company is transmitting three hard copies of these materials and a disk to the Office of the Bureau Chief, Cable Services Bureau, at 445 12th St. S.W., Washington, DC 20554.
Please contact me if you have any questions with regard to this filing.
___________________________
Gene R. South, Sr.
CEO/General Manager
cc: Chief, Cable Services Bureau (via Federal Express w/ three copies and disk)
Federal Communications Commission Approved by OMB 3060-0700
Washington, D.C. 20554
|FCC FORM 1275 |
|CERTIFICATION FOR OPEN VIDEO SYSTEMS |
| | | | | | | |
|A. Company Information | | | | | | |
|Lakedale Telephone Company |
|Contact Person: | | | | | | |
|Gene R. South, Sr. | | | | | | |
|Mailing Address: | | | | | | |
|9938 State Hwy 55 NW PO Box 340 | | | | | | |
|City: | | |State: |Zip Code: | | |
|Annandale | | |MN |55302 | | |
|Phone Number: | | |Fax Number: | | | |
|320-274-8201 | | |320-274-3440 | | | |
| | | | | | | |
|B. Attach a statement of ownership, including all affiliated entities | | | |
| | | | | | | |
|C. Eligibility and Compliance Representations | | | | | | |
|1. If you are a cable operator applying for certification within your cable franchise area, are you | | | |
|qualified to operate an open video system under 47 C.F.R. § 76.1501? | | | |x |
|2. Do you agree to comply and to remain in compliance with each of the Commission's | | | |
|regulations in 47 C.F.R. §§ 76.1503, 76.1504, 76.1506(m), 76.1508, 76.1509, and 76.1513? |x | | |
|3. Do you agree to comply with the Commission's notice and enrollment requirements | | | |
|for unaffiliated video programming providers? | | |x | | |
|4. If applicable, do you agree to file changes to your cost allocation manual at least | | | |
|60 days before the commencement of service? | | | | |x |
| | | | | | | |
|D. System Information |
|Areas of South Haven, Wright County, MN and | | | | | | |
|Areas of Fairhaven township, Wright and Stearns Counties, MN | | | | | | |
|2. Anticipated Digital Capacity: |0 | |3. Anticipated Analog|0 | | |
| | | |Capacity: | | | |
|E. Verification Statement |
|(U.S. CODE TITLE 18, SECTION 1001), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503) | |
|To the best of my knowledge and belief, the representations made herein are accurate according to the most recent information available. | |
|Name: | |Signature: | | | | |
|Gene R. South, Sr. | | | | | | |
|Title: | |Date: | | | | |
|CEO/General Manager | | | | | | |
FCC Form 1275 August 1996
FCC Form 1275 Item B
STATEMENT OF OWNERSHIP AND AFFILIATED ENTITIES
• Bishop Communications
• Lakedale Telephone Company
• Lakedale LINK, Inc.
• Heart of the Lakes Cable, Inc.
• Communications Sales & Leasing
• Lakedale Cellular
• LPCS, Inc.
• Lakedale Communications, LLC
• Lakedale LINK, LLC
• Northstar TV
• Cellular Mobile Systems
• Wireless Cellular Ventures
• TDO, LLC
• EN-TEL, LLC
• BroadBand Visions, LLC
• SHAL, Inc.
• SHAL, LLC
• Page-All, LLC
• Direct Communications, LLC
• Independent Emergency Systems, LLC
• WH LINK, LLC
• CERTIFICATE OF SERVICE
I, ___Gene R. South, Sr. _, hereby certify that I have caused copies of the foregoing FCC Form 1275 Certification for Open Video System of Lakedale Telephone Company, to be hand delivered on this 17 day of March 2003, on the following parties listed below:
Carol Banken
City of South Haven
City Administrator Clerk.Treasurer
521 Oak Avenue South
PO Box 97
South Haven, MN 55382
Leslie Rose, Township Clerk
Fairhaven Township
4561 182nd Street Gene R. South, Sr.
South Haven, MN 55382 CEO/General Manager
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