Application to Renew a Broadcasting Licence to Operate a Community-based Television Programming Undertaking (including community-based low-power television undertaking and community-based digital service)

General instructions

Filing

File electronically via Access Key by attaching the application to the Cover page. Access Key allows secure transmissions to the Commission and also authenticates your identity. Therefore, a signature is not required. Applicants who file their application in this manner are not required to submit a hard copy of the application and its related documents.

Applicants who cannot send their application electronically with the Access Key service or who need further information relative to the CRTC processes can contact the Commission at 1-877-249-CRTC (2782).

Confidentiality requests

At your request, portions of the application may be treated as confidential, pursuant to section 20 of the CRTC Rules of Procedure.

The onus is on the applicant to request confidentiality for the information or material and to clearly demonstrate that the public interest will best be served by treating the information as confidential. For further information, refer to Guidelines respecting the confidential treatment of annual returns and material or information filed in support of a broadcasting application before the Commission, Circular No. 429, 19 August 1998.

Applicants must ensure that documents that they request be treated as confidential are submitted in a separate electronic file and must indicate confidential in the name of the file. It is incumbent upon applicants to clearly identify the confidential documents by indicating confidential on each page and, in such cases, to file an abridged version of the document for the public file. Please refer to Guidelines for the filing of confidential information to the Commission, Broadcasting Circular CRTC 2006-5, 1 December 2006.

Instructions

The following questionnaire is in HTML format and may be downloaded to the word processing software of your choice. This enables you to complete the downloaded questionnaire by inserting your response in bold letters immediately following the question. You may add lines to the tables if necessary but do not alter or delete any text from the questionnaire.

The application must be divided into sections as set out in the questionnaire, and include the numbered questions followed by the corresponding response. Responses must be provided, at a minimum, in a size 10 font.

Naming convention for the electronic documents

The following documents should be submitted as separate electronic documents using the naming convention specified below. The document number (Doc#) indicates the ascending order in which the documents should appear on the public file.

Table 1 - Naming convention for the electronic documents

The Commission will return the application if it has not been duly completed. The onus will be on the applicant to submit a clear application that provides all of the relevant information, identifies all regulatory issues raised in the application and provides supporting documentation.

1. General information

Location of undertaking: _____________

Call sign:

1.1 Identification of licensee (hereinafter the applicant)

Individual ( ) Corporation ( ) Company to be incorporated ( ) Other ( )
If other, specify: _____

Name of legal entity who is authorized by the Commission to operate this undertaking:
Address:
Fax:
E-mail:

Contact person representing the applicant (if there is no appointed agent under question 1.2)

Name:
Title:
Telephone:

Please indicate the e-mail address and fax number that should be specified in a Notice of Consultation, for service of interventions.

E-mail:
Fax:

1.2 Appointment of agent

I, _________________________, the applicant, hereby appoint _____________________ as my agent for and on my behalf and in my name to sign, file and complete (if necessary) an application with the Canadian Radio-television and Telecommunications Commission and to sign and file a reply with respect thereto and I do hereby ratify, confirm, and adopt as my own act, such application and all replies made thereto.

Date:
At:
Signature (not required if submitting electronically):
Address of agent:
Title:
Telephone:
Fax:
E-mail:

1.3 Declaration of the designated representative

I, ___________________________________ solemnly declare that:

1. I am the designated representative of the applicant named in this Application Brief and as such have knowledge of all matters declared therein.
2. The statements made in this application, or any document filed pursuant to any request for further information by the Commission, are (will be) to the best of my knowledge and belief true in all respects.
3. The opinions and estimates given in this application, or any document filed pursuant to any request for further information by the Commission, are (will be) based on facts as known to me.
4. I have examined the provisions of the Broadcasting Act and the broadcasting regulations relevant to this application.

And I have signed
Signature (not required if submitting electronically):
Date:

Witnessed by
Signature (not required if submitting electronically):
Name (Printed):
Date:
At:

1.4 Location(s) where the application may be examined

Set out the applicant’s website address or, if the application is not posted on their website, the email address where an electronic copy of the application may be requested:

Website:
Example: www.mycompany.com

Email:
Example: no-reply@no-reply.com

2. Ownership

a) Complete Appendix 2A: (click on the hyperlink), for the licensee and if applicable, for the parent corporation and the corporations which form part of the ownership chain of the licensee.

b) Append as Appendix 2B - All changes or amendments to the constituting documents since the last renewal that have not yet been filed with the Commission.

If no changes were done, complete the following attestation:
(  ) I hereby declare that no changes were done since the last renewal.

c) Provide as Appendix 2C, a attestation on who controls ans by what means.

3. Financial operations

3.1 Estimated annual revenue and expenses of the proposed licence term

3.2 Programming expenses

In accordance with Generally Accepted Accounting Principles (G.A.A.P.), complete the following summary of the estimated annual operating expenses for programming and production for each 12-month period ending 31 August of the proposed licence term (refer to The reporting of Canadian programming expenditures, Public Notice CRTC 1993-93, 22 June 1993).

3.3 Basic underlying assumptions for the financial projections

Provide a detailed listing of all the basic underlying assumptions upon which the financial projections in questions 4.1 and 4.2 have been prepared, including the following:

1. The amount of revenues included in each of the years from non-traditional forms of advertising such as product placement, sponsorship messages and digital superimposition. Indicate where these revenues have been accounted for in the projections;
2. The methodology used to amortize program costs; and
3. Expected inflation rates and whether the projections have been prepared using current or constant dollars.

3.4 Pro forma statement of changes in financial position

Provide a pro forma statement of changes in financial position for each year of the proposed licence term for the undertaking.

3.5 Statement of pre-operating costs

Provide a statement of pre-operating costs for the period prior to the commencement of operation.

4. Programming

All licensees must answer the following questions except where otherwise indicated.