0000526963

Field Name · Applicant

Italic names are derived; accent values differ from the applicant’s prior license.

Applicant Type	I - Individual
Entity Type	L - Licensee or Assignee
Entity Name	POULIN, JEFFREY M
Attention	JEFFREY M POULIN
First Name / Middle Init / Last Name / Name Suffix	JEFFREY M POULIN
Street Address	8114 LOMOND SOUTH DR
Po Box
Locality	MANASSAS
County	Manassas city
State	VA - Virginia
Postal Code	201103659
Zip Location	38°44'48.5"N 77°28'57.5"W
Maidenhead	FM18gr
FRN	0003634862
Geo Region	4 / VA
Licensee ID/SGIN	L00144560 / 000
Callsign	KV4AP
Last Action Date	2001-07-28
Radio Service	HA - Amateur
App Purpose	MD - Modification
App Source	M - Manual
App Status	G - Granted
Entered Timestamp	2001-07-17
Fee Control Num	0107118130128002
Orig Purpose	MD - Modification
Receipt Date	Tue 2001-07-10
Payment Date	2001-07-18
Is From Vec
Is Trustee
Operator Group	A - 1x2, 2x1, 2x2
Licensee Class	E - Amateur Extra
New Seq Callsign	N
Trustee Callsign
Trustee Name
ULS Group / ULS Region	A / 4
Prev Callsign / Prev Class
Vanity Relationship
Vanity Type	E - By List
Fee Exempt / Waiver	N / Y

Seq#	Vanity Callsign
1	N1SN

Action Date	Action Type
2001-07-10	RECMD - Modification Received
2001-07-18	FVPCNF - Payment Confirmed
2001-07-18	FVPOFF - Fee Review Offline
2001-07-18	WAVCOM - Waiver Review Completed
2001-07-18	WAVOFF - Waiver Review Offline
2001-07-19	APDIS - Application Dismissed
2001-07-19	FVPCOM - Fee Review Completed
2001-07-20	LETDIS - Dismissal Letter Sent
2001-07-23	DIREV - Dismissal Reversed
2001-07-28	APGRT - Application Granted
2001-07-30	AUTHPR - Authorization Printed