Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
| Entity Type | L - Licensee or Assignee |
| Entity Name | New Mexico Mountain Goat Club |
| Attention | ROY M CROWNOVER SR |
| First Name / Middle Init / Last Name / Name Suffix | |
| Street Address | 12 Cerro Blanco Rd |
| Po Box | |
| Locality | Lamy |
| County | Rio Arriba County |
| State | NM - New Mexico |
| Postal Code | 87549 |
| Zip Location | 36°14'13.6"N 106°00'32.7"W |
| Maidenhead | DM66xf |
| FRN | 0024511073 |
| Geo Region | 5 / NM |
| Licensee ID/SGIN | L01936391 / 000 |
| Callsign | KG5GYS |
| Last Action Date | 2015-05-05 |
| Radio Service | HA - Amateur |
| App Purpose | MD - Modification |
| App Source | I - Online |
| App Status | G - Granted |
| Entered Timestamp | 2015-04-15 |
| Fee Control Num | PGC2662845 |
| Orig Purpose | MD - Modification |
| Receipt Date | Wed 2015-04-15 |
| Payment Date | 2015-04-15 |
| Is From Vec | |
| Is Trustee | |
| Operator Group | B - 2x2 |
| Licensee Class | trustee: E - Amateur Extra |
| New Seq Callsign | N |
| Trustee Callsign | AD5A |
| Trustee Name | CROWNOVER SR, ROY M |
| ULS Group / ULS Region | B / 5 |
| Prev Callsign / Prev Class | |
| Vanity Relationship | |
| Vanity Type | F - By List (Club) |
| Fee Exempt / Waiver | N / N |