Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Forman, Brian |
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| Attention | Brian J. Forman |
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| First Name / Middle Init / Last Name / Name Suffix | Brian Forman |
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| Street Address | 1216 Main Street |
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| Po Box | |
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| Locality | Plattsmouth |
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| County | Cass County |
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| State | NE - Nebraska |
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| Postal Code | 68048 |
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| Zip Location | 40°59'02.7"N 95°56'31.2"W |
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| Maidenhead | EN20ax |
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| FRN | 0023691017 |
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| Geo Region | 0 / NE |
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| Licensee ID/SGIN | L01870906 / 000 |
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| Callsign | KX4MAN |
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| Last Action Date | 2024-07-13 |
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| Radio Service | HV - Vanity |
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| App Purpose | RO - Renewal Only |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2024-07-11 |
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| Fee Control Num | PGC4616511 |
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| Orig Purpose | |
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| Receipt Date | Thu 2024-07-11 |
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| Payment Date | 2024-07-12 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | D - 2x3 |
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| Licensee Class | T - Technician |
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| New Seq Callsign | |
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| Trustee Callsign | |
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| Trustee Name | |
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| ULS Group / ULS Region | D / 10 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | |
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| Fee Exempt / Waiver | N / N |
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