Retrieving application detail received on 2025-05-29 for ULS File Number
0011584690
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 | Van Der Goetz, Leon |
| Attention | |
| First Name / Middle Init / Last Name / Name Suffix | Leon Van Der Goetz |
| Street Address | 9086 Eaton Park Rd |
| Po Box | |
| Locality | Great Falls |
| County | Fairfax County |
| State | VA - Virginia |
| Postal Code | 22066 |
| Zip Location | 39°00'44.5"N 77°18'07.0"W |
| Maidenhead | FM19ia |
| FRN | 0003265204 |
| Geo Region | 4 / VA |
| Licensee ID/SGIN | L00224899 / 000 |
| Callsign | KG4HAN |
| Last Action Date | 2025-05-30 |
| Radio Service | HA - Amateur |
| App Purpose | AM - Amendment |
| App Source | I - Online |
| App Status | G - Granted |
| Entered Timestamp | 2025-05-29 |
| Fee Control Num | |
| Orig Purpose | AU - Administrative Update |
| Receipt Date | Thu 2025-05-29 |
| Payment Date | |
| Is From Vec | · Y |
| Is Trustee | |
| Operator Group | |
| Licensee Class | T - Technician |
| New Seq Callsign | N |
| Trustee Callsign | |
| Trustee Name | |
| ULS Group / ULS Region | / 4 |
| Prev Callsign / Prev Class | |
| Vanity Relationship | |
| Vanity Type | |
| Fee Exempt / Waiver | N / N |
Attachments
| Date | Type | Description |
|---|---|---|
| 2025-05-29 | O | Court Order of Name Change |
Action history
| Action Date | Action Type |
|---|---|
| 2025-05-27 | LMNOFF - Licensee Name Review Offline |
| 2025-05-27 | RECAU - Administrative Update Received |
| 2025-05-28 | APRTN - Application Returned |
| 2025-05-28 | COR - Internal Correction Applied |
| 2025-05-28 | TINCOM - TIN Review Completed |
| 2025-05-29 | LETRTS - Return Letter Sent |
| 2025-05-29 | RECAM - Amendment Received |
| 2025-05-30 | APGRT - Application Granted |
| 2025-05-30 | ATCOM - Attachment Review Completed |
| 2025-05-30 | ATOFF - Attachment Review Offline |
| 2025-05-30 | LMNCOM - Licensee Name Review Completed |
| 2025-05-30 | LMNOFF - Licensee Name Review Offline |
| 2025-05-31 | PLAUPR - Paperless Authorization Printed |