Registration Form for Exempt Terrestrial Bdus Entering a Market Served by a Licensed BDU

Registration form for exempt terrestrial BDUs entering a market served by a licensed BDU – Form 147

General Information This form is to register an individual or regional terrestrial broadcasting distribution undertaking (BDU) as an exempt undertaking. This form applies to all terrestrial BDUs with fewer than 20,000 subscribers wishing to operate or currently operating in a service area where a licensed terrestrial BDU is already in operation.

This form can also be used to request the deletion of one or more existing distribution undertakings from a regional terrestrial BDU licence in order to operate these distribution undertakings as exempt terrestrial BDUs.

Before completing this form, registrants should consult the terms and conditions applicable to exempt terrestrial BDUs serving fewer than 20,000 subscribers set out in:

 Revised exemption order for terrestrial broadcasting distribution undertakings serving fewer than 20,000 subscribers, Broadcasting Regulatory Policy CRTC 2015-543 and Broadcasting Order CRTC 2015-544, 9 December 2015 (Broadcasting Regulatory Policy 2015-543 and Broadcasting Order 2015-544)

Deletion of one of more distribution undertaking(s) from a regional terrestrial BDU licence If you currently have a licence to operate a regional terrestrial BDU and you are requesting the deletion of one or more distribution undertaking(s) from that regional terrestrial BDU licence, the Commission will issue a decision approving the deletion of the undertaking(s) and revoking or amending the licence conditional on these undertaking(s) meeting the criteria for exempt terrestrial BDUs set out in Broadcasting Order 2015-544,

You will be able to operate as an exempt terrestrial BDU in the deleted service area(s) once the Commission has issued the decision revoking or amending the regional terrestrial BDU licence.

Revocation of a terrestrial BDU licence If you currently have a licence to operate a terrestrial BDU and you are registering that undertaking as an exempt terrestrial BDU, you will be able to begin operating as an exempt terrestrial BDU once the Commission has issued the decision approving the revocation or amendment of the terrestrial BDU licence.

Exempt terrestrial BDUs entering a market served by a terrestrial BDU that do not hold a licence

Those wishing to operate an exempt terrestrial BDU with less than 20,000 subscribers in a service area currently served by a terrestrial BDU that does not hold a licence, and that meet the applicable exemption order criteria are automatically exempt and are not required to complete this registration form or to apply for a licence.

Once the registration is processed, the registered terrestrial BDU will be added to the list entitled Radio, TV and Cable Broadcasting Services that do and do not need a licence (the List) available on the Commission’s website and it will be notified accordingly.

An exempt terrestrial BDU that has reached 21,000 subscribers in any two consecutive broadcasting years is no longer eligible for exemption and must apply for a licence by completing and submitting Application Form 124 - Application to obtain a broadcasting licence to operate a distribution undertaking. The BDU will still operate under the exemption order until the Commission issues a new licence.

Instructions

Filing File electronically via My CRTC Account by attaching the registration form to the cover page. My CRTC Account allows you to securely submit documents to the Commission with a user ID and password. Therefore, a signature is not required when using My CRTC Account. Registrants who file their registration form in this manner are not required to submit a hard copy of the registration form and related documents.

Registrants who require further information relative to CRTC processes can contact a Commission specialist at 1-866-781-1911.

The following form 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 registration form must be divided into sections as set out in the form and include the numbered questions followed by the corresponding response. Responses must be provided, at a minimum, in a size 10 font. Important notice: The Commission will return the registration form if it has not been duly completed. The onus will be on the registrant to submit a complete form that provides all of the relevant information and identifies all regulatory issues raised in the registration form, and to provide supporting documentation.

All information with an * is required.

1. General information

1.1 Identification of registrant

IMPORTANT NOTE: All information provided in this section will be posted on the Commission’s website. * Legal name of the entity operating this service or the name of the owner of the entity to be incorporated: * Name of the contact person representing the registrant: * Title of the contact person representing the registrant: * Address: * City/Town: * Province/Territory: * Postal code (A1A 1A1): * Telephone (999-999-9999): Ext: Facsimile (999-999-9999): * Email ([email protected]): * Website (www.mycompany.com):

1.2 Sent by Name: Telephone (999-999-9999): Ext: Email ([email protected]):

1.3 Designated representative I, ______, the registrant, hereby designate______as my designated representative to complete, sign and file a registration form with the Canadian Radio-television and Telecommunications Commission and I do hereby ratify, confirm and adopt as my own act, such registration form and all responses made thereto. Date: At: Example: city, province Signature (a signature is not required when submitting electronically): Address of designated representative: Title: Telephone (999-999-9999): Ext: Facsimile (999-999-9999): Email ([email protected]):

1.4 Declaration of the registrant or its designated representative I, *______, solemnly declare that: a. I am the registrant or the designated representative of the registrant named in this registration form and as such have knowledge of all matters declared therein. b. The statements made in this registration form or in any document filed pursuant to any request for further information by the Commission are (will be) to the best of my knowledge believed to be true in all respects. c. The opinions and estimates given in this registration form or in any document filed pursuant to any request for further information by the Commission are (will be) based on facts as known to me. d. I have examined the provisions of the Broadcasting Act and the broadcasting regulations and policies relevant to this registration form. And I have signed Signature (a signature is not required when submitting electronically): * Date: Witnessed by Signature (a signature is not required when submitting electronically): * Name: * Date: * At: Example: city, province

2. Registration * Choose one of the following options: a. At this time, I do not have a licence from the Commission to operate a terrestrial BDU and I wish to register as an exempt terrestrial BDU entering a market served by a licensed BDU. ( )

If you chose option a., complete Section A only. b. I currently have a licence to operate an individual terrestrial BDU1 and I wish to register that terrestrial BDU as an exempt terrestrial BDU entering a market served by a licensed BDU. ( )

If you chose option b., complete Section B only. IMPORTANT NOTE: Your licence will be revoked as a result of the registration of your undertaking as an exempt terrestrial BDU and the issuance of the Commission’s decision to revoke the licence. Then, your exempt terrestrial BDU will be added to the List available on the Commission’s website.

c. I currently have a licence to operate a regional terrestrial BDU2 ( )

i. I wish to register all undertaking(s) under this regional licence as exempt BDU(s) entering a market served by a licensed BDU. ( ) ii. I wish to register certain (one or more) undertaking(s) under this regional licence as exempt terrestrial BDU(s) entering a market served by a licensed BDU. ( )

If you chose option c., complete Section B only.

IMPORTANT NOTE: Your licence will be revoked as a result of the Commission’s issuance of an approval decision deleting all distribution undertakings from your regional terrestrial BDU licence and the registration of these deleted undertakings as exempt terrestrial BDUs. Your exempt terrestrial BDUs will be added to the List available on the Commission’s website.

However, should there be any distribution undertakings remaining under your regional licence following the deletion of undertakings, the licence will be amended to reflect this change.

Section A

3. Type and location(s) of undertaking(s) to be registered

a. * Terrestrial Internet Protocol Television (IPTV): Yes ( ) No ( )

If No, identify the type of technology used:

b. * Indicate the location of the main undertaking(s) and its related secondary location(s) in the following table:

Main and secondary locations Location of main Related secondary Province/Territory undertaking(s) location(s)* (service area(s))

1 An “individual licence” is a licence to carry on one distribution undertaking in a service area. 2 A “regional licence” is a licence to carry on distribution undertakings in two or more licensed areas. City/Town

City/Town

* Defined as adjacent communities surrounding the main location.

4. Technical Information (terrestrial IPTV BDU only) If the BDU will be a terrestrial IPTV BDU, respond to the following questions: a. * Will the terrestrial IPTV BDU be delivered and accessed over the Internet? Yes ( ) No ( ) If No, please explain. b. * Will the set-top-box (STB) be connected to an Internet connection? Yes ( ) No ( ) If No, please explain. c. * Can the STB receive the proposed service as long as the connection speed is adequate? Yes ( ) No ( ) If No, please explain. d. * Will the new BDU be delivered via a leased local loop or an owned local loop? Leased ( ) Owned ( ) e. * Provide a network diagram, as Appendix A to this registration form, that depicts the IPTV proposal from ingest of content to delivery of content to the subscriber’s STB. Note: The network diagram must be submitted in a standard image file format (e.g. GIF, JPEG, TIFF, BMP) or in a PDF file format.

5. Geographical Coordinates * Indicate the geographical coordinates of the terrestrial BDU’s head end as well as the nominal bandwidth capacity by completing the table below.

In the case of IPTV BDUs, if the head end is located outside of the service area, please designate, as a local head end, a specific location for the service area of each undertaking listed at question 3. b by using the following table:

Geographical Coordinates Undertaking Location Geographical Coordinates Nominal Bandwidth Capacity (MHz) Repeat each undertaking as listed at question 3. b)

Latitude/Longitude deg. min. sec.

North Latitude

West Longitude

North Latitude

West Longitude

6. Community Channel * Will a community channel be offered? Yes ( ) No ( )

7. Distribution Grid * Provide a website address where your distribution grid for the service area is listed (for further details, please refer to Broadcasting Information Bulletin CRTC 2009-384):

8. Launch Date * In the case of a new undertaking, provide the date that you are expecting to launch your undertaking (no later than three months from the filing date of the present form):

9. Compliance with the Exemption Order To be eligible for exemption, registrants must confirm that they will abide by the terms and conditions set out in Broadcasting Order 2015-544. Please confirm that you will abide by the terms and conditions set out in Broadcasting Order 2015-544 by answering “I agree” below.

* I agree ( )

IMPORTANT NOTE: Once you have completed this Registration Form and Appendix A, submit them to the Commission with a Broadcasting Cover Page. End of Section A

Section B

10. Individual terrestrial BDU licence

a. * Provide the broadcasting decision number where the last renewal of your individual terrestrial BDU licence was approved or the broadcasting decision number where the licence was approved if you are in the first licence term: b. * Complete the following table: Information on the individual terrestrial BDU licence Undertaking location (service Number of subscribers* area)

*You may designate this information as confidential. Should you do so, provide the completed chart containing the number of subscribers, as Appendix B to this registration form, and provide a detailed rationale to explain why the disclosure of the information is not in the public interest.

Proceed to question 12.

11. Regional terrestrial BDU licence

a. * Provide the broadcasting decision number where the last renewal of your regional terrestrial BDU licence was approved or the broadcasting decision number where the licence was approved if you are in the first licence term: b. * If applicable, provide broadcasting decision number(s) where the Commission approved the deletion of undertakings under your regional licence, whether ceased or currently operating under the exemption order: c. * Complete the following table:

Information on the regional terrestrial BDU licence

Undertaking Number of Criteria for deleting an undertaking from the regional licence subscribers* (must meet at least one of the criteria**) (service area) Separate head end Unique local/regional Offer programming on to be deleted facilities (provide TV stations as part of a community channel from the geographical the basic service coordinates) regional (Provide TV station(s)) Yes / No licence If you meet this criterion, If you meet this criterion, If you answered “Yes” and proceed to question 12 proceed to question 12 meet this criterion, proceed to question d.

*You may designate the number of subscribers as confidential. Should you do so, please provide the completed chart containing the number of subscribers, as Appendix C to this registration form, and provide a detailed rationale to explain why the disclosure of the information is not in the public interest. ** Please refer to paragraphs 62 to 78 of Broadcasting Order CRTC 2009-544 for additional details regarding the criteria. d. * For each undertaking listed in the chart above, is the programming offered on a separate community channel that is dedicated to the service area to be deleted from the regional terrestrial BDU licence? Yes ( ) No ( ) If Yes, proceed to question f. If No, proceed to question e. e. * The programming is offered on a community channel that is not dedicated to the service area(s) to be deleted from the regional terrestrial BDU licence (e.g. an on-demand service or a zoned-based community channel).

Yes ( ) No ( )

If Yes, proceed to question 12. If No, proceed to question f. f. * Demonstrate, by completing the following table, that 5% or more of the gross broadcasting revenues derived from the service area(s) to be deleted has been spent on community programming specific to that area in the past broadcasting year:

Financial information regarding community programming

Undertaking (service Gross broadcasting Community % of gross area) to be deleted revenues* programming broadcasting from the regional expenditures* revenues* licence *You may designate this information as confidential. Should you do so, please provide the completed table containing the data, as Appendix D to this registration form, and provide a detailed rationale to explain why the disclosure of the information is not in the public interest.

Proceed to question 12.

12. Compliance with the Exemption Order To be eligible for exemption, registrants must confirm that they will abide by the terms and conditions set out in Broadcasting Order 2015-544. Please confirm that you will abide by the terms and conditions set out in Broadcasting Order 2015-544 by answering “I agree” below.

* I agree ( )

IMPORTANT NOTE: Once you have completed this Registration Form and Appendix B or Appendix C and Appendix D, submit them to the Commission with a Broadcasting Cover Page.

End of Section B

CRTC 147 (2017-03-30) – Registration form for exempt terrestrial BDUs entering a market served by a licensed BDU

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Date modified : 2017-03-29