Approved by OMB (Office of Management and Budget) 3060-0010 September 2019 (REFERENCE COPY - Not for submission) Amendment to a Commercial Broadcast Stations Biennial Ownership Report File Number: 0000103500 Submit Date: 2021-02-23 FRN: 0020940540 Purpose: Commercial Broadcast Stations Biennial Ownership Report Amendment Status: Received Status Date: 02/23/2021 Filing Status: Active Section I - General Information 1. Respondent FRN Entity Name 0019509470 NBC Telemundo License LLC Street City (and Country if non U. State ("NA" if non-U.S. Zip Address S. address) address) Code Phone Email NBCUniversal Washington DC 20001 +1 (202) 524- margaret. 300 New 6401 [email protected] Jersey Avenue, NW, Suite 700 2. Contact Name Organization Representative Margaret L. Tobey NBCUniversal Street City (and Country if non U.S. Zip Address address) State Code Phone Email 300 New Washington DC 20001 +1 (202) 524- margaret.tobey@nbcuni. Jersey 6401 com Avenue, NW Suite 700 3. Application Question Response Filing Fee Is this application being submitted without a filing fee? No Fees Application Type Form Number Fee Code Quantity Fee Amount Subtotal Total 4. Nature of (a) Provide the following information about the Respondent: Respondent Relationship to stations/permits Licensee Nature of Respondent Limited liability company (b) Provide the following information about this report: Purpose Biennial "As of" date 10/01/2019 When filing a biennial ownership report or validating and resubmitting a prior biennial ownership report, this date must be Oct. 1 of the year in which this report is filed. Reason for Amendment Addition of WVIT and Org Chart 5. Licensee(s) and Station(s) Respondent is filing this report to cover the following Licensee(s) and station(s): Licensee/Permittee Name FRN NBC Telemundo License LLC 0019509470 Fac. ID No. Call Sign City State Service 9766 WBTS-CD NASHUA NH DCA 10073 WTMO-CD ORLANDO FL DCA 10153 WRDM-CD HARTFORD CT DCA 10154 WDMR-LD SPRINGFIELD MA LPD 10177 KTMW SALT LAKE CITY UT DTV 18736 KMUM-CD SACRAMENTO CA DCA 18744 KMMW-LD STOCKTON CA LPD 18998 KCSO-LD SACRAMENTO CA LPD 19783 KVEA CORONA CA DTV 23142 WWSI MOUNT LAUREL NJ DTV 30601 KHRR TUCSON AZ DTV 35280 KNTV SAN JOSE CA DTV 35609 KUAN-LD POWAY, ETC. CA LPD 35994 KXTX-TV DALLAS TX DTV 36916 KTDO LAS CRUCES NM DTV 38375 KDEN-TV LONGMONT CO DTV 41095 WRTD-CD RALEIGH NC DCA 47535 WNBC NEW YORK NY DTV 47904 WRC-TV WASHINGTON DC DTV 47905 WMAQ-TV CHICAGO IL DTV 47906 KNBC LOS ANGELES CA DTV 50347 WZDC-CD WASHINGTON DC DCA 51864 WNEU MERRIMACK NH DTV 58261 WWDT-CD NAPLES FL DCA 58608 KNSO MERCED CA DTV 61702 WKME-CD KISSIMMEE FL DCA 62354 KTLM RIO GRANDE CITY TX DTV 63153 WCAU PHILADELPHIA PA DTV 63154 WTVJ MIAMI FL DTV 64969 KVDA SAN ANTONIO TX DTV 64971 WSCV FORT LAUDERDALE FL DTV 64974 KEJT-CD SALT LAKE CITY UT DCA 64979 K15CU-D SALINAS CA LPD 64984 KTMD GALVESTON TX DTV 64987 KSTS SAN JOSE CA DTV 68490 WZTD-LD RICHMOND VA LPD 70119 WSNS-TV CHICAGO IL DTV 70184 WRIW-CD PROVIDENCE RI DCA 71238 WMVJ-CD MELBOURNE FL DCA 73333 WNJU LINDEN NJ DTV 74170 WVIT NEW BRITAIN CT DTV 74559 WRMD-CD TAMPA FL DCA 81458 KTAZ PHOENIX AZ DTV 168492 KULU-LD PARK CITY UT LPD 168494 K17II-D LOGAN UT LPD 168495 KULX-CD OGDEN UT DCA Section II – Biennial Ownership Information Licensee Respondents that hold authorizations for one or more full power television, AM, and/or FM stations should list all 1. 47 C.F.R. contracts and other instruments set forth in 47 C.F.R. Section 73.3613(a) through (c) for the facility or facilities listed on this Section 73.3613 report. In addition, attributable Local Marketing Agreements (LMAs) and attributable Joint Sales Agreements (JSAs) must be and Other disclosed by the licensee of the brokering station on its ownership report. If the agreement is an attributable LMA, an Documents attributable JSA, or a network affiliation agreement, check the appropriate box. Otherwise, select “Other.” Non-Licensee Respondents, as well as Licensee Respondents that only hold authorizations for Class A television and/or low power television stations, should select “Not Applicable” in response to this question. Document Information Description of contract or instrument Certificate of Formation (NBC Telemundo License LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Formation (NBC Telemundo License LLC) Document Information Description of contract or instrument Certificate of Conversion (NBC Telemundo License LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Conversion (NBC Telemundo License LLC) Document Information Description of contract or instrument First Amended and Restated Limited Liability Company Agreement (NBC Telemundo License LLC) Parties to contract or instrument NBC Telemundo License LLC and NBC Telemundo LLC Date of execution 03/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: First Amended and Restated Limited Liability Company Agreement (NBC Telemundo License LLC) Document Information Description of contract or instrument Certificate of Formation (NBC Telemundo LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Formation (NBC Telemundo LLC) Document Information Description of contract or instrument Certificate of Conversion (NBC Telemundo LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Conversion (NBC Telemundo LLC) Document Information Description of contract or instrument First Amended and Restated Limited Liability Company Agreement (NBC Telemundo LLC) Parties to contract or instrument NBC Telemundo LLC and NBC Telemundo License Holding LLC Date of execution 03/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: First Amended and Restated Limited Liability Company Agreement (NBC Telemundo LLC) Document Information Description of contract or instrument Certificate of Formation (NBC Telemundo License Holding LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Formation (NBC Telemundo License Holding LLC) Document Information Description of contract or instrument Certificate of Conversion (NBC Telemundo License Holding LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Conversion (NBC Telemundo License Holding LLC) Document Information Description of contract or instrument First Amended and Restated Limited Liability Company Agreement (NBC Telemundo License Holding LLC) Parties to contract or instrument NBC Telemundo License Holding LLC and NBCUniversal Media, LLC, et al) Date of execution 03/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: First Amended and Restated Limited Liability Company Agreement (NBC Telemundo License Holding LLC) Document Information Description of contract or instrument Certificate of Formation (Telemundo Media LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Formation (Telemundo Media LLC) Document Information Description of contract or instrument Certificate of Conversion (Telemundo Media LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Conversion (Telemundo Media LLC) Document Information Description of contract or instrument Certificate of Amendment (Telemundo Media LLC) Parties to contract or instrument Delaware Date of execution 10/2012 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Amendment (Telemundo Media LLC) Document Information Description of contract or instrument First Amended and Restated Limited Liability Company Agreement (Telemundo Media LLC) Parties to contract or instrument Telemundo Media LLC, NBC Subsidiary (WTVJ-TV) LLC, and NBCUniversal Media, LLC Date of execution 03/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: First Amended and Restated Limited Liability Company Agreement (Telemundo Media LLC) Document Information Description of contract or instrument Certificate of Formation (NBC Subsidiary (WTVJ-TV) LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Formation (NBC Subsidiary (WTVJ-TV) LLC) Document Information Description of contract or instrument Certificate of Conversion (NBC Subsidiary (WTVJ-TV) LLC) Parties to contract or instrument Delaware Date of execution 01/2011 Date of expiration No expiration date Agreement type Other (check all that apply) Agreement Type: Certificate of Conversion (NBC Subsidiary (WTVJ-TV)