AGREEMENT FORM FOR
NON-CANDIDATEASSUE ADVERTISEMENTS
‘Station and Location: Date:
Comcast Spotlight - Denver August 14, 2015
1, ___Cheryl Klein, Colorado Media Group, Inc.
do hereby request station time concerning the following issue:
To support educational choice and school reform
[see broadcast order submitted]
Broadcast | Time of Day. | Days Class | Times per | Number of
Length Rotation or Week Weeks
Package
See broadcast re
Stersaboinea | C18
ro,
hes t
$7,030 gross
‘This broadcast time will be used by: Colorado Independent Action
Programming that “communicates a political matter of national importance” includes (1)
references to legally qualified candidates (presidential, vice presidential or congressional);
(2) any election to Federal Office (e.g., any references to “our next senator”, “our person in
Washington” or “the President”); and (3) a national legislative issue of public importance
(ecg., Alfordable Care Act, revising the IRS tax code, federal gun control or any federal
legislation).
Does the programming (In whole or in part) communicate “a message
relating to any political matter of national importance?”
O Yes X_No‘THIS PAGE MUST BE COMPLETED FOR PROGRAMMING THAT DOES NOT
“COMMUNICATE A POLITICAL MATTER OF NATIONAL IMPORTANCE”
I represent that the payment for the above described broadcast time has been furnished by
(name and address):
Colorado Independent Action
727 E 16" Avenue, Denver CO 80203
and you are authorized to announce the time as paid for by such person or entity.
List the chief executive officer or members of the executive committee or the board of
directors below:
President, Amy Oliver Cooke
10 BE SIGNED BY ISSUE ADVERTISER
B14 Kau 303-298-8015 x1002
Date ‘Signature ‘Contact Phone #
TO BE SIGNED BY STATION REPRESENTATIVE
WD Accepted O Accepted inPart 1 Rejected
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Date Printeg Name Title