xB Form PBB Ieses AGREEMENT FORM FOR NON-CANDIDATE/SSUE ADVERTISEMENTS ‘Station and Lecatio Date: ;, Ben Rheault ‘do hereby request station time conceming the folowing issue: Healthcare legisation Time of Broadcast | Day, Length | Rotation or Package Days Class Times por | Number of Week ‘Wooks This broadcast time will be used by: American Action Network ‘opin 2019 by th National Acacison of roca. May not be copied roduc or ator tributedTHIS PAGE MUST BE COMPLETED FOR PROGRAMMING THAT “COMMUNICATES A POLITICAL MATTER OF NATIONAL IMPORTANCE.” FOR ALL OTHER ISSUE ADS, PLEASE GO TO PAGE 3. 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 Foderal office (e.g. any references to “our next senator”, “our person in Washington’ or ‘the President" [and (2) a national logislative insuie of public importance (e.9., Affordable Caro Act. Tevising 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?” mYos No For programming that “communicates @ message relating to any political matter of national importance,” list the name ofthe legally qualified candidate(s) the programming refers to the offices being sought, the date(s) of the election(s) andior the issue to Which the communication refers (if applicable) Healthcare legislation | represent that the payment for the above described broadcast tine has been furnished by (name and address i: E= 0d 106-7687. land you are authorized to announce the time as paid for by such person or enilty (hereinafter referred to as the "sponsor" List the chief executive oficors or members ofthe executive committe or the board of directors below (or attach soparately): [mtn Gono oS ee] | ros Mair, Founder | cory Bs, Executive Dolor For programming that "communicates a message relating to any political matter of, national importance,” altach Agreed Upon Schedule (Page 5) font Brendes ay prodvond orf csbued 2 ‘opiht 2013 by tho Nationa As‘THIS PAGE MUST BE COMPLETED FOR PROGRAMMING THAT DOES NOT “COMMUNICATE A POLITICAL MATTER OF NATIONAL IMPORTANCE” | represent thatthe payment forthe above described broadcast time has been furnished by (name and address and you are authorized to announce the time as paid for by such person or entity (hereinafter referred to as the "sponsor" List the ci execuve offers or members of the execute commie oF the board of rs bo or ach separa sensior Nom Coleman, Charman ] Fred Malek, Founder Cony Bliss Exedute Director | Copyriht ©-209 byte NateralAssoiton of Braseatrs. May note one, eposices futher droves 3‘TO BE COMPLETED FOR ALL ISSUE ADVERTISEMENTS, ‘THIS STATION DOES NOT DISCRIMINATE OR PERMIT DISCRIMINATION ON THE BASIS OF RAGE OR ETHNICITY IN THE PLACEMENT OF ADVERTISING, ‘The Sponsor agrees to indemnity and hold harmless the station for any damages or labiity, including reasonable attorney's fens, that may ansuse from the broadcast of the above-requested advertisement(s). For tho above-stated broadcast(s), the sponsor also agrees to propare a script, transcript, or tapo, which will be delivered to the station at least before the time of tho scheduled broadcasts. TO BE SIGNED BY ISSUE ADVERTISER (SPONSOR) ANAT. Benjamin Rheaultiitems——~ 202-337-5700 —s Oo Sorature———~S~SSS:*CST tact Phone Number TO BE SIGNED BY STATION REPRESENTATIVE Accepted Accepted in Part Rejected Saas ore Tie nytt 2019 byte Nana asain cf roadster. May net be copes eproduced outedAGREED UPON SCHEDULE For Ail issu Adverisamonts That Communicate a Message Relating to Any | Political Matar of National importance | Time of | Broadcast | __ Day, Times per | Number of | ength | Rotation or Wook | Weeks | Package | | | | | ‘Attach proposed schedule with charges (it available | AFTER AIRING OF BROADCASTS: ‘Attach invoices or Schedule Run Summary to this Form showing (1) actual air ime and charges for each spot; (2) the date(s), exact time(s) and reason(s) for Make-Good(s), if any: and (2) the amount of rebates given (identily exact date, time, class of broadcast and {dollar amount for each rebate), if any. Note: Because the FCC requires thatthe polica file contain te ‘ato for spots “communicating a political matter of national importance” al, that information ‘should bo included in the file as soon as possiblo. If that Information ts only generated monthly, the file should include the name of a contact person who can provide the times that and rates for specific spots aired, The FCC's online political les include a folder for "Torms and Disclosures.” NAB suggosts that, for stations subject tothe online public rule, the names of contact porson(s) be placed In that folder. ‘onyraht@ 201 byte Nstons Associaton of Broaseuts. May nate cope 5 cfr utesQHPiteartMEDIA creme Hchornne poseser No: 220 ‘eer: ssiriasa Stat Dale 03210017 Cows No EndDate c1zan017 © Pacages No Mont Type: erowtsst Agency Comm: 1% ope 0-0-2857 ae PALADELPH AS ‘BEREAN ATC NETHORE BE Last Update 082120170124 Ny eaten Btgerayerone Not goa, va 22202 Spl ea mast Set Ed Moot alo stip Spat! 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