Canada Gazette, Part I, Volume 158, Number 2: SUPPLEMENT

January 13, 2024

SUPPLEMENT Vol. 158, No. 2

Canada Gazette

Part I

OTTAWA, Saturday, January 13, 2024

COPYRIGHT BOARD

Television Retransmission Tariff (2014-2018)

• Citation: Television Retransmission Tariff (2014-2018), 2024 CB 1-T
• See also: Television Retransmission Tariff (2014-2018), 2024 CB 1

Lara Taylor
Secretary General
1‑833‑860‑7131 (toll-free number)
registry-greffe@cb-cda.gc.ca (email)

TARIFF FOR THE RETRANSMISSION OF DISTANT TELEVISION SIGNALS IN CANADA (2014-2018)

Short Title

1. This tariff may be cited as the Television Retransmission Tariff, 2014-2018.

Definitions

2. In this tariff,

“CRTC”

means the Canadian Radio-television and Telecommunications Commission; (« CRTC »)

“distant signal”

has the meaning attributed to it in subsection 2(2) of the Definition of Local Signal and Distant Signal Regulations, SOR/89-254, as amended by SOR/2004-33,which reads:

• “For the purposes of subsection 31(2) of the Copyright Act, ‘distant signal’ means a signal that is not a local signal.”; (« signal éloigné »)

“DTH”

means a direct-to-home satellite system; (« SRD »)

“local signal”

has the meaning attributed to it in subsection 2(1) of the Definition of Local Signal and Distant Signal Regulations, and corresponds to a signal received in premises located within a terrestrial television station’s area of transmission (as defined in section 1 of the Regulations); (« signal local »)

“LPTV”

means a Low Power Television Station or a Very Low Power Television Station (as defined in Sections E and G of Part IV of the Broadcasting Procedures and Rules of Industry Canada effective April 1997); (« TVFP »)

“MDS”

means a multichannel multipoint distribution system; (« SDM »)

“network”

means the Société Radio-Canada, the Canadian Broadcasting Corporation, the CTV Television Network, the Réseau de télévision TVA, the V Television Network, the Global Television Network, the ABC Network, the CBS Network, the NBC Network, the FOX Network, or the Public Broadcasting System; (« réseau »)

“personal information”

has the meaning attributed to it in section 2 of the Personal Information Protection and Electronic Documents Act, S.C. 2000, c. 5, which reads:

• “ ‘personal information’ means information about an identifiable individual, but does not include the name, title or business address or telephone number of an employee of an organization.”; (« renseignement personnel »)

“premises”

has the meaning attributed to it in section 2 of the Definition of “Small Retransmission Systems” Regulations, SOR/89-255, as amended by SOR/94-754 and SOR/2005-147 which reads:

• “ ‘premises’ means
  • (a) a dwelling, including a single-unit residence or a single unit within a multiple-unit residence; or
  • (b) a room in a commercial or institutional building.”; (« local »)

“retransmitter”

has the meaning attributed to it in section 31 of the Copyright Act, R.S.C., 1985, c. C-42, as amended, and includes a person who operates a cable retransmission system (including a master antenna system), an LPTV, an MDS or a DTH; (« retransmetteur »)

“service area”

has the meaning attributed to it in section 2 of the Definition of “Small Retransmission Systems” Regulations, which reads:

• “ ‘service area’ means an area in which premises served in accordance with the laws and regulations of Canada by a retransmission system are located.”; (« zone de service »)

“signal”

has the meaning attributed to it in subsection 31(1) of the Copyright Act, which reads:

• “ ‘signal’ means a signal that carries a literary, dramatic, musical or artistic work and is transmitted for free reception by the public by a terrestrial radio or terrestrial television station.”,

but, for the purposes of this tariff, this meaning is restricted to a television signal only; (« signal »)

“small retransmission system”

means a small retransmission system as defined in sections 3 and 4 of the Definition of “Small Retransmission Systems” Regulations, which read:

• “3. (1) Subject to subsections (2) to (4) and section 4, ‘small retransmission system’ means a cable retransmission system, or a terrestrial retransmission system utilizing Hertzian waves, that retransmits a signal, with or without a fee, to not more than 2 000 premises in the same service area.
• (2) For the purpose of subsection (1), where a cable retransmission system is included in the same unit as one or more other cable retransmission systems, the number of premises to which the cable retransmission system retransmits a signal is deemed to be equal to the total number of premises to which all cable retransmission systems included in that unit retransmit a signal.
• (3) For the purpose of subsection (2), a cable retransmission system is included in the same unit as one or more other cable retransmission systems where
  • (a) they are owned or directly or indirectly controlled by the same person or group of persons; and
  • (b) their service areas are each less than 5 km distant, at some point, from at least one other among them, and those service areas would constitute a series of contiguous service areas, in a linear or non-linear configuration, were it not for that distance.
• (4) Subsection (2) does not apply to a cable retransmission system that was included in a unit on December 31, 1993.
• 4. The definition set out in subsection 3(1) does not include a cable retransmission system that is a master antenna system if it is located within the service area of another cable retransmission system that retransmits a signal, with or without a fee, to more than 2 000 premises in that service area.”; (« petit système de retransmission »)

“year”

means a calendar year. (« année »)

Application

3. This tariff applies to the retransmission of one or more distant signals that carry any work owned or controlled by any collective society listed in Appendix A.

THE TARIFF

Small Retransmission Systems

4. (1) The royalty for a small retransmission system shall be $100 a year and shall be due

• (a) for systems retransmitting a distant signal on December 31 of the previous year, on January 31 of that year; and
• (b) for all other systems, on the last day of the month after the month in which a distant signal is first retransmitted in that year.

(2) A system shall be deemed to be a small retransmission system for a given year if

• (a) on December 31 of the previous year, the system retransmitted a distant signal and was a small retransmission system;
• (b) the system did not retransmit a distant signal on December 31 of the previous year and is a small retransmission system on the last day of the month in which it first retransmits a distant signal in the year; or
• (c) the average number of premises, determined in accordance with the Definition of “Small Retransmission Systems” Regulations, the system served or was deemed to serve on the last day of each month of the previous year during which it retransmitted a distant signal was no more than 2 000.

(3) For the purposes of paragraph (2)(c), where a system was included in a unit on December 31 of the previous year and not on December 31, 1993, only those months during which the systems included in the unit were the same as on December 31 of the previous year shall be used.

Unscrambled LPTVs and Unscrambled MDSs

5. The royalty for an LPTV or an MDS whose signals are not scrambled shall be $100 a year and shall be due,

• (a) for systems retransmitting a distant signal on December 31 of the previous year, on January 31 of that year; and
• (b) for all other systems, on the last day of the month after the month in which a distant signal is first retransmitted in that year.

Other Retransmission Systems

6. (1) The royalty for any other retransmission system shall be payable monthly for each premises receiving one or more distant signals retransmitted by it on the last day of any given month, and shall be due on the last day of the following month.

(2) Subject to subsection (3), the rate of the royalty payable under subsection (1) shall be based on the total number of premises served by the system in its service area on the last day of any given month.

(3) The rate of the royalty payable for a cable retransmission system (including a master antenna system) located within the service area of another cable retransmission system that retransmits a signal, with or without a fee, to more than 2 000 premises in its service area shall be the greater of the rate applicable to the system paying the royalties or the rate applicable to the other cable retransmission system.

Unauthorized Reception of Retransmitted Signals

7. In determining the amount of royalties payable by a retransmitter, no account shall be taken of premises receiving a signal without the direct or indirect authority of the retransmitter.

Rates

8. Royalties payable under section 6 for each year shall be calculated as follows:

Monthly royalty rates by number of premises ($)

Number of premises	2014	2015-2018
Up to 1 500	0.49	0.55
1 501–2 000	0.54	0.60
2 001–2 500	0.60	0.66
2 501–3 000	0.66	0.72
3 001–3 500	0.71	0.77
3 501–4 000	0.77	0.83
4 001–4 500	0.83	0.89
4 501–5 000	0.89	0.95
5 001–5 500	0.94	1.00
5 501–6 000	1.00	1.06
6 001 and over	1.06	1.12

Francophone Markets

9. (1) Royalties payable under section 6 for a cable retransmission system located in a Francophone market and in respect of premises receiving scrambled signals from an MDS retransmission system located in a Francophone market shall be calculated at a rate equal to 50% of the rate otherwise payable under section 8.

(2) A cable retransmission system or an MDS retransmission system is deemed to be located in a Francophone market if

• (a) the system is located in the province of Quebec;
• (b) the system’s service area encompasses, in whole or in part, the cities, towns or municipalities of
  • (i) Bathurst, Campbellton, Dalhousie, Edmundston, Kedgwick or Shediac, New Brunswick,
  • (ii) Cochrane, Fauquier-Strickland, Hawkesbury, Hearst, Hornepayne, Kapuskasing, Mattice-Val Côté, Opasatika or Smooth Rock Falls, Ontario, or
  • (iii) Gravelbourg, Saskatchewan; or
• (c) the population of French mother tongue represents more than 50% of the total population of all cities, towns or municipalities, encompassed in whole or in part of the system’s service area, according to the most recent population figures published by Statistics Canada.

(3) Subsection (1) does not apply to premises which receive an English-language signal or service, other than a pay-per-view or video-on-demand service, that is provided on a stand-alone basis or in a package that includes only English-language signals or services.

(4) Royalties payable under section 6 for a DTH in respect of premises which receive a French-language basic service shall be calculated at a rate equal to 50% of the rate otherwise payable under section 8, unless the premises also receive

• (a) the signals and services offered in the English-language basic service that are not included in the French-language basic service; or
• (b) a basic service intended for bilingual subscribers.

When a Signal is Partially Distant

10. A signal that is distant in part of the area covered by a postal code shall be deemed to be distant for half the premises served in that area.

Discount for TVA Signal

11. The royalty payable under section 6 for premises receiving only a TVA distant signal shall be reduced by 95% if

• (a) the signal is retransmitted to comply with CRTC Distribution Order 1999-1, dated February 12, 1999; and
• (b) the system is not located in a Francophone market.

Discount for “Duplicate” Network Distant Signal

12. (1) Subject to subsection (2), the royalty payable under section 6 or 9 for premises receiving only distant signals which are the signals of stations owned by or affiliated solely with a network that owns or has an exclusive affiliation agreement with a station whose signal is local shall be reduced

• (a) by 75% for premises receiving only one such signal; or
• (b) by 50%, for premises receiving two or more such signals.

(2) The royalty payable under section 6 for premises which receive, in addition to signals mentioned in paragraph (1), a TVA distant signal in respect of which a system would otherwise be entitled to a discount pursuant to section 11 shall be reduced

• (a) by 70% for premises receiving only one duplicate network distant signal; or
• (b) by 45% for premises receiving two or more duplicate network distant signals.

Discount for Certain Non-Residential Premises

13. The royalty payable for the following types of premises shall be reduced as follows:

• (a) rooms in hospitals, nursing homes and other health care facilities: by 75%;
• (b) rooms in hotels: by 40%; and
• (c) rooms in schools and other educational institutions: by 75%.

Allocation of the Retransmission Royalty

14. (1) For the years 2014 and 2015, a retransmitter shall pay to the collective societies the following portions of the royalty:

BBI	0.96%
CBRA	13.50%
CCC	53.38%
CRC	14.85%
CRRA	9.76%
DRTVC	0.70%
FWS	3.25%
MLB	0.80%
SOCAN	2.80%

(2) For the years 2016 to 2018, a retransmitter shall pay to the collective societies the following portions of the royalty:

BBI	1.13%
CBRA	10.72%
CCC	54.13%
CRC	16.10%
CRRA	10.65%
DRTVC	0.64%
FWS	3.68%
MLB	0.15%
SOCAN	2.80%

ADMINISTRATIVE PROVISIONS

Reporting Requirements: General

15. Subject to sections 16 to 22, every retransmitter shall provide each collective society with the following information in respect of each retransmission system it operates:

• (a) the name of the retransmitter, that is
  • (i) the name of a corporation and a mention of its jurisdiction of incorporation,
  • (ii) the name of the proprietor of an individual proprietorship, or
  • (iii) the names of the principal officers of all other retransmitters,
• together with any trade name (other than the above) under which it carries on business;
• (b) the address of the retransmitter’s principal place of business;
• (c) the retransmitter’s address (including any fax number) for the purposes of notice;
• (d) the name and address of any other retransmitter that receives a distant signal from the retransmitter, and the list of all signals retransmitted to that other retransmitter;
• (e) a precise description of the system’s service area;
• (f) a copy of any current map of a service area in which the system is located which is on file with the CRTC, or, if there is no such map, upon request, a current map of its service area, unless such a filed map or other map has already been provided to the collective society;
• (g) the monthly fee charged by the retransmitter for basic service;
• (h) the number of premises of each type served, divided into residential, health care, hotels, educational institutions and others;
• (i) the number of premises of each type receiving at least one signal as distant;
• (j) for each service or signal distributed,
  • (i) the name or call letters,
  • (ii) any network affiliation,
  • (iii) if the signal is a repeater, the call letters and any network affiliation of the mother signal,
  • (iv) any other name by which the service or signal may be commonly known, and
  • (v) an indication of whether the service or signal is offered on the basic or discretionary tier; and
• (k) for each service or signal distributed,
  • (i) the number of premises of each type receiving the service or signal, and
  • (ii) the number of premises of each type receiving the signal as distant,
• provided that if the retransmitter claims a discount pursuant to section 9, the information shall be provided separately for premises served to which the discount applies.

Additional Reporting Requirements: Small Retransmission Systems

16. A retransmitter who operates a small retransmission system shall provide, in addition to the information required under section 15, the following information:

• (a) if the small retransmission system qualifies as such by virtue of paragraph 4(2)(c), the number of premises, determined in accordance with the Definition of “Small Retransmission Systems” Regulations and section 4, the system served or was deemed to serve on the last day of each month of the previous year during which it retransmitted a distant signal;
• (b) if the small retransmission system is a master antenna system and is located within the service area of another cable retransmission system, the name of that other system and a statement to the effect that the other system retransmits a signal, with or without a fee, to no more than 2 000 premises in its service area;
• (c) if the small retransmission system is included in a unit within the meaning of the Definition of “Small Retransmission Systems” Regulations,
  • (i) the date the system was included in the unit,
  • (ii) the names of all the systems included in the unit,
  • (iii) the names of the person or group of persons who own or who directly or indirectly control the systems included in the unit, and
  • (iv) the nature of the control exercised by these persons; and
• (d) whether the small retransmission system is licensed by the CRTC, and if it is not, the date of cancellation of its licence, or the date the system began operations as a system exempt from the CRTC’s licensing requirements, whichever first occurred.

Reporting Requirements: LPTVs and MDSs

17. (1) A retransmitter who operates an LPTV whose signals are not scrambled or an MDS whose signals are not scrambled shall provide each collective society with the following information in respect of each LPTV or MDS it operates:

• (a) the information referred to in paragraphs (a) to (c), (g) and (j) of section 15; and
• (b) a description of the location of the LPTV or MDS.

(2) A retransmitter who operates any other LPTV or MDS shall provide each collective society, in respect of each system it operates, the information referred to in paragraphs (a) to (d) and (g) to (k) of section 15.

Reporting Requirements: DTH

18. A retransmitter who operates a DTH shall provide each collective society, in respect of each such system it operates, the information referred to in paragraphs (a) to (d) and (g) to (k) of section 15.

Additional Reporting Requirements: Master Antenna Systems

19. A retransmitter who operates a master antenna system shall provide, in addition to the information required under section 15 or 16, the address where its transmitter is located and the address of any other building in which premises served by it are located, and indicate whether or not it is licensed by the CRTC.

Additional Reporting Requirements: Cable Retransmission Systems (Other than Small Retransmission Systems) Located in the Service Area of Another Cable Retransmission System

20. A retransmitter who operates a cable retransmission system (including a master antenna system but excluding a small retransmission system) located within the service area of another cable retransmission system that retransmits a signal, with or without a fee, to more than 2 000 premises in its service area shall provide, in addition to the information required under section 15, the name of such other cable retransmission system.

Additional Reporting Requirements: Francophone Markets

21. A retransmitter who operates a cable retransmission system or an MDS located in a Francophone market, other than a system located in the province of Quebec, shall provide, in addition to the information required under sections 15, 19 and 20,

• (a) the name of the city, town or municipality listed in paragraph 9(2)(b) which is encompassed in whole or in part in the service area of the system; or
• (b) a list of all the cities, towns and municipalities encompassed in whole or in part by the system’s service area, specifying for each its total population and its population of French mother tongue, according to the most recent population figures published by Statistics Canada.

Additional Reporting Requirements: Multi-System Operators

22. A retransmitter who operates more than one retransmission system shall provide a list of all the retransmission systems operated by that retransmitter.

Reporting Dates

23. (1) The information required under sections 15 to 22 shall be supplied as of December 31 of each year and shall be provided by January 31 of the following year.

(2) A retransmitter shall update the information provided in accordance with sections 15 to 22 with respect to each date at which royalties are calculated, and shall provide it to each collective society by the date that royalty payment is due.

Forms

24. The information required under sections 15 to 22 shall be provided on the forms contained in Appendix B, or in any other format that is agreed upon by the collective society and the retransmitter.

Errors

25. A retransmitter who discovers an error in any information provided to a collective society shall promptly provide the correct information.

Supplementary Information, Records and Audits

26. (1) A retransmitter shall provide a collective society, upon request, with the address and number of premises contained in each building within a given system for which the retransmitter claims a discount pursuant to section 13.

(2) If the retransmitter has filed a map with the CRTC of the service area within which the system is located, the retransmitter shall provide to a collective society upon request a copy of the most recent map so filed.

(3) Each retransmitter shall provide a collective society, upon request, with a list of the postal codes within a system’s service area, together with

• (a) the number of residential premises served in each such postal code; and
• (b) the number of residential premises in each postal code that receive each signal,

provided that the collective society has not made such a request with regard to the system for at least 12 months.

27. (1) Subject to the provisions of the Personal Information Protection and Electronic Documents Act, S.C. 2000, c. 5, a retransmitter shall keep and preserve until December 31, 2024, records from which a collective society can readily ascertain the amounts payable and the information required under this tariff.

(2) A collective society may audit the records referred to in subsection (1) at any time until December 31, 2024, on reasonable notice and during normal business hours, provided that the collective society has not audited the system for at least 12 months.

(3) The collective society shall, upon receipt, supply the retransmitter and all other collective societies with a copy of the report of any audit.

(4) If the audit of a retransmission system discloses that royalties due to the collective society for that system have been understated in any month by more than 20%, the retransmitter shall pay the reasonable costs of the audit of the system within 30 days of the demand for payment being made.

Confidentiality

28. (1) Subject to subsections (2) and (3), a collective society and its royalty claimants shall treat in confidence information received from a retransmitter pursuant to this tariff, unless the retransmitter consents in writing to the information being treated otherwise.

(2) A collective society may share information referred to in subsection (1)

• (a) with any other collective society;
• (b) with the Board;
• (c) in connection with proceedings before the Board, if it has first provided the retransmitter with a reasonable opportunity to obtain a confidentiality order;
• (d) to the extent required to effect the distribution of royalties, with its royalty claimants; or
• (e) if required by law.

(3) Subsection (1) does not apply to information that is publicly available, or to information obtained from someone other than the retransmitter, who is not under an apparent duty of confidentiality to the retransmitter.

Adjustments

29. (1) Subject to subsection (2), adjustments in the amount of royalties owed by a retransmitter (including adjustments as a result of excess payments), as a result of the discovery of an error or otherwise, shall be made on the date the retransmitter’s next royalty payment is due.

(2) A retransmitter may deduct any amount owed to it from its next royalty payments until no money remains owed to it.

Interest on Late Payments

30. (1) Any amount not received by the due date shall bear interest from that date until the date the amount is received.

(2) Any amount found to be owing, through an audit or otherwise, shall bear interest from the date it was due until the date the amount is received.

(3) Any amount that cannot be delivered at the address referred to in section 31 shall bear interest from the date when the person owing the amount receives notice of the new address to which it should be delivered until the date the amount is received.

(4) Interest shall be calculated daily, at a rate equal to 1% above the Bank Rate effective on the last day of the previous month (as published by the Bank of Canada). Interest shall not compound.

Addresses for Notices, etc.

31. (1) Anything that a retransmitter sends to a collective society shall be sent to the address listed in Appendix A, or to any other address of which the retransmitter has been notified.

(2) Anything that a collective society sends to a retransmitter shall be sent to

• (a) the address provided to the collective society in accordance with paragraph 15(d) or subsection 23(2); or
• (b) where no such address has been provided, to any other address where the retransmitter can be reached.

Delivery of Notices and Payments

32. (1) A notice may be delivered by hand, by postage paid mail, by email or by fax.

(2) A notice or payment mailed in Canada shall be presumed to have been received three business days after the day it was mailed.

(3) A notice sent by email or by fax shall be presumed to have been received the day it is transmitted.

Appointment of Designate

33. (1) Any person that a collective society designates to receive a payment or notice shall have an address in Canada.

(2) A collective society shall notify a retransmitter at least 60 days in advance of such a designation or of any change therein.

Transitional Provisions

34. In this part of the tariff

“additional royalties”

means the royalties payable as a result of a difference between the rates set in this tariff and the Interim Tariff, whether or not they had been paid by the date this tariff is published in the Canada Gazette. (« redevances additionnelles »)

“Interim Tariff”

means the Interim Television Retransmission Tariff, 2014-2018 as of January 1, 2014, and issued on December 19, 2013. (« Tarif provisoire »)

“new allocation”

means the allocation approved for 2016, 2017 and 2018 in section 14 of this tariff. (« nouvelle répartition »)

“old allocation”

means the allocation certified in section 14 of the Television Retransmission Tariff, 2009-2013. (« ancienne répartition »)

“paying collective”

means a collective society which receives a smaller allocation of royalties under the new allocation than it did under the old allocation. (« société de gestion débitrice »)

“receiving collective”

means a collective society which receives a greater allocation of royalties under the new allocation than it did under the old allocation. (« société de gestion bénéficiaire »)

“settlement date”

means March 31, 2024. (« date de règlement »)

35. (1) The table of interest rates shall apply for all payments of additional royalties made on or before the settlement date; thereafter, payments of additional royalties shall be treated as late and subject to section 30 of this tariff.

(2) Additional royalties shall bear interest from the date that the additional royalties would have been due had this tariff been approved prior to January 1, 2014, to the date of the payment of the additional royalties. Interest shall be calculated daily, at an annual interest rate equal to the Bank Rate, as amended from time-to-time, on the last day of the previous month. Interest shall not compound.

(3) The interest rates in the table of interest rates are the Bank Rates published on the last Wednesday of each month at the time of approval of this tariff.

(4) The table of interest rates is

Month/Year	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
January	1.25	1.25	0.75	0.75	1.50	2.00	2.00	0.50	0.50	4.75
February	1.25	1.00	0.75	0.75	1.50	2.00	2.00	0.50	0.50	4.75
March	1.25	1.00	0.75	0.75	1.50	2.00	2.00	0.50	0.75	4.75
April	1.25	1.00	0.75	0.75	1.50	2.00	0.50	0.50	1.25	4.75
May	1.25	1.00	0.75	0.75	1.50	2.00	0.50	0.50	1.25	4.75
June	1.25	1.00	0.75	0.75	1.50	2.00	0.50	0.50	1.75	5.00
July	1.25	1.00	0.75	1.00	1.75	2.00	0.50	0.50	2.75	5.25
August	1.25	0.75	0.75	1.00	1.75	2.00	0.50	0.50	2.75	5.25
September	1.25	0.75	0.75	1.25	1.75	2.00	0.50	0.50	3.50	5.25
October	1.25	0.75	0.75	1.25	2.00	2.00	0.50	0.50	4.00	5.25
November	1.25	0.75	0.75	1.25	2.00	2.00	0.50	0.50	4.00	5.25
December	1.25	0.75	0.75	1.25	2.00	2.00	0.50	0.50	4.50	5.25

36. (1) Additional royalties shall be paid on or before the settlement date, together with the interest provided for in section 35.

(2) Reports required under sections 15 through 24 of this tariff related to the additional royalties are due on or before the settlement date.

(3) All additional royalties and interest, and any other royalty or adjustment paid or deducted by or before the settlement date, shall be paid according to the old allocation.

(4) Notwithstanding subsection (3) of this section, all additional royalties not paid by the settlement date, and associated interest, shall be paid according to the allocations in section 14 of this tariff.

37. (1) After having consulted all the Collectives, based on a mutually agreed-upon date or dates (“reallocation dates”), CRC shall provide to the Collectives a final statement indicating the amounts due to a receiving collective as a result of the difference between the new allocation and the old allocation.

(2) The amounts in subsection (1) shall be calculated in two steps as follows: (step 1) for 2016 through 2018, paying collectives will make reallocation payments to receiving collectives in respect of royalties paid by retransmitters using the rates set out in the Interim Tariff, based on the difference between the old allocation and the new allocation, together with simple interest calculated from the original due date of the relevant royalties under the Interim Tariff, to the agreed reallocation date of the payment; and (step 2) for 2016 through 2018, paying collectives will make further reallocation payments to receiving collectives in respect of additional royalties and associated interest paid by retransmitters by or before the settlement date, based on the difference between the old allocation and the new allocation, together with simple interest calculated from the payment date of the additional royalties and interest by the retransmitter to the agreed-upon reallocation date of the payment. For the purposes of the interest calculations, the calculation rules set out in section 35 relating to interest on additional royalties shall apply, as will the interest rates provided for in section 35(4) and 35(3) of this tariff.

(3) All payments to be made pursuant to the final statements referred to in subsection (1) are due by the reallocation dates, which shall not be later than June 30, 2024.

(4) Any required payments not made by the reallocation dates shall be treated as late and subject to payment of interest in accordance with section 30 of this tariff.

APPENDIX A: COLLECTIVE SOCIETIES

TELEVISION TARIFF 2014-2018

Border Broadcasters Inc. (BBI)
c/o Ms. Marcie Smith
P.O. Box 2469A
Station A
Toronto, Ontario
M5W 2K6
248‑344‑2997 (telephone)
248‑596‑1103 (fax)
bbimsmith@yahoo.com (email)

Direct Response Television Collective Inc. (DRTVC)
c/o Mark Lewis, Barrister & Solicitor
2 Braemore Gardens
Toronto, Ontario
M6G 2C8
647‑792‑7073 (telephone)
mark@lewis-law.ca (email)

Canadian Broadcasters Rights Agency (CBRA)
45 O’Connor Street
Suite 770
Ottawa, Ontario
K1P 1A4
613‑822‑1112 (telephone)
613‑822‑7588 (fax)
erin@cbra-adrrc.ca (email)

FWS Joint Sports Claimants Inc. (FWS)
c/o Piasetzki Nenniger Kvas, LLP
Barristers and Solicitors
120 Adelaide Street W
Suite 2308
Toronto, Ontario
M5H 1T1
416‑955‑0050 (telephone)
416‑955‑0053 (fax)
gpiasetzki@pnklaw.ca (email)

Canadian Retransmission Collective (CRC)
74 The Esplanade
Toronto, Ontario
M5E 1A9
416‑304‑0290 (telephone)
416‑304‑0496 (fax)
info@crc-scrc.ca (email)

Major League Baseball Collective of Canada Inc. (MLB)
P.O. Box 3216
Commerce Court Postal Station
Commerce Court West
Toronto, Ontario
M5L 1K1
416‑979‑2211 (telephone)
416‑979‑1234 (fax)

Canadian Retransmission Right Association (CRRA)
c/o Canadian Broadcasting Corporation
181 Queen Street
P.O. Box 3220
Station C
Ottawa, Ontario
K1Y 1E4
613‑288‑6276 (telephone)
613‑288‑6279 (fax)
crra@cbc.ca (email)

Society of Composers, Authors and Music Publishers of Canada (SOCAN)
41 Valleybrook Drive
Toronto, Ontario
M3B 2S6
416‑445‑8700 (telephone)
416‑442‑3829 (fax)
licence@socan.ca (email)

Copyright Collective of Canada (CCC)
365 Bloor Street East,
Suite 1005
Toronto, Ontario
M4W 3L4
416‑323‑3211 (telephone)
416‑323‑3296 (fax)
lucy_medeiros@ccofcan.org (email)

APPENDIX B

FORMS — TELEVISION

• Form 1: General Information
• Form 2: Small Retransmission Systems Declaration
• Form 3: Information About Premises Served — Royalty Calculation
• Form 4: Television Service Information
• Form 5: Report for Systems Operating in a Francophone Market
• Form 6: Systems Reported by the Same Retransmitter
• Form 7: Report of Premises Entitled to a Discount
• Form 8: Report of Residential Premises in Each Postal Code

FORM 1 (TELEVISION)

GENERAL INFORMATION
(Television Tariff, sections 15, 17, 18, 19, 20)

1) Name of the system:

2) Type of system: PLEASE CHECK WHERE APPROPRIATE

• small system;
• scrambled lptv;
• unscrambled mds;
• matv system;
• dth;
• scrambled mds;
• unscrambled lptv;
• cable system;

• other (please specify)

3) Name of the retransmitter:

• (a) if the retransmitter is a CORPORATION, please give
• its name:
• its jurisdiction of incorporation:

• the names and titles of its principal officers:

  NAME	TITLE

• (b) if the retransmitter is an INDIVIDUAL, please give the name of the individual:
• (c) if the retransmitter is anything else, please give the names of all owners of the enterprise and set out its legal nature (e.g. partnership, joint venture):

• Legal nature:

  NAME	TITLE (if any)

4) Other trade name(s) under which the retransmitter does business:

5) Address of the retransmitter’s principal place of business:

Street Address:

City: Province: Postal Code:

6) Address where you wish to receive notices (if different from above):

Street Address:

City: Province: Postal Code:

7) Contact person for this system:

Name: Title:

Tel. No.: Fax No.:

Email:

8) If the retransmitter has filed with the CRTC a map of the service area within which the system is located, please provide the date when the most recent map was filed.

9) If other retransmitters receive one or more distant television signals from the system, please attach a list showing their names and addresses, as well as the call letters of the signals they receive.
(NO ANSWER IS REQUIRED IN THE CASE OF AN UNSCRAMBLED LPTV OR UNSCRAMBLED MDS.)

10) SERVICE AREA OR LOCATION
(NO ANSWER IS REQUIRED IN THE CASE OF A DTH.)

IN THE CASE OF AN UNSCRAMBLED LPTV OR AN UNSCRAMBLED MDS: please provide a description of the location of the LPTV or the MDS.

11) Basic monthly fee charged within the system, net of taxes:
(NO ANSWER REQUIRED IN THE CASE OF AN UNSCRAMBLED LPTV OR UNSCRAMBLED MDS.)

FORM 2 (TELEVISION)

SMALL RETRANSMISSION SYSTEMS DECLARATION

(Television Tariff, section 16)

THIS FORM IS TO BE COMPLETED ONLY FOR SMALL RETRANSMISSION SYSTEMS. PLEASE SEE SECTIONS 2 AND 4 OF THE TELEVISION RETRANSMISSION TARIFF FOR THE DEFINITION OF SMALL RETRANSMISSION SYSTEM.

NAME OF THE SYSTEM:

YEAR FOR WHICH THIS FORM APPLIES:

UNLICENSED SYSTEMS

If the system is not licensed by the CRTC:

• (a) Under what exemption order does the system operate? PN #, and
• (b) On what date did the system begin operating as an exempt system?

A) GENERAL

PLEASE ANSWER THE QUESTIONS THAT APPLY TO THIS RETRANSMISSION SYSTEM.

1. Did the system retransmit a distant signal on December 31 of the previous year?
If NO, do not answer questions 2 through 6 and answer question 7.

2. Was the system included in a unit on December 31, 1993?
If YES, do not answer question 3 and go to question 4.

3. Was the system included in a unit on December 31 of the previous year?
If YES, do not answer question 4 and go to question 5.

4. On December 31 of the previous year, did the system serve 2 000 premises or less?
If YES, indicate that number: . Do not answer questions 5 to 7.
If NO, do not answer question 5. Complete the table in question 6 using the number of premises served by the system on the last day of each month of the previous year during which the system retransmitted a distant signal. Do not answer question 7.

5. On December 31 of the previous year, did the unit serve 2 000 premises or less?
If YES, indicate the number: . Do not answer questions 6 and 7.
If NO, complete the table in question 6 by using the number of premises served by all cable retransmission systems in the unit on the last day of each month of the previous year in which (a) the composition of the unit was the same as on December 31, AND (b) the system retransmitted a distant signal. Do not answer question 7.
6. Please complete the following table if you answered NO to question 4 or to question 5.

As of the last day of each month during the previous year	Number of premises served
January
February
March
April
May
June
July
August
September
October
November
December
Total
Average (Divide total by the number of months for which information is required to be provided)

7. Answer this question only if you answered NO to question 1.
Was the system included in a unit on the last day of the first month in which it retransmitted a distant signal this year?
If YES, how many premises were served by all cable retransmission systems in the unit on that day?
If NO, how many premises did the system serve on that day?

A SYSTEM IS A SMALL RETRANSMISSION SYSTEM IF YOU ANSWERED YES TO QUESTION 4 OR 5, IF THE AVERAGE IN QUESTION 6 IS 2 000 OR LESS, OR IF THE NUMBER OF PREMISES SERVED INDICATED IN ANSWER TO QUESTION 7 IS 2 000 OR LESS.

B) IF THE SYSTEM IS A MASTER ANTENNA SYSTEM LOCATED WITHIN THE SERVICE AREA OF ANOTHER CABLE RETRANSMISSION SYSTEM, please also complete the following declaration:

I confirm that (system name) is located within the service area of (name of cable retransmission system) which as of (relevant date) served no more than 2 000 premises in its service area.

(Signature)

(Name and Title)

Date:

C) IF A MASTER ANTENNA SYSTEM IS NOT LOCATED WITHIN THE SERVICE AREA OF ANOTHER CABLE RETRANSMISSION SYSTEM, please also complete the following declaration:

I confirm that (system name) is not located within the service area

of any other cable retransmission system.

(Signature)

(Name and Title)

Date:

D) INFORMATION ABOUT PREMISES SERVED

Please provide the following information as of (i) December 31 of the previous year, if the system retransmitted a distant television signal on that day, or (ii) the last day of the month in which the system first retransmitted a distant television signal in THIS year, if the system did not retransmit a distant television signal on December 31 of the previous year.

	Residential Units	Health Care Facilities	Hotels	Educational Institutions	Others	All Premises
Numbers of premises served
Number of premises receiving at least one distant television signal

E) ROYALTY SHARE OF EACH COLLECTIVE SOCIETY

Column A Collective Society	Column B %	Column C Royalty Amount	Column D Withholding Tax (10%)	Column E Interest	Column F GST (7%)	Column G Total table b6 note 1
BBI	1.13				n/a
CBRA	10.72		n/a
CCC	54.13		n/a
CRC	16.10		n/a
CRRA	10.65		n/a
DRTVC	0.64		n/a
FWS	3.68		n/a
MLB	0.15		n/a
SOCAN	2.80		n/a
TOTAL
Table b6 note(s) Table b6 note 1 Column C − Column D + Column E + Column F Return to table b6 note 1 referrer

F) INFORMATION ABOUT THE UNIT

1. Please complete this table if you answered YES to question 2, i.e. if the system was in a unit on December 31, 1993.

Names of all the retransmission systems in the unit on December 31, 1993	Names of the persons (including corporations) or groups of persons who own or who directly or indirectly control the systems included in the unit	Explain the nature of the control exercised (e.g. the percentage of voting shares directly or indirectly held by the persons exercising the control or by the members of the controlling group)

2. Please complete this table if you answered YES to question 2, 3 or 7.

If the system was part of a unit on December 31 of the previous year, please provide the information as of that date. If not, please state the date on which the system became part of a unit and provide the information as of the last day of that month.

Date as of which the information is being provided:

Names of all the retransmission systems in the unit	Names of the persons (including corporations) or groups of persons who own or who directly or indirectly control the systems included in the unit	Explain the nature of the control exercised (e.g. the percentage of voting shares directly or indirectly held by the persons exercising the control or by the members of the controlling group)

FORM 3 (TELEVISION)

INFORMATION ABOUT PREMISES SERVED

ROYALTY CALCULATION FOR (relevant date)

USING THIS FORM, MOST SYSTEMS CAN CALCULATE THE TOTAL ROYALTY OWED FOR THE RETRANSMISSION OF DISTANT TELEVISION SIGNALS.

THE INFORMATION IN LINES 1 AND 3 SHOULD BE PROVIDED FOR ALL SYSTEMS, ONCE A YEAR, AS OF DECEMBER 31 OF THE PREVIOUS YEAR, EVEN IF NO DISTANT TELEVISION SIGNALS ARE CARRIED BY THE SYSTEM.

UNSCRAMBLED LPTV AND UNSCRAMBLED MDS PAY A FLAT RATE OF $100 PER YEAR, AND NEED NOT CALCULATE THEIR ROYALTIES.

SMALL RETRANSMISSION SYSTEMS SHOULD USE FORM 2.

NAME OF THE SYSTEM:

NOTE: Lines containing a reference to TVA should be completed only by those systems which are not located in a Francophone market and are retransmitting the TVA signal to comply with CRTC Distribution Order 1999-1.

	Type of Premises	Residential Units	Health Care Facilities	Hotels	Educational Institutions	Others	All Premises
1	Number of premises served
2	Retransmission royalty rate per premises applicable to the system table b9 note 1						n/a
	(a) NON-FRANCOPHONE MARKET PREMISES
3	Number of premises for which Francophone market discount is NOT claimed
4	Number of premises receiving at least one distant television signal table b9 note 2
5	Number of premises receiving at least one unduplicated distant television signal other than the TVA signal
6	Gross royalty for premises reported in line 5 [line 2 × line 5]						n/a
7	Number of premises receiving only one distant television signal, which is also duplicated table b9 note 3
8	Gross royalty for premises reported in line 7 [line 2 × line 7 × 25%]						n/a
9	Number of premises receiving more than one distant television signal, all of which are duplicates table b9 note 4
10	Gross royalty for premises reported in line 9 [line 2 × line 9 × 50%]						n/a
11	Number of premises receiving TVA as their only distant television signal table b9 note 5
12	Gross royalty for premises reported in line 11 [line 2 × line 11 × 5%]						n/a
13	Number of premises receiving as their only distant television signals TVA and one duplicated signal table b9 note 6
14	Gross royalty for premises reported in line 13 [line 2 × line 13 × 30%]						n/a
15	Number of premises receiving as their only distant television signals TVA and more than one duplicated signal table b9 note 7
16	Gross royalty for premises reported in line 15 [line 2 × line 15 × 55%]						n/a
17	TOTAL gross royalty amount [line 6 + line 8 + line 10 + line 12 + line 14 + line 16]						n/a
18	Adjustment factor for certain types of premises	1	0.25	0.6	0.25	1	n/a
19	Royalty Amount — Non-Francophone Market Premises [line 17 × line 18]
	(b) FRANCOPHONE MARKET PREMISES
20	Number of premises for which Francophone market discount is claimed [line 1 minus line 3]
21	Number of Francophone market premises receiving at least one distant television signal table b9 note 8
22	Number of Francophone market premises receiving at least one unduplicated distant television signal
23	Gross royalty for premises reported in line 22 [line 22 × line 2 × 50%]						n/a
24	Number of Francophone market premises receiving only one distant television signal, which is also duplicated table b9 note 9
25	Gross royalty for premises reported in line 24 [line 2 × line 24 × 25% × 50%]						n/a
26	Number of premises receiving more than one distant television signal, all of which are duplicates table b9 note 10
27	Gross royalty for premises reported in line 26 [line 2 × line 26 × 50% × 50%]						n/a
28	TOTAL gross royalty amount [line 23 + line 25 + line 27]						n/a
29	Adjustment factor for certain types of premises	1	0.25	0.6	0.25	1	n/a
30	Royalty Amount — Francophone Market Premises [line 28 × line 29]
31	Total Royalty Amount table b9 note 11 [line 19 + line 30]
Table b9 note(s) Table b9 note 1 See sections 6 to 9 of the tariff. Generally speaking, the rate for cable retransmission systems is based on the total number of premises of all types served within the service area in which the system is located, whether or not these premises receive a distant television signal. Please consult the relevant provisions of the tariff to ensure that you use the correct rate. Return to table b9 note 1 referrer Table b9 note 2 The number in line 3 should be the same as the total of lines 5, 7, 9, 11, 13 and 15. Return to table b9 note 2 referrer Table b9 note 3 See paragraph 12(1)(a) of the tariff. Return to table b9 note 3 referrer Table b9 note 4 See paragraph 12(1)(b) of the tariff. Return to table b9 note 4 referrer Table b9 note 5 See section 11 of the tariff. Return to table b9 note 5 referrer Table b9 note 6 See paragraph 12(2)(a) of the tariff. Return to table b9 note 6 referrer Table b9 note 7 See paragraph 12(2)(b) of the tariff. Return to table b9 note 7 referrer Table b9 note 8 The number in line 21 should be the same as the total of lines 22, 24 and 26. Return to table b9 note 8 referrer Table b9 note 9 See paragraph 12(1)(a) of the tariff. Return to table b9 note 9 referrer Table b9 note 10 See paragraph 12(1)(b) of the tariff. Return to table b9 note 10 referrer Table b9 note 11 The total amount of royalty owed is the total of the amounts listed in line 31. Return to table b9 note 11 referrer

The share of each collective society for the tariff years 2014-2015 is as follows:

Column A Collective Society	Column B %	Column C Royalty Amount	Column D Withholding Tax (10%)	Column E Interest	Column F GST (7%)	Column G Total table b10 note 1
BBI	0.96				n/a
CBRA	13.50		n/a
CCC	53.38		n/a
CRC	14.85		n/a
CRRA	9.76		n/a
DRTVC	0.70		n/a
FWS	3.25		n/a
MLB	0.80		n/a
SOCAN	2.80		n/a
TOTAL
Table b10 note(s) Table b10 note 1 Column C − Column D + Column E + Column F Return to table b10 note 1 referrer

The share of each collective society for the tariff years 2016-2018 is as follows:

Column A Collective Society	Column B %	Column C Royalty Amount	Column D Withholding Tax (10%)	Column E Interest	Column F GST (7%)	Column G Total table b11 note 1
BBI	1.13				n/a
CBRA	10.72		n/a
CCC	54.13		n/a
CRC	16.10		n/a
CRRA	10.65		n/a
DRTVC	0.64		n/a
FWS	3.68		n/a
MLB	0.15		n/a
SOCAN	2.80		n/a
TOTAL
Table b11 note(s) Table b11 note 1 Column C − Column D + Column E + Column F Return to table b11 note 1 referrer

FORM 4 (TELEVISION)

TELEVISION SERVICE INFORMATION AS OF (relevant date)

(Television Tariff, paragraphs 15(j), (k))

PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ALL TELEVISION BROADCAST SIGNALS (INCLUDING SUPERSTATIONS) SUPPLIED TO SUBSCRIBERS.

Call Letters/ Name of Signal	Call Letters of Mother Signal (if signal carried is a repeater)	Network Affiliation	Any Other Name Under Which the Signal is Known	City and Province or State Where Signal Originated	Basic (B) or Discretionary (D) Service?	A) Number of Premises Receiving the Signal as Distant	B) Number of Premises Served by the System	(Please indicate A over B) table b12 note 1
Table b12 note(s) Table b12 note 1 This information is not required for an unscrambled LPTV or an unscrambled MDS. Return to table b12 note 1 referrer

FORM 5 (TELEVISION)

REPORT FOR CABLE RETRANSMISSION SYSTEMS OPERATING IN A FRANCOPHONE MARKET AND SCRAMBLED MDS TRANSMITTERS LOCATED IN A FRANCOPHONE MARKET

(Television Tariff, section 9 and section 21)

Name of system:

Cable retransmission systems located in the province of Quebec need not complete this form.

I. ELIGIBILITY FOR FRANCOPHONE MARKET DISCOUNT — CABLE RETRANSMISSION SYSTEM

For each city, town or municipality wholly or partly within the system’s service area, provide the following information.

NOTE: The population for the whole city, town or municipality must be used in column (C), even if the system’s service area includes only part of that city, town or municipality.

Systems whose service area includes all or part of any of the localities listed in paragraph 9(2)(b) of the Television Tariff are only required to complete column (A).

If the system is in the province of Quebec, or if the total of column (B) is more than 50 per cent of the total of column (C), the system is in a Francophone market.

(A) Name of the City, Town or Municipality	(B) Population Claiming French as Their Mother Tongue According to the Most Recent Statistics Canada Figures	(C) Total Population According to the Most Recent Statistics Canada Figures	(D) Total Number of Premises in Each System in the City, Town or Municipality	(E) Number of Premises out of the Total in (D) that are Ineligible for the Francophone Market Discount Pursuant to Subsection 9(3) of the Television Tariff

II. ELIGIBILITY FOR FRANCOPHONE MARKET DISCOUNT — SCRAMBLED MDS

If eligibility for the Francophone market discount is claimed with respect to premises receiving distant signals from any transmitter operated by this system, please complete this table for each such transmitter. For each transmitter which is eligible under paragraph 9(2)(a) or (b) of the Television Tariff, complete only (A), (D) and (E). For each transmitter which is eligible under paragraph 9(2)(c) of the Television Tariff, complete (A), (B), (C), (D) and (E).

If the total of (B) is more than 50 per cent of (C), the premises served by this transmitter are deemed to be located in a Francophone market.

(A) Name of the City, Town or Municipality and Province Where this Transmitter is Located	(B) Population of that City, Town or Municipality Claiming French as Their Mother Tongue, According to the Most Recent Statistics Canada Figures	(C) Population of that City, Town or Municipality, According to the Most Recent Statistics Canada Figures	(D) Total Number of Premises in Each System in the City, Town or Municipality	(E) Number of Premises out of the Total in (D) that are Ineligible for the Francophone Market Discount Pursuant to Subsection 9(3) of the Television Tariff

FORM 6 (TELEVISION)

SYSTEMS REPORTED BY THE SAME RETRANSMITTER

(Television Tariff, section 22)

Name of the System (as reported on Form 1 for that System)	Service Area

FORM 7 (TELEVISION)

REPORT OF PREMISES ENTITLED TO A DISCOUNT

(Television Tariff, subsection 26(1))

A COLLECTIVE SOCIETY IS ENTITLED TO ASK THAT THIS FORM BE COMPLETED IF THERE ARE BUILDINGS CONTAINING PREMISES FOR WHICH YOU CLAIM A DISCOUNT UNDER SECTION 13 OF THE TARIFF (ROOMS IN HOTELS, HEALTH INSTITUTIONS AND EDUCATIONAL INSTITUTIONS).

Please give the address of each building containing premises of the type indicated, as well as the number of premises served in each building.

NAME OF SYSTEM:

DATE AS OF WHICH THE REPORT IS BEING MADE:

HOTEL ROOMS (this includes motel rooms)

Address	Number of Rooms Served

PREMISES IN HEALTH INSTITUTIONS

Address	Number of Rooms Served

PREMISES IN EDUCATIONAL INSTITUTIONS

Address	Number of Rooms Served

FORM 8 (TELEVISION)

REPORT OF RESIDENTIAL PREMISES IN EACH POSTAL CODE AREA AS OF

(Television Tariff, section 26)

A. A COLLECTIVE SOCIETY IS ENTITLED UNDER PARAGRAPH 26(3)(a) TO ASK FOR THE FOLLOWING FORM TO BE COMPLETED FOR A CABLE SYSTEM ONLY IF IT HAS BEEN 12 MONTHS SINCE THE LAST TIME IT ASKED FOR SUCH A FORM TO BE FILLED IN WITH RESPECT TO THAT SYSTEM.

NAME OF SYSTEM:

Postal Code	Number of Residential Premises Served by the System Within the Postal Code	Postal Code	Number of Residential Premises Served by the System Within the Postal Code	Postal Code	Number of Residential Premises Served by the System Within the Postal Code

B. A COLLECTIVE SOCIETY IS ENTITLED UNDER PARAGRAPH 26(3)(b) TO ASK FOR THE FOLLOWING FORM TO BE COMPLETED FOR A CABLE SYSTEM ONLY IF IT HAS BEEN 12 MONTHS SINCE THE LAST TIME IT ASKED FOR SUCH A FORM TO BE FILLED IN WITH RESPECT TO THAT SYSTEM. A SEPARATE COPY OF THIS FORM 8B IS REQUIRED FOR EACH SIGNAL FOR WHICH THIS FORM IS REQUESTED.

NAME OF SYSTEM:

Call letters and network of signal:

Postal Code	Number of Residential Premises Receiving this Signal Within the Postal Code	Postal Code	Number of Residential Premises Receiving this Signal Within the Postal Code	Postal Code	Number of Residential Premises Receiving this Signal Within the Postal Code

C. A COLLECTIVE SOCIETY IS ENTITLED UNDER PARAGRAPHS 15(j) AND (k) AND SUBSECTION 26(3) TO ASK FOR THE FOLLOWING FORM TO BE COMPLETED FOR EACH COMBINATION OF DISTANT SIGNALS FOR WHICH A DIFFERENT TELEVISION RETRANSMISSION ROYALTY IS PAYABLE WITH RESPECT TO THE RESIDENTIAL PREMISES RECEIVING DISTANT SIGNALS FROM A CABLE SYSTEM OR FROM ANY TRANSMITTER OF A SCRAMBLED MDS ONLY IF IT HAS BEEN 12 MONTHS SINCE THE LAST TIME IT ASKED FOR SUCH A FORM TO BE FILLED IN WITH RESPECT TO THAT SYSTEM OR TRANSMITTER, AS THE CASE MAY BE.

NAME OF SYSTEM:

DISTANT SIGNALS IN THIS PACKAGE
		Signal Category (Check all applicable)
Call Letters	Network Affiliation	TVA Signal	Duplicate Network	Discretionary	Partly Distant

PLEASE COMPLETE THE FOLLOWING TABLE FOR THE PRECEDING SIGNAL COMBINATION.

Postal Code	Number of Residential Premises Receiving this Signal Within the Postal Code	Postal Code	Number of Residential Premises Receiving this Signal Within the Postal Code	Postal Code	Number of Residential Premises Receiving this Signal Within the Postal Code