Call Sign KD0PSY   Radio Service HA - Amateur Status Canceled  Auth Type Regular  Dates Grant 08/16/2011  Expiration 08/16/2021  Effective 10/11/2011  Cancellation 11/15/2011

Licensee Information

FRN 0021092242   Type Individual   Licensee Name FORMAN, WARREN S P.O. Box 5 TRENTON, MO 64683

Amateur Data

Operator Class General  Prev. Op. Class Technician  Group D  Prev. Call Sign KD0PIR   Eligibility Code       Trustee/Custodian (for Non-Individuals Only) Name   Call Sign

Basic Qualifications

Has the applicant or any party to this application, or any party directly or indirectly controlling the applicant, ever been convicted of a felony by any state or federal court?