NAB Form PB-18 Candidates AGREEMENT FORM FOR POLITICAL CANDIDATE ADVERTISEMENTS (check applicable box) 5 FEDERAL CANDIDATE CANDIDATE To Avail Themselves Of The Lowest Unit Charge During A Political Window, Federal Candidates Must Sign The Certi?cation On Page 3 Station and Location: Mum: - -. 3? Date: 3/ 31 l3 I, American Media Advocacy Group being/on behalf of: a legally qualified candidate of the Matt Rosendale for Montana Republican political party for the of?ce of: US. Senator for Montana General in the election to be held on: November 6, 2018 do hereby request station time as follows: Time of Broadcast Day, Times per Number of Length Rotation or Days Class Week Weeks Package Attach proposed schedule with charges (if available): Copyright 2013 by the National Association of Broadcasters. May not be copied. reproduced or further distributed 1 NAB Form PB-18 Candidates I represent that the payment for the above described broadcast time has been furnished by: American Media Advocacy Group and you are authorized to announce the time as paid for by such person or entity. I represent that this person or entity is either a legally quali?ed candidate or an authorized committee/organization of the legally quali?ed candidate. The name of the treasurer of the candidate?s authorized committee is: Errol Galt This station has disclosed to me its political advertising policies, including: applicable classes and rates; and discount, promotional and other sales practices (not applicable to federal candidates). THIS STATION DOES NOT DISCRIMINATE OR PERMIT DISCRIMINATION ON THE BASIS OF RACE OR ETHNICITY IN THE PLACEMENT OF ADVERTISING. To Be Signed By Candidate or Authorized Committee Date Signature To Be Signed By Station Representative Accepted El Accepted in Part Rejected [2.121 a- 1-4 'lk-"i Signature Printed Name Title Copyright 2013 by the National Association of Broadcasters. May not be copied. reproduced or further distributed 2 NAB Form PB-18 Candidates FEDERAL CANDIDATE CERTIFICATION In Order For Federal Candidates To Receive The Lowest Unit Charge During A Political Window, The Following Certification Is Required: American Media Advocacy Group (name of federal candidate or authorized committee) hereby certify that the programming to be broadcast (in whole or in part) pursuant to this agreement: El does El does not refer to an opposing candidate (check applicable box). further certify that for the programming that does refer to an opposing candidate: (check applicable box) the radio programming contains a personal audio statement by the candidate that identi?es the candidate. the office being sought. and that the candidate has approved the broadcast. the television programming contains a clearly identifiable photograph or similar image of the candidate for a duration of at least four seconds and a simultaneously displayed printed statement identifying the candidate that the candidate approved the broadcast and that the candidate and/or the candidate? 3 authorized committee paid for the broadcast. @737: ewes signature of candidate or authorized committee fed W?w printed name date Copyright 2013 by the National Association of Broadcasters. May not be copied. reproduced or fuIther distributed 3 ATTACHMENT BCRA POLITICAL RECORD This Political Record is required by the Bipartisan Campaign Reform Act of 2002 (BCRA) to be completed every time a request is made to purchase broadcast time that (1) is made by or on behalf of a legally quali?ed candidate for public of?ce, or (2) communicates a message relating to any political matter of national importance, including a legally quali?ed candidate, any election to federal of?ce, or a national legislative issue of public importance. Once completed, the Political Record must be placed in the station?s local public inspection ?le and must be retained for two years. This Record is for Efa candidate request The request was accepted an election message request Cl rejected Cl an issue request Candidate Named in Message: gz??eW?MN'i, Of?ce Being Sought: 0L5 5% Election or Issue Referred to: Maillot/WA $63?ng Sponsor (or authorized candidate committee): 90L {def Treasurer of authorized candidate committee: 64% Person Ordering Advertising: Mf?i?km CY (5V0 An ?election message request? is a request made by anyone to broadcast a message that refers either to a legally quali?ed candidate or to any election to federal of?ce. An ?issue request? is a message related to a national legislative issue of public importance or a political matter of national importance. If the request is accepted, attach the sales order showing the rate charged, the date(s) and time(s) the message is aired, and the class of time purchased. For an issue request, also attach the name, address, and phone number of a contact person, and a list of the chief executive of?cers or members of the executive committee or of the board of directors of the sponsor.