Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Facility ID:
72062
Service:
DTV
Call Sign:
WFMJ-TV
Channel:
33 (UHF)
File Number:
0000026415
FRN:
0002931061
Date Submitted:
08/16/2017

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WFMJ TELEVISION, INC.

Doing Business As: WFMJ TELEVISION, INC.

Jack Grdic

101 WEST BOARDMAN STREET

YOUNGSTOWN, OH 44503

United States

+1 (330) 744-8611 JAGRDIC@WFMJ.COM Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan WFMJ is transitioning from channel 20 to channel 33. The existing Axcera transmitter is not retunable or supported and will be replaced along with the main antenna. An interim antenna will be used during replacement of the main antenna to stay on air.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? Yes

Auxiliary Transmitter

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Add Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Auxiliary (Backup)
Description of Use Backup
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model HP50DDW
Year 2003
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 25 kW

Auxiliary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Auxiliary (Backup)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model Parallax
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 24.3 kW
Justification for New Transmitter UBS Axcera will not support retuning existing transmitter. AXCERA Legacy Supported Models 27-Mar-2017-Final.pdf attached.

Auxiliary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Auxiliary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model HP50DDW
Year 2003
Type Inductive Output Tube
IOT Power Type Single
Power Capacity 25 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model Parallax
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 24.3 kW
Justification for New Transmitter UBS Axcera will not support retuning existing transmitter.AXCERA Legacy Supported Models 27-Mar-2017-Final.pdf attached.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description Wiring trays, grounding, fused disconnects, circuit breakers, various conduits, wire and supplies
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 460.0 kW
Manufacturer
Model TFU-27ETT-R 4C150 SP DC
Year 2006

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Description of Use N/A
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 612.0 kW
Manufacturer
Model TFU-31ETT/VP-R 4C150
Year 2018
Justification for New Antenna Current channel 20/21 antenna is not able to be retuned.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? No
Type
Number of channels supported N/A
Frequencies of channels supported N/A
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? N/A
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Single Channel
Feed Line Size 8 3/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? No
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Type Class Full Power
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels/Bays N/A
Lower Limit N/A
Upper Limit N/A
Design power capacity in use N/A
Other Antenna Type N/A
ERP: 612.0 kW
Manufacturer
Model TFU-16WB C160
Year 2018
Justification for New Antenna Interim antenna while replacing primary antenna to stay on air

Interim Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 6 1/8 inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for an antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? Yes
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Description of Use N/A
Ownership Owned
Is this tower consider Complex? No
Is this tower currently shared with any other stations? Yes
One or more FM, AM or TV radio broadcaster(s) Yes
Others Types of Users Yes
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1015316
Coordinates (NAD83) Latitude (NAD83) 41° 04' 48.6" N-
Longitude (NAD83) 080° 38' 24.4" W-
Overall Structure Height 1020.98 feet
Support Structure Height 957.99 feet
Ground Elevation Above Mean Sea Level (AMSL) 1033.12 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner WFMJ TELEVISION INC DBA - WFMJ
Date Constructed 12/03/2013

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
173428 WILB-FM FM

Other Types of Users

Users
NOAA
YNGSTN POLICE

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: No reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Rigging Review

In accordance with the ANSI/ASSE A10.48-2016 & TIA 322 standards, any tower project where tower members are replaced or a lift of over 2,000 pounds is made, a rigging plan reviewed by a professional engineer is required.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 80
Explanation Engineering services to plan, file applications, and guide WFMJ through the transition and installation assistance due to lack of qualified staff.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Do you have Distributed Transmission System engineering services? N/A
Critical Facility N/A
Terrain-Shielded Facility N/A
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? No
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Equipment Rental

Equipment and machinery rented

Other Legal

Other legal fees for consultation not listed in Outside Professional Services

Legal Fees Transition Progress Reports

Includes review of legal requirements, consultation with station personnel and engineering consultants, and review of reports drafted primarily by station personnel.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,945,000.00 $1,693,653.00 N/A $0.00 N/A
Total for all systems $2,768,265.00 $2,578,033.00 N/A $12,196.82 N/A
Primary Transmitter Parallax $998,000.00 $954,920.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $903,920.00 Includes shipping, handling, and Mahoning County Ohio sales & use tax N/A N/A
Other Electrical Service: Wiring trays, grounding, fused disconnects, circuit breakers, various conduits, wire and supplies $51,000.00 $51,000.00 Includes Mahoning Ohio sales tax. N/A N/A
Auxiliary Transmitter Parallax $947,000.00 $738,733.00 $0.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $738,733.00 Includes shipping, offloading, and Mahoning County Ohio sales tax N/A N/A

Components

Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $482,950.00 $457,805.00 N/A $3,338.75 N/A
Total for all systems $2,768,265.00 $2,578,033.00 N/A $12,196.82 N/A
Interim Antenna TFU-16WB C160 $171,470.00 $174,510.00 $0.00
UHF - High Power, Side Mount, basic slot antenna, 612 kW input, directional,, elliptically or circularly polarized $122,630.00 $122,630.00 Includes test transition, shipping, and Mahoning County Ohio sales & use tax. See Interim Antenna Quote.pdf N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) $5,260.00 $5,000.00 N/A N/A N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $20,317.00 Includes special cut piece, matching transformer, and Mahoning County Ohio sales & use tax. See attached quote Interim Antenna Quote.pdf N/A N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $20,163.00 Includes shipping and Mahoning County Ohio sales and use tax N/A N/A
Primary Antenna TFU-31ETT/VP-R 4C150 $311,480.00 $283,295.00 $3,338.75
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed) $15,250.00 $17,395.00 Includes 8" to 6" reducer, special cut piece and Mahoning County Ohio sales & use tax. See attached quote Main Antenna Quote.pdf N/A N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized $289,500.00 $259,500.00 Includes shipping, test transition and Mahoning County Ohio sales & use tax with V-Pol upgrade removed. N/A N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $3,338.75 N/A

Components

Actual Information Description File Name
UHF - High Power, Side Mount, basic slot antenna, 612 kW input, directional,, elliptically or circularly polarized Information not provided.
Sweep test of existing antenna Information not provided.
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost) Information not provided.
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed) Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized Information not provided.
Sweep test of existing antenna

Component Description:
Initial site visit for line sweeps
Amount:
$3,338.75

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $230,075.00 $327,975.00 N/A $0.00 N/A
Total for all systems $2,768,265.00 $2,578,033.00 N/A $12,196.82 N/A
Primary Tower GTOWER $230,075.00 $327,975.00 $0.00
Rigging Review $6,975.00 $6,975.00 ANSI/ASSE A10.48-2016 & TIA 322 standards state any tower project where a lift of over 2,000 pounds is made, a rigging plan reviewed by a professional engineer is required for the main antenna only. See Rigging Review.pdf. Includes sales tax N/A N/A
Tall Tower (greater than 500') $210,500.00 $309,000.00 Includes Primary and Interim antennas, plumb & tension, and Mahoning County Ohio 7.25% sales and use tax N/A N/A
Structural engineering tower load study for well documented tower $12,600.00 $12,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $48,615.00 $41,750.00 N/A $8,505.00 N/A
Total for all systems $2,768,265.00 $2,578,033.00 N/A $12,196.82 N/A
Outside Professional Services $48,615.00 $41,750.00 $8,505.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,527.50 N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A
Project management of the transition $12,640.00 $12,000.00 N/A $1,125.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $5,000.00 N/A $4,852.50 N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $2,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,500.00 N/A N/A N/A

Components

Actual Information Description File Name
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Item 2 - preparation of form 2100 SCH A for C.P.
Amount:
$2,527.50
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Prepare and or review reimbursement form Information not provided.
Project management of the transition

Component Description:
Meetings at NAB and continuing development of budget
Amount:
$1,125.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Item 1 Engineering studies for new channel and antenna
Amount:
$4,852.50
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $61,625.00 $56,850.00 N/A $353.07 N/A
Total for all systems $2,768,265.00 $2,578,033.00 N/A $12,196.82 N/A
Other Expenses $61,625.00 $56,850.00 $353.07
Develop and air announcement of upcoming channel change $12,000.00 $12,000.00 Production charges, air time charges for lost inventory, and legal fees to review content of the announcements and crawl. See Announcements Air Time Charges.pdf, Announcements Production Charges.pdf, and Legal Fees.pdf N/A N/A
DTV Medical Facility Notification $11,550.00 $6,790.00 N/A N/A N/A
MVPD Notification of Channel Change $3,000.00 $3,000.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Local Zoning $500.00 $500.00 N/A N/A N/A
Equipment Delivery and Handling Charges $10,000.00 $10,000.00 Shipping and handling for any items not covered in quotes. Special cut pieces in elbow complex are unknown size & weight and can't be quoted. They will be shipped Overnight Priority One. N/A N/A
Equipment Rental $2,245.00 $2,245.00 Forklift, pallet jack, and scissors lift to move equipment and reach the RF system in a building with a 40 foot roof. See quote Equipment Rental Quote.pdf and Invoice WFMJ Leppo RO-225888.pdf $353.07 N/A
Other Legal $5,000.00 $5,000.00 Includes other legal fees for consultation not listed in Outside Professional Services. See Legal Fees.pdf $0.00 N/A
Legal Fees Transition Progress Reports $5,000.00 $5,000.00 Includes review of legal requirements, consultation with station personnel and engineering consultants, and review of reports drafted primarily by station personnel. See Legal Fees.pdf N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $11,800.00 $11,800.00 Removal of existing transmitter, 2 IOT, 2 beam supplies, and used glycol. Attached Beam Supply Removal Quote-807628.pdf, 10647 WFMJ Axcera Removal 062727.pdf, Glycol Disposal.pdf. Includes Mahoning County Ohio sales & use tax. N/A N/A

Components

Actual Information Description File Name
Develop and air announcement of upcoming channel change Information not provided.
DTV Medical Facility Notification Information not provided.
MVPD Notification of Channel Change Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Local Zoning Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Equipment Rental

Component Description:
Scissors jack lift rental for initial transmission line sweep. Test point located 30 feet above the floor.
Amount:
$353.07
Other Legal Information not provided.
Legal Fees Transition Progress Reports Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $2,768,265.00 $2,578,033.00 $12,196.82

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. No
Construction of final facilities or all necessary modifications are complete. No
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. No

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Robert J Flis

Chief Engineer


08/16/2017

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