Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
Michael A Sleezer Doing Business As: CMS BROADCASTING COMPANY |
PO Box 746 GLOVERSVILLE, NY 12078 United States |
+1 (518) 725-1108 | wfny@frontier.com | Individual |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Matthew H. McCormick Communications Counsel Fletcher, Heald & Hildreth, P.L.C. |
1300 N. 17th Street Eleventh Floor Arlington, VA 22209 United States |
+1 (703) 812-0400 | mccormick@fhhlaw.com |
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 | The licensee will change its main and auxiliary transmitters and its antenna to operate on Channel 16, rather than Channel 48. The licensee also must replace its current STL (WPNJ942), which operates on Channel 46. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Transmitter Description | Type of change | Purchase New |
Use | Auxiliary (Backup) | |
Description of Use | Back-up | |
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 | AT7120 | |
Year | 2010 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 0.12 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Auxiliary (Backup) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | TLU9 | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | .2 kW | |
Justification for New Transmitter | Old transmitter cannot be retuned and manufacturer is out of business. |
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 |
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 | DTX1KU-PC | |
Year | 2007 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 1.0 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Manufacturer | ||
Model | TMU9-4 | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 2.4 kW | |
Justification for New Transmitter | The old transmitter cannot be retuned and the manufacturer is out of business. Licensee is seeking to upgrade but has attached quote for replacement equipment. See Rohde and Scwarz Explanation, Quotes and Initial Invoice, attached. |
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 | Electrical work will be needed to accommodate the replacement transmitter. | |
HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
Type | Cooling Only | |
Size | 5 tons | |
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 |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
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? | No | |
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 | Class A |
Mounting | Side 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: | 10.0 kW | |
Manufacturer | ||
Model | ACS4E | |
Year | 1991 |
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? | No | |
Will antenna be located on or in close proximity to an antenna farm? | No | |
New Antenna Manufacturer and Types | Class | Class A |
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: | 24.0 kW | |
Manufacturer | ||
Model | TLP-8B/VP-R | |
Year | 2017 | |
Justification for New Antenna | Old antenna cannot be retuned and manufacturer is out of business. The replacement antenna is smallest radome-enclosed antenna Dielectric makes in this series. A radome is essential, given local winter weather conditions. |
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? | No |
Broadband or Single Channel? | N/A | |
Feed Line Size | N/A | |
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 |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Transmission Line Description | Type of change | Purchase New |
Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
Owner | N/A | |
Site | N/A | |
Is the existing transmission line shared with another station or stations? | No | |
Is Transmission Line in operating condition? | Yes | |
Existing Transmission Line Manufacturer and Type | Manufacturer | |
Type | Flexible Foam | |
Diameter | 1 5/8 inches | |
Other Diameter | N/A | |
Segment Length | N/A | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 225 feet per run |
Section | Question | Response |
---|---|---|
New Transmission Line Costs | Use | Primary (Main) |
Description of Use | N/A | |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Type | Flexible Foam | |
Diameter | 1 5/8 inches | |
Other Diameter | N/A | |
Segment Length | N/A | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 225 feet per run | |
Justification for New Transmission Line | Existing transmission line is too short to reach the new bottom fed connection |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
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 | No | |
Is tower documented for structural analysis? | No | |
Is tower compliant with Rev G? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | No |
ASR Number | ||
Coordinates (NAD83) | Latitude (NAD83) | 43° 06' 06.26" N- |
Longitude (NAD83) | 074° 22' 13.5" W- | |
Overall Structure Height | 190.00 feet | |
Support Structure Height | 190.00 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 1653.50 feet | |
Structure Type | GTOWER - Guyed Structure Used for Communication Purposes | |
Tower Owner | Michael A. Sleezer | |
Date Constructed | 07/01/1991 |
Facility ID | Call Sign | Service |
---|---|---|
172195 | WNGG | FM |
Section | Question | Response |
---|---|---|
Engineering Study | Please what type of engineering study is required, if any: | Study needed for undocumented/poorly documented tower |
Tower Reinforcements | Please select whether tower reinforcements are needed: | Minor Reinforcements needed |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | No |
Number of Hours | N/A | |
Explanation | N/A | |
Outside RF consulting Engineering Services | Perform engineering study for new channel assignment and antenna development | No |
Prepare engineering section of Form FCC Construction Permit Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare engineering section of Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | No | |
Quantity | N/A | |
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 | No | |
For Main Facility | Yes | |
Prepare and file Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | No | |
Quantity | N/A | |
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 |
Name | Description |
---|---|
Preparation of STL Application |
Because WFNY-CD's current STL operates on Channel 46, a replacement STL will be required. This line item is for the engineering fees for preparation of the FCC application for that replacement STL. |
Other Legal Fees and Preparation of Required Reports |
Legal fees in connection with developing transition strategy and preparation and/or review and filing of reports required by FCC in connection with repack transition |
Legal Fees in Connection with STL Replacement |
Because WFNY-CD's current STL operates on Channel 46, a replacement STL will be required. This line item is for the legal fees for providing advice and counsel with regard to STL issues and preparation of the FCC application for that replacement STL. |
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 | No |
Non-zoning permits | No | |
BLM or NFS Coordination | No | |
FCC Construction Permit Minor Change | Yes | |
FCC License to Cover Application | Yes | |
FCC Special Temporary Authority Application | No | |
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? | No | |
Does this relocation require Equipment Storage? | No | |
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? | No | |
Does this relocation require MVPD Notification of a Channel Change? | Yes |
Name | Description |
---|---|
Mounting of STL transmit and receive antennas |
The STL transmit will be roof mounted at the WFNY-CD studio building. The STL receive antenna will be mounted on the tower at the WFNY-CD transmitter site |
STL replacement equipment -- Vislink Model No. WFNY-IPL-SM |
Current STL, which operates on Channel 46, must be replaced. Licensee will install a 13 GHz STL system. |
Station sign |
Replacement of sign on studio building that lists previous channel number (Channel 48). |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $165,849.06 | $112,650.75 | N/A | $100,581.25 | N/A |
Total for all systems | $567,276.92 | $503,472.89 | N/A | $144,524.25 | N/A |
Primary Transmitter TMU9-4 | $150,975.00 | $97,776.69 | $85,707.19 | ||
5 Ton system | $20,250.00 | $19,250.00 | N/A | $9,738.00 | N/A |
Other Electrical Service: Electrical work will be needed to accommodate the replacement transmitter. | $4,725.00 | $4,725.00 | Electrical work will be necessary to accommodate the replacement transmitter. | $2,167.50 | N/A |
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $126,000.00 | $73,801.69 | Applicant determined that it would need to change transmitters to one that would be more reliable and would receive service from an ongoing business. An explanation is attached hereto - See Rohde and Schwarz Upgrade Quote, Explanation and Initial Invoice | $73,801.69 | N/A |
Auxiliary Transmitter TLU9 | $14,874.06 | $14,874.06 | $14,874.06 | ||
UHF - Air Cooled Solid State Transmitter .2 kW | $14,874.06 | $14,874.06 | Licensee determined that a more reliable transmitter from an ongoing company was needed and decided to change to the smallest available from Rohde & Schwarz. The price quote (119778-9) is attached. | $14,874.06 | N/A |
Actual Information Description | File Name |
---|---|
5 Ton system | |
Other Electrical Service: Electrical work will be needed to accommodate the replacement transmitter. | |
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | |
UHF - Air Cooled Solid State Transmitter .2 kW |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $33,030.00 | $27,729.28 | N/A | $26,293.00 | N/A |
Total for all systems | $567,276.92 | $503,472.89 | N/A | $144,524.25 | N/A |
Primary Antenna TLP-8B/VP-R | $33,030.00 | $27,729.28 | $26,293.00 | ||
UHF - Lower Power Side Mount, Class A One Station antenna -- basic | $26,300.00 | $21,329.28 | The quotation is for a horizontal only polarized antenna, such as WFNY-CD has now. The licensee, however, plans to install an elliptically polarized antenna and will pay the additional cost. Quotes for both models are attached. | $19,893.00 | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $6,400.00 | N/A |
Actual Information Description | File Name |
---|---|
UHF - Lower Power Side Mount, Class A One Station antenna -- basic | |
Sweep test of existing antenna |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $5,400.00 | $5,400.00 | N/A | $0.00 | N/A |
Total for all systems | $567,276.92 | $503,472.89 | N/A | $144,524.25 | N/A |
Primary Transmission Line | $5,400.00 | $5,400.00 | $0.00 | ||
Flexible Foam Transmission Line - dielectric, 1 5/8" | $5,400.00 | $5,400.00 | Transmission line must be replaced because existing transmission line is too short to reach the new antenna. | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $268,500.00 | $255,000.00 | N/A | $0.00 | N/A |
Total for all systems | $567,276.92 | $503,472.89 | N/A | $144,524.25 | N/A |
Primary Tower GTOWER | $268,500.00 | $255,000.00 | $0.00 | ||
Short Tower (less than 500') | $84,200.00 | $80,000.00 | N/A | $0.00 | N/A |
Minor tower reinforcement/modifications | $158,000.00 | $150,000.00 | N/A | N/A | N/A |
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study | $26,300.00 | $25,000.00 | N/A | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $34,990.00 | $43,785.00 | N/A | $15,550.00 | N/A |
Total for all systems | $567,276.92 | $503,472.89 | N/A | $144,524.25 | N/A |
Outside Professional Services | $34,990.00 | $43,785.00 | $15,550.00 | ||
Legal Fees in Connection with STL Replacement | $6,000.00 | $6,000.00 | A change in STL channel was required by the repack, and legal advice and counsel in connection with the change is required. | $2,293.75 | 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 FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | $2,926.25 | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $1,535.00 | 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 | N/A | N/A |
Prepare and or review reimbursement form | $2,630.00 | $12,000.00 | Actual costs for this category are much greater than the predetermined estimate because it did not take into account the complicated, multiple forms required, the possibility of good faith disputes over what is reimbursable, or the level of detail needed. | $8,757.50 | Actual costs for this category are much greater than the predetermined estimate because it did not take into account the complicated, multiple forms required or the possibility of any good faith disputes over what is reimbursable. |
Preparation of STL Application | $4,000.00 | $4,000.00 | Because WFNY-CD's current STL operates on Channel 46, a replacement STL operating on another band must be acquired and installed. This quote is for the engineering services to prepare the required FCC application for the replacement STL. | N/A | N/A |
Other Legal Fees and Preparation of Required Reports | $10,000.00 | $10,000.00 | Legal advice needed in connection with developing transition plan, addressing transition issues, and with preparation and filing of FCC required quarter transition progress reports and other reports that may be required. | $1,572.50 | N/A |
Actual Information Description | File Name |
---|---|
Legal Fees in Connection with STL Replacement | |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Prepare and or review reimbursement form | |
Preparation of STL Application | Information not provided. |
Other Legal Fees and Preparation of Required Reports |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $59,507.86 | $58,907.86 | N/A | $2,100.00 | N/A |
Total for all systems | $567,276.92 | $503,472.89 | N/A | $144,524.25 | N/A |
Other Expenses | $59,507.86 | $58,907.86 | $2,100.00 | ||
Station sign | $2,100.00 | $2,100.00 | The cost of the sign as completed was slightly greater than the amount anticipated by the licensee but was necessary to obtain the new sign to replace the old one which indicated the station's prior channel number. | $2,100.00 | The actual cost of the sign charged by the vendor was in excess of the price anticipated by the licensee. |
STL replacement equipment -- Vislink Model No. WFNY-IPL-SM | $36,877.86 | $36,877.86 | Quote attached. | N/A | N/A |
Mounting of STL transmit and receive antennas | $6,035.00 | $6,035.00 | Quote attached. | N/A | N/A |
MVPD Notification of Channel Change | $500.00 | $500.00 | N/A | $0.00 | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $325.00 | N/A | N/A | N/A |
DTV Medical Facility Notification | $11,550.00 | $11,000.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,070.00 | N/A | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $1,000.00 | $1,000.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Station sign | |
STL replacement equipment -- Vislink Model No. WFNY-IPL-SM | Information not provided. |
Mounting of STL transmit and receive antennas | Information not provided. |
MVPD Notification of Channel Change | Information not provided. |
FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
DTV Medical Facility Notification | Information not provided. |
FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $567,276.92 | $503,472.89 | $144,524.25 |
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 |
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. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Michael A. Sleezer Sole Proprietor 12/10/2018 |
Section | Question | Response |
---|---|---|
Submission of Actual Cost Documentation Statements | WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (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 AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733). |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Michael A. Sleezer Sole Proprietor 12/10/2018 |