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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:
168812
Service:
DCA
Call Sign:
WANN-CD
Channel:
20 (UHF)
File Number:
0000028909
FRN:
0004948824
Date Submitted:
08/08/2019

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

PRISM BROADCASTING NETWORK, INC.

Doing Business As: PRISM BROADCASTING NETWORK, INC.

Al Alvarez

7742 SPALDING DR.

SUITE 475

NORCROSS, GA 30092

United States

+1 (770) 953-3232 aljalvarez@yahoo.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. Yes
Briefly describe transition plan WANN-CD shares transmission line and antenna and combiner with WTBS and WAGC.

Question Response
Sharee Station Facility ID 69785
Call Sign WUVM-LP
Type
Licensee Name HC2 STATION GROUP, INC
Status LICENSED
DTS No
Community of License ATLANTA, GA
Pre-auction RF Channel 4
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 72120
Call Sign WGCL-TV
Type Commercial
Licensee Name MEREDITH CORPORATION
Status LICENSED
DTS No
Community of License ATLANTA, GA
Pre-auction RF Channel 19
Post-auction RF Channel 19
Neilsen DMA Atlanta
Network Affiliation
Question Response
Sharee Station Facility ID 125850
Call Sign WBUD-LD
Type
Licensee Name VINIONS, LLC
Status LICENSED
DTS No
Community of License BLAIRSVILLE, GA
Pre-auction RF Channel 36
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 22819
Call Sign WATL
Type Commercial
Licensee Name PACIFIC AND SOUTHERN, LLC
Status LICENSED
DTS No
Community of License ATLANTA, GA
Pre-auction RF Channel 25
Post-auction RF Channel 25
Neilsen DMA Atlanta
Network Affiliation
Question Response
Sharee Station Facility ID 168811
Call Sign WTBS-LD
Type
Licensee Name PRISM BROADCASTING NETWORK, INC.
Status LICENSED
DTS No
Community of License ATLANTA, GA
Pre-auction RF Channel 30
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 190105
Call Sign WAGC-LD
Type
Licensee Name NEW YORK SPECTRUM HOLDING COMPANY, LLC
Status LICENSED
DTS No
Community of License ATLANTA, GA
Pre-auction RF Channel 14
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 125861
Call Sign WDWW-LD
Type
Licensee Name DTV AMERICA CORPORATION
Status LICENSED
DTS No
Community of License CLEVELAND, GA
Pre-auction RF Channel 28
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 68058
Call Sign WHSG-TV
Type Commercial
Licensee Name TRINITY BROADCASTING OF TEXAS, INC.
Status LICENSED
DTS No
Community of License MONROE, GA
Pre-auction RF Channel 44
Post-auction RF Channel 22
Neilsen DMA Atlanta
Network Affiliation
Question Response
Sharee Station Facility ID 23960
Call Sign WSB-TV
Type Commercial
Licensee Name GEORGIA TELEVISION, LLC
Status LICENSED
DTS No
Community of License ATLANTA, GA
Pre-auction RF Channel 39
Post-auction RF Channel 32
Neilsen DMA Atlanta
Network Affiliation
Question Response
Sharee Station Facility ID 6900
Call Sign WUPA
Type Commercial
Licensee Name ATLANTA TELEVISION STATION WUPA INC.
Status LICENSED
DTS No
Community of License ATLANTA, GA
Pre-auction RF Channel 43
Post-auction RF Channel 36
Neilsen DMA Atlanta
Network Affiliation
Question Response
Sharee Station Facility ID 48813
Call Sign WUVG-DT
Type Commercial
Licensee Name UNIVISION ATLANTA LLC
Status LICENSED
DTS No
Community of License ATHENS, GA
Pre-auction RF Channel 48
Post-auction RF Channel 18
Neilsen DMA Atlanta
Network Affiliation
Question Response
Sharee Station Facility ID 64033
Call Sign WPCH-TV
Type Commercial
Licensee Name MEREDITH CORPORATION
Status LICENSED
DTS No
Community of License ATLANTA, GA
Pre-auction RF Channel 20
Post-auction RF Channel 31
Neilsen DMA Atlanta
Network Affiliation
Question Response
Sharee Station Facility ID 61199
Call Sign W45DX-D
Type
Licensee Name VENTANA TELEVISION, INC.
Status LICENSED
DTS No
Community of License ATLANTA, GA
Pre-auction RF Channel 45
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 183170
Call Sign WLVO-LD
Type
Licensee Name UNITED MEDIA NETWORK, LLC
Status LICENSED
DTS No
Community of License Atlanta, GA
Pre-auction RF Channel 26
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 182024
Call Sign WUEO-LD
Type
Licensee Name DTV AMERICA CORPORATION
Status LICENSED
DTS No
Community of License MACON, GA
Pre-auction RF Channel 49
Post-auction RF Channel
Neilsen DMA
Network Affiliation

Transmitters

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

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 SDT202UB-ARK
Year 2010
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1.0 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? No
Manufacturer
Model TMu9/TMV9
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 1.0 kW
Justification for New Transmitter Cannot rebuild old transmitter to new frequency economically.

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 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

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? No

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? No

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 30
Explanation No in house capability.
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 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 No
For Auxiliary Facility N/A
For Main Facility N/A
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 Yes
Number of Days 5
Justification Contract engineer to install and turn on equipment.

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? No
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)? No
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? Yes
Does this relocation require MVPD Notification of a Channel Change? No

Other Expenses

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Other Expenses Not Listed

Name Description

Combiner

Replace Ch 29 portion of combiner with Ch 20 into existing transmission system.

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 $126,000.00 $80,865.00 N/A $40,422.50 N/A
Total for all systems $216,275.00 $162,510.00 N/A $40,422.50 N/A
Primary Transmitter TMu9/TMV9 $126,000.00 $80,865.00 $40,422.50
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $80,865.00 N/A $40,422.50 N/A

Components

Actual Information Description File Name
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
1/2 Down with order
Amount:
$40,422.50

Cost Information

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Antennas

Information not provided.

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

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 $27,830.00 $19,250.00 N/A $0.00 N/A
Total for all systems $216,275.00 $162,510.00 N/A $40,422.50 N/A
Outside Professional Services $27,830.00 $19,250.00 $0.00
Additional Field Engineering Service, 5 Days $6,000.00 $6,000.00 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
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,000.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $1,500.00 N/A N/A N/A
Project management of the transition $4,740.00 $4,500.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,000.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $2,000.00 N/A N/A N/A

Components

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 $62,445.00 $62,395.00 N/A $0.00 N/A
Total for all systems $216,275.00 $162,510.00 N/A $40,422.50 N/A
Other Expenses $62,445.00 $62,395.00 $0.00
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
Develop and air announcement of upcoming channel change $1,000.00 $1,000.00 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
Combiner $60,000.00 $60,000.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $216,275.00 $162,510.00 $40,422.50

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.

Dominique Castelli

President


08/08/2019

Certification

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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).

  1. The Authorized Person signing below certifies and represents 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 certifies that the statements in this form and attached documentation are true, complete, and correct.

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

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

  5. 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 (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

  6. 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.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

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

  9. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite 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.

Dominique Castelli

President


08/08/2019

Attachments

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