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:
43212
Service:
FM
Call Sign:
WMAB-FM
File Number:
0000083489
FRN:
0001739002
Eligibility Status:
Eligible
Date Submitted:
01/21/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

MISSISSIPPI AUTHORITY FOR EDUCATIONAL TV

Doing Business As: MISSISSIPPI AUTHORITY FOR EDUCATIONAL TV

Greg Wells

3825 RIDGEWOOD ROAD

JACKSON, MS 39211

United States

+1 (601) 432-6197 Greg.Wells@mpbonline.org Not-for-Profit

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

Robert Gehman

Consulting Engineer

Kessler and Gehman Associates, Inc.

Robert Gehman

507 NW 60 St, #D

Gainesville, FL 32607

United States

+1 (352) 332-3157 bob@kesslerandgehman.com

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 A tower contractor will be selected through the bidding process. Add interim antenna system to switch between the main and interim during times when workers are on the tower in close proximity to the main.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? No

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? No
Outside RF consulting Engineering Services Prepare engineering section of Form FCC Construction Permit Application No
Prepare engineering section of Form FCC License to Cover Application No
Prepare request for Special Temporary Authority Yes
Quantity 1
Prepare Form 601 No
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application No
Prepare and file Form FCC License to Cover Application No
Prepare request for Special Temporary Authority Yes
Quantity 1
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Form 399 assistance or other program management costs Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Other Engineering Services

Design, plan, specify, review approve, and oversee all work for this project

Other Legal Services

Other Legal Services

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change No
FCC Construction Permit Minor Change No
FCC License to Cover Application No
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
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No
1 pair IP-only Codecs for fiber, internet or IP microwave systems No

Other Expenses

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Other Expenses Not Listed

Name Description

Antenna, Line, Installation and Shipping

Antenna, Line, Installation and Shipping - See attached/uploaded file titled "WMAB Interim FM Antenna Package.pdf"

Cost Information

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Transmitters

Information not provided.

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 $20,225.00 $30,730.00 N/A $4,501.50 N/A
Total for all systems $99,426.00 $109,931.00 N/A $4,501.50 N/A
Outside Professional Services $20,225.00 $30,730.00 $4,501.50
Prepare/ Review 399 reimbursement form $1,710.00 $10,000.00 The cost estimate includes the initial 399 preparation, anticipated subsequent 399 amendments, and Actual Cost invoice prep and submissions by KGA. $3,810.00 N/A
Other Legal Services $5,000.00 $5,000.00 Other Legal Services related to the impact the DTV Repack is having on this FM station $439.00 N/A
Other Engineering Services $10,000.00 $10,000.00 N/A $252.50 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $2,235.00 $3,680.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $1,280.00 $2,050.00 N/A N/A N/A
Form 399 assistance or other Program Management costs $0.00 $0.00 N/A N/A N/A

Components

Actual Information Description File Name
Prepare/ Review 399 reimbursement form

Component Description:
KGA 139-348 v191227jgv1
Amount:
$1,250.00

Component Description:
KGA 139-349 v191227jgv1
Amount:
$2,560.00
Other Legal Services

Component Description:
GMP 31398 v191113jgv1
Amount:
$186.50

Component Description:
GMP 31785 v200121jgv2
Amount:
$252.50
Other Engineering Services

Component Description:
GMP 31209 v191010jgv1
Amount:
$252.50
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Form 399 assistance or other Program Management costs 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 $79,201.00 $79,201.00 N/A $0.00 N/A
Total for all systems $99,426.00 $109,931.00 N/A $4,501.50 N/A
Other Expenses $79,201.00 $79,201.00 $0.00
Antenna, Line, Installation and Shipping $79,201.00 $79,201.00 Cost includes Antenna, Line and Installation as a single items since this purchase is being done being competitive bid per MS State law - See attached/uploaded file titled "WMAB Interim FM Antenna Package.pdf" $0.00 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 $99,426.00 $109,931.00 $4,501.50

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 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.

Jeffrey C Gehman

Engineering Associate


01/21/2020

Attachments

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