| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
VICTORY CHRISTIAN CENTER, INC. Company Doing Business As: VICTORY CHRISTIAN CENTER, INC. |
Lynne Jackson P.O. BOX 16408 CHARLOTTE, NC 28297 United States |
+1 (704) 602-6028 | ljackson@vccenter.net | Other |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
|
|
|
| Applicant | Address | Phone | |
|---|---|---|---|
|
The Preparer is same as the reimbursement contact. |
|
|
|
| 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 | Purchase main ANTENNA and MASK FILTER. Purchase an interim TRANSMITTER, ANTENNA and TRANSMISSION LINE. Install interim transmission system. Move to interim transmission system while replacement of main antenna is underway. |
| Section | Question | Response |
|---|---|---|
| Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmitter Description | Type of change | Retune Existing |
| Use | Primary (Main) | |
| Ownership | Owned | |
| Owner | 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 | HARRIS |
| Model | UAX-500AT | |
| Year | 2012 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 1 kW |
| Section | Question | Response |
|---|---|---|
| New IOT Tubes | Number of Tubes (including accessories) needed | N/A |
| New Mask Filter | ||
| Power | 3 kW | |
| Other Power | N/A | |
| New Exciter | Is a new exciter needed? | No |
| 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 |
|---|---|---|
| New Transmitter | Use | Interim |
| Description of Use | N/A | |
| Change Type | Lease New | |
| Manufacturer | ||
| Model | uax1000 | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 1000 kW | |
| Justification for New Transmitter | interim transmitter while main is re-tuned and mask filter replaced |
| 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 | |
| Inside RF System | Is an additional interior RF system required to support this interim transmitter? | Yes |
| 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? | 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 | 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: | 1.3 kW | |
| Manufacturer | ||
| Model | AL8W-28 | |
| Year | 2012 |
| 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? | No | |
| 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 | Class A |
| Mounting | Side Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Other | |
| 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 | DIRECTIONAL CUSTOM | |
| ERP: | 1.3 kW | |
| Manufacturer | ||
| Model | AL8W-27 | |
| Year | 2017 | |
| Justification for New Antenna | REPACK CHANNEL CHANGE |
| 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 | 4 1/16 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? | Yes |
| Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Interim |
| Description of Use | N/A | |
| Change Type | Rent Temporary | |
| Ownership | Leased | |
| Owner | ERI | |
| 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 | 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/Bays | N/A | |
| Lower Limit | N/A | |
| Upper Limit | N/A | |
| Design power capacity in use | N/A | |
| Other Antenna Type | N/A | |
| ERP: | 1.6 kW | |
| Manufacturer | ||
| Model | ALP-W | |
| Year | 2012 | |
| Justification for New Antenna | Interim use while main antenna is installed |
| Section | Question | Response |
|---|---|---|
| Elbow Complex | Do you require the separate purchase of the Elbow Complex? | Yes |
| Broadband or Single Channel? | S | |
| Feed Line Size | 3 1/8 inches | |
| Side Mount Brackets | Do you require the separate purchase of side mount brackets for an 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 |
| Name | Description |
|---|---|
Rigging |
Install Interim Transmission line and antenna |
Rigging |
Remove old Antenna and install New Main Antenna |
| 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 | Utilize Existing |
| 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 | ANDREW |
| Type | Flexible Air | |
| Diameter | Other | |
| Other Diameter | 2 1/4 inches | |
| Segment Length | N/A | |
| Other Segment Length | N/A | |
| Number of parallel runs | 0 | |
| Length | 1400 feet per run |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Interim |
| Description of Use | N/A | |
| Change Type | Lease New | |
| Type | Flexible Air | |
| Diameter | 3 inches | |
| Segment Length | N/A | |
| Other Segment Length | ||
| Number of parallel runs | 0 | |
| Length | 1400 feet per run | |
| Justification for New Transmission Line | Interim use while main install is underway |
| 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 | Leased | |
| 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 | 1006705 | |
| Coordinates (NAD83) | Latitude (NAD83) | 35° 21' 44.5" N- |
| Longitude (NAD83) | 081° 09' 18.3" W- | |
| Overall Structure Height | 1943.55 feet | |
| Support Structure Height | 1887.44 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 805.76 feet | |
| Structure Type | TOWER - Free Standing or Guyed Structure | |
| Tower Owner | Fox Television Stations, LLC | |
| Date Constructed | 01/01/1986 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 74194 | WHQC | FM |
| 6586 | WPEG | FM |
| 73152 | WJZY | DTV |
| 20624 | WMYT-TV | DTV |
| 53975 | WNKS | FM |
| Users |
|---|
| WPNF947 |
| WPNC378 |
| WMW670 |
| WLJ547 |
| KPJ464 |
| WQPA823 |
| 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 |
| 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? | Yes |
| Number of Hours | 30 | |
| Explanation | Do not have enough in-house staff to execute and manage this project. Antenna is 25 miles way from studio. | |
| 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 | 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 | Yes | |
| RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
| RF exposure measurements | Yes | |
| Additional Field Engineering Service | Yes | |
| Number of Days | 21 | |
| Justification | Verify system compliance |
| 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)? | Yes |
| Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
| Does this relocation require Equipment Storage? | Yes | |
| 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 |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $391,355.00 | $208,950.00 | N/A | $0.00 | N/A |
| Total for all systems | $1,018,900.00 | $620,261.72 | N/A | $19,876.72 | N/A |
| Interim Transmitter uax1000 | $282,000.00 | $182,000.00 | $0.00 | ||
| UHF inside RF system including switching | $147,500.00 | $47,500.00 | N/A | N/A | N/A |
| UHF - Air Cooled Solid State Transmitter 1000 kW | $80,000.00 | $80,000.00 | N/A | N/A | N/A |
| Install | $54,500.00 | $54,500.00 | N/A | N/A | N/A |
| Primary Transmitter UAX-500AT | $109,355.00 | $26,950.00 | $0.00 | ||
| 3 kW mask filter | $4,155.00 | $3,950.00 | N/A | N/A | N/A |
| UHF and VHF - minor banding issues | $105,200.00 | $23,000.00 | N/A | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $248,730.00 | $222,636.72 | N/A | $12,686.72 | N/A |
| Total for all systems | $1,018,900.00 | $620,261.72 | N/A | $19,876.72 | N/A |
| Interim Antenna ALP-W | $206,130.00 | $175,950.00 | $0.00 | ||
| Rigging | $50,000.00 | $50,000.00 | N/A | N/A | N/A |
| Interim antenna rental and installation - Cost will depend on antenna size and height and/or complexity of tower. | $115,500.00 | $90,000.00 | N/A | N/A | N/A |
| Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) | $7,600.00 | $6,500.00 | N/A | N/A | N/A |
| Sweep test of existing antenna | $6,730.00 | $5,450.00 | N/A | N/A | N/A |
| UHF - Lower Power Side Mount, Class A One Station antenna -- basic | $26,300.00 | $24,000.00 | N/A | N/A | N/A |
| Primary Antenna AL8W-27 | $42,600.00 | $46,686.72 | $12,686.72 | ||
| Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) | $9,570.00 | $9,000.00 | N/A | N/A | N/A |
| Sweep test of existing antenna | $6,730.00 | $12,686.72 | See attached / uploaded PDF file titled "Cesium 2020-0215A v200311jgv1.pdf" | $12,686.72 | N/A |
| UHF - Lower Power Side Mount, Class A One Station antenna -- basic | $26,300.00 | $25,000.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Rigging | Information not provided. |
| Interim antenna rental and installation - Cost will depend on antenna size and height and/or complexity of tower. | Information not provided. |
| Elbow complex, single channel, at antenna input, per 3 1/8. feedline (if needed) | Information not provided. |
| Sweep test of existing antenna | Information not provided. |
| UHF - Lower Power Side Mount, Class A One Station antenna -- basic | Information not provided. |
| Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) | Information not provided. |
| Sweep test of existing antenna | |
| UHF - Lower Power Side Mount, Class A One Station antenna -- basic | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $0.00 | $44,800.00 | N/A | $0.00 | N/A |
| Total for all systems | $1,018,900.00 | $620,261.72 | N/A | $19,876.72 | N/A |
| Interim Transmission Line | $0.00 | $44,800.00 | $0.00 | ||
| Flexible Air Transmission Line - dielectric, 3" | $0.00 | $44,800.00 | 800' x $56/ft | N/A | N/A |
| Primary Transmission Line | $0.00 | $0.00 | $0.00 |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $223,100.00 | $5,500.00 | N/A | $5,500.00 | N/A |
| Total for all systems | $1,018,900.00 | $620,261.72 | N/A | $19,876.72 | N/A |
| Primary Tower TOWER | $223,100.00 | $5,500.00 | $5,500.00 | ||
| Structural engineering tower load study for well documented tower | $12,600.00 | $5,500.00 | See attached / uploaded PDF file titled "ERI 37828 v200312jgv1.pdf" | $5,500.00 | N/A |
| Tall Tower (greater than 500') | $210,500.00 | N/A | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Structural engineering tower load study for well documented tower | |
| Tall Tower (greater than 500') | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $144,970.00 | $127,750.00 | N/A | $1,690.00 | N/A |
| Total for all systems | $1,018,900.00 | $620,261.72 | N/A | $19,876.72 | N/A |
| Outside Professional Services | $144,970.00 | $127,750.00 | $1,690.00 | ||
| Additional Field Engineering Service, 21 Days | $10,000.00 | $10,000.00 | N/A | $1,690.00 | 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 | $4,500.00 | 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 |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | N/A | N/A |
| Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | N/A | N/A | N/A |
| Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,500.00 | 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 | $2,500.00 | N/A | N/A | N/A |
| RF Exposure Measurements | $21,050.00 | $10,000.00 | N/A | N/A | N/A |
| Comprehensive coverage verification via field study, if needed | $84,200.00 | $80,000.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Additional Field Engineering Service, 21 Days | |
| 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 | Information not provided. |
| 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. |
| Perform engineering study for new channel assignment and antenna development | Information not provided. |
| Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
| Project management of the transition | Information not provided. |
| Prepare and or review reimbursement form | Information not provided. |
| RF Exposure Measurements | Information not provided. |
| Comprehensive coverage verification via field study, if needed | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $10,745.00 | $10,625.00 | N/A | $0.00 | N/A |
| Total for all systems | $1,018,900.00 | $620,261.72 | N/A | $19,876.72 | N/A |
| Other Expenses | $10,745.00 | $10,625.00 | $0.00 | ||
| Develop and air announcement of upcoming channel change | $3,000.00 | $3,000.00 | N/A | N/A | N/A |
| Equipment Storage | $500.00 | $500.00 | N/A | N/A | N/A |
| Equipment Delivery and Handling Charges | $3,300.00 | $3,300.00 | N/A | N/A | N/A |
| Disposal Costs (for equipment and other waste, net of any salvage value) | $2,500.00 | $2,500.00 | 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 - Form 2100 minor change CP application | $1,110.00 | $1,000.00 | N/A | N/A | N/A |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $1,018,900.00 | $620,261.72 | $19,876.72 |
| Question | Response |
|---|---|
| The facility has ceased operating on its pre-auction channel. | Yes |
| 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. | Jeffrey C Gehman Engineering Associate 03/12/2020 |
| 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. | Jeffrey C Gehman Engineering Associate 03/12/2020 |
