Applicant | Address | Phone | Applicant Type | |
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BEACH TV PROPERTIES, INC. Doing Business As: BEACH TV PROPERTIES, INC. |
Byron J. Colley, Jr. 8317 Front Beach Road Suite 23 PANAMA CITY BEACH, FL 32407 United States |
+1 (850) 234-2773 | jud.colley@tripsmarter.com | Corporation |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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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 | PLEASE SEE 08152017 PROJECT SUMMARY PDF WITH ATTACHED STRUCTURAL ANALYSIS AND MAJOR PROJECT COSTS DOCUMENTATION |
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 | 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 | AT72-1KO | |
Year | 2014 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 1 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | TMx9 | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 1.2 kW | |
Justification for New Transmitter | Needed for the transition. |
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 | 120/240 | |
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? | Yes |
Size | 250.0 square feet | |
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? | 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 | 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: | 132.0 kW | |
Manufacturer | ||
Model | SWLP24D/46 | |
Year | 1995 |
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 | Full Power |
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: | 101.0 kW | |
Manufacturer | ||
Model | ATC BCH320D 33 | |
Year | 2017 | |
Justification for New Antenna | Old antenna cannot be retuned. Station understands that it will be reimbursed only for the cost of a horizontal polarization antenna. Please see Exhibit for further explanation and cost justification. |
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 |
Name | Description |
---|---|
Cable Head-end antennas |
Antenna replacements on the new re-pack channel for the head-end system |
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 Air | |
Diameter | 1 5/8 inches | |
Other Diameter | N/A | |
Segment Length | N/A | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 205 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 Air | |
Diameter | 3 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 | Need new transmission line for new tower and antenna. |
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 | Construct New |
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? | Yes | |
Is tower compliant with Rev G? | No | |
Existing Tower Structure Registration | Do you have a tower registration number? | No |
ASR Number | ||
Coordinates (NAD83) | Latitude (NAD83) | 30° 10' 53.4" N- |
Longitude (NAD83) | 085° 46' 48.0" W- | |
Overall Structure Height | 170.00 feet | |
Support Structure Height | 165.00 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 5.00 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | Beach TV Properties, Inc. | |
Date Constructed | 07/07/1996 |
Facility ID | Call Sign | Service |
---|---|---|
4351 | WPFN-CD | DTV |
Section | Question | Response |
---|---|---|
Construct New Tower | Use | Primary (Main) |
Description of Use | N/A | |
Is this a request for upgraded equipment? | No | |
Height | 250.00 feet | |
Justification for New Tower | Old tower will not support new antennas. |
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 | 995 | |
Explanation | Entity can not provide the required supervision and coordination required for this extensive project which involves local approvals, tower construction and demolition and new shelter with services. | |
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 | Yes | |
Environmental Assessment | Yes | |
ASR Modification | Yes | |
FAA Consultation (including preparation of FAA Form 7460) | Yes | |
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 | No |
RF exposure measurements | Yes | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
Name | Description |
---|---|
KM Consulting |
Structural analysis of existing tower |
Thomaston Broadcasting |
Assist with 399 filing 14 hrs. x $40/hr. $560.00 |
Thomaston Broadcasting |
WPCT 400 hrs. x $40/hr. $16,000 see quote |
Thomaston Broadcasting |
Transmitter installs. 48 hrs. x $40/hr. $1,920. |
Thomaston Broadcasting |
Assist KM ENGR. on tower analysis 12 hrs x $40/hr. $480.00 |
Thomaston Broadcasting |
MVPD 4 locations 8 hrs each. 32 hrs x $40/hr. $1,280. |
Thomaston Broadcasting |
TQuotes for towers, site development, antennas, transmission line, and building. Planning application and electrical services. 97 hrs. x $40/hr. $3,880.00 |
Landscaping planning and management |
Local building codes require an approved landscaping plan in order for construction to proceed. These expenses would not have occurred were it not for the repack. |
Section | Question | Response |
---|---|---|
AM Pattern Disturbance | Is an Impact Study needed? | Yes |
Is Remediation needed? | Yes | |
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 | Yes | |
BLM or NFS Coordination | Yes | |
FCC Construction Permit Minor Change | No | |
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? | Yes |
Name | Description |
---|---|
Mask Filter |
Rhode & Swartz UT6E7F-1.5K |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $190,923.89 | $134,581.60 | N/A | $128,859.34 | N/A |
Total for all systems | $1,277,415.39 | $919,894.10 | N/A | $724,143.63 | N/A |
Primary Transmitter TMx9 | $190,923.89 | $134,581.60 | $128,859.34 | ||
Other -- Building Addition Size: 250.0 | $45,200.00 | $45,200.00 | Upland Development Invoice #196 | $45,200.00 | N/A |
Other Electrical Service: 120/240 | $19,723.89 | $19,723.89 | Please see Estimated Cost Justification WPCT-110-New 1st Primary Transmitter-Other Electrical Service v1 | $19,723.89 | N/A |
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $126,000.00 | $69,657.71 | N/A | $63,935.45 | N/A |
Actual Information Description | File Name |
---|---|
Other -- Building Addition Size: 250.0 | |
Other Electrical Service: 120/240 | |
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $190,923.97 | $50,959.47 | N/A | $45,819.47 | N/A |
Total for all systems | $1,277,415.39 | $919,894.10 | N/A | $724,143.63 | N/A |
Primary Antenna ATC BCH320D 33 | $190,923.97 | $50,959.47 | $45,819.47 | ||
Cable Head-end antennas | $5,393.97 | $5,393.97 | Please see MegaHertz Proposal SS020-521 and the attached invoice MegaHertz #91118 | $5,393.97 | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $1,260.00 | N/A |
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized | $89,400.00 | $23,490.50 | ***System Notice: Estimate adjusted and locked because line has been superseded.*** | $23,490.50 | N/A |
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized | $89,400.00 | $15,675.00 | ***System Notice: Estimate adjusted and locked because line has been superseded.***The remaining cost on the antenna. This is a continuation of the other antenna cost line item. | $15,675.00 | N/A |
Actual Information Description | File Name |
---|---|
Cable Head-end antennas | |
Sweep test of existing antenna | |
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized | |
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $13,275.00 | $15,393.00 | N/A | $15,393.00 | N/A |
Total for all systems | $1,277,415.39 | $919,894.10 | N/A | $724,143.63 | N/A |
Primary Transmission Line | $13,275.00 | $15,393.00 | $15,393.00 | ||
Flexible Air Transmission Line - dielectric, 3" | $13,275.00 | $15,393.00 | invoice | $15,393.00 | N/A |
Actual Information Description | File Name |
---|---|
Flexible Air Transmission Line - dielectric, 3" |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $478,906.07 | $394,706.07 | N/A | $378,894.44 | N/A |
Total for all systems | $1,277,415.39 | $919,894.10 | N/A | $724,143.63 | N/A |
Primary Tower TOWER | $0.00 | $0.00 | $0.00 | ||
Primary Tower | $478,906.07 | $394,706.07 | $378,894.44 | ||
New tower | $368,706.07 | $368,706.07 | The new tower has to meet hurricane wind loads in our coastal area. See KM Engineering budget in PDF attachment. With tax cost is $293,978.00. See also Rohn Quote #Q17-11114-3, R&R Crane service invoices 6513, 6514 and Reliable Services Invoices | $368,606.44 | N/A |
Remove Old Tower | $26,000.00 | $26,000.00 | N/A | $10,288.00 | N/A |
Short Tower (less than 500') | $84,200.00 | $0.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
New tower | |
Remove Old Tower | |
Short Tower (less than 500') | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $290,961.46 | $221,828.96 | N/A | $150,282.38 | N/A |
Total for all systems | $1,277,415.39 | $919,894.10 | N/A | $724,143.63 | N/A |
Outside Professional Services | $290,961.46 | $221,828.96 | $150,282.38 | ||
Thomaston Broadcasting | $17,200.00 | $17,200.00 | N/A | $16,630.00 | N/A |
RF Exposure Measurements | $21,050.00 | $5,000.00 | N/A | N/A | N/A |
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase | $2,105.00 | $2,000.00 | N/A | $832.50 | N/A |
ASR modification (prepare FCC Form 854) | $2,105.00 | $2,000.00 | N/A | $0.00 | N/A |
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet | $10,520.00 | $10,000.00 | N/A | $3,500.00 | N/A |
NEPA Section 106 environmental review, if needed | $6,310.00 | $6,000.00 | N/A | $1,085.00 | 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 | $5,000.00 | 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 | $1,500.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | $2,480.00 | WPCT 008428 WPCT 008498 |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $5,000.00 | N/A | $3,300.00 | x |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,500.00 | N/A | $0.00 | N/A |
Prepare and or review reimbursement form | $2,630.00 | $8,897.50 | N/A | $2,097.50 | N/A |
Project management of the transition | $157,210.00 | $102,000.00 | N/A | $91,824.55 | N/A |
Landscaping planning and management | $36,585.00 | $36,585.00 | Please see the attached proposal from Reliable Services, LLC #4354 and Invoices TV002, RS-TV00-3L and TV001 | $14,585.00 | N/A |
KM Consulting | $12,896.46 | $12,896.46 | Structural analysis of existing tower, analysis showed that the tower needed to be replaced. KM Consulting invoices 110444 & 110445. | $12,447.83 | Please see invoices COMB WPCT KM Consulting 110445 and WPCT KM Consulting 110444 |
Actual Information Description | File Name |
---|---|
Thomaston Broadcasting | |
RF Exposure Measurements | Information not provided. |
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase | |
ASR modification (prepare FCC Form 854) | Information not provided. |
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet | |
NEPA Section 106 environmental review, if needed | |
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 | |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Perform engineering study for new channel assignment and antenna development | |
Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
Prepare and or review reimbursement form | |
Project management of the transition | |
Landscaping planning and management | |
KM Consulting |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $112,425.00 | $102,425.00 | N/A | $4,895.00 | N/A |
Total for all systems | $1,277,415.39 | $919,894.10 | N/A | $724,143.63 | N/A |
Other Expenses | $112,425.00 | $102,425.00 | $4,895.00 | ||
Mask Filter | $4,100.00 | $4,100.00 | N/A | N/A | N/A |
MVPD Notification of Channel Change | $2,500.00 | $2,500.00 | N/A | N/A | N/A |
Develop and air announcement of upcoming channel change | $2,500.00 | $2,500.00 | N/A | N/A | N/A |
Equipment Storage | $5,000.00 | $5,000.00 | N/A | $0.00 | N/A |
Equipment Delivery and Handling Charges | $15,000.00 | $15,000.00 | N/A | $0.00 | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $30,000.00 | $30,000.00 | N/A | $0.00 | N/A |
BLM or NFS Coordination | $2,500.00 | $2,500.00 | N/A | N/A | N/A |
Non-zoning permits | $5,000.00 | $5,000.00 | N/A | $2,305.00 | N/A |
Local Zoning | $5,000.00 | $5,000.00 | 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 |
AM Pattern Disturbance -- Remedy | $21,050.00 | $12,000.00 | N/A | N/A | N/A |
AM Pattern Disturbance -- Impact study | $7,890.00 | $7,500.00 | N/A | $2,590.00 | N/A |
Actual Information Description | File Name |
---|---|
Mask Filter | Information not provided. |
MVPD Notification of Channel Change | Information not provided. |
Develop and air announcement of upcoming channel change | Information not provided. |
Equipment Storage | |
Equipment Delivery and Handling Charges | Information not provided. |
Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
BLM or NFS Coordination | Information not provided. |
Non-zoning permits | |
Local Zoning | Information not provided. |
FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
DTV Medical Facility Notification | Information not provided. |
AM Pattern Disturbance -- Remedy | Information not provided. |
AM Pattern Disturbance -- Impact study |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $1,277,415.39 | $919,894.10 | $724,143.63 |
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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Jud Colley Owner 03/27/2020 |
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). |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Jud Colley Owner 03/27/2020 |