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:
2455-35
Service:
DRT
Call Sign:
WCYB-TV
Channel:
35 (UHF)
File Number:
0000089306
FRN:
0026809657
Eligibility Status:
Eligible
Date Submitted:
10/22/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SINCLAIR MEDIA LICENSEE, LLC

Applicant

Doing Business As: BLUESTONE LICENSE HOLDINGS INC.

Harvey Arnold

10706 Beaver Dam Road

Cockeysville, MD 21030

United States

+1 (410) 568-5000 FCCContacts@sbgtv.com Other

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

Paul A. Cicelski , Esq. .

Lerman Senter PLLC

Paul A. Cicelski, Esq.

2001 L Street NW

Suite 400

Washington, DC 20036

United States

+1 (202) 416-6756 sinclair399s@summitridgegroup.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 Channel 29 displaced by repack. Currently at low power on new channel 35. FCC CP File # 0000054449. New transmitter and antenna ordered.

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)
Ownership Owned
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model Maxiva
Year 2002
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 0.5 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? Yes
Manufacturer
Model TMU9evo/8
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 3 kW
Justification for New Transmitter Interim transmitter power cannot be increased due to age of transmitter.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Other Transmitter Costs
Does the transmitter installation require a Transmitter Building Site Survey/Installation? No
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Rigid Conduit and Wiring No
Other Electrical Service No
HVAC Service Does the replacement transmitter require HVAC Service? No
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Ice Bridge

Ice Bridge

Electrical Installation

Electrical Installation

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? Yes

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Ownership Owned
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
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
ERP: 9.6 kW
Manufacturer
Model TLP16
Year 2002

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Change Type Purchase New
Ownership Owned
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
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
ERP: 15.0 kW
Manufacturer
Model TLP-8B/VP-R
Year 2019
Justification for New Antenna Antenna is frequency specific.

Primary Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Mask Filter

Mask Filter

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? Yes

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
Ownership Owned
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
Number of parallel runs 1
Length 420 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Type Flexible Air
Diameter 1 5/8 inches
Number of parallel runs 1
Length 420 feet per run
Justification for New Transmission Line Existing transmission line cannot handle power levels required for new transmitter ERP.
Interior RF Systems Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? No

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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? Yes

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
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? Yes
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1225306
Coordinates (NAD83) Latitude (NAD83) 36° 26' 58.2" N-
Longitude (NAD83) 082° 06' 28.7" W-
Overall Structure Height 419.94 feet
Support Structure Height 419.94 feet
Ground Elevation Above Mean Sea Level (AMSL) 4211.89 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Appalachian Broadcasting LLC
Date Constructed 05/08/2002

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID Call Sign Service
40761 WEMT DTV

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: No study needed
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? No

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

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 225
Explanation Outside consulting engineering, legal work, and accounting services, as well as project management for regional and comprehensive repack execution.
Outside RF consulting Engineering Services Perform engineering study for displacement application 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 Yes
Quantity 1
Prepare Form 601 Yes
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 No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement No
Form 399 assistance or other program management costs No
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

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
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? Yes
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

Other Expenses

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Other Expenses Not Listed

Name Description

Forklift Rental

Forklift Rental

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 $181,815.76 $143,015.76 N/A $143,015.76 N/A
Total for all systems $351,154.75 $265,849.59 N/A $231,133.91 N/A
Primary Transmitter TMU9evo/8 $181,815.76 $143,015.76 $143,015.76
Electrical Installation $63,393.26 $63,393.26 N/A $63,393.26 N/A
Ice Bridge $12,122.50 $12,122.50 N/A $12,122.50 N/A
UHF - Air Cooled Solid State Transmitter 2.501 - 3.999 kW $106,300.00 $67,500.00 N/A $67,500.00 N/A

Components

Actual Information Description File Name
Electrical Installation

Component Description:
Transmitter electrical installation. #25398
Amount:
$38,750.00

Component Description:
Transmitter installation cost. #002554
Amount:
$24,643.26
Ice Bridge

Component Description:
Ice bridge cost. #10397
Amount:
$12,122.50
UHF - Air Cooled Solid State Transmitter 2.501 - 3.999 kW

Component Description:
Transmitter cost. #9500108656
Amount:
$67,500.00

Cost Information

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Antennas

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 $26,541.70 $23,187.14 N/A $17,457.14 N/A
Total for all systems $351,154.75 $265,849.59 N/A $231,133.91 N/A
Primary Antenna TLP-8B/VP-R $26,541.70 $23,187.14 $17,457.14
Mask Filter $1,634.48 $1,634.48 N/A $1,634.48 N/A
Side Mount antenna brackets $4,625.00 $1,270.44 N/A $1,270.44 N/A
Sweep test of transmission line and antenna $5,730.00 $5,730.00 N/A N/A N/A
UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Horizontal $14,552.22 $14,552.22 N/A $14,552.22 N/A

Components

Actual Information Description File Name
Mask Filter

Component Description:
Total invoice amount reduced by 25.40%. #418025
Amount:
$1,634.48
Side Mount antenna brackets

Component Description:
Total invoice amount reduced by 25.40%. #604027
Amount:
$1,270.44
Sweep test of transmission line and antenna Information not provided.
UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Horizontal

Component Description:
Total invoice amount reduced by 25.40%. #604027
Amount:
$14,552.22

Cost Information

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Transmission Line

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 $38,640.00 $18,623.90 N/A $9,311.95 N/A
Total for all systems $351,154.75 $265,849.59 N/A $231,133.91 N/A
Primary Transmission Line $38,640.00 $18,623.90 $9,311.95
Flexible Air Transmission Line - dielectric, 1 5/8" $13,860.00 $9,311.95 N/A $9,311.95 N/A
Flexible Air Transmission Line - dielectric, 3" $24,780.00 $9,311.95 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $0.00 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 1 5/8"

Component Description:
Total invoice amount reduced by 25.40%. #604027
Amount:
$9,311.95
Flexible Air Transmission Line - dielectric, 3" Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

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 $60,933.00 $38,101.00 N/A $38,101.00 N/A
Total for all systems $351,154.75 $265,849.59 N/A $231,133.91 N/A
Primary Tower TOWER $60,933.00 $38,101.00 $38,101.00
Tower Rigging Short Tower (less than 500') $56,190.00 $33,358.00 N/A $33,358.00 N/A
Minor tower reinforcement/modifications $4,743.00 $4,743.00 N/A $4,743.00 N/A

Components

Actual Information Description File Name
Tower Rigging Short Tower (less than 500')

Component Description:
Tower cost. #SIN000446
Amount:
$33,358.00
Minor tower reinforcement/modifications

Component Description:
Tower modification costs. #SIN000446
Amount:
$4,743.00

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 $30,727.50 $30,425.00 N/A $10,751.27 N/A
Total for all systems $351,154.75 $265,849.59 N/A $231,133.91 N/A
Outside Professional Services $30,727.50 $30,425.00 $10,751.27
Prepare Form 601 $755.00 $755.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $1,280.00 $1,280.00 N/A N/A N/A
Perform engineering study for displacement application $1,800.00 $1,800.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,052.50 $1,052.50 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $1,800.00 N/A $1,800.00 N/A
Project management of the transition $23,737.50 $23,737.50 N/A $8,951.27 N/A

Components

Actual Information Description File Name
Prepare Form 601 Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Perform engineering study for displacement 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

Component Description:
Consulting engineer cost. #878-90-0003
Amount:
$1,800.00
Project management of the transition

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #479898
Amount:
$276.46

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #481393
Amount:
$292.36

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #1157
Amount:
$30.35

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #477913
Amount:
$316.38

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #1162
Amount:
$410.64

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #1168
Amount:
$417.32

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #133
Amount:
$13.50

Component Description:
Legal services cost. #473490
Amount:
$4,505.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #478344
Amount:
$1,306.38

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #477401
Amount:
$815.40

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #479375
Amount:
$390.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 28 stations. #478862
Amount:
$176.98

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 $12,496.79 $12,496.79 N/A $12,496.79 N/A
Total for all systems $351,154.75 $265,849.59 N/A $231,133.91 N/A
Other Expenses $12,496.79 $12,496.79 $12,496.79
Equipment Delivery and Handling Charges $2,941.10 $2,941.10 N/A $2,941.10 N/A
Forklift Rental $9,555.69 $9,555.69 N/A $9,555.69 N/A

Components

Actual Information Description File Name
Equipment Delivery and Handling Charges

Component Description:
Total invoice amount reduced by 25.40%. #616012
Amount:
$2,941.10
Forklift Rental

Component Description:
Forklift rental cost. #396286G-1
Amount:
$2,409.00

Component Description:
Forklift rental cost. #396286H-1
Amount:
$2,328.69

Component Description:
Forklift rental cost. #396286F-1
Amount:
$2,409.00

Component Description:
Forklift rental cost. #396286E-1
Amount:
$2,409.00

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $351,154.75 $265,849.59 $231,133.91

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.

Lucy Rutishauser

CFO


10/22/2020

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.

Lucy Rutishauser

CFO


10/22/2020

Attachments

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