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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:
168101
Service:
DCA
Call Sign:
WHIG-CD
Channel:
30 (UHF)
File Number:
0000028888
FRN:
0027449123
Date Submitted:
05/22/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

RSS Media Marketing

Doing Business As: WHIG-TV

Sandra Smith

201 Tyler Drive

NCWC Building 201

ROCKY MOUNT, NC 27804

United States

 +1 (704) 446-8857 sandra@whigtv.com Limited Liability Company

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. No
Briefly describe transition plan Purchase new antenna and transmitter for the new channel. Install a temporary antenna to maintain service during the change. Remove the old antenna and install the new one.

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 TXUD-1000
Year 2008
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1 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 TMU9-4
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 2 kW
Justification for New Transmitter The manufacturer advises that considering the age of the present unit and the cost of the modifications necessary for retuning, it would be more cost-effective to acquire a new transmitter on Channel 30.

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

Name Description

Bandpass Filter

Dielectric 3kW UHF Bandpass Filter Kit

Air shipping charges

Shipping

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)
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 Top 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: 5.3 kW
Manufacturer
Model SL8
Year 2008

Primary Antenna

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New Antenna Costs

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? No
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 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: 5.18 kW
Manufacturer
Model ERI AL8O-30-M
Year 2020
Justification for New Antenna The existing antenna was originally manufactured and used for Channel 34, then re-tuned to Channel 31. According to everyone consulted, it cannot be re-tuned further for Channel 30.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna?
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? No

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Antenna Shipping Charges

Shipping

Interim Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Interim
Description of Use N/A
Change Type Purchase New
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? No
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: 2.0 kW
Manufacturer
Model ATU.0807.420
Year 2019
Justification for New Antenna Compliance with FCC repack parameters.

Interim Antenna

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Other Antenna Costs

Section Question Response
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 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? No

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

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)
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 550 feet per run

Primary Transmission Line

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New Transmission Line

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 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 550 feet per run
Justification for New Transmission Line Auxiliary antenna at temporary tower site

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Connector Attach Fee

Connector Attach Fee

Coupling Element

1-5/8 inch EIA Coupling Element - inner connector (QTY 2)

Dehydrator

APD-D series Automatic Pressurization Dehydrator

Coax Shipping Fee

Shipping fee

Angle Adapters

Andrew 31768A Angle Adapter 3/8 inch hole 10 (QTY 17)

Round Member Adapters

Andrew 31670-3 3-4 inch round member adapters (QTY 17)

Flange

1-5/8 inch EIA Female Flange with gas barrier (QTY 2)

Ground Kit

Andrew SG158-12BTU Sure Ground Kit (QTY 3)

Hangers

SnapStack Hanger for 1-5/8 inch coax HELIAX (QTY 17)

Hoisting Grip

Hoisting Grip for 1-5/8 inch coax cable and EW44, EW52, and EW63 elliptical wave guides (QTY 3)

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 Move Equipment
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? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Unknown
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1004419
Coordinates (NAD83) Latitude (NAD83) 35° 54' 06.0" N-
Longitude (NAD83) 077° 46' 49.0" W-
Overall Structure Height 499.99 feet
Support Structure Height 499.99 feet
Ground Elevation Above Mean Sea Level (AMSL) 134.84 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner BROWNS GIFTS OF ROCKY MOUNT INC DBA = BROWN COMMUNICATION TOWERS
Date Constructed 01/01/1987


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

Name Description

Mapping

Structural analysis on tower in connection with placement of new antenna.

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 40
Explanation As a small standalone station with only four full time employees, WHIG-CD does not have a large engineering staff in its employ to manage a project of this magnitude.
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 Yes
Quantity 1
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 Yes
Quantity 1
NEPA Section 106 environmental review Yes
Environmental Assessment Yes
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 No
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 3
Justification Installation of new transmitter and oversight of removal of existing antenna and of mounting of interim and replacement antennae.

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 Yes
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? 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? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

STL Equipment - radios

3.65 radios Qty 2

STL-related shipping costs

Shipping cost for equipment related to STL

STL Equipment - antennas

2' high efficiency antennas Qty 2

STL Equipment - fiber optic cable

1000' fiber optic cable

STL Equipment - hardware

Hardware for attaching fiber optic cable to tower

STL Equipment - power cable

1000' power cable

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 $134,412.50 $110,004.10 N/A $110,004.10 N/A
Total for all systems $377,252.37 $210,036.47 N/A $141,121.47 N/A
Primary Transmitter TMU9-4 $134,412.50 $110,004.10 $110,004.10
Air shipping charges $1,500.00 $1,500.00 N/A $1,500.00 N/A
Bandpass Filter $6,912.50 $6,912.50 N/A $6,912.50 N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW $126,000.00 $101,591.60 N/A $101,591.60 N/A

Components

Actual Information Description File Name
Air shipping charges

Component Description:
Air shipping charges for transmitter
Amount:
$1,500.00
Bandpass Filter

Component Description:
Actual cost of bandpass filter
Amount:
$6,912.50
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW

Component Description:
Actual cost of transmitter
Amount:
$101,591.60

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 $54,100.00 $13,642.00 N/A $13,642.00 N/A
Total for all systems $377,252.37 $210,036.47 N/A $141,121.47 N/A
Interim Antenna ATU.0807.420 $26,300.00 $2,400.00 $2,400.00
UHF - Lower Power Side Mount, Class A One Station antenna -- basic $26,300.00 $2,400.00 N/A $2,400.00 N/A
Primary Antenna ERI AL8O-30-M $27,800.00 $11,242.00 $11,242.00
Antenna Shipping Charges $1,500.00 $1,500.00 N/A $1,500.00 N/A
UHF - Lower Power Side Mount, Class A One Station antenna -- basic $26,300.00 $9,742.00 N/A $9,742.00 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, Class A One Station antenna -- basic

Component Description:
Actual cost of auxiliary antenna
Amount:
$2,400.00
Antenna Shipping Charges

Component Description:
Actual cost of antenna shipping charges
Amount:
$1,500.00
UHF - Lower Power Side Mount, Class A One Station antenna -- basic

Component Description:
Actual cost of main antenna
Amount:
$9,742.00

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 $24,839.87 $17,475.37 N/A $17,475.37 N/A
Total for all systems $377,252.37 $210,036.47 N/A $141,121.47 N/A
Primary Transmission Line $24,839.87 $17,475.37 $17,475.37
Hoisting Grip $87.63 $87.63 N/A $87.63 N/A
Hangers $475.83 $475.83 N/A $475.83 N/A
Ground Kit $73.32 $73.32 N/A $73.32 N/A
Flange $682.70 $682.70 N/A $682.70 N/A
Round Member Adapters $262.65 $262.65 N/A $262.65 N/A
Angle Adapters $1,238.96 $1,238.96 N/A $1,238.96 N/A
Coax Shipping Fee $1,500.00 $1,500.00 N/A $1,500.00 N/A
Dehydrator $2,205.00 $2,205.00 N/A $2,205.00 N/A
Coupling Element $63.78 $63.78 N/A $63.78 N/A
Connector Attach Fee $100.00 $100.00 N/A $100.00 N/A
Flexible Air Transmission Line - dielectric, 1 5/8" $18,150.00 $10,785.50 N/A $10,785.50 N/A

Components

Actual Information Description File Name
Hoisting Grip

Component Description:
Actual cost of hoisting grip
Amount:
$87.63
Hangers

Component Description:
Actual cost of hangers
Amount:
$475.83
Ground Kit

Component Description:
Actual cost of ground kit
Amount:
$73.32
Flange

Component Description:
Actual cost of flanges
Amount:
$682.70
Round Member Adapters

Component Description:
Actual cost of round member adapters
Amount:
$262.65
Angle Adapters

Component Description:
Actual cost of angle adapters
Amount:
$1,238.96
Coax Shipping Fee

Component Description:
Actual cost of coax shipping fee
Amount:
$1,500.00
Dehydrator

Component Description:
Actual cost of dehydrator
Amount:
$2,205.00
Coupling Element

Component Description:
Actual cost of coupling elements
Amount:
$63.78
Connector Attach Fee

Component Description:
Actual cost of connector attach fee
Amount:
$100.00
Flexible Air Transmission Line - dielectric, 1 5/8"

Component Description:
Actual cost of transmission line
Amount:
$10,785.50

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 $89,200.00 $15,500.00 N/A $0.00 N/A
Total for all systems $377,252.37 $210,036.47 N/A $141,121.47 N/A
Primary Tower TOWER $89,200.00 $15,500.00 $0.00
Mapping $5,000.00 $5,000.00 For structural analysis of tower (required by tower owner prior to commencement of installation). N/A N/A
Short Tower (less than 500') $84,200.00 $10,500.00 N/A N/A N/A

Components

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 $59,860.00 $39,700.00 N/A $0.00 N/A
Total for all systems $377,252.37 $210,036.47 N/A $141,121.47 N/A
Outside Professional Services $59,860.00 $39,700.00 $0.00
Additional Field Engineering Service, 3 Days $6,000.00 $6,000.00 N/A N/A N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet $10,520.00 $1,000.00 N/A N/A N/A
NEPA Section 106 environmental review, if needed $6,310.00 $1,000.00 N/A N/A N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $3,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,200.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $4,000.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $2,050.00 $1,500.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $1,400.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $2,800.00 N/A N/A N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $5,000.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $3,800.00 Estimated cost for the reimbursement higher than predetermined amount mainly due to extreme technical problems encountered with of the FCC Licensing & Management System on July 12 and 13, 2017. N/A N/A
Project management of the transition $6,320.00 $6,000.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $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 $14,840.00 $13,715.00 N/A $0.00 N/A
Total for all systems $377,252.37 $210,036.47 N/A $141,121.47 N/A
Other Expenses $14,840.00 $13,715.00 $0.00
STL Equipment - power cable $1,000.00 $1,000.00 N/A $0.00 N/A
STL Equipment - hardware $700.00 $700.00 N/A $0.00 N/A
STL Equipment - fiber optic cable $800.00 $800.00 N/A $0.00 N/A
STL Equipment - antennas $2,000.00 $2,000.00 N/A $0.00 N/A
STL-related shipping costs $1,000.00 $1,000.00 N/A $0.00 N/A
STL Equipment - radios $3,000.00 $3,000.00 N/A $0.00 N/A
MVPD Notification of Channel Change $500.00 $500.00 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
Equipment Delivery and Handling Charges $1,000.00 $1,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $2,200.00 $2,200.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 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 $0.00 Per advice from the Video Division, no fee was charged for the Form 2100 minor change CP application. N/A N/A

Components

Actual Information Description File Name
STL Equipment - power cable

Component Description:
STL Equipment - 1000' power cable. Fund Administrator has disallowed this reimbursement. See attached Cover Letter.
Amount:
N/A
STL Equipment - hardware

Component Description:
STL Equipment - hardware for attaching fiber optic cable to tower. Fund Administrator has disallowed this reimbursement. See attached Cover Letter.
Amount:
N/A
STL Equipment - fiber optic cable

Component Description:
STL Equipment - 1000' fiber optic cable Fund Administrator has disallowed this reimbursement. See attached Cover Letter.
Amount:
N/A
STL Equipment - antennas

Component Description:
STL Equipment - 2' high efficiency antennas Qty 2 Fund Administrator has disallowed this reimbursement. See attached Cover Letter.
Amount:
N/A
STL-related shipping costs

Component Description:
STL-related shipping costs Fund Administrator has disallowed this reimbursement. See attached Cover Letter.
Amount:
N/A
STL Equipment - radios

Component Description:
STL Equipment - 3.65 radios Qty 2 - Fund Administrator has disallowed this reimbursement. See attached Cover Letter.
Amount:
N/A
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $377,252.37 $210,036.47 $141,121.47

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.

Sandra Smith

President


05/22/2020

Attachments

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