Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
Minnesota Valley TV Improvement Corporation Doing Business As: MVTV Wireless |
Tim Johnson PO Box A Granite, MN 56241 United States |
+1 (320) 564-4807 | tjohnson@mvtvwireless.com | Not-for-Profit |
Applicant | Address | Phone | |
---|---|---|---|
[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. | Yes |
Briefly describe transition plan | Applicant had 5 of 12 stations displaced, this required a new 12 channel combiner to accommodate the displaced stations into the existing antenna. Transmitters were reconfigured and reused. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | No |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Antenna Description | Type of change | Retune Existing |
Antenna Use | Primary (Main) | |
Ownership | Owned | |
Is the existing antenna shared with another station or stations? | Yes | |
Is the existing antenna directional? | No | |
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 | Other | |
Other Antenna Type | Super Turnstile | |
ERP: | 1.8 kW | |
Manufacturer | Kathrein | |
Model | 771-304 | |
Year | 2011 |
Facility ID | Call Sign |
---|---|
43003 | K31PG-D |
42992 | K19LX-D |
43000 | K33OS-D |
43005 | K26NT-D |
Section | Question | Response |
---|---|---|
Sweep Test of Existing Antenna | Do you need a sweep test of existing antenna? |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | Yes |
Type | New | |
Number of channels supported | 5 | |
Frequencies of channels supported | RF channel | |
Frequency | N/A |
RF Channel Number |
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33 |
19 |
26 |
31 |
36 |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | No |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | No |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | No |
Outside RF consulting Engineering Services | Perform engineering study for displacement application | Yes |
Prepare engineering section of Form FCC Construction Permit Application | No | |
Prepare engineering section of Form FCC License to Cover Application | No | |
Prepare request for Special Temporary Authority | No | |
Prepare Form 601 | No | |
Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | No |
Prepare and file Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
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 | Yes | |
Form 399 assistance or other program management costs | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No |
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 | 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)? | No |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | No | |
Does this relocation require Equipment Storage? | No | |
Point to Point Microwave (STL/ICR) | Frequency Coordination for Unidirection System | No |
Frequency Coordination for Bi-Direction System | No | |
New Point to Point Microwave System | No |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $7,119.00 | $7,119.00 | N/A | $6,212.95 | N/A |
Total for all systems | $12,856.50 | $10,723.99 | N/A | $9,345.45 | N/A |
Primary Antenna 771-304 | $7,119.00 | $7,119.00 | $6,212.95 | ||
1.8 kW UHF Combiner | $7,119.00 | $7,119.00 | N/A | $6,212.95 | N/A |
Actual Information Description | File Name |
---|---|
1.8 kW UHF Combiner |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $5,402.50 | $3,434.99 | N/A | $2,962.50 | N/A |
Total for all systems | $12,856.50 | $10,723.99 | N/A | $9,345.45 | N/A |
Outside Professional Services | $5,402.50 | $3,434.99 | $2,962.50 | ||
Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | N/A | $1,710.00 | N/A |
Form 399 assistance or other Program Management costs | $315.00 | $315.00 | See Sadowsky Quote Eligibility Filing | N/A | N/A |
Perform engineering study for displacement application | $1,800.00 | $780.00 | N/A | $780.00 | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $629.99 | N/A | $472.50 | N/A |
Actual Information Description | File Name |
---|---|
Prepare/ Review 399 reimbursement form | |
Form 399 assistance or other Program Management costs | Information not provided. |
Perform engineering study for displacement application | |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $335.00 | $170.00 | N/A | $170.00 | N/A |
Total for all systems | $12,856.50 | $10,723.99 | N/A | $9,345.45 | N/A |
Other Expenses | $335.00 | $170.00 | $170.00 | ||
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $170.00 | N/A | $170.00 | N/A |
Actual Information Description | File Name |
---|---|
FCC Filing Fees - Form 2100 license to cover application |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $12,856.50 | $10,723.99 | $9,345.45 |
Question | Response |
---|---|
The facility has ceased operating on its pre-auction channel. | Yes |
Construction of final facilities or all necessary modifications are complete. | Yes |
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 Final Allocation or Accounting Information 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. | Tim Johnson Operations Manager 07/17/2020 |