Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
LOTUS TV OF HOUSTON LLC Doing Business As: LOTUS TV OF HOUSTON LLC |
Jay A. Levine 3301 Barham Boulevard Suite 200 LOS ANGELES, CA 90068 United States |
+1 (323) 512-2225 | headquarters@lotuscorp.com | Limited Liability Company |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
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|
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Applicant | Address | Phone | |
---|---|---|---|
Tony zumMallen President QCommunications, LLC |
Tony zumMallen 705B SE Melody ln #314 Lees SUmmit, MO 64063 United States |
+1 (816) 729-1177 | tony@qcomm.tv |
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 | Repack to new CH10 on time and on budget. |
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) | |
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 | INNOVATOR | |
Year | 2009 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 15 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | VAXTE-2R37 | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 2 kW | |
Justification for New Transmitter | New transmitter required per the REPACK channel reassignment, transitioning from UHF to VHF. |
Section | Question | Response |
---|---|---|
Other Transmitter Costs | ||
Does the transmitter installation require a Transmitter Building Site Survey/Installation? | Yes | |
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? | Yes |
Type | Heating and Cooling | |
Size | 10 tons | |
Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
Name | Description |
---|---|
Connectors |
Connectors and misc parts/pieces to ensure proper mating of new transmitter, line, and connected equipment |
Transmitter Shipping fee |
Shipping fees for transmitter |
Transmitter Decommissioning |
Harvesting and removal of old transmitter |
Site Prep |
Site preparation for new transmitter installation |
Transmitter Taxes |
Transmitter sales tax |
Encoder |
Encoder |
Transmitter Misc. Equipment |
I/O rack customer IO plate, AC distro assembly, 2.5kW, post filter coupler kit, switch controller, associated cables |
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) | |
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? | Yes | |
Existing Antenna Manufacturer and Type | ||
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Circular | |
Type | Slotted Coaxial | |
ERP: | 15.0 kW | |
Manufacturer | ||
Model | ALP 24L3 CSMX-43 | |
Year | 2009 |
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? | Yes | |
New Antenna Manufacturer and Types | ||
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Elliptical | |
Type | Broadband Slot | |
Number of Stations Supported | 2 | |
Number of Panels/Bays | 4 | |
Lower Limit | 174.00 MHz | |
Upper Limit | 216.00 MHz | |
Design power capacity in use | 90.0 % | |
ERP: | 3.0 kW | |
Manufacturer | ||
Model | TLS-V4/VP | |
Year | 2019 | |
Justification for New Antenna | New antenna required for new channel. Original antenna unable to be retuned. |
Section | Question | Response |
---|---|---|
Elbow Complex | Do you require the separate purchase of the Elbow Complex? | Yes |
Broadband or Single Channel? | Broadband | |
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? | 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 |
Name | Description |
---|---|
Antenna Sales Tax |
Sales tax for new antenna |
Flexline, Adapters, connectors |
Flexline, connectors, adapters, hardware assemblies, etc. |
Filter |
VHF high band, 6-pole filter |
Custom Mounting Brackets |
Custom mounting brackets for 7.5" OD round legs |
Antenna Shipping fee |
Shipping fees for new 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 | 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 | Waveguide | |
Number of parallel runs | 1 | |
Length | 1654 feet per run |
Section | Question | Response |
---|---|---|
New Transmission Line Costs | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Type | Waveguide | |
Number of parallel runs | 1 | |
Length | 1654 feet per run | |
Justification for New Transmission Line | Changing from UHF CH 43 to VHF CH 10 may require the existing line to be changed out. We await the results of sweep testing to determine if new line it required or not. | |
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 |
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) | |
Ownership | Leased | |
Is this tower consider Complex? | Candelabra | |
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? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1059622 | |
Coordinates (NAD83) | Latitude (NAD83) | 29° 33' 45.2" N- |
Longitude (NAD83) | 095° 30' 35.9" W- | |
Overall Structure Height | 1974.06 feet | |
Support Structure Height | 1844.14 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 74.15 feet | |
Structure Type | GTOWER - Guyed Structure Used for Communication Purposes | |
Tower Owner | American Towers LLC | |
Date Constructed | 08/30/2000 |
Facility ID | Call Sign | Service |
---|---|---|
7079 | KCVH-LD | LPD |
13200 | KUVM-CD | DTV |
51569 | KTXH | DTV |
31870 | KYAZ | DTV |
53847 | KXLN-DT | DTV |
28324 | KTBU | DTV |
69531 | KZJL | DTV |
22204 | KRIV | DTV |
167664 | KUVM-LD | LPD |
Users |
---|
Cell phone |
Section | Question | Response |
---|---|---|
Engineering Study | Please what type of engineering study is required, if any: | Tower mapping and report for structural engineer |
Tower Reinforcements | Please select whether tower reinforcements are needed: | Minor Reinforcements needed |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | Candelabra |
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 | 325 | |
Explanation | Required to assist in the turnkey management of the channel relocation project in order that the existing internal personal can maintain and operate the stations daily operational requirements and plans. | |
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 | 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 | |
Negotiation of Lease and other Matter for Shared Locations | Yes | |
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 | Yes |
RF exposure measurements | No | |
Additional Field Engineering Service | Yes | |
Number of Days | 5 | |
Justification | Estimated field engineering services during transition activities. Actual costs to be determined. |
Name | Description |
---|---|
Consulting Engineering |
Repack engineering work not covered by existing 399 default fields. |
General Attorney fees for Repack |
Repack attorney work not covered by existing 399 default fields. |
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 | Yes |
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? | Yes | |
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 | $299,306.17 | $271,168.57 | N/A | $163,993.50 | N/A |
Total for all systems | $706,431.66 | $697,161.56 | N/A | $324,196.49 | N/A |
Primary Transmitter VAXTE-2R37 | $299,306.17 | $271,168.57 | $163,993.50 | ||
Transmitter Misc. Equipment | $6,502.12 | $6,502.12 | Estimate based on attached GatesAir quote Q-85538 attached to Transmitter invoices. | $6,502.10 | N/A |
Transmitter Taxes | $10,000.00 | $10,000.00 | Estimated taxes for new transmitter and associated eqpt. Actual costs to be determined. | $0.00 | N/A |
Site Prep | $5,000.00 | $5,000.00 | Per attached QCommunications quote. | N/A | N/A |
Transmitter Decommissioning | $8,000.00 | $8,000.00 | Per attached QCommunications quote. | N/A | N/A |
Transmitter Shipping fee | $4,372.39 | $4,372.39 | Actual shipping costs for transmitter | $4,372.39 | N/A |
Connectors | $10,000.00 | $10,000.00 | Estimated costs of connectors and associated parts/pieces in order to ensure proper mating of new transmitter to existing equipment. Actual costs to be determined. | N/A | N/A |
Transmitter Building Site Survey/Installation | $10,000.00 | $19,500.00 | Per attached QCommunications quote. | N/A | N/A |
10 Ton system | $60,500.00 | $22,862.40 | See estimate attached to invoice # 12226 from Space City Mechanical Inc. | $22,862.40 | N/A |
High VHF - Air Cooled Solid State Transmitter 1.1 - 4.4 kW | $101,000.00 | $101,000.00 | N/A | $46,324.95 | N/A |
Encoder | $83,931.66 | $83,931.66 | Harmonic estimate for required 8-channel encoder and installation. Actual costs to be determined. The channel change requires replacement of the existing 8-channel encoder. Estimated costs includes shipping fees not calculated on original quote. | $83,931.66 | N/A |
Actual Information Description | File Name |
---|---|
Transmitter Misc. Equipment | |
Transmitter Taxes | |
Site Prep | Information not provided. |
Transmitter Decommissioning | Information not provided. |
Transmitter Shipping fee | |
Connectors | Information not provided. |
Transmitter Building Site Survey/Installation | Information not provided. |
10 Ton system | |
High VHF - Air Cooled Solid State Transmitter 1.1 - 4.4 kW | |
Encoder |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $88,860.11 | $84,905.11 | N/A | $67,455.11 | N/A |
Total for all systems | $706,431.66 | $697,161.56 | N/A | $324,196.49 | N/A |
Primary Antenna TLS-V4/VP | $88,860.11 | $84,905.11 | $67,455.11 | ||
Filter | $3,034.00 | $3,034.00 | Per attached Dielectric quote. | $3,034.00 | N/A |
Antenna Sales Tax | $4,000.00 | $4,000.00 | Estimated sales tax for new antenna. Actual costs to be determined. | N/A | N/A |
Antenna Shipping fee | $2,500.00 | $2,500.00 | Estimated shipping fees for new antenna. Actual costs to be determined. | N/A | N/A |
Side Mount antenna brackets | $4,625.00 | $0.00 | 4-9-20 Costs captured under "custom mounts" component. Zeroed out. | N/A | N/A |
Elbow complex, broadband, at antenna input, per 4 1/16. feedline (if needed) | $10,950.00 | $10,950.00 | N/A | N/A | N/A |
Custom Mounting Brackets | $8,449.00 | $8,449.00 | Per Dielectric invoice 746019 and associated quote 180087ESM attached to invoice. | $8,449.00 | N/A |
Flexline, Adapters, connectors | $2,063.11 | $2,063.11 | Per Dielectric invoice 829002 and attached quote. | $2,063.11 | N/A |
High VHF-Low Power, Side Mount, Broadband Slot, 4 bay, 3.0kW input, Elliptical | $47,509.00 | $47,509.00 | Per attached Dielectric quote 180087ESM attached to Invoice 746019 | $47,509.00 | Costs Per actual invoice #746019 and quote # 180087ESM. |
Sweep test of transmission line and antenna | $5,730.00 | $6,400.00 | Per Dielectric quote 180087ESM attached to INV MAN001546 and MAN01555 | $6,400.00 | N/A |
Actual Information Description | File Name |
---|---|
Filter | |
Antenna Sales Tax | Information not provided. |
Antenna Shipping fee | Information not provided. |
Side Mount antenna brackets | Information not provided. |
Elbow complex, broadband, at antenna input, per 4 1/16. feedline (if needed) | Information not provided. |
Custom Mounting Brackets | |
Flexline, Adapters, connectors | |
High VHF-Low Power, Side Mount, Broadband Slot, 4 bay, 3.0kW input, Elliptical | |
Sweep test of transmission line and antenna |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $19,000.00 | $19,000.00 | N/A | $0.00 | N/A |
Total for all systems | $706,431.66 | $697,161.56 | N/A | $324,196.49 | N/A |
Primary Transmission Line | $19,000.00 | $19,000.00 | $0.00 | ||
Waveguide Transmission Line - " 1 parallel runs 1654 feet | $19,000.00 | $19,000.00 | Only concerned with the horizontal 200 ft run. Existing line may need to be replaced due to going from UHF CH43 to VHF CH10. The line has not been tested yet for operations on CH10. If the lines sweeps well, then the line will not be required. | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $114,462.38 | $114,462.38 | N/A | $43,462.38 | N/A |
Total for all systems | $706,431.66 | $697,161.56 | N/A | $324,196.49 | N/A |
Primary Tower GTOWER | $114,462.38 | $114,462.38 | $43,462.38 | ||
Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) | $43,462.38 | $43,462.38 | Actual rigging costs - 3 invoices from Rio Steel and Tower. | $43,462.38 | N/A |
Tower mapping and report for structural engineer | $21,000.00 | $21,000.00 | N/A | N/A | N/A |
Minor tower reinforcement/modifications | $50,000.00 | $50,000.00 | Estimated tower modification costs, depending on engineering report results. Actual costs to be determined. | N/A | N/A |
Actual Information Description | File Name |
---|---|
Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) | |
Tower mapping and report for structural engineer | Information not provided. |
Minor tower reinforcement/modifications | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $170,593.00 | $193,415.50 | N/A | $49,285.50 | N/A |
Total for all systems | $706,431.66 | $697,161.56 | N/A | $324,196.49 | N/A |
Outside Professional Services | $170,593.00 | $193,415.50 | $49,285.50 | ||
Project management of the transition | $34,287.50 | $50,050.00 | Estimated 325 hours at $154/hr. | N/A | N/A |
General Attorney fees for Repack | $33,875.50 | $33,875.50 | Repack Attorney fees not covered by existing 399 default fields. | $29,915.50 | N/A |
Consulting Engineering | $8,530.00 | $8,530.00 | Consulting Engineering work not covered by existing 399 default fields. | $8,530.00 | Actual costs per consulting engineer invoices. |
Additional Field Engineering Service, 5 Days | $12,500.00 | $12,500.00 | Estimated field engineering services during transition activities. Actual costs to be determined. | N/A | N/A |
Comprehensive coverage verification via field study, if needed | $52,600.00 | $52,600.00 | N/A | N/A | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $2,235.00 | $2,235.00 | N/A | N/A | N/A |
Attorney Fees - Negotiation of lease and other matters for shared locations | $3,262.50 | $3,262.50 | N/A | N/A | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $1,577.50 | N/A | N/A | N/A |
Prepare Form 601 | $755.00 | $755.00 | N/A | N/A | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $3,025.00 | 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 | $930.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $2,102.50 | N/A | $1,500.00 | N/A |
Prepare request for Special Temporary Authorization | $1,280.00 | $2,700.00 | Actual costs per consulting engineer invoices. | $2,700.00 | N/A |
Perform engineering study for displacement application | $1,800.00 | $6,500.00 | Displacement studies-required to ascertain the final channel assignment | $3,100.00 | N/A |
Form 399 assistance or other Program Management costs | $10,000.00 | $10,000.00 | Estimated costs for form 399 assistance. Actual costs to be determined. | $2,460.00 | N/A |
Prepare/ Review 399 reimbursement form | $1,710.00 | $2,650.00 | Estimated costs to prepare 399 reimbursement form. Actual costs to be determined. | $150.00 | N/A |
Actual Information Description | File Name |
---|---|
Project management of the transition | Information not provided. |
General Attorney fees for Repack | |
Consulting Engineering | |
Additional Field Engineering Service, 5 Days | Information not provided. |
Comprehensive coverage verification via field study, if needed | Information not provided. |
Attorney Fees - Prepare and File request for Special Temporary Authorization | Information not provided. |
Attorney Fees - Negotiation of lease and other matters for shared locations | Information not provided. |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare Form 601 | 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 | |
Prepare request for Special Temporary Authorization | |
Perform engineering study for displacement application | |
Form 399 assistance or other Program Management costs | |
Prepare/ Review 399 reimbursement form |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $14,210.00 | $14,210.00 | N/A | $0.00 | N/A |
Total for all systems | $706,431.66 | $697,161.56 | N/A | $324,196.49 | N/A |
Other Expenses | $14,210.00 | $14,210.00 | $0.00 | ||
Equipment Storage | $3,000.00 | $3,000.00 | N/A | N/A | N/A |
Equipment Delivery and Handling Charges | $2,000.00 | $2,000.00 | Estimated transport, forklift rental and handling fees from staging area to transmitter site. Actuals to be determined. | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $2,500.00 | $2,500.00 | Estimated 4-6 yard disposal bin on site to capture all waste from on site system integration and tower vendors. Actual costs to be determined. | N/A | N/A |
FCC Filing Fees - Special Temporary Authorization request | $305.00 | $305.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 Major change CP application | $4,960.00 | $4,960.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,110.00 | N/A | N/A | N/A |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $706,431.66 | $697,161.56 | $324,196.49 |
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. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | JAY LEVINE SENIOR VICE PRESIDENT 08/06/2020 |
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. | JAY LEVINE SENIOR VICE PRESIDENT 08/06/2020 |