Applicant | Address | Phone | Applicant Type | |
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Etulain Doing Business As: DAN ETULAIN |
520 LAKE STREET SITKA, AK 99835 United States |
+1 (907) 747-8200 | John@JWKingLaw.com | Individual |
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 | Transition is complete. Displacement facilities have been authorized and constructed. License to cover has been filed and granted. |
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? | No |
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? | Yes |
Number of Hours | 10 | |
Explanation | Transmitter modification and installation performed on independent consulting basis by on-site technical personnel who is an employee of KDMD(TV), which owns the site at which KACN-LP is located. KACN-LP has no technical staff at the site. | |
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 | No | |
Prepare Form 601 | No | |
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 | |
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 | No | |
RF Field Engineering Services | Comprehensive coverage verification via field study | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No |
Name | Description |
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KDMD |
Modification and installation of transmitter. |
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 |
Name | Description |
---|---|
SmartView |
SmartView Duo Rackmountable Dual 8" LCD Monitors |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $12,922.50 | $7,722.50 | N/A | $7,722.50 | N/A |
Total for all systems | $13,779.00 | $8,414.00 | N/A | $8,414.00 | N/A |
Outside Professional Services | $12,922.50 | $7,722.50 | $7,722.50 | ||
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $1,350.00 | N/A | $1,350.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $2,472.50 | Estimated cost includes services for construction permit and license applications. | $2,472.50 | Fee for construction permit and license application. |
Perform engineering study for displacement application | $1,800.00 | $0.00 | Cost included in construction permit and license application fee. | $0.00 | N/A |
Prepare/ Review 399 reimbursement form | $1,710.00 | $2,625.00 | Project required additional research and time to compile, assemble, and parse records, and to complete applications for eligibility, reimbursement, and payment instructions. | $2,625.00 | Services required greater expenditure of research and time. |
KDMD | $600.00 | $600.00 | N/A | $600.00 | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $675.00 | N/A | $675.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $0.00 | Cost included in construction permit and license application fee. | N/A | N/A |
Project management of the transition | $1,055.00 | $0.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Perform engineering study for displacement application | Information not provided. |
Prepare/ Review 399 reimbursement form | |
KDMD | |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Project management of the transition | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $856.50 | $691.50 | N/A | $691.50 | N/A |
Total for all systems | $13,779.00 | $8,414.00 | N/A | $8,414.00 | N/A |
Other Expenses | $856.50 | $691.50 | $691.50 | ||
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $170.00 | N/A | $170.00 | N/A |
SmartView | $521.50 | $521.50 | N/A | $521.50 | N/A |
Actual Information Description | File Name |
---|---|
FCC Filing Fees - Form 2100 license to cover application | |
SmartView |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $13,779.00 | $8,414.00 | $8,414.00 |
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. | Yes |
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. | Dan Etulain Licensee 08/19/2020 |