| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
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GILA RIVER TELECOMMUNICATIONS, INC. Doing Business As: GILA RIVER TELECOMMUNICATIONS, INC. |
James Meyers BOX 5015, 7065 W. ALLISON RD. CHANDLER, AZ 85226 United States |
+1 (520) 796-8885 | jmeyers@gilarivertel.com | Government Entity |
| 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 |
|---|---|
| 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 | Displaced by KTAZ-TV ch. 29 Phoenix 11/30/18. Moved KGRQ-LD to higher elevation 11/29/18 to serve region on channel 21 once served by both KGRY-LD ch. 21 and KGRQ-LD ch. 29. Reusing transmitter, but new mask filter, antenna, and tower reinforcement. |
| Section | Question | Response |
|---|---|---|
| Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmitter Description | Type of change | Retune Existing |
| 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 | Anywave |
| Model | ACT-9XU-1000-AC | |
| Year | 2014 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 1.2 kW |
| Section | Question | Response |
|---|---|---|
| New Mask Filter | Does the transmitter require a new mask filter? | Yes |
| Mask Filter Type | Full Service | |
| Power | 1.1-2kW | |
| New Exciter | Is a new exciter needed? | No |
| 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 | Yes | |
| Size | 0.75 inches | |
| Length | 20.0 feet | |
| 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 |
| 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? | 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 | Slotted Coaxial | |
| ERP: | 2.0 kW | |
| Manufacturer | ||
| Model | DLP-10B-21 | |
| Year | 2014 |
| 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 | Broadband Panel | |
| Number of Stations Supported | 1 | |
| Number of Panels/Bays | 12 | |
| Lower Limit | 470.00 MHz | |
| Upper Limit | 608.00 MHz | |
| Design power capacity in use | 14.0 % | |
| ERP: | 15.0 kW | |
| Manufacturer | ||
| Model | 75010210 | |
| Year | 2020 | |
| Justification for New Antenna | New location. Must protect KWBA 21 Sierra Vista with directional antenna. |
| 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? | No |
| Power Dividers | Does the panel antenna require power dividers? | Yes |
| Number of Power Dividers | 5 | |
| Cable Harness | Does the panel antenna require cable harness? | Yes |
| Number of Cable Harnesses | 9 |
| Name | Description |
|---|---|
Temporary Antenna Array |
Installed 3 UHF broadband antennas and splitter temporarily due to light capacity of tower. |
| 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 | Flexible Foam | |
| Diameter | 7/8 inches | |
| Number of parallel runs | 1 | |
| Length | 150 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 | Flexible Foam | |
| Diameter | 7/8 inches | |
| Number of parallel runs | 1 | |
| Length | 150 feet per run | |
| Justification for New Transmission Line | New tower site. Old transmission cable is not reusable. | |
| 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 |
| Name | Description |
|---|---|
Mounting Brackets |
Heliax tower mounting brackets |
| 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 | Owned | |
| Is this tower consider Complex? | No | |
| Is this tower currently shared with any other stations? | 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? | No |
| Coordinates (NAD83) | Latitude (NAD83) | 33° 01' 49.3" N- |
| Longitude (NAD83) | 111° 34' 31.5" W- | |
| Overall Structure Height | 120.00 feet | |
| Support Structure Height | 120.00 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 1378.00 feet | |
| Structure Type | TOWER - Free Standing or Guyed Structure | |
| Tower Owner | Gila River Telecommunications Inc | |
| Date Constructed | 10/01/2015 |
| Section | Question | Response |
|---|---|---|
| Engineering Study | Please what type of engineering study is required, if any: | Study need for guyed or free-standing tower |
| Tower Reinforcements | Please select whether tower reinforcements are needed: | Minor Reinforcements needed |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | N/A |
| Helicopter Services Required | Are helicopter services required? | No |
| Name | Description |
|---|---|
Install Temporary Antennas |
Installed 3 temporary UHF Broadband Antennas and Splitter, 11/28/2018 |
Reinforce Tower |
Structural engineering analysis showed existing tower at new site can handle only 3 panel antennas of 12 required. Need steel reinforcement pieces. |
Install Final Antennas |
After tower reinforcement, we need to install 12 permanent UHF broadband panel antennas and splitters |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 200 | |
| Explanation | Time for site survey and report, tower antenna installation oversight, electrician oversight, transmitter move, structural analysis correspondence, FCC interface, FCC engineer interface, vendor specification, tower reinforcement, and rigger oversight. | |
| 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 | 2 | |
| 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 | 3 | |
| 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 | Yes |
| RF exposure measurements | No | |
| Additional Field Engineering Service | No |
| Name | Description |
|---|---|
Transmitter Relocation Assistance |
Transmitter relocation assistance, one day plus travel |
| 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 | 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 | |
| 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 | $25,950.00 | $9,719.55 | N/A | $9,719.55 | N/A |
| Total for all systems | $258,800.33 | $102,567.27 | N/A | $101,207.12 | N/A |
| Primary Transmitter ACT-9XU-1000-AC | $25,950.00 | $9,719.55 | $9,719.55 | ||
| Transmitter Building Site Survey/Installation | $10,000.00 | $4,980.70 | Site survey and report with travel, transmitter move. | $4,980.70 | N/A |
| 0.75" Rigid Conduit and Wiring | $900.00 | $900.00 | Electrician installation of 3/4" conduit, circuit breaker, and 30A outlet. | $900.00 | N/A |
| 1.1-2kW w mask filter Full Service | $4,050.00 | $3,838.85 | Actual cost of filter and freight. | $3,838.85 | N/A |
| Retune - UHF and VHF - minor re-channel issues | $11,000.00 | $0.00 | No tuning necessary--same UHF channel. | $0.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Transmitter Building Site Survey/Installation | |
| 0.75" Rigid Conduit and Wiring | |
| 1.1-2kW w mask filter Full Service | |
| Retune - UHF and VHF - minor re-channel issues | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $49,887.61 | $33,823.44 | N/A | $33,823.44 | N/A |
| Total for all systems | $258,800.33 | $102,567.27 | N/A | $101,207.12 | N/A |
| Primary Antenna 75010210 | $49,887.61 | $33,823.44 | $33,823.44 | ||
| Temporary Antenna Array | $8,762.61 | $8,762.61 | 3 Used Kathrein K723147 UHF Panel Antennas with 3 Heliax link cables, mounting bolts. Plus new Kathrein power splitter and splitter mounting brackets. | $8,762.61 | N/A |
| Cable harness (each, for panel antenna system, if not included in antenna cost) | $9,000.00 | $0.00 | Included in antenna system quote | N/A | N/A |
| Power Dividers (each, for panel antenna system, if not included in antenna cost) | $6,500.00 | $0.00 | Included in antenna system quote | N/A | N/A |
| UHF Broadband panel antenna (per panel), horizontally-polarized | $21,000.00 | $25,060.83 | Permanent horizontally-polarized 12-panel UHF antenna array. | $25,060.83 | Permanent 12-panel UHF horizontally-polarized antenna array. |
| Side Mount antenna brackets | $4,625.00 | $0.00 | Included in antenna system quote | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Temporary Antenna Array | |
| Cable harness (each, for panel antenna system, if not included in antenna cost) | Information not provided. |
| Power Dividers (each, for panel antenna system, if not included in antenna cost) | Information not provided. |
| UHF Broadband panel antenna (per panel), horizontally-polarized | |
| Side Mount antenna brackets | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $1,650.00 | $1,255.08 | N/A | $1,255.08 | N/A |
| Total for all systems | $258,800.33 | $102,567.27 | N/A | $101,207.12 | N/A |
| Primary Transmission Line | $1,650.00 | $1,255.08 | $1,255.08 | ||
| Mounting Brackets | $0.00 | $0.00 | Included in cost of transmission line | N/A | N/A |
| Flexible Foam Transmission Line - dielectric, 7/8" | $1,650.00 | $1,255.08 | Includes tower mounting brackets and connectors | $1,255.08 | N/A |
| Actual Information Description | File Name |
|---|---|
| Mounting Brackets | Information not provided. |
| Flexible Foam Transmission Line - dielectric, 7/8" |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $79,942.00 | $25,052.00 | N/A | $25,052.00 | N/A |
| Total for all systems | $258,800.33 | $102,567.27 | N/A | $101,207.12 | N/A |
| Primary Tower TOWER | $79,942.00 | $25,052.00 | $25,052.00 | ||
| Install Temporary Antennas | $2,950.00 | $2,950.00 | N/A | $2,950.00 | N/A |
| Study needed for guyed or free-standing tower | $8,700.00 | $7,000.00 | Actual cost for tower structural analyses, one for temporary antenna and one for permanent antenna array. | $7,000.00 | N/A |
| Reinforce Tower | $0.00 | $0.00 | N/A | $0.00 | N/A |
| Install Final Antennas | $9,350.00 | $9,350.00 | N/A | $9,350.00 | Includes minor tower reinforcement. |
| Minor tower reinforcement/modifications | $2,752.00 | $2,752.00 | Additional steel elements required to modify tower to hold final configuration of the permanent 12-bay antenna needed to serve the same areas as before the repack. Materials and shipping only. Installation included in tower rigger charges. | $2,752.00 | N/A |
| Tower Rigging Short Tower (less than 500') | $56,190.00 | $3,000.00 | No additional costs. | $3,000.00 | Tower rigger removal of antennas associated with this displacement. Does not include disposal or installation of permanent antenna, listed under other categories. |
| Actual Information Description | File Name |
|---|---|
| Install Temporary Antennas | |
| Study needed for guyed or free-standing tower | |
| Reinforce Tower | Information not provided. |
| Install Final Antennas | |
| Minor tower reinforcement/modifications | |
| Tower Rigging Short Tower (less than 500') |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $98,920.72 | $32,017.20 | N/A | $30,657.05 | N/A |
| Total for all systems | $258,800.33 | $102,567.27 | N/A | $101,207.12 | N/A |
| Outside Professional Services | $98,920.72 | $32,017.20 | $30,657.05 | ||
| Transmitter Relocation Assistance | $2,658.22 | $2,658.22 | Two days labor plus travel to Phoenix from San Diego for Paul Redfield (Orbdot, Inc.) assistance with moving and installation of the transmitter from Blackwater, AZ to KGRQ-LD new location at Sacaton Peak, AZ | $2,658.22 | N/A |
| Comprehensive coverage verification via field study, if needed | $52,600.00 | $4,403.98 | N/A | $4,403.98 | N/A |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | $6,705.00 | $1,395.00 | N/A | $1,395.00 | N/A |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $0.00 | N/A | N/A | N/A |
| Prepare Form 601 | $755.00 | $0.00 | N/A | N/A | N/A |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $1,260.00 | N/A | $1,260.00 | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $225.00 | N/A | $225.00 | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $625.00 | N/A | $625.00 | N/A |
| Prepare request for Special Temporary Authorization | $2,560.00 | $2,300.00 | N/A | $2,300.00 | N/A |
| Perform engineering study for displacement application | $1,800.00 | $1,275.00 | N/A | $1,275.00 | N/A |
| Form 399 assistance or other Program Management costs | $1,275.00 | $1,275.00 | N/A | $1,275.00 | N/A |
| Prepare/ Review 399 reimbursement form | $1,710.00 | $3,600.00 | Time required to complete tasks for Form 399 filing, and revisions exceeded the predetermined estimate. | $3,600.00 | Filing of FCC Form 399 has taken longer than originally estimated. |
| Project management of the transition | $21,100.00 | $13,000.00 | Displacement communications with attorney and engineers, structural engineer communication, vendor product specification, transmitter relocation, rigger supervision, FCC filing of STA extensions and license cancellation | $11,639.85 | N/A |
| Actual Information Description | File Name |
|---|---|
| Transmitter Relocation Assistance | |
| Comprehensive coverage verification via field study, if needed | |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | |
| 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 | |
| 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 | |
| Project management of the transition |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $2,450.00 | $700.00 | N/A | $700.00 | N/A |
| Total for all systems | $258,800.33 | $102,567.27 | N/A | $101,207.12 | N/A |
| Other Expenses | $2,450.00 | $700.00 | $700.00 | ||
| Equipment Delivery and Handling Charges | $0.00 | $0.00 | N/A | N/A | N/A |
| Disposal Costs (for equipment and other waste, net of any salvage value) | $700.00 | $700.00 | Disposal of channel 29 slot antenna array plus disposal of previous channel 21 slot antenna array and transmission line. | $700.00 | N/A |
| FCC Filing Fees - Special Temporary Authorization request | $305.00 | $0.00 | KGRQ-LD is a tribal governmental agency and should not be subject to FCC filing fees. | N/A | N/A |
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $0.00 | KGRQ-LD is a tribal governmental agency and should not be subject to fees. | N/A | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $0.00 | KGRQ-LD is a tribal governmental agency and should not be subject to FCC filing fees. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Equipment Delivery and Handling Charges | Information not provided. |
| Disposal Costs (for equipment and other waste, net of any salvage value) | |
| 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. |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $258,800.33 | $102,567.27 | $101,207.12 |
| 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 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. | Gary L Stigall Technical Consultant 01/08/2021 |
| 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. | Gary L Stigall Technical Consultant 01/08/2021 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Gary L Stigall Technical Consultant 01/08/2021 |
