TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
LIVING FAITH MINISTRIES, INC. Doing Business As: LIVING FAITH MINISTRIES, INC.	1867 Abingdon, VA 24209 United States	+1 (276) 676-3806	lisa@livingfaithtv.com	Corporation

Applicant

Address

Phone

Applicant Type

LIVING FAITH MINISTRIES, INC.

Doing Business As: LIVING FAITH MINISTRIES, INC.

1867

Abingdon, VA 24209

United States

+1 (276) 676-3806

lisa@livingfaithtv.com

Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
Timothy Z Sawyer Technical Consultant T Z Sawyer Technical Consultants	2130 Hutchison Grove Court Suite 100 Falls Church, VA 22043 United States	+1 (703) 848-2130	tzsawyer@tzsawyer.com

Applicant

Address

Phone

Timothy Z Sawyer

Technical Consultant

T Z Sawyer Technical Consultants

2130 Hutchison Grove Court

Suite 100

Falls Church, VA 22043

United States

+1 (703) 848-2130

tzsawyer@tzsawyer.com

Broadcaster Information and Transition Plan

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	Please refer to attachment titled "WLFB Updated Repack Transition Plan Narrative Exhibit as of July 2019."

Transmitters

Section	Question	Response
Transmitter Related Expenses	Do you have transmitter related expenses?	Yes

Primary Transmitter

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	QXD1
	Year	2001
	Type	Inductive Output Tube
	IOT Power Type	Single
	Power Capacity	20 kW

Primary Transmitter

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	ULXTE-40
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	25.3 kW
	Justification for New Transmitter	Existing xmitter cannot be re-channeled - channel change is 90 MHz shift (from Ch 40 to Ch 25). IOT operation not available, manufacturer no longer in business. See attached letter from manufacturer dated 1-1-2017. Please also see 9-6-19 xmitter exhibit.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	Yes
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	Yes
	Size	3 inches
	Length	250.0 feet
	Other Electrical Service	Yes
	Description	Incoming AC line surge suppression and disconnect switchgear.
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

Other Transmitter Cost Not Listed

Name	Description
Electrical	Electrical
Site Survey	Basic Site Survey
RF Accessories	RF Accessories
Transmitter Removal	Removal of old primary transmitter from facility
Mask Filter System	Mask Filter System
Misc RF Components	Additional RF components required for installation of transmitter - including but not limited to rf couplers and short transmission line lengths.
Installation and Proof	Installation and Proof
Transmitter Site Access Road	Truck turnaround for access and road prep for safe transport of WLFB repack equipment (CL Dale Proposal Attached)
Installation RF Mask-Filter	Installation expense related to the installation and positioning of the RF mask-filter in limited available space.
Transmitter Building Electrical	Transmitter Building Electrical

Antennas

Section	Question	Response
Antenna Related Expenses	Do you have antenna related expenses?	Yes

Primary Antenna

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?	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	Class	Full Power
	Mounting	Side 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:	1000.0 kW
	Manufacturer
	Model	2100-32
	Year	2001

Primary Antenna

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?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Types	Class	Full Power
	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:	739.0 kW
	Manufacturer
	Model	ATW26H3-HSP230-25H
	Year	2019
	Justification for New Antenna	CURRENT CHANNEL IS ON CHANNEL 40 NEW CHANNEL IS CHANNEL 25. 90 MHZ FREQUENCY SHIFT.

Primary Antenna

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?	Yes
	Broadband or Single Channel?	Single Channel
	Feed Line Size	6 1/8 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?	Yes
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
Installation of Ice Shields	Installation of Ice Shields
Freight	Freight

Interim Antenna

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?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Type	Class	Full Power
	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:	300.0 kW
	Manufacturer
	Model	ALP16M2-HSP-2S
	Year	2019
	Justification for New Antenna	Must remove old channel 40 antenna, prior to installation of new channel 25 antenna. Interim antenna allows for operation at a lower elevation on the existing tower.

Interim Antenna

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?	Yes
Pattern Scatter Analysis	Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna?	Yes
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Interim Antenna

Other Antenna Cost Not Listed

Name	Description
Tower Rigging to Stabilize Tower during interim antenna transmission line work	Tower Rigging to Stabilize Tower during interim antenna transmission line work

Transmission Line

Section	Question	Response
Transmission Line Related Expenses	Do you have transmission line related expenses?	Yes

Primary Transmission Line

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	Rigid
	Diameter	6 1/8 inches
	Other Diameter	N/A
	Segment Length	20 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	275 feet per run

Primary Transmission Line

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	Rigid
	Diameter	6 1/8 inches
	Other Diameter	N/A
	Segment Length	19 1/2 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	300 feet per run
	Justification for New Transmission Line	RECHANNELED FROM CH 40 TO CH 25, LINE SEGMENT LENGTH REQUIRES 19-1/2 FT. OLD SEGMENT LENGTH IS 20 FT.

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Name	Description
Transmission Line Bridge Option	Transmission Line Bridge Option (included in ERI New Tower Proposal)

Interim Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Interim
	Description of Use	N/A
	Change Type	Purchase New
	Type	Flexible Air
	Diameter	3 inches
	Segment Length	N/A
	Other Segment Length
	Number of parallel runs	1
	Length	324 feet per run
	Justification for New Transmission Line	Interim use while main transmission line is removed from tower.

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Name	Description
Transmission Line Routing	RF Interconnect components between transmission line and interim transmitter.

Tower Equipment And Rigging Costs

Section	Question	Response
Tower Equipment or Rigging Costs Changes	Do you have tower equipment or rigging costs changes?	Yes

Primary Tower

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?	Yes
	One or more FM, AM or TV radio broadcaster(s)	Yes
	Others Types of Users	Yes
	Is tower documented for structural analysis?	No
	Is tower compliant with Rev G?	No
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1219321
Coordinates (NAD83)	Latitude (NAD83)	37° 13' 12.3" N-
	Longitude (NAD83)	081° 15' 19.0" W-
	Overall Structure Height	424.86 feet
	Support Structure Height	421.91 feet
	Ground Elevation Above Mean Sea Level (AMSL)	3837.88 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	Living Faith Ministries, Inc.
	Date Constructed	09/30/2000

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID	Call Sign	Service
52864	WKQB	FM

Other Types of Users

Users
ISP Provider

Primary Tower

Tower Rigging Costs

Section	Question	Response
Tower Rigging Costs	Complex Tower	N/A
Helicopter Services Required	Are helicopter services required?	No

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Site Security	Site security required during construction phase.
RF Engineer Consultant	Research regarding tower foundations, structural materials, ground penetration radar options

Primary Tower

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?	Yes
	One or more FM, AM or TV radio broadcaster(s)	Yes
	Others Types of Users	Yes
	Is tower documented for structural analysis?	No
	Is tower compliant with Rev G?	No
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1219321
Coordinates (NAD83)	Latitude (NAD83)	37° 13' 12.3" N-
	Longitude (NAD83)	081° 15' 19.0" W-
	Overall Structure Height	424.86 feet
	Support Structure Height	421.91 feet
	Ground Elevation Above Mean Sea Level (AMSL)	3837.88 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	Living Faith Ministries, Inc.
	Date Constructed	09/30/2000

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID	Call Sign	Service
52864	WKQB	FM

Other Types of Users

Users
ISP Provider

Primary Tower

Tower Construction Costs

Section	Question	Response
Construct New Tower	Use	Primary (Main)
	Description of Use	N/A
	Is this a request for upgraded equipment?	No
	Height	424.00 feet
	Justification for New Tower	Please see attached exhibit "WLFB New Tower Justification July 2 2019.pdf". Also, please note that the design of the new tower is not yet finalized; as such, the 424 feet AGL height noted above is subject to change.

Primary Tower

Tower Rigging Costs

Section	Question	Response
Tower Rigging Costs	Complex Tower	N/A
Helicopter Services Required	Are helicopter services required?	No

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Porta-Potty	Porta-Potty (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)
Tower Site Tree Removal Tower Site to Road	Clear trees from tower site to road for stacking of old tower (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)
Tower Site Fencing Guy Anchors	New fence and gates at 3 tower guy anchors; remove old fences and gates (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)
Addison Surveyors	Survey services at Bluefield Tower Site
Tower Site Fencing New Fence and Gate	New fence and gate extending east end beyond new tower (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)
ERI Geotechnical Survey for collection of soil core samples	ERI Geotechnical Survey for collection of soil core samples (proposal attached)
Radio Services	Radio Antenna Install
Tower Site Tree Removal New Guy Path	Clear trees on new guy path 40 feed wide NE and South guy locations (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)
Tower Site Fence East and West End Removal	East and West End removal during project (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)
Waste Disposal	Large Dumpster for waste disposal (WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020)
Installation	Installation Services

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	100
	Explanation	Station does not have staff available.
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	No
	Environmental Assessment	No
	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	No
RF Field Engineering Services	Comprehensive coverage verification via field study	No
	RF exposure measurements	Yes
	Additional Field Engineering Service	No
	Number of Days	N/A
	Justification	N/A

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
PROJECT PLANNING	TX PHYSICAL LAYOUT REVIEW AND TRANSITION PLANNING
Insurance Costs	Insurance coverage for repack related equipment installation and transportation
Additional Repack Legal Services Not Otherwise Specified in Form 399	Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees.
Interim Antenna Considerations	Interim Antenna Considerations

Other Expenses

Section	Question	Response
AM Pattern Disturbance	Is an Impact Study needed?	No
AM Pattern Disturbance	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?	Yes
Permit and Filing Costs	Local Zoning	Yes
	Non-zoning permits	Yes
	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

Other Expenses Not Listed

Name	Description
Tower Lease and Tenant Correspondence	Tower Lease and Tenant Correspondence

Cost Information

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	$1,981,667.84	$993,958.66	N/A	$899,708.66	N/A
Total for all systems	$4,678,361.93	$3,571,690.60	N/A	$2,941,576.93	N/A
Primary Transmitter ULXTE-40	$1,981,667.84	$993,958.66		$899,708.66
Transmitter Building Electrical	$31,700.00	$31,700.00	N/A	N/A	N/A
Installation RF Mask-Filter	$3,500.00	$3,500.00	N/A	N/A	N/A
Transmitter Site Access Road	$26,486.34	$26,486.34	N/A	$26,486.34	Additional expenses were incurred as indicated in the attached invoices.
Installation and Proof	$58,543.75	$58,543.75	N/A	$58,543.75	N/A
Misc RF Components	$6,000.00	$6,000.00	N/A	N/A	N/A
Transmitter Removal	$4,500.00	$4,500.00	N/A	N/A	N/A
RF Accessories	$64,134.44	$64,134.44	N/A	$64,134.44	N/A
Electrical	$7,122.72	$7,122.72	N/A	$7,122.72	N/A
Site Survey	$8,416.62	$8,416.62	N/A	$8,416.62	Additional expenses were incurred as indicated in the attached invoices.
Other Electrical Service: Incoming AC line surge suppression and disconnect switchgear.	$38,300.00	$38,300.00	Additional expenses were incurred as indicated in the attached invoices	$38,300.00	Additional expenses were incurred as indicated in the attached invoices
3" Rigid Conduit and Wiring (Cost per foot)	$13,000.00	$12,250.00	N/A	N/A	N/A
Switchgear - industrial 800 amp	$38,200.00	$36,300.00	N/A	N/A	N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	$947,000.00	$422,303.03	Additional expenses were incurred as indicated in the attached invoices.	$422,303.03	Additional expenses were incurred as indicated in the attached invoices.
Mask Filter System	$50,763.97	$50,763.97	N/A	$50,763.97	N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	$684,000.00	$223,637.79	*System Notice: Estimate adjusted and locked because line has been superseded.*	$223,637.79	N/A

Components

Actual Information Description	File Name
Transmitter Building Electrical	Information not provided.
Installation RF Mask-Filter	Information not provided.
Transmitter Site Access Road	Component Description: Preparation of main road for safe transport of equipment Amount: $11,900.00 Component Description: Additional Stone needed for preparation of main road for safe transport of equipment Amount: $483.84 Component Description: Grading which includes grubbing and road widening improvements to facilitate safe travel for equipment Amount: $9,080.00 Component Description: Stone for safe access to transmitter site; grading to direct storm water away from building Amount: $5,022.50
Installation and Proof	Component Description: Installation and Proof for ULXTE-40 Transmitter per Quote Q-81168 Amount: $19,514.59 Component Description: Installation and Proof for ULXTE-40 Transmitter per Quote Q-81168 Amount: $19,514.58 Component Description: Installation and Proof for ULXTE-40 Transmitter per Quote Q-81168 Amount: $19,514.58
Misc RF Components	Information not provided.
Transmitter Removal	Information not provided.
RF Accessories	Component Description: RF Accessories for ULXTE-40 Transmitter per Quote Q-81168 Amount: $22,239.88 Component Description: RF Accessories for ULXTE-40 Transmitter per Quote Q-81168 Amount: $20,516.42 Component Description: RF Accessories for ULXTE-40 Transmitter per Quote Q-81168 Amount: $21,378.14
Electrical	Component Description: Electrical for ULXTE-40 Transmitter per Quote Q-81168 Amount: $2,374.24 Component Description: Electrical for ULXTE-40 Transmitter per Quote Q-81168 Amount: $2,374.24 Component Description: Electrical for ULXTE-40 Transmitter per Quote Q-81168 Amount: $2,374.24
Site Survey	Component Description: Basic Site Survey Amount: $8,416.62
Other Electrical Service: Incoming AC line surge suppression and disconnect switchgear.	Component Description: Electrical installations, voltage conduit, additional volt circuits Amount: $12,800.00 Component Description: Install tower light control panel with dedicated circuit from transmitter equipment panel Amount: $2,100.00 Component Description: Amp panel, hanging heater, conduit and wire Amount: $19,200.00 Component Description: Installation of additional circuits; relocation of existing circuits Amount: $4,200.00
3" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
Switchgear - industrial 800 amp	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	Component Description: GatesAir ULXTE-40 Transmitter per Quote Q-81168 (including Exciter, modulation software, heat exchanger) Amount: $198,665.25 Component Description: GatesAir ULXTE-40 Transmitter per Quote Q-81168 Amount: $223,637.78
Mask Filter System	Component Description: Mask Filter System for ULXTE-40 Transmitter per Quote Q-81168 Amount: $17,783.05 Component Description: Mask Filter System for ULXTE-40 Transmitter per Quote Q-81168 Amount: $16,921.33 Component Description: Mask Filter System for ULXTE-40 Transmitter per Quote Q-81168 Amount: $16,059.59
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	Component Description: GatesAir ULXTE-40 Transmitter per Quote Q-81168 Amount: $223,637.79

Cost Information

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	$550,167.49	$539,715.74	N/A	$257,486.44	N/A
Total for all systems	$4,678,361.93	$3,571,690.60	N/A	$2,941,576.93	N/A
Interim Antenna ALP16M2-HSP-2S	$255,467.00	$256,130.25		$44,851.50
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$23,150.00	N/A	N/A	N/A
Tower Rigging to Stabilize Tower during interim antenna transmission line work	$30,827.00	$30,827.00	N/A	$15,413.50	N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$5,260.00	N/A	$2,400.00	N/A
Sweep test of existing antenna	$6,730.00	$7,393.25	Additional expenses were incurred as indicated in the attached invoices.	$7,393.25	Additional expenses were incurred as indicated in the attached invoices.
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized	$189,500.00	$189,500.00	N/A	$19,644.75	N/A
Primary Antenna ATW26H3-HSP230-25H	$294,700.49	$283,585.49		$212,634.94
Freight	$3,615.00	$3,615.00	Additional expenses were incurred as indicated in the attached invoices.	$3,615.00	Additional expenses were incurred as indicated in the attached invoices.
Installation of Ice Shields	$18,645.49	$18,645.49	Additional expenses were incurred as indicated in the attached invoices	$18,645.49	Additional expenses were incurred as indicated in the attached invoices
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$4,800.00	N/A	$4,800.00	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$13,575.00	N/A	$13,575.00	N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	$12,300.00	$11,700.00	N/A	$5,131.45	N/A
Sweep test of existing antenna	$6,730.00	$6,250.00	N/A	$6,250.00	N/A
UHF - High Power, Side Mount, basic slot antenna, 739 kW input, directional,, horizontally polarized	$225,000.00	$225,000.00	N/A	$160,618.00	N/A

Components

Actual Information Description	File Name
Side mount brackets for high power antennas (if not included in antenna base cost)	Information not provided.
Tower Rigging to Stabilize Tower during interim antenna transmission line work	Component Description: Replacement Steel Tails for Installation of Interim Antenna Amount: $15,413.50
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	Component Description: Scattering Study Amount: $2,400.00
Sweep test of existing antenna	Component Description: System Sweep Amount: $7,393.25
UHF - Lower Power Side Mount, One station - 200-500 kW, horizontally polarized	Component Description: Interim Antenna Amount: $19,644.75
Freight	Component Description: Freight Amount: $1,782.50 Component Description: Freight Amount: $1,832.50
Installation of Ice Shields	Component Description: Ice shield assembly and freight cost Amount: $11,195.49 Component Description: Change order for ice shield installation Amount: $3,250.00 Component Description: Installation of ice shields and weather day Amount: $4,200.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	Component Description: Antenna Scattering Study Amount: $2,400.00 Component Description: Antenna Scattering Study Amount: $2,400.00
Side mount brackets for high power antennas (if not included in antenna base cost)	Component Description: Custom Mounts Amount: $6,787.50 Component Description: Custom Mounts Amount: $6,787.50
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	Component Description: Elbow Complex Amount: $4,454.00 Component Description: Difference between Rev B and Rev C Proposal Amount: $677.45
Sweep test of existing antenna	Component Description: System Sweep Amount: $3,125.00 Component Description: System Sweep Amount: $3,125.00
UHF - High Power, Side Mount, basic slot antenna, 739 kW input, directional,, horizontally polarized	Component Description: Side Mount Antenna Amount: $70,884.00 Component Description: Antenna installation and weather days Amount: $9,750.00 Component Description: Side Mount Antenna Amount: $70,884.00 Component Description: Antenna installation and weather days Amount: $9,100.00

Cost Information

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	$100,086.00	$97,086.00	N/A	$61,817.81	N/A
Total for all systems	$4,678,361.93	$3,571,690.60	N/A	$2,941,576.93	N/A
Interim Transmission Line	$26,616.00	$26,616.00		$9,082.89
Transmission Line Routing	$7,500.00	$7,500.00	N/A	N/A	N/A
Flexible Air Transmission Line - dielectric, 3"	$19,116.00	$19,116.00	N/A	$9,082.89	N/A
Primary Transmission Line	$73,470.00	$70,470.00		$52,734.92
Transmission Line Bridge Option	$12,870.00	$12,870.00	N/A	$9,477.83	N/A
Rigid Transmission Line - copper, 6 1/8"	$60,600.00	$57,600.00	N/A	$43,257.09	N/A

Components

Actual Information Description	File Name
Transmission Line Routing	Information not provided.
Flexible Air Transmission Line - dielectric, 3"	Component Description: Heliax Line and Dehydrator Amount: $9,082.89
Transmission Line Bridge Option	Component Description: Ice Shield, installation, and freight for transmission line bridge exposure to falling ice Amount: $9,477.83
Rigid Transmission Line - copper, 6 1/8"	Component Description: Transmission Line Amount: $19,740.27 Component Description: Transmission Line Amount: $23,516.82

Cost Information

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	$1,229,317.08	$1,225,117.08	N/A	$1,060,380.00	N/A
Total for all systems	$4,678,361.93	$3,571,690.60	N/A	$2,941,576.93	N/A
Primary Tower TOWER	$95,231.25	$91,031.25		$73,595.25
Short Tower (less than 500')	$84,200.00	$80,000.00	N/A	$71,064.00	N/A
Site Security	$8,500.00	$8,500.00	N/A	N/A	N/A
RF Engineer Consultant	$2,531.25	$2,531.25	N/A	$2,531.25	N/A
Primary Tower TOWER	$0.00	$0.00		$0.00
Primary Tower	$1,134,085.83	$1,134,085.83		$986,784.75
Short Tower (less than 500')	$84,200.00	$84,200.00	N/A	$0.00	N/A
New tower	$952,566.83	$952,566.83	Additional expenses were incurred as indicated in the attached invoices.	$952,566.83	Additional expenses were incurred as indicated in the attached invoices.
Tower Site Fencing Guy Anchors	$8,000.00	$8,000.00	WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020.	$6,000.00	N/A
ERI Geotechnical Survey for collection of soil core samples	$5,650.00	$5,650.00	N/A	$2,825.00	N/A
Radio Services	$12,250.00	$12,250.00	N/A	N/A	N/A
Addison Surveyors	$3,900.00	$3,900.00	N/A	$3,900.00	N/A
Installation	$31,619.00	$31,619.00	N/A	N/A	N/A
Tower Site Fence East and West End Removal	$1,600.00	$1,600.00	WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020.	N/A	N/A
Tower Site Fencing New Fence and Gate	$7,500.00	$7,500.00	WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020.	N/A	N/A
Waste Disposal	$3,500.00	$3,500.00	WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020.	N/A	N/A
Porta-Potty	$2,000.00	$2,000.00	WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020.	$192.92	N/A
Tower Site Tree Removal New Guy Path	$13,000.00	$13,000.00	WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020. Additional expenses were incurred as indicated in the attached invoices.	$13,000.00	Additional expenses were incurred as indicated in the attached invoices.
Tower Site Tree Removal Tower Site to Road	$8,300.00	$8,300.00	WLFB unable to get proposal/quote from vendor because scope of project will be unknown until spring 2020. Additional expenses were incurred as indicated in the attached invoices.	$8,300.00	Additional expenses were incurred as indicated in the attached invoices.

Components

Actual Information Description	File Name
Short Tower (less than 500')	Component Description: Installation Amount: $71,064.00
Site Security	Information not provided.
RF Engineer Consultant	Component Description: RF Engineer Consultant Amount: $2,531.25
Short Tower (less than 500')	Component Description: Installation Amount: N/A
New tower	Component Description: Existing top wires for use as temps for de-stack Amount: $540.00 Component Description: Custom Tower, Foundation and Antenna Installation, Structural Destack and Freight Amount: $408,840.46 Component Description: Custom Tower, Foundation and Antenna Installation, Structural Destack Amount: $400,240.00 Component Description: Custom hauling to limited access site. Receive and unload material. Amount: $53,573.00 Component Description: Outside concrete testing; construction survey and mapping Amount: $3,973.74 Component Description: Custom Tower, Foundation and Antenna Installation, Structural Destack - Change order Amount: $82,365.25 Component Description: Concrete Testing Services (Break Test) Amount: $3,034.38
Tower Site Fencing Guy Anchors	Component Description: Fencing material around South and Northeast guy foundations Amount: $6,000.00
ERI Geotechnical Survey for collection of soil core samples	Component Description: Geotechnical Services and Foundation Mapping Amount: $2,825.00
Radio Services	Information not provided.
Addison Surveyors	Component Description: Tying tower site into boundary, verifying guy anchor locations, locating existing tower center Amount: $3,900.00
Installation	Information not provided.
Tower Site Fence East and West End Removal	Information not provided.
Tower Site Fencing New Fence and Gate	Information not provided.
Waste Disposal	Information not provided.
Porta-Potty	Component Description: Portable Restroom Amount: $192.92
Tower Site Tree Removal New Guy Path	Component Description: Clearing of trees and debris for construction and installation of guy wires around tower Amount: $5,500.00 Component Description: Tower Site Tree Removal New Guy Path Amount: $7,500.00
Tower Site Tree Removal Tower Site to Road	Component Description: Limb removal from main road, up mountain, through entrance gate, and up tower entrance road Amount: $6,000.00 Component Description: Clearing of trees and stumps between main and new road Amount: $2,300.00

Cost Information

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	$160,615.29	$468,810.89	N/A	$450,125.09	N/A
Total for all systems	$4,678,361.93	$3,571,690.60	N/A	$2,941,576.93	N/A
Outside Professional Services	$160,615.29	$468,810.89		$450,125.09
Interim Antenna Considerations	$420.00	$420.00	N/A	$420.00	N/A
Additional Repack Legal Services Not Otherwise Specified in Form 399	$72,374.95	$72,374.95	Additional expenses were incurred as indicated in the attached invoices	$72,374.95	Additional expenses were incurred as indicated in the attached invoices.
Insurance Costs	$17,890.34	$17,890.34	N/A	$17,890.34	N/A
PROJECT PLANNING	$5,000.00	$5,000.00	N/A	$750.00	N/A
RF Exposure Measurements	$21,050.00	$10,000.00	N/A	N/A	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$3,680.00	$5,082.40	Additional expenses were incurred as indicated in the attached invoices.	$5,082.40	Additional expenses were incurred as indicated in the attached invoices.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	N/A	$1,508.00	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	N/A	$4,306.20	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	$1,500.00	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,000.00	N/A	$3,000.00	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$7,000.00	N/A
Prepare and or review reimbursement form	$2,630.00	$63,013.70	Additional expenses were incurred as indicated in the attached invoices.	$63,013.70	Additional expenses were incurred as indicated in the attached invoices.
Project management of the transition	$15,800.00	$274,779.50	Additional expenses were incurred as indicated in the attached invoices.	$274,779.50	Additional expenses were incurred as indicated in the attached invoices.

Components

Actual Information Description	File Name
Interim Antenna Considerations	Component Description: Interim Antenna Considerations Amount: $420.00
Additional Repack Legal Services Not Otherwise Specified in Form 399	Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $2,471.20 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $289.00 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $184.60 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $3,136.80 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $846.90 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $3,269.00 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $5,845.00 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $1,591.00 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $1,563.40 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $6,982.50 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $659.60 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $826.10 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $1,415.40 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $370.10 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $1,559.20 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $1,156.00 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $2,814.00 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $4,195.00 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $791.30 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $1,843.90 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $2,282.10 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog fees. Amount: N/A Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $405.60 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $164.10 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $748.60 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $407.40 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $5,600.00 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $11,311.90 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $1,785.40 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $518.50 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog fees. Amount: $1,106.25 Component Description: Non-Catalog Legal Services such as review of quarterly transition status report and other miscellaneous non-catalog legal fees. Amount: $980.00 Component Description: Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees Amount: $5,255.10
Insurance Costs	Component Description: Excess liability insurance coverage for repack related equipment installation and transportation Amount: $10,876.95 Component Description: General liability insurance coverage for repack related equipment installation and transportation Amount: $4,513.39 Component Description: Installation/Builders Risk Policy Amount: $2,500.00
PROJECT PLANNING	Component Description: Engineering consulting services necessary to ascertain power of, and plan for, new transmitter. Amount: $750.00
RF Exposure Measurements	Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization	Component Description: Prepare and File request for Special Temporary Authorization (Interim Operations) Amount: $1,371.60 Component Description: Prepare and File request for Special Temporary Authorization Amount: $2,270.80 Component Description: Prepare and File request for Special Temporary Authorization Amount: $1,440.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Component Description: Prepare and File FCC Form 2100 (main), License to Cover Application Amount: $784.40 Component Description: Prepare and File FCC Form 2100 (main), License to Cover Application Amount: $723.60
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: Tolling request for repack construction permit Amount: $1,316.30 Component Description: Attorney Fees - Prepare and File FCC Form 2100 CP Amount: $367.00 Component Description: Attorney Fees - Prepare and File FCC Form 2100 CP Amount: $2,622.90
Prepare request for Special Temporary Authorization	Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	Component Description: Prepare engineering section of FCC Form 2100 CP Application Amount: $3,000.00
Perform engineering study for new channel assignment and antenna development	Component Description: Perform engineering digital channel study for new channel assignment and antenna development for selected channel. Amount: $7,000.00
Prepare and or review reimbursement form	Component Description: Prepare and or review reimbursement form Amount: $1,589.00 Component Description: Prepare and or review reimbursement form Amount: $1,679.00 Component Description: Prepare and or review reimbursement form Amount: $1,386.00 Component Description: Prepare and or review reimbursement form Amount: $1,234.80 Component Description: Prepare and or review reimbursement form Amount: $511.00 Component Description: Prepare and or review reimbursement form Amount: $10,633.10 Component Description: Prepare and or review reimbursement form Amount: $1,181.20 Component Description: Prepare and or review reimbursement form Amount: $691.60 Component Description: Prepare and or review reimbursement form Amount: $680.40 Component Description: Prepare and or review reimbursement form Amount: $378.00 Component Description: Prepare and or review reimbursement form Amount: $988.00 Component Description: Prepare and or review reimbursement form Amount: $12,950.30 Component Description: Prepare and or review reimbursement form Amount: $806.40 Component Description: Prepare and or review reimbursement form Amount: $942.60 Component Description: Prepare and or review reimbursement form Amount: $2,015.50 Component Description: Prepare and/or review reimbursement form Amount: $1,987.20 Component Description: Prepare and or review reimbursement form Amount: $464.00 Component Description: Prepare and or review reimbursement form Amount: $1,982.30 Component Description: Prepare and or review reimbursement form Amount: $387.00 Component Description: Prepare and or review reimbursement form Amount: $1,702.40 Component Description: Prepare and or review reimbursement form Amount: $302.40 Component Description: Prepare and or review reimbursement form Amount: $1,011.10 Component Description: Prepare and or review reimbursement form Amount: $1,496.30 Component Description: Prepare and or review reimbursement form Amount: $1,979.70 Component Description: Prepare and or review reimbursement form Amount: $547.90 Component Description: Prepare and or review reimbursement form Amount: $1,544.20 Component Description: Prepare and or review reimbursement form Amount: $2,773.10 Component Description: Prepare and or review reimbursement form Amount: $1,641.40 Component Description: Prepare and or review reimbursement form Amount: $505.80 Component Description: Prepare budget for FCC Form 399 including reimbursement for expenses including vendor review and technical justification Amount: $2,500.00 Component Description: Prepare and or review reimbursement form Amount: $3,195.00 Component Description: Prepare and or review reimbursement form Amount: $1,267.20 Component Description: Prepare and or review reimbursement form Amount: $59.80
Project management of the transition	Component Description: Project Management of Transition Amount: $15,698.74 Component Description: Project Management of Transition Amount: $12,213.17 Component Description: Project Management of Transition Amount: $450.00 Component Description: Project Management of Transition Amount: $1,341.25 Component Description: Project Management of Transition Amount: $27,115.55 Component Description: Project Management of Transition Amount: $25,158.34 Component Description: Project Management of Transition Amount: $1,703.75 Component Description: Project Management of Transition Amount: $9,563.26 Component Description: Project Management of Transition Amount: $7,646.06 Component Description: Project Management of Transition Amount: $19,378.08 Component Description: Project Management of Transition Amount: $8,168.67 Component Description: Project Management of Transition Amount: $15,842.91 Component Description: Project Management of Transition Amount: $3,915.00 Component Description: Project Management of Transition Amount: $16,352.34 Component Description: Project Management of Transition Amount: $687.50 Component Description: Project Management of Transition Amount: $900.00 Component Description: Project Management of Transition Amount: $3,625.00 Component Description: Project Management of Transition Amount: $507.50 Component Description: Project Management of Transition Amount: $1,015.00 Component Description: Project Management of Transition Amount: $507.50 Component Description: Project Management of Transition Amount: $1,461.60 Component Description: Project Management of Transition Amount: $250.00 Component Description: Project Management of Transition Amount: $2,211.25 Component Description: Project management of transition Amount: $2,030.00 Component Description: Project management of the transition Amount: $2,235.90 Component Description: Project management of the transition Amount: $32,753.17 Component Description: Project Management of Transition Amount: $26,741.91 Component Description: Project management of the transition Amount: $15,820.78 Component Description: Project Management of Transition Amount: $9,794.34 Component Description: Project Management of Transition Amount: $9,690.93

Cost Information

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	$78,383.23	$77,778.23	N/A	$42,834.93	N/A
Total for all systems	$4,678,361.93	$3,571,690.60	N/A	$2,941,576.93	N/A
Other Expenses	$78,383.23	$77,778.23		$42,834.93
Tower Lease and Tenant Correspondence	$1,000.00	$1,000.00	N/A	$98.00	N/A
MVPD Notification of Channel Change	$1,544.00	$1,544.00	Additional expenses were incurred as indicated in the attached invoices.	$1,544.00	Additional expenses were incurred as indicated in the attached invoices.
Develop and air announcement of upcoming channel change	$2,500.00	$2,500.00	N/A	$1,158.70	N/A
Equipment Delivery and Handling Charges	$35,149.23	$35,149.23	Additional expenses were incurred as indicated in the attached invoices.	$35,149.23	Additional expenses were incurred as indicated in the attached invoices.
Disposal Costs (for equipment and other waste, net of any salvage value)	$20,000.00	$20,000.00	N/A	N/A	N/A
Non-zoning permits	$2,500.00	$2,500.00	N/A	$1,020.00	N/A
Local Zoning	$2,500.00	$2,500.00	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	$1,070.00	N/A	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$11,000.00	N/A	$3,865.00	N/A

Components

Actual Information Description	File Name
Tower Lease and Tenant Correspondence	Component Description: Tower lease and tenant correspondence Amount: $98.00
MVPD Notification of Channel Change	Component Description: MVPD Notification Mailing Amount: $245.00 Component Description: MVPD Notification process Amount: $49.00 Component Description: MVPD Notification Mailing Amount: $1,250.00
Develop and air announcement of upcoming channel change	Component Description: Develop and air announcement of upcoming channel change Amount: $644.00 Component Description: Develop and air announcement of upcoming channel change Amount: $514.70
Equipment Delivery and Handling Charges	Component Description: Equipment Delivery and Handling Charges Amount: $35,149.23
Disposal Costs (for equipment and other waste, net of any salvage value)	Information not provided.
Non-zoning permits	Component Description: Permit for Foundation and Tower Erection Amount: $630.00 Component Description: Credit for Reimbursement Received for Invoice #1023 Amount: ($630.00) Component Description: Building and Electrical Permits, Permit Fee. Licensee's EIN number is being used. Amount: $1,000.00 Component Description: Building and Electrical Permits, Surcharge. Licensee's EIN number is being used. Amount: $20.00
Local Zoning	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.
DTV Medical Facility Notification	Component Description: DTV Medical Facility Notification Amount: $179.40 Component Description: Medical Notification Mailing Amount: $2,950.00 Component Description: DTV Medical Facility Notification Amount: $98.00 Component Description: DTV Medical Facility Notification Amount: $196.00 Component Description: DTV Medical Facility Notification Amount: $322.00 Component Description: DTV Medical Facility Notification Amount: $119.60

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$4,678,361.93	$3,571,690.60	$2,941,576.93

Reimbursement Status

Question	Response
The facility has ceased operating on its pre-auction channel.	Yes
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

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.

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.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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).
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.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Michael D. Smith

President

03/11/2021

Certification

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).

The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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 (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .
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.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite 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.

Michael D. Smith

President

03/11/2021

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Interim Antenna

New Antenna Costs

Interim Antenna

Other Antenna Costs

Interim Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Existing Transmission Line

Primary Transmission Line

New Transmission Line

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Interim Transmission Line

New Transmission Line

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Other Types of Users

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Primary Tower

Existing Tower

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Other Types of Users

Primary Tower

Tower Construction Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components

Cost Information

Transmission Line

Components

Cost Information

Tower Equipment and Rigging Costs

Components