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FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

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

Facility ID:
53065
Service:
DTV
Call Sign:
WPXT
Channel:
34 (UHF)
File Number:
0000028283
FRN:
0002538445
Date Submitted:
07/02/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

Hearst Properties Inc.

Doing Business As: Hearst Properties Inc.

PO Box 1800

Raleigh, NC 27602

United States

 +1 (919) 839-0300 shartzell@brookspierce.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 

Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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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. Yes
Briefly describe transition plan WPXT will build its post-repack facility at the WMTW transmitter site in Baldwin, Maine. It will share WMTW's transmitter room and tower. A new antenna will be installed for WPXT utilizing an existing transmission line. See attached WPXT Transition Plan.

Transmitters

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

Primary Transmitter

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Add 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 Diamond
Year 2006
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 7.25 kW

Primary Transmitter

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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-12
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 8.5 kW
Justification for New Transmitter Existing Transmitter cannot be retuned. Selected model closest to power needs. Post-repack facility will be built at another site.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) Yes
Power 150 kVA
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description transmitter electrical design and installation
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

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Other Transmitter Cost Not Listed

Name Description

Remote Control

items needed to integrate transmitter into existing remote control system

RF Accessories

miscellaneous required RF components

Transmitter de-install

removal of old transmitter

Sales Tax

transmitter sales tax - Maine

Transmitter shipping

transmitter shipping to site

Electrical Accessories

Manufacturer required surge protection device

Change Orders

changes to original transmitter ordered needed for installation

Antennas

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

Primary Antenna

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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: 137.4 kW
Manufacturer
Model TLP-16B-R
Year 2006

Primary Antenna

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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? Yes
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 Elliptical
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: 500.0 kW
Manufacturer
Model TFU-16DSB/VP-F OS
Year 2019
Justification for New Antenna current antenna channel specific and cannot be retuned or otherwise used on post-repack channel

Primary Antenna

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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 4 1/16 inches inches
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? Yes
Pattern Scatter Analysis Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? No
Sweep Test Do you require the sweep testing of transmission line and antenna? Yes

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

RF adapters

additional required antenna components

Sales Tax

antenna sales tax

Shipping

antenna shipping

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Utilize Existing
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 Dielectric
Type Rigid
Diameter 6 1/8 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 1500 feet per run

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Line sweep

sweep existing unused line at new location to be utilized for post-repack channel

Adapters for line sweep

adapters needed to sweep existing transmission line

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
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? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1045602
Coordinates (NAD83) Latitude (NAD83) 43° 50' 44.0" N-
Longitude (NAD83) 070° 45' 41.0" W-
Overall Structure Height 1666.65 feet
Support Structure Height 1555.10 feet
Ground Elevation Above Mean Sea Level (AMSL) 882.54 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Hearst Properties Inc.
Date Constructed 02/01/2003

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
73288 WMTW DTV
48408 WIPL DTV
65675 WFNK FM

Other Types of Users

Users
Land-Mobile

Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Study needed for undocumented/poorly documented tower
Tower Reinforcements Please select whether tower reinforcements are needed: Major Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Old antenna removal

remove old antenna and transmission line

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 100
Explanation supervise and manage project
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 No
Quantity N/A
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 Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Non-Catalog legal expenses

Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues

Tower Consulting

Consulting for tower analysis, modifications and permits.

Transmitter Site Survey

Transmitter planning survey and transmitter building drawings

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
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 No
Non-zoning permits Yes
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
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? No
Does this relocation require Equipment Storage? Yes
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

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Other Expenses Not Listed

Name Description

in-house labor

in-house labor directly related to station's repack

Cost Information

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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 $627,758.85 $411,947.84 N/A $411,947.84 N/A
Total for all systems $1,502,913.48 $925,761.27 N/A $925,761.27 N/A
Primary Transmitter ULXTE-12 $627,758.85 $411,947.84 $411,947.84
Other Electrical Service: transmitter electrical design and installation $25,150.00 $25,150.00 per BH Milliken invoices and quote $25,150.00 N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW $494,500.00 $299,668.93 Transmitter cost based on FCC transmitter definition, transmitter, mask filter, installation and proof. $299,668.93 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $4,570.06 cost per GatesAir quote $4,570.06 N/A
Change Orders $24,129.54 $24,129.54 changes needed for transmitter installation $24,129.54 N/A
Electrical Accessories $1,618.74 $1,618.74 transmitter manufacturer required surge protection per quote $1,618.74 N/A
Transmitter shipping $7,992.45 $7,992.45 per GatesAir invoice $7,992.45 N/A
Sales Tax $17,780.93 $17,780.93 sales tax per GatesAir invoice $17,780.93 N/A
Transmitter de-install $150.00 $150.00 per invoice $150.00 N/A
RF Accessories $28,102.19 $28,102.19 additional RF components required for transmitter installation $28,102.19 N/A
Remote Control $2,785.00 $2,785.00 per Burk invoice $2,785.00 N/A

Components

Actual Information Description File Name
Other Electrical Service: transmitter electrical design and installation

Component Description:
WPXT transmitter electrical design
Amount:
$900.00

Component Description:
WPXT transmitter electrical installation 2
Amount:
$7,830.00

Component Description:
WPXT transmitter electrical installation 1
Amount:
$16,420.00
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW

Component Description:
WPXT transmitter payment 2 (transmitter, mask filter, installation and proof)
Amount:
$98,400.15

Component Description:
WPXT transmitter installation
Amount:
$34,642.70

Component Description:
WPXT transmitter installation cooling lines
Amount:
$4,468.47

Component Description:
WPXT transmitter payment 3 (transmitter, mask filter, installation and proof)
Amount:
$63,757.46

Component Description:
WPXT transmitter payment 1 (transmitter, mask filter, installation and proof)
Amount:
$98,400.15
Transformer 3 phase/480v - 150 KVA

Component Description:
WPXT transformer payment 2
Amount:
$1,523.35

Component Description:
WPXT transformer payment 3
Amount:
$1,523.36

Component Description:
WPXT transformer payment 1
Amount:
$1,523.35
Change Orders

Component Description:
WPXT change orders 1/3 payment
Amount:
$11,459.01

Component Description:
WPXT change orders combined total
Amount:
($425.03)

Component Description:
WPXT change orders payment 2
Amount:
$13,095.56
Electrical Accessories

Component Description:
WPXT surge suppressor 3
Amount:
$539.58

Component Description:
WPXT RF accessories payment 2
Amount:
$539.58

Component Description:
WPXT RF accessories payment 1
Amount:
$539.58
Transmitter shipping

Component Description:
WPXT transmitter shipping
Amount:
$7,992.45
Sales Tax

Component Description:
WPXT transmitter sales tax
Amount:
$17,567.18

Component Description:
WPXT additional transmitter sales tax
Amount:
$213.75
Transmitter de-install

Component Description:
WPXT transmitter electrical de-install
Amount:
$150.00
RF Accessories

Component Description:
WPXT RF accessories payment 2
Amount:
$9,367.40

Component Description:
WPXT RF accessories payment 3
Amount:
$9,367.39

Component Description:
WPXT RF accessories payment 1
Amount:
$9,367.40
Remote Control

Component Description:
WPXT transmitter remote control
Amount:
$2,785.00

Cost Information

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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 $73,722.22 $55,278.22 N/A $55,278.22 N/A
Total for all systems $1,502,913.48 $925,761.27 N/A $925,761.27 N/A
Primary Antenna TFU-16DSB/VP-F OS $73,722.22 $55,278.22 $55,278.22
UHF - High Power, Side Mount, basic slot antenna, 500 kW input, directional,, elliptically or circularly polarized $31,176.22 $31,176.22 N/A $31,176.22 N/A
Sweep test of existing antenna $6,730.00 $5,700.00 N/A $5,700.00 N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed) $9,570.00 $6,700.00 Flex line used in place of elbow complex for faster and easier installation $6,700.00 N/A
Side mount brackets for high power antennas (if not included in antenna base cost) $23,150.00 $8,606.00 N/A $8,606.00 N/A
Shipping $891.00 $891.00 antenna shipping $891.00 N/A
RF adapters $2,205.00 $2,205.00 reducer and transformer per Dielectric quote $2,205.00 N/A
Sales Tax $0.00 $0.00 estimated antenna sales tax based on Maine general sales tax rate of 5.5% $0.00 N/A

Components

Actual Information Description File Name
UHF - High Power, Side Mount, basic slot antenna, 500 kW input, directional,, elliptically or circularly polarized

Component Description:
WPXT main antenna less upgrades
Amount:
$21,942.00

Component Description:
WPXT additional line for antenna
Amount:
$8,200.00

Component Description:
WPXT antenna line hangers 1
Amount:
$83.11

Component Description:
WPXT antenna line hangers 2
Amount:
$83.11

Component Description:
WPXT antenna line reducer
Amount:
$868.00
Sweep test of existing antenna

Component Description:
WPXT existing TL sweep
Amount:
$5,700.00
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)

Component Description:
WPXT elbow complex less upgrade
Amount:
$6,700.00
Side mount brackets for high power antennas (if not included in antenna base cost)

Component Description:
WPXT main antenna side mount brackets less upgrade
Amount:
$8,606.00
Shipping

Component Description:
WPXT antenna shipping
Amount:
$891.00
RF adapters

Component Description:
WPXT RF components less upgrade
Amount:
$2,205.00
Sales Tax Information not provided.

Cost Information

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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 $10,743.22 $10,743.22 N/A $10,743.22 N/A
Total for all systems $1,502,913.48 $925,761.27 N/A $925,761.27 N/A
Primary Transmission Line $10,743.22 $10,743.22 $10,743.22
Adapters for line sweep $4,343.22 $4,343.22 see invoices $4,343.22 N/A
Line sweep $6,400.00 $6,400.00 standard Dielectric line sweep charge. Sweep to confirm unused T/L is in good working condition for repack use. $6,400.00 N/A

Components

Actual Information Description File Name
Adapters for line sweep

Component Description:
WPXT test transitions shipping
Amount:
$105.42

Component Description:
WPXT transmission line test transitions
Amount:
$4,237.80
Line sweep

Component Description:
WPXT antenna & line sweep
Amount:
$6,400.00

Cost Information

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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 $674,200.00 $374,229.10 N/A $374,229.10 N/A
Total for all systems $1,502,913.48 $925,761.27 N/A $925,761.27 N/A
Primary Tower TOWER $674,200.00 $374,229.10 $374,229.10
Old antenna removal $16,400.00 $16,400.00 old antenna and transmission line removal $16,400.00 N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $11,550.00 N/A $11,550.00 N/A
Major tower reinforcement/modifications $421,000.00 $121,231.60 tower modifications $121,231.60 N/A
Tall Tower (greater than 500') $210,500.00 $225,047.50 total of current tower services invoices $225,047.50 N/A

Components

Actual Information Description File Name
Old antenna removal

Component Description:
WPXT old antenna and line removal
Amount:
$16,400.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
WXPT tower analysis Install before Modification
Amount:
$1,500.00

Component Description:
WVTM antenna tower loading analysis TIA-222-G
Amount:
$4,050.00

Component Description:
WPXT tower study peer review
Amount:
$6,000.00
Major tower reinforcement/modifications

Component Description:
WPXT mobilization to complete tower modficiations
Amount:
$24,017.60

Component Description:
WPXT tower mod steel down payment
Amount:
$48,607.00

Component Description:
WPXT tower mod steel payment 2
Amount:
$48,607.00
Tall Tower (greater than 500')

Component Description:
WPXT tower work change order 1
Amount:
$11,162.50

Component Description:
WPXT tower work progress payment
Amount:
$70,000.00

Component Description:
WPXT tower work final contract payment
Amount:
$58,609.00

Component Description:
WPXT tower work change order 2 rev
Amount:
$13,475.00

Component Description:
WPXT tower work change order 4
Amount:
$2,550.00

Component Description:
WPXT tower work down payment
Amount:
$69,251.00

Cost Information

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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 $78,542.52 $44,096.22 N/A $44,096.22 N/A
Total for all systems $1,502,913.48 $925,761.27 N/A $925,761.27 N/A
Outside Professional Services $78,542.52 $44,096.22 $44,096.22
Non-Catalog legal expenses $8,772.52 $8,772.52 Non-Catalog expenses for legal advice and services, including financial/reimbursement review, transition reporting, transition procedures, and other transition-related issues $8,772.52 N/A
Project management of the transition $15,800.00 $0.00 N/A $0.00 N/A
Prepare and or review reimbursement form $2,630.00 $926.00 N/A $926.00 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $0.00 N/A $0.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $11,217.20 First two reimbursements were for former station owner. Subsequent reimbursement requests are from current owner. Ownership change resulted in totally revised repack plan. $11,217.20 Attached invoice includes multiple categories.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $0.00 N/A $0.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,580.00 $800.00 N/A $800.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $470.00 N/A $470.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $810.50 N/A $810.50 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $0.00 N/A $0.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $0.00 N/A N/A N/A
Tower Consulting $500.00 $500.00 estimated tower consulting needs $500.00 N/A
Transmitter Site Survey $20,600.00 $20,600.00 GatesAir standard charge for site survey $20,600.00 N/A

Components

Actual Information Description File Name
Non-Catalog legal expenses

Component Description:
WPXT non-catalog legal 2
Amount:
$2,303.00

Component Description:
WPXT non-catalog legal 1
Amount:
$4,125.02

Component Description:
WPXT non-catalog legal 6
Amount:
$52.50

Component Description:
WPXT non-catalog legal 4
Amount:
$1,233.50

Component Description:
WPXT non-catalog legal 5
Amount:
$682.50

Component Description:
WPXT non-catalog legal 3
Amount:
$376.00
Project management of the transition

Component Description:
Transmitter site visit and evaluation of infrastructure and facilities.
Amount:
$1,200.00
Prepare and or review reimbursement form

Component Description:
WPXT Prepare and/or review reimbursement Form 399-2
Amount:
$47.00

Component Description:
WPXT Prepare and/or review reimbursement Form 399
Amount:
$376.00

Component Description:
WPXT Prepare and/or review reimbursement Form 399-5
Amount:
$105.00

Component Description:
WPXT Prepare and/or review reimbursement Form 399-4
Amount:
$210.00

Component Description:
WPXT Prepare and/or review reimbursement Form 399-3
Amount:
$188.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Perform engineering study for new channel assignment and antenna development

Component Description:
Invoice for prepratory work - split with WPME 50/50
Amount:
$500.00

Component Description:
Invoice for engineering and filing CP & 399
Amount:
$9,904.70

Component Description:
WPXT antenna development 1
Amount:
$812.50
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
WPXT RF consulting for license to cover application
Amount:
$800.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
WPXT Prepare and File FCC Form 2100, Construction Permit Application
Amount:
$470.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
WPXT Prepare and file FCC Form 2100 (main) License to Cover Application
Amount:
$810.50
Attorney Fees - Negotiation of lease and other matters for shared locations Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Tower Consulting

Component Description:
WPXT tower consulting 2
Amount:
$300.00

Component Description:
WPXT tower consulting 1
Amount:
$200.00
Transmitter Site Survey

Component Description:
WPXT GA transmitter site survey
Amount:
$20,600.00

Cost Information

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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 $37,946.67 $29,466.67 N/A $29,466.67 N/A
Total for all systems $1,502,913.48 $925,761.27 N/A $925,761.27 N/A
Other Expenses $37,946.67 $29,466.67 $29,466.67
in-house labor $11,986.67 $11,986.67 in-house labor directly related to station's repack $11,986.67 N/A
Non-zoning permits $10,225.00 $10,225.00 Tower construction drawings, building permit and associated services $10,225.00 N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $0.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $3,265.00 N/A $3,265.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $335.00 N/A $335.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $0.00 $0.00 To dispose of electronic waste (old xmtr's) and associated gear, plus old line, antenna, etc. $0.00 N/A
Equipment Storage $1,170.00 $1,170.00 antenna storage $1,170.00 N/A
Develop and air announcement of upcoming channel change $0.00 $0.00 production and air time $0.00 N/A
MVPD Notification of Channel Change $2,485.00 $2,485.00 N/A $2,485.00 N/A

Components

Actual Information Description File Name
in-house labor

Component Description:
WPXT in-house labor 5
Amount:
$684.88

Component Description:
WPXT in-house labor 3
Amount:
$2,925.03

Component Description:
WPXT in-house labor 4
Amount:
$1,150.84

Component Description:
WPXT in-house accounting labor 1
Amount:
$5,709.60

Component Description:
WPXT in-house labor 2
Amount:
$1,516.32
Non-zoning permits

Component Description:
WPXT tower drawings and building permit for tower mods
Amount:
$10,225.00
FCC Filing Fees - Special Temporary Authorization request Information not provided.
DTV Medical Facility Notification

Component Description:
WPXT medical notifications
Amount:
$3,265.00
FCC Filing Fees - Form 2100 license to cover application

Component Description:
WPXT license to cover application fee
Amount:
$335.00
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Equipment Storage

Component Description:
WPXT antenna storage
Amount:
$1,170.00
Develop and air announcement of upcoming channel change Information not provided.
MVPD Notification of Channel Change

Component Description:
WPXT MVPD notifications
Amount:
$2,485.00

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $1,502,913.48 $925,761.27 $925,761.27

Reimbursement Status

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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

Certification

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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.

  1. 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.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. 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).

  5. 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.

  6. 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.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. 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.

John Drain

Hearst Television SVP Chief Financial Officer


07/02/2021

Certification

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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).

  1. 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.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  4. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  5. 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) .

  6. 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.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  8. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  9. 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.

Douglas Durkee

Hearst Television Manager of Spectrum Repack


07/02/2021

Certification

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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.

  1. 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 acknowledges that all certifications and attached documentation are considered material representations.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. 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.

  5. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  6. 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.

Douglas Durkee

Hearst Television Manager of Spectrum Repack


07/02/2021

Attachments

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