Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
HENRY W. ROBERTS MINISTRIES Applicant Doing Business As: HENRY W. ROBERTS MINISTRIES |
Henry W. Roberts, Jr 351 S. CRAFT HWY. CHICKASAW, AL 36611 United States |
+1 (251) 456-2654 | hwrob2@aol.com | Other |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Susan Hansen Consultant B. W. St. Clair |
2305 Vida Shaw Rd. New Iberia, LA 70563 United States |
+1 (303) 378-8209 | stcl@comcast.net |
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 | Replace the transmitter and antenna per the channel relocation project using reasonable and customary engineering and business practices. |
Section | Question | Response |
---|---|---|
Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Transmitter Description | Type of change | Purchase New |
Use | Primary (Main) | |
Ownership | Owned | |
Is this transmitter currently shared with another station? | No | |
Is this transmitter currently in operating condition? | Yes | |
Existing Transmitter Manufacturer and Type | Manufacturer | |
Model | ATSC 1 KW | |
Year | 2016 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 1.0 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | TRN-U-2000-FA | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 2.2 kW | |
Justification for New Transmitter | Existing transmitter cannot be re-tuned; smaller new antenna requires more power. |
Section | Question | Response |
---|---|---|
Other Transmitter Costs | ||
Does the transmitter installation require a Transmitter Building Site Survey/Installation? | Yes | |
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | No | |
Rigid Conduit and Wiring | Yes | |
Size | 2 inches | |
Length | 20.0 feet | |
Other Electrical Service | Yes | |
Description | Electrical service wiring. | |
HVAC Service | Does the replacement transmitter require HVAC Service? | No |
Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
Name | Description |
---|---|
Shipping |
Estimated shipping $1,500 |
Decommission |
De-install and disconnect old transmitter and all components $1,200.00 |
Sales Tax |
Estimated sales tax $2,500 |
Removal and disposal of equipment |
Remove and dispose of old transmitter and antenna |
RF Filter Shelf |
Install RF Filter shelf to elevate it away from transmitter to prevent overheating. |
Site Prep |
purchase and install duct work to exhaust transmitter heat. $ 950.00 |
Transmitter Electrical work |
Electrical work to install transmitter |
Rooftop Cooling Fan |
Install rooftop cooling fan to keep new transmitter cool |
Section | Question | Response |
---|---|---|
Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Antenna Description | Type of change | Purchase New |
Antenna Use | Primary (Main) | |
Ownership | Owned | |
Is the existing antenna shared with another station or stations? | No | |
Is the existing antenna directional? | Yes | |
Is antenna in operating condition? | Yes | |
Is antenna located on or in close proximity to an antenna farm? | Yes | |
Existing Antenna Manufacturer and Type | ||
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
ERP: | 15.0 kW | |
Manufacturer | ||
Model | PSI LP-12EAC-43 | |
Year | 2016 |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Primary (Main) |
Change Type | Purchase New | |
Ownership | Owned | |
Is antenna shared? | No | |
Is antenna directional? | Yes | |
Will antenna be located on or in close proximity to an antenna farm? | Yes | |
New Antenna Manufacturer and Types | ||
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Elliptical | |
Type | Slotted Coaxial | |
ERP: | 5.0 kW | |
Manufacturer | ||
Model | PSILP8EAC-36-EP | |
Year | 2020 | |
Justification for New Antenna | Replace antenna per channel reassignment. Due to increased physical size, must use fewer bays to stay within length & windload specs of old antenna resulting in lower gain, forcing step increase in transmitter. Some excess power sent to Vertical. |
Section | Question | Response |
---|---|---|
Elbow Complex | Do you require the separate purchase of the Elbow Complex? | No |
Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | No |
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 |
Section | Question | Response |
---|---|---|
Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
Section | Question | Response |
---|---|---|
Existing Transmission Line Description | Type of change | Purchase New |
Use | Primary (Main) | |
Ownership | Owned | |
Is the existing transmission line shared with another station or stations? | No | |
Is Transmission Line in operating condition? | Yes | |
Existing Transmission Line Manufacturer and Type | Manufacturer | |
Type | Flexible Foam | |
Diameter | 1 5/8 inches | |
Number of parallel runs | 1 | |
Length | 410 feet per run |
Section | Question | Response |
---|---|---|
New Transmission Line Costs | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Type | Flexible Foam | |
Diameter | 1 5/8 inches | |
Number of parallel runs | 1 | |
Length | 410 feet per run | |
Justification for New Transmission Line | Replace transmission line due to channel displacement. | |
Interior RF Systems | Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? | No |
Name | Description |
---|---|
Transmission Line Test |
Test transmission line after installation of new transmitter and new antenna |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
Section | Question | Response |
---|---|---|
Existing Tower Description | Type of change | Modify Existing |
Tower Use | Primary (Main) | |
Ownership | Leased | |
Is this tower consider Complex? | 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 | No | |
Is tower documented for structural analysis? | Yes | |
Is tower compliant with Rev G? | No | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1037340 | |
Coordinates (NAD83) | Latitude (NAD83) | 30° 40' 46.0" N- |
Longitude (NAD83) | 087° 50' 24.0" W- | |
Overall Structure Height | 840.21 feet | |
Support Structure Height | 838.24 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 194.88 feet | |
Structure Type | GTOWER - Guyed Structure Used for Communication Purposes | |
Tower Owner | Clearview Tower Company II, LLC | |
Date Constructed | 09/01/1980 |
Facility ID | Call Sign | Service |
---|---|---|
24452 | WBHY-FM | FM |
Section | Question | Response |
---|---|---|
Engineering Study | Please what type of engineering study is required, if any: | No study needed |
Tower Reinforcements | Please select whether tower reinforcements are needed: | No reinforcements needed |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 150 | |
Explanation | Required to assist in the turnkey management of the channel relocation project in order that the existing internal personnel can maintain and operate the daily operational requirements and plans. | |
Outside RF consulting Engineering Services | Perform engineering study for displacement application | Yes |
Prepare engineering section of Form FCC Construction Permit Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare engineering section of Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 1 | |
Prepare Form 601 | Yes | |
Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare and file Form FCC License to Cover Application | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
Prepare request for Special Temporary Authority | Yes | |
Quantity | 1 | |
Negotiation of Lease and other Matter for Shared Locations | No | |
Prepare or Review FCC Form 399 for Reimbursement | Yes | |
Form 399 assistance or other program management costs | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
RF exposure measurements | No | |
Additional Field Engineering Service | No |
Name | Description |
---|---|
Broadcast Engineering Services |
Engineering services to manage and plan for repack activities |
Comprehensive Coverage Verification |
Antenna Pattern Verification via unmanned aerial vehicle (UAV) |
Propagation Study |
Propagation study for the WGOX LPTV channel 36 because of complaints of poor or no reception by the public. |
Transmission Line Inspection |
Visual/Thermal/IR scan of Rigid/DiGiline inspection of entire pathway using unmanned aerial vehicle (UAV) |
Local Broadcast Engineer Service |
Broadcast Engineer-in-Charge to plan, coordinate, and install new in multi-station complex with divergent environmental requirements, work through new equipment shake-down. Review Repack expenditures. Provide consultant reliable data for licensing. |
Section | Question | Response |
---|---|---|
AM Pattern Disturbance | Is an Impact Study needed? | No |
Is Remediation needed? | No | |
Permit and Filing Costs | FCC Construction Permit Major Change | No |
FCC Construction Permit Minor Change | Yes | |
FCC License to Cover Application | Yes | |
FCC Special Temporary Authority Application | Yes | |
Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | Yes |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
Does this relocation require Equipment Storage? | No | |
Point to Point Microwave (STL/ICR) | Frequency Coordination for Unidirection System | No |
Frequency Coordination for Bi-Direction System | No | |
New Point to Point Microwave System | No |
Name | Description |
---|---|
Audience Recovery Plan |
Campaign to get entire market to re-scan and find station on new channel. This made necessary by return after major stations have completed re-pack and re-scan. |
Continuing Expenses |
Continuing Tower Lease & Power Expense while off the air |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $124,571.20 | $130,371.20 | N/A | $96,251.20 | N/A |
Total for all systems | $604,753.60 | $453,944.23 | N/A | $199,778.18 | N/A |
Primary Transmitter TRN-U-2000-FA | $124,571.20 | $130,371.20 | $96,251.20 | ||
Rooftop Cooling Fan | $5,738.70 | $5,738.70 | Costs to install a rooftop cooling fan to keep new transmitter cool. | $5,738.70 | N/A |
Transmitter Electrical work | $6,500.00 | $6,500.00 | Electrical work to install new transmitter | $6,500.00 | N/A |
Site Prep | $6,000.00 | $6,000.00 | Estimated costs to prepare site for arrival of transmitter installation crew. Includes receiving new transmitter; inventory of transmitter and its components; pre-assembly of cabinets and subassemblies; ensuring site has all materials required. | N/A | N/A |
RF Filter Shelf | $535.00 | $535.00 | Per quote from North Star Tower. | $535.00 | N/A |
Removal and disposal of equipment | $2,557.50 | $2,557.50 | Remove and dispose of old transmitter and antenna | $2,557.50 | N/A |
Sales Tax | $2,500.00 | $2,500.00 | Estimated sales tax not included on quote | N/A | N/A |
Decommission | $4,500.00 | $4,500.00 | Estimated costs to decommission, deinstall and disconnect old transmitter and all associated components | N/A | N/A |
Shipping | $1,120.00 | $1,120.00 | Actual shipping per invoice | $1,120.00 | N/A |
Transmitter Building Site Survey/Installation | $10,000.00 | $20,000.00 | Estimated costs for site survey and transmitter installation. Revised upon Site Survey. | N/A | N/A |
Other Electrical Service: Electrical service wiring. | $600.00 | $600.00 | Electrician Services | N/A | N/A |
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $84,000.00 | $79,800.00 | Per Anywave proposal # PR1910-0549 dated 10/9/19 | $79,800.00 | Lower channel requires 6.6% longer antenna which increases windload on the tower. Avoiding expensive structural analysis and potential loss of use of the tower, licensee chose shorter, lower gain antenna requiring more transmitter power for authorized ERP |
2" Rigid Conduit and Wiring (Cost per foot) | $520.00 | $520.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Rooftop Cooling Fan | |
Transmitter Electrical work | |
Site Prep | Information not provided. |
RF Filter Shelf | |
Removal and disposal of equipment | |
Sales Tax | Information not provided. |
Decommission | Information not provided. |
Shipping | |
Transmitter Building Site Survey/Installation | Information not provided. |
Other Electrical Service: Electrical service wiring. | Information not provided. |
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | |
2" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $20,827.10 | $20,827.10 | N/A | $12,073.55 | N/A |
Total for all systems | $604,753.60 | $453,944.23 | N/A | $199,778.18 | N/A |
Primary Antenna PSILP8EAC-36-EP | $20,827.10 | $20,827.10 | $12,073.55 | ||
Shipping | $1,047.10 | $1,047.10 | Actual costs per INV PF42120-PK1 | $523.55 | N/A |
UHF-Low Power, Side Mount, Slotted Coaxial, 5.0kW input, Elliptical | $11,550.00 | $11,550.00 | Actual cost per PSI Invoice PF42120-PK1 | $11,550.00 | N/A |
Sweep test of transmission line and antenna | $5,730.00 | $5,730.00 | N/A | N/A | N/A |
Sales Tax | $2,500.00 | $2,500.00 | Estimated tax for new antenna not included on quote | N/A | N/A |
Actual Information Description | File Name |
---|---|
Shipping | |
UHF-Low Power, Side Mount, Slotted Coaxial, 5.0kW input, Elliptical | |
Sweep test of transmission line and antenna | Information not provided. |
Sales Tax | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $14,840.00 | $8,350.63 | N/A | $3,350.63 | N/A |
Total for all systems | $604,753.60 | $453,944.23 | N/A | $199,778.18 | N/A |
Primary Transmission Line | $14,840.00 | $8,350.63 | $3,350.63 | ||
Flexible Foam Transmission Line - dielectric, 1 5/8" | $9,840.00 | $3,350.63 | Per Eupen Cable, Inc Quote 0148496. Estimated costs include shipping. | $3,350.63 | added freight |
Transmission Line Test | $5,000.00 | $5,000.00 | Test transmission line after install of new transmitter and new antenna | N/A | N/A |
Actual Information Description | File Name |
---|---|
Flexible Foam Transmission Line - dielectric, 1 5/8" | |
Transmission Line Test | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $157,750.00 | $26,550.00 | N/A | $26,550.00 | N/A |
Total for all systems | $604,753.60 | $453,944.23 | N/A | $199,778.18 | N/A |
Primary Tower GTOWER | $157,750.00 | $26,550.00 | $26,550.00 | ||
Tower Rigging Tall Tower (greater than 500') | $157,750.00 | $26,550.00 | N/A | $26,550.00 | N/A |
Actual Information Description | File Name |
---|---|
Tower Rigging Tall Tower (greater than 500') |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $208,015.30 | $189,095.30 | N/A | $61,552.80 | N/A |
Total for all systems | $604,753.60 | $453,944.23 | N/A | $199,778.18 | N/A |
Outside Professional Services | $208,015.30 | $189,095.30 | $61,552.80 | ||
Local Broadcast Engineer Service | $60,000.00 | $60,000.00 | Long delays in arrival of new transmitter and antenna- pandemic plant shut down- and environmental conditions, area-wide, a series of back to back hurricanes- and resulting conditions inside the transmitter building caused over 14 months work beyond Est. | N/A | N/A |
Transmission Line Inspection | $5,000.00 | $5,000.00 | Complete visual/thermal/IR scan of Rigid/DiGiline inspection of entire pathway. QComm (QForce) quote 737T | N/A | N/A |
Propagation Study | $0.00 | $0.00 | Propagation study because of complaints of poor or no reception by the public after installation of new transmitter and antenna. | $0.00 | N/A |
Comprehensive Coverage Verification | $25,615.00 | $25,615.00 | Comprehensive Coverage Verification - Antenna pattern verification due to customer complaints. QComm (QForce) quote 715C | $25,615.00 | N/A |
Comprehensive coverage verification via field study, if needed | $52,600.00 | $25,615.00 | Antenna Points Verification - Per QForce Quote 715C; submitted with INV QC21-761 | N/A | N/A |
Project management of the transition | $15,825.00 | $23,100.00 | Estimated 150 hours at $154/hour | N/A | N/A |
Broadcast Engineering Services | $18,200.00 | $18,200.00 | Broadcast engineer services to manage, inspect, verify, design, and plan repack activities. | $18,200.00 | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $2,235.00 | $2,235.00 | N/A | N/A | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $1,577.50 | N/A | N/A | N/A |
Prepare Form 601 | $755.00 | $755.00 | N/A | N/A | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $3,025.00 | N/A | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $1,052.50 | N/A | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $2,102.50 | N/A | N/A | N/A |
Prepare request for Special Temporary Authorization | $1,280.00 | $1,280.00 | N/A | N/A | N/A |
Perform engineering study for displacement application | $1,800.00 | $1,800.00 | N/A | N/A | N/A |
Form 399 assistance or other Program Management costs | $15,237.80 | $15,237.80 | Per Anywave proposal PR 1910-0537 dated 10/17/19 and additional hours agreement dated 9/2/20 | $15,237.80 | N/A |
Prepare/ Review 399 reimbursement form | $1,710.00 | $2,500.00 | Per Anywave proposal PR1910-0537 dated 10/17/19 (line item 2) | $2,500.00 | N/A |
Actual Information Description | File Name |
---|---|
Local Broadcast Engineer Service | Information not provided. |
Transmission Line Inspection | Information not provided. |
Propagation Study | |
Comprehensive Coverage Verification | |
Comprehensive coverage verification via field study, if needed | Information not provided. |
Project management of the transition | Information not provided. |
Broadcast Engineering Services | |
Attorney Fees - Prepare and File request for Special Temporary Authorization | Information not provided. |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare Form 601 | Information not provided. |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Prepare request for Special Temporary Authorization | Information not provided. |
Perform engineering study for displacement application | Information not provided. |
Form 399 assistance or other Program Management costs | |
Prepare/ Review 399 reimbursement form |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $78,750.00 | $78,750.00 | N/A | $0.00 | N/A |
Total for all systems | $604,753.60 | $453,944.23 | N/A | $199,778.18 | N/A |
Other Expenses | $78,750.00 | $78,750.00 | $0.00 | ||
Continuing Expenses | $12,000.00 | $12,000.00 | Actual continuing Tower Lease and power expense while station off the air for displacement, estimated to be 120 days. | N/A | N/A |
Audience Recovery Plan | $60,000.00 | $60,000.00 | For Campaign on other media to get entire market to re-scan their sets and find station on new channel. Major network stations having already completed current phase of re-pack and re-scan, the station will be effectively blanked off until public re-scans | N/A | N/A |
Equipment Delivery and Handling Charges | $2,500.00 | $2,500.00 | Transport, forklift rental and handling fees from staging area to transmitter site | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $2,500.00 | $2,500.00 | 4-6 yard disposal bin on site to capture all waste from on site system integration and tower vendors | N/A | N/A |
FCC Filing Fees - Special Temporary Authorization request | $305.00 | $305.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,110.00 | N/A | N/A | N/A |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $604,753.60 | $453,944.23 | $199,778.18 |
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 |
Section | Question | Response |
---|---|---|
Submission of Estimated Expenses Statements | WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT. |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Susan Hansen Consultant 06/24/2021 |
Section | Question | Response |
---|---|---|
Submission of Actual Cost Documentation Statements | WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733). |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Henry W Roberts President 06/24/2021 |