Go to the Federal Communications Commission homepage at www.fcc.gov

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:
35661
Service:
LPA
Call Sign:
KMCE-LD
Channel:
24 (UHF)
File Number:
0000112308
FRN:
0030358733
Eligibility Status:
Eligible
Date Submitted:
11/05/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

KMCE, INC.

Licensee

Doing Business As: KMCE, INC.

135 Aviation Way #19

Watsonville, CA 95076

United States

+1 (831) 724-0143 manager@kmce.tv Other

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

Bradley Jackson

The Scotts Valley Group, Inc. DBA 'Marcom'

Bradley Jackson

PO Box 5275

Santa Cruz, CA 95063

United States

+1 (831) 818-7841 brad@mar-com.com

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 Station will share a common transmitter room with FacID - 183829. Significant cost savings on this project will come from continuing use of existing major components such as existing Broadcast Antenna and RF Transmission Line.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

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 UTX5KW
Year 2002
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 5 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 7130
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 1.8 kW
Justification for New Transmitter Station's Legacy Analog Transmitter is not supported, the Manufacturer is out of business and it will not accommodate Digital Transmission to satisfy this Re-Pack effort.

Primary Transmitter

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Other Transmitter Costs

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) Yes
Power 150 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 25.0 feet
Other Electrical Service No
HVAC Service Does the replacement transmitter require HVAC Service? No
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Mask Filter

CH24 Full-Service Mask Filter will be necessary.

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 Retune Existing
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? No
Existing Antenna Manufacturer and Type
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels 8
Design power capacity in use 50.0 %
Lower Limit 470.00 MHz
Upper Limit 806.00 MHz
ERP: 15.0 kW
Manufacturer Scala
Model 4X2KBBU
Year 2002

Primary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna?

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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Azimuth and Mechanical Tilt Adjustments

Station to reuse existing Broadcast Antenna and RF Transmission Line. Will require re-positioning on Tower Structure to accommodate the Parameters called-out in the Re-Pack Displacement CP.

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

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? No

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 222
Explanation Station does not have the knowledge or qualified personnel necessary to undertake this project.
Outside RF consulting Engineering Services Perform engineering study for displacement application Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Prepare Form 601 No
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement Yes
Form 399 assistance or other program management costs Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 15
Justification Engineer to be onsite to direct and complete successful work in relation to this project: Antenna Re-Positioning, Transmitter Installation, Electrical Transformer and all other tasks to meet the parameters of the Station's Displacement Construction Permit

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
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

Other Expenses

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Other Expenses Not Listed

Name Description

Mileage

Mileage to from site

CA Sales Tax

Sales Tax transmitter and antenna components

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 $115,593.41 $101,752.93 N/A $97,502.93 N/A
Total for all systems $265,768.64 $245,119.66 N/A $205,319.66 N/A
Primary Transmitter 7130 $115,593.41 $101,752.93 $97,502.93
UHF - Liquid Cooled Solid State Transmitter 1.8 kW $73,016.42 $73,016.42 Actual Invoiced costs $73,016.42 N/A
Transformer 3 phase/480v - 150 KVA $25,550.00 $11,804.72 cost $11,804.72 actual cost
2" Rigid Conduit and Wiring (Cost per foot) $650.00 $554.80 invoice cost of conduit / wire $554.80 actual invoice cost
Transmitter Building Site Survey/Installation $10,000.00 $10,000.00 N/A $5,750.00 N/A
Mask Filter $6,376.99 $6,376.99 actual cost of mask filter. $6,376.99 Mask filter cost.

Components

Actual Information Description File Name
UHF - Liquid Cooled Solid State Transmitter 1.8 kW

Component Description:
transmitter install
Amount:
$28,250.00

Component Description:
Transmitter KMCE
Amount:
$10,876.19

Component Description:
transmitter
Amount:
$18,979.42

Component Description:
transmitter
Amount:
$14,910.81

Component Description:
Line Item 1.2 - UHF - Liquid Cooled Solid State Transmitter 1.8 kW
Amount:
$92,500.00
Transformer 3 phase/480v - 150 KVA

Component Description:
transformer
Amount:
$11,804.72

Component Description:
Line Item 1.3 - Transformer 3 phase/480v - 150 KVA
Amount:
$20,500.00
2" Rigid Conduit and Wiring (Cost per foot)

Component Description:
conduit wire
Amount:
$224.68

Component Description:
Conduit components
Amount:
$330.12

Component Description:
Line Item 1.4 - 2" Rigid Conduit and Wiring
Amount:
$625.00
Transmitter Building Site Survey/Installation

Component Description:
Line Item 1.1 - Transmitter Building Site Survey and Installation.
Amount:
$9,500.00

Component Description:
site survey
Amount:
$5,750.00
Mask Filter

Component Description:
Mask Filter KMCE
Amount:
$6,376.99

Component Description:
Line Item 1.5 - Mask Filter -- CH24/533MHz
Amount:
$6,000.00

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 $14,230.00 $14,230.00 N/A $8,500.00 N/A
Total for all systems $265,768.64 $245,119.66 N/A $205,319.66 N/A
Primary Antenna 4X2KBBU $14,230.00 $14,230.00 $8,500.00
Sweep test of transmission line and antenna $5,730.00 $5,730.00 N/A $0.00 N/A
Azimuth and Mechanical Tilt Adjustments $8,500.00 $8,500.00 Actual cost to change rotation $8,500.00 N/A

Components

Actual Information Description File Name
Sweep test of transmission line and antenna

Component Description:
Line Item 2.1 - Sweep Test of transmission line and antenna
Amount:
$5,250.00
Azimuth and Mechanical Tilt Adjustments

Component Description:
Rigging Cost
Amount:
$8,500.00

Component Description:
Line Item 2.2 - Azimuth and Mechanical Tilt Adjustments
Amount:
$7,250.00

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Information not provided.

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 $122,388.50 $115,745.00 N/A $86,095.00 N/A
Total for all systems $265,768.64 $245,119.66 N/A $205,319.66 N/A
Outside Professional Services $122,388.50 $115,745.00 $86,095.00
Form 399 assistance or other Program Management costs $5,600.00 $5,600.00 actual invoiced cost $5,600.00 Actual invoiced cost to date
Additional Field Engineering Service, 15 Days $29,500.00 $29,500.00 actual hours $29,500.00 actual hours to complete repack
Comprehensive coverage verification via field study, if needed $52,600.00 $24,500.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $372.00 N/A $372.00 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $3,025.00 $248.00 N/A $248.00 N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,052.50 $1,050.00 N/A $0.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $2,100.00 N/A $0.00 N/A
Perform engineering study for displacement application $1,800.00 $1,000.00 N/A $1,000.00 N/A
Project management of the transition $23,421.00 $49,375.00 actual hours accumulated for project management $49,375.00 Actual hours of project management
Prepare/ Review 399 reimbursement form $1,710.00 $2,000.00 actual cost $0.00 N/A

Components

Actual Information Description File Name
Form 399 assistance or other Program Management costs

Component Description:
399 mgnt assistance
Amount:
$1,600.00

Component Description:
Proj Mangement
Amount:
$2,000.00

Component Description:
Reimbursement Assistance
Amount:
$2,000.00

Component Description:
Line Item 3.4 - Form 399 assistance or other Program Management costs
Amount:
$1,500.00
Additional Field Engineering Service, 15 Days

Component Description:
Additional Field Engineering
Amount:
$28,250.00

Component Description:
Line Item 3.9 - Additional Field Engineering Service; 15 Days
Amount:
$21,250.00

Component Description:
Engineering Time
Amount:
$1,250.00
Comprehensive coverage verification via field study, if needed Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
License to Cover Couzens
Amount:
$372.00

Component Description:
Line Item 3.8 - Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application
Amount:
$1,500.00
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
File displacement Couzens
Amount:
$248.00

Component Description:
Line Item 3.1 - Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application
Amount:
$2,750.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Line Item 3.7 - Prepare engineering section of FCC Form 2100 (main), License to Cover Application
Amount:
$950.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Line Item 3.6 - Prepare engineering section of FCC Form 2100 (main), Construction Permit Application
Amount:
$1,950.00
Perform engineering study for displacement application

Component Description:
Best Engineering
Amount:
$1,000.00

Component Description:
Line Item 3.5 - Perform engineering study for displacement application
Amount:
$1,750.00
Project management of the transition

Component Description:
Project Management
Amount:
$43,375.00

Component Description:
Project Mgmt
Amount:
$6,000.00

Component Description:
Line Item 3.2 - Project management of the transition
Amount:
$22,500.00
Prepare/ Review 399 reimbursement form

Component Description:
Line Item 3.3 - Prepare/ Review 399 reimbursement form
Amount:
$1,500.00

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 $13,556.73 $13,391.73 N/A $13,221.73 N/A
Total for all systems $265,768.64 $245,119.66 N/A $205,319.66 N/A
Other Expenses $13,556.73 $13,391.73 $13,221.73
CA Sales Tax $4,508.85 $4,508.85 CA Sales Tax $4,508.85 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $170.00 N/A $0.00 N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $2,250.00 $2,250.00 N/A $2,250.00 N/A
Equipment Delivery and Handling Charges $2,500.00 $2,500.00 N/A $2,500.00 N/A
Equipment Storage $2,835.00 $2,835.00 Actual Cost $2,835.00 N/A
Mileage $1,127.88 $1,127.88 Mileage $1,127.88 actual mileage

Components

Actual Information Description File Name
CA Sales Tax

Component Description:
Sales Tax
Amount:
$4,508.85
FCC Filing Fees - Form 2100 license to cover application

Component Description:
Line Item 4.1 - FCC Filing Fees - Form 2100 license to cover application
Amount:
$170.00
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
materials disposal
Amount:
$2,250.00

Component Description:
Line Item 4.4 - Disposal Costs (for equipment and other waste, net of any salvage value)
Amount:
$2,250.00
Equipment Delivery and Handling Charges

Component Description:
Delivery & Handling
Amount:
$2,500.00

Component Description:
Line Item 4.3 - Equipment Delivery and Handling Charges
Amount:
$2,500.00
Equipment Storage

Component Description:
Storage Actual Cost
Amount:
$2,835.00

Component Description:
Line Item 4.2 - Equipment Staorage
Amount:
$1,500.00
Mileage

Component Description:
Mileage
Amount:
$1,088.64

Component Description:
Mileage
Amount:
$39.24

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $265,768.64 $245,119.66 $205,319.66

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.

Susan Hansen

Consultant


11/05/2021

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.

Susan Hansen

Consultant


11/05/2021

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.

Shirley Jackson

CFO


11/05/2021

Attachments

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