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:
130457
Service:
LPD
Call Sign:
WGOX-LD
Channel:
36 (UHF)
File Number:
0000087793
FRN:
0021839162
Eligibility Status:
Eligible
Date Submitted:
10/19/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email 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

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

Tony Zummallen

President

Anywave Communications Technologies

300 Knightsbridge Parkway

Suite 150

Lincolnshire, IL 60069

United States

+1 (816) 882-5600 tony.zummallen@anywavecom.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. No
Briefly describe transition plan Replace the transmitter and antenna per the channel relocation project using reasonable and customary engineering and business practices.

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 ATSC 1 KW
Year 2016
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1.0 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 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.

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) 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

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

RF Filter Shelf

Install RF Filter shelf to elevate it away from transmitter to prevent overheating.

Rooftop Cooling Fan

Install rooftop cooling fan to keep new transmitter cool

Transmitter Electrical work

Electrical work to install transmitter

Removal and disposal of equipment

Remove and dispose of old transmitter and antenna

Decommission

De-install and disconnect old transmitter and all components $1,200.00

Site Prep

purchase and install duct work to exhaust transmitter heat. $ 950.00

Shipping

Estimated shipping $1,500

Sales Tax

Estimated sales tax $2,500

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)
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

Primary Antenna

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New Antenna Costs

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.

Primary Antenna

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Other Antenna Costs

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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Sales Tax

1,200.00

Shipping

1,500.00

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 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

Primary Transmission Line

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New Transmission Line

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

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Transmission Line Test

Test transmission line after installation of new transmitter and new antenna

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)
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

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
24452 WBHY-FM FM

Primary Tower

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Tower Modification Costs

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

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

Information not provided.

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 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 Yes
Number of Days 180
Justification Install partially new transmitter, integrate old with new equipment, manage & engineer solution to contrasting environmental conditions required by the solid state transmitter in a High Power legacy FM station dominated plant, work through early failures.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

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)

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.

Propagation Study

Propagation study for the WGOX LPTV channel 36 because of complaints of poor or no reception by the public.

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 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

Other Expenses

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Other Expenses Not Listed

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

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 $124,571.20 $130,371.20 N/A $96,251.20 N/A
Total for all systems $670,018.90 $519,209.53 N/A $234,043.48 N/A
Primary Transmitter TRN-U-2000-FA $124,571.20 $130,371.20 $96,251.20
Sales Tax $2,500.00 $2,500.00 Estimated sales tax not included on quote N/A 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
Decommission $4,500.00 $4,500.00 Estimated costs to decommission, deinstall and disconnect old transmitter and all associated components N/A 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
Transmitter Electrical work $6,500.00 $6,500.00 Electrical work to install new transmitter $6,500.00 N/A
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 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
RF Filter Shelf $535.00 $535.00 Per quote from North Star Tower. $535.00 N/A
Shipping $1,120.00 $1,120.00 Actual shipping per invoice $1,120.00 N/A
2" Rigid Conduit and Wiring (Cost per foot) $520.00 $520.00 N/A N/A N/A

Components

Actual Information Description File Name
Sales Tax Information not provided.
Site Prep Information not provided.
Decommission Information not provided.
Removal and disposal of equipment

Component Description:
remove and dispose of old transmitter and equipment
Amount:
$2,557.50
Transmitter Electrical work

Component Description:
Electrical work for transmitter installation - LE Electric - INV0000555
Amount:
$6,500.00
Rooftop Cooling Fan

Component Description:
Install rooftop cooling fan. Power in the Word Const - INV 00141
Amount:
$5,738.70
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

Component Description:
Purchase of Anywave transmitter - INV 7440-01
Amount:
$79,800.00

Component Description:
Zeroed out this component. New invoice will be uploaded to replace.
Amount:
N/A
RF Filter Shelf

Component Description:
Install shelf to elevate RF Filter to prevent overheating - North Star - INV 21-02-002
Amount:
$535.00
Shipping

Component Description:
Anywave - transmitter - estimated freight INV 7440-01
Amount:
$1,120.00
2" Rigid Conduit and Wiring (Cost per foot) Information not provided.

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 $20,827.10 $20,827.10 N/A $12,073.55 N/A
Total for all systems $670,018.90 $519,209.53 N/A $234,043.48 N/A
Primary Antenna PSILP8EAC-36-EP $20,827.10 $20,827.10 $12,073.55
UHF-Low Power, Side Mount, Slotted Coaxial, 5.0kW input, Elliptical $11,550.00 $11,550.00 ***System Notice: Estimate adjusted and locked because line has been superseded.***Actual cost per PSI Invoice PF42120-PK1 $11,550.00 N/A
Sales Tax $2,500.00 $2,500.00 Estimated tax for new antenna not included on quote N/A N/A
Shipping $1,047.10 $1,047.10 Actual costs per INV PF42120-PK1 $523.55 N/A
Sweep test of transmission line and antenna $5,730.00 $5,730.00 N/A N/A N/A

Components

Actual Information Description File Name
UHF-Low Power, Side Mount, Slotted Coaxial, 5.0kW input, Elliptical

Component Description:
HPOL equivalent to elliptical. INV PF42120-PK1
Amount:
$11,550.00
Sales Tax Information not provided.
Shipping

Component Description:
Freight charges not calculated on original quote. PSI INV PF42120-PK1
Amount:
$523.55

Component Description:
Freight not determined on original invoice, but calculated on PSI Proposal PO42020-PK-2.
Amount:
$523.55
Sweep test of transmission line and antenna 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 $14,840.00 $8,350.63 N/A $3,350.63 N/A
Total for all systems $670,018.90 $519,209.53 N/A $234,043.48 N/A
Primary Transmission Line $14,840.00 $8,350.63 $3,350.63
Transmission Line Test $5,000.00 $5,000.00 Test transmission line after install of new transmitter and new antenna N/A N/A
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

Components

Actual Information Description File Name
Transmission Line Test Information not provided.
Flexible Foam Transmission Line - dielectric, 1 5/8"

Component Description:
freight transmission line
Amount:
$289.54

Component Description:
transmission line
Amount:
$3,061.09

Component Description:
transmission line
Amount:
$3,061.09

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 $157,750.00 $26,550.00 N/A $26,550.00 N/A
Total for all systems $670,018.90 $519,209.53 N/A $234,043.48 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

Components

Actual Information Description File Name
Tower Rigging Tall Tower (greater than 500')

Component Description:
1/2 of tower rigging cost. North Star Tower - INV 20-06-001
Amount:
$13,275.00

Component Description:
Antenna installation - final invoice. North Star - INV 20-06-001-A
Amount:
$13,275.00

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 $273,280.60 $254,360.60 N/A $95,818.10 N/A
Total for all systems $670,018.90 $519,209.53 N/A $234,043.48 N/A
Outside Professional Services $273,280.60 $254,360.60 $95,818.10
Form 399 assistance or other Program Management costs $21,852.10 $21,852.10 Per Anywave proposal PR 1910-0537 dated 10/17/19 and additional hours agreement dated 9/2/20 $21,852.10 Per actual costs
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
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
Comprehensive Coverage Verification $53,266.00 $53,266.00 Comprehensive Coverage Verification - Antenna pattern verification due to customer complaints. QComm (QForce) quote 715C $53,266.00 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
Additional Field Engineering Service, 180 Days $36,000.00 $36,000.00 Delayed equipment delivery, Extreme environmental conditions for higher powered solid state transmitter encountered, last-mile communications problems causing unstable program feed, early equipment failures. N/A 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 $0.00 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
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
Project management of the transition $15,825.00 $23,100.00 Estimated 150 hours at $154/hour N/A N/A

Components

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

Component Description:
July PM Hours - Anywave INV FA2009-0579
Amount:
$1,208.90

Component Description:
Oct 2020 PM Hours - Anywave INV FA2012-0685
Amount:
$1,863.40

Component Description:
Jan 2021 399 PM Hours - FA2102-0842
Amount:
$677.60

Component Description:
Feb 2021 399 PM - FA2105-0900
Amount:
$292.60

Component Description:
April 2021 PM Hours - Anywave - INV FA2106-0936
Amount:
$1,794.10

Component Description:
Aug 2021 PM - Anywave INV FA2109-1078
Amount:
$1,463.00

Component Description:
July 2021 PM - Anywave - INV FA2109-1102
Amount:
$646.80

Component Description:
399 PM - Anywave - INV FA2107-1019
Amount:
$1,555.40

Component Description:
Tech PM - June 2021 - QComm - INV 120003
Amount:
$770.00

Component Description:
November 2020 PM Hours - Anywave - INV FA2101-0731
Amount:
$685.30

Component Description:
8-7-20 Anywave - March, April PM Hours - INV FA2005-0460
Amount:
$800.80

Component Description:
Anywave - PM Hours May 2020 - INV FA2007-0483
Amount:
$2,810.50

Component Description:
March 2021 399 PM services - FA2105-0901
Amount:
$1,016.40

Component Description:
Anywave proj mgmt - Sept 2020 Hours - INV FA2010-0642
Amount:
$1,332.10

Component Description:
August PM Hours - Anywave INV FA2010-0602
Amount:
$823.90

Component Description:
June PM Hours - Anywave INV FA2008-0520
Amount:
$2,964.50

Component Description:
Flat fee - costs to submit initial 399 eligibility form.
Amount:
$500.00

Component Description:
Dec 2020 PM HOurs - Anywave - FA2102-0770
Amount:
$261.80

Component Description:
May 2021 PM - Anywave - FA2106-0984
Amount:
$385.00
Propagation Study

Component Description:
Propagation study - North Star - INV 21-02-001
Amount:
$2,700.00

Component Description:
WGOX chooses to retract this invoice as it was submitted erroneously and was not intended for Repack.
Amount:
($2,700.00)
Local Broadcast Engineer Service Information not provided.
Comprehensive Coverage Verification

Component Description:
CV due to customer complaints - QComm - INV 341025
Amount:
$27,651.00

Component Description:
1/2 of pattern verification study - QComm - QC21-761
Amount:
$12,807.50

Component Description:
1st 1/2 Antenna points verification - QComm - QC21-761
Amount:
$12,807.50

Component Description:
2nd 1/2 of pattern verification - QComm - QC21-764
Amount:
$12,807.50

Component Description:
2nd 1/2 Antenna Points verification - QComm - QC21-764
Amount:
$12,807.50
Broadcast Engineering Services

Component Description:
Broadcast Engineer Services - June 1 2019 through March 31, 2020. INV 19002R
Amount:
$14,520.00

Component Description:
Consulting Engineer
Amount:
$480.00

Component Description:
Engineering Jim McDonald
Amount:
$3,200.00
Additional Field Engineering Service, 180 Days Information not provided.
Comprehensive coverage verification via field study, if needed Information not provided.
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.
Prepare/ Review 399 reimbursement form

Component Description:
WGOX - Prepare/review 399 reimbursement form - initial submittal to meet 11/16/19 deadline - INV 7440-03
Amount:
$2,500.00
Project management of the transition Information not provided.

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 $78,750.00 $78,750.00 N/A $0.00 N/A
Total for all systems $670,018.90 $519,209.53 N/A $234,043.48 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

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $670,018.90 $519,209.53 $234,043.48

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. 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

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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.

Henry Roberts

President


10/19/2021

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.

Henry Roberts

President


10/19/2021

Attachments

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