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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:
130816
Service:
LPT
Call Sign:
K15LB-D
Channel:
15 (UHF)
File Number:
0000089173
FRN:
0002710192
Eligibility Status:
Eligible
Date Submitted:
01/04/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

SCRIPPS BROADCASTING HOLDINGS LLC

Doing Business As: KTVQ COMMUNICATIONS, LLC

David Giles

C/O SCRIPPS MEDIA, INC.

312 Walnut ST 28th Floor

Cincinnati, OH 45202

United States

 +1 (513) 977-3891 dave.giles@scripps.com Limited Liability Company

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

Ray Thurber

Scripps Broadcasting Holdings LLC

Ray Thurber

312 Walnut St.

Suite 2800

Cincinnati, OH 45202

United States

 +1 (513) 898-4050 ray.thurber@scripps.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 Purchased new translator. Feedline, power divider and antenna were wide band so did not need to replace.

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 MX-100U
Year 1985
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity .1 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-5X-02-U-C
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 30 W
Justification for New Transmitter Former translator would not make the transition.

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? No
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Rigid Conduit and Wiring No
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

Information not provided.

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 1
Number of Panels 1
Design power capacity in use 50.0 %
Lower Limit 470.00 MHz
Upper Limit 630.00 MHz
ERP: 0.076 kW
Manufacturer SCA
Model 1XeK723147
Year 2005

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

Information not provided.

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? Yes

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? No
Outside RF consulting Engineering Services Perform engineering study for displacement application Yes
Prepare engineering section of Form FCC Construction Permit Application No
Prepare engineering section of Form FCC License to Cover Application No
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 Yes
Quantity 1
Negotiation of Lease and other Matter for Shared Locations Yes
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 No
RF exposure measurements No
Additional Field Engineering Service No

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 Yes
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)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
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

Information not provided.

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 $10,200.00 $7,936.79 N/A $7,900.00 N/A
Total for all systems $61,115.00 $50,915.56 N/A $29,780.39 N/A
Primary Transmitter TRN-5X-02-U-C $10,200.00 $7,936.79 $7,900.00
UHF - Air Cooled Solid State Transmitter 5 - 50 Watts $10,200.00 $7,936.79 Please see C.J. Cannaliato quotation #155 $7,900.00 N/A

Components

Actual Information Description File Name
UHF - Air Cooled Solid State Transmitter 5 - 50 Watts

Component Description:
Transmitter
Amount:
$7,900.00

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 $0.00 $0.00 N/A $0.00 N/A
Total for all systems $61,115.00 $50,915.56 N/A $29,780.39 N/A
Primary Antenna 1XeK723147 $0.00 $0.00 $0.00

Components

Information not provided.

Cost Information

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Transmission Line

Information not provided.

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 $0.00 $0.00 N/A $0.00 N/A
Total for all systems $61,115.00 $50,915.56 N/A $29,780.39 N/A
Primary Tower TOWER $0.00 $0.00 $0.00

Components

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 $45,620.00 $42,978.77 N/A $21,880.39 N/A
Total for all systems $61,115.00 $50,915.56 N/A $29,780.39 N/A
Outside Professional Services $45,620.00 $42,978.77 $21,880.39
Form 399 assistance or other Program Management costs $32,010.00 $32,010.00 Please see Estimated Cost Justification K15LB-D-510-Project Management v0 $14,272.70 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $2,235.00 $760.00 Please see K15LB-D Attorney - STA Budget Revision Justification Letter $731.50 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $3,262.50 $720.00 Please see K15LB-D Attorney - Other Matters Budget Revision Justification Letter $693.00 N/A
Prepare/ Review 399 reimbursement form $1,710.00 $1,710.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $0.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $3,025.00 $1,595.50 N/A $0.00 N/A
Perform engineering study for displacement application $1,800.00 $6,183.27 includes channel change investigation, Engineering statement $6,183.19 N/A

Components

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

Component Description:
Project Management
Amount:
$672.70

Component Description:
Project Management
Amount:
$105.40

Component Description:
Project Management
Amount:
$128.45

Component Description:
Project Management
Amount:
$720.00

Component Description:
Project Management
Amount:
$528.00

Component Description:
Project Management
Amount:
$175.05

Component Description:
Project Management
Amount:
$1,810.30

Component Description:
Project Management
Amount:
$321.50

Component Description:
Project Management
Amount:
$466.85

Component Description:
Project Management
Amount:
$371.35

Component Description:
Project Management
Amount:
$452.60

Component Description:
Project Management
Amount:
$255.75

Component Description:
Project Management
Amount:
$110.00

Component Description:
Project Management
Amount:
$796.00

Component Description:
Project Management
Amount:
$82.50

Component Description:
Project management
Amount:
$2,346.25

Component Description:
Project management
Amount:
$793.05

Component Description:
Project management
Amount:
$1,211.25

Component Description:
Project Management
Amount:
$2,574.75

Component Description:
Project Management
Amount:
$350.95
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
K15LB-D-550-Attorney - Prepare and File for Special Temporary Authorization
Amount:
$731.50
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Prepare draft displacement applications in LMS
Amount:
$693.00
Prepare/ Review 399 reimbursement form Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Invoice to be resubmitted
Amount:
N/A
Perform engineering study for displacement application

Component Description:
Consulting engineering services
Amount:
$537.13

Component Description:
Invoice to be resubmitted.
Amount:
N/A

Component Description:
Consulting engineering services
Amount:
$630.27

Component Description:
Consulting engineering services
Amount:
$1,912.86

Component Description:
Consulting engineering services
Amount:
$3,102.93

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 $5,295.00 $0.00 N/A $0.00 N/A
Total for all systems $61,115.00 $50,915.56 N/A $29,780.39 N/A
Other Expenses $5,295.00 $0.00 $0.00
FCC Filing Fees - Form 2100 license to cover application $335.00 $0.00 N/A N/A N/A
FCC Filing Fees - Form 2100 Major change CP application $4,960.00 $0.00 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 $61,115.00 $50,915.56 $29,780.39

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 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.

Sravan Reddy

Senior Director, General Accounting


01/04/2022

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.

Sravan Reddy

Senior Director, General Accounting


01/04/2022

Attachments

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