| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
BD SUPERVISORS, LOUISIANA STATE UNIVERSITY & A&M COLLEGE Doing Business As: BD SUPERVISORS, LOUISIANA STATE UNIVERSITY & A&M COLLEGE |
ONE UNIVERSITY PLACE SHREVEPORT, LA 71115 United States |
+1 (318) 797-5000 | BARBIE.CANNON@LSUS.EDU | Government Entity |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
|
|
|
| Applicant | Address | Phone | |
|---|---|---|---|
|
Troy Jarred Jones Engineer Red River Radio (KDAQ) |
Troy Jones One University Place Shreveport, LA 71115 United States |
+1 (318) 655-3230 | troy.jones@lsus.edu |
| 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 | 2-bay antenna and line to be placed at approx. 500 feet fed by a separate transmitter, IP STL, importer/exporter on same tower from same building. |
| 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 | HTHD | |
| Year | 2007 | |
| Type | Other Type | |
| Other Transmitter Type | Tube | |
| Power Capacity | 25 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | VS 2.5 Hybrid | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Model Type | Hybrid | |
| Solid State Power capacity | 2.5 kW | |
| Justification for New Transmitter | Primary transmitter is connected to main 12 bay array and will be unusable during construction. Also main transmitter is not designed to operate at lower power efficiently or stably at lower power per manufacturer. | |
| Does the transmitter require the purchase of a new HD Importer? | Yes | |
| Does the transmitter require the purchase of a new HD Exporter? | Yes |
| Section | Question | Response |
|---|---|---|
| Other Transmitter Costs | Does the transmitter installation require an Additional Exciter? | No |
| Does the transmitter installation require any additional transmitter installation costs? | Yes | |
| 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 | Yes | |
| Size | 0.5 inches | |
| Length | 22.0 feet | |
| Other Electrical Service | Yes | |
| Description | The circuit for this transmitter only requires 220V single phase circuit. (180 V ac to 264 V ac, 1 phase, 50/60 Hz) | |
| 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? | Yes |
| Size | 5.0 square feet | |
| Other Transmitter-Related Expenses | Does the replacement transmitter require a Remote Control? | No |
| Does the replacement transmitter require an RDS Encoder? | No | |
| Does the replacement transmitter require Audio Processing? | No |
| 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? | No | |
| 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 | Top | |
| Polarization | Circular | |
| Type | Other | |
| Other Antenna Type | FMH Super -Power Circularly Polarized FM Antenna | |
| ERP: | 100.0 kW | |
| Manufacturer | ||
| Model | FMH-12AC | |
| Year | 1984 |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Primary (Main) |
| Change Type | Purchase New | |
| Ownership | Owned | |
| Is antenna shared? | No | |
| Is antenna directional? | No | |
| 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 | Bottom | |
| Polarization | Circular | |
| Type | Other | |
| Other Antenna Type | Ring Stub | |
| ERP: | 2.5 kW | |
| Manufacturer | ||
| Model | 6810 | |
| Year | 2019 | |
| Justification for New Antenna | Tower crew will be rigging within the middle of our current 12 bay array. We require an alternate antenna to transmit from that is safely away from the crew and their rigging. |
| 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? | Yes |
| Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
| Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
| FM Band Pass Filters | Do you require an FM band pass filter? | No |
| Notch Filter | Do you require a Notch filter? | No |
| De-Icers | Do you require De-Icers? | No |
| Radomes | Do you require Radomes? | No |
| 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 Air | |
| Diameter | 3 inches | |
| Number of parallel runs | 1 | |
| Length | 931 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 Air | |
| Diameter | 1 5/8 inches | |
| Number of parallel runs | 1 | |
| Length | 580 feet per run | |
| Justification for New Transmission Line | New line required to feed antenna at lower height. | |
| Interior RF Systems | Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? | Yes |
| Does the Installation of the Transmission Line require additional or replacement Inside RF system elbows, fitting, hangers, etc.? | Yes |
| 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? | Unknown | |
| Existing Tower Structure Registration | Do you have a tower registration number? | No |
| Coordinates (NAD83) | Latitude (NAD83) | 32° 40' 40.1" N- |
| Longitude (NAD83) | 093° 55' 30.7" W- | |
| Overall Structure Height | 1080.04 feet | |
| Support Structure Height | 1006.88 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 250.00 feet | |
| Structure Type | TOWER - Free Standing or Guyed Structure | |
| Tower Owner | LOUISIANA EDUCATIONAL TELEVISION AUTHORITY DBA KLTS | |
| Date Constructed | 05/26/1978 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 38591 | KLTS-TV | DTV |
| 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 |
| Name | Description |
|---|---|
Antenna Line Hang |
Hang antenna and line on tower using tower crew for TV repack. |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 100 | |
| Explanation | KDAQ is a university-licensed public radio station and part of a regional public radio network. The network operates with a lean staff and requires outside services to assist it with project management for its repack-related service disruptions. | |
| Outside RF consulting Engineering Services | Prepare engineering section of Form FCC Construction Permit Application | Yes |
| For Auxiliary Facility | Yes | |
| For Main Facility | No | |
| Prepare engineering section of Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | Yes | |
| For Main Facility | No | |
| 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 | Yes | |
| For Main Facility | No | |
| Prepare and file Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | Yes | |
| For Main Facility | No | |
| 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 | Yes |
| RF exposure measurements | No | |
| Additional Field Engineering Service | No |
| Name | Description |
|---|---|
Additional Legal Fees |
KDAQ is a university licensed public radio station with a lean staff and requires additional legal assistance for reimbursement project. |
Temporary Tower Rent |
Lease costs for temporary auxiliary antenna on tower |
| 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 | No | |
| 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? | 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 | |
| 1 pair IP-only Codecs for fiber, internet or IP microwave systems | Yes |
| Name | Description |
|---|---|
2.5kW Transmitter Hybrid |
Nautel VS 2 point 5kW Hybrid |
External Jumpers, Grounding Kits and adapters |
External Jumpers, grounding kits, hoisting grips, flanges and misc. connectors. |
Internal Labor |
KDAQ Chief Engineer will handle many aspects of this project in-house in addition to his regular workload |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $104,965.00 | $111,080.00 | N/A | $0.00 | N/A |
| Total for all systems | $411,724.38 | $216,508.63 | N/A | $28,967.04 | N/A |
| Primary Transmitter VS 2.5 Hybrid | $104,965.00 | $111,080.00 | $0.00 | ||
| HD Exporter | $2,550.00 | $4,500.00 | No separate exporter is necessary as the importer exporter combo unit is available to us. | N/A | N/A |
| HD Importer | $2,550.00 | $8,490.00 | The cost of a Nautel IPR XPR HD MC STD Audio Importer Exporter combined into one unit. | $0.00 | Normally, Importer and Exporter are separate. Modern devices now combine both units into a single unit capable of Importer AND Exporter as is the case with this device. |
| Air Cooled Solid State FM Transmitter 1.5 - 3 kW Hybrid | $25,095.00 | $23,320.00 | N/A | $0.00 | N/A |
| Other Electrical Service: The circuit for this transmitter only requires 220V single phase circuit. (180 V ac to 264 V ac, 1 phase, 50/60 Hz) | $290.00 | $290.00 | Electricians to run conduit and cost of materials to run 220V circuit and receptacle to AUX transmitter location. | $0.00 | N/A |
| Transmitter Installation | $70,500.00 | $70,500.00 | Transmitter installation required for HD operation during repack as tower crew will be rigging within our array. | N/A | N/A |
| Other -- Building Addition Size: 5.0 | $1,480.00 | $1,480.00 | This is for an additional A/C conduit output of our current AC unit will be run through the cinderblock wall into the adjoining room at the site where our AUX transmitter will be running. | N/A | N/A |
| 0.5" Rigid Conduit and Wiring | $2,500.00 | $2,500.00 | Cost of supplies and materials for conduit run and wiring for AUX transmitter. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| HD Exporter | Information not provided. |
| HD Importer | |
| Air Cooled Solid State FM Transmitter 1.5 - 3 kW Hybrid | |
| Other Electrical Service: The circuit for this transmitter only requires 220V single phase circuit. (180 V ac to 264 V ac, 1 phase, 50/60 Hz) | |
| Transmitter Installation | Information not provided. |
| Other -- Building Addition Size: 5.0 | Information not provided. |
| 0.5" Rigid Conduit and Wiring | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $8,130.00 | $11,796.25 | N/A | $0.00 | N/A |
| Total for all systems | $411,724.38 | $216,508.63 | N/A | $28,967.04 | N/A |
| Primary Antenna 6810 | $8,130.00 | $11,796.25 | $0.00 | ||
| Low Power 1 kW - 2.5 kW Circularly-polarized | $1,400.00 | $9,999.00 | We could not use a lower power antenna given the height we had to broadcast at vs the cost of the transmitter. We needed the extra gain and less loss to accommodate a greater projected coverage pattern. | $0.00 | Interim antenna required based on work on tower. Antenna height had to be no higher than 500 feet to allow work to be performed. Wanted to get antenna that was able to radiate more energy if allowed during time tower was unoccupied. |
| Sweep test of existing antenna | $5,730.00 | $797.25 | N/A | $0.00 | N/A |
| Side Mount antenna brackets | $1,000.00 | $1,000.00 | Brackets to be used at intervals recommended by tower crew and line manufacturer. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Low Power 1 kW - 2.5 kW Circularly-polarized | |
| Sweep test of existing antenna | |
| Side Mount antenna brackets | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $20,600.00 | $5,887.00 | N/A | $4,427.00 | N/A |
| Total for all systems | $411,724.38 | $216,508.63 | N/A | $28,967.04 | N/A |
| Primary Transmission Line | $20,600.00 | $5,887.00 | $4,427.00 | ||
| Flexible Air Transmission Line - dielectric, 1 5/8" | $19,140.00 | $4,427.00 | N/A | $4,427.00 | N/A |
| Interior RF Systems: Elbows, fitting, hangers, etc. | $780.00 | $780.00 | one 90 degree elbow to plumb into existing manual antenna hanging switch. | N/A | N/A |
| Interior RF Systems: Inside RF system including switching, patch panels and dehydrators | $680.00 | $680.00 | Line is air filled dialectric. This expense is for dehydrator with monitoring. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Flexible Air Transmission Line - dielectric, 1 5/8" | |
| Interior RF Systems: Elbows, fitting, hangers, etc. | Information not provided. |
| Interior RF Systems: Inside RF system including switching, patch panels and dehydrators | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $169,750.00 | $29,065.00 | N/A | $17,065.00 | N/A |
| Total for all systems | $411,724.38 | $216,508.63 | N/A | $28,967.04 | N/A |
| Primary Tower TOWER | $169,750.00 | $29,065.00 | $17,065.00 | ||
| Tower Rigging Tall Tower (greater than 500') | $157,750.00 | $17,065.00 | Costs to rig for tower, antenna, and line. | $17,065.00 | N/A |
| Antenna Line Hang | $12,000.00 | $12,000.00 | cost estimate from TV Repack Tower crew. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Tower Rigging Tall Tower (greater than 500') | |
| Antenna Line Hang | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $82,970.50 | $33,371.50 | N/A | $5,872.00 | N/A |
| Total for all systems | $411,724.38 | $216,508.63 | N/A | $28,967.04 | N/A |
| Outside Professional Services | $82,970.50 | $33,371.50 | $5,872.00 | ||
| Prepare/ Review 399 reimbursement form | $1,710.00 | $2,867.00 | Several questions arose regarding TV Repack for HD and for our facility as to what was estimated vs what we were allowed to utilize at the transmitter site. | $2,867.00 | Analysis and eligibility forms in LMS were not easily navigable. Several questions regarding STL, STA and other questions had to be answered regarding Tower Owner and what our options would be vs what estimates should be provided to form 399. |
| Form 399 assistance or other Program Management costs | $1,060.50 | $1,060.50 | N/A | $505.00 | N/A |
| Prepare request for Special Temporary Authorization | $1,280.00 | $624.00 | N/A | $0.00 | N/A |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | $2,235.00 | $2,235.00 | N/A | $0.00 | N/A |
| Temporary Tower Rent | $4,000.00 | $4,000.00 | N/A | N/A | N/A |
| Additional Legal Fees | $7,500.00 | $7,500.00 | N/A | N/A | N/A |
| Comprehensive coverage verification via field study, if needed | $52,600.00 | $2,500.00 | N/A | $2,500.00 | N/A |
| Attorney Fees - Negotiation of Lease and other matters for Shared Locations | $1,280.00 | $1,280.00 | N/A | N/A | N/A |
| Prepare Form 601 | $755.00 | $755.00 | N/A | N/A | N/A |
| Project management of the transition | $10,550.00 | $10,550.00 | KDAQ is a university-licensed public radio station and part of a regional public radio network. The network operates with a lean staff and requires outside services to assist it with project management for its repack-related service disruptions. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Prepare/ Review 399 reimbursement form | |
| Form 399 assistance or other Program Management costs | |
| Prepare request for Special Temporary Authorization | |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | Information not provided. |
| Temporary Tower Rent | Information not provided. |
| Additional Legal Fees | Information not provided. |
| Comprehensive coverage verification via field study, if needed | |
| Attorney Fees - Negotiation of Lease and other matters for Shared Locations | Information not provided. |
| Prepare Form 601 | Information not provided. |
| Project management of the transition | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $25,308.88 | $25,308.88 | N/A | $1,603.04 | N/A |
| Total for all systems | $411,724.38 | $216,508.63 | N/A | $28,967.04 | N/A |
| Other Expenses | $25,308.88 | $25,308.88 | $1,603.04 | ||
| Internal Labor | $1,105.84 | $1,105.84 | KDAQ is a university-licensed public radio station and part of a regional public radio network. The network operates with a lean staff and requires outside services to assist it with project management for its repack-related service disruptions. | $0.00 | N/A |
| External Jumpers, Grounding Kits and adapters | $1,603.04 | $1,603.04 | N/A | $1,603.04 | N/A |
| 2.5kW Transmitter Hybrid | $15,750.00 | $15,750.00 | Cost estimate based on manufacturer list price. | N/A | N/A |
| Point to Point Microwave (STL/ICR): 1 pair IP-only Codecs for fiber, internet or IP microwave systems | $5,850.00 | $5,850.00 | N/A | N/A | N/A |
| Equipment Delivery and Handling Charges | $500.00 | $500.00 | N/A | N/A | N/A |
| Equipment Storage | $500.00 | $500.00 | line and antenna must be on site prior to rigging, however no firm date has been set so storage of equipment is required. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Internal Labor | |
| External Jumpers, Grounding Kits and adapters | |
| 2.5kW Transmitter Hybrid | Information not provided. |
| Point to Point Microwave (STL/ICR): 1 pair IP-only Codecs for fiber, internet or IP microwave systems | Information not provided. |
| Equipment Delivery and Handling Charges | Information not provided. |
| Equipment Storage | Information not provided. |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $411,724.38 | $216,508.63 | $28,967.04 |
| Question | Response |
|---|---|
| The facility has ceased operating on its pre-auction channel. | No |
| 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 |
| 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. | Troy Jarred Jones Chie 10/06/2021 |
| 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. | Troy Jarred Jones Chief Engineer 10/06/2021 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Troy Jarred Jones Chief Engineer 10/06/2021 |
