TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
ION TELEVISION LICENSE, LLC Doing Business As: ION MEDIA JACKSONVILLE LICENSE, INC.	601 Clearwater Park Road West Palm Beach, FL 33401 United States	+1 (561) 682-4110	BiancaFrye@ionmedia.com	Corporation

Applicant

Address

Phone

Applicant Type

ION TELEVISION LICENSE, LLC

Doing Business As: ION MEDIA JACKSONVILLE LICENSE, INC.

601 Clearwater Park Road

West Palm Beach, FL 33401

United States

+1 (561) 682-4110

BiancaFrye@ionmedia.com

Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
The Preparer is same as the reimbursement contact.

Broadcaster Information and Transition Plan

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	Relocate from ASR #1007163 to ASR #1006934. Replace non-retunable transmitter, install top mounted antenna and transmission line to operate on post-repack channel.

Question	Response
Sharee Station Facility ID	47884
Call Sign	WRMR
Type	Commercial
Licensee Name	SUNRISE BROADCASTING, LLC
Status	LICENSED
DTS	No
Community of License	JACKSONVILLE, NC
Pre-auction RF Channel	254
Post-auction RF Channel
Neilsen DMA
Network Affiliation

Question	Response
Sharee Station Facility ID	28171
Call Sign	WQSL
Type	Commercial
Licensee Name	DICK BROADCASTING COMPANY, INC. OF TENNESSEE
Status	LICENSED
DTS	No
Community of License	JACKSONVILLE, NC
Pre-auction RF Channel	222
Post-auction RF Channel
Neilsen DMA
Network Affiliation

Question	Response
Sharee Station Facility ID	28172
Call Sign	WXQR-FM
Type	Commercial
Licensee Name	DICK BROADCASTING COMPANY, INC. OF TENNESSEE
Status	LICENSED
DTS	No
Community of License	JACKSONVILLE, NC
Pre-auction RF Channel	288
Post-auction RF Channel
Neilsen DMA
Network Affiliation

Transmitters

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

Primary Transmitter

Existing Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Purchase New
	Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is this transmitter currently shared with another station?	No
	Is this transmitter currently in operating condition?	Yes
Existing Transmitter Manufacturer and Type	Manufacturer
	Model	DCX
	Year	2002
	Type	Inductive Output Tube
	IOT Power Type	Single
	Power Capacity	23.5 kW

Primary Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Primary (Main)
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Manufacturer
	Model	HPTV-PRLX-U12
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	20 kW
	Justification for New Transmitter	ION is requesting a liquid cooled transmitter as the current IOT transmitter is liquid cooled. See attached Transmitter Exhibits. See attached Transmitter Upgrade Disclaimer.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	Yes
	Power	150 kVA
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	No
	Description	N/A
HVAC Service	Does the replacement transmitter require HVAC Service?	Yes
	Type	Cooling Only
	Size	5 tons
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	Yes
	Size	360.0 square feet
Channel 14 Costs	Is an RF Consulting Engineer needed?	N/A
	Is a channel 14 Mask Filer needed?	N/A
	Is additional field engineering time needed?	N/A
	Number of Days	N/A

Primary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Removal of Existing Equipment	Removal of existing transmitters and equipment / Site Prep
RF interconnect	Interconnect between RF System and transmission line.

Interim Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Interim
	Description of Use	N/A
	Change Type	Lease New
	Manufacturer
	Model	AT72 1K011 1kW
	Transmitter Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power capacity	1 kW
	Justification for New Transmitter	Needed to keep station on air before main transmitter was installed

Interim Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	No
	Power	N/A
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	No
	Description	N/A
HVAC Service	Does the replacement transmitter require HVAC Service?	No
	Type	N/A
	Size	N/A
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	No
	Size	N/A
Channel 14 Costs	Is an RF Consulting Engineer needed?	N/A
	Is a channel 14 Mask Filer needed?	N/A
	Is additional field engineering time needed?	N/A
	Number of Days	N/A
Inside RF System	Is an additional interior RF system required to support this interim transmitter?	No

Interim Transmitter

Other Transmitter Cost Not Listed

Information not provided.

Antennas

Section	Question	Response
Antenna Related Expenses	Do you have antenna related expenses?	Yes

Primary Antenna

Existing Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Purchase New
	Antenna Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	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	Class	Full Power
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Horizontal
	Type	Slotted Coaxial
	Number of Stations Supported	N/A
	Number of Panels	N/A
	Design power capacity in use	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Other Antenna Type	N/A
	ERP:	600.0 kW
	Manufacturer
	Model	TFU-30 DSC-R CT 160
	Year	2002

Primary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Elliptical
	Type	Slotted Coaxial
	Number of Stations Supported	N/A
	Number of Panels/Bays	N/A
	Lower Limit	N/A
	Upper Limit	N/A
	Design power capacity in use	N/A
	Other Antenna Type	N/A
	ERP:	401.0 kW
	Manufacturer
	Model	TFU-26DSC/VP-R CT160
	Year	2017
	Justification for New Antenna	Current slot antenna cannot be re-channeled

Primary Antenna

Other Antenna Costs

Section	Question	Response
Combiner for Shared Antenna	Do you need a Combiner for a Shared Antenna?	No
	Type
	Number of channels supported	N/A
	Frequencies of channels supported	N/A
	Frequency	N/A
	Do you need a combiner output splitter/switcher for dual feed lines?	N/A
Elbow Complex	Do you require the separate purchase of the Elbow Complex?	Yes
	Broadband or Single Channel?	Single Channel
	Feed Line Size	4 1/16 inches inches
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?	Yes
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Interim
	Description of Use	N/A
	Change Type	Purchase New
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Type	Class	Full Power
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Horizontal
	Type	Broadband Slot
	Number of Stations Supported	1
	Number of Panels/Bays	8
	Lower Limit	470.00 MHz
	Upper Limit	698.00 MHz
	Design power capacity in use	25.0 %
	Other Antenna Type	N/A
	ERP:	65.0 kW
	Manufacturer
	Model	TFU-WB-8
	Year	2017
	Justification for New Antenna	Interim antenna needed to complete move to new channel.

Interim Antenna

Other Antenna Costs

Section	Question	Response
Elbow Complex	Do you require the separate purchase of the Elbow Complex?	Yes
	Broadband or Single Channel?	S
	Feed Line Size	4 1/16 inches
Side Mount Brackets	Do you require the separate purchase of side mount brackets for an 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

Interim Antenna

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

Section	Question	Response
Transmission Line Related Expenses	Do you have transmission line related expenses?	Yes

Primary Transmission Line

Existing Transmission Line

Section	Question	Response
Existing Transmission Line Description	Type of change	Purchase New
	Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	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	Rigid
	Diameter	4 1/16 inches
	Other Diameter	N/A
	Segment Length	19 1/2 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	770 feet per run

Primary Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Type	Rigid
	Diameter	4 1/16 inches
	Other Diameter	N/A
	Segment Length	19 1/2 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	700 feet per run
	Justification for New Transmission Line	See attached Transmission Line Exhibit

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Name	Description
Sweep existing transmission line	Sweep existing transmission line

Interim Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Interim
	Description of Use	N/A
	Change Type	Purchase New
	Type	Flexible Air
	Diameter	1 5/8 inches
	Segment Length	N/A
	Other Segment Length
	Number of parallel runs	1
	Length	600 feet per run
	Justification for New Transmission Line	Transmission line for interim antenna needed to meet repack deadline

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

Section	Question	Response
Tower Equipment or Rigging Costs Changes	Do you have tower equipment or rigging costs changes?	Yes

Primary Tower

Add Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Primary (Main)
	Description of Use	N/A
	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?	Yes
Existing Tower Structure Registration	ASR Number	1006934
Coordinates (NAD83)	Latitude (NAD83)	34° 29' 42.0" N-
	Longitude (NAD83)	077° 29' 18.0" W-
	Overall Structure Height	1012.78 feet
	Support Structure Height	1010.49 feet
	Ground Elevation Above Mean Sea Level (AMSL)	29.53 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	Sunrise Broadcasting, LLC
	Date Constructed	01/01/1986

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
47884	WRMR	FM
28172	WXQR-FM	FM
28171	WQSL	FM

Primary Tower

Tower Modification Costs

Section	Question	Response
Engineering Study	Please what type of engineering study is required, if any:	Study needed for undocumented/poorly documented tower
Tower Reinforcements	Please select whether tower reinforcements are needed:	Minor Reinforcements needed

Primary Tower

Tower Rigging Costs

Section	Question	Response
Tower Rigging Costs	Complex Tower	N/A
Helicopter Services Required	Are helicopter services required?	No

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Interim Antenna Installation	Additional work to install interim antenna provided by tower landlord
Structural analysis	Structural analysis

Primary Tower

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Move Equipment
	Tower Use	Primary (Main)
	Description of Use	N/A
	Ownership	Leased
	Is this tower consider Complex?
	Is this tower currently shared with any other stations?	No
	One or more FM, AM or TV radio broadcaster(s)	N/A
	Others Types of Users	N/A
	Is tower documented for structural analysis?	Unknown
	Is tower compliant with Rev G?	No
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1007163
Coordinates (NAD83)	Latitude (NAD83)	34° 31' 11.0" N-
	Longitude (NAD83)	077° 26' 51.0" W-
	Overall Structure Height	799.86 feet
	Support Structure Height	796.58 feet
	Ground Elevation Above Mean Sea Level (AMSL)	28.87 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	K2 Towers, LLC
	Date Constructed	05/19/1995

Primary Tower

Tower Rigging Costs

Section	Question	Response
Tower Rigging Costs	Complex Tower	Other
Helicopter Services Required	Are helicopter services required?	No

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Structural Study	Structural analysis required after tower mapping completed

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	No
	Number of Hours	N/A
	Explanation	N/A
Outside RF consulting Engineering Services	Perform engineering study for new channel assignment and antenna development	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
	Do you have Distributed Transmission System engineering services?	N/A
	Critical Facility	N/A
	Terrain-Shielded Facility	N/A
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
	NEPA Section 106 environmental review	Yes
	Environmental Assessment	Yes
	ASR Modification	Yes
	FAA Consultation (including preparation of FAA Form 7460)	Yes
	Negotiation of Lease and other Matter for Shared Locations	Yes
	Prepare or Review FCC Form 399 for Reimbursement	Yes
	Address transition timing and coordination issues w/ other stations and wireless providers	Yes
RF Field Engineering Services	Comprehensive coverage verification via field study	Yes
	RF exposure measurements	Yes
	Additional Field Engineering Service	No
	Number of Days	N/A
	Justification	N/A

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
Impact Study	LPTV Impact Study

Other Expenses

Section	Question	Response
AM Pattern Disturbance	Is an Impact Study needed?	No
AM Pattern Disturbance	Is Remediation needed?	No
Facility Expenses	Name	N/A
	Other Distributed Transmission System Expenses Not listed	N/A
	Name	N/A
	Is Notification of a Medical Facility required as a result of DTV broadcasting?	Yes
Permit and Filing Costs	Local Zoning	Yes
	Non-zoning permits	Yes
	BLM or NFS Coordination	No
	FCC Construction Permit Minor Change	No
	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?	Yes
	Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change?	Yes
	Does this relocation require MVPD Notification of a Channel Change?	Yes

Other Expenses

Other Expenses Not Listed

Information not provided.

Cost Information

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	$1,032,641.82	$810,811.20	N/A	$737,686.20	N/A
Total for all systems	$2,909,578.38	$2,337,040.19	N/A	$2,017,172.63	N/A
Interim Transmitter AT72 1K011 1kW	$126,000.00	$14,616.64		$8,616.64
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW	$126,000.00	$14,616.64	Please see WPXU Loaner Agreement COMARK Broadcast Equipment Use Agreement --signed and Hitachi Comark Quote #CS00003341-WPXU	$8,616.64	N/A
Primary Transmitter HPTV-PRLX-U12	$906,641.82	$796,194.56		$729,069.56
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	$684,000.00	$505,092.00	See attached Hitachi Comark Quote P3466PRLXU12-031318-R1 and Hitachi Comark Quote #P#3466PRLXU12-031318-R2 Change Order.	$497,967.00	N/A
Removal of Existing Equipment	$27,079.82	$27,079.82	Please see attached Skyline Communications Quote #98921233.	$27,079.82	N/A
Other -- Building Addition Size: 360.0	$124,762.00	$124,762.00	Please see Thermobond Quote #1902-85C and Worldwide Communications Quote S-19-998 (ION will not seek reimbursement for ice shield covering generator)	$89,762.00	N/A
Transformer 3 phase/480v - 150 KVA	$25,550.00	$98,450.00	Please see attached R. Brown Electric Quote #5713	$98,450.00	N/A
RF interconnect	$25,000.00	$25,000.00	N/A	N/A	N/A
5 Ton system	$20,250.00	$15,810.74	N/A	$15,810.74	N/A

Components

Actual Information Description	File Name
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW	Component Description: Cost of installation for interim transmitter. Supporting documentation and cover letter attached. This invoice has been paid. Amount: $5,616.64 Component Description: Cost of rental interim transmitter for one month. Supporting documentation is attached. This invoice has been paid. Amount: $1,000.00 Component Description: Cost of rental interim transmitter for two months. Supporting documentation is attached. This invoice has been paid. Amount: $2,000.00 Component Description: Cost for first month rental of interim transmitter. Supporting documentation is attached. This invoice has been paid. Amount: $1,000.00 Component Description: Cost of rental interim transmitter for two months. Supporting documentation is attached. This invoice has been paid. Amount: $2,000.00 Component Description: Cost of rental interim transmitter for one month. Supporting documentation is attached. This invoice has been paid. Amount: $1,000.00 Component Description: Cost of rental interim transmitter for two months. Supporting documentation is attached. This invoice has been paid. Amount: $2,000.00
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	Component Description: 50% "progress" payment on Comark transmitter. Supporting documentation attached. Amount: $238,680.00 Component Description: 20% "upon proof of performance" payment for additional components for transmitter. Supporting documentation is attached. Amount: $4,121.40 Component Description: 30% "deposit due with order" and 50% "due within 60 days of order" for additional components for transmitter. Supporting documentation is attached. Amount: $16,485.60 Component Description: 30% "deposit" payment for Comark Transmitter. Supporting documentation attached. Amount: $143,208.00 Component Description: 20% "due upon proof" for main transmitter. Supporting documentation is attached. Amount: $95,472.00
Removal of Existing Equipment	Component Description: Cost of deinstallation of transmitter and related components. Supporting documentation is attached. Amount: $27,079.82
Other -- Building Addition Size: 360.0	Component Description: 75% "balance" payment for transmitter building. Supporting documentation is attached. This invoice has been paid. Amount: $65,120.00 Component Description: 25% "deposit" payment for transmitter building. Supporting documentation is attached. This invoice has been paid. Amount: $24,642.00
Transformer 3 phase/480v - 150 KVA	Component Description: Cost of electric installation for new transmitter. Explanation of variance and supporting documentation is attached. This invoice has been paid. Amount: $98,450.00 Component Description: Cost of electric installation for new transmitter. Supporting documentation is attached. This invoice has been paid. Amount: $103,250.00
RF interconnect	Information not provided.
5 Ton system	Component Description: 50% "deposit" payment for HVAC. Supporting documentation is attached. This invoice has been paid. Amount: $6,830.37 Component Description: 50% "balance" payment for HVAC. Supporting documentation is attached. This invoice has been paid. Amount: $6,830.37 Component Description: Cost of electric work to install HVAC. Supporting documentation is attached. This invoice has been paid. Amount: $2,150.00

Cost Information

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	$377,410.00	$255,680.00	N/A	$221,487.00	N/A
Total for all systems	$2,909,578.38	$2,337,040.19	N/A	$2,017,172.63	N/A
Interim Antenna TFU-WB-8	$105,700.00	$13,593.00		$6,400.00
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	$9,570.00	$7,193.00	N/A	N/A	N/A
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized	$89,400.00	$0.00	ION re-used an interim antenna previously purchased for another station	N/A	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$6,400.00	N/A
Primary Antenna TFU-26DSC/VP-R CT160	$271,710.00	$242,087.00		$215,087.00
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$6,400.00	N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized	$227,000.00	$196,352.00	The estimated cost has been re-entered due to a technical error with the LMS form. Per FCC procedure, we have re-entered the original cost estimate that ties to our original submission while the technical issue is resolved.	$196,352.00	N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$5,000.00	N/A	N/A	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$22,000.00	N/A	N/A	N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	$9,570.00	$12,335.00	Please see Dielectric Quotes #DMS046-1 and #1932992	$12,335.00	N/A

Components

Actual Information Description	File Name
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	Information not provided.
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized	Information not provided.
Sweep test of existing antenna	Component Description: Cost of repack sweep for interim antenna operation. Supporting documentation is attached. This invoice has been paid. Amount: $6,400.00
Sweep test of existing antenna	Component Description: Cost of repack sweep following antenna installation. Supporting documentation is attached. This invoice has been paid. Amount: $6,400.00
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized	Component Description: 10% "after repack sweep" for primary antenna mounts. Explanation of variance and supporting documentation is attached. This invoice has been paid. Amount: $2,175.00 Component Description: 10% "after repack sweep" for primary antenna. Explanation of variance and supporting documentation is attached. This invoice has been paid. Amount: $17,460.20 Component Description: 65% "prior to ship" for primary antenna. Supporting documentation attached. This invoice has been paid. Amount: $113,491.30 Component Description: 65% "prior to ship" for primary antenna side mount brackets. Supporting documentation attached. This invoice has been paid. Amount: $14,137.50 Component Description: 25% "deposit" for primary antenna side mount brackets. Supporting documentation attached. This invoice has been paid. Amount: $5,437.50 Component Description: 25% "deposit" for primary antenna. Supporting documentation attached. This invoice has been paid. Amount: $43,650.50 Component Description: 10% "after repack sweep" for primary antenna. Explanation of variance and supporting documentation is attached. Amount: $17,460.20 Component Description: 10% "after repack sweep" for primary antenna mounts. Explanation of variance and supporting documentation is attached. Amount: $2,175.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)	Information not provided.
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	Component Description: Cost of additional equipment for main elbow complex. Supporting documentation is attached. This invoice has been paid. Amount: $4,280.00 Component Description: 65% "prior to ship" for primary elbow complex. Supporting documentation attached. This invoice has been paid. Amount: $5,235.75 Component Description: 25% "deposit" for primary elbow complex. Supporting documentation attached. This invoice has been paid. Amount: $2,013.75 Component Description: 10% "after repack sweep" for elbow complex. Supporting documentation is attached. This invoice has been paid. Amount: $805.50

Cost Information

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	$125,600.00	$101,981.43	N/A	$101,981.43	N/A
Total for all systems	$2,909,578.38	$2,337,040.19	N/A	$2,017,172.63	N/A
Interim Transmission Line	$19,800.00	$18,798.82		$18,798.82
Flexible Air Transmission Line - dielectric, 1 5/8"	$19,800.00	$18,798.82	Please see attached Dielectric Quote #900088CMZ WPXU ION INTERIM Line	$18,798.82	N/A
Primary Transmission Line	$105,800.00	$83,182.61		$83,182.61
Sweep existing transmission line	$6,400.00	$6,400.00	N/A	$6,400.00	N/A
Rigid Transmission Line - copper, 4 1/16"	$99,400.00	$76,782.61	Cost of transmission line. Please see Dielectric Quote DMS046-1 and #1932906	$76,782.61	N/A

Components

Actual Information Description	File Name
Flexible Air Transmission Line - dielectric, 1 5/8"	Component Description: Cost of interim transmission line. Supporting documentation is attached. Amount: $18,798.82
Sweep existing transmission line	Component Description: 10% "after sweep" payment for repack sweep of primary antenna operations. Supporting documentation attached. This invoice has been paid. Amount: $640.00 Component Description: 25% "deposit" for repack sweep of primary antenna operations. Supporting documentation attached. This invoice has been paid. Amount: $1,600.00 Component Description: 65% "prior to ship" for repack sweep of primary antenna operations. Supporting documentation attached. This invoice has been paid. Amount: $4,160.00 Component Description: 10% "after sweep" payment for repack sweep of primary antenna operations. Supporting documentation attached. This invoice has been paid. Amount: $640.00
Rigid Transmission Line - copper, 4 1/16"	Component Description: 10% "after repack sweep" payment for cut pieces of transmission line. Supporting documentation is attached. This invoice has been paid. Amount: $342.30 Component Description: 65% "prior to ship" for primary transmission line. Supporting documentation attached. / 65% "prior to ship" for primary transmission lines additional cut pieces. Supporting documentation attached. This invoice has been paid. Amount: $48,383.79 Component Description: 25% "deposit" for primary transmission line. Supporting documentation attached. / 25% "deposit" for primary transmission lines additional cut pieces. Supporting documentation attached. This invoice has been paid. Amount: $18,609.15 Component Description: 10% "after repack sweep" for transmission line. Supporting documentation is attached. This invoice has been paid. Amount: $7,101.37 Component Description: Cost for additional cut pieces of transmission line. Supporting documentation is attached. This invoice has been paid. Amount: $2,346.00

Cost Information

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	$1,070,750.00	$883,416.00	N/A	$873,416.00	N/A
Total for all systems	$2,909,578.38	$2,337,040.19	N/A	$2,017,172.63	N/A
Primary Tower TOWER	$400,950.00	$682,916.00		$677,916.00
Structural analysis	$5,000.00	$5,000.00	Cost of tower structural study or modification design. Please see Sunrise Broadcasting Quote dated 11-30-2018 attached.	$5,000.00	N/A
Minor tower reinforcement/modifications	$158,000.00	$182,960.00	Please see attached Worldwide Communications Quote #S-19-963 plus tax. And Sunrise Broadcasting Tower Mods Quote	$182,960.00	N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$5,000.00	N/A	N/A	N/A
Tall Tower (greater than 500')	$210,500.00	$488,806.00	Cost of tower services. Please see attached CSS Quote #QUIONTV041819, Worldwide Communications Quotes #S-19-934-A, #S-19-989, and #S-19-992. Plus applicable sales tax and weather delay charges.	$488,806.00	N/A
Interim Antenna Installation	$1,150.00	$1,150.00	Additional work performed by tower landlord to install interim antenna. Please see Sunrise Broadcasting #IONHRTWR-04	$1,150.00	N/A
Primary Tower TOWER	$669,800.00	$200,500.00		$195,500.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	$421,000.00	$160,000.00	Cost for removal of old antenna and transmission lines off of old tower. Please see attached Worldwide Communications Quote #S-19-934. Estimate does not include $20,000 deposit to Worldwide that was submitted and approved on a different cost element.	$160,000.00	N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$8,500.00	*System Notice: Estimate adjusted and locked because line has been superseded.*	$8,500.00	N/A
Tall Tower (greater than 500')	$210,500.00	$20,000.00	*System Notice: Estimate adjusted and locked because line has been superseded.*	$20,000.00	N/A
Structural Study	$12,000.00	$12,000.00	N/A	$7,000.00	N/A

Components

Actual Information Description	File Name
Structural analysis	Component Description: Cost for tower structural study or modification design. Supporting documentation is attached. This invoice has been paid. Amount: $5,000.00
Minor tower reinforcement/modifications	Component Description: Balance due payment for custom built brackets. Supporting documentation is attached. This invoice has been paid. Amount: $7,000.00 Component Description: 2nd and 3rd progress payments for tower reinforcements. Supporting documentation is attached. This invoice has been paid. Amount: $78,000.00 Component Description: 75% deposit payment for custom built brackets. Supporting documentation is attached. This invoice has been paid. Amount: $21,000.00 Component Description: 1st progress payment for tower reinforcements. Supporting documentation is attached. This invoice has been paid. Amount: $75,000.00 Component Description: Cost of tax for custom built brackets. Supporting documentation is attached. This invoice has been paid. Amount: $1,960.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Information not provided.
Tall Tower (greater than 500')	Component Description: Cost of tower services (installation and line). Supporting documentation is attached. This invoice has been paid. Amount: $12,000.00 Component Description: Cost of weather delays during tower services and antenna installation. Supporting documentation is attached. Amount: $22,750.00 Component Description: Balance due and sales tax for tower services. Supporting documentation is attached. Amount: $149,800.00 Component Description: Cost of rain delays for 4 days during tower work. Supporting documentation is attached. Amount: $11,050.00 Component Description: Cost of remobilization for tower crew. Supporting documentation is attached. This invoice has been paid. Amount: $22,473.00 Component Description: Cost of rain/wind delays for 6 days during tower work. Supporting documentation is attached. This invoice has been paid. Amount: $19,500.00 Component Description: 25% "balance due and sales tax" payment for tower services and antenna installation. Supporting documentation is attached. Amount: $72,608.00 Component Description: Credit memo for over-reimbursement of weather delays during tower services. Amount: ($6,500.00) Component Description: Cost of rain/wind delays for 1 day during tower work. Supporting documentation is attached. This invoice has been paid. Amount: $3,250.00 Component Description: Cost of rain delays for 4 days during tower work. Supporting documentation is attached. Amount: $11,700.00 Component Description: 75% "deposit" for tower services. Supporting documentation is attached. Amount: $170,175.00
Interim Antenna Installation	Component Description: Cost charged by landlord for assistance with interim antenna. Supporting documentation is attached. This invoice has been paid. Amount: $1,150.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	Component Description: Remaining balance due for tower services. Supporting documentation is attached. This invoice has been paid. Amount: $40,000.00 Component Description: 75% "deposit" for tower services. Supporting documentation is attached. This invoice has been paid. Amount: $120,000.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Component Description: Cost of engineering consultants to visit the site and provide tower mapping. Supporting documentation attached. This invoice has been paid. Amount: $8,500.00
Tall Tower (greater than 500')	Component Description: Down payment associated with securing tower service. Note that amount is not additional to cost of tower rigging and will be deducted from total cost of tower rigging at the time it is quoted. Supporting documentation attached. This invoice has been paid. Amount: $20,000.00
Structural Study	Component Description: Cost of engineering consultants to prepare the tower structural analysis. Supporting documentation attached. This invoice has been paid. Amount: $7,000.00

Cost Information

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	$161,710.00	$153,250.00	N/A	$6,867.99	N/A
Total for all systems	$2,909,578.38	$2,337,040.19	N/A	$2,017,172.63	N/A
Outside Professional Services	$161,710.00	$153,250.00		$6,867.99
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	N/A	$4,742.99	N/A
Prepare request for Special Temporary Authorization	$2,050.00	$1,500.00	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	$1,580.00	$1,500.00	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,000.00	N/A	$1,562.50	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$62.50	N/A
Address transition timing and coordination issues w/ other stations and wireless	$2,630.00	$2,500.00	N/A	N/A	N/A
Prepare and or review reimbursement form	$2,630.00	$2,500.00	N/A	N/A	N/A
Impact Study	$500.00	$500.00	Cost of LPTV impact study. Please see du Treil #243318 for detailed billing	$500.00	N/A
RF Exposure Measurements	$21,050.00	$20,000.00	N/A	N/A	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$80,000.00	N/A	N/A	N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	$2,105.00	$2,000.00	N/A	N/A	N/A
ASR modification (prepare FCC Form 854)	$2,105.00	$2,000.00	N/A	N/A	N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet	$10,520.00	$10,000.00	N/A	N/A	N/A
NEPA Section 106 environmental review, if needed	$6,310.00	$6,000.00	N/A	N/A	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$3,680.00	$3,500.00	N/A	N/A	N/A
Attorney Fees - Negotiation of lease and other matters for shared locations	$4,210.00	$4,000.00	N/A	N/A	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: Invoice for station's portion of general repack legal expenses incurred for 42 of the ION repack stations for period 2/1/2017 - 12/15/2017. Payee has corresponded with FCC staff and has provided corrected supporting documentation. Amount: $4,837.97 Component Description: Invoice for WPXU's portion of general repack legal expenses incurred for 42 of the ION repack stations for period 2/1/2017 - 12/15/2017. Payee has corresponded with FCC staff. Hourly supporting documentation and invoice attached. Amount: $4,742.99
Prepare request for Special Temporary Authorization	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	Component Description: Cost of RF consultant preparation of engineering part of FCC Form 2100. Hourly supporting documentation attached. This invoice has been paid. Amount: $1,562.50
Perform engineering study for new channel assignment and antenna development	Component Description: Cost of RF consultant work for new channel assignment and antenna development. Hourly supporting documentation attached. This invoice has been paid. Amount: $62.50
Address transition timing and coordination issues w/ other stations and wireless	Information not provided.
Prepare and or review reimbursement form	Information not provided.
Impact Study	Component Description: Cost of LPTV impact study. This invoice has been paid. Amount: $500.00
RF Exposure Measurements	Information not provided.
Comprehensive coverage verification via field study, if needed	Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	Information not provided.
ASR modification (prepare FCC Form 854)	Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet	Information not provided.
NEPA Section 106 environmental review, if needed	Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization	Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations	Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Information not provided.

Cost Information

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	$141,466.56	$131,901.56	N/A	$75,734.01	N/A
Total for all systems	$2,909,578.38	$2,337,040.19	N/A	$2,017,172.63	N/A
Other Expenses	$141,466.56	$131,901.56		$75,734.01
Equipment Storage	$28,359.75	$28,359.75	What ION has been charged by vendors to store equipment before it was ready to be installed	$28,189.68	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$15,000.00	$15,000.00	N/A	N/A	N/A
Non-zoning permits	$15,000.00	$15,000.00	N/A	N/A	N/A
Local Zoning	$25,000.00	$25,000.00	N/A	N/A	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	N/A	N/A	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$325.00	N/A	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$2,000.00	N/A	$2,000.00	N/A
MVPD Notification of Channel Change	$1,000.00	$1,000.00	2nd notification was needed because of a transition date change	$1,000.00	N/A
Develop and air announcement of upcoming channel change	$0.00	$0.00	The amount is yet to be determined (TBD) and ION will submit on-air announcement costs when finalized.	N/A	N/A
Equipment Delivery and Handling Charges	$45,026.81	$45,026.81	This is what vendors have charged to ship repack equipment.	$44,544.33	N/A

Components

Actual Information Description	File Name
Equipment Storage	Component Description: Cost of storage container rental and drop-off. Supporting documentation is attached. This invoice has been paid. Amount: $1,763.00 Component Description: Cost of one month onsite storage rental. Supporting documentation is attached. This invoice has been paid. Amount: $170.07 Component Description: Cost of one month onsite storage rental. Supporting documentation is attached. This invoice has been paid. Amount: $170.07 Component Description: Cost for one month of onsite storage container rental. Supporting documentation is attached. This invoice has been paid. Amount: $202.25 Component Description: Cost of storage by vendor until main transmission line and elbow complex were ready to be installed. Supporting documentation is attached. This invoice has been paid. Amount: $1,595.00 Component Description: Cost of storage by vendor until main antenna was ready to be installed. Supporting documentation is attached. This invoice has been paid. Amount: $22,000.00 Component Description: Cost of last month rental and return for onsite storage container. Supporting documentation is attached. This invoice has been paid. Amount: $1,438.94 Component Description: Cost of one month onsite storage rental. Supporting documentation is attached. This invoice has been paid. Amount: $170.07 Component Description: Cost of one month onsite storage rental. Supporting documentation is attached. This invoice has been paid. Amount: $170.07 Component Description: Cost of one month onsite storage rental. Supporting documentation is attached. This invoice has been paid. Amount: $170.07 Component Description: Cost of one month onsite storage rental. Supporting documentation is attached. This invoice has been paid. Amount: $170.07 Component Description: Cost of storage by vendor until main transmission line and elbow complex were ready to be installed. Supporting documentation is attached. This invoice has been paid. Amount: $1,595.00 Component Description: Cost of one month onsite storage rental. Supporting documentation is attached. This invoice has been paid. Amount: $170.07 Component Description: Cost for one month of onsite storage container rental. Supporting documentation is attached. This invoice has been paid. Amount: $170.07 Component Description: Cost for one month of onsite storage container rental. Supporting documentation is attached. This invoice has been paid. Amount: $202.25 Component Description: Cost of final month rental and return of onsite storage. Supporting documentation is attached. This invoice has been paid. Amount: $1,438.94 Component Description: Cost of storage by vendor until main antenna was ready to be installed. Supporting documentation is attached. This invoice has been paid. Amount: $22,000.00 Component Description: Cost of storage container rental and drop-off. Supporting documentation is attached. This invoice has been paid. Amount: $1,768.00 Component Description: Cost for one month of onsite storage container rental. Supporting documentation is attached. This invoice has been paid. Amount: $202.25 Component Description: Cost for one month of onsite storage container rental. Supporting documentation is attached. This invoice has been paid. Amount: $202.25
Disposal Costs (for equipment and other waste, net of any salvage value)	Information not provided.
Non-zoning permits	Information not provided.
Local Zoning	Information not provided.
FCC Filing Fees - Special Temporary Authorization request	Information not provided.
FCC Filing Fees - Form 2100 license to cover application	Information not provided.
DTV Medical Facility Notification	Component Description: Cost of medical notifications for repack channel change. Supporting documentation is attached. This invoice has been paid. Amount: $2,000.00
MVPD Notification of Channel Change	Component Description: Cost of MVPD notifications for repack channel change. Supporting documentation is attached. This invoice has been paid. Amount: $500.00 Component Description: Cost of MVPD notification for repack channel change. 2nd notification was needed because of a transition date change. Supporting documentation is attached. This invoice has been paid. Amount: $500.00
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Delivery and Handling Charges	Component Description: Cost of freight for main transmission line and elbow complex. Supporting documentation is attached. This invoice has been paid. Amount: $3,237.50 Component Description: Cost of freight for main antenna and mounting brackets. Supporting documentation is attached. This invoice has been paid. Amount: $4,219.78 Component Description: Cost of freight for transmission line. Supporting documentation is attached. This invoice has been paid. Amount: $3,611.25 Component Description: Cost of shipping for additional equipment needed for rental interim transmitter. Supporting documentation is attached. This invoice has been paid. Amount: $2,370.00 Component Description: Cost of freight for cut pieces of transmission line. Supporting documentation is attached. This invoice has been paid. Amount: $1,332.07 Component Description: Cost of freight for cut pieces of transmission line. Supporting documentation is attached. This invoice has been paid. Amount: $1,775.21 Component Description: Balance billing charges for freight to ship cut pieces of transmission line. Supporting documentation is attached. Amount: $4,260.01 Component Description: Cost of freight for main transmission line and elbow complex. Supporting documentation is attached. This invoice has been paid. Amount: $3,237.50 Component Description: Cost of shipping for transmitter building. Supporting documentation is attached. This invoice has been paid. Amount: $8,806.00 Component Description: Cost of freight for main antenna and mounting brackets. Supporting documentation is attached. This invoice has been paid. Amount: $4,219.78 Component Description: Cost of freight for additional elbow equipment. Supporting documentation is attached. This invoice has been paid. Amount: $397.50 Component Description: Cost of freight for cut piece of transmission line. Supporting documentation is attached. This invoice has been paid. Amount: $1,251.87 Component Description: Cost of shipping for rental interim transmitter. Supporting documentation is attached. This invoice has been paid. Amount: $482.48 Component Description: Cost of freight for main transmitter. Supporting documentation is attached. Amount: $13,283.14

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$2,909,578.38	$2,337,040.19	$2,017,172.63

Reimbursement Status

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.	Yes

Certification

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.

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.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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).
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.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Mario Vasquez

Vice President - Finance, Operations

10/07/2021

Certification

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).

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 certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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) .
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.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Mario Vasquez

Vice President - Finance, Operations

10/07/2021

Certification

Section

Question

Response

Submission of Final Allocation or Accounting Information Statements

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.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Mario Vasquez

Vice President - Finance, Operations

10/07/2021

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Interim Transmitter

New Transmitter Costs

Interim Transmitter

Other Transmitter Costs

Interim Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Interim Antenna

New Antenna Costs

Interim Antenna

Other Antenna Costs

Interim Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Existing Transmission Line

Primary Transmission Line

New Transmission Line

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Interim Transmission Line

New Transmission Line

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Tower Equipment And Rigging Costs

Primary Tower

Add Tower

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Primary Tower

Existing Tower

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components

Cost Information

Transmission Line

Components