TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
Nexstar Media Inc.	Elizabeth Ryder 545 E. JOHN CARPENTER FREEWAY SUITE 700 IRVING, TX 75062 United States	+1 (972) 373-8800	eryder@nexstar.tv	Corporation

Applicant

Address

Phone

Applicant Type

Nexstar Media Inc.

Elizabeth Ryder

545 E. JOHN CARPENTER FREEWAY

SUITE 700

IRVING, TX 75062

United States

+1 (972) 373-8800

eryder@nexstar.tv

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
Elizabeth Ryder General Counsel Nexstar Media Inc.	Elizabeth Ryder 545 E. John Carpenter Freeway Suite 700 Irving, TX 75062 United States	+1 (972) 373-8800	eryder@nexstar.tv

Applicant

Address

Phone

Elizabeth Ryder

General Counsel

Nexstar Media Inc.

Elizabeth Ryder

545 E. John Carpenter Freeway

Suite 700

Irving, TX 75062

United States

+1 (972) 373-8800

eryder@nexstar.tv

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	WJET & WFXP are co-located. The initial 399 requested to share the same antenna and line; however, the azimuth patterns are directional and significantly different. Accordingly, both facilities are filing amendments to budget and operate independently.

Question	Response
Sharee Station Facility ID	19707
Call Sign	WFXP
Type	Commercial
Licensee Name	Mission Broadcasting, Inc.
Status	LICENSED
DTS	No
Community of License	ERIE, PA
Pre-auction RF Channel	26
Post-auction RF Channel	26
Neilsen DMA	Erie
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	QXD Quantum
	Year	2002
	Type	Inductive Output Tube
	IOT Power Type	Single
	Power Capacity	30 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	THU9evo/20
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	31.0 kW
	Justification for New Transmitter	Existing transmitter cannot be converted to repacked channel per manufacturer. WJET was assigned a post-transition channel that receives in excess of 1% interference (1st Priority Station).

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	Yes
	Switchgear (industrial 800 amp)	Yes
	Transformer (480V)	Yes
	Power	500 kVA
	Rigid Conduit and Wiring	Yes
	Size	3 inches
	Length	300.0 feet
	Other Electrical Service	Yes
	Description	See attached electrical quotes for new building addition. Note: New building addition and associated costs will be shared with WFXP.
HVAC Service	Does the replacement transmitter require HVAC Service?	Yes
	Type	Heating and Cooling
	Size	15 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	900.0 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
Transmitter Electrical and Installation	Transmitter Electrical and Installation
Additional Transmitter Costs	Additional Transmitter Costs
Transmitter Building Security	Transmitter Building Security
Transmitter Building Permit	Transmitter Building Permit
Halo Grounding System	Halo Grounding System

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	Top 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:	523.0 kW
	Manufacturer
	Model	TFU-29JTH-R C180 SP
	Year	2011

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	Top 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:	650.0 kW
	Manufacturer
	Model	TFU-29JTH/VP-R C170
	Year	2019
	Justification for New Antenna	Existing coaxial slot antenna is not designed to operate on repacked channel. WJET was assigned a post-transition channel that receives in excess of 1% interference (1st Priority Station).

Primary Antenna

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	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	6 1/8 inches inches
Side Mount Brackets	Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis	Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna?	No
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
New Top Plate	Existing top-plate and/or bolt pattern may not work for new top-mount antenna.
Additional Antenna Costs	Additional Antenna Costs

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	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:	650.0 kW
	Manufacturer
	Model	TFU-16WB-R S230
	Year	2019
	Justification for New Antenna	Requires an interim antenna in order to remain on the air while the main top-mount facility is built-out.

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	6 1/8 inches
Side Mount Brackets	Do you require the separate purchase of side mount brackets for an 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

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	Utilize Existing
	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	Dielectric
	Type	Rigid
	Diameter	6 1/8 inches
	Other Diameter	N/A
	Segment Length	19 3/4 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	850 feet per run

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Name	Description
Transmission Line Sweep	A sweep is require to ensure the existing line measures well on the post-transition channel.
Additional Line	Additional transmission line required from new building addition to base of tower.

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	Rigid
	Diameter	4 1/16 inches
	Segment Length	19 ¾ '
	Other Segment Length
	Number of parallel runs	1
	Length	665 feet per run
	Justification for New Transmission Line	New interim transmission line is required for operation of the new interim facility since the existing line will be repurposed for post-transition operation.

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Name	Description
Additional Transmission Line Components	Additional Transmission Line Components

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

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	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	1033280
Coordinates (NAD83)	Latitude (NAD83)	42° 02' 25.0" N-
	Longitude (NAD83)	080° 04' 08.0" W-
	Overall Structure Height	816.59 feet
	Support Structure Height	750.98 feet
	Ground Elevation Above Mean Sea Level (AMSL)	1305.10 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	Nexstar Broadcasting, Inc.
	Date Constructed	01/01/1997

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
19707	WFXP	DTV

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:	Major 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
Ice Bridge	Ice bridge from new building addition to base of tower required (see attached PCI quote). Note: New ice bridge costs will be shared with WFXP.
Weather Delays, Additional Charges	Weather Delays, Additional Charges

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	750
	Explanation	It will be necessary to schedule and coordinate multiple vendors, complete progress reports, and update Schedule 399. Station does not have available personnel or personnel trained in project management for such complex projects.
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	No
	Environmental Assessment	No
	ASR Modification	Yes
	FAA Consultation (including preparation of FAA Form 7460)	Yes
	Negotiation of Lease and other Matter for Shared Locations	No
	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	No
	RF exposure measurements	No
	Additional Field Engineering Service	Yes
	Number of Days	15
	Justification	It is necessary to survey the site, plan the equipment, develop specifications for purchasing, & oversee multiple vendor RF projects. Station does not have available personnel trained in such services.

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

Section	Question	Response
AM Pattern Disturbance	Is an Impact Study needed?	Yes
AM Pattern Disturbance	Is Remediation needed?	Yes
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

Name	Description
Sales and Use Tax Due	Sales and Use Tax Due

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	$1,410,204.50	$865,829.50	N/A	$700,023.89	N/A
Total for all systems	$3,218,162.00	$2,463,296.50	N/A	$1,947,367.91	N/A
Primary Transmitter THU9evo/20	$1,410,204.50	$865,829.50		$700,023.89
Halo Grounding System	$13,674.00	$13,674.00	See Land Communications quote 1023, 50% shared cost with WFXP FAC ID 19707	$13,674.00	N/A
Switchgear - industrial 800 amp	$38,200.00	$37,150.00	N/A	N/A	N/A
Service entrance 3 phase/800 amp/208 volt	$14,400.00	$14,050.00	N/A	N/A	N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	$947,000.00	$484,200.00	Cost revised down from $922,000 to $484,200 per Rohde & Schwarz quote 133639.1 attached, which is net of upgrade cost.	$436,700.00	N/A
Other Electrical Service: See attached electrical quotes for new building addition. Note: New building addition and associated costs will be shared with WFXP.	$29,500.00	$29,500.00	Total electrical costs for new building addition is $59,000; however costs are shared with WFXP. See attached Building Addition Electrical Quote (Connecto Electric).	$24,526.89	N/A
Transmitter Electrical and Installation	$102,800.00	$102,800.00	See Land Communications quote 1019	$102,800.00	N/A
Additional Transmitter Costs	$36,749.00	$36,749.00	See Rohde & Schwarz quote 199647.3	$36,749.00	N/A
Transmitter Building Security	$1,627.50	$1,627.50	Security for new transmitter building, 50% shared cost with WFXP	$1,627.50	N/A
Transmitter Building Permit	$354.00	$354.00	See building permit 8006	$354.00	N/A
Other -- Building Addition Size: 900.0	$73,500.00	$73,500.00	Insufficient space in existing building for new RF systems. New building addition is required. Total costs for new building addition is $118,300 plus change orders $24065; plus $4570 paint; however, costs are shared 50% with WFXP.	$73,467.50	N/A
15 Ton system	$88,400.00	$10,125.00	Insufficient space in existing building for new RF systems. HVAC required for new building addition. Total costs for new HVAC is $20,250; however, costs are shared with WFXP. See attached Building Addition HVAC Quote (KEEP Heating & Cooling).	$10,125.00	N/A
3" Rigid Conduit and Wiring (Cost per foot)	$15,600.00	$15,000.00	N/A	N/A	N/A
Transformer 3 phase/480v - 500 KVA	$48,400.00	$47,100.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Halo Grounding System	Component Description: Halo grounding system, 50% shared cost with WFXP Amount: $13,674.00
Switchgear - industrial 800 amp	Information not provided.
Service entrance 3 phase/800 amp/208 volt	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	Component Description: Credit for cancelled installation services Amount: ($47,500.00) Component Description: Transmitter, installment #2, less upgrade cost which is not reimbursable. Amount: $242,100.00 Component Description: Transmitter, installment #3, less upgrade cost which is not reimbursable Amount: $121,050.00 Component Description: Transmitter, installment #1, less upgrade cost which is not reimbursable Amount: $121,050.00
Other Electrical Service: See attached electrical quotes for new building addition. Note: New building addition and associated costs will be shared with WFXP.	Component Description: Transmitter building electrical, installment #4 Amount: $2,150.00 Component Description: Transmitter building electrical, 50% shared cost with WFXP Amount: $1,250.00 Component Description: Transmitter building electric, installment #2 Amount: $18,600.00 Component Description: Transmitter building electrical, installment #5 Amount: $325.00 Component Description: Transmitter building electrical, installment #1 Amount: $1,075.00 Component Description: Transmitter building electrical, installment #3 Amount: $1,250.00 Component Description: Components required to connect transmitter to encoded signal from encoder Amount: $1,126.89
Transmitter Electrical and Installation	Component Description: Transmitter electrical and installation, installment #2 Amount: $51,400.00 Component Description: Transmitter electrical and installation, installment #1 Amount: $51,400.00
Additional Transmitter Costs	Component Description: Additional transmitter costs Amount: $36,749.00
Transmitter Building Security	Component Description: Security for new transmitter building, 50% shared cost with WFXP Amount: $1,627.50
Transmitter Building Permit	Component Description: Building permit, 50% shared cost with WFXP Amount: $354.00
Other -- Building Addition Size: 900.0	Component Description: Transmitter building, installment #4, 50% shared cost with WFXP Amount: $21,335.00 Component Description: Contractor's application for payment #1, shared cost with WFXP FAC ID 19707. Amount: $5,000.00 Component Description: Paint new transmitter building interior, 50% shared cost with WFXP. Amount: $2,285.00 Component Description: Contractor's application for payment #3, shared cost with WFXP FAC ID 19707 Amount: $16,975.00 Component Description: Transmitter building, installment #4, shared cost with WFXP FAC ID 19707 Amount: $21,335.00 Component Description: Transmitter building, installment #5, 50% shared cost with WFXP Amount: $17,432.50 Component Description: Contractor's application for payment #2, shared cost with WFXP FAC ID 19707. Amount: $10,440.00
15 Ton system	Component Description: HVAC and installation, installment #2, 50% shared cost with WFXP Amount: $3,375.00 Component Description: HVAC and installation, installment #3, 50% shared cost with WFXP Amount: $3,375.00 Component Description: HVAC and installation, installment #1, 50% shared cost with WFXP Amount: $3,375.00
3" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
Transformer 3 phase/480v - 500 KVA	Information not provided.

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	$539,895.00	$470,285.00	N/A	$427,859.65	N/A
Total for all systems	$3,218,162.00	$2,463,296.50	N/A	$1,947,367.91	N/A
Interim Antenna TFU-16WB-R S230	$149,365.00	$136,808.00		$119,538.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	$12,300.00	$12,000.00	N/A	N/A	N/A
UHF - High Power, Side Mount, basic slot antenna, 650 kW input, directional,, horizontally polarized	$101,925.00	$101,925.00	See attached Dielectric Quote 700470CMZ-2	$101,925.00	N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$5,120.00	N/A	N/A	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$11,213.00	See attached Dielectric Quote 700470CMZ-2	$11,213.00	N/A
Sweep test of existing antenna	$6,730.00	$6,550.00	N/A	$6,400.00	N/A
Primary Antenna TFU-29JTH/VP-R C170	$390,530.00	$333,477.00		$308,321.65
Additional Antenna Costs	$57,000.00	$57,000.00	See Dielectric order confirmations 1697107, 1770121, 1771122, 1929272 and 1929344	$56,994.65	N/A
New Top Plate	$25,000.00	$25,000.00	N/A	N/A	N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	$12,300.00	$12,017.00	See attached Dielectric Quote DMS132-6 ELBOW COMPLEX: $10,298.00 T/L 6-75 EIA LENGTH: $1,719.00 TOTAL: $12,017.00	$12,017.00	N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	$289,500.00	$232,910.00	See attached Dielectric Quote DMS132-6; cost $263,135 reduced by ($30,225) vpol cost which is not reimbursable	$232,910.00	N/A
Sweep test of existing antenna	$6,730.00	$6,550.00	N/A	$6,400.00	N/A

Components

Actual Information Description	File Name
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 650 kW input, directional,, horizontally polarized	Component Description: Interim antenna, installment #4 Amount: $5,825.90 Component Description: Interim antenna, installment #2 Amount: $45,866.25 Component Description: Interim antenna, installment #1, line 1 of invoice Amount: $45,866.25 Component Description: Interim antenna, installment #3 Amount: $4,366.60 Component Description: Interim antenna, installment #2 Amount: $45,866.25
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)	Component Description: Mounting brackets, installment #3 Amount: $1,121.30 Component Description: Mounting brackets, installment #2 Amount: $5,045.85 Component Description: Mounting brackets, installment #2 Amount: $5,045.85 Component Description: Mounting brackets, installment #1, line 2 of invoice Amount: $5,045.85
Sweep test of existing antenna	Component Description: Interim antenna sweep test Amount: $6,400.00
Additional Antenna Costs	Component Description: Additional antenna component Amount: $6,720.00 Component Description: Additional antenna component Amount: $1,575.00 Component Description: Additional antenna components Amount: $3,017.50 Component Description: Manifold, 50% shared cost with WFXP Amount: $236.25 Component Description: Additional antenna components Amount: $32,538.10 Component Description: Additional antenna components Amount: $12,907.80
New Top Plate	Information not provided.
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	Component Description: Elbow complex, balance due Amount: $1,029.80 Component Description: T/L, balance due Amount: $171.90 Component Description: T/L installment #1, line 4 of invoice Amount: $773.55 Component Description: T/L installment #2, line 4 of invoice Amount: $773.55 Component Description: Elbow complex, installment #2, line 3 of invoice Amount: $4,634.10 Component Description: Elbow complex, installment #1, line 3 of invoice Amount: $4,634.10
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	Component Description: Main antenna, installment #1, line 1 of invoice Amount: $104,809.50 Component Description: Main antenna, installment #2, line 1 of invoice Amount: $104,809.50 Component Description: Main antenna, balance due Amount: $1,547.10 Component Description: Main antenna, installment #3 Amount: $21,743.90
Sweep test of existing antenna	Component Description: Main antenna sweep test Amount: $6,400.00

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	$126,407.50	$108,865.50	N/A	$77,682.50	N/A
Total for all systems	$3,218,162.00	$2,463,296.50	N/A	$1,947,367.91	N/A
Interim Transmission Line	$95,007.50	$77,465.50		$74,042.50
Additional Transmission Line Components	$577.50	$577.50	See Dielectric order confirmation 1698397	$577.50	N/A
Rigid Transmission Line - copper, 4 1/16"	$94,430.00	$76,888.00	See attached Dielectric Quote 700470CMZ-2	$73,465.00	N/A
Primary Transmission Line	$31,400.00	$31,400.00		$3,640.00
Additional Line	$25,000.00	$25,000.00	Additional transmission line required from new building addition to base of tower.	$3,640.00	N/A
Transmission Line Sweep	$6,400.00	$6,400.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Additional Transmission Line Components	Component Description: Additional transmission line component Amount: $577.50
Rigid Transmission Line - copper, 4 1/16"	Component Description: Transmission line, installment #1, line 7 of invoice Amount: $1,540.35 Component Description: Transmission line, installment #3 Amount: $4,265.80 Component Description: Transmission line, installment #2, lines 3 and 7 of invoice Amount: $34,599.60 Component Description: Transmission line, installment #2, line 7 of invoice Amount: $1,540.35 Component Description: Transmission line, installment #2, line 3 of invoice Amount: $33,059.25 Component Description: Transmission line, installment #1, line 3 of invoice Amount: $33,059.25
Additional Line	Component Description: Transmission line Amount: $3,640.00
Transmission Line Sweep	Information not provided.

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	$739,615.00	$625,503.50	N/A	$624,925.00	N/A
Total for all systems	$3,218,162.00	$2,463,296.50	N/A	$1,947,367.91	N/A
Primary Tower TOWER	$739,615.00	$625,503.50		$624,925.00
Ice Bridge	$59,315.00	$59,315.00	A new building addition is required which necessitates an ice bridge from the new building addition to the base of the tower. Total costs for new Ice Bridge is $118,630; however, costs are shared with WFXP. See attached Ice Bridge Quotes (PCI).	$59,315.00	N/A
Tall Tower (greater than 500')	$210,500.00	$382,100.00	See PCI quotes 19349-5 and 19368-5	$382,100.00	N/A
Major tower reinforcement/modifications	$421,000.00	$147,588.50	See PCI quote 19346-5A (this is WJET 50% share )and ERI quote P19_170813_001 (50% cost shared with WFXP)	$147,588.50	N/A
Weather Delays, Additional Charges	$22,500.00	$22,500.00	See PCI addendums	$21,987.00	N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$14,000.00	See related invoices; 50% shared cost with WFXP	$13,934.50	N/A

Components

Actual Information Description	File Name
Ice Bridge	Component Description: Ice Bridge installment #3, 50% shared cost with WFXP Amount: $8,940.00 Component Description: Additional ice bridge work, installment 1, 50% shared cost with WFXP Amount: $21,650.00 Component Description: Ice Bridge, installment #1, 50% shared cost with WFXP Amount: $8,937.50 Component Description: Ice Bridge, installment #2, 50% shared cost with WFXP Amount: $8,937.50 Component Description: Ice bridge, installment #4, 50% shared cost with WFXP Amount: $10,850.00
Tall Tower (greater than 500')	Component Description: Interim antenna installation, installment #3 Amount: $60,770.00 Component Description: Main antenna installation, installment #2 Amount: $66,600.00 Component Description: Main antenna installation, installment #1 Amount: $133,200.00 Component Description: Interim antenna installation, installment #1 Amount: $60,765.00 Component Description: Interim antenna installation, installment #2 Amount: $60,765.00
Major tower reinforcement/modifications	Component Description: Tower modification materials, installment #2, 50% shared cost with WFXP Amount: $25,094.25 Component Description: Tower modifications, installment #2 Amount: $32,465.00 Component Description: Tower modifications, installment #3 Amount: $32,470.00 Component Description: Tower modification materials, installment #1, shared cost with WFXP FAC ID 19707 Amount: $25,094.25 Component Description: Tower modifications, installment #1 Amount: $32,465.00
Weather Delays, Additional Charges	Component Description: Tower modification weather delays, 50% shared cost with WFXP Amount: $15,000.00 Component Description: Ice Bridge weather delays and additional work, 50% shared cost with WFXP Amount: $6,987.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Component Description: Structural analysis, 50% shared cost with WFXP Amount: $1,500.00 Component Description: Structural analysis, 50% shared cost with WFXP Amount: $1,375.00 Component Description: Tower mapping, installment #1; shared cost with WFXP FAC ID 19707. Amount: $2,017.25 Component Description: Structural analysis, 50% shared cost with WFXP Amount: $750.00 Component Description: Structural analysis, installment #1; shared cost with WFXP FAC ID 19707 Amount: $1,375.00 Component Description: Structural analysis, 50% shared cost with WFXP Amount: $3,000.00 Component Description: Tower mapping, installment #2; shared cost with WFXP FAC ID 19707 Amount: $2,017.25 Component Description: Structural analysis, 50% shared cost with WFXP Amount: $1,500.00 Component Description: Climatic evaluation, 50% shared cost with WFXP Amount: $400.00

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	$234,420.00	$231,505.00	N/A	$46,861.50	N/A
Total for all systems	$3,218,162.00	$2,463,296.50	N/A	$1,947,367.91	N/A
Outside Professional Services	$234,420.00	$231,505.00		$46,861.50
Additional Field Engineering Service, 15 Days	$81,000.00	$81,000.00	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	$2,050.00	N/A	N/A	N/A
ASR modification (prepare FCC Form 854)	$2,105.00	$2,050.00	N/A	N/A	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$3,680.00	$3,585.00	N/A	N/A	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,305.00	N/A	N/A	N/A
Address transition timing and coordination issues w/ other stations and wireless	$2,630.00	$2,560.00	N/A	N/A	N/A
Prepare and or review reimbursement form	$2,630.00	$2,560.00	N/A	N/A	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,120.00	N/A	N/A	N/A
Prepare request for Special Temporary Authorization	$2,050.00	$3,000.00	See related Osborn Engineering invoices	$3,000.00	N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	$1,580.00	$1,535.00	N/A	$625.00	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,070.00	N/A	$2,500.00	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,170.00	N/A	$1,225.00	N/A
Project management of the transition	$118,500.00	$115,500.00	N/A	$39,511.50	N/A

Components

Actual Information Description	File Name
Additional Field Engineering Service, 15 Days	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.
Attorney Fees - Prepare and File request for Special Temporary Authorization	Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Information not provided.
Address transition timing and coordination issues w/ other stations and wireless	Information not provided.
Prepare and or review reimbursement form	Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Information not provided.
Prepare request for Special Temporary Authorization	Component Description: Prepare request for Special Temporary Authorization Amount: $1,500.00 Component Description: Prepare STA to operate using Dielectric antenna TFU-16WB-R S230 while new post auction main facility is built out Amount: $1,500.00 Component Description: Prepare STA to operate with an ERP of 650kW while post auction facility is built out Amount: $1,500.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	Component Description: Prepare License to Cover application Amount: $625.00 Component Description: Prepare Engineering Portion of License to Cover Application Amount: $625.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	Component Description: Prepare engineering section of Form 2100 to correct IX issue with Canada Amount: $2,500.00
Perform engineering study for new channel assignment and antenna development	Component Description: Repack engineering services Amount: $700.00 Component Description: Service through 9/30/17. Finalized all technical parameters for first priority window application and uploaded all exhibits. Amount: $525.00 Component Description: Through 7-14-17. Create Storyboard, create combined system paper design for WXFP & WJET, Interference Study, create CP and recalculate ERP if COR changed, transition plan document, create 399, coverage maps, & upload draft documents to ASANA. Amount: $1,575.00
Project management of the transition	Component Description: Project management services Nov 2019 Amount: $50.00 Component Description: Project management services Amount: $308.00 Component Description: Project management services Aug 2019 Amount: $280.00 Component Description: Project management services Sep 2019 Amount: $10.00 Component Description: Project management services Amount: $2,831.50 Component Description: Project management services Jun 2019 Amount: $422.50 Component Description: Project management services Amount: $6,038.50 Component Description: Project management services 4.27.19 through 5.31.19 Amount: $750.00 Component Description: Project management services May 2019 Amount: $90.00 Component Description: Project management services 1.1.19 through 1.31.19, items 1 and 3 from invoice summary Amount: $300.00 Component Description: Project management services 6.1.19 through 6.28.19 Amount: $525.00 Component Description: Project management services 3.2.19 through 3.29.19 Amount: $9,050.00 Component Description: Project management services March 2019 Amount: $188.50 Component Description: Project management services Aug 2019 Amount: $650.00 Component Description: Project management services Amount: $79.00 Component Description: Project management services 6.29.19 through 7.26.19, items 1 and 3 from invoice summary Amount: $308.00 Component Description: Project management services 3.30.19 through 4.26.19 Amount: $600.00 Component Description: Project management services July 2019 Amount: $230.00 Component Description: Project management services 9.29.18 through 10.26.18 Amount: $825.00 Component Description: Project management services July 2017 Amount: $1,575.00 Component Description: Project Management for Structural Analysis and Tower Modifications including consultants Kessler and Gehman Associates. Services from January 27, 2018 through February 23, 2018. Amount: $1,050.00 Component Description: Project management services Apr 2019 Amount: $201.50 Component Description: Project management services May 2019 Amount: $162.50 Component Description: Project management services Amount: $5,070.00 Component Description: Project management services 6.30.18 through 7.27.18 Amount: $675.00 Component Description: Project management services 12.1.18 through 12.31.18 Amount: $612.50 Component Description: Project management services Oct 2019 Amount: $50.00 Component Description: Project management services 7.28.18 through 9.28.18 Amount: $1,875.00 Component Description: Project management services Dec 2018 Amount: $100.00 Component Description: Project management services April 2019 Amount: $40.00 Component Description: Project management services 5.26.18 through 6.29.18 Amount: $975.00 Component Description: Project management services March 2019 Amount: $245.00 Component Description: Project management services Amount: $6,038.50 Component Description: Project management services Oct 2018 Amount: $90.00 Component Description: Project management services June 2019 Amount: $275.00 Component Description: Project management services Amount: $79.00 Component Description: Project management services 10.27.18 through 11.30.18 Amount: $2,900.00

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	$167,620.00	$161,308.00	N/A	$70,015.37	N/A
Total for all systems	$3,218,162.00	$2,463,296.50	N/A	$1,947,367.91	N/A
Other Expenses	$167,620.00	$161,308.00		$70,015.37
Sales and Use Tax Due	$100.00	$100.00	Estimated taxes due	$97.65	N/A
MVPD Notification of Channel Change	$3,500.00	$3,500.00	N/A	N/A	N/A
Develop and air announcement of upcoming channel change	$1,500.00	$1,500.00	Costs to develop and produce crawls and spots for viewer notification.	N/A	N/A
Equipment Storage	$25,000.00	$25,000.00	N/A	$1,950.00	N/A
Equipment Delivery and Handling Charges	$46,000.00	$46,000.00	See related invoices	$45,979.72	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$25,000.00	$25,000.00	N/A	$20,000.00	N/A
Non-zoning permits	$25,000.00	$25,000.00	N/A	N/A	N/A
Local Zoning	$500.00	$500.00	N/A	N/A	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$195.00	N/A	N/A	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$333.00	N/A	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$6,000.00	N/A	$1,988.00	N/A
AM Pattern Disturbance -- Remedy	$21,050.00	$20,500.00	N/A	N/A	N/A
AM Pattern Disturbance -- Impact study	$7,890.00	$7,680.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Sales and Use Tax Due	Component Description: Tax on transmitter building security system, 50% shared cost with WFXP Amount: $97.65
MVPD Notification of Channel Change	Information not provided.
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Component Description: Main antenna storage Amount: $1,950.00 Component Description: Main antenna storage cost Amount: $1,950.00
Equipment Delivery and Handling Charges	Component Description: Shipping costs on transmitter building electrical components, 50% shared cost with WFXP Amount: $88.64 Component Description: Main antenna shipping cost Amount: $596.13 Component Description: Main antenna freight Amount: $7,601.84 Component Description: Interim antenna freight cost Amount: $2,388.00 Component Description: Main antenna shipping cost Amount: $871.86 Component Description: Main antenna shipping cost Amount: $6,316.12 Component Description: Main antenna shipping cost Amount: $2,321.22 Component Description: Transmitter consolidation services Amount: $19,764.00 Component Description: Manifold shipping, 50% shared cost with WFXP Amount: $231.80 Component Description: Freight on additional ice bridge materials, 50% shared cost with WFXP Amount: $250.00 Component Description: Interim antenna freight cost Amount: $1,690.00 Component Description: Freight costs on ice bridge materials, 50% shared cost with WFXP Amount: $1,200.00 Component Description: Aux antenna shipping cost Amount: $719.67 Component Description: Main antenna freight cost Amount: $7,611.84 Component Description: Main antenna shipping cost Amount: $541.40 Component Description: Main antenna shipping cost Amount: $686.11 Component Description: Main antenna shipping cost Amount: $278.86 Component Description: Interim antenna shipping cost Amount: $434.07
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: Disposal costs Amount: $20,000.00
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: Notification of medical facilities Amount: $1,988.00
AM Pattern Disturbance -- Remedy	Information not provided.
AM Pattern Disturbance -- Impact study	Information not provided.

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$3,218,162.00	$2,463,296.50	$1,947,367.91

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.	Elizabeth Ryder General Counsel 10/08/2021

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.

Elizabeth Ryder

General Counsel

10/08/2021

Certification

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.
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.	Elizabeth Ryder General Counsel 10/08/2021

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.

Elizabeth Ryder

General Counsel

10/08/2021

(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

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

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

Existing 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

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

Cost Information

Tower Equipment and Rigging Costs

Components