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FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

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

Facility ID:
37104
Service:
DTV
Call Sign:
WPXE-TV
Channel:
30 (UHF)
File Number:
0000028540
FRN:
0001808468
Date Submitted:
12/15/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

ION TELEVISION LICENSE, LLC

Doing Business As: ION TELEVISION LICENSE, LLC

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

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. Yes
Briefly describe transition plan Relocate current operations to new tower on a shared broadband Aux antenna and new transmitter until repack phase concludes. Remove and install a shared broadband main antenna and transmission line.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
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 Millennium
Year 2004
Type Inductive Output Tube
IOT Power Type Three
Power Capacity 60 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? Yes
Manufacturer
Model THU9-36 EVO
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 55 kW
Justification for New Transmitter See attached Transmitter Exhibits. See attached Transmitter Upgrade Disclaimer.

Primary Transmitter

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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 Yes
Description Electrical Installation for replacement transmitter
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Heating and Cooling
Size 20 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 1078.0 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

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Other Transmitter Cost Not Listed

Name Description

Removal of Existing Equipment

Removal of existing transmitters and equipment / Site Prep

RF Interconnect

Interconnect between the RF system and transmission line

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
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? Yes
Existing Antenna Manufacturer and Type Class Full Power
Mounting Top Mount
Antenna position in stack Top
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: 830.0 kW
Manufacturer
Model TFU-18DSC-R C170
Year 2004

Primary Antenna

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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? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types Class Full Power
Mounting Top Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Broadband Slot
Number of Stations Supported 2
Number of Panels/Bays 22
Lower Limit 566.00 MHz
Upper Limit 578.00 MHz
Design power capacity in use 79.9 %
Other Antenna Type N/A
ERP: 750.0 kW
Manufacturer
Model TFU-22ETT/VP-R4 C160
Year 2017
Justification for New Antenna Current slot antenna can not be re-channeled and relocating to a shared operation. ION assumed the full amount of the antenna cost at this time.

Primary Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 2
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? Broadband
Feed Line Size 8 3/16 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

Enter a list of RF channel numbers.

RF Channel Number
30
31

Primary Antenna

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Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

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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? Yes
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
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 2
Number of Panels/Bays 16
Lower Limit 566.00 MHz
Upper Limit 632.00 MHz
Design power capacity in use 100.0 %
Other Antenna Type N/A
ERP: 350.1 kW
Manufacturer
Model TFU-16WB C160
Year 2017
Justification for New Antenna Interim antenna needed to support channel sharing and repack operation between WPXE/WITI. ION has purchased the antenna and is submitting the full amount.

Interim Antenna

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Other Antenna Costs

Section Question Response
Combiner for Shared Antenna Do you need a Combiner for a Shared Antenna? Yes
Type New
Number of channels supported 4
Frequencies of channels supported RF channel
Frequency N/A
Do you need a combiner output splitter/switcher for dual feed lines? No
Elbow Complex Do you require the separate purchase of the Elbow Complex? Yes
Broadband or Single Channel? B
Feed Line Size 6 1/8 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

Enter a list of RF channel numbers.

RF Channel Number
40
31
30
33

Interim Antenna

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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Existing Transmission Line

Section Question Response
Existing Transmission Line Description Type of change Purchase New
Use Primary (Main)
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 6 1/8 inches
Other Diameter N/A
Segment Length 20 inches
Other Segment Length N/A
Number of parallel runs 1
Length 1320 feet per run

Primary Transmission Line

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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 8 3/16 inches
Other Diameter N/A
Segment Length Broadband
Other Segment Length N/A
Number of parallel runs 1
Length 1300 feet per run
Justification for New Transmission Line See attached Transmission Line Exhibit

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sweep existing transmission line

Sweep existing transmission line

Interim Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Interim
Description of Use N/A
Change Type Purchase New
Type Rigid
Diameter 7 3/16 inches
Segment Length Broadband
Other Segment Length
Number of parallel runs 1
Length 1169 feet per run
Justification for New Transmission Line Support 2 station operation combined into single shared antenna See attached Transmission Line Exhibit

Interim Transmission Line

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Other Transmission Line Expenses Not Listed

Name Description

Sweep existing aux transmission line

Sweep existing aux transmission line

Tower Equipment And Rigging Costs

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

Primary Tower

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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? Unknown
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1056835
Coordinates (NAD83) Latitude (NAD83) 43° 05' 26.0" N-
Longitude (NAD83) 087° 53' 50.0" W-
Overall Structure Height 1080.70 feet
Support Structure Height 993.43 feet
Ground Elevation Above Mean Sea Level (AMSL) 630.57 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner WITI License, LLC
Date Constructed 03/29/1974

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
4285 WUWM FM
21010 WMWK FM
42669 WYMS FM
73107 WITI DTV

Primary Tower

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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

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Tower Rigging Costs

Section Question Response
Tower Rigging Costs Complex Tower N/A
Helicopter Services Required Are helicopter services required? Yes

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Interim antenna installation

Replacement of current auxiliary and installation of interim antenna

Structural Study

Structural analysis required after tower mapping completed

Primary Tower

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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? Candelabra
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? Unknown
Is tower compliant with Rev G? No
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1057482
Coordinates (NAD83) Latitude (NAD83) 43° 05' 46.2" N-
Longitude (NAD83) 087° 54' 15.0" W-
Overall Structure Height 1212.91 feet
Support Structure Height 1098.74 feet
Ground Elevation Above Mean Sea Level (AMSL) 627.95 feet
Structure Type GTOWER - Guyed Structure Used for Communication Purposes
Tower Owner Milwaukee Area Technical College District Board
Date Constructed 05/27/2015

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
35091 WMKE-CD DTV
42665 WMVT DTV
72342 WVCY-TV DTV
71278 WCGV-TV DTV
60571 WIWN DTV
74174 WVTV DTV

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 180
Explanation Required by tower landlord
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 Yes
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
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 Yes
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility Yes
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 2
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

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Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
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 Yes
FCC Construction Permit Minor Change Yes
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? 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

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $2,064,947.65 $1,129,650.65 N/A $1,084,066.40 N/A
Total for all systems $5,301,839.26 $3,741,076.25 N/A $3,230,241.15 N/A
Primary Transmitter THU9-36 EVO $2,064,947.65 $1,129,650.65 $1,084,066.40
Removal of Existing Equipment $30,000.00 $30,000.00 N/A $25,602.50 N/A
RF Interconnect $40,000.00 $40,000.00 N/A $35,739.75 N/A
Other -- Building Addition Size: 1078.0 $10,000.00 $10,000.00 N/A $8,243.50 N/A
20 Ton system $115,500.00 $110,000.00 N/A $74,830.00 N/A
Other Electrical Service: Electrical Installation for replacement transmitter $81,447.65 $81,447.65 Please see attached. Broadcasters General quote #509467. Staff Electric quotes #19-101-WPXE, #WITI-2017-100R1, and #01. $81,447.65 N/A
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW $1,788,000.00 $858,203.00 N/A $858,203.00 N/A

Components

Actual Information Description File Name
Removal of Existing Equipment

Component Description:
Cost of removal of existing equipment in transmitter building. This invoice has been paid.
Amount:
$25,602.50
RF Interconnect

Component Description:
Cost of RF Interconnect Kit. Supporting documentation is attached. This invoice has been paid.
Amount:
$35,739.75
Other -- Building Addition Size: 1078.0

Component Description:
Cost of asbestos mastic removal in transmitter building. This invoice has been paid.
Amount:
$5,007.50

Component Description:
Cost of labor and materials to replace tile in transmitter building. Supporting documentation and cover letter attached. This invoice has been paid.
Amount:
$3,236.00
20 Ton system

Component Description:
Cost of concrete pads needed for HVAC and Heat Exchangers placement. Supporting documentation and cover letter attached. This invoice has been paid.
Amount:
$7,440.00

Component Description:
Cost of Materials & Installation of (2) 10-Ton HVAC systems. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$67,390.00
Other Electrical Service: Electrical Installation for replacement transmitter

Component Description:
Progress payment for electrical work related to new transmitter. Supporting documentation is attached. This invoice has been paid.
Amount:
$8,000.00

Component Description:
Cost of general copper strap needed for transmitter electrical installation. Supporting documentation attached. This invoice has been corrected and has been paid.
Amount:
$1,872.65

Component Description:
Balance payment for electrical work related to new transmitter. Supporting documentation is attached. This invoice has been paid.
Amount:
$30,025.00

Component Description:
Progress payment for electrical work related to new transmitter. Supporting documentation is attached. This invoice has been paid.
Amount:
$8,000.00

Component Description:
Cost of electrical installation of Rohde & Schwarz transmitter. Supporting documentation corrected and attached. This invoice has been paid.
Amount:
$31,650.00

Component Description:
Progress payment for electrical work related to new transmitter. Supporting documentation is attached.
Amount:
$8,000.00

Component Description:
Cost of materials & installation of transformers needed for transmitter electrical installation. This invoice has been paid.
Amount:
$1,900.00
UHF - Liquid Cooled Solid State Transmitter 52 - 61 kW

Component Description:
This invoice is for the 25% "down payment" of the Rohde & Schwarz Transmitter. Supporting documentation attached. This invoice has been paid.
Amount:
$203,979.00

Component Description:
This invoice is for the 75% "after install" payment of the Rohde & Schwarz Transmitter. Supporting documentation attached. This invoice has been paid.
Amount:
$654,224.00

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $606,560.00 $662,015.01 N/A $600,485.15 N/A
Total for all systems $5,301,839.26 $3,741,076.25 N/A $3,230,241.15 N/A
Interim Antenna TFU-16WB C160 $236,680.00 $182,979.11 $175,836.25
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed) $13,700.00 $1,637.63 N/A $1,637.63 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $6,400.00 N/A
New combiner, cost per channel (without antenna) $84,200.00 $43,620.00 Please see attached Dielectric Quote #45122 and Rhode & Shwarz Quote #802-037753.0 $43,620.00 Actual cost of interim combiner installation greater than estimated cost. Supporting documentation attached.
UHF - High Power, Side Mount, basic slot antenna, 16 bay,, 350 kW input, directional,, horizontally polarized $115,200.00 $115,200.00 N/A $108,057.14 N/A
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed) $16,850.00 $16,121.48 ***System Notice: Estimate adjusted and locked because line has been superseded.*** $16,121.48 In filing the Form 399, ION assumed that the cost of interim elbow complex, interim reducer, and interim flange would be included in this category. Supporting documentation attached. Actual costs are greater than pre-determined estimate.
Primary Antenna TFU-22ETT/VP-R4 C160 $369,880.00 $479,035.90 $424,648.90
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed) $18,950.00 $83,020.90 Please see attached Dielectric Quote #1929710, #1929514, #700518CMZ-1, and #1929832 WPXE-WITI - Signed Quote $83,020.90 N/A
New combiner, cost per channel (without antenna) $84,200.00 $123,215.00 Please see attached Dielectric Quote #1248002 $123,215.00 N/A
Sweep test of existing antenna $6,730.00 $12,800.00 Additional sweep needed for RF combiner after install. $12,800.00 N/A
UHF - High Power Top Mount Two Station antenna elliptically or circularly polarized $260,000.00 $260,000.00 V-Pol cost not included in reimbursement request $205,613.00 N/A

Components

Actual Information Description File Name
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)

Component Description:
Balance due payment for interim elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$1,197.00

Component Description:
Balance due payment for interim reducer. Supporting documentation is attached. This invoice has been paid.
Amount:
$440.63
Sweep test of existing antenna

Component Description:
10% "after ship" payment for sweep of interim operations. This invoice has been corrected and paid.
Amount:
$640.00

Component Description:
45% "down payment" for sweep of interim operations. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$2,880.00

Component Description:
45% "prior to ship" payment for sweep of interim operations. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$2,880.00
New combiner, cost per channel (without antenna)

Component Description:
Cost of Dielectric interim combiner installation. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$15,090.00

Component Description:
Balance due payment for interim combiner. Supporting documentation attached. This invoice has been paid.
Amount:
$2,853.00

Component Description:
45% "down payment" for interim combiner. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$12,838.50

Component Description:
45% "prior to ship" payment for interim combiner. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$12,838.50

Component Description:
Balance due payment for interim combiner. Supporting documentation attached. This invoice has been paid.
Amount:
$2,853.00
UHF - High Power, Side Mount, basic slot antenna, 16 bay,, 350 kW input, directional,, horizontally polarized

Component Description:
Progress payment for interim antenna custom mounts. Supporting documentation is attached. This invoice has been paid.
Amount:
$6,132.14

Component Description:
Balance due payment for interim antenna. Supporting documentation attached. This invoice has been paid.
Amount:
$10,192.50

Component Description:
Balance due payment for interim antenna. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$23,467.50

Component Description:
45% "prior to ship" payment for interim antenna. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$45,866.25

Component Description:
45% "down payment" for interim antenna. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$45,866.25
Elbow complex, broadband, at antenna input, per 7 3/16. feedline (if needed)

Component Description:
45% "prior to ship" payment for interim elbow complex. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$5,386.50

Component Description:
45% "prior to ship" payment for interim flange. In filing the Form 399, ION assumed the cost of interim flange would be included in this category. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$691.43

Component Description:
45% "prior to ship" payment for interim reducer. In filing the Form 399, ION assumed the cost of interim reducer would be included in this category. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$1,982.81

Component Description:
Balance due payment for interim elbow complex. Supporting documentation attached. This invoice has been paid.
Amount:
$1,791.27

Component Description:
45% "down payment" for interim reducer. In filing the Form 399, ION assumed the cost of interim reducer would be included in this category. Supporting documentation attached. This invoice has been corrected an paid.
Amount:
$1,982.81

Component Description:
45% "down payment" for interim elbow complex. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$5,386.50

Component Description:
45% "down payment" for interim flange. In filing the Form 399, ION assumed the cost of interim flange would be included in this category. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$691.43
Elbow complex, broadband, at antenna input, per 8 3/16. feedline (if needed)

Component Description:
Cost of additional equipment for main elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$9,792.00

Component Description:
Cost of additional equipment for main elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$8,644.50

Component Description:
Cost of additional equipment for main elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$4,896.00

Component Description:
45% "prior to ship" for primary antenna elbow complex. Supporting documentation and explanation of variance attached.
Amount:
$7,492.50

Component Description:
10% "after repack sweep" for primary elbow complex. Supporting documentation is attached.
Amount:
$1,665.00

Component Description:
Cost of additional pieces for elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$6,934.40

Component Description:
45% "down payment" for primary antenna elbow complex. Supporting documentation and explanation of variance attached.
Amount:
$7,492.50

Component Description:
Cost of additional pieces for elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$4,896.00

Component Description:
Cost of additional pieces for elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$1,544.00

Component Description:
Cost of additional equipment for main elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$34,560.00

Component Description:
Cost of additional pieces for elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$14,866.50

Component Description:
Cost of additional pieces for elbow complex. Supporting documentation is attached. This invoice has been paid.
Amount:
$9,792.00
New combiner, cost per channel (without antenna)

Component Description:
Balance due payment for primary antenna operations RF system combiner. Supporting documentation is attached.
Amount:
$61,607.50

Component Description:
50% deposit payment for primary antenna operations RF system combiner. Supporting documentation attached.
Amount:
$61,607.50
Sweep test of existing antenna

Component Description:
45% "prior to ship" for repack sweep of primary antenna operations. Supporting documentation and explanation of variance attached.
Amount:
$2,880.00

Component Description:
10% "balance" for repack sweep of primary antenna operations. Supporting documentation and explanation of variance attached.
Amount:
$640.00

Component Description:
45% "down payment" for repack sweep of primary antenna operations. Supporting documentation and explanation of variance attached.
Amount:
$2,880.00

Component Description:
Cost of additional sweep after installation of RF combiner. Supporting documentation is attached. This invoice has been paid.
Amount:
$6,400.00

Component Description:
Cost of additional sweep after installation of RF combiner. Supporting documentation is attached.
Amount:
$6,400.00
UHF - High Power Top Mount Two Station antenna elliptically or circularly polarized

Component Description:
45% "prior to ship" for primary antenna. Supporting documentation and explanation of variance attached.
Amount:
$92,525.85

Component Description:
45% "down payment" for primary antenna. Supporting documentation and explanation of variance attached.
Amount:
$92,525.85

Component Description:
10% "after repack sweep" for primary antenna. Explanation of variance and supporting documentation is attached. This invoice has been paid.
Amount:
$20,561.30

Cost Information

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Transmission Line

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $920,777.00 $712,921.58 N/A $700,121.58 N/A
Total for all systems $5,301,839.26 $3,741,076.25 N/A $3,230,241.15 N/A
Interim Transmission Line $395,677.00 $270,747.12 $264,347.12
Rigid Transmission Line - copper, 7 3/16" broadband $389,277.00 $264,347.12 Shipping charges on Dielectric invoice #24936 for shipping equipment was incorrectly submitted and approved in this section $264,347.12 N/A
Sweep existing aux transmission line $6,400.00 $6,400.00 N/A N/A N/A
Primary Transmission Line $525,100.00 $442,174.46 $435,774.46
Rigid Transmission Line - copper, 8 3/16" broadband $518,700.00 $435,774.46 Please see Dielectric quotes #700518CMZ-1, #1929514, #1929832, #1929848, and #1930145. And "WPXE Dielectric Reconciliation - Revised" spreadsheet $435,774.46 Estimated cost and sub-total are equal
Sweep existing transmission line $6,400.00 $6,400.00 N/A N/A N/A

Components

Actual Information Description File Name
Rigid Transmission Line - copper, 7 3/16" broadband

Component Description:
Balance due payment for interim transmission line. Supporting documentation attached. This invoice has been paid.
Amount:
$24,514.73

Component Description:
45% "prior to ship" payment for interconnect kit for interim transmission line. In filing the Form 399, ION assumed the cost of interconnect kit is included in this category. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$7,893.45

Component Description:
Balance due payment for interim interconnect kit. Supporting documentation attached. This invoice has been paid.
Amount:
$1,754.10

Component Description:
45% "prior to ship" payment for interim transmission line. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$110,316.26

Component Description:
45% "down payment" for interconnect kit for interim transmission line. In filing the Form 399, ION assumed the cost of interconnect kit would be included in this category. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$7,893.45

Component Description:
45% "down payment" for interim transmission line. Supporting documentation attached. This invoice has been corrected and paid.
Amount:
$110,316.26

Component Description:
Cost of additional components for interim transmission line. This invoice has been paid.
Amount:
$1,658.87

Component Description:
Balance due payment for interim transmission line. Supporting documentation attached. This invoice has been paid.
Amount:
$24,514.73
Sweep existing aux transmission line Information not provided.
Rigid Transmission Line - copper, 8 3/16" broadband

Component Description:
10% "after sweep" payment for cut piece of main transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$351.75

Component Description:
Cost of additional equipment for main transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$1,298.80

Component Description:
10% "after sweep" payment for cut pieces of main transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$703.50

Component Description:
Cost of additional cut pieces for main transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$6,222.00

Component Description:
Cost of additional equipment for main transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$326.40

Component Description:
Cost of additional equipment for main transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$18,116.75

Component Description:
10% "after repack sweep" for primary transmission line cut pieces. Explanation of variance and supporting documentation is attached.
Amount:
$351.75

Component Description:
45% "prior to ship" for primary transmission line. Supporting documentation and explanation of variance attached. / 45% "prior to ship" for primary transmission line additional cut pieces. Supporting documentation and explanation of variance attached.
Amount:
$184,414.73

Component Description:
10% "after sweep" payment for piece of cut transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$351.76

Component Description:
10% "after repack sweep" for primary transmission line. Explanation of variance and supporting documentation is attached.
Amount:
$38,870.56

Component Description:
Credit memo for over-reimbursement due to vendor over-invoicing. Supporting documentation is attached.
Amount:
($0.02)

Component Description:
45% "down payment" for primary transmission line additional cut pieces. Supporting documentation and explanation of variance attached.
Amount:
$9,497.25

Component Description:
10% "after sweep" payment for piece of cut transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$351.76

Component Description:
45% "down payment" for primary transmission line. Supporting documentation and explanation of variance attached.
Amount:
$174,917.48

Component Description:
10% "after sweep" payment for cut piece of transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$351.75
Sweep existing transmission line Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,354,300.00 $908,834.40 N/A $776,434.40 N/A
Total for all systems $5,301,839.26 $3,741,076.25 N/A $3,230,241.15 N/A
Primary Tower GTOWER $421,000.00 $352,704.00 $352,704.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) $421,000.00 $352,704.00 Please see Worldwide Communications #S-18-867 plus applicable tax $352,704.00 N/A
Primary Tower TOWER $933,300.00 $556,130.40 $423,730.40
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study $26,300.00 $25,000.00 See Shared Equipment Exhibit for more information. $2,600.00 N/A
Interim antenna installation $110,000.00 $110,000.00 N/A N/A N/A
Structural Study $15,500.00 $15,500.00 Please see Hodge Design Structural Study Agreement $15,500.00 Cost of Tower Structural Study greater than pre-determined and estimated costs.
Tower Helicopter Lift $150,000.00 $150,000.00 Please see Worldwide Communications Quote #S-19-959. $150,000.00 N/A
Major tower reinforcement/modifications $421,000.00 $22,500.00 See Shared Equipment Exhibit for more information. $22,500.00 N/A
Tall Tower (greater than 500') $210,500.00 $233,130.40 Please see attached Worldwide Quote #S-17-852 and Worldwide Communications Quote #S-19-960 for additional cost to tower services. $233,130.40 Sub-total appears to be the same.

Components

Actual Information Description File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)

Component Description:
25% "balance due plus tax" for tower services. Supporting documentation is attached.
Amount:
$102,204.00

Component Description:
75% "deposit" on tower services. Supporting documentation is attached. This invoice has been paid. Corrected invoice explains that WPXE is responsible for all charges and corrects facility ID.
Amount:
$250,500.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study

Component Description:
Cost for crew to map tower and provide information to Dielectric. Supporting documentation corrected and attached. This invoice has been paid.
Amount:
$2,600.00
Interim antenna installation Information not provided.
Structural Study

Component Description:
50% deposit payment for tower structural study. Supporting documentation attached. This invoice has been paid.
Amount:
$7,750.00

Component Description:
50% remaining balance payment for tower structural study. Supporting documentation attached. This invoice has been paid.
Amount:
$7,750.00
Tower Helicopter Lift

Component Description:
Cost of helicopter services to remove current antenna and install new antenna. Supporting documentation is attached.
Amount:
$150,000.00
Major tower reinforcement/modifications

Component Description:
Cost of modifications to tower. Supporting documentation is attached. This invoice has been paid.
Amount:
$22,500.00
Tall Tower (greater than 500')

Component Description:
65% "mobilization" payment for tower service. Cost breakdown and supporting documentation corrected and attached. This invoice has been paid.
Amount:
$132,749.76

Component Description:
Balance payment for additional cost of installing transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$6,600.00

Component Description:
75% deposit for additional cost for installing transmission line. Supporting documentation is attached.
Amount:
$19,800.00

Component Description:
25% "after install" payment for tower service. Cost breakdown and supporting documentation corrected and attached. This invoice has been paid.
Amount:
$51,057.60

Component Description:
10% "deposit" for tower service. Cost breakdown & supporting documentation corrected and attached. This invoice has been paid.
Amount:
$20,423.04

Component Description:
Cost of 1.5 days of downtime for tower service. Requested cover letter attached. This invoice has been paid.
Amount:
$2,500.00

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $203,275.00 $183,780.00 N/A $10,055.49 N/A
Total for all systems $5,301,839.26 $3,741,076.25 N/A $3,230,241.15 N/A
Outside Professional Services $203,275.00 $183,780.00 $10,055.49
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 $7,360.00 $7,000.00 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
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A $4,742.99 Duplicate line item. ION is only requesting reimbursement for Invoice Dated 5/1/2018.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application $1,580.00 $1,500.00 N/A N/A N/A
Prepare request for Special Temporary Authorization $4,100.00 $3,000.00 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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application $2,105.00 $2,000.00 N/A $1,000.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $2,250.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $2,062.50 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
Project management of the transition $28,440.00 $18,530.00 Required by tower landlord N/A N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A N/A N/A

Components

Actual Information Description File Name
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.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Invoice for WPXE'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. Cover letter, hourly supporting documentation and invoice attached.
Amount:
$4,742.99

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 WPXE'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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application

Component Description:
Cost of RF consultant engineer to prepare construction permit application for Aux Antenna. Hourly supporting documentation for this professional service is attached. This invoice has been paid.
Amount:
$1,000.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Cost of RF consultant engineer to prepare construction permit application for Main Antenna. Hourly supporting documentation for this professional service is attached. This invoice has been paid.
Amount:
$2,250.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Cost of RF consultant engineering study for new channel assignment and antenna design. Hourly supporting documentation for this professional service is attached. This invoice has been paid.
Amount:
$1,562.50

Component Description:
Cost of RF consultant engineering study for new channel assignment and antenna design. Hourly supporting documentation for this professional service is attached. This invoice has been paid.
Amount:
$500.00
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Project management of the transition Information not provided.
Prepare and or review reimbursement form Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate 		Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $151,979.61 $143,874.61 N/A $59,078.13 N/A
Total for all systems $5,301,839.26 $3,741,076.25 N/A $3,230,241.15 N/A
Other Expenses $151,979.61 $143,874.61 $59,078.13
MVPD Notification of Channel Change $1,400.00 $1,400.00 N/A $1,400.00 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 Storage $10,000.00 $10,000.00 N/A $2,288.52 N/A
Equipment Delivery and Handling Charges $47,389.61 $47,389.61 This is the actual amount ION has been charged by vendors for repack equipment. $47,389.61 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
BLM or NFS Coordination $25,000.00 $25,000.00 N/A N/A N/A
Non-zoning permits $15,000.00 $15,000.00 N/A $4,500.00 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
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,070.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $3,500.00 N/A $3,500.00 N/A
Local Zoning $25,000.00 $25,000.00 N/A N/A N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change

Component Description:
Cost of MVPD notifications for channel change. Supporting documentation is attached. This invoice has been paid.
Amount:
$1,400.00
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage

Component Description:
Cost of onsite storage containers before installation. Supporting documentation is attached. This invoice has been paid.
Amount:
$2,288.52
Equipment Delivery and Handling Charges

Component Description:
Cost of shipping for elbow and transmission line equipment. Supporting documentation is attached. This invoice has been paid.
Amount:
$3,316.75

Component Description:
Cost of freight for additional transmission line equipment. Supporting documentation is attached. This invoice has been paid.
Amount:
$58.06

Component Description:
Cost of shipping for cut pieces of transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$5,729.28

Component Description:
90% balance payment for freight charges to ship cut piece of transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$1,379.19

Component Description:
Cost of shipping for cut pieces of transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$498.29

Component Description:
Cost of shipping for cut pieces of transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$1,989.05

Component Description:
Cost of shipping for elbow and transmission line equipment. Supporting documentation is attached. This invoice has been paid.
Amount:
$3,618.00

Component Description:
Cost of freight for main antenna package. Supporting documentation is attached. This invoice has been paid.
Amount:
$710.39

Component Description:
Sales tax for Dielectric invoice #24936 that ION paid directly to the state government. Supporting documentation and explanation of variance are attached. This one time payment has been made.
Amount:
$92.90

Component Description:
Freight charges associated with RF Interconnect Kit. Supporting documentation is attached. This invoice has been paid.
Amount:
$1,262.94

Component Description:
Cost of freight for additional pieces for elbow complex. Supporting documentation and justification for expedited freight is attached. This invoice has been paid.
Amount:
$1,119.34

Component Description:
Cost of freight for additional transmission line equipment. Supporting documentation is attached. This invoice has been paid.
Amount:
$189.66

Component Description:
10% payment for freight for main antenna package. Supporting documentation is attached. This invoice has been paid.
Amount:
$1,841.84

Component Description:
Cost of "shipping & handling" for interim antenna package. Supporting documentation is attached. This invoice has been paid.
Amount:
$4,920.47

Component Description:
90% payment for freight for main antenna package. Supporting documentation is attached. This invoice has been paid.
Amount:
$16,576.45

Component Description:
Cost of shipping for cut pieces of transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$840.18

Component Description:
Cost of freight for main antenna package. Supporting documentation is attached.
Amount:
$710.39

Component Description:
10% "after sweep" payment for freight charges to ship cut piece of transmission line. Supporting documentation is attached. This invoice has been paid.
Amount:
$153.25

Component Description:
Cost of freight for main antenna package. Supporting documentation is attached.
Amount:
$2,598.75

Component Description:
Cost of freight for additional main transmission line equipment. Supporting documentation is attached. This invoice has been paid.
Amount:
$494.82

Component Description:
10% payment for freight for main antenna package. Supporting documentation is attached. This invoice has been paid.
Amount:
$1,841.84

Component Description:
Cost of freight for interim antenna package. Supporting documentation is attached. This invoice has been paid.
Amount:
$4,920.47
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
BLM or NFS Coordination Information not provided.
Non-zoning permits

Component Description:
Cost of permitting to gain access to tower site for repack work. Supporting documentation is attached. This invoice has been paid.
Amount:
$4,500.00
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
DTV Medical Facility Notification

Component Description:
Cost of medical notifications for channel change. Supporting documentation is attached. This invoice has been paid.
Amount:
$3,500.00
Local Zoning Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate 		Estimated Cost Actual Cost
Total for all systems $5,301,839.26 $3,741,076.25 $3,230,241.15

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel. Yes
Construction of final facilities or all necessary modifications are complete. Yes
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. Yes

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  3. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

  7. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Mario Vasquez

Vice President - Finance, Operations


12/15/2021

Certification

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Section Question Response
Submission of Actual Cost Documentation Statements

WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733).

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  4. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  5. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .

  6. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

  8. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  9. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Mario Vasquez

Vice President - Finance, Operations


12/15/2021

Certification

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Section Question Response
Submission of Final Allocation or Accounting Information Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  5. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  6. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Mario Vasquez

Vice President - Finance, Operations


12/15/2021

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