Go to the Federal Communications Commission homepage at www.fcc.gov

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:
65409
Service:
LPD
Call Sign:
WTHC-LD
Channel:
3 (Low VHF)
File Number:
0000090224
FRN:
0004954509
Eligibility Status:
Eligible
Date Submitted:
01/28/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

The Atlanta Channel, Inc.

Doing Business As: The Atlanta Channel, Inc.

8317 Front Beach Road

Suite 26

PANAMA CITY, FL 32407

United States

+1 (850) 234-2773 jud.colley@destinationnetwork.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

Sam Hariton

Widelity

Sam Hariton

4031 University Dr

Suite 100

Fairfax, VA 22030

United States

+1 (339) 222-8107 sam.hariton@widelity.com

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan WTHC-LD is planning like-for-like purchase of transmitter, antenna and transmission line for installation on a new tower. The move is necessitated by the assignment to a low VHF channel.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
Ownership Owned
Is this transmitter currently shared with another station? No
Is this transmitter currently in operating condition? Yes
Existing Transmitter Manufacturer and Type Manufacturer
Model NX-8000
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 1.0 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model VAXTE-4L
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 5 kW
Justification for New Transmitter Re-tuning the existing main transmitter is not possible, due to the transition from UHF to VHF.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Other Transmitter Costs
Does the transmitter installation require a Transmitter Building Site Survey/Installation? No
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Rigid Conduit and Wiring Yes
Size 1 inches
Length 20.0 feet
Other Electrical Service Yes
Description 2 40 amp/240 vac breakers
HVAC Service Does the replacement transmitter require HVAC Service? No
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter Installation

Transmitter Installation

Mask Filter

Mask Filter

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)
Ownership Owned
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? Yes
Existing Antenna Manufacturer and Type
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
ERP: 7.0 kW
Manufacturer
Model SCA-SL-9
Year 1999

Primary Antenna

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New Antenna Costs

Section Question Response
New Antenna Description Use Primary (Main)
Change Type Purchase New
Ownership Owned
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? Yes
New Antenna Manufacturer and Types
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Elliptical
Type Slotted Coaxial
ERP: 3.0 kW
Manufacturer
Model DCRQ02C50T050
Year 2019
Justification for New Antenna The new antenna is required because the existing antenna is not capable of re-tuning to a VHF channel. The addition of vertical polarization is essential to broadcasting on the post-displacement VHF channel and should be reimbursable. See quote C-71318.

Primary Antenna

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Other Antenna Costs

Section Question Response
Elbow Complex Do you require the separate purchase of the Elbow Complex? No
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? 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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Primary Antenna - Antenna Testing and Tuning

Primary Antenna - Antenna Testing & Tuning

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)
Ownership Owned
Is the existing transmission line shared with another station or stations? No
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer
Type Flexible Foam
Diameter 1 5/8 inches
Number of parallel runs 1
Length 75 feet per run

Primary Transmission Line

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New Transmission Line

Section Question Response
New Transmission Line Costs Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Type Flexible Foam
Diameter 1 5/8 inches
Number of parallel runs 1
Length 280 feet per run
Justification for New Transmission Line The new transmission line is required by the move to a new tower location.
Interior RF Systems Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? Yes

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

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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Existing Tower

Section Question Response
Existing Tower Description Type of change Modify Existing
Tower Use Primary (Main)
Ownership Leased
Is this tower consider Complex? No
Is this tower currently shared with any other stations? No
Is tower documented for structural analysis? No
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? Yes
ASR Number 1035911
Coordinates (NAD83) Latitude (NAD83) 33° 25' 56.9" N-
Longitude (NAD83) 084° 26' 25.4" W-
Overall Structure Height 310.69 feet
Support Structure Height 299.87 feet
Ground Elevation Above Mean Sea Level (AMSL) 941.92 feet
Structure Type MAST - Mast
Tower Owner American Towers LLC
Date Constructed 06/12/2003


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 need for guyed or free-standing tower
Tower Reinforcements Please select whether tower reinforcements are needed: No 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? 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 254
Explanation WTHC-LD does not have sufficient resource capacity and expertise in house to handle all of the reimbursement activities necessary to facilitate on-time completion of the station's build. WTHC-LD will hire an outside firm to support WTHC-LD in these tasks.
Outside RF consulting Engineering Services Perform engineering study for displacement application 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 No
Prepare Form 601 Yes
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 1
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Form 399 assistance or other program management costs No
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements No
Additional Field Engineering Service Yes
Number of Days 7
Justification These field engineering costs were necessary for technicians required to run a new fiber feed to have internet capabilities as the new location did not have access to a network connection

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Transition Timing and Coordination

Transition Timing and Coordination

Other Expenses

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

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $167,966.08 $167,966.08 N/A $144,886.76 N/A
Total for all systems $416,724.09 $418,311.41 N/A $367,892.46 N/A
Primary Transmitter VAXTE-4L $167,966.08 $167,966.08 $144,886.76
Low VHF - Air Cooled Solid State Transmitter 5 kW $154,530.88 $154,530.88 Please see GatesAir Quote Number Q-82303. $132,371.56 N/A
Other Electrical Service: 2 40 amp/240 vac breakers $400.00 $400.00 Wade Thomaston, CE, estimates $400 for these two electrical items $0.00 N/A
Mask Filter $6,118.50 $6,118.50 Please see Dielectric quote 1930546 and tax as stated on invoice ST690001 $6,118.50 N/A
Transmitter Installation $6,396.70 $6,396.70 see Estimated Cost Justification WTHC-LD-110-New Primary Transmitter - Transmitter Installation v0 $6,396.70 N/A
1" Rigid Conduit and Wiring $520.00 $520.00 This cost was estimated using catalog costs for 2" Rigid Conduit and Wiring (cost per foot), since the catalog provides no estimate for 1" Rigid Conduit and Wiring. $0.00 N/A

Components

Actual Information Description File Name
Low VHF - Air Cooled Solid State Transmitter 5 kW

Component Description:
VAXTE-4L 1/3 Payment due Prior to Shipment
Amount:
$51,510.29

Component Description:
final payment VAXTE-4L
Amount:
$29,350.98

Component Description:
VAXTE-4L 1/3 Down Payment
Amount:
$51,510.29
Other Electrical Service: 2 40 amp/240 vac breakers Information not provided.
Mask Filter

Component Description:
Filter VF7T8I-5K
Amount:
$5,725.00

Component Description:
FL Sales Tax- Invoice 69001
Amount:
$393.50
Transmitter Installation

Component Description:
Working on transmitter equipment at new tower site
Amount:
$1,933.50

Component Description:
Technical Services Rendered on Customer's Site
Amount:
$994.20

Component Description:
1/13/2020 WTHC # 65409 Travel from PC to Atlanta by Wade Thomaston
Amount:
$1,987.50

Component Description:
WTHC-LD-110-New Primary Transmitter - Transmitter Installation
Amount:
$1,481.50
1" Rigid Conduit and Wiring Information not provided.

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 $64,715.89 $65,385.89 N/A $63,002.12 N/A
Total for all systems $416,724.09 $418,311.41 N/A $367,892.46 N/A
Primary Antenna DCRQ02C50T050 $64,715.89 $65,385.89 $63,002.12
Sweep test of transmission line and antenna $5,730.00 $6,400.00 Per quote CLE 358 $5,760.00 N/A
Low VHF-Low Power, Side Mount, Slotted Coaxial, 3.0kW input, Elliptical $54,752.75 $54,752.75 Per quote CLE 358 $53,008.98 N/A
Primary Antenna - Antenna Testing and Tuning $4,233.14 $4,233.14 Please see WTHC-LD Primary Antenna - Antenna Testing & Tuning Budget Justification Cover Letter $4,233.14 N/A
$0.00 $0.00 Category created due to LMS Bug - ignore N/A N/A

Components

Actual Information Description File Name
Sweep test of transmission line and antenna

Component Description:
WTHC-LD-210-Primary Antenna - Sweep Test
Amount:
$2,880.00

Component Description:
WTHC-LD-210-Primary Antenna - Sweep Test
Amount:
$2,880.00

Component Description:
Invoice has been zeroed out, should not have been submitted.
Amount:
N/A
Low VHF-Low Power, Side Mount, Slotted Coaxial, 3.0kW input, Elliptical

Component Description:
VHF Low Power Side Mount Antenna (moved from UHF category)
Amount:
$24,638.73

Component Description:
VHF - LOW POWER SIDE MOUNT
Amount:
$24,638.73

Component Description:
Freight and Shipping
Amount:
$3,731.52
Primary Antenna - Antenna Testing and Tuning

Component Description:
Technical Services rendered on customer's site
Amount:
$4,233.14
Information not provided.

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 $9,045.09 $10,934.82 N/A $10,934.82 N/A
Total for all systems $416,724.09 $418,311.41 N/A $367,892.46 N/A
Primary Transmission Line $9,045.09 $10,934.82 $10,934.82
Interior RF Systems: Inside RF system including switching, patch panels and dehydrators $2,325.09 $2,325.09 Please see Estimated Cost Justification WTHC-LD-310-Primary Transmission Line - Interior RF System Including Switching, Patch Panel and Dehydrator v0 $2,325.09 N/A
Flexible Foam Transmission Line - dielectric, 1 5/8" $6,720.00 $8,609.73 see Estimated Cost Justification WTHC-LD-310-Primary Transmission Line - 1 5_8_ Flexible Foam Dielectric v0 $8,609.73 N/A

Components

Actual Information Description File Name
Interior RF Systems: Inside RF system including switching, patch panels and dehydrators

Component Description:
Dryline Dehydrator
Amount:
$2,325.09
Flexible Foam Transmission Line - dielectric, 1 5/8"

Component Description:
1 5/8" TRANSMISSION LINE
Amount:
$8,609.73

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 $64,890.00 $37,244.50 N/A $29,925.50 N/A
Total for all systems $416,724.09 $418,311.41 N/A $367,892.46 N/A
Primary Tower MAST $64,890.00 $37,244.50 $29,925.50
Study needed for guyed or free-standing tower $8,700.00 $8,700.00 N/A $3,000.00 N/A
Tower Rigging Short Tower (less than 500') $56,190.00 $28,544.50 Please see Estimated Cost Justification WTHC-LD-410-Existing Primary Tower - Tower Rigging, Short Tower v1 $26,925.50 N/A

Components

Actual Information Description File Name
Study needed for guyed or free-standing tower

Component Description:
Collocation
Amount:
$3,000.00
Tower Rigging Short Tower (less than 500')

Component Description:
10/18/2020 WTHC # 65409 Travel from Panama City to Atlanta by Wade Thomaston & Brian Thomaston
Amount:
$1,853.00

Component Description:
Site Service
Amount:
$7,435.00

Component Description:
Site Service
Amount:
$598.50

Component Description:
Travel from Panama City to Atlanta
Amount:
$839.00

Component Description:
Bid Job: Fayetteville Dish Install
Amount:
$16,200.00

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 $103,702.03 $130,375.12 N/A $119,143.26 N/A
Total for all systems $416,724.09 $418,311.41 N/A $367,892.46 N/A
Outside Professional Services $103,702.03 $130,375.12 $119,143.26
Attorney Fees - Prepare and File request for Special Temporary Authorization $2,235.00 $1,400.00 Please see WTHC-LD Attorney - Special Temporary Authorization Budget Revision Justification Letter.pdf $1,400.00 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $3,262.50 $6,650.00 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $6,600.00 N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $1,577.50 N/A $200.00 N/A
Prepare Form 601 $755.00 $755.00 N/A N/A N/A
Project management of the transition $26,797.00 $69,816.00 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $69,816.00 N/A
Transition Timing and Coordination $2,050.00 $2,050.00 Please see WTHC-LD Transition Timing and Coordination Budget Revision Justification Letter.pdf $2,050.00 N/A
Additional Field Engineering Service, 7 Days $4,735.03 $4,735.03 Please see WTHC-LD Additional Field Engineering Service, 7 days - Budget Revision Justification Letter.pdf $4,734.73 N/A
Comprehensive coverage verification via field study, if needed $52,600.00 $33,701.59 Please see Osborn Engineering Quote #P202100TBD.00 and note that estimated cost is less than quote amount based on final amount invoiced $33,556.28 N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $3,025.00 $3,025.00 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application $1,052.50 $1,052.50 N/A N/A N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $2,102.50 N/A N/A N/A
Perform engineering study for displacement application $1,800.00 $1,800.00 N/A $786.25 N/A
Prepare/ Review 399 reimbursement form $1,710.00 $1,710.00 N/A N/A N/A

Components

Actual Information Description File Name
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
WTHC-LD-550-Attorney - Special Temporary Authorization
Amount:
$1,400.00
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Professional Services Rendered
Amount:
$550.00

Component Description:
Professional Services Rendered
Amount:
$1,800.00

Component Description:
Professional Services Rendered
Amount:
$2,350.00

Component Description:
Professional Services Rendered
Amount:
$150.00

Component Description:
WTHC-LD-550-Attorney - Negotiate Lease and Other Matters
Amount:
$500.00

Component Description:
Professional Services Rendered
Amount:
$900.00

Component Description:
Professional Services Rendered
Amount:
$50.00

Component Description:
Professional Services Rendered
Amount:
$300.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
Professional Services Rendered
Amount:
$200.00
Prepare Form 601 Information not provided.
Project management of the transition

Component Description:
Project Management
Amount:
$3,295.00

Component Description:
Project Management
Amount:
$593.75

Component Description:
Project Management
Amount:
$2,255.80

Component Description:
Project Management
Amount:
$2,880.65

Component Description:
Project Management
Amount:
$1,499.20

Component Description:
Project Management
Amount:
$11,495.00

Component Description:
Project Management
Amount:
$1,046.25

Component Description:
WTHC # 65409 Travel from PC to Atlanta by Wade Thomaston
Amount:
$965.00

Component Description:
Project Management
Amount:
$630.85

Component Description:
Project Management
Amount:
$2,800.00

Component Description:
Project Management
Amount:
$813.75

Component Description:
Project Management
Amount:
$2,262.95

Component Description:
Project management
Amount:
$2,121.20

Component Description:
Project Management
Amount:
$2,218.75

Component Description:
Project Management
Amount:
$838.00

Component Description:
Project Management
Amount:
$5,377.20

Component Description:
Project Management
Amount:
$786.25

Component Description:
Project Management
Amount:
$4,731.25

Component Description:
Project Management
Amount:
$3,625.70

Component Description:
Project Management
Amount:
$2,221.25

Component Description:
Project Management
Amount:
$2,832.05

Component Description:
Project Management
Amount:
$519.50

Component Description:
Project Management
Amount:
$2,325.00

Component Description:
Transmission Line Deliveries and Scheduling
Amount:
$440.00

Component Description:
Project Management
Amount:
$974.85

Component Description:
Project Management
Amount:
$930.00

Component Description:
WTHC-LD-510-Project Management
Amount:
$440.00

Component Description:
Project Management
Amount:
$621.20

Component Description:
Project Management
Amount:
$6,889.35

Component Description:
Project Management
Amount:
$826.25

Component Description:
9/10/2019 WTHC # 65409 Ordering equipment for hotel installs by Wade Thomaston
Amount:
$560.00
Transition Timing and Coordination

Component Description:
WTHC-LD-550-Attorney - Transition Timing and Coordination
Amount:
$650.00

Component Description:
WTHC-LD-550-Attorney - Transition Timing and Coordination
Amount:
$100.00

Component Description:
WTHC-LD-550-Attorney - Transition Timing and Coordination
Amount:
$1,300.00
Additional Field Engineering Service, 7 Days

Component Description:
Travel to Atlanta by Wade Thomaston to mark site for trench to facilitate the fiber installation.
Amount:
$4,734.73

Component Description:
5/16/2020 WTHC # 65409 Travel to Atlanta by Wade Thomaston
Amount:
$4,735.03
Comprehensive coverage verification via field study, if needed

Component Description:
Professional Services through April 30, 2021
Amount:
$16,250.00

Component Description:
Professional Services through June 25, 2021
Amount:
$3,419.68

Component Description:
Professional Services through May 28, 2021
Amount:
$13,886.60
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application Information not provided.
Perform engineering study for displacement application

Component Description:
Coordinate with clients legal team
Amount:
$786.25
Prepare/ Review 399 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 $6,405.00 $6,405.00 N/A $0.00 N/A
Total for all systems $416,724.09 $418,311.41 N/A $367,892.46 N/A
Other Expenses $6,405.00 $6,405.00 $0.00
FCC Filing Fees - Form 2100 Major change CP application $4,960.00 $4,960.00 N/A $0.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $335.00 N/A $0.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,110.00 N/A $0.00 N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $416,724.09 $418,311.41 $367,892.46

Reimbursement Status

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

Certification

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Section Question Response
Submission of 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.

Jud Colley

Owner


01/28/2022

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.

Jud Colley

Owner


01/28/2022

Attachments

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