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:
10758
Service:
DTV
Call Sign:
WBFF
Channel:
46 (UHF)
File Number:
0000028509
FRN:
0004970679
Date Submitted:
03/01/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

CHESAPEAKE TELEVISION LICENSEE, LLC

Doing Business As: CHESAPEAKE TELEVISION LICENSEE, LLC

Harvey Arnold

10706 Beaverdam Road

Cockeysville, MD 21030

United States

+1 (401) 568-1500 FCCContacts@sbgtv.com Limited Liability Company

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

Paul A. Cicelski , Esq .

Lerman Senter PLLC

Paul A. Cicelski

2001 L Street, NW

Suite 400

Washington, DC 20036

United States

+1 (202) 416-6756 pcicelski@lermansenter.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. Yes
Briefly describe transition plan See Exhibit A.

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 Quantum 60QXD2
Year 2002
Type Inductive Output Tube
IOT Power Type Two
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 THU9evo/20
Transmitter Type Solid State
Solid State Cooling Liquid Cooled
Solid State Power capacity 31 kW
Justification for New Transmitter Per the manufacturer, the current transmitter cannot be retuned. See Exhibit B.

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) Yes
Transformer (480V) Yes
Power 300 kVA
Rigid Conduit and Wiring Yes
Size 2 inches
Length 800.0 feet
Other Electrical Service No
Description N/A
HVAC Service Does the replacement transmitter require HVAC Service? No
Type N/A
Size N/A
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Ceiling Hanger

Ceiling Hanger

Test Instrumentation

Test Instrumentation

20 Ton System

20 Ton System

Additional parts

Additional parts

Structural Engineering Services

Structural Engineering Services, Labor and Material Costs

Electrical Installation

Electrical Installation

Consolidation Storage Equipment

Consolidation Storage Equipment

Combiner

Combiner

Additional Site Requirements

Additional Site Requirements

Combiner Load Requirements

Combiner Load Requirements

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 Retune Existing
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? Yes
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 Bottom
Polarization Horizontal
Type Broadband Panel
Number of Stations Supported 2
Number of Panels 36
Design power capacity in use 55.0 %
Lower Limit 470.00 MHz
Upper Limit 698.00 MHz
Other Antenna Type N/A
ERP: 655.0 kW
Manufacturer DIELECTRIC
Model TUD-C5SP-10/36SPH-1-B
Year 2002

Facility ID's and Call Signs of all stations with whom the antenna is shared.

Facility ID Call Sign
7933 WNUV

Primary Antenna

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Adjustment to Existing Antenna

Section Question Response
Sweep Test of Existing Antenna Do you need a sweep test of existing antenna? Yes

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

Enter a list of RF channel numbers.

RF Channel Number
25
26

Primary 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 Utilize Existing
Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing transmission line shared with another station or stations? Yes
Is Transmission Line in operating condition? Yes
Existing Transmission Line Manufacturer and Type Manufacturer Dielectric
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

Facility ID's and Call Signs of all stations with whom the transmission line is shared.

Facility ID Call Sign
7933 WNUV

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? No

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 400
Explanation Outside consulting engineering, legal work, and accounting services, as well as project management for regional and comprehensive repack execution.
Outside RF consulting Engineering Services Perform engineering study for new channel assignment and antenna development Yes
Prepare engineering section of Form FCC Construction Permit Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare engineering section of Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority Yes
Quantity 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 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 2
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification Yes
FAA Consultation (including preparation of FAA Form 7460) Yes
Negotiation of Lease and other Matter for Shared Locations 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 No
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

Name Description

Sinclair Internal Costs

Internal Employee Time Costs

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 No
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application Yes
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? Yes
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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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 $1,446,136.04 $1,539,708.34 N/A $1,252,313.26 N/A
Total for all systems $1,828,691.80 $1,892,053.52 N/A $1,373,101.63 N/A
Primary Transmitter THU9evo/20 $1,446,136.04 $1,539,708.34 $1,252,313.26
Structural Engineering Services $30,560.00 $30,560.00 N/A $30,560.00 N/A
Electrical Installation $28,225.00 $28,225.00 N/A $28,225.00 N/A
Consolidation Storage Equipment $17,511.20 $17,511.20 N/A $17,511.20 N/A
Ceiling Hanger $420.00 $420.00 N/A $420.00 N/A
Test Instrumentation $9,999.00 $9,999.00 N/A $9,999.00 N/A
20 Ton System $44,875.00 $44,875.00 N/A $44,875.00 N/A
Combiner $155,806.78 $155,806.78 N/A $155,806.78 N/A
2" Rigid Conduit and Wiring (Cost per foot) $20,800.00 $20,000.00 N/A $0.00 N/A
Additional Site Requirements $48,238.00 $48,238.00 N/A $48,238.00 N/A
Additional parts $49,040.82 $49,040.82 N/A $49,040.82 Invoice #9500120112 with status Need More Information can be removed. A revised version has been uploaded.
Combiner Load Requirements $18,660.24 $18,660.24 N/A $18,660.24 Invoice #9500121055 with status Need More Information can be removed. A revised version has been uploaded.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW $947,000.00 $900,000.00 N/A $668,904.92 N/A
Switchgear - industrial 800 amp $38,200.00 $36,300.00 N/A N/A N/A
Transformer 3 phase/480v - 300 KVA $36,800.00 $180,072.30 See Thomas E. Koch Construction Management quote/invoices. $180,072.30 N/A

Components

Actual Information Description File Name
Structural Engineering Services

Component Description:
Structural engineering services. #191035.00.3
Amount:
$490.00

Component Description:
Structural engineering services cost. #191035.00-1
Amount:
$3,430.00

Component Description:
Structural engineering services. #191035.00-2
Amount:
$490.00

Component Description:
Structural engineering cost. #191935.00-4
Amount:
$490.00

Component Description:
Labor and material cost. #203552QT-2
Amount:
$25,000.00

Component Description:
Structural engineering cost. #191035.00 - 5
Amount:
$660.00
Electrical Installation

Component Description:
Transmitter electrical cost. #64941
Amount:
$10,000.00

Component Description:
Transmitter electrical cost. #65235
Amount:
$5,325.00

Component Description:
Transmitter electrical cost. #65192
Amount:
$9,600.00

Component Description:
Transmitter electrical cost. #65191
Amount:
$3,300.00
Consolidation Storage Equipment

Component Description:
Transmitter related cost. #9500118905
Amount:
$17,511.20
Ceiling Hanger

Component Description:
Transmitter related cost. #9500123015
Amount:
$420.00
Test Instrumentation

Component Description:
Transmitter related cost. #002650
Amount:
$9,999.00
20 Ton System

Component Description:
Transmitter related cost. #203552QT-3
Amount:
$19,875.00

Component Description:
Billing #1 mobilization. #203552QT-1
Amount:
$25,000.00
Combiner

Component Description:
Transmitter related cost. #002867
Amount:
$11,686.00

Component Description:
Transmitter related cost. #9500117446
Amount:
$144,120.78
2" Rigid Conduit and Wiring (Cost per foot)

Component Description:
Resubmitted under Electrical Installation. #64941
Amount:
N/A

Component Description:
Resubmitted under Electrical Installation. #65191
Amount:
N/A
Additional Site Requirements

Component Description:
Additional site requirements. #9500133924
Amount:
$48,238.00
Additional parts

Component Description:
Transmitter related cost. #9500127310
Amount:
$11,354.64

Component Description:
Additional transmitter parts. #9500120112
Amount:
$8,316.76

Component Description:
Transmitter related cost. #9500120110
Amount:
$29,369.42

Component Description:
Transmitter related cost. #9500120110
Amount:
$29,369.42

Component Description:
Additional transmitter parts cost. #9500120112
Amount:
$8,316.76
Combiner Load Requirements

Component Description:
Combiner load requirement. #9500121055
Amount:
$18,660.24

Component Description:
Transmitter related cost. #9500121055
Amount:
$18,660.24
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW

Component Description:
Transmitter cost, 25% down. #9500101101
Amount:
$176,025.62

Component Description:
Transmitter related cost 75%. #9500117236
Amount:
$567,503.30

Component Description:
Transmitter related cost. #9500101101
Amount:
$176,025.52

Component Description:
RF System credit memo. #9500809302
Amount:
($74,624.00)
Switchgear - industrial 800 amp Information not provided.
Transformer 3 phase/480v - 300 KVA

Component Description:
Transmitter related cost. #56341.00JAN1520
Amount:
$58,413.30

Component Description:
Transmitter related cost. #121659.00DEC1919
Amount:
$121,659.00

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 $90,930.00 $86,400.00 N/A $0.00 N/A
Total for all systems $1,828,691.80 $1,892,053.52 N/A $1,373,101.63 N/A
Primary Antenna TUD-C5SP-10/36SPH-1-B $90,930.00 $86,400.00 $0.00
New combiner, cost per channel (without antenna) $84,200.00 $80,000.00 N/A $0.00 N/A
Sweep test of existing antenna $6,730.00 $6,400.00 N/A N/A N/A

Components

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 $0.00 $0.00 N/A $0.00 N/A
Total for all systems $1,828,691.80 $1,892,053.52 N/A $1,373,101.63 N/A
Primary Transmission Line $0.00 $0.00 $0.00

Components

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Information not provided.

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 $192,929.76 $167,814.18 N/A $96,812.66 N/A
Total for all systems $1,828,691.80 $1,892,053.52 N/A $1,373,101.63 N/A
Outside Professional Services $192,929.76 $167,814.18 $96,812.66
Attorney Fees - Prepare and File request for Special Temporary Authorization $7,360.00 $0.00 N/A N/A N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $0.00 N/A N/A N/A
Prepare and or review reimbursement form $2,630.00 $4,200.00 Update of estimated cost per FCC requirement. $3,272.79 Last four items should be removed.
Project management of the transition $63,200.00 $60,000.00 N/A $57,446.94 N/A
Sinclair Internal Costs $669.76 $669.76 N/A $669.76 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A $24,600.00 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
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $0.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $0.00 N/A N/A N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $221.92 N/A $221.92 Second item should be removed.
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 $2,636.25 See invoices attached. $285.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $6,086.25 See Carl T. Jones invoices. $6,086.25 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $4,230.00 N/A

Components

Actual Information Description File Name
Attorney Fees - Prepare and File request for Special Temporary Authorization Information not provided.
Address transition timing and coordination issues w/ other stations and wireless Information not provided.
Prepare and or review reimbursement form

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759
Amount:
$869.30

Component Description:
Legal services cost. #457862
Amount:
$401.80

Component Description:
Legal services cost. #460959
Amount:
$173.10

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$1,315.27

Component Description:
Legal services cost. #463607
Amount:
$129.60

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759
Amount:
$869.30

Component Description:
Legal services cost.
Amount:
$172.50

Component Description:
Legal services cost.
Amount:
$767.50

Component Description:
Legal services cost. #461828
Amount:
$195.90

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$152.01

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289
Amount:
$1,311.48
Project management of the transition

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #478780
Amount:
$271.41

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 54 stations. #236
Amount:
$1,117.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759
Amount:
$29.98

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 47 stations. #339
Amount:
$1,816.24

Component Description:
Legal Service Cost. #465216
Amount:
$177.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #477820
Amount:
$320.19

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 40 stations. #328
Amount:
$1,864.33

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #467861
Amount:
$470.30

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations.
Amount:
$30.47

Component Description:
Legal services cost. #480779
Amount:
$1,455.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 48 stations. #309
Amount:
$1,299.46

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #467378
Amount:
$576.96

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #465001
Amount:
$596.30

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 52 stations. #481318
Amount:
$814.01

Component Description:
Legal services cost. #457862
Amount:
$401.80

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations.
Amount:
$185.10

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$716.28

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 99 stations. #1086
Amount:
$275.35

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289
Amount:
$91.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$20.65

Component Description:
Legal services cost. #489803
Amount:
$58.75

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 47 stations. #355
Amount:
$1,413.31

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472173
Amount:
$311.78

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1099
Amount:
$266.93

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1072
Amount:
$237.64

Component Description:
Legal Service Cost. #477335
Amount:
$190.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #480175
Amount:
$377.96

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1151
Amount:
$388.07

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1161
Amount:
$267.48

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #476885
Amount:
$403.34

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 99 stations. #468718
Amount:
$349.51

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 40 stations. #318
Amount:
$1,586.15

Component Description:
Legal services cost. #488618
Amount:
$58.75

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #132
Amount:
$589.44

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$20.91

Component Description:
$26,919.78 credit to be split across 93 Sinclair stations reimbursed $999.20 for Invoice 461759 (correct reimbursement amount is $709.74). #CM-11-21-2019-461759
Amount:
($289.46)

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #464321
Amount:
$683.07

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #479829
Amount:
$458.99

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations.
Amount:
$105.97

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #465173
Amount:
$654.26

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1069
Amount:
$246.68

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #473506
Amount:
$421.40

Component Description:
Legal services cost. #471562
Amount:
$163.75

Component Description:
Legal services cost. #467419
Amount:
$62.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$999.04

Component Description:
Legal services cost. #483301
Amount:
$502.50

Component Description:
Legal services cost. #460959
Amount:
$173.10

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1105
Amount:
$216.88

Component Description:
Legal services cost. #460959
Amount:
$173.10

Component Description:
Legal services cost. #480191
Amount:
$3,677.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #475283
Amount:
$384.08

Component Description:
Legal services cost. #487920
Amount:
$57.50

Component Description:
Legal services cost. #464340
Amount:
$120.00

Component Description:
Legal services cost. #472202
Amount:
$221.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 59 stations. #295
Amount:
$997.50

Component Description:
Legal services cost. #461828
Amount:
$195.90

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$32.35

Component Description:
Legal Service Cost. #478804
Amount:
$135.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1063
Amount:
$262.29

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 52 stations. #153
Amount:
$1,287.27

Component Description:
Legal services cost. #474848
Amount:
$166.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472985
Amount:
$282.68

Component Description:
Legal Service Cost. #464682
Amount:
$57.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1156
Amount:
$399.52

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 38 stations. #481976
Amount:
$965.23

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #466690
Amount:
$446.87

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 40 stations. #488547
Amount:
$228.12

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472583
Amount:
$279.89

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #107
Amount:
$602.28

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #478288
Amount:
$194.86

Component Description:
Legal services cost. #487039
Amount:
$58.75

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1143
Amount:
$436.90

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1078
Amount:
$215.68

Component Description:
Legal services cost. #472617
Amount:
$163.75

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1093
Amount:
$265.72

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1117
Amount:
$282.68

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1130
Amount:
$281.49

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1133
Amount:
$307.72

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 48 stations. #487892
Amount:
$103.07

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #479285
Amount:
$372.60

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #470237
Amount:
$436.37

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1098
Amount:
$238.07

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #477305
Amount:
$393.53

Component Description:
Legal Service Cost. #477850
Amount:
$361.25

Component Description:
Legal services cost. #478300
Amount:
$57.50

Component Description:
Legal Service Cost. #464340
Amount:
$120.00

Component Description:
Legal services cost. #481342
Amount:
$102.50

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1114
Amount:
$242.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 40 stations. #141
Amount:
$1,800.46

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #463026
Amount:
$801.57

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$818.59

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 60 stations. #487016
Amount:
$267.75

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1167
Amount:
$313.41

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #476367
Amount:
$364.80

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759
Amount:
$29.98

Component Description:
Legal services cost. #476902
Amount:
$445.95

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #475744
Amount:
$305.99

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #473885
Amount:
$318.62

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$943.95

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$91.76

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #118
Amount:
$468.97

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1078
Amount:
$215.68

Component Description:
Legal services cost. #461828
Amount:
$195.90

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1141
Amount:
$406.17

Component Description:
Legal services cost. #481342
Amount:
$425.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1058
Amount:
$187.24

Component Description:
Legal Service Cost. #479315
Amount:
$200.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #474405
Amount:
$490.56

Component Description:
Legal services cost. #476404
Amount:
$160.00

Component Description:
Legal services cost. #470262
Amount:
$396.25

Component Description:
Legal services cost. #481916
Amount:
$102.50

Component Description:
Legal services cost. #484327
Amount:
$126.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1055
Amount:
$243.38

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 40 stations. #480760
Amount:
$1,326.43

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #470923
Amount:
$406.65

Component Description:
Legal services cost. #474834
Amount:
$166.25

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1090
Amount:
$176.70

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1111
Amount:
$159.58

Component Description:
Legal Service Cost. #467883
Amount:
$50.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1079
Amount:
$177.14

Component Description:
Legal services cost. #476916
Amount:
$295.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 99 stations. #469573
Amount:
$377.14

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$836.44

Component Description:
Legal Service Cost. #466731
Amount:
$302.50

Component Description:
Legal services cost. #463607
Amount:
$129.60

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 43 stations. #194
Amount:
$1,696.84

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #471524
Amount:
$322.83

Component Description:
Legal services cost. #475782
Amount:
$45.00

Component Description:
Legal services cost. #470887
Amount:
$163.75

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 38 stations. #170
Amount:
$1,374.71

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #474809
Amount:
$395.77

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$43.72

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1145
Amount:
$369.98

Component Description:
Legal services cost. #481342
Amount:
$425.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #463567
Amount:
$566.48

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1123
Amount:
$342.14

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$86.88
Sinclair Internal Costs

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 40 stations. #IL-SBG-08012021-SD
Amount:
$24.72

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 48 stations.
Amount:
$24.96

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 47 stations. #IL-SBG-11012021-SD
Amount:
$6.47

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 43 stations.
Amount:
$35.82

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 40 stations. #IL-SBG-09012021-SD
Amount:
$14.26

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 40 stations. #IL-SBG-09012021-LB
Amount:
$10.96

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 47 stations. #IL-SBG-10012021-SD
Amount:
$14.16

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$16.53

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 54 stations.
Amount:
$23.95

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$33.53

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$17.02

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$6.09

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 38 stations.
Amount:
$8.19

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 60 stations.
Amount:
$23.77

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$11.39

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$25.53

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$32.09

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 38 stations.
Amount:
$60.06

Component Description:
Internal expense - WBSF - 4-2019
Amount:
$879.84

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$11.03

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$23.96

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 43 stations.
Amount:
$4.60

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$26.93

Component Description:
Portion of general repack matter internal time card attributable to this station - divided by 100.
Amount:
$66.55

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 52 stations.
Amount:
$41.33

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$9.47

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$1.69

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$7.86

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 40 stations.
Amount:
$58.48

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$15.08

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$5.37

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 52 stations.
Amount:
$9.79

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 54 stations.
Amount:
$8.64

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 60 stations.
Amount:
$4.95

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$8.66

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 100 stations.
Amount:
$7.96
Comprehensive coverage verification via field study, if needed

Component Description:
Broadcast measurement cost. #217006
Amount:
$24,600.00
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase Information not provided.
ASR modification (prepare FCC Form 854) Information not provided.
Attorney Fees - 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 - Prepare and File FCC Form 2100 (main), Construction Permit Application

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations.
Amount:
$122.35

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759
Amount:
$99.92

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289
Amount:
$122.00

Component Description:
Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759
Amount:
$99.92
Prepare request for Special Temporary Authorization Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application

Component Description:
Outside professional service cost. #858-04-0021
Amount:
$2,636.25

Component Description:
Outside professional service cost. #858-04-0023
Amount:
$285.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Outside professional service cost. #858-04-0021
Amount:
$2,636.25

Component Description:
Consulting engineering cost.
Amount:
$2,310.00

Component Description:
Outside professional service cost. #858-04-0022
Amount:
$1,140.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Consulting engineering cost.
Amount:
$4,230.00

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 $98,696.00 $98,131.00 N/A $23,975.71 N/A
Total for all systems $1,828,691.80 $1,892,053.52 N/A $1,373,101.63 N/A
Other Expenses $98,696.00 $98,131.00 $23,975.71
MVPD Notification of Channel Change $5,000.00 $5,000.00 See Exhibit J. N/A N/A
Develop and air announcement of upcoming channel change $28,050.00 $28,050.00 See Response to August 18 Inquiry. N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $3,750.00 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
FCC Filing Fees - Special Temporary Authorization request $195.00 $190.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $28,566.00 $28,566.00 See Response to August 18 Inquiry. $8,500.00 N/A
Equipment Delivery and Handling Charges $10,000.00 $10,000.00 See Exhibit J. $5,530.00 N/A
Equipment Storage $15,000.00 $15,000.00 See Exhibit J. $6,195.71 N/A

Components

Actual Information Description File Name
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
DTV Medical Facility Notification

Component Description:
Medical notifications. #1382
Amount:
$3,750.00
FCC Filing Fees - Form 2100 license to cover application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Disposal cost. #8500.00SEP2220
Amount:
$8,500.00
Equipment Delivery and Handling Charges

Component Description:
Equipment delivery and handling cost. #5247
Amount:
$5,530.00
Equipment Storage

Component Description:
Storage cost. #9500140663
Amount:
$6,195.71

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $1,828,691.80 $1,892,053.52 $1,373,101.63

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 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.

Lucy Rutishauser

CFO


03/01/2022

Attachments

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