| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
TV-49, INC. Doing Business As: TV-49, INC. |
Norman H. Shapiro 26 NORTH HALSTED STREET CHICAGO, IL 60661 United States |
+1 (312) 705-2600 | nshapiro@wciu.com | Corporation |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
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| Applicant | Address | Phone | |
|---|---|---|---|
|
The Preparer is same as the reimbursement contact. |
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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 | This displaced facility is currently in the process of complying with its new displacement construction permit as part of the repack program. |
| Question | Response |
|---|---|
| Sharee Station Facility ID | 60465 |
| Call Sign | KTVP-LD |
| Type | |
| Licensee Name | HC2 STATION GROUP, INC. |
| Status | LICENSED |
| DTS | No |
| Community of License | PHOENIX, AZ |
| Pre-auction RF Channel | 23 |
| Post-auction RF Channel | |
| Neilsen DMA | |
| Network Affiliation |
| Question | Response |
|---|---|
| Sharee Station Facility ID | 7085 |
| Call Sign | K12XP-D |
| Type | |
| Licensee Name | HC2 STATION GROUP, INC. |
| Status | LICENSED |
| DTS | No |
| Community of License | PHOENIX, AZ |
| Pre-auction RF Channel | 12 |
| Post-auction RF Channel | |
| Neilsen DMA | |
| Network Affiliation |
| Section | Question | Response |
|---|---|---|
| Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
| 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 | 1 | |
| Year | 2009 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 5 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | TRN-5X-U-28-C | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 2.2 kW | |
| Justification for New Transmitter | The applicant plans on replacing the existing transmitter because of its age and lack of current support. |
| Section | Question | Response |
|---|---|---|
| Other Transmitter Costs | ||
| Does the transmitter installation require a Transmitter Building Site Survey/Installation? | Yes | |
| Electrical Service | Service Entrance (3 phases 800A 208V) | No |
| Switchgear (industrial 800 amp) | No | |
| Transformer (480V) | No | |
| Rigid Conduit and Wiring | No | |
| Other Electrical Service | Yes | |
| Description | Minor Electrical | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
| Type | Cooling Only | |
| Size | 5 tons | |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
| Section | Question | Response |
|---|---|---|
| Antenna Related Expenses | Do you have antenna related expenses? | Yes |
| 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? | No | |
| Existing Antenna Manufacturer and Type | ||
| Mounting | Side Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Other | |
| Other Antenna Type | Panel UHF | |
| ERP: | 14.0 kW | |
| Manufacturer | ||
| Model | SWEDM8MCRR / 40-DT CP | |
| Year | 2009 |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Primary (Main) |
| Change Type | Purchase New | |
| Ownership | Owned | |
| Is antenna shared? | Yes | |
| Is antenna directional? | Yes | |
| Will antenna be located on or in close proximity to an antenna farm? | No | |
| New Antenna Manufacturer and Types | ||
| Mounting | Side Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Circular | |
| Type | Broadband Panel | |
| Number of Stations Supported | 2 | |
| Number of Panels/Bays | 4 | |
| Lower Limit | 470.00 MHz | |
| Upper Limit | 608.00 MHz | |
| Design power capacity in use | 100.0 % | |
| ERP: | 15.0 kW | |
| Manufacturer | ||
| Model | UTVC-01/X 4x2 | |
| Year | 2019 | |
| Justification for New Antenna | The applicant plans on replacing the existing antenna to support the new displacement construction permit. |
| 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 | |
| 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? | Yes |
| 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 |
| Power Dividers | Does the panel antenna require power dividers? | Yes |
| Number of Power Dividers | 1 | |
| Cable Harness | Does the panel antenna require cable harness? | Yes |
| Number of Cable Harnesses | 4 |
| RF Channel Number |
|---|
| 23 |
| 32 |
| Name | Description |
|---|---|
Temp Antenna and Installation |
Temp Antenna and Installation |
Combiner |
Combiner |
| Section | Question | Response |
|---|---|---|
| Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
| 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 Air | |
| Diameter | Other | |
| Other Diameter | 2 1/4 inches | |
| Number of parallel runs | 1 | |
| Length | 99 feet per run |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Type | Flexible Air | |
| Diameter | 3 inches | |
| Number of parallel runs | 1 | |
| Length | 130 feet per run | |
| Justification for New Transmission Line | The applicant plans on replacing the existing transmission line to the support the new antenna. | |
| 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 |
| Section | Question | Response |
|---|---|---|
| Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Tower Description | Type of change | Move Equipment |
| 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? | Yes | |
| Is tower compliant with Rev G? | Yes | |
| Existing Tower Structure Registration | Do you have a tower registration number? | No |
| Coordinates (NAD83) | Latitude (NAD83) | 33° 19' 01.0" N- |
| Longitude (NAD83) | 112° 03' 51.0" W- | |
| Overall Structure Height | 384.00 feet | |
| Support Structure Height | 384.00 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 2654.00 feet | |
| Structure Type | TOWER - Free Standing or Guyed Structure | |
| Tower Owner | unknown | |
| Date Constructed | 01/01/2000 |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | N/A |
| Helicopter Services Required | Are helicopter services required? | No |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 150 | |
| 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 displacement application | No |
| Prepare engineering section of Form FCC Construction Permit Application | No | |
| Prepare engineering section of Form FCC License to Cover Application | No | |
| Prepare request for Special Temporary Authority | No | |
| Prepare Form 601 | No | |
| Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | No |
| Prepare and file Form FCC License to Cover Application | No | |
| Prepare request for Special Temporary Authority | No | |
| Negotiation of Lease and other Matter for Shared Locations | No | |
| Prepare or Review FCC Form 399 for Reimbursement | Yes | |
| Form 399 assistance or other program management costs | Yes | |
| RF Field Engineering Services | Comprehensive coverage verification via field study | No |
| RF exposure measurements | No | |
| Additional Field Engineering Service | No |
| Name | Description |
|---|---|
Internal Time Costs |
Internal Time Costs |
| 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 | No |
| 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)? | Yes |
| Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
| 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 |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $119,250.00 | $60,772.46 | N/A | $35,522.46 | N/A |
| Total for all systems | $256,661.06 | $153,959.07 | N/A | $87,812.83 | N/A |
| Primary Transmitter TRN-5X-U-28-C | $119,250.00 | $60,772.46 | $35,522.46 | ||
| Transmitter Building Site Survey/Installation | $10,000.00 | $6,552.46 | N/A | $6,552.46 | N/A |
| 5 Ton system | $20,250.00 | $20,250.00 | N/A | N/A | N/A |
| Other Electrical Service: Minor Electrical | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $84,000.00 | $28,970.00 | N/A | $28,970.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Transmitter Building Site Survey/Installation | |
| 5 Ton system | Information not provided. |
| Other Electrical Service: Minor Electrical | Information not provided. |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $40,874.52 | $40,874.52 | N/A | $25,219.52 | N/A |
| Total for all systems | $256,661.06 | $153,959.07 | N/A | $87,812.83 | N/A |
| Primary Antenna UTVC-01/X 4x2 | $40,874.52 | $40,874.52 | $25,219.52 | ||
| UHF-Low Power, Side Mount, Broadband Panel, 4 bay, 15.0kW input, Circular | $9,099.66 | $9,099.66 | N/A | $9,099.66 | N/A |
| Sweep test of transmission line and antenna | $5,730.00 | $5,730.00 | N/A | N/A | N/A |
| Combiner | $3,643.35 | $3,643.35 | N/A | $3,643.35 | N/A |
| Side Mount antenna brackets | $4,625.00 | $4,625.00 | N/A | N/A | N/A |
| Power Dividers (each, for panel antenna system, if not included in antenna cost) | $1,300.00 | $1,300.00 | N/A | N/A | N/A |
| Cable harness (each, for panel antenna system, if not included in antenna cost) | $4,000.00 | $4,000.00 | N/A | N/A | N/A |
| Temp Antenna and Installation | $12,476.51 | $12,476.51 | N/A | $12,476.51 | N/A |
| Actual Information Description | File Name |
|---|---|
| UHF-Low Power, Side Mount, Broadband Panel, 4 bay, 15.0kW input, Circular | |
| Sweep test of transmission line and antenna | Information not provided. |
| Combiner | |
| Side Mount antenna brackets | Information not provided. |
| Power Dividers (each, for panel antenna system, if not included in antenna cost) | Information not provided. |
| Cable harness (each, for panel antenna system, if not included in antenna cost) | Information not provided. |
| Temp Antenna and Installation |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $12,670.00 | $12,355.55 | N/A | $7,355.55 | N/A |
| Total for all systems | $256,661.06 | $153,959.07 | N/A | $87,812.83 | N/A |
| Primary Transmission Line | $12,670.00 | $12,355.55 | $7,355.55 | ||
| Flexible Air Transmission Line - dielectric, 3" | $7,670.00 | $7,355.55 | N/A | $7,355.55 | N/A |
| Interior RF Systems: Inside RF system including switching, patch panels and dehydrators | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Flexible Air Transmission Line - dielectric, 3" | |
| Interior RF Systems: Inside RF system including switching, patch panels and dehydrators | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $56,190.00 | $12,280.00 | N/A | $12,280.00 | N/A |
| Total for all systems | $256,661.06 | $153,959.07 | N/A | $87,812.83 | N/A |
| Primary Tower TOWER | $56,190.00 | $12,280.00 | $12,280.00 | ||
| Tower Rigging Short Tower (less than 500') | $56,190.00 | $12,280.00 | N/A | $12,280.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Tower Rigging Short Tower (less than 500') |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $21,905.68 | $21,905.68 | N/A | $6,109.44 | N/A |
| Total for all systems | $256,661.06 | $153,959.07 | N/A | $87,812.83 | N/A |
| Outside Professional Services | $21,905.68 | $21,905.68 | $6,109.44 | ||
| Internal Time Costs | $1,370.68 | $1,370.68 | N/A | $1,370.68 | N/A |
| Form 399 assistance or other Program Management costs | $3,000.00 | $3,000.00 | N/A | N/A | N/A |
| Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | N/A | N/A | N/A |
| Project management of the transition | $15,825.00 | $15,825.00 | N/A | $4,738.76 | N/A |
| Actual Information Description | File Name |
|---|---|
| Internal Time Costs | |
| Form 399 assistance or other Program Management costs | Information not provided. |
| Prepare/ Review 399 reimbursement form | Information not provided. |
| Project management of the transition |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $5,770.86 | $5,770.86 | N/A | $1,325.86 | N/A |
| Total for all systems | $256,661.06 | $153,959.07 | N/A | $87,812.83 | N/A |
| Other Expenses | $5,770.86 | $5,770.86 | $1,325.86 | ||
| Equipment Delivery and Handling Charges | $1,325.86 | $1,325.86 | N/A | $1,325.86 | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,110.00 | N/A | N/A | N/A |
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | N/A | N/A |
| Disposal Costs (for equipment and other waste, net of any salvage value) | $3,000.00 | $3,000.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Equipment Delivery and Handling Charges | |
| FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
| FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
| Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $256,661.06 | $153,959.07 | $87,812.83 |
| 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 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Norman H. Shapiro Director, President, Secretary and Treasurer 09/01/2022 |
| 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). |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Norman H. Shapiro Director, President, Secretary and Treasurer 09/01/2022 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Norman H. Shapiro Director, President, Secretary and Treasurer 09/01/2022 |
