TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
Nexstar Media Inc.	Jason Roberts 545 E. John Carpenter Freeway SUITE 700 Irving, TX 75062 United States	+1 (972) 373-8800	jasroberts@nexstar.tv	Corporation

Applicant

Address

Phone

Applicant Type

Nexstar Media Inc.

Jason Roberts

545 E. John Carpenter Freeway

SUITE 700

Irving, TX 75062

United States

+1 (972) 373-8800

jasroberts@nexstar.tv

Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
Jason Roberts VP & Associate General Counsel Nexstar Media Inc.	Jason Roberts 545 E. John Carpenter Freeway Suite 700 Irving, TX 75062 United States	+1 (972) 373-8800	jasroberts@nexstar.tv

Applicant

Address

Phone

Jason Roberts

VP & Associate General Counsel

Nexstar Media Inc.

Jason Roberts

545 E. John Carpenter Freeway

Suite 700

Irving, TX 75062

United States

+1 (972) 373-8800

jasroberts@nexstar.tv

Broadcaster Information and Transition Plan

Question	Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information.	Yes
Briefly describe transition plan	DTV Utah is a complex site with 8 stations sharing two main antennas as well as aux antenna, combiner system, tower and building. Replacement antenna panels, combiner, and transmitters will be required. DTVU is still finalizing its transition plan.

Question	Response
Sharee Station Facility ID	6359
Call Sign	KSL-TV
Type	Commercial
Licensee Name	Bonneville International Corporation
Status	LICENSED
DTS	No
Community of License	SALT LAKE CITY, UT
Pre-auction RF Channel	23
Post-auction RF Channel	23
Neilsen DMA	Salt Lake City
Network Affiliation

Question	Response
Sharee Station Facility ID	69582
Call Sign	KUEN
Type	Noncommercial Educational
Licensee Name	Utah Board of Higher Education
Status	LICENSED
DTS	No
Community of License	OGDEN, UT
Pre-auction RF Channel	36
Post-auction RF Channel	36
Neilsen DMA	SALT LAKE CITY
Network Affiliation

Question	Response
Sharee Station Facility ID	35823
Call Sign	KUTV
Type	Commercial
Licensee Name	KUTV Licensee, LLC
Status	LICENSED
DTS	No
Community of License	SALT LAKE CITY, UT
Pre-auction RF Channel	34
Post-auction RF Channel	34
Neilsen DMA	Salt Lake City
Network Affiliation

Question	Response
Sharee Station Facility ID	68889
Call Sign	KTVX
Type	Commercial
Licensee Name	Nexstar Media Inc.
Status	LICENSED
DTS	No
Community of License	SALT LAKE CITY, UT
Pre-auction RF Channel	30
Post-auction RF Channel	30
Neilsen DMA	Salt Lake City
Network Affiliation

Question	Response
Sharee Station Facility ID	36607
Call Sign	KJZZ-TV
Type	Commercial
Licensee Name	KJZZ LICENSEE, LLC
Status	LICENSED
DTS	No
Community of License	SALT LAKE CITY, UT
Pre-auction RF Channel	19
Post-auction RF Channel	19
Neilsen DMA	Salt Lake City
Network Affiliation

Question	Response
Sharee Station Facility ID	6823
Call Sign	KBYU-TV
Type	Noncommercial Educational
Licensee Name	BRIGHAM YOUNG UNIVERSITY
Status	LICENSED
DTS	No
Community of License	PROVO, UT
Pre-auction RF Channel	17
Post-auction RF Channel	17
Neilsen DMA	SALT LAKE CITY
Network Affiliation

Question	Response
Sharee Station Facility ID	69396
Call Sign	KUED
Type	Noncommercial Educational
Licensee Name	UNIVERSITY OF UTAH
Status	LICENSED
DTS	No
Community of License	SALT LAKE CITY, UT
Pre-auction RF Channel	27
Post-auction RF Channel	27
Neilsen DMA	SALT LAKE CITY
Network Affiliation

Transmitters

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

Primary Transmitter

Existing Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Purchase New
	Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is this transmitter currently shared with another station?	No
	Is this transmitter currently in operating condition?	Yes
Existing Transmitter Manufacturer and Type	Manufacturer
	Model	DCX-1H
	Year	2001
	Type	Inductive Output Tube
	IOT Power Type	Single
	Power Capacity	20 kW

Primary Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Primary (Main)
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Manufacturer
	Model	THU9evo-20
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	31 kW
	Justification for New Transmitter	Existing transmitter is obsolete and can not be re-tuned to the new channel. See attached quotes. Upgrading to a SS at one power step up from the required TPO. Single tube IOT is the max reimbursement, but Gates quote is lower. R&S unit is less cost.

Primary Transmitter

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	3 inches
	Length	200.0 feet
	Other Electrical Service	No
	Description	N/A
HVAC Service	Does the replacement transmitter require HVAC Service?	Yes
	Type	Cooling Only
	Size	30 tons
	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

Other Transmitter Cost Not Listed

Name	Description
Additional Transmitter Costs	Additional Transmitter Costs
Transmitter Electrical, Installation and Decommission	Transmitter Electrical, Installation and Decommission
Removal of Existing Equipment	Remove existing equipment from Farnsworth Peak site.
Plan Transmitter Layout and Develop Installation Drawings	Develop installation layout. Develop installation drawings
Remote Control Wiring	Wire Up Existing Remote Control
Transformer Costs	Change out transformers; see Rohde & Schwarz quote 802-055153.0

Interim Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Interim
	Description of Use	N/A
	Change Type	Purchase
	Manufacturer
	Model	ULXTE-20
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	12.9 kW
	Justification for New Transmitter	KUCW Allocated costs for DTV Utah interim transmitter. One transmitter will be used to cycle through transmitter change outs on the site.

Interim Transmitter

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?	Yes
	Type	Heating and Cooling
	Size	50 tons
	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
Inside RF System	Is an additional interior RF system required to support this interim transmitter?	Yes

Interim Transmitter

Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

Existing Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Purchase New
	Antenna Use	Primary (Main)
	Description of Use	N/A
	Ownership	Leased
	Owner	DTV Utah
	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	Top
	Polarization	Horizontal
	Type	Broadband Panel
	Number of Stations Supported	8
	Number of Panels	48
	Design power capacity in use	100.0 %
	Lower Limit	602.00 MHz
	Upper Limit	700.00 MHz
	Other Antenna Type	N/A
	ERP:	200.0 kW
	Manufacturer
	Model	773 928
	Year	1999

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

Facility ID	Call Sign
68889	KTVX
1136	KUCW
35823	KUTV
36607	KJZZ-TV
6359	KSL-TV
6823	KBYU-TV
69396	KUED
69582	KUEN

Primary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Primary (Main)
	Description of Use	N/A
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	Yes
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	Yes
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Bottom
	Polarization	Horizontal
	Type	Broadband Panel
	Number of Stations Supported	8
	Number of Panels/Bays	48
	Lower Limit	482.00 MHz
	Upper Limit	608.00 MHz
	Design power capacity in use	50.0 %
	Other Antenna Type	N/A
	ERP:	2000.0 kW
	Manufacturer
	Model	759 25063
	Year	2017
	Justification for New Antenna	The current panel antenna is finely tuned to a specific band, but cannot be retuned to the new band.

Primary Antenna

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	8
	Frequencies of channels supported	Upper and lower frequency
	Frequency	488.0 MHz - 608.0 MHz
	Do you need a combiner output splitter/switcher for dual feed lines?	Yes
Elbow Complex	Do you require the separate purchase of the Elbow Complex?	Yes
	Broadband or Single Channel?	Broadband
	Feed Line Size	6 1/8 inches inches
Side Mount Brackets	Do you require the separate purchase of side mount brackets for a high power antenna?	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

Other Antenna Cost Not Listed

Name	Description
Antenna Installation	Costs for antenna install.

Transmission Line

Section	Question	Response
Transmission Line Related Expenses	Do you have transmission line related expenses?	No

Tower Equipment And Rigging Costs

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

Primary Tower

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Primary (Main)
	Description of Use	N/A
	Ownership	Leased
	Is this tower consider Complex?	Terrain Constrained
	Is this tower currently shared with any other stations?	Yes
	One or more FM, AM or TV radio broadcaster(s)	Yes
	Others Types of Users	Yes
	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?	Yes
Existing Tower Structure Registration	ASR Number	1062408
Coordinates (NAD83)	Latitude (NAD83)	40° 39' 33.0" N-
	Longitude (NAD83)	112° 12' 10.0" W-
	Overall Structure Height	308.40 feet
	Support Structure Height	308.40 feet
	Ground Elevation Above Mean Sea Level (AMSL)	9035.32 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	DTV UTAH, LC
	Date Constructed	10/28/1999

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID	Call Sign	Service
69396	KUED	DTV
1136	KUCW	DTV
69582	KUEN	DTV
36607	KJZZ-TV	DTV
35823	KUTV	DTV
6823	KBYU-TV	DTV
6359	KSL-TV	DTV
68889	KTVX	DTV

Other Types of Users

Users
Multi User Site

Primary Tower

Tower Modification Costs

Section	Question	Response
Engineering Study	Please what type of engineering study is required, if any:	Study needed for documented tower
Tower Reinforcements	Please select whether tower reinforcements are needed:	Major Reinforcements needed

Primary Tower

Tower Rigging Costs

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

Primary Tower

Other Tower Expenses Not Listed

Information not provided.

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	800
	Explanation	This extremely complex project requires coordination between 8 different stations and the umbrella organization, DTV Utah.
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	No
	FAA Consultation (including preparation of FAA Form 7460)	Yes
	Negotiation of Lease and other Matter for Shared Locations	Yes
	Prepare or Review FCC Form 399 for Reimbursement	Yes
	Address transition timing and coordination issues w/ other stations and wireless providers	Yes
RF Field Engineering Services	Comprehensive coverage verification via field study	Yes
	RF exposure measurements	Yes
	Additional Field Engineering Service	Yes
	Number of Days	30
	Justification	On site RF Engineer to supervise construction of station facilities.

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
Allocation Consulting	DTVU RF Consultant Analysis of Repack Allocations, interference issues, and spectrum issues.
Building Structural Engineering	Structural Engineer to review and analyze building and 2nd floor weights and combiner issues.
Prepare and File FCC Progress Reports	Prepare and file FCC Quarterly Progress Reports
RF Consultant	DTVU RF Consulting Engineer for antenna and combiner system design.
Reimbursement Reviews	Reimbursement Reviews with FCC and Contractors.
Prepare Engineering Portion of Minor Modification Amendment of Post Transition CP Application	Prepare Engineering Portion of Minor Modification Amendment of Post Transition CP Application

Other Expenses

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

Other Expenses

Other Expenses Not Listed

Name	Description
Removal and Disposal of Existing Equipment	Removal and Disposal of Common Equipment, Antenna Panels, Combiner, Rigging, Mountain Road access, packing materials
Road Maintenance	Showplowing Grating and repairs to existing road to remote mountain top.
Site Access and Transportation	Snow Cat; Helicopter site access, road clearing and plowing etc.
Temporary Sanitation	Required for work on the mountaintop.
Sales and Use Tax	Sales and Use Tax
Accounting	DTV Utah Accounting and Allocation of Costs to stations.
DTV Utah Operating Agreement Equity Equalization	Per 1988 Operating Agreement. See Exhibit M attached.
KSTU Mask Filter	Adjacent Channel Mask Filter for KSTU. See Exhibit N attached.

Cost Information

Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$2,165,750.00	$1,173,448.00	N/A	$1,006,175.90	N/A
Total for all systems	$4,400,966.82	$2,560,510.16	N/A	$1,755,763.88	N/A
Interim Transmitter ULXTE-20	$1,003,800.00	$245,628.00		$228,040.58
Switchgear - industrial 800 amp	$38,200.00	$3,700.00	Revised to reflect 1/6th of shared cost. See related invoices	$3,645.79	N/A
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW	$494,500.00	$94,045.00	1/8 Shared Cost, updated to 1/6 Shared Cost.	$83,460.30	Original FCC estimated at 1/8. Approval received for 1/6 total costs. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation.
50 Ton system	$266,000.00	$133,500.00	Revised to increase amount to 1/6 vs 1/8 as well as design and engineering changes required due to a new heat exchanger design for the transmitters.	$133,426.91	Actual design HVAC designs called for more cooling than originally estimated. Additionally, original application included estimated costs at 1/8. Reimbursements are approved to be filed at 1/6 costs.
UHF inside RF system including switching	$147,500.00	$7,508.00	1/8 Shared cost, updated to 1/6 Shared cost; see related invoices	$7,507.58	N/A
2" Rigid Conduit and Wiring (Cost per foot)	$20,800.00	$2,500.00	1/8th Shared Cost	N/A	N/A
Transformer 3 phase/480v - 300 KVA	$36,800.00	$4,375.00	1/8th shared cost.	N/A	N/A
Primary Transmitter THU9evo-20	$1,161,950.00	$927,820.00		$778,135.32
Transformer Costs	$4,200.00	$4,200.00	Change out transformers; see Rohde & Schwarz quote 802-055153.0	$4,200.00	N/A
Remote Control Wiring	$3,500.00	$3,500.00	Wire up existing remote control to new transmitter	N/A	N/A
Plan Transmitter Layout and Develop Installation Drawings	$15,000.00	$15,000.00	Develop transmitter layout plan and installation drawings	N/A	N/A
Removal of Existing Equipment	$25,000.00	$25,000.00	Removal of IOT Transmitter, mask filter, 2 beam supplies, 2 heat exchangers, glycol, and oil from transformers from mountain top.	N/A	N/A
Transmitter Electrical, Installation and Decommission	$52,750.00	$52,750.00	See Marsand quote 1881 and related invoices	$52,743.39	N/A
Additional Transmitter Costs	$4,100.00	$4,100.00	See Heartland quote WISQ49895 and justification; shared cost with KTVX	$4,021.93	N/A
Other -- HVAC Service Type: C Size:30 (Other)	$25,000.00	$25,000.00	KUCW Allocated costs for modification of DTV Utah HVAC Systems.	N/A	N/A
3" Rigid Conduit and Wiring (Cost per foot)	$10,400.00	$9,800.00	Catalog	N/A	N/A
Transformer 3 phase/480v - 300 KVA	$36,800.00	$35,000.00	Catalog	N/A	N/A
Switchgear - industrial 800 amp	$38,200.00	$36,300.00	Catalog	$0.00	N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	$947,000.00	$717,170.00	See attached Rohde & Schwarz quote 802-049535.1.	$717,170.00	N/A

Components

Actual Information Description	File Name
Switchgear - industrial 800 amp	Component Description: Installation of electrical panels and transformer for the interim transmitter Amount: $496.60 Component Description: Transformer panel replacement Amount: $3,149.19 Component Description: Installation of electrical panels and transformer for the interim transmitter Amount: $3,149.19
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW	Component Description: Ross Video HD/SD/SDI equipment. Sales tax not charged on shipping charges. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $459.77 Component Description: Transmitter ProgPay 2 - 1/3 Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $27,365.14 Component Description: Ross 2RU 3G/HD/SD SDI Audio Monitoring Bridge. Sales tax not charged on shipping. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $514.00 Component Description: Transmitter Prog Pay #3. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $21,682.94 Component Description: Transmitter Prog Pay #1. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $27,365.14 Component Description: Sencore HD/SD/SDI equipment. Sales tax not charged on shipping. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $660.43 Component Description: Transmitter install. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $5,412.88
50 Ton system	Component Description: Cooling system evaluation. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation - Invoice amount corrected Amount: $153.79 Component Description: HVAC Progress billing Amount: $11,142.37 Component Description: Cooling system evaluation. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. - Invoice amount updated Amount: $153.79 Component Description: Advance payment to secure the equipment and materials before transmitters are installed. Amount specific to KUCW. Amount: $9,357.00 Component Description: Progress payment for HVAC work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $14,166.66 Component Description: Progress payment - mechanical design for transmitter HVAC project. Please see FCC Incentive auction repack reimbursement request and explanation. Amount: $933.33 Component Description: Mechanical design for transmitter HVAC project. Amount requested specific to KUCW. Amount: $6,200.00 Component Description: Balance due Amount: $767.00 Component Description: Mechanical design for transmitter HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $266.66 Component Description: Advance payment to secure the equipment and materials before transmitters are installed. Amount requested specific to KUCW. Amount: $27,022.00 Component Description: Balance due Amount: $739.43 Component Description: HVAC Progress payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $11,160.91 Component Description: HVAC Final installment Amount: $626.10 Component Description: Progress payment for HVAC work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $18,623.80 Component Description: Final billing for transmitter and HVAC cooling system project Amount: $739.43 Component Description: Progress payment for August time spent working on the group HVAC project and station transmitter HVAC. Please see FCC Incentive auction repack reimbursement request and explanation. Amount: $2,118.15 Component Description: Progress payment for group HVAC project and individual stations transmitter HVAC. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $8,627.50 Component Description: Project billing for KUCW transmitter hood and HVAC system Amount: $767.00 Component Description: Progress payment for HVAC work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $11,163.83 Component Description: Progress payment for HVAC work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $16,416.66 Component Description: HVAC mechanical and structural work. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $3,652.40 Component Description: HVAC mechanical design work for transmitter HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $2,400.00 Component Description: Electrical work for smoke detectors, duct lighting and HVAC louver transformers Amount: $200.61 Component Description: Credit memo as result of internal project audit by the vendor. Amount: ($2,083.71) Component Description: Mechanical design for transmitter HVAC project. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $933.33 Component Description: Progress payment - mechanical design for transmitter HVAC. Updated quote attached. Amount: $933.33
UHF inside RF system including switching	Component Description: Final invoice for transmission line material Amount: $603.26 Component Description: Shipping and handling charges for equipment on invoice 267999. Amount: $6.06 Component Description: Additional transmission line elbows Amount: $917.06 Component Description: Computer to interface with the control systems and transmitter Amount: $190.05 Component Description: Shipping of new transmission line rework Amount: $727.51 Component Description: Syncservers for transmission system. Amount: $1,236.39 Component Description: 25% Downpayment - transmission line material Amount: $201.09 Component Description: Partial billing for additional transmission line and gas barrier line Amount: $557.63 Component Description: Q3 2018 State of Utah Use Tax Return - Component for Dielectric invoices 233001 & 230017 and Microsmi invoice 268011. See FCC Incentive Auction Repack Reimbursement Request & Explanation and breakdown of sales tax accrual calculations table. Amount: $101.43 Component Description: Syncservers and related equipment for transmission system. Amount: $2,589.33 Component Description: Tax on invoices GTIA-1010, GTIA-1018 and GTIA-1024 Amount: $69.27 Component Description: Additional flex line Amount: $308.50
2" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
Transformer 3 phase/480v - 300 KVA	Information not provided.
Transformer Costs	Component Description: Transformer change out required Amount: $4,200.00
Remote Control Wiring	Information not provided.
Plan Transmitter Layout and Develop Installation Drawings	Information not provided.
Removal of Existing Equipment	Information not provided.
Transmitter Electrical, Installation and Decommission	Component Description: Transmitter electrical, installation and decommission Amount: $28,871.70 Component Description: Transmitter services, installment #3 Amount: $5,554.34 Component Description: Transmitter electrical, installation and decommission, installment #2 Amount: $18,317.35
Additional Transmitter Costs	Component Description: Additional transmitter equipment to conform to DTV Utah group equipment Amount: $4,021.93
Other -- HVAC Service Type: C Size:30 (Other)	Information not provided.
3" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
Transformer 3 phase/480v - 300 KVA	Information not provided.
Switchgear - industrial 800 amp	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	Component Description: Main transmitter, installment #3 Amount: $179,292.52 Component Description: Main transmitter, installment #1 Amount: $179,292.48 Component Description: Main transmitter, installment #2 Amount: $358,585.00 Component Description: Transmitter system 25% down payment Amount: $179,292.48

Cost Information

Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$589,830.00	$654,380.00	N/A	$591,181.14	N/A
Total for all systems	$4,400,966.82	$2,560,510.16	N/A	$1,755,763.88	N/A
Primary Antenna 759 25063	$589,830.00	$654,380.00		$591,181.14
Antenna Installation	$59,200.00	$59,200.00	Revised to increase amount to 1/6 vs 1/8 shared cost, as well as adding for inspection of the transmission line to ensure the integrity of the line after the antenna removal. See Exhibit D.	$55,390.68	Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. FCC application filed based on 1/8 estimated cost. Approval received for reimbursement at 1/6 costs.
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)	$13,700.00	$16,000.00	Revised to increase amount to 1/6 vs 1/8 shared cost, as well as adding for an increase in the elbow complex design caused by the antenna configuration.	$12,421.39	Original estimate based on 1/6 reimbursement for Transmission line material and installation. SOW: S&I Elbow complex
Combiner output splitting/switching for dual feed lines, if applicable	$126,000.00	$0.00	Included in combiner costs.	N/A	N/A
Sweep test of existing antenna	$6,730.00	$3,180.00	Revised to increase to 1/6th of the shared cost.	$3,179.78	Original estimate submitted at 1/8 costs, reimbursement approved at 1/6 costs. Please see FCC Incentive auction repack reimbursement request and explanation.
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized	$300,000.00	$300,000.00	Revised to increase amount to 1/6 vs 1/8 as well as adding an increase for the addition of nitrogen generators.	$246,837.56	Original 399 budget submitted at 1/8 costs. Received approval to submit 1/6 costs.
New combiner, cost per channel (without antenna)	$84,200.00	$276,000.00	Revised to increase amount to 1/6 vs 1/8 as well as adding for additional equipment necessary for unanticipated management of the system. See Exhibit E.	$273,351.73	See in attachment-FCC Incentive Auction Repack Reimbursement Request and Explanation. Original estimated cost for 1/8, approved reimbursement share 1/6.

Components

Actual Information Description	File Name
Antenna Installation	Component Description: Installation 25% Progress Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $23,508.19 Component Description: Q1 2018 Use tax accrual for invoice GTIA 1011 - Revised Amount: $17.81 Component Description: Installation services for antenna Amount: $4,445.72 Component Description: Installation 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $11,754.09 Component Description: Transmission Line final payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $798.45 Component Description: Sales and use tax accrual for period: 1/1/2018 - 3/31/2018 for GTIA-1021 invoice Amount: $53.45 Component Description: Bullet Installation 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $1,748.05 Component Description: Site Survey 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $1,310.83 Component Description: Installation Final Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $11,754.09 Component Description: Use tax for GTIA-1021 invoice. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $53.45
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)	Component Description: Progress Invoice - 50% down payment for transmission line material and installation Amount: $4,794.94 Component Description: Materials needed for reroute of transmission line Amount: $992.51 Component Description: Field service for reroute of transmission line and elbows Amount: $1,309.50 Component Description: Final billing for additional transmission line and installation services. Please see FCC Incentive auction repack reimbursement request and explanation. Amount: $4,794.94 Component Description: Q3 2018 State of Utah Use Tax Return - Component for Dielectric invoice 75050, and GTI invoice GTIA-1057. See FCC Incentive Auction Repack Reimbursement Request & Explanation and breakdown of sales tax accrual calculations table. Amount: $529.50
Combiner output splitting/switching for dual feed lines, if applicable	Information not provided.
Sweep test of existing antenna	Component Description: Rental of impedance transformer used to test the CH.24 system. Please see FCC Incentive auction repack reimbursement request and explanation. Updated Quote Amount: $329.16 Component Description: Test existing Kathrein UHF Antenna System. Please see FCC Incentive auction repack reimbursement request and explanation. Amount: $2,828.08 Component Description: Tax on invoice GTIA-1001 Amount: $22.54
UHF - High Power Top Mount Eight Station broadband panel antenna horizontally polarized	Component Description: Electrical work for feed-line to tower and nitrogen generator Amount: $116.48 Component Description: Re-tuning of antenna to remove null areas in broadcast pattern. Amount: $3,333.33 Component Description: Antenna Factory Test. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $5,142.50 Component Description: Q3 2018 State of Utah Use Tax Return - Component for GTI (Antenna) invoice GTIA-1054. See FCC Incentive Auction Repack Reimbursement Request & Explanation and breakdown of return table. Amount: $12,759.12 Component Description: Supply Kathrein Antenna Material - 5% Final Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $9,575.39 Component Description: Sales tax paid on South-Tek invoice STS87757-1. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $284.98 Component Description: Supply Kathrein Antenna Material - 45% Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $86,178.56 Component Description: New antenna system final billing for line items 2, 3, 6 &7 per quote. Please see FCC Incentive auction repack reimbursement request and explanation. Amount: $7,710.92 Component Description: Q4 2017 State of Utah Use tax accrual for South-Tek invoice STS87757-1 Amount: $284.98 Component Description: Supply Kathrein Antenna Material - 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $47,876.97 Component Description: Antenna Progress Payment 25%. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $47,876.97 Component Description: Anetnna Structural 25% Progress Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $7,710.92 Component Description: Structural 25% Progress Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $6,400.09 Component Description: Nitrogen Generation. Tax requested separately. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $4,160.41 Component Description: Antenna 25% Down Payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $7,710.92
New combiner, cost per channel (without antenna)	Component Description: Installation services for transmission line. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $6,727.52 Component Description: Freight for new combiner cable purchase Amount: $4.51 Component Description: Reverse request for reimbursement. See Burk invoice 00069115. Amount: ($2,561.53) Component Description: Bracke power divider for new combiner Amount: $237.33 Component Description: Final payment for combiner monitoring and control system Amount: $3,906.86 Component Description: Shared and station specific electrical work for new combiner Amount: $990.90 Component Description: Combiner and transmission line materials Amount: $406.25 Component Description: Combiner - Prog Pay 1 Down payment. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation: 1/8 - 17,009.53 1/6 - 22,679.37 Each member will request reimbursement of $22,679.37 Amount: $22,679.37 Component Description: Electrical work related to cable tray for combiner Amount: $356.52 Component Description: Materials for the combiner and transmission line Amount: $1,401.51 Component Description: Digi-Key for new combiner Amount: $213.19 Component Description: Pressure gauge 2 Port Amount: $61.85 Component Description: Sales and use tax accrual for period: 10/1/2018 - 12/31/2018. Includes Burk invoices 68513-DP, 68513-2, 69115 Amount: $1,075.62 Component Description: Combiner and transmission line materials Amount: $406.25 Component Description: Additional freight, shipping and handling for waveguide sections Amount: $443.17 Component Description: Cabling and materials for new combiner Amount: $246.05 Component Description: 50% Progress payment for installation. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $22,679.29 Component Description: Down Payment # 1 - Combiner monitoring & control. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $5,123.06 Component Description: Down payment #2 - Combiner monitoring & control. Please see FCC Incentive Auction Repack Reimbursement request. Invoice amount updated. Amount: $5,123.06 Component Description: 80KW Cooling System. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $3,320.18 Component Description: Contractor hotel for combiner and layout project Amount: $216.88 Component Description: Entered to reverse request for reimbursement - see invoice Burk 69115 as revised invoice for final payment on combiner. Amount: ($2,561.53) Component Description: Installation of 20A, High-Density Plug strip and Power for combiner rack Amount: $106.33 Component Description: Q3 2018 State of Utah Use Tax Return - Component for Dielectric invoices: 273003, 235015, 250008, 237008, 242051, 236006. See FCC Incentive Auction Repack Reimbursement Request & Explanation and breakdown of sales tax accrual calculations table. Amount: $11,070.12 Component Description: Combiner - Prog Pay 3. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Amount: $90,717.49 Component Description: Combiner cooling system Amount: $2,321.33 Component Description: Down Payment #2 - Combiner monitoring & control. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. - Invoice amount updated. Amount: $5,123.06 Component Description: Combiner - Prog Payment 2. Invoice amount updated. Amount: $90,717.50 Component Description: Down payment #3 combiner monitoring and control Amount: $2,561.53 Component Description: Combiner - Prog Payment 2. Please see FCC Incentive Auction Repack Reimbursement Request & Explanation. Invoice amount updated. Amount: $90,717.50 Component Description: Fedex Air freight of waveguide sections to Dielectric and back to DTV Utah twice. Amount: $2,325.91 Component Description: RG223 cable for new combiner Amount: $196.25 Component Description: Cable spools for new combiner Amount: $277.43

Cost Information

Transmission Line

Information not provided.

Cost Information

Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$854,600.00	$135,333.34	N/A	$898.32	N/A
Total for all systems	$4,400,966.82	$2,560,510.16	N/A	$1,755,763.88	N/A
Primary Tower TOWER	$854,600.00	$135,333.34		$898.32
Structural engineering tower load study for well documented tower	$12,600.00	$2,000.00	Revised to increase to 1/6 vs 1/8	$898.32	N/A
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	$421,000.00	$66,666.67	Revised to increase amount to 1/6 vs 1/8	N/A	N/A
Major tower reinforcement/modifications	$421,000.00	$66,666.67	Revised to increase amount to 1/6 vs 1/8	$0.00	N/A

Components

Actual Information Description	File Name
Structural engineering tower load study for well documented tower	Component Description: Tower analysis services Amount: $671.66 Component Description: Structural Engineering & Design services - May 2017 Amount: $226.66
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	Information not provided.
Major tower reinforcement/modifications	Component Description: Installation of new tower lighting system Amount: $1,515.15

Cost Information

Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$399,805.00	$206,972.00	N/A	$75,449.99	N/A
Total for all systems	$4,400,966.82	$2,560,510.16	N/A	$1,755,763.88	N/A
Outside Professional Services	$399,805.00	$206,972.00		$75,449.99
Prepare Engineering Portion of Minor Modification Amendment of Post Transition CP Application	$2,500.00	$2,500.00	See KGA subcontractor invoice 918-1032	$2,500.00	N/A
Reimbursement Reviews	$10,600.00	$10,600.00	Reimbursement Reviews with FCC and E&Y	$1,200.00	N/A
RF Consultant	$14,300.00	$14,300.00	KUCW Allocation of costs RF Consulting Engineer for antenna and combiner system design. Vendor specs and system range testing.	$14,296.87	N/A
Prepare and File FCC Progress Reports	$18,000.00	$18,000.00	Prepare and file FCC Progress Reports	$300.00	N/A
Building Structural Engineering	$20,000.00	$20,000.00	KUCW Allocated cost estimate for cost related to structural analysis of building	N/A	N/A
Allocation Consulting	$15,000.00	$15,000.00	KUCW Allocation of RF Engineering costs to review channel assignments, allocatoins, interference issues, alternative channels. Support can not construct filings.	N/A	N/A
Additional Field Engineering Service, 30 Days	$45,000.00	$45,000.00	RF Engineer to supervise construction and installation of KUCW equipment	N/A	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	Catalog	N/A	N/A
RF Exposure Measurements	$21,050.00	$2,500.00	1/8 Shared Costs	N/A	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$7,500.00	1/6 Shared Cost; see related invoices	$7,468.50	N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	$2,105.00	$550.00	N/A	$275.00	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$7,360.00	$1,537.00	Please see related invoices	$1,536.20	N/A
Attorney Fees - Negotiation of lease and other matters for shared locations	$4,210.00	$4,610.00	Increased over predetermined cost due to the complexity of the KPNZ lease negotiation matter	$4,472.21	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	Catalog	$231.86	N/A
Prepare request for Special Temporary Authorization	$4,100.00	$3,625.00	See related invoices	$3,625.00	N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	$1,580.00	$1,500.00	Catalog	$625.00	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,500.00	See related invoices; due to complexity of project	$3,464.58	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	Catalog	N/A	N/A
Address transition timing and coordination issues w/ other stations and wireless	$2,630.00	$2,500.00	Catalog	$14.58	N/A
Prepare and or review reimbursement form	$2,630.00	$2,500.00	Catalog	N/A	N/A
Project management of the transition	$126,400.00	$37,000.00	See related invoices	$35,440.19	N/A

Components

Actual Information Description	File Name
Prepare Engineering Portion of Minor Modification Amendment of Post Transition CP Application	Component Description: Minor Modification of CP Application Amount: $2,500.00
Reimbursement Reviews	Component Description: FCC Invoice Compliance Audit Amount: $1,200.00
RF Consultant	Component Description: RF Consulting Services Amount: $14,296.87
Prepare and File FCC Progress Reports	Component Description: Prepare Form 387, item 2 from invoice summary Amount: $150.00 Component Description: Prepare Form 387 Q4 2018 Amount: $150.00 Component Description: Prepare Form 387, item 3 from invoice summary Amount: $150.00
Building Structural Engineering	Information not provided.
Allocation Consulting	Information not provided.
Additional Field Engineering Service, 30 Days	Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Information not provided.
RF Exposure Measurements	Information not provided.
Comprehensive coverage verification via field study, if needed	Component Description: RF Engineering Services Amount: $4,000.00 Component Description: Antenna pattern surveys Amount: $3,468.50
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	Component Description: Prepare and submit FAA filing Amount: $275.00
Attorney Fees - Prepare and File request for Special Temporary Authorization	Component Description: KUCW share of legal fees related to STA Amount: $659.45 Component Description: KUCW share of fees relating to STA Amount: $876.75 Component Description: Legal fees associated with special temporary authorization filing. Please see cover letter justification as to why full legal amount is reflected in invoice. Amount: $876.75
Attorney Fees - Negotiation of lease and other matters for shared locations	Component Description: Legal consulting - lease negotiations Amount: $357.00 Component Description: Legal consulting - lease negotiations Amount: $501.40 Component Description: Legal consulting - lease negotiations Amount: $415.83 Component Description: Legal consulting - lease negotiations Amount: $68.00 Component Description: Legal consulting - lease negotiations Amount: $137.08 Component Description: Legal consulting - lease negotiations Amount: $362.91 Component Description: Legal consulting - lease negotiations Amount: $165.91 Component Description: Legal consulting - lease negotiations Amount: $1,960.50 Component Description: Legal consulting - lease negotiations Amount: $640.66
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: Legal fees for construction permit application Amount: $29.16 Component Description: Reimbursement of legal fees from Covington Burling charged to KUED for DTV Utah repack for repack related filings Amount: $202.70
Prepare request for Special Temporary Authorization	Component Description: Prepare request for STA, item 3 from invoice summary Amount: $1,500.00 Component Description: See cover letter item 6 - Prepare and submit STD filing Amount: $1,000.00 Component Description: Prepare and File FCC Emergency STA Application Amount: $1,125.00 Component Description: Prepare STA Amount: $1,500.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	Component Description: Prepare engineering section of a License to Cover, item 3 from invoice summary Amount: $625.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	Component Description: Prepare station Forms 2100 Amount: $933.33 Component Description: Prepare FCC Form 2100 Construction Permit Application Amount: $2,531.25
Perform engineering study for new channel assignment and antenna development	Information not provided.
Address transition timing and coordination issues w/ other stations and wireless	Component Description: Legal fees addressing transition timing Amount: $14.58
Prepare and or review reimbursement form	Information not provided.
Project management of the transition	Component Description: Project management services Apr 2019 Amount: $84.50 Component Description: James and James consulting and project management - April 2018 for Station Specific Costs Amount: $94.74 Component Description: Project management services 1.1.19 through 1.31.19, item 1 from invoice summary Amount: $75.00 Component Description: Project management services Amount: $1,722.50 Component Description: Engineering consulting - vendor and invoice related research Amount: $125.00 Component Description: James and James consulting and project management - June 2017 Amount: $916.62 Component Description: Project management services May 2019 Amount: $162.50 Component Description: James and James consulting and project management - May 2018 for Station Specific Costs Amount: $256.94 Component Description: Project management services 1.1.19 through 1.31.19 Amount: $75.00 Component Description: Project management services 5.26.18 through 6.29.18. Amount: $450.00 Component Description: Project management services, item 1 from invoice summary Amount: $300.00 Component Description: James and James consulting and project management - August 2017 Amount: $703.95 Component Description: James and James consulting and project management - March 2018 Amount: $525.66 Component Description: James and James consulting and project management - November 2017 Amount: $742.45 Component Description: Project management services, item 2 from invoice summary Amount: $1,300.00 Component Description: Project management services Amount: $55.00 Component Description: Project management services Amount: $158.00 Component Description: Project management services Amount: $225.00 Component Description: James and James consulting and project management - November 2018 Amount: $754.52 Component Description: Project management services Amount: $1,112.19 Component Description: James and James consulting and project management - October 2018 Amount: $1,057.25 Component Description: James and James Consulting - project management - September 2018 Amount: $1,497.06 Component Description: James and James consulting and project management - December 2017 Amount: $545.14 Component Description: RF Consulting services provided by Ray Carnovale contracted through GTIA for project management services. Amount: $1,750.00 Component Description: RF Consulting services provided by Ray Carnovale contracted through GTIA for project management services. Amount: $2,763.54 Component Description: James and James consulting and project management - July 2017 Amount: $891.87 Component Description: James and James Consulting - Project Management June 2018 for Station Specific Costs Amount: $577.95 Component Description: James and James consulting and project management - January 2018 Amount: $359.67 Component Description: James and James consulting and project management - June 2018 Amount: $1,215.74 Component Description: Project management services 3.30.19 through 4.26.19 Amount: $150.00 Component Description: James and James consulting - project management - May 2018 Amount: $837.25 Component Description: James and James consulting and project management - September 2017 Amount: $445.45 Component Description: James and James consulting and project management - April 2017 Amount: $1,102.36 Component Description: Project Management for Structural Analysis and Tower Modifications. Services from June 30, 2018 through July 27, 2018. Amount: $225.00 Component Description: James and James consulting and project management - October 2017 Amount: $696.62 Component Description: James and James consulting and project management - February 2018 Amount: $358.38 Component Description: James and James consulting and project management - April 2018 Amount: $521.19 Component Description: Project Management for Structural Analysis and Tower Modifications including consultants Kessler and Gehman Associates. Services from January 27, 2018 through February 23, 2018. Amount: $225.00 Component Description: Project management services 9.29.18 through 10.26.18, item 1 from invoice summary Amount: $225.00 Component Description: Project management services 7.28.18 through 9.28.18. Amount: $675.00 Component Description: James & James project management for equipment installation and documentation - August 2018 Amount: $2,803.83 Component Description: Project management services 12.1.18 through 12.31.18. Amount: $225.00 Component Description: James and James consulting and project management - May 2017 Amount: $916.41 Component Description: James and James consulting and project management - Compliance Audit Adjustment Amount: $17.82 Component Description: James and James consulting and project management - March 2017 Amount: $699.66 Component Description: Project management services Jan 2019 Amount: $65.00 Component Description: See cover letter items 1-5 - project management of the transition and progress report preparation including services provided by subcontractor Kessler and Gehman Associates. Station specific costs. Amount: $3,537.00 Component Description: James and James Consulting - Project Management July 2018 for Station Specific Costs Amount: $288.41 Component Description: James and James consulting - project management - July 2018 Amount: $1,046.00 Component Description: James and James Consulting - Project Management - December 2018 Amount: $182.02

Cost Information

Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).

Description	Predetermined Cost Estimate	Estimated Cost	Estimated Cost Justification	Actual Cost	Actual Cost Justification
Sub-total	$390,981.82	$390,376.82	N/A	$82,058.53	N/A
Total for all systems	$4,400,966.82	$2,560,510.16	N/A	$1,755,763.88	N/A
Other Expenses	$390,981.82	$390,376.82		$82,058.53
KSTU Mask Filter	$9,500.00	$9,500.00	1/8 Shared Cost changed to 1/6 shared cost	$9,329.69	Please see the FCC Incentive Auction Repack Reimbursement Request and Explanation for details.
DTV Utah Operating Agreement Equity Equalization	$223,083.00	$223,083.00	See Exhibit M	N/A	N/A
Accounting	$5,800.00	$5,800.00	KUCW allocated costs estimate for DTV Utah cost accounting for project and bookkeeping.	N/A	N/A
Sales and Use Tax	$45,050.00	$45,050.00	Estimated tax on equipment; see related invoices	$45,040.68	N/A
Temporary Sanitation	$3,000.00	$3,000.00	1/8 Cost Share	$1,287.50	N/A
Site Access and Transportation	$3,700.00	$3,700.00	KUCW specific plus allocated cost estimate for site access and transportation: Snow Cat; Helicopter Access, Road Clearing, Plowing; etc.	$3,679.97	N/A
Road Maintenance	$10,000.00	$10,000.00	1/8 Cost Share	N/A	N/A
Removal and Disposal of Existing Equipment	$5,000.00	$5,000.00	Removal and disposal of KUCW equipment and other general garbage down the mountain.	N/A	N/A
MVPD Notification of Channel Change	$5,000.00	$5,000.00	Estimate to notify MVPD of channel change.	N/A	N/A
Develop and air announcement of upcoming channel change	$3,500.00	$3,500.00	Production costs to develop and air channel change announcement	N/A	N/A
Equipment Delivery and Handling Charges	$25,000.00	$25,000.00	KUCW specific costs plus allocated cost estimate for delivery and handling of equipment up the mountain.	$8,789.54	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$27,500.00	$27,500.00	KUCW allocated cost estimate for combiner and other common equipment to be removed from building, transported down mountain, and disposed. Rigging.	$3,623.33	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	Catalog	N/A	N/A
FCC Filing Fees - Form 2100 minor change CP application	$1,110.00	$1,070.00	Catalog	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$11,000.00	Catalog	$4,549.00	N/A
Equipment Storage	$5,758.82	$5,758.82	1125 per month for 16 months plus pod storage on the mountains. Revised to increase amount to 1/6 vs 1/8	$5,758.82	N/A
Non-zoning permits	$5,900.00	$5,900.00	KUCW allocated cost estimate for permits DTV Utah	N/A	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$325.00	Catalog	N/A	N/A

Components

Actual Information Description	File Name
KSTU Mask Filter	Component Description: Q3 2018 Sales and Use Tax - Specific component: Dielectric invoice 75049. See cover letter and return breakout. Amount: $321.37 Component Description: Mask Filter, components and transport. See quote items 1, 2 &5. Amount: $4,691.66 Component Description: Installation Services for Mask Filter. See quote items 3 & 4. Amount: $4,316.66
DTV Utah Operating Agreement Equity Equalization	Information not provided.
Accounting	Information not provided.
Sales and Use Tax	Component Description: Tax on transformer cost Amount: $287.70 Component Description: Tax due on transmitter Amount: $44,660.50 Component Description: Tax on snowcat Amount: $92.48
Temporary Sanitation	Component Description: Dumpster service at site Amount: $225.00 Component Description: Dumpster service at site Amount: $225.00 Component Description: Dumpster service at site Amount: $75.00 Component Description: Dumpster service at site Amount: $300.00 Component Description: Dumpster service at site Amount: $312.50 Component Description: Dumpster service at site Amount: $150.00
Site Access and Transportation	Component Description: Transport of vendors to and from mountain top site due to impassable roads for surveys and service proposals. Amount: $676.66 Component Description: Transportation to top of the mountain for staff and equipment while road was closed by snow. Amount: $216.66 Component Description: Transportation to top of the mountain for staff and equipment while road was closed by snow. Amount: $216.66 Component Description: Transport of vendors to and from mountain top site due to impassable roads for surveys and service proposals. Amount: $362.50 Component Description: Transport of vendors to and from mountain top site due to impassable roads for surveys and service proposals. Amount: $507.50 Component Description: Snowcat required for site survey Amount: $1,350.00 Component Description: Transportation to top of the mountain for staff and equipment while road was closed by snow. Amount: $241.66 Component Description: Transportation to top of the mountain for staff and equipment while road was closed by snow. Amount: $108.33
Road Maintenance	Information not provided.
Removal and Disposal of Existing Equipment	Information not provided.
MVPD Notification of Channel Change	Information not provided.
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Delivery and Handling Charges	Component Description: Equipment delivery and handling - October 2017 Amount: $77.91 Component Description: Equipment delivery and handling - April 2018 Amount: $85.00 Component Description: Forklift equipment rental 10/01/18 - 10/31/18 Amount: $385.58 Component Description: Equipment handling and transportation - radio parts - split between KTVX & KUCW Amount: $225.00 Component Description: Forklift Rental 08/06/18 - 10/01/18 Amount: $1,020.24 Component Description: Equipment delivery and handling - January 2018 Amount: $14.16 Component Description: Equipment delivery and handling - December 2017 Amount: $42.50 Component Description: Equipment delivery and handling - August 2018 Amount: $62.50 Component Description: Transport of Reach Forklift up mountain Amount: $40.83 Component Description: Equipment delivery and handling - September 2018 Amount: $99.16 Component Description: Forklift rental 05/14/18 - 08/06/18 Amount: $1,553.69 Component Description: Equipment delivery and handling - June 2018 - KUCW radio parts Amount: $562.50 Component Description: Reach lift man basket rental from 08/06/18 to 10/01/18 Amount: $176.98 Component Description: Equipment delivery and handling - December 2018 Amount: $28.33 Component Description: Equipment delivery and handling - June 2018 - KUCW radio parts Amount: $562.50 Component Description: Equipment handling and transportation - July 2018 Amount: $899.58 Component Description: Equipment delivery and handling - May 2018 - Group and station specific handling Amount: $425.00 Component Description: Equipment delivery and handling - December 2017 Amount: $100.00 Component Description: Equipment delivery and handling - June 2018 -DTV Group radio parts Amount: $100.00 Component Description: Equipment delivery and handling - May 2018 - antenna combining system Amount: $68.75 Component Description: Reach lift man basket rental from 05/14/18 - 08/06/18. Amount requested updated. Amount: $264.97 Component Description: Invoice from KSL for payment of Howe Rental invoices for forklift rental 10/17/17 - 11/14/17 and 11/14/17 - 12/12/17. Amount: $955.98 Component Description: Forklift equipment rental 09/19/17 - 10/17/17 Amount: $503.82 Component Description: Equipment handling and transportation - July 2018 Amount: $70.83 Component Description: Equipment delivery and handling - Antenna Equipment Amount: $28.33 Component Description: Equipment delivery and handling - May 2018 - antenna combining system Amount: $68.75 Component Description: Equipment handling and transportation - radio parts - split between KTVX & KUCW Amount: $225.00 Component Description: Equipment delivery and handling - February 2018 Amount: $14.16 Component Description: Equipment delivery and handling - September 2017 Amount: $70.83 Component Description: Equipment delivery and handling - November 2017 Amount: $56.66
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: Station specific hauling and removal of equipment and debris - KUCW Amount: $1,650.00 Component Description: Station specific hauling and removal of equipment and debris - KUCW Amount: $900.00 Component Description: Station specific hauling and removal of equipment and debris - KUCW Amount: $900.00 Component Description: Hauling and removal of used downtherm equipment Amount: $173.33
FCC Filing Fees - Special Temporary Authorization request	Information not provided.
FCC Filing Fees - Form 2100 minor change CP application	Information not provided.
DTV Medical Facility Notification	Component Description: MVPD Notification Services - Notification of Cable and Satellite MVPD Providers of new RF Channel and Transport Stream Parameters on Repack Channel for KUCW Amount: $2,164.00 Component Description: DTV Notification Service Notification of Medical Facilities for KUCW. Amount: $2,385.00
Equipment Storage	Component Description: Storage pods for on site equipment storage Amount: $1,927.50 Component Description: Warehouse Storage - November 2018 Amount: $308.33 Component Description: Warehouse Storage - December 2017 Amount: $187.50 Component Description: Warehouse Storage - May 2018 Amount: $187.50 Component Description: Warehouse Storage - September 2018 Amount: $308.33 Component Description: Warehouse Storage - October 2017 Amount: $187.50 Component Description: Warehouse Storage - March 2018 Amount: $187.50 Component Description: Warehouse Storage - October 2018 Amount: $308.33 Component Description: Warehouse Storage - June 2018 Amount: $308.33 Component Description: Pallet jack Amount: $139.68 Component Description: Warehouse Storage - February 2018 Amount: $187.50 Component Description: Warehouse Storage - November 2017 Amount: $187.50 Component Description: Warehouse Storage - January 2018 Amount: $187.50 Component Description: Labor to set storage containers on site Amount: $33.33 Component Description: Warehouse Storage - April 2018 Amount: $187.50 Component Description: Warehouse Storage - May 2018 rental price increase Amount: $120.83 Component Description: Warehouse Storage - August 2018 Amount: $308.33 Component Description: Warehouse Storage - Sept 2017 Amount: $187.50 Component Description: Warehouse Storage - July 2018 Amount: $308.33
Non-zoning permits	Information not provided.
FCC Filing Fees - Form 2100 license to cover application	Information not provided.

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$4,400,966.82	$2,560,510.16	$1,755,763.88

Reimbursement Status

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

Certification

Section	Question	Response
Submission of Estimated Expenses Statements	WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.
The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD). The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Christine Reilly VP & Associate General Counsel 08/26/2022

Section

Question

Response

Submission of Estimated Expenses Statements

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

The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Christine Reilly

VP & Associate General Counsel

08/26/2022

Certification

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).
The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (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) . The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a 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.	Christine Reilly VP & Associate General Counsel 08/26/2022

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).

The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (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) .
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a 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.

Christine Reilly

VP & Associate General Counsel

08/26/2022

Certification

Section	Question	Response
Submission of Final Allocation or Accounting Information Statements	WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.
The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Christine Reilly VP & Associate General Counsel 08/26/2022

Section

Question

Response

Submission of Final Allocation or Accounting Information Statements

The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Christine Reilly

VP & Associate General Counsel

08/26/2022

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

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Interim Transmitter

New Transmitter Costs

Interim Transmitter

Other Transmitter Costs

Interim Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

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

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Transmission Line

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Other Types of Users

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components