| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
WORD TEXAS BROADCASTING, LLC |
4145 BELT LINE ROAD #212-271 ADDISON, TX 75001 United States |
+1 (502) 964-2121 | tom@wbna21.com | Limited Liability Company |
| 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 | KBPX-LD transitioned in May 2019 from channel 46 to channel 27 and entered into a channel sharing agreement with KQHO-LD. |
| Question | Response |
|---|---|
| Sharee Station Facility ID | 127916 |
| Call Sign | KQHO-LD |
| Type | |
| Licensee Name | WORD TEXAS BROADCASTING, LLC |
| Status | LICENSED |
| DTS | No |
| Community of License | HOUSTON, TX |
| Pre-auction RF Channel | 27 |
| 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 | TRN5X-4D-U-C | |
| Year | 2018 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 1 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-38-C | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 3.3 kW | |
| Justification for New Transmitter | Needed to move transmitter site to achieve comparable coverage from preexisting licensed parameters - new transmitter site required transmitter with more power in order to achieve comparable coverage at new site/elevation |
| 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) | Yes |
| Switchgear (industrial 800 amp) | No | |
| Transformer (480V) | No | |
| Rigid Conduit and Wiring | No | |
| Other Electrical Service | No | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | No |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | Yes |
| Size | 15.0 square feet |
| Name | Description |
|---|---|
Primary Transmitter - Additional Parts |
Primary Transmitter - Additional Parts |
| 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? | Yes | |
| Is the existing antenna directional? | No | |
| Is antenna in operating condition? | Yes | |
| Is antenna located on or in close proximity to an antenna farm? | Yes | |
| Existing Antenna Manufacturer and Type | ||
| Mounting | Top Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Cross Dipole | |
| ERP: | 15.0 kW | |
| Manufacturer | ||
| Model | PHP-80U22211E | |
| Year | 2002 |
| Facility ID | Call Sign |
|---|---|
| 12895 | KETH-TV |
| 24436 | KLTJ |
| 53847 | KXLN-DT |
| 60537 | KFTH-DT |
| 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? | Yes | |
| New Antenna Manufacturer and Types | ||
| Mounting | Top Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Circular | |
| Type | Broadband Panel | |
| Number of Stations Supported | 2 | |
| Number of Panels/Bays | 3 | |
| Lower Limit | 548.00 MHz | |
| Upper Limit | 554.00 MHz | |
| Design power capacity in use | 16.7 % | |
| ERP: | 15.0 kW | |
| Manufacturer | ||
| Model | PSIUP3EC-27-CP | |
| Year | 2019 | |
| Justification for New Antenna | Moved off of ATC tower with Shared antenna and had to purchase new antenna for new transmitter site to use for KBPX-LD and channel sharee KQHO-LD |
| Section | Question | Response |
|---|---|---|
| Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | No |
| Elbow Complex | Do you require the separate purchase of the Elbow Complex? | 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 |
| Power Dividers | Does the panel antenna require power dividers? | Yes |
| Number of Power Dividers | 8 | |
| Cable Harness | Does the panel antenna require cable harness? | No |
| Name | Description |
|---|---|
Primary Antenna - Support Mast |
Primary Antenna - Support Mast |
| 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 | Leased | |
| Is the existing transmission line shared with another station or stations? | Yes | |
| Is Transmission Line in operating condition? | Yes | |
| Existing Transmission Line Manufacturer and Type | Manufacturer | |
| Type | Rigid | |
| Diameter | 8 3/16 inches | |
| Segment Length | 19 3/4 inches | |
| Number of parallel runs | 1 | |
| Length | 1730 feet per run |
| Facility ID | Call Sign |
|---|---|
| 60537 | KFTH-DT |
| 12895 | KETH-TV |
| 24436 | KLTJ |
| 53847 | KXLN-DT |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Type | Flexible Foam | |
| Diameter | 1 5/8 inches | |
| Number of parallel runs | 1 | |
| Length | 225 feet per run | |
| Justification for New Transmission Line | Moved off shared antenna at ATC site, could not bring TX line to new location, needed new TX line. | |
| Interior RF Systems | Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? | No |
| 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 | Construct New |
| Tower Use | Primary (Main) | |
| Ownership | Leased | |
| Is this tower consider Complex? | Candelabra | |
| Is this tower currently shared with any other stations? | Yes | |
| Is tower documented for structural analysis? | Yes | |
| Is tower compliant with Rev G? | Unknown | |
| Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
| ASR Number | 1064696 | |
| Coordinates (NAD83) | Latitude (NAD83) | 29° 34' 16.0" N- |
| Longitude (NAD83) | 095° 30' 38.0" W- | |
| Overall Structure Height | 1973.07 feet | |
| Support Structure Height | 1842.17 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 76.77 feet | |
| Structure Type | GTOWER - Guyed Structure Used for Communication Purposes | |
| Tower Owner | American Towers LLC | |
| Date Constructed | 11/19/2001 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 60537 | KFTH-DT | DTV |
| 53847 | KXLN-DT | DTV |
| 24436 | KLTJ | DTV |
| 12895 | KETH-TV | DTV |
| Section | Question | Response |
|---|---|---|
| Construct New Tower | Use | Primary (Main) |
| Is this a request for upgraded equipment? | No | |
| Height | 1066.00 feet | |
| Justification for New Tower | Channel Change required moving to new location on an existing building from prior ATC tower in order to replicate approximate existing coverage pattern after move from Channel 46 to Channel 27 |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | N/A |
| Helicopter Services Required | Are helicopter services required? | No |
| Name | Description |
|---|---|
Primary Tower - Structural Analysis |
Primary Tower - Structural Analysis |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 194 | |
| Explanation | KBPX-LD requires the aid of outside project management services in order to fulfill the requirements of the repack. KBPX-LD does not have sufficient resource capacity and expertise in-house to handle all the necessary activities. | |
| Outside RF consulting Engineering Services | Perform engineering study for displacement application | Yes |
| Prepare engineering section of Form FCC Construction Permit Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare engineering section of Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | No | |
| Prepare Form 601 | No | |
| 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 | No | |
| Negotiation of Lease and other Matter for Shared Locations | Yes | |
| Prepare or Review FCC Form 399 for Reimbursement | Yes | |
| Form 399 assistance or other program management costs | Yes | |
| RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
| RF exposure measurements | Yes | |
| Additional Field Engineering Service | Yes | |
| Number of Days | 4 | |
| Justification | Supervision of installation of new transmitter and antenna at new rooftop site, field survey measurements for coverage verification |
| Name | Description |
|---|---|
American Tower Corporation Structural Analysis |
Structural Analysis of old tower to determine if KBPX could share antenna with potential repack partner KVVV |
| 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? | Yes | |
| 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 |
| Name | Description |
|---|---|
KQHO CHANNEL SHAREE EXPENSES |
Relocation expenses for KQHO-LD, channel sharee of KBPX-LD |
TV LISTINGS RESEARCH |
Had to hire Gracenote to verify through TV Listings that KBPX was on the air and qualified for repacking. |
INTERNAL PROJECT MGMT |
Internal licensee project management expenses (time based) outside ordinary staff responsibilities. |
IP BASED STL |
Internet based STL from Studio to transmitter used to deliver broadcast feed |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $143,050.00 | $71,622.20 | N/A | $68,379.95 | N/A |
| Total for all systems | $3,342,670.35 | $374,831.21 | N/A | $293,830.66 | N/A |
| Primary Transmitter TRN-5X-U-38-C | $143,050.00 | $71,622.20 | $68,379.95 | ||
| Primary Transmitter - Additional Parts | $11,350.00 | $11,350.00 | Please see KBPX-LD Primary Transmitter - Additional Parts Budget Revision Justification Cover Letter | $11,350.00 | N/A |
| Transmitter Building Site Survey/Installation | $10,000.00 | $12,000.00 | Installation located on 87th floor of commercial building required special techiques and conditions to install using specialized crew that had to travel to install. | $10,670.00 | N/A |
| Service entrance 3 phase/800 amp/208 volt | $14,400.00 | $6,000.00 | N/A | $5,087.75 | N/A |
| UHF - Air Cooled Solid State Transmitter 2.501 - 3.999 kW | $106,300.00 | $41,272.20 | N/A | $41,272.20 | N/A |
| Other -- Building Addition Size: 15.0 | $1,000.00 | $1,000.00 | N/A | $0.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Primary Transmitter - Additional Parts | |
| Transmitter Building Site Survey/Installation | |
| Service entrance 3 phase/800 amp/208 volt | |
| UHF - Air Cooled Solid State Transmitter 2.501 - 3.999 kW | |
| Other -- Building Addition Size: 15.0 | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $40,875.00 | $40,875.00 | N/A | $18,820.00 | N/A |
| Total for all systems | $3,342,670.35 | $374,831.21 | N/A | $293,830.66 | N/A |
| Primary Antenna PSIUP3EC-27-CP | $40,875.00 | $40,875.00 | $18,820.00 | ||
| Primary Antenna - Support Mast | $4,998.00 | $4,998.00 | Please see Propogation Systems, Inc. proposal P20419-DR1 Revised and actual parts on invoice 2006 | $4,998.00 | N/A |
| Power Dividers (each, for panel antenna system, if not included in antenna cost) | $10,400.00 | $10,400.00 | N/A | $0.00 | N/A |
| Sweep test of transmission line and antenna | $5,730.00 | $5,730.00 | N/A | $0.00 | N/A |
| UHF-Low Power, Top Mount, Broadband Panel, 3 bay, 15.0kW input, Circular | $19,747.00 | $19,747.00 | Please see Propagation Systems Invoice #2006.pdf | $13,822.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Primary Antenna - Support Mast | |
| Power Dividers (each, for panel antenna system, if not included in antenna cost) | Information not provided. |
| Sweep test of transmission line and antenna | Information not provided. |
| UHF-Low Power, Top Mount, Broadband Panel, 3 bay, 15.0kW input, Circular |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $5,400.00 | $3,031.58 | N/A | $3,031.58 | N/A |
| Total for all systems | $3,342,670.35 | $374,831.21 | N/A | $293,830.66 | N/A |
| Primary Transmission Line | $5,400.00 | $3,031.58 | $3,031.58 | ||
| Flexible Foam Transmission Line - dielectric, 1 5/8" | $5,400.00 | $3,031.58 | see Propagation Systems, Inc invoice 2006 | $3,031.58 | N/A |
| Actual Information Description | File Name |
|---|---|
| Flexible Foam Transmission Line - dielectric, 1 5/8" |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $2,963,310.00 | $33,980.00 | N/A | $27,171.00 | N/A |
| Total for all systems | $3,342,670.35 | $374,831.21 | N/A | $293,830.66 | N/A |
| Primary Tower GTOWER | $0.00 | $0.00 | $0.00 | ||
| Primary Tower | $2,963,310.00 | $33,980.00 | $27,171.00 | ||
| Tower Rigging Tall Tower (greater than 500') | $157,750.00 | $32,000.00 | N/A | $25,191.00 | N/A |
| New tower between 1000' and 1500' without elevator, presumptive soil conditions | $2,803,580.00 | $0.00 | Not a new tower - mounting on roof of existing building. | $0.00 | N/A |
| Primary Tower - Structural Analysis | $1,980.00 | $1,980.00 | Please see Propogation Systems, Inc. proposal P20419-DR1 Revised | $1,980.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Tower Rigging Tall Tower (greater than 500') | |
| New tower between 1000' and 1500' without elevator, presumptive soil conditions | Information not provided. |
| Primary Tower - Structural Analysis |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $113,697.00 | $148,984.08 | N/A | $121,611.03 | N/A |
| Total for all systems | $3,342,670.35 | $374,831.21 | N/A | $293,830.66 | N/A |
| Outside Professional Services | $113,697.00 | $148,984.08 | $121,611.03 | ||
| American Tower Corporation Structural Analysis | $4,000.00 | $4,000.00 | American Tower Corporation Structural Analysis | $4,000.00 | N/A |
| Additional Field Engineering Service, 4 Days | $10,000.00 | $10,000.00 | 4 days @$2,500.00 per day | $2,072.20 | N/A |
| RF Exposure Measurements | $12,100.00 | $12,100.00 | N/A | $0.00 | N/A |
| Comprehensive coverage verification via field study, if needed | $52,600.00 | $31,500.00 | per Ultranet Wireless LLC Estimate 988 | $31,500.00 | N/A |
| Attorney Fees - Negotiation of lease and other matters for shared locations | $3,262.50 | $3,262.50 | N/A | $2,481.00 | N/A |
| Prepare/ Review 399 reimbursement form | $1,710.00 | $1,893.38 | The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $1,893.38 | N/A |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $1,577.50 | N/A | $453.75 | N/A |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $3,025.00 | N/A | $0.00 | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $1,052.50 | N/A | $0.00 | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $2,102.50 | N/A | $740.00 | N/A |
| Perform engineering study for displacement application | $1,800.00 | $12,886.25 | The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $12,886.25 | N/A |
| Form 399 assistance or other Program Management costs | $0.00 | $0.00 | N/A | $0.00 | N/A |
| Project management of the transition | $20,467.00 | $65,584.45 | Please see KBPX-LD Project Management Budget Revision Justification Letter. The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $65,584.45 | N/A |
| Actual Information Description | File Name |
|---|---|
| American Tower Corporation Structural Analysis | |
| Additional Field Engineering Service, 4 Days | |
| RF Exposure Measurements | Information not provided. |
| Comprehensive coverage verification via field study, if needed | |
| Attorney Fees - Negotiation of lease and other matters for shared locations | |
| Prepare/ Review 399 reimbursement form | |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
| Perform engineering study for displacement application | |
| Form 399 assistance or other Program Management costs | |
| Project management of the transition |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $76,338.35 | $76,338.35 | N/A | $54,817.10 | N/A |
| Total for all systems | $3,342,670.35 | $374,831.21 | N/A | $293,830.66 | N/A |
| Other Expenses | $76,338.35 | $76,338.35 | $54,817.10 | ||
| IP BASED STL | $14,987.20 | $14,987.20 | Please see Estimated Cost Justification KBPX-LD-610-IP Based STL v0 | $14,387.20 | N/A |
| INTERNAL PROJECT MGMT | $29,419.40 | $29,419.40 | Please see Estimated Cost Justification KBPX-LD-610-Internal Project Management v1 | $29,419.40 | N/A |
| TV LISTINGS RESEARCH | $3,000.00 | $3,000.00 | Required costs to verify repack | $2,900.00 | N/A |
| KQHO CHANNEL SHAREE EXPENSES | $4,486.75 | $4,486.75 | Per all RadioTVLaw Associates LLC Invoices submitted | $4,486.75 | N/A |
| Equipment Storage | $5,000.00 | $5,000.00 | N/A | $852.97 | N/A |
| Equipment Delivery and Handling Charges | $10,000.00 | $10,000.00 | N/A | $2,770.78 | N/A |
| Disposal Costs (for equipment and other waste, net of any salvage value) | $8,000.00 | $8,000.00 | removal of TX line and old transmitter from ATC tower site. | $0.00 | N/A |
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | $0.00 | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,110.00 | N/A | $0.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| IP BASED STL | |
| INTERNAL PROJECT MGMT | |
| TV LISTINGS RESEARCH | |
| KQHO CHANNEL SHAREE EXPENSES | |
| Equipment Storage | |
| Equipment Delivery and Handling Charges | |
| Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
| FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
| FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $3,342,670.35 | $374,831.21 | $293,830.66 |
| 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. | Tom Fawbush GM 11/11/2022 |
| 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. | Tom Fawbush GM 11/11/2022 |
