Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
KTV MEDIA, LLC Doing Business As: KTV MEDIA, LLC |
Larry Morton PO Box Suite 300-267 Little Rock, AR 72223 United States |
+1 (501) 476-1507 | EQUITYLEM@GMAIL.COM | Limited Liability Company |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
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Applicant | Address | Phone | |
---|---|---|---|
Lindsey McGough Lori E Withrow, P.L.L.C. |
Lindsey McGough 12410 Cantrell Rd. LIttle Rock, AR 72223 United States |
+1 (501) 227-2000 | lmcgough@allenwithrow.com |
Question | Response |
---|---|
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. | No |
Briefly describe transition plan | This application is to convert Channel 33 to Channel 24. See attached detailed description. |
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) | |
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 | AT71-500 | |
Year | 2010 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | .5 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Manufacturer | ||
Model | TRN-5X-U-36D-C | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 1.1 kW | |
Justification for New Transmitter | Additional power required to achieve the authorized ERP. See attached project description. |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | No | |
Power | N/A | |
Rigid Conduit and Wiring | No | |
Size | N/A | |
Length | N/A | |
Other Electrical Service | No | |
Description | N/A | |
HVAC Service | Does the replacement transmitter require HVAC Service? | No |
Type | N/A | |
Size | N/A | |
Other Size | N/A | |
Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
Size | N/A | |
Channel 14 Costs | Is an RF Consulting Engineer needed? | N/A |
Is a channel 14 Mask Filer needed? | N/A | |
Is additional field engineering time needed? | N/A | |
Number of Days | N/A |
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) | |
Description of Use | N/A | |
Ownership | Owned | |
Owner | N/A | |
Site | N/A | |
Is the existing antenna shared with another station or stations? | No | |
Is the existing antenna directional? | Yes | |
Is antenna in operating condition? | Yes | |
Is antenna located on or in close proximity to an antenna farm? | No | |
Existing Antenna Manufacturer and Type | Class | Class A |
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
Number of Stations Supported | N/A | |
Number of Panels | N/A | |
Design power capacity in use | N/A | |
Lower Limit | N/A | |
Upper Limit | N/A | |
Other Antenna Type | N/A | |
ERP: | 2.0 kW | |
Manufacturer | ||
Model | JA/LS-GB-24 | |
Year | 2000 |
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? | No | |
Is antenna directional? | No | |
Will antenna be located on or in close proximity to an antenna farm? | Yes | |
New Antenna Manufacturer and Types | Class | Class A |
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
Number of Stations Supported | N/A | |
Number of Panels/Bays | N/A | |
Lower Limit | N/A | |
Upper Limit | N/A | |
Design power capacity in use | N/A | |
Other Antenna Type | N/A | |
ERP: | 2.0 kW | |
Manufacturer | ||
Model | SWEDL12OI/24 EP | |
Year | 2017 | |
Justification for New Antenna | Antenna required for the pattern specified by the FCC in the Minor Modification. New antenna is 12 bays and is a "down grade" from both the existing and proposed antennas as part of a $147,000 cost reduction plan. See KKAF Construction Changes Memo |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | No |
Type | ||
Number of channels supported | N/A | |
Frequencies of channels supported | N/A | |
Frequency | N/A | |
Do you need a combiner output splitter/switcher for dual feed lines? | N/A | |
Elbow Complex | Do you require the separate purchase of the Elbow Complex? | No |
Broadband or Single Channel? | N/A | |
Feed Line Size | N/A | |
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 |
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) | |
Description of Use | N/A | |
Ownership | Owned | |
Owner | N/A | |
Site | N/A | |
Is the existing transmission line shared with another station or stations? | No | |
Is Transmission Line in operating condition? | Yes | |
Existing Transmission Line Manufacturer and Type | Manufacturer | |
Type | Flexible Air | |
Diameter | 1 5/8 inches | |
Other Diameter | N/A | |
Segment Length | N/A | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 250 feet per run |
Section | Question | Response |
---|---|---|
New Transmission Line Costs | Use | Primary (Main) |
Description of Use | N/A | |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Type | Flexible Air | |
Diameter | Other | |
Other Diameter | 1 5/8 inches | |
Segment Length | N/A | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 325 feet per run | |
Justification for New Transmission Line | Line to move to the new site. Reduced the currently approved line from 2 1/4" air to 1 5/8" foam as part of a $147,000 cost reduction plan. See KKAF Construction Changes & Reimbursement Request #2 |
Name | Description |
---|---|
Connectors and Dehydrator |
Connectors not otherwise included and a dehydrator for the line |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
Section | Question | Response |
---|---|---|
Existing Tower Description | Type of change | Move Equipment |
Tower Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Leased | |
Is this tower consider Complex? | No | |
Is this tower currently shared with any other stations? | No | |
One or more FM, AM or TV radio broadcaster(s) | N/A | |
Others Types of Users | N/A | |
Is tower documented for structural analysis? | Unknown | |
Is tower compliant with Rev G? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1038001 | |
Coordinates (NAD83) | Latitude (NAD83) | 36° 09' 07.0" N- |
Longitude (NAD83) | 094° 30' 56.0" W- | |
Overall Structure Height | 288.05 feet | |
Support Structure Height | 270.01 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 1199.13 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | Arklahoma Broadcast & Communiation Towers, LLC | |
Date Constructed | 06/17/1991 |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Name | Description |
---|---|
Tower Mapping Costs |
To map the tower if tower owner requires |
Rigging to hang antenna and line |
Cost to hang the line and antenna and to dispose of the old antenna |
Tower Reinforcement |
Estimated cost to reinforce the tower if mapping study require this. |
Set Up RF andIP Connection at the new site |
Cost to set up connection to master control at the new site. |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 70 | |
Explanation | We do not have a construction engineer on staff and must outsource the planning and construction of this re-build. Travel expenses will be added to these costs. | |
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 | 1 | |
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 | 1 | |
NEPA Section 106 environmental review | No | |
Environmental Assessment | No | |
ASR Modification | No | |
FAA Consultation (including preparation of FAA Form 7460) | No | |
Negotiation of Lease and other Matter for Shared Locations | Yes | |
Prepare or Review FCC Form 399 for Reimbursement | Yes | |
Address transition timing and coordination issues w/ other stations and wireless providers | Yes | |
RF Field Engineering Services | Comprehensive coverage verification via field study | Yes |
RF exposure measurements | No | |
Additional Field Engineering Service | Yes | |
Number of Days | 4 | |
Justification | To fully check out the transmitter and the antenna. Two days for interim site and two days for primary site. |
Name | Description |
---|---|
Travel Expenses |
Reimbursement for third party consultant travel expenses. See Attached Travel Memo. |
Section | Question | Response |
---|---|---|
AM Pattern Disturbance | Is an Impact Study needed? | No |
Is Remediation needed? | No | |
Facility Expenses | Name | N/A |
Other Distributed Transmission System Expenses Not listed | N/A | |
Name | N/A | |
Is Notification of a Medical Facility required as a result of DTV broadcasting? | Yes | |
Permit and Filing Costs | Local Zoning | Yes |
Non-zoning permits | No | |
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 |
Name | Description |
---|---|
Sales Tax |
Arkansas or other state sales tax. See attached Sales Tax Memo. |
Construction Financing |
Estimated interest on the construction loan. See attached Construction Loan Memo. |
Contingency |
Allowance for unexpected items not included in the projections and cost increases during the production - 3%. See attached Contingency Memo. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $126,000.00 | $63,170.00 | N/A | $54,795.00 | N/A |
Total for all systems | $515,490.45 | $247,238.45 | N/A | $113,806.83 | N/A |
Primary Transmitter TRN-5X-U-36D-C | $126,000.00 | $63,170.00 | $54,795.00 | ||
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $126,000.00 | $63,170.00 | N/A | $54,795.00 | The invoice represents the total for 2 stations that bought the exact same transmitters. The vendor is accepting 4 installment payments to help match costs to reimbursements. |
Actual Information Description | File Name |
---|---|
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $59,330.00 | $23,352.00 | N/A | $18,352.00 | N/A |
Total for all systems | $515,490.45 | $247,238.45 | N/A | $113,806.83 | N/A |
Primary Antenna SWEDL12OI/24 EP | $59,330.00 | $23,352.00 | $18,352.00 | ||
Sweep test of existing antenna | $6,730.00 | $5,000.00 | N/A | N/A | N/A |
UHF - Lower Power Side Mount, Class A One Station antenna -- basic | $26,300.00 | $0.00 | costs entered on a different line item | N/A | N/A |
UHF - Lower Power Side Mount, Class A One Station antenna -- basic | $26,300.00 | $18,352.00 | ***System Notice: Estimate adjusted and locked because line has been superseded.*** | $18,352.00 | N/A |
Actual Information Description | File Name |
---|---|
Sweep test of existing antenna | Information not provided. |
UHF - Lower Power Side Mount, Class A One Station antenna -- basic | Information not provided. |
UHF - Lower Power Side Mount, Class A One Station antenna -- basic |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $13,452.11 | $6,003.11 | N/A | $4,909.83 | N/A |
Total for all systems | $515,490.45 | $247,238.45 | N/A | $113,806.83 | N/A |
Primary Transmission Line | $13,452.11 | $6,003.11 | $4,909.83 | ||
Flexible Air Transmission Line - dielectric, 1 5/8" | $10,725.00 | $3,276.00 | Line portion of the cost.. See SWR Invoice 17461 Revised.PDFfor the increase explanation. | $2,854.80 | KKAF Construction Changes & Reimbursement #2 Memo |
Connectors and Dehydrator | $2,727.11 | $2,727.11 | We filed a minor modification, eliminating the Interim site as part of a $147,000 cost reduction plan. With foam line no dehydrator was required. See attached SWR Invoice 17461 Revised.PDF. | $2,055.03 | KKAF Construction Changes & Reimbursement #2 Memo |
Actual Information Description | File Name |
---|---|
Flexible Air Transmission Line - dielectric, 1 5/8" | |
Connectors and Dehydrator |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $112,200.00 | $28,000.00 | N/A | $15,000.00 | N/A |
Total for all systems | $515,490.45 | $247,238.45 | N/A | $113,806.83 | N/A |
Primary Tower TOWER | $112,200.00 | $28,000.00 | $15,000.00 | ||
Rigging to hang antenna and line | $25,000.00 | $25,000.00 | Reduced costs are part of a $147,000 cost reduction plan. See KKAF Construction Changes Memo | $15,000.00 | KKAF Construction Changes & Reimbursement #2 Memo |
Set Up RF andIP Connection at the new site | $3,000.00 | $3,000.00 | We originally had these set up at the interim site but will need them at the New Site. See KKAF Construction Changes & Reimbursement #2 Memo | $0.00 | N/A |
Short Tower (less than 500') | $84,200.00 | $0.00 | N/A | N/A | N/A |
Tower Reinforcement | $0.00 | $0.00 | Eliminated Interim site as part of a $147,000 cost reduction plan. See KKAF Construction Changes Memo | $0.00 | Eliminated Interim site as part of a $147,000 cost reduction plan. See KKAF Construction Changes Memo |
Tower Mapping Costs | $0.00 | $0.00 | Eliminated Interim site as part of a $147,000 cost reduction plan. See KKAF Construction Changes Memo | $0.00 | Eliminated Interim site as part of a $147,000 cost reduction plan. See KKAF Construction Changes Memo |
Actual Information Description | File Name |
---|---|
Rigging to hang antenna and line | |
Set Up RF andIP Connection at the new site | |
Short Tower (less than 500') | Information not provided. |
Tower Reinforcement | Information not provided. |
Tower Mapping Costs | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $137,180.00 | $64,250.00 | N/A | $20,750.00 | N/A |
Total for all systems | $515,490.45 | $247,238.45 | N/A | $113,806.83 | N/A |
Outside Professional Services | $137,180.00 | $64,250.00 | $20,750.00 | ||
Prepare and or review reimbursement form | $2,630.00 | $2,500.00 | N/A | $2,500.00 | N/A |
Travel Expenses | $3,000.00 | $3,000.00 | Reimbursement for third party consultants travel expenses. See attached Travel Memo. | N/A | N/A |
Project management of the transition | $11,060.00 | $7,000.00 | N/A | N/A | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,000.00 | N/A | N/A | N/A |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | N/A | $7,000.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | $3,000.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $1,500.00 | N/A | N/A | N/A |
Prepare request for Special Temporary Authorization | $2,050.00 | $1,500.00 | N/A | $1,500.00 | KKAF Construction Changes & Reimbursement #2 Memo |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $4,250.00 | N/A | $4,250.00 | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $2,000.00 | N/A | N/A | N/A |
Attorney Fees - Negotiation of lease and other matters for shared locations | $4,210.00 | $4,000.00 | if required | N/A | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $2,500.00 | N/A | $2,500.00 | KKAF Construction Changes & Reimbursement #2 Memo |
Comprehensive coverage verification via field study, if needed | $84,200.00 | $20,000.00 | N/A | N/A | N/A |
Additional Field Engineering Service, 4 Days | $4,000.00 | $4,000.00 | 4 days of field work at the two sites to verify completion per the plans (2 people 1 day at each site) | N/A | N/A |
Actual Information Description | File Name |
---|---|
Prepare and or review reimbursement form | |
Travel Expenses | Information not provided. |
Project management of the transition | Information not provided. |
Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
Perform engineering study for new channel assignment and antenna development | |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare request for Special Temporary Authorization | |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
Attorney Fees - Negotiation of lease and other matters for shared locations | Information not provided. |
Attorney Fees - Prepare and File request for Special Temporary Authorization | |
Comprehensive coverage verification via field study, if needed | Information not provided. |
Additional Field Engineering Service, 4 Days | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $67,328.34 | $62,463.34 | N/A | $0.00 | N/A |
Total for all systems | $515,490.45 | $247,238.45 | N/A | $113,806.83 | N/A |
Other Expenses | $67,328.34 | $62,463.34 | $0.00 | ||
Contingency | $11,361.41 | $11,361.41 | Allowance for missed items and cost changes occurring during the construction period. See attached Contingency Memo. | N/A | N/A |
Construction Financing | $2,708.33 | $2,708.33 | Construction loan interest and fees for the project. See attached Construction Loan Memo. | N/A | N/A |
Sales Tax | $25,068.60 | $25,068.60 | Sales taxes for equipment. See Sales Tax Memo. | N/A | N/A |
MVPD Notification of Channel Change | $2,000.00 | $2,000.00 | Cost to notify MVPD in the market | N/A | N/A |
DTV Medical Facility Notification | $11,550.00 | $8,000.00 | if required | N/A | N/A |
FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $0.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $325.00 | N/A | N/A | N/A |
FCC Filing Fees - Special Temporary Authorization request | $195.00 | $0.00 | N/A | N/A | N/A |
Local Zoning | $2,000.00 | $2,000.00 | if required | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $2,000.00 | $2,000.00 | if required | N/A | N/A |
Equipment Delivery and Handling Charges | $5,000.00 | $5,000.00 | Shipping & Handling charges not included in price estimates | $0.00 | N/A |
Equipment Storage | $2,000.00 | $2,000.00 | N/A | N/A | N/A |
Develop and air announcement of upcoming channel change | $2,000.00 | $2,000.00 | Develop announcement of coming channel change. | N/A | N/A |
Actual Information Description | File Name |
---|---|
Contingency | Information not provided. |
Construction Financing | Information not provided. |
Sales Tax | Information not provided. |
MVPD Notification of Channel Change | Information not provided. |
DTV Medical Facility Notification | Information not provided. |
FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
FCC Filing Fees - Special Temporary Authorization request | Information not provided. |
Local Zoning | Information not provided. |
Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
Equipment Delivery and Handling Charges | |
Equipment Storage | Information not provided. |
Develop and air announcement of upcoming channel change | Information not provided. |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $515,490.45 | $247,238.45 | $113,806.83 |
Question | Response |
---|---|
The facility has ceased operating on its pre-auction channel. | No |
Construction of final facilities or all necessary modifications are complete. | No |
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. | No |
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. | LARRY MORTON Manager 03/30/2018 |
Section | Question | Response |
---|---|---|
Submission of Actual Cost Documentation Statements | WILLFUL FALSE, FRAUDULENT, OR FICTITIOUS STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISIONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE AND/OR FRAUDULENT STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT (U.S. CODE, TITLE 31, SECTIONS 3729-3733). |
|
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | LARRY MORTON Manager 03/30/2018 |