Applicant | Address | Phone | Applicant Type | |
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THE GREATER CHATTANOOGA PUBLIC TELEVISION CORP Doing Business As: Greater Chattanooga Public TV |
Bryan Fuqua PO Box 37416 Chattanooga, TN 37416 United States |
+1 (423) 702-7800 | bfuqua@wtcitv.org | Not-for-Profit |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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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 | Build new tower adjacent to the old tower. Install new transmitter / new transmission line / new antenna. Remove old antenna/line from existing tower so WUTC-FM can continue to operate without expenses on old tower. |
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 | Diamond DHD-60 P2 | |
Year | 2002 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 14 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | Maxiva ULXTE-20 | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 12.9 kW | |
Justification for New Transmitter | GatesAir issued a letter to all Diamond CD (as well as other model) transmitter owners dated January 1, 2017 that they would no longer offer channel change services or support in-field channel changes. |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | Yes | |
Power | 150 kVA | |
Rigid Conduit and Wiring | Yes | |
Size | 3 inches | |
Length | 100.0 feet | |
Other Electrical Service | Yes | |
Description | Installation/wiring of 75 KVA transformer and 200 amp switch panel/breakers for GatesAir ULXTE-20 transmitter | |
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? | No | |
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 | Full Power |
Mounting | Top 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: | 160.0 kW | |
Manufacturer | ||
Model | ATW18H6-HTO-29H | |
Year | 2014 |
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? | No | |
New Antenna Manufacturer and Types | Class | Full Power |
Mounting | Top 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: | 181.0 kW | |
Manufacturer | ||
Model | ATW22H4-HTO10-35L | |
Year | 2019 | |
Justification for New Antenna | Main licensed antenna for WTCI. Slotted coaxial antenna can not be re-tuned to re-pack channel. |
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 |
---|---|---|
New Antenna Description | Use | Interim |
Description of Use | N/A | |
Change Type | Purchase New | |
Ownership | Owned | |
Owner | N/A | |
Is antenna shared? | No | |
Is antenna directional? | Yes | |
Will antenna be located on or in close proximity to an antenna farm? | No | |
New Antenna Manufacturer and Type | Class | Full Power |
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: | 31.9 kW | |
Manufacturer | ||
Model | ATW2G150-HSS-35 | |
Year | 2019 | |
Justification for New Antenna | WTCI will not be able to meet September 6th deadline to start operation on final Ch 35 repack facility. ERI's ATW G series emergency/standby antenna is only short lead time antenna available. |
Section | Question | Response |
---|---|---|
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 an antenna? | Yes |
Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
Sweep Test | Do you require the sweep testing of transmission line and antenna? | No |
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 | Rigid | |
Diameter | 6 1/8 inches | |
Other Diameter | N/A | |
Segment Length | Broadband | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 500 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? | No | |
Type | Rigid | |
Diameter | 6 1/8 inches | |
Other Diameter | N/A | |
Segment Length | Broadband | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 500 feet per run | |
Justification for New Transmission Line | Need to install new rigid coax in a new tower in order to repack station. Current tower will not pass EIA-222-G codes and can't be modified to meet new codes. |
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) | |
Description of Use | N/A | |
Ownership | Owned | |
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 | No | |
Is tower documented for structural analysis? | Yes | |
Is tower compliant with Rev G? | No | |
Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
ASR Number | 1042763 | |
Coordinates (NAD83) | Latitude (NAD83) | 35° 12' 26.0" N- |
Longitude (NAD83) | 085° 16' 52.0" W- | |
Overall Structure Height | 493.00 feet | |
Support Structure Height | 448.00 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 2012.00 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | The Greater Chattanooga Public TV Corp | |
Date Constructed | 08/15/1993 |
Facility ID | Call Sign | Service |
---|---|---|
69325 | WUTC | FM |
Section | Question | Response |
---|---|---|
Construct New Tower | Use | Primary (Main) |
Description of Use | N/A | |
Is this a request for upgraded equipment? | No | |
Height | 445.00 feet | |
Justification for New Tower | Tower will not meet current EIA-222-G standard with the repack antenna and can't be modified to meet the EIA-222-G standard. |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | Terrain constrained |
Helicopter Services Required | Are helicopter services required? | No |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | No |
Number of Hours | N/A | |
Explanation | N/A | |
Outside RF consulting Engineering Services | Perform engineering study for new channel assignment and antenna development | No |
Prepare engineering section of Form FCC Construction Permit Application | No | |
For Auxiliary Facility | N/A | |
For Main Facility | N/A | |
Prepare engineering section of Form FCC License to Cover Application | No | |
For Auxiliary Facility | N/A | |
For Main Facility | N/A | |
Prepare request for Special Temporary Authority | No | |
Quantity | N/A | |
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 | No | |
Quantity | N/A | |
NEPA Section 106 environmental review | No | |
Environmental Assessment | No | |
ASR Modification | Yes | |
FAA Consultation (including preparation of FAA Form 7460) | Yes | |
Negotiation of Lease and other Matter for Shared Locations | No | |
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 | No |
RF exposure measurements | No | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
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 | Yes | |
BLM or NFS Coordination | No | |
FCC Construction Permit Minor Change | No | |
FCC License to Cover Application | No | |
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)? | No |
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
Does this relocation require Equipment Storage? | No | |
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? | No | |
Does this relocation require MVPD Notification of a Channel Change? | Yes |
Name | Description |
---|---|
MVPD Notifications |
Notification of cable and Satellite MVPD providers of new RF channel and TS stream parameters. |
Mask Filter |
New Dielectric mask filter on CH 35 to replace CH 29 filter. |
Tower foundation and anchors |
Tower foundations and installation. Drilled pier design in rock. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $534,480.00 | $479,289.03 | N/A | $476,573.48 | N/A |
Total for all systems | $1,772,740.50 | $1,561,769.83 | N/A | $1,116,126.98 | N/A |
Primary Transmitter Maxiva ULXTE-20 | $534,480.00 | $479,289.03 | $476,573.48 | ||
Other Electrical Service: Installation/wiring of 75 KVA transformer and 200 amp switch panel/breakers for GatesAir ULXTE-20 transmitter | $9,230.00 | $9,230.00 | Electrical installation costs for transformer, panels and breakers power GatesAir ULXTE-20 transmitter | $9,230.00 | N/A |
3" Rigid Conduit and Wiring (Cost per foot) | $5,200.00 | $0.00 | Removing this item - can't figure out how to delete from Form 399 | N/A | N/A |
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW | $494,500.00 | $467,343.48 | Updated quote estimate with change orders and actual shipping costs raised total cost from $456,290.47 to $467,343.48. | $467,343.48 | Change order Q-77238 and Q-78300 added $5,140.15. Also freight was estimated at $5,400 and was finally billed at $8,597.32. |
Transformer 3 phase/480v - 150 KVA | $25,550.00 | $2,715.55 | Only need 75 KVA transformer. Priced from GatesAir transmitter quote. | N/A | N/A |
Actual Information Description | File Name |
---|---|
Other Electrical Service: Installation/wiring of 75 KVA transformer and 200 amp switch panel/breakers for GatesAir ULXTE-20 transmitter | |
3" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
UHF - Liquid Cooled Solid State Transmitter 8.2 - 13 kW | |
Transformer 3 phase/480v - 150 KVA | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $298,780.00 | $237,225.00 | N/A | $117,779.48 | N/A |
Total for all systems | $1,772,740.50 | $1,561,769.83 | N/A | $1,116,126.98 | N/A |
Interim Antenna ATW2G150-HSS-35 | $45,050.00 | $27,850.00 | $0.00 | ||
Side mount brackets for high power antennas (if not included in antenna base cost) | $23,150.00 | $5,950.00 | N/A | N/A | N/A |
UHF - High Power, Side Mount, basic slot antenna, 32 kW input, directional,, horizontally polarized | $21,900.00 | $21,900.00 | N/A | $0.00 | N/A |
Primary Antenna ATW22H4-HTO10-35L | $253,730.00 | $209,375.00 | $117,779.48 | ||
Sweep test of existing antenna | $6,730.00 | $6,250.00 | Should be labeled 'System Sweep' for new antenna and line but I can't figure out how to change description. | $6,250.00 | N/A |
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized | $247,000.00 | $203,125.00 | N/A | $111,529.48 | N/A |
Actual Information Description | File Name |
---|---|
Side mount brackets for high power antennas (if not included in antenna base cost) | Information not provided. |
UHF - High Power, Side Mount, basic slot antenna, 32 kW input, directional,, horizontally polarized | Information not provided. |
Sweep test of existing antenna | |
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $116,000.00 | $105,595.70 | N/A | $105,595.70 | N/A |
Total for all systems | $1,772,740.50 | $1,561,769.83 | N/A | $1,116,126.98 | N/A |
Primary Transmission Line | $116,000.00 | $105,595.70 | $105,595.70 | ||
Rigid Transmission Line - copper, 6 1/8" broadband | $116,000.00 | $105,595.70 | Additional adapters needed to interface to mask filter and existing dummy load raised the initial estimate of $95,000 to the quoted $105,595.70 | $105,595.70 | N/A |
Actual Information Description | File Name |
---|---|
Rigid Transmission Line - copper, 6 1/8" broadband |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $628,770.00 | $561,320.00 | N/A | $274,486.00 | N/A |
Total for all systems | $1,772,740.50 | $1,561,769.83 | N/A | $1,116,126.98 | N/A |
Primary Tower TOWER | $0.00 | $0.00 | $0.00 | ||
Primary Tower | $628,770.00 | $561,320.00 | $274,486.00 | ||
New tower | $195,170.00 | $195,170.00 | Tower sections, waveguide bridge, guy wire hardware, and red obstruction lighting combined. Updated price after site visit by Quality Tower Services/Rohn. | $156,136.00 | N/A |
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) | $421,000.00 | $363,650.00 | Cost to take down 250 ft tower and install new 440' tower in its old footprint as site is very space constrained. Change Order 1 is for denser rock encountered and drastically increased drilling costs. | $115,850.00 | N/A |
Structural engineering tower load study for well documented tower | $12,600.00 | $2,500.00 | ***System Notice: Estimate adjusted and locked because line has been superseded.*** | $2,500.00 | N/A |
Actual Information Description | File Name |
---|---|
New tower | |
Complex Tower (includes, for example, those with candelabras and/or stacked antennas) | |
Structural engineering tower load study for well documented tower |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $17,095.00 | $9,150.00 | N/A | $5,425.00 | N/A |
Total for all systems | $1,772,740.50 | $1,561,769.83 | N/A | $1,116,126.98 | N/A |
Outside Professional Services | $17,095.00 | $9,150.00 | $5,425.00 | ||
ASR modification (prepare FCC Form 854) | $2,105.00 | $1,000.00 | N/A | N/A | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $4,000.00 | N/A | $5,425.00 | Tower construction issues have forced WTCI to apply for CP extension and STA status for getting on Channel 35 before deadline with temporary facilities and interim antenna. |
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase | $2,105.00 | $1,000.00 | N/A | N/A | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $1,150.00 | N/A | N/A | N/A |
Prepare and or review reimbursement form | $2,630.00 | $1,000.00 | N/A | N/A | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $1,000.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
ASR modification (prepare FCC Form 854) | Information not provided. |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase | Information not provided. |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare and or review reimbursement form | Information not provided. |
Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $177,615.50 | $169,190.10 | N/A | $136,267.32 | N/A |
Total for all systems | $1,772,740.50 | $1,561,769.83 | N/A | $1,116,126.98 | N/A |
Other Expenses | $177,615.50 | $169,190.10 | $136,267.32 | ||
Mask Filter | $24,830.25 | $24,830.25 | Dielectric UT6E-16W-30K mask filter and couplers | $26,050.09 | Freight costs were not included in original quote. Additional cost is due to freight charges, |
MVPD Notifications | $2,435.25 | $2,435.25 | N/A | $2,435.25 | Quote has not changed - dated April 19, 2018. Don't know why the amount on Form 399 request was lower. |
Equipment Delivery and Handling Charges | $6,000.00 | $6,000.00 | Delivery charges for antenna and transmission line are unknown at this time. | N/A | N/A |
Non-zoning permits | $2,000.00 | $2,000.00 | Building permits are based on actual construction costs which are unknown at this time. | $2,417.38 | Charges included $1,820.00 for actual permits, $534.00 for Plans Review, $6.95 for permit signage, and $56.43 in service fees which the contractor just passed on to WTCI (65667). |
MVPD Notification of Channel Change | $1,000.00 | $1,000.00 | N/A | N/A | N/A |
Tower foundation and anchors | $127,800.00 | $127,800.00 | I-beam anchors, pier pin, freight, and installation of of drilled pier foundations. Updated price after site visit by Quality Tower Services/Rohn. | $102,240.00 | N/A |
DTV Medical Facility Notification | $11,550.00 | $3,124.60 | N/A | $3,124.60 | N/A |
Local Zoning | $2,000.00 | $2,000.00 | Zoning fees are unknown at this time. | N/A | N/A |
Actual Information Description | File Name |
---|---|
Mask Filter | |
MVPD Notifications | |
Equipment Delivery and Handling Charges | Information not provided. |
Non-zoning permits | |
MVPD Notification of Channel Change | Information not provided. |
Tower foundation and anchors | |
DTV Medical Facility Notification | |
Local Zoning | Information not provided. |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $1,772,740.50 | $1,561,769.83 | $1,116,126.98 |
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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Bryan D Fuqua , Fuqua . interim President and CEO 08/22/2019 |