Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
CHANNEL 49 ACQUISITION CORPORATION Doing Business As: CHANNEL 49 ACQUISITION CORPORATION |
150 Fayetteville Street Suite 1700 Raleigh, NC 27602 United States |
+1 (919) 839-0300 | cramsey@brookspierce.com | Corporation |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Bob Pectelidis Director of Engineering CHANNEL 49 ACQUISITION CORPORATION |
Bob Pectelidis 3914 Wistar Road Richmond, VA 23228 United States |
+1 (804) 672-6565 | bob@lockwoodbroadcast.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 | See attached |
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 | Auxiliary (Backup) | |
Description of Use | Backup | |
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 | DT830A | |
Year | 2003 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | .5 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Auxiliary (Backup) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | EC701HP-BB | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | .8 kW | |
Justification for New Transmitter | Axcera has been unable to provide a quote to retune to date. 800W is the smallest transmitter Comark makes. See attached transition plan. |
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 |
---|---|---|
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 | Classic Innovator VISIONARY IOT DT | |
Year | 2006 | |
Type | Inductive Output Tube | |
IOT Power Type | Two | |
Power Capacity | 50 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Manufacturer | ||
Model | THU9-48 Evo | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 67 kW | |
Justification for New Transmitter | Existing transmitter re tune unsupported. See attached. Cost of replacement Tube transmitter exceeds Solid State. See attached. Also requires 8th order filter to protect land-mobile See attached statement. |
Section | Question | Response |
---|---|---|
Electrical Service | Service Entrance (3 phases 800A 208V) | Yes |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | Yes | |
Power | 150 kVA | |
Rigid Conduit and Wiring | Yes | |
Size | 2 inches | |
Length | 400.0 feet | |
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 |
Name | Description |
---|---|
Concrete Slab and Ice Bridge |
Slab for Heat exchanger |
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 | 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: | 1000.0 kW | |
Manufacturer | ||
Model | TFU-32DSB-R O3 | |
Year | 2006 |
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 | 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: | 811.0 kW | |
Manufacturer | ||
Model | ATW30H3-HTO-17H | |
Year | 2020 | |
Justification for New Antenna | Current Antenna wont support new frequency |
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? | Yes |
Broadband or Single Channel? | Single Channel | |
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? | Yes |
Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
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 | 19 1/2 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 1385 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 | 19 1/2 inches | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 1390 feet per run | |
Justification for New Transmission Line | See attached transition plan |
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 | Modify Existing |
Tower Use | Primary (Main) | |
Description of Use | N/A | |
Ownership | Owned | |
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 | 1011425 | |
Coordinates (NAD83) | Latitude (NAD83) | 34° 21' 34.0" N- |
Longitude (NAD83) | 096° 33' 35.0" W- | |
Overall Structure Height | 1458.32 feet | |
Support Structure Height | 1350.38 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 880.24 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | KTEN TELEVISION LIMITED PARTNERSHIP DBA = KTEN TV | |
Date Constructed | 09/01/1984 |
Section | Question | Response |
---|---|---|
Engineering Study | Please what type of engineering study is required, if any: | Study needed for undocumented/poorly documented tower |
Tower Reinforcements | Please select whether tower reinforcements are needed: | Major Reinforcements needed |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 695 | |
Explanation | Expenses for experienced RF consultant to layout and assist with project management and Widelity Strategic Hours | |
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 | 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 |
Name | Description |
---|---|
Additional Repack Legal Services Not Otherwise Specified in Form 399 |
Non-Catalog Legal Services such as review of quarterly transition status reports and other miscellaneous non-catalog legal fees. |
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 | No |
Non-zoning permits | No | |
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)? | 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 |
---|---|
Site survey |
Initial assessment and cad drawing of existing facilities |
Site Preperation |
reworking of existing interior rf system |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $1,565,253.00 | $1,651,552.80 | N/A | $1,307,854.52 | N/A |
Total for all systems | $2,995,880.75 | $3,034,465.55 | N/A | $1,437,010.27 | N/A |
Primary Transmitter THU9-48 Evo | $1,498,303.00 | $1,584,602.80 | $1,307,854.52 | ||
Service entrance 3 phase/800 amp/208 volt | $14,400.00 | $102,349.80 | Farris Electric Invoice E19-001 | $102,349.80 | N/A |
2" Rigid Conduit and Wiring (Cost per foot) | $10,400.00 | $10,000.00 | N/A | N/A | N/A |
UHF - Liquid Cooled Solid State Transmitter 67 kW | $1,433,793.00 | $1,433,793.00 | per Rohde Schwarz Quote 135710.1 and KTEN Rohde & Schwarz Primary Transmitter Installation Summary | $1,177,094.72 | N/A |
Transformer 3 phase/480v - 150 KVA | $25,550.00 | $24,300.00 | N/A | $14,250.00 | N/A |
Concrete Slab and Ice Bridge | $14,160.00 | $14,160.00 | see Estimated Cost Justification KTEN-110-1st Primary Transmitter - Concrete Slab and Ice Bridge v0 | $14,160.00 | N/A |
Auxiliary Transmitter EC701HP-BB | $66,950.00 | $66,950.00 | $0.00 | ||
UHF - Air Cooled Solid State Transmitter .8 kW | $66,950.00 | $66,950.00 | Quote is attached. | N/A | N/A |
Actual Information Description | File Name |
---|---|
Service entrance 3 phase/800 amp/208 volt | |
2" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
UHF - Liquid Cooled Solid State Transmitter 67 kW | |
Transformer 3 phase/480v - 150 KVA | |
Concrete Slab and Ice Bridge | |
UHF - Air Cooled Solid State Transmitter .8 kW | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $254,680.00 | $252,600.00 | N/A | $0.00 | N/A |
Total for all systems | $2,995,880.75 | $3,034,465.55 | N/A | $1,437,010.27 | N/A |
Primary Antenna ATW30H3-HTO-17H | $254,680.00 | $252,600.00 | $0.00 | ||
Side mount brackets for high power antennas (if not included in antenna base cost) | $23,150.00 | $22,000.00 | N/A | N/A | N/A |
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed) | $12,300.00 | $11,700.00 | N/A | N/A | N/A |
UHF - High Power, Side Mount, basic slot antenna, 811 kW input, horizontally polarized | $212,500.00 | $212,500.00 | N/A | N/A | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $280,780.00 | $266,880.00 | N/A | $310.02 | N/A |
Total for all systems | $2,995,880.75 | $3,034,465.55 | N/A | $1,437,010.27 | N/A |
Primary Transmission Line | $280,780.00 | $266,880.00 | $310.02 | ||
Rigid Transmission Line - copper, 6 1/8" | $280,780.00 | $266,880.00 | N/A | $310.02 | N/A |
Actual Information Description | File Name |
---|---|
Rigid Transmission Line - copper, 6 1/8" |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $670,125.00 | $644,585.00 | N/A | $58,840.00 | N/A |
Total for all systems | $2,995,880.75 | $3,034,465.55 | N/A | $1,437,010.27 | N/A |
Primary Tower TOWER | $670,125.00 | $644,585.00 | $58,840.00 | ||
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study | $26,300.00 | $32,260.00 | Structural estimate includes geotech and mapping. See attached cost estimate | $23,515.00 | N/A |
Tower Load Study | $12,325.00 | $12,325.00 | Please see ERI Invoice 52560 | $12,325.00 | N/A |
Tall Tower (greater than 500') | $210,500.00 | $200,000.00 | N/A | $23,000.00 | N/A |
Major tower reinforcement/modifications | $421,000.00 | $400,000.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study | |
Tower Load Study | |
Tall Tower (greater than 500') | |
Major tower reinforcement/modifications | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $145,520.00 | $148,425.00 | N/A | $59,677.59 | N/A |
Total for all systems | $2,995,880.75 | $3,034,465.55 | N/A | $1,437,010.27 | N/A |
Outside Professional Services | $145,520.00 | $148,425.00 | $59,677.59 | ||
Project management of the transition | $109,810.00 | $114,675.00 | KTEN Widelity Strategic Support Quote | $48,082.32 | N/A |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | N/A | $4,679.17 | N/A |
Prepare and or review reimbursement form | $2,630.00 | $2,500.00 | N/A | $1,544.20 | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,500.00 | N/A | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | $1,750.00 | 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 | N/A | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | $2,090.30 | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $2,250.00 | N/A | N/A | N/A |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $3,500.00 | N/A | N/A | N/A |
Additional Repack Legal Services Not Otherwise Specified in Form 399 | $5,000.00 | $5,000.00 | N/A | $1,531.60 | N/A |
Actual Information Description | File Name |
---|---|
Project management of the transition | |
Perform engineering study for new channel assignment and antenna development | |
Prepare and or review reimbursement form | |
Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
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 | Information not provided. |
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 - Prepare and File request for Special Temporary Authorization | Information not provided. |
Additional Repack Legal Services Not Otherwise Specified in Form 399 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $79,522.75 | $70,422.75 | N/A | $8,168.14 | N/A |
Total for all systems | $2,995,880.75 | $3,034,465.55 | N/A | $1,437,010.27 | N/A |
Other Expenses | $79,522.75 | $70,422.75 | $8,168.14 | ||
Equipment Delivery and Handling Charges | $15,000.00 | $15,000.00 | see attached transition plan | $5,189.39 | N/A |
DTV Medical Facility Notification | $11,550.00 | $2,450.00 | see attached quote | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $30,000.00 | $30,000.00 | see attached transition plan | $800.00 | N/A |
Site Preperation | $8,000.00 | $8,000.00 | See attached transition plan | N/A | N/A |
Site survey | $6,794.00 | $6,794.00 | See attached transition plan | $0.00 | N/A |
MVPD Notification of Channel Change | $1,000.00 | $1,000.00 | see attached transition plan | N/A | N/A |
Develop and air announcement of upcoming channel change | $5,000.00 | $5,000.00 | see attached transition plan | N/A | N/A |
Equipment Storage | $2,178.75 | $2,178.75 | KTEN-TV Justification Other Expenses - Equipment Storage v1 | $2,178.75 | N/A |
Actual Information Description | File Name |
---|---|
Equipment Delivery and Handling Charges | |
DTV Medical Facility Notification | Information not provided. |
Disposal Costs (for equipment and other waste, net of any salvage value) | |
Site Preperation | |
Site survey | |
MVPD Notification of Channel Change | Information not provided. |
Develop and air announcement of upcoming channel change | Information not provided. |
Equipment Storage |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $2,995,880.75 | $3,034,465.55 | $1,437,010.27 |
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. | Bob Pectelidis Director of Corporate Engineering 09/18/2019 |
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. | Bob Pectelidis Director of Corporate Engineering 09/18/2019 |