Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
Paul E Knies |
P.O. BOX 1009 JASPER, IN 47547 United States |
+1 (812) 482-2727 | wjts1@DCBROADCASTING.COM | Individual |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
John Neely , Esq . counsel Miller and Neely, PC |
Suite 203 3750 University Blvd., West Kensington, MD 20895 United States |
+1 (301) 933-6304 | johnsneely@yahoo.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 | Transition by Assigned Phase Completion Date |
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 | lu2000 atd | |
Year | 2008 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 2 kW |
Section | Question | Response |
---|---|---|
New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | Yes | |
Manufacturer | ||
Model | ULXTE-6 | |
Transmitter Type | Solid State | |
Solid State Cooling | Liquid Cooled | |
Solid State Power capacity | 4.32 kW | |
Justification for New Transmitter | Repacking from Ch. 18 to 24 results in higher power requirement than permitted by existing Tx maximum capability. |
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 |
Name | Description |
---|---|
Install Material kit |
590.75 |
Plumbing Integrated pump kit |
1838.72 |
Parallel Surge Suppressor |
1726.66 |
Internal High Efficiency Pump Module |
6442.64 |
RF line connection kit |
6314.65 |
7 percent Indiana state use tax on purchase |
11417.78 |
Heat Exhcanger |
4459.95 |
Coolant Transfer charge kit |
308.30 |
ULXT System wiring kit |
590.75 |
Antifreeze Coolant |
247.26 |
Installation Service |
26766.25 |
XTE Exciter with supply of new Digital Mask Filter |
14950.00 |
Coupler |
1375.30 |
shipping |
5000.00 |
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 | 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: | 15.0 kW | |
Manufacturer | ||
Model | ALP12L4-HSO | |
Year | 2008 |
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? | Yes | |
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 | Class A |
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Circular | |
Type | Broadband Slot | |
Number of Stations Supported | 1 | |
Number of Panels/Bays | 12 | |
Lower Limit | 530.00 MHz | |
Upper Limit | 536.00 MHz | |
Design power capacity in use | 100.0 % | |
Other Antenna Type | N/A | |
ERP: | 15.0 kW | |
Manufacturer | ||
Model | ALP12L4-CSO-24 | |
Year | 2017 | |
Justification for New Antenna | change from h-pol to c-pol |
Section | Question | Response |
---|---|---|
Combiner for Shared Antenna | Do you need a Combiner for a Shared Antenna? | |
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 |
Name | Description |
---|---|
ERI - add'l intall hardware |
additional installation hardware |
ERI - antenna installation |
Antenna Installation services |
ERI - Indiana Sales Tax |
Indiana Sales Tax |
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 | Other | |
Other Diameter | 3 1/8 inches | |
Segment Length | N/A | |
Other Segment Length | N/A | |
Number of parallel runs | 1 | |
Length | 10 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 | 3 1/8 inches | |
Other Diameter | N/A | |
Segment Length | Other | |
Other Segment Length | 10 feet | |
Number of parallel runs | 1 | |
Length | 5 feet per run | |
Justification for New Transmission Line | transmitter compatibility |
Section | Question | Response |
---|---|---|
Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | No |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 40 | |
Explanation | contract engineer project manager to supervise and facilitate equipment installation and coordinate equipment suppliers, tower crew, and ready the tx site for channel conversion. $125 per hour | |
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 | 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 | |
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 | 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 | Yes |
RF exposure measurements | No | |
Additional Field Engineering Service | No | |
Number of Days | N/A | |
Justification | N/A |
Name | Description |
---|---|
General Manager |
Bill Potter WJTS General Manager - for project management, gather Form 399 costs, contact with MVPD, assess project needs, public outreach, coord. buildout schedule, coord suppliers/contractors; 80 hours at $25 per hour. |
Part time staff engineer |
Evan Elrod part time WJTS staff engineer labor to remove and dispose old transmitter, services as needed for additional wiring, site preparation, repack project equipment oversight. 60 hours at $25 per hour |
Second Part time staff engineer |
Dave Ferguson part time WJTS staff engineer labor to remove and dispose old transmitter, services as needed for additional wiring, site preparation, repack project equipment oversight. 40 hours at $25 per hour |
Station Owner |
Paul Knies station owner - for project management, contact with MVPD, assisting counsel to prepare forms 399, 1876 and 2100, identify suppliers/contractors; 80 hours at $25 per hour. |
Medical Facility Notification |
notification required as a special condition of the displacement construction permit |
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 | 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? | No | |
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 |
---|---|
Nonreducible Dark Station costs |
nonreducible costs when station is dark pending coordination with linked-stations and commencing program test operations. |
Newspaper and Radio advertising |
Alert public as to rescan necessity. 3 newspaper $3000, 4 radio stations $3000 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $208,835.81 | $208,835.81 | N/A | $135,030.33 | N/A |
Total for all systems | $406,322.71 | $429,105.44 | N/A | $209,484.67 | N/A |
Primary Transmitter ULXTE-6 | $208,835.81 | $208,835.81 | $135,030.33 | ||
shipping | $5,000.00 | $5,000.00 | see price quote | $5,000.00 | N/A |
Coupler | $1,375.30 | $1,375.30 | see price quote | $1,375.30 | N/A |
XTE Exciter with supply of new Digital Mask Filter | $14,950.00 | $14,950.00 | see price quote | $14,950.00 | N/A |
Installation Service | $27,357.00 | $27,357.00 | see price quote | $13,678.50 | N/A |
Antifreeze Coolant | $247.26 | $247.26 | see price quote | $247.26 | N/A |
ULXT System wiring kit | $2,317.41 | $2,317.41 | see price quote | $1,749.46 | N/A |
Coolant Transfer charge kit | $308.30 | $308.30 | see price quote | $308.30 | N/A |
Heat Exhcanger | $4,459.95 | $4,459.95 | see price quote | $4,459.95 | N/A |
7 percent Indiana state use tax on purchase | $8,785.00 | $8,785.00 | 7 percent Indiana state use tax | $0.00 | N/A |
RF line connection kit | $20,986.82 | $20,986.82 | see price quote | $10,493.41 | N/A |
Internal High Efficiency Pump Module | $6,442.64 | $6,442.64 | see price quote | $6,442.64 | N/A |
Parallel Surge Suppressor | $1,726.66 | $1,726.66 | see price quote | $1,726.66 | N/A |
Plumbing Integrated pump kit | $1,838.72 | $1,838.72 | see price quote | $1,838.72 | N/A |
Install Material kit | $590.75 | $590.75 | see price quote | $590.75 | N/A |
UHF - Liquid Cooled Solid State Transmitter 4.32 kW | $112,450.00 | $112,450.00 | see price quote | $72,169.38 | N/A |
Actual Information Description | File Name |
---|---|
shipping | |
Coupler | |
XTE Exciter with supply of new Digital Mask Filter | |
Installation Service | |
Antifreeze Coolant | |
ULXT System wiring kit | |
Coolant Transfer charge kit | |
Heat Exhcanger | |
7 percent Indiana state use tax on purchase | |
RF line connection kit | |
Internal High Efficiency Pump Module | |
Parallel Surge Suppressor | |
Plumbing Integrated pump kit | |
Install Material kit | |
UHF - Liquid Cooled Solid State Transmitter 4.32 kW |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $51,942.19 | $83,375.27 | N/A | $64,269.69 | N/A |
Total for all systems | $406,322.71 | $429,105.44 | N/A | $209,484.67 | N/A |
Primary Antenna ALP12L4-CSO-24 | $51,942.19 | $83,375.27 | $64,269.69 | ||
ERI - Indiana Sales Tax | $2,303.69 | $2,303.69 | Indian sales tax | $2,303.69 | N/A |
ERI - antenna installation | $14,987.50 | $14,987.50 | install services | $14,987.50 | N/A |
ERI - add'l intall hardware | $1,621.00 | $1,621.00 | required add'l install hardware | $1,621.00 | N/A |
UHF - Lower Power Side Mount, Class A One Station antenna -- basic | $26,300.00 | $58,213.08 | per attached ERI invoice includes $8870 Bandpass filter, + $1500 mask filter installation fee + $27535 antenna cost + $22225 antenna installation services + $285.88 freight charge + 7% Indiana sales tax $1927.45 | $45,357.50 | N/A |
Sweep test of existing antenna | $6,730.00 | $6,250.00 | N/A | $0.00 | N/A |
Actual Information Description | File Name |
---|---|
ERI - Indiana Sales Tax | |
ERI - antenna installation | |
ERI - add'l intall hardware | |
UHF - Lower Power Side Mount, Class A One Station antenna -- basic | |
Sweep test of existing antenna |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $520.00 | $6,314.65 | N/A | $6,314.65 | N/A |
Total for all systems | $406,322.71 | $429,105.44 | N/A | $209,484.67 | N/A |
Primary Transmission Line | $520.00 | $6,314.65 | $6,314.65 | ||
Rigid Transmission Line - copper, 3 1/8" | $520.00 | $6,314.65 | compatibility with transmitter | $6,314.65 | N/A |
Actual Information Description | File Name |
---|---|
Rigid Transmission Line - copper, 3 1/8" |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $114,640.00 | $108,250.00 | N/A | $0.00 | N/A |
Total for all systems | $406,322.71 | $429,105.44 | N/A | $209,484.67 | N/A |
Outside Professional Services | $114,640.00 | $108,250.00 | $0.00 | ||
Medical Facility Notification | $0.00 | $0.00 | please reject | $0.00 | medical facility notification expense required as per special condition to the displacement construction permit |
General Manager | $2,000.00 | $2,000.00 | wage | N/A | N/A |
Project management of the transition | $6,320.00 | $5,000.00 | 40 hours at $125 per hour | N/A | N/A |
Prepare and or review reimbursement form | $2,630.00 | $2,500.00 | N/A | N/A | 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 | N/A | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $1,500.00 | Price quote from consulting engineer. | N/A | N/A |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $5,000.00 | N/A | N/A | 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 |
Comprehensive coverage verification via field study, if needed | $84,200.00 | $80,000.00 | N/A | N/A | N/A |
Part time staff engineer | $1,500.00 | $1,500.00 | wages | N/A | N/A |
Second Part time staff engineer | $1,000.00 | $1,000.00 | wages | N/A | N/A |
Station Owner | $2,000.00 | $2,000.00 | wage | N/A | N/A |
Actual Information Description | File Name |
---|---|
Medical Facility Notification | |
General Manager | Information not provided. |
Project management of the transition | 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. |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
Comprehensive coverage verification via field study, if needed | Information not provided. |
Part time staff engineer | Information not provided. |
Second Part time staff engineer | Information not provided. |
Station Owner | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $30,384.71 | $22,329.71 | N/A | $3,535.00 | N/A |
Total for all systems | $406,322.71 | $429,105.44 | N/A | $209,484.67 | N/A |
Other Expenses | $30,384.71 | $22,329.71 | $3,535.00 | ||
DTV Medical Facility Notification | $11,550.00 | $3,535.00 | required by construction permit special condition | $3,535.00 | . |
FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,070.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | Media Bureau Fee filer Guide | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $2,000.00 | $2,000.00 | N/A | N/A | N/A |
Develop and air announcement of upcoming channel change | $1,000.00 | $1,000.00 | N/A | N/A | N/A |
MVPD Notification of Channel Change | $500.00 | $500.00 | N/A | N/A | N/A |
Nonreducible Dark Station costs | $7,000.00 | $7,000.00 | nonreducible costs while station is dark for tower work and linked-station coordination while preparing to commence program test operation. $1000 per day for 7 days. | N/A | N/A |
Newspaper and Radio advertising | $6,000.00 | $6,000.00 | N/A | N/A | N/A |
Equipment Delivery and Handling Charges | $889.71 | $889.71 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
DTV Medical Facility Notification | |
FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
FCC Filing Fees - Form 2100 license to cover application | |
Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
Develop and air announcement of upcoming channel change | Information not provided. |
MVPD Notification of Channel Change | Information not provided. |
Nonreducible Dark Station costs | Information not provided. |
Newspaper and Radio advertising | Information not provided. |
Equipment Delivery and Handling Charges | Information not provided. |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $406,322.71 | $429,105.44 | $209,484.67 |
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. | 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. | Paul Knies individual applicant 10/23/2019 |
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. | Paul Knies individual applicant 10/23/2019 |
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. | Paul Knies Individual applicant 10/23/2019 |