Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission) FCC Form 399: Reimbursement Request

Facility ID:
70727
Service:
LPT
Call Sign:
K28PP-D
Channel:
28 (UHF)
File Number:
0000089437
FRN:
0023992019
Eligibility Status:
Eligible
Date Submitted:
02/24/2020

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

WALKER RIVER PAIUTE TRIBE

Applicant

Doing Business As: WALKER RIVER PAIUTE TRIBE

Roy Begay, Walker River Paiute Tribe

P. O. BOX 220

1022 Hospital Road

SCHURZ, NV 89427

United States

+1 (775) 773-2002 rbegay@wrpt.org Other

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

Roy Begay

Nonpoint Source Coordinator

Walker River Paiute Tribe

Roy Begay, Walker River Paiute Tribe

P.O. Box 220

1022 Hospital Road

Schurz, NV 89427

United States

+1 (775) 773-2002 rbegay@wrpt.org

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Our Facility ID: 70727 currently is not sharing with another station, but has other Translators Equipment for other TV Station Channels (ABC, CBS, Fox, and PBS) housed in the same room.

Transmitters

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Section Question Response
Transmitter Related Expenses Do you have transmitter related expenses? No

Antennas

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Section Question Response
Antenna Related Expenses Do you have antenna related expenses? No

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

Tower Equipment And Rigging Costs

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Section Question Response
Tower Equipment or Rigging Costs Changes Do you have tower equipment or rigging costs changes? No

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? No
Outside RF consulting Engineering Services Perform engineering study for displacement application No
Prepare engineering section of Form FCC Construction Permit Application No
Prepare engineering section of Form FCC License to Cover Application No
Prepare request for Special Temporary Authority No
Prepare Form 601 No
Attorney and Other Outside Consulting Services Prepare and file Form FCC Construction Permit Application No
Prepare and file Form FCC License to Cover Application Yes
For Auxiliary Facility No
For Main Facility Yes
Prepare request for Special Temporary Authority No
Negotiation of Lease and other Matter for Shared Locations No
Prepare or Review FCC Form 399 for Reimbursement No
Form 399 assistance or other program management costs No
RF Field Engineering Services Comprehensive coverage verification via field study No
RF exposure measurements No
Additional Field Engineering Service No

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Tim Stoffel

Engineering service, equipment installation and assistance to re-channel other equipment for re-pack.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change No
FCC Construction Permit Minor Change No
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)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No

Other Expenses

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Other Expenses Not Listed

Name Description

Mask Filter Equipment

Mask equipment purchased to meet standards for the re-pack translator.

Parts for Mask Filter

Connector parts for new mast filter.

Cost Information

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Transmitters

Information not provided.

Cost Information

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Antennas

Information not provided.

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Information not provided.

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,957.50 $843.75 N/A $0.00 N/A
Total for all systems $3,258.49 $2,273.47 N/A $0.00 N/A
Outside Professional Services $1,957.50 $843.75 $0.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $1,577.50 $463.75 N/A N/A N/A
Tim Stoffel $380.00 $380.00 N/A N/A N/A

Components

Information not provided.

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $1,300.99 $1,429.72 N/A $0.00 N/A
Total for all systems $3,258.49 $2,273.47 N/A $0.00 N/A
Other Expenses $1,300.99 $1,429.72 $0.00
Parts for Mask Filter $136.63 $136.63 N/A N/A N/A
Mask Filter Equipment $829.36 $829.36 The Tribe purchased new equipment to meet standards for the re-pack, the Mask Filter was tuned to meet transition to new channel. N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $463.73 Attorney fees for license to cover CP for TV Translator. N/A N/A

Components

Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $3,258.49 $2,273.47 $0.00

Reimbursement Status

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Question Response
The facility has ceased operating on its pre-auction channel.
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

Attachments

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