Applicant | Address | Phone | Applicant Type | |
---|---|---|---|---|
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
Jak Tichenor 1003 COMMUNICATIONS BUILDING MAILCODE 6602 CARBONDALE, IL 62901 United States |
+1 (618) 453-6181 | jak.tichenor@wsiu.org | Not-for-Profit |
Applicant | Address | Phone | |
---|---|---|---|
[Confidential] |
|
|
|
Applicant | Address | Phone | |
---|---|---|---|
Gregory Best Consulting Engineer Greg Best Consulting Inc. |
16100 Outlook Avenue Stilwell, KS 66085 United States |
+1 (816) 792-2913 | gbconsulting54@gmail.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 will be a flash cut from current channel to repack channel with expected off-air time of up to two days. Ahead of antenna change, licensee will make all necessary transmitter and RF system changes. New transmitter & antenna required. |
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 | DCD20-PL-1 | |
Year | 2001 | |
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? | No | |
Manufacturer | ||
Model | UAXTE-16R44 | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 9.6 kW | |
Justification for New Transmitter | Present transmitter TPO of 5kW is insufficient to achieve an ERP of 100kW per the construction permit. |
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 | Yes | |
Size | 2 inches | |
Length | 60.0 feet | |
Other Electrical Service | Yes | |
Description | Circuit breaker installation for new transmitter and new wiring as necessary for transmitter power. | |
HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
Type | Heating and Cooling | |
Size | 10 tons | |
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 | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Horizontal | |
Type | Other | |
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 | Prototype single channel panel antenna | |
ERP: | 75.0 kW | |
Manufacturer | ||
Model | TWSM-24/SM/CF | |
Year | 1997 |
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 | Full Power |
Mounting | Side Mount | |
Antenna position in stack | Not in Stack | |
Polarization | Elliptical | |
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: | 100.0 kW | |
Manufacturer | ||
Model | ATW25H3-ESO10-36L | |
Year | 2020 | |
Justification for New Antenna | Existing antenna will not function on the new assigned frequency. |
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? | Yes |
Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | Yes |
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: | 100.0 kW | |
Manufacturer | ||
Model | ALP8M3-HSBR-36 | |
Year | 2019 | |
Justification for New Antenna | Primary antenna will be not be delivered on time to meet phase deadline so interim antenna is required. |
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? | 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? | No |
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 | Leased | |
Is this tower consider Complex? | No | |
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 | 1018309 | |
Coordinates (NAD83) | Latitude (NAD83) | 40° 23' 54.0" N- |
Longitude (NAD83) | 090° 43' 55.0" W- | |
Overall Structure Height | 499.99 feet | |
Support Structure Height | 499.99 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 600.06 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | WEST CENTRAL ILLINOIS EDUCATIONAL COMMUNICATIONS CORPORATION DBA = CONVOCOM | |
Date Constructed | 01/01/1996 |
Facility ID | Call Sign | Service |
---|---|---|
164225 | WGNX | FM |
Section | Question | Response |
---|---|---|
Engineering Study | Please what type of engineering study is required, if any: | Study needed for documented tower |
Tower Reinforcements | Please select whether tower reinforcements are needed: | Minor Reinforcements needed |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Name | Description |
---|---|
Phillystran guywires |
The proximity of the guy wires to the antenna significantly disturbs the antenna pattern so Phillystran replacement of the top 70 ft of the top set of guy wires can be used to eliminate that issue. It is likely that foundation mats will be required. |
Interim Antenna |
Mobilization and installation/removal of interim antenna until primary antenna is installed. |
Section | Question | Response |
---|---|---|
Construct New Tower | Use | Interim |
Description of Use | N/A | |
Height | 500.00 feet | |
Justification for New Tower | Additional rigging and mobilization to remove existing antenna and install interim antenna until permanent antenna is delivered. Interim antenna to be installed on the same tower as the existing antenna. |
Section | Question | Response |
---|---|---|
Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Name | Description |
---|---|
Anchor evaluation. |
Anchor evaluation to determine amount of deterioration due to soil acidity. |
Interim antenna installation |
Additional mobilization and services to install interim antenna on existing tower. |
Section | Question | Response |
---|---|---|
Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 120 | |
Explanation | Forms review; onsite supervision during transmitter, antenna & tower work; coordination of involved entities in the project. | |
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 |
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 | 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 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $379,982.25 | $378,022.25 | N/A | $290,260.71 | N/A |
Total for all systems | $1,595,903.25 | $1,510,333.25 | N/A | $814,801.41 | N/A |
Primary Transmitter UAXTE-16R44 | $379,982.25 | $378,022.25 | $290,260.71 | ||
10 Ton system | $38,900.00 | $37,000.00 | N/A | $22,390.00 | N/A |
Other Electrical Service: Circuit breaker installation for new transmitter and new wiring as necessary for transmitter power. | $1,600.00 | $1,600.00 | N/A | N/A | N/A |
2" Rigid Conduit and Wiring (Cost per foot) | $1,560.00 | $1,500.00 | N/A | N/A | N/A |
UHF - Air Cooled Solid State Transmitter 9.6 kW | $337,922.25 | $337,922.25 | see attachments: WMEC Transmitter Replacement WMEC DASP HPOL Pg4 WMEC TV Repack Ch 36 uaxte-16 qUOTE | $267,870.71 | N/A |
Actual Information Description | File Name |
---|---|
10 Ton system | |
Other Electrical Service: Circuit breaker installation for new transmitter and new wiring as necessary for transmitter power. | Information not provided. |
2" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
UHF - Air Cooled Solid State Transmitter 9.6 kW |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $234,370.00 | $220,250.00 | N/A | $160,726.95 | N/A |
Total for all systems | $1,595,903.25 | $1,510,333.25 | N/A | $814,801.41 | N/A |
Interim Antenna ALP8M3-HSBR-36 | $96,130.00 | $56,730.00 | $30,949.20 | ||
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized | $89,400.00 | $50,000.00 | N/A | $25,324.20 | N/A |
Sweep test of existing antenna | $6,730.00 | $6,730.00 | N/A | $5,625.00 | N/A |
Primary Antenna ATW25H3-ESO10-36L | $138,240.00 | $163,520.00 | $129,777.75 | ||
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized | $103,100.00 | $130,000.00 | ERI Quote 20190816-465 Rev A priced the UHF TRASAR antenna at $127,830. | $107,867.75 | N/A |
Side mount brackets for high power antennas (if not included in antenna base cost) | $23,150.00 | $22,000.00 | N/A | $10,860.00 | N/A |
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) | $5,260.00 | $5,120.00 | N/A | $4,800.00 | N/A |
Sweep test of existing antenna | $6,730.00 | $6,400.00 | N/A | $6,250.00 | N/A |
Actual Information Description | File Name |
---|---|
UHF - Lower Power Side Mount, One station antenna - medium power (50-200 kW), horizontally polarized | |
Sweep test of existing antenna | |
UHF - Lower Power Side Mount, One Station antenna . medium power (50-200 kW), elliptically or circularly polarized | |
Side mount brackets for high power antennas (if not included in antenna base cost) | |
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost) | |
Sweep test of existing antenna |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $891,301.00 | $768,001.00 | N/A | $293,474.05 | N/A |
Total for all systems | $1,595,903.25 | $1,510,333.25 | N/A | $814,801.41 | N/A |
Primary Tower TOWER | $574,800.00 | $462,000.00 | $100,347.85 | ||
Short Tower (less than 500') | $84,200.00 | $80,000.00 | N/A | N/A | N/A |
Structural engineering tower load study for well documented tower | $12,600.00 | $12,000.00 | N/A | $7,500.00 | N/A |
Interim Antenna | $120,000.00 | $120,000.00 | N/A | N/A | N/A |
Phillystran guywires | $200,000.00 | $200,000.00 | See quotation for replacement of portion of top guy wires. Price includes installation. Additional allowance of $100000 included as foundation mats are expected to be needed with the installation to avoid vehicles getting stuck in mud. | $92,847.85 | N/A |
Minor tower reinforcement/modifications | $158,000.00 | $50,000.00 | N/A | N/A | N/A |
Interim Tower | $316,501.00 | $306,001.00 | $193,126.20 | ||
New tower | $1.00 | $1.00 | N/A | N/A | N/A |
Tall Tower (greater than 500') | $210,500.00 | $200,000.00 | N/A | $97,698.00 | N/A |
Interim antenna installation | $98,000.00 | $98,000.00 | N/A | $87,928.20 | N/A |
Anchor evaluation. | $8,000.00 | $8,000.00 | Guy anchors have not been evaluated in over 30 years so it was necessary to do this before installing new guy wires. | $7,500.00 | N/A |
Actual Information Description | File Name |
---|---|
Short Tower (less than 500') | Information not provided. |
Structural engineering tower load study for well documented tower | |
Interim Antenna | Information not provided. |
Phillystran guywires | |
Minor tower reinforcement/modifications | Information not provided. |
New tower | Information not provided. |
Tall Tower (greater than 500') | |
Interim antenna installation | |
Anchor evaluation. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $49,670.00 | $105,030.00 | N/A | $64,206.70 | N/A |
Total for all systems | $1,595,903.25 | $1,510,333.25 | N/A | $814,801.41 | N/A |
Outside Professional Services | $49,670.00 | $105,030.00 | $64,206.70 | ||
Project management of the transition | $18,960.00 | $60,000.00 | Estimated Costs increased due to delay in primary antenna delivery and need for temporary antenna installation. | $49,837.50 | Estimated Costs increased due to delay in primary antenna delivery and need for temporary antenna installation. |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $5,260.00 | $20,000.00 | Exceeded original budget due to extra hours needed to coordinate transition and construction delays/timeline changes for new licensee. | $8,495.20 | Exceeded original budget due to extra hours needed to coordinate transition and construction delays/timeline changes for new licensee. |
Attorney Fees - Prepare and File request for Special Temporary Authorization | $3,680.00 | $3,680.00 | N/A | $918.00 | N/A |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $2,365.00 | $2,800.00 | On 8/17/2017 received email from TV Broadcaster Relocation Fund Administrator requiring explanation for transmitter cost pertaining to power level specified. Additional costs involved reviewing and submitting response and revising 399 form. | $2,713.50 | On 8/17/2017 received email from TV Broadcaster Relocation Fund Administrator requiring explanation for transmitter cost pertaining to power level specified. Additional costs involved reviewing and submitting response and revising 399 form. |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,580.00 | $1,500.00 | N/A | $0.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $3,155.00 | $3,000.00 | N/A | $2,242.50 | N/A |
Perform engineering study for new channel assignment and antenna development | $7,360.00 | $7,000.00 | N/A | N/A | N/A |
Address transition timing and coordination issues w/ other stations and wireless | $2,630.00 | $2,500.00 | N/A | N/A | N/A |
Prepare and or review reimbursement form | $2,630.00 | $2,500.00 | N/A | N/A | N/A |
Prepare request for Special Temporary Authorization | $2,050.00 | $2,050.00 | N/A | N/A | N/A |
Actual Information Description | File Name |
---|---|
Project management of the transition | |
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
Attorney Fees - Prepare and File request for Special Temporary Authorization | |
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
Perform engineering study for new channel assignment and antenna development | Information not provided. |
Address transition timing and coordination issues w/ other stations and wireless | Information not provided. |
Prepare and or review reimbursement form | Information not provided. |
Prepare request for Special Temporary Authorization | Information not provided. |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $40,580.00 | $39,030.00 | N/A | $6,133.00 | N/A |
Total for all systems | $1,595,903.25 | $1,510,333.25 | N/A | $814,801.41 | N/A |
Other Expenses | $40,580.00 | $39,030.00 | $6,133.00 | ||
MVPD Notification of Channel Change | $5,000.00 | $5,000.00 | N/A | $2,563.00 | N/A |
Develop and air announcement of upcoming channel change | $5,000.00 | $5,000.00 | N/A | N/A | N/A |
Equipment Storage | $2,500.00 | $2,500.00 | N/A | N/A | N/A |
Equipment Delivery and Handling Charges | $12,000.00 | $12,000.00 | N/A | N/A | N/A |
Disposal Costs (for equipment and other waste, net of any salvage value) | $4,000.00 | $4,000.00 | N/A | N/A | N/A |
FCC Filing Fees - Special Temporary Authorization request | $195.00 | $195.00 | N/A | N/A | N/A |
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | N/A | N/A |
DTV Medical Facility Notification | $11,550.00 | $10,000.00 | N/A | $3,570.00 | N/A |
Actual Information Description | File Name |
---|---|
MVPD Notification of Channel Change | |
Develop and air announcement of upcoming channel change | Information not provided. |
Equipment Storage | Information not provided. |
Equipment Delivery and Handling Charges | Information not provided. |
Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
FCC Filing Fees - Special Temporary Authorization request | Information not provided. |
FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
DTV Medical Facility Notification |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $1,595,903.25 | $1,510,333.25 | $814,801.41 |
Question | Response |
---|---|
The facility has ceased operating on its pre-auction channel. | Yes |
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. | Dan Mahony President, Southern Illinois University 10/04/2020 |
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. | Dan Mahony President, Southern Illinois University 10/04/2020 |