TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
KSCC Licensee, LLC Doing Business As: KSCC Licensee, LLC	Harvey Arnold 10706 Beaver Dam Road Cockeysville, MD 21030 United States	+1 (410) 568-1500	FCCContacts@sbgtv.com	Limited Liability Company

Applicant

Address

Phone

Applicant Type

KSCC Licensee, LLC

Doing Business As: KSCC Licensee, LLC

Harvey Arnold

10706 Beaver Dam Road

Cockeysville, MD 21030

United States

+1 (410) 568-1500

FCCContacts@sbgtv.com

Limited Liability Company

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
Paul A. Cicelski , Esq . Lerman Senter PLLC	Paul Cicelski, Esq. 2001 L Street NW Suite 400 Washington, DC 20036 United States	+1 (202) 416-6756	sinclair399s@summitridgegroup.com

Applicant

Address

Phone

Paul A. Cicelski , Esq .

Lerman Senter PLLC

Paul Cicelski, Esq.

2001 L Street NW

Suite 400

Washington, DC 20036

United States

+1 (202) 416-6756

sinclair399s@summitridgegroup.com

Broadcaster Information and Transition Plan

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 Exhibit A.

Transmitters

Section	Question	Response
Transmitter Related Expenses	Do you have transmitter related expenses?	Yes

Auxiliary Transmitter

Add Transmitter Information

Section	Question	Response
Existing Transmitter Description	Type of change	Purchase New
	Use	Auxiliary (Backup)
	Description of Use	KUQI (Backup) Transmitter
	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	SSTVU-2000
	Year	2001
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power Capacity	2 kW

Auxiliary Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Auxiliary (Backup)
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Manufacturer
	Model	UAXTE-4
	Transmitter Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power capacity	2.2 kW
	Justification for New Transmitter	The current auxiliary transmitter cannot be retuned because the manufacturer is no longer in business.

Auxiliary Transmitter

Other Transmitter Costs

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?	Yes
	Type	Cooling Only
	Size	5 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

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Installation	Installation

Primary Transmitter

Existing Transmitter Information

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	Quantum QDX1
	Year	2009
	Type	Inductive Output Tube
	IOT Power Type	Single
	Power Capacity	30 kW

Primary Transmitter

New Transmitter Costs

Section	Question	Response
New Transmitter	Use	Primary (Main)
	Change Type	Purchase New
	Is this a request for upgraded equipment?	Yes
	Manufacturer
	Model	THU9evo-10
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	15 kW
	Justification for New Transmitter	Per the manufacturer, the current transmitter cannot be retuned. See Exhibit B.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	Yes
	Transformer (480V)	Yes
	Power	300 kVA
	Rigid Conduit and Wiring	Yes
	Size	2 inches
	Length	800.0 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?	Yes
	Size	225.0 square feet
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

Primary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Consolidation	Consolidation
Additional Work	Additional Work
Additional Parts	Additional Parts

Antennas

Section	Question	Response
Antenna Related Expenses	Do you have antenna related expenses?	Yes

Primary Antenna

Existing Antenna Information

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?	Yes
	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:	50.0 kW
	Manufacturer
	Model	TFU-20JSC-R 3P260
	Year	2009

Primary Antenna

New Antenna Costs

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?	Yes
	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:	32.9 kW
	Manufacturer
	Model	TFU-20JSC/VP-R 3P260
	Year	2017
	Justification for New Antenna	Current antenna is a single channel antenna that cannot be used for the new post-auction channel.

Primary Antenna

Other Antenna Costs

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	4 1/16 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?	Yes
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Information not provided.

Interim Antenna

New Antenna Costs

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?	Yes
New Antenna Manufacturer and Type	Class	Full Power
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Elliptical
	Type	Broadband Panel
	Number of Stations Supported	1
	Number of Panels/Bays	8
	Lower Limit	470.00 MHz
	Upper Limit	598.00 MHz
	Design power capacity in use	10.0 %
	Other Antenna Type	N/A
	ERP:	32.9 kW
	Manufacturer
	Model	TFU-8WB/VP
	Year	2017
	Justification for New Antenna	Interim antenna will be used to support the station and keep it on the air while the main antenna undergoes construction.

Interim Antenna

Other Antenna Costs

Section	Question	Response
Elbow Complex	Do you require the separate purchase of the Elbow Complex?	Yes
	Broadband or Single Channel?	B
	Feed Line Size	3 1/8 inches
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?	Yes

Interim Antenna

Other Antenna Cost Not Listed

Information not provided.

Transmission Line

Section	Question	Response
Transmission Line Related Expenses	Do you have transmission line related expenses?	Yes

Primary Transmission Line

Existing Transmission Line

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	4 1/16 inches
	Other Diameter	N/A
	Segment Length	19 1/2 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	875 feet per run

Primary Transmission Line

New Transmission Line

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	4 1/16 inches
	Other Diameter	N/A
	Segment Length	20 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	905 feet per run
	Justification for New Transmission Line	The section sizes are frequency-specific and the current transmission line cannot be used with the post-repack channel.

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

Interim Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Interim
	Description of Use	N/A
	Change Type	Purchase New
	Type	Flexible Air
	Diameter	3 inches
	Segment Length	N/A
	Other Segment Length
	Number of parallel runs	1
	Length	500 feet per run
	Justification for New Transmission Line	Interim transmission line will feed the interim antenna.

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

Section	Question	Response
Tower Equipment or Rigging Costs Changes	Do you have tower equipment or rigging costs changes?	Yes

Primary Tower

Existing Tower

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?	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?	No
	Is tower compliant with Rev G?	No
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1211245
Coordinates (NAD83)	Latitude (NAD83)	27° 45' 32.9" N-
	Longitude (NAD83)	097° 36' 27.3" W-
	Overall Structure Height	833.98 feet
	Support Structure Height	830.04 feet
	Ground Elevation Above Mean Sea Level (AMSL)	61.02 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	American Towers, LLC
	Date Constructed	03/15/2000

Primary Tower

Tower Modification Costs

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

Primary Tower

Tower Rigging Costs

Section	Question	Response
Tower Rigging Costs	Complex Tower	N/A
Helicopter Services Required	Are helicopter services required?	No

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Tower Permit Drawing Package	Tower permit drawing package
Broadcast Rent	Broadcast Rent

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	470
	Explanation	Outside consulting engineering, legal work, and accounting services, as well as project management for regional and comprehensive repack execution.
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	2
	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	2
	NEPA Section 106 environmental review	Yes
	Environmental Assessment	Yes
	ASR Modification	Yes
	FAA Consultation (including preparation of FAA Form 7460)	Yes
	Negotiation of Lease and other Matter for Shared Locations	Yes
	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

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
Sinclair Internal Costs	Internal Employee Time Costs

Other Expenses

Section	Question	Response
AM Pattern Disturbance	Is an Impact Study needed?	No
AM Pattern Disturbance	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	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

Other Expenses

Other Expenses Not Listed

Name	Description
Forklift Rental	Forklift Rental

Cost Information

Transmitters

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	$1,201,041.38	$668,263.88	N/A	$267,575.50	N/A
Total for all systems	$2,739,672.45	$2,149,782.34	N/A	$938,352.31	N/A
Primary Transmitter THU9evo-10	$977,626.38	$451,848.88		$190,410.50
Additional Parts	$3,738.00	$3,738.00	N/A	$3,738.00	N/A
Additional Work	$15,850.00	$15,850.00	N/A	$15,850.00	N/A
Consolidation	$8,100.00	$8,100.00	N/A	$8,100.00	N/A
Other -- Building Addition Size: 225.0	$170,138.38	$170,138.38	This building is too small to accommodate the new equipment, but this addition will not be necessary if a solid state transmitter can be purchased and reimbursed. See Response to August 14 Inquiry.	N/A	N/A
2" Rigid Conduit and Wiring (Cost per foot)	$20,800.00	$20,000.00	N/A	N/A	N/A
Transformer 3 phase/480v - 300 KVA	$36,800.00	$35,000.00	N/A	N/A	N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	$684,000.00	$162,722.50	N/A	$162,722.50	The need more information can be deleted.
Switchgear - industrial 800 amp	$38,200.00	$36,300.00	N/A	N/A	N/A
Auxiliary Transmitter UAXTE-4	$223,415.00	$216,415.00		$77,165.00
Installation	$77,165.00	$77,165.00	N/A	$77,165.00	N/A
5 Ton system	$20,250.00	$19,250.00	N/A	N/A	N/A
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW	$126,000.00	$120,000.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Additional Parts	Component Description: Additional parts. #9500117118 Amount: $3,738.00
Additional Work	Component Description: Additional work. #9500122741 Amount: $15,850.00
Consolidation	Component Description: Consolidation cost. #9500118312 Amount: $8,100.00
Other -- Building Addition Size: 225.0	Information not provided.
2" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
Transformer 3 phase/480v - 300 KVA	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	Component Description: Transmitter related cost 25%. #9500101103 Amount: $40,680.62 Component Description: Transmitter related cost. #9500117274 Amount: $122,041.88 Component Description: Transmitter related cost 75%. #9500117274 Amount: $122,041.88
Switchgear - industrial 800 amp	Information not provided.
Installation	Component Description: Transmitter related cost. #002631 Amount: $22,540.00 Component Description: Transmitter related cost. #002632 Amount: $54,625.00
5 Ton system	Information not provided.
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW	Information not provided.

Cost Information

Antennas

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	$315,130.22	$312,443.61	N/A	$204,573.01	N/A
Total for all systems	$2,739,672.45	$2,149,782.34	N/A	$938,352.31	N/A
Interim Antenna TFU-8WB/VP	$86,544.22	$84,066.62		$53,186.62
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, broadband, at antenna input, per 3 1/8. feedline (if needed)	$9,340.00	$8,880.00	N/A	N/A	N/A
Sweep test of existing antenna	$6,730.00	$5,862.40	N/A	$5,862.40	N/A
UHF - High Power, Side Mount, broadband panel, 8 bay,, 33 kW input, directional,, elliptically or circularly polarized	$47,324.22	$47,324.22	*System Notice: Estimate adjusted and locked because line has been superseded.*This is a Widelity Report Cost Catalog pre-fill cost, however, it did not pre-fill in this section for this cost. This is the corresponding piece of equipment's cost estimate.	$47,324.22	N/A
Primary Antenna TFU-20JSC/VP-R 3P260	$228,586.00	$228,376.99		$151,386.39
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$5,000.00	N/A	N/A	N/A
Side mount brackets for high power antennas (if not included in antenna base cost)	$23,150.00	$22,000.00	N/A	$15,045.30	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	N/A	N/A
UHF - High Power, Side Mount, basic slot antenna, 33 kW input, directional,, elliptically or circularly polarized	$183,876.00	$183,876.00	See Response to August 14 Inquiry.	$125,240.10	N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	$9,570.00	$11,100.99	See Dielectric Quote.	$11,100.99	N/A

Components

Actual Information Description	File Name
Side mount brackets for high power antennas (if not included in antenna base cost)	Information not provided.
Elbow complex, broadband, at antenna input, per 3 1/8. feedline (if needed)	Information not provided.
Sweep test of existing antenna	Component Description: Antenna related cost reduced by 8.40%. #752028 Amount: $5,862.40
UHF - High Power, Side Mount, broadband panel, 8 bay,, 33 kW input, directional,, elliptically or circularly polarized	Component Description: Total invoice amount reduced by 8.40%. #708019 Amount: $47,324.22
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	Information not provided.
Side mount brackets for high power antennas (if not included in antenna base cost)	Component Description: Antenna related cost reduced by 8.40%. #722011 Amount: $15,045.30
Sweep test of existing antenna	Information not provided.
UHF - High Power, Side Mount, basic slot antenna, 33 kW input, directional,, elliptically or circularly polarized	Component Description: Antenna related cost reduced 8.40%. #722011 Amount: $125,240.10
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	Component Description: Total invoice amount reduced by 8.40%. #710001 Amount: $7,674.24 Component Description: Total invoice amount reduced by 8.40%. #730023 Amount: $1,122.10 Component Description: Antenna related cost reduced by 8.40%. #734005 Amount: $2,304.65

Cost Information

Transmission Line

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	$158,010.00	$150,175.00	N/A	$99,113.09	N/A
Total for all systems	$2,739,672.45	$2,149,782.34	N/A	$938,352.31	N/A
Interim Transmission Line	$29,500.00	$28,000.00		$15,533.32
Flexible Air Transmission Line - dielectric, 3"	$29,500.00	$28,000.00	N/A	$15,533.32	N/A
Primary Transmission Line	$128,510.00	$122,175.00		$83,579.77
Rigid Transmission Line - copper, 4 1/16"	$128,510.00	$122,175.00	N/A	$83,579.77	N/A

Components

Actual Information Description	File Name
Flexible Air Transmission Line - dielectric, 3"	Component Description: Transmission line related cost reduced by 25.40%. #620003 Amount: $15,533.32
Rigid Transmission Line - copper, 4 1/16"	Component Description: Transmission line related cost reduced by 8.40%. #725011 Amount: $1,045.15 Component Description: Total invoice amount reduced by 8.40%. #710001 Amount: $81,489.47 Component Description: Transmission line related cost reduced by 8.40%. #730023 Amount: $1,045.15 Component Description: Transmission line related cost reduced by 8.40%. #730023 Amount: $2,167.25

Cost Information

Tower Equipment and Rigging Costs

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	$700,900.00	$686,237.00	N/A	$279,816.00	N/A
Total for all systems	$2,739,672.45	$2,149,782.34	N/A	$938,352.31	N/A
Primary Tower TOWER	$700,900.00	$686,237.00		$279,816.00
Tower Permit Drawing Package	$4,700.00	$4,700.00	N/A	$4,700.00	N/A
Broadcast Rent	$38,400.00	$38,400.00	N/A	$0.00	N/A
Major tower reinforcement/modifications	$421,000.00	$400,000.00	N/A	$31,979.00	N/A
Tall Tower (greater than 500')	$210,500.00	$216,317.00	See FDH quote.	$216,317.00	N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$26,820.00	See American Tower quote	$26,820.00	N/A

Components

Actual Information Description	File Name
Tower Permit Drawing Package	Component Description: Tower permit drawing package. #377991 Amount: $4,700.00
Broadcast Rent	Component Description: Tower related cost. #406783459 Amount: $38,400.00
Major tower reinforcement/modifications	Component Description: Tower related cost. #SIN005596 Amount: $15,989.50 Component Description: Tower related cost. #SIN002045 Amount: $15,989.50
Tall Tower (greater than 500')	Component Description: Tower related cost. #460222427 Amount: $2,500.00 Component Description: Tower related cost. #SIN002045 Amount: $106,908.50 Component Description: Tower related cost. #SIN005596 Amount: $106,908.50
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Component Description: Tower related cost. #460224953 Amount: $16,345.00 Component Description: Tower related cost. #460224952 Amount: $10,475.00

Cost Information

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	$224,771.95	$193,408.95	N/A	$51,171.00	N/A
Total for all systems	$2,739,672.45	$2,149,782.34	N/A	$938,352.31	N/A
Outside Professional Services	$224,771.95	$193,408.95		$51,171.00
Comprehensive coverage verification via field study, if needed	$84,200.00	$80,000.00	N/A	N/A	N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	$2,105.00	$2,000.00	N/A	N/A	N/A
ASR modification (prepare FCC Form 854)	$2,105.00	$0.00	N/A	N/A	N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet	$10,520.00	$10,000.00	N/A	N/A	N/A
NEPA Section 106 environmental review, if needed	$6,310.00	$6,000.00	N/A	N/A	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$7,360.00	$0.00	N/A	N/A	N/A
Attorney Fees - Negotiation of lease and other matters for shared locations	$4,210.00	$0.00	N/A	N/A	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$0.00	N/A	N/A	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$122.00	N/A	$122.00	N/A
Prepare request for Special Temporary Authorization	$4,100.00	$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	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,165.00	See Carl T. Jones invoices.	$3,165.00	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$772.50	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	$3,000.00	Updated cost of estimated amount per FCC requirement.	$2,055.99	N/A
Project management of the transition	$74,260.00	$70,500.00	N/A	$44,601.40	The $91.76 line item from August 2017 should be removed due to a requested revision of this invoice by FCC staff.
Sinclair Internal Costs	$4,621.95	$4,621.95	N/A	$454.11	N/A

Components

Actual Information Description	File Name
Comprehensive coverage verification via field study, if needed	Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	Information not provided.
ASR modification (prepare FCC Form 854)	Information not provided.
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet	Information not provided.
NEPA Section 106 environmental review, if needed	Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization	Information not provided.
Attorney Fees - Negotiation of lease and other matters for shared locations	Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $122.35 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289 Amount: $122.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759 Amount: $99.92
Prepare request for Special Temporary Authorization	Information not provided.
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	Component Description: Outside professional service cost. #878-85-0003 Amount: $1,425.00 Component Description: Consulting engineering cost. Amount: $1,740.00
Perform engineering study for new channel assignment and antenna development	Component Description: Consulting engineering cost. Amount: $772.50
Address transition timing and coordination issues w/ other stations and wireless	Information not provided.
Prepare and or review reimbursement form	Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $152.01 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759 Amount: $869.30 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289 Amount: $1,311.48 Component Description: Legal services cost. Amount: $362.50 Component Description: Legal services cost. Amount: $230.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $1,315.27
Project management of the transition	Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1058 Amount: $187.24 Component Description: Legal services cost. #464386 Amount: $235.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #132 Amount: $589.44 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. Amount: $30.47 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #477820 Amount: $320.19 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1117 Amount: $282.68 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1114 Amount: $242.25 Component Description: Legal services cost. #477893 Amount: $268.75 Component Description: Portion of general repack matter invoice attributable to this station - divided by 38 stations. #170 Amount: $1,374.71 Component Description: Legal Service Cost. #470902 Amount: $221.25 Component Description: Legal Service Cost. #472657 Amount: $163.75 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1111 Amount: $159.58 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #470923 Amount: $406.65 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #465173 Amount: $654.26 Component Description: Portion of general repack matter invoice attributable to this station - divided by 40 stations. #141 Amount: $1,800.46 Component Description: Legal services cost. #478843 Amount: $1,421.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1063 Amount: $262.29 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1099 Amount: $266.93 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #118 Amount: $468.97 Component Description: Legal services cost. #460914 Amount: $425.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1098 Amount: $238.07 Component Description: Project management cost. #377991 Amount: $9,480.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. Amount: $596.30 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #480175 Amount: $377.96 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1167 Amount: $313.41 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1130 Amount: $281.49 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1123 Amount: $342.14 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #469573 Amount: $377.14 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472173 Amount: $311.78 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #473506 Amount: $421.40 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #476367 Amount: $364.80 Component Description: Legal services cost. #474475 Amount: $51.25 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1161 Amount: $267.48 Component Description: Legal services cost. #474893 Amount: $108.75 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1145 Amount: $369.98 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1141 Amount: $406.17 Component Description: Legal Service Cost. #478332 Amount: $57.50 Component Description: Legal Service Cost. #467928 Amount: $50.00 Component Description: Legal services cost. #461755 Amount: $434.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. #461289 Amount: $91.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1156 Amount: $399.52 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #463567 Amount: $566.48 Component Description: Legal services cost. #480225 Amount: $1,447.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #478780 Amount: $271.41 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $20.91 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1072 Amount: $237.64 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $836.44 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #471524 Amount: $341.18 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #466690 Amount: $446.87 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $999.04 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $943.95 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759 Amount: $999.20 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1117 Amount: $282.68 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #477305 Amount: $393.53 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #474809 Amount: $395.77 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #474405 Amount: $490.56 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1093 Amount: $265.72 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #478288 Amount: $194.86 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #464321 Amount: $683.07 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1143 Amount: $436.90 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #107 Amount: $602.28 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #461759 Amount: $709.74 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $818.59 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #467861 Amount: $470.30 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1151 Amount: $388.07 Component Description: Legal services cost. #475827 Amount: $358.75 Component Description: Portion of general repack matter invoice attributable to this station - divided by 99 stations. #1086 Amount: $275.35 Component Description: Portion of general repack matter invoice attributable to this station - divided by 99 stations. #468718 Amount: $349.51 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1090 Amount: $176.70 Component Description: Legal Service Cost. #466776 Amount: $120.00 Component Description: Legal Service Cost. #470306 Amount: $541.25 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1105 Amount: $216.88 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #475744 Amount: $305.99 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $32.35 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #475283 Amount: $384.08 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #472583 Amount: $279.89 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #461759 Amount: $29.98 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1069 Amount: $246.68 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #473885 Amount: $318.62 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $86.88 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $91.76 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. Amount: $105.97 Component Description: Legal Service Cost. #465261 Amount: $235.00 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $716.28 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #470237 Amount: $436.37 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #471524 Amount: $322.83 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $20.65 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. #1133 Amount: $307.72 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. Amount: $185.10 Component Description: Legal services cost. #476449 Amount: $102.50 Component Description: Legal services cost. #477378 Amount: $292.50 Component Description: Portion of general repack matter invoice attributable to this station - divided by 93 stations. Amount: $43.72 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #463026 Amount: $801.57 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1079 Amount: $177.14 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1078 Amount: $215.68 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #467378 Amount: $576.96 Component Description: Portion of general repack matter invoice attributable to this station - divided by 98 stations. #1055 Amount: $243.38 Component Description: Legal services cost. #479356 Amount: $200.00 Component Description: Legal Service Cost. #467464 Amount: $182.50
Sinclair Internal Costs	Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $15.08 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $7.86 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $25.53 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $16.53 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $9.47 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $33.53 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $17.02 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $23.96 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $6.09 Component Description: Portion of general repack matter invoice attributable to this station - divided by 38 stations. Amount: $60.06 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $8.66 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $5.37 Component Description: Portion of general repack matter internal time card attributable to this station - divided by 100. Amount: $66.55 Component Description: Portion of general repack matter invoice attributable to this station - divided by 40 stations. Amount: $58.48 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $11.03 Component Description: Internal expense - KSCC - 2-2020 Amount: $4,227.90 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $32.09 Component Description: Portion of general repack matter invoice attributable to this station - divided by 33 stations. Amount: $40.92 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $1.69 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $26.93 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $7.96 Component Description: Portion of general repack matter invoice attributable to this station - divided by 100 stations. Amount: $11.39

Cost Information

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	$139,818.90	$139,253.90	N/A	$36,103.71	N/A
Total for all systems	$2,739,672.45	$2,149,782.34	N/A	$938,352.31	N/A
Other Expenses	$139,818.90	$139,253.90		$36,103.71
Equipment Delivery and Handling Charges	$19,457.42	$19,457.42	See Exhibit J.	$19,457.42	Invoice #699019 with status Need More Information can be removed. An updated version has been uploaded.
Forklift Rental	$1,665.48	$1,665.48	N/A	$1,665.48	N/A
MVPD Notification of Channel Change	$5,000.00	$5,000.00	See Exhibit J.	N/A	N/A
Develop and air announcement of upcoming channel change	$28,050.00	$28,050.00	See Response to August 14 Inquiry.	N/A	N/A
Equipment Storage	$15,000.00	$15,000.00	See Exhibit J.	$8,800.84	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$28,566.00	$28,566.00	See Response to August 14 Inquiry.	$2,229.97	All of the need more information invoices can be deleted.
Non-zoning permits	$10,000.00	$10,000.00	See Exhibit J.	N/A	N/A
Local Zoning	$20,000.00	$20,000.00	See Exhibit J.	$1,000.00	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	N/A	N/A	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$325.00	N/A	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$11,000.00	N/A	$2,950.00	N/A

Components

Actual Information Description	File Name
Equipment Delivery and Handling Charges	Component Description: Total invoice amount reduced by 8.40%. #726018 Amount: $773.69 Component Description: Equipment delivery and handling reduced by 8.40%. #735024 Amount: $416.65 Component Description: Total invoice amount reduced by 8.40%. #838047 Amount: $13,848.80 Component Description: Equipment delivery and handling cost reduced by 8.40%. #746017 Amount: $2,340.80 Component Description: Total invoice amount reduced by 8.40%. #699019 Amount: $2,077.48 Component Description: Total invoice amount reduced by 8.40%. #699019 Amount: $2,077.48 Component Description: Resubmitted under Equipment Storage. #15654326 Amount: N/A
Forklift Rental	Component Description: Forklift rental cost. #98475282-0001 Amount: $1,665.48
MVPD Notification of Channel Change	Information not provided.
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Component Description: Equipment storage related cost. #14208125 Amount: $146.15 Component Description: Equipment storage related cost. #14498951 Amount: $146.15 Component Description: Equipment delivery and handling cost. #15079640 Amount: $146.15 Component Description: Equipment storage cost. #14786015 Amount: $146.15 Component Description: Equipment storage cost. #16522790 Amount: $162.38 Component Description: Equipment storage cost. #16231262 Amount: $162.38 Component Description: Equipment storage cost. #15654326 Amount: $162.38 Component Description: Equipment storage cost. #9500122815 Amount: $6,495.00 Component Description: Total invoice amount reduced by 8.40%. #838047 Amount: $1,071.72 Component Description: Equipment storage cost. #15940130 Amount: $162.38
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: Disposal related cost. #38370 Amount: $1,039.21 Component Description: Disposal related cost. #36849 Amount: $535.84 Component Description: Disposal related cost. #37750 Amount: $281.46 Component Description: Disposal related cost. #37504 Amount: $54.12 Component Description: Disposal related cost. #36426 Amount: $319.34 Component Description: Disposal related cost. #37504 Amount: $54.12 Component Description: Disposal related cost. #37750 Amount: $281.46 Component Description: Disposal related cost. #36426 Amount: $319.34 Component Description: Disposal related cost. #38370 Amount: $1,039.21
Non-zoning permits	Information not provided.
Local Zoning	Component Description: Local zoning. #377991 Amount: $1,000.00
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	Component Description: Medical notifications. #1380 Amount: $2,950.00

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$2,739,672.45	$2,149,782.34	$938,352.31

Reimbursement Status

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

Certification

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.
The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD). The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Lucy Rutishauser CFO 11/16/2020

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.

The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Lucy Rutishauser

CFO

11/16/2020

Certification

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).
The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) . The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.	Lucy Rutishauser CFO 11/16/2020

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).

The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (full power and Class A stations) and/or otherwise modify a television station’s facility as a result of the spectrum repack (LPTV/TV Translator stations); or to minimize service disruption resulting from a repacked television station (FM stations); or to continue to carry the signal of a broadcaster that changes channels (MVPD) .
The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a prerequisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Lucy Rutishauser

CFO

11/16/2020

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

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Auxiliary Transmitter

Add Transmitter Information

Auxiliary Transmitter

New Transmitter Costs

Auxiliary Transmitter

Other Transmitter Costs

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Interim Antenna

New Antenna Costs

Interim Antenna

Other Antenna Costs

Interim Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Existing Transmission Line

Primary Transmission Line

New Transmission Line

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Interim Transmission Line

New Transmission Line

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components

Cost Information

Transmission Line

Components

Cost Information

Tower Equipment and Rigging Costs

Components

Cost Information

Outside Professional Services