TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
LOUISIANA EDUCATIONAL TELEVISION AUTHORITY Doing Business As: Louisiana Public Broadcasting	Donald R Ballard 7733 PERKINS RD BATON ROUGE, LA 70810 United States	+1 (225) 767-4273	dballard@lpb.org	Government Entity

Applicant

Address

Phone

Applicant Type

LOUISIANA EDUCATIONAL TELEVISION AUTHORITY

Doing Business As: Louisiana Public Broadcasting

Donald R Ballard

7733 PERKINS RD

BATON ROUGE, LA 70810

United States

+1 (225) 767-4273

dballard@lpb.org

Government Entity

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
The Preparer is same as the reimbursement contact.

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	1.Install an interim antenna on channel 24 at our present licensed ERP or as close to it as we can obtain with our existing transmitter. 2.Purchase a replacement top mount antenna and line for the repack channel 17 with new mask filter and transmitter.

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	Used as current 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	LDU3A-8 (HX)
	Year	2010
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power Capacity	11.25 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	CTX724 20kW UHF ATSC Transmitter
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	21.0 kW
	Justification for New Transmitter	Existing Auxiliary Transmitter is channel-specific. Mask filter and cooling system blocks entrance. Footprint is too large, a smaller more compact transmitter is needed. Manufacturer is out of business as of Dec. 2019 (See Attachment )

Auxiliary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	Yes
	Switchgear (industrial 800 amp)	Yes
	Transformer (480V)	Yes
	Power	300 kVA
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	No
	Description	N/A
HVAC Service	Does the replacement transmitter require HVAC Service?	No
	Type	N/A
	Size	N/A
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	No
	Size	N/A
Channel 14 Costs	Is an RF Consulting Engineer needed?	N/A
	Is a channel 14 Mask Filer needed?	N/A
	Is additional field engineering time needed?	N/A
	Number of Days	N/A

Auxiliary Transmitter

Other Transmitter Cost Not Listed

Name	Description
Install of Aux Transmitter Power Conditioner	Electricians to install Aux Transmitter Power Conditioner
Aux Transmitter Site Demo Phase 1	Demo and Removal of existing Auxiliary Transmitter
Shipping	Shipping charge for transmitter from manufacturer to site only.
Aux RF Components	Components needed for transmitter install
Aux Transmitter Power Conditioner	Regulator for power conditioning at facility
Electricians Phase 3	Demo of existing electrical and installation of new electrical for Auxiliary transmitter
Transmitter Site Survey	Initial transmitter site survey to define the scope of work for the transmitter install

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	HU0015KAD
	Year	2009
	Type	Solid State
	Solid State Cooling	Air Cooled
	Solid State Power Capacity	15 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?	No
	Manufacturer
	Model	CTX728
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	23 kW
	Justification for New Transmitter	Required transmitter to operate on repack channel. Existing mask filter can not be retuned. A lower gain antenna is required to keep the tower height in compliance with the FAA resulting in a higher required TPO than the existing transmitter.

Primary 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	Yes
	Size	4 inches
	Length	500.0 feet
	Other Electrical Service	No
	Description	N/A
HVAC Service	Does the replacement transmitter require HVAC Service?	Yes
	Type	Heating and Cooling
	Size	20 tons
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	Yes
	Size	600.0 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
Transmitter Install equipment rental	Heavy lift equipment rental.
Primary Transmitter site prep	Removal of primary transmitter and feeder lines
Shipping and Handling	Manufacturer delivery
Additional Equipment	Items needed to make new transmitters equivalent to existing transmitter equipment.
Other - Continental Electronics	36" inch legs for Heat Exchangers

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?	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	Top 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:	350.0 kW
	Manufacturer
	Model	TFU-47J
	Year	1978

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?	No
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Top 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:	280.0 kW
	Manufacturer
	Model	ATC-BCE4280-V0-17
	Year	2019
	Justification for New Antenna	Existing antenna can not be retuned by the manufacturer and must be replaced for the new repack 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	6 1/8 inches inches
Side Mount Brackets	Do you require the separate purchase of side mount brackets for a high power antenna?	No
Pattern Scatter Analysis	Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna?	No
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
Shipping	Alive has put TBD on the quote. This is an arbitrary number

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?	No
	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	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:	350.0 kW
	Manufacturer
	Model	ATC-BCSE16M-U1
	Year	2018
	Justification for New Antenna	KLTS-DT wishes to broadcast at close to full power while the main transmission system is replaced for the repack channel.

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	6 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?	Yes
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Interim Antenna

Other Antenna Cost Not Listed

Name	Description
Shipping	Alive has put TBD on the attached quote. This is an arbitrary number

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	6 1/8 inches
	Other Diameter	N/A
	Segment Length	19 3/4 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	1316 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	6 1/8 inches
	Other Diameter	N/A
	Segment Length	19 1/2 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	1316 feet per run
	Justification for New Transmission Line	Existing line is not compatible with the 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	5 inches
	Segment Length	N/A
	Other Segment Length
	Number of parallel runs	1
	Length	1300 feet per run
	Justification for New Transmission Line	KLTS-DT would like to remain on the air while the existing transmission system is replaced for the repack channel.

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	Owned
	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	Yes
	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?	No
Existing Tower Structure Registration	ASR Number
Coordinates (NAD83)	Latitude (NAD83)	32° 40' 40.1" N-
	Longitude (NAD83)	093° 55' 30.7" W-
	Overall Structure Height	1080.04 feet
	Support Structure Height	1006.88 feet
	Ground Elevation Above Mean Sea Level (AMSL)	250.00 feet
	Structure Type	GTOWER - Guyed Structure Used for Communication Purposes
	Tower Owner	LOUISIANA EDUCATIONAL TELEVISION AUTHORITY DBA KLTS
	Date Constructed	05/26/1978

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID	Call Sign	Service
4317	KDAQ	FM

Other Types of Users

Users
Bluebird Wirele

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:	Serious 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

Information not provided.

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	500
	Explanation	We will need outside assistance with project management due to insufficient staffing levels to support a major 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	Yes
	For Main Facility	Yes
	Prepare engineering section of Form FCC License to Cover Application	Yes
	For Auxiliary Facility	Yes
	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	Yes
	For Main Facility	Yes
	Prepare and file Form FCC License to Cover Application	Yes
	For Auxiliary Facility	Yes
	For Main Facility	Yes
	Prepare request for Special Temporary Authority	Yes
	Quantity	2
	NEPA Section 106 environmental review	No
	Environmental Assessment	No
	ASR Modification	Yes
	FAA Consultation (including preparation of FAA Form 7460)	Yes
	Negotiation of Lease and other Matter for Shared Locations	No
	Prepare or Review FCC Form 399 for Reimbursement	Yes
	Address transition timing and coordination issues w/ other stations and wireless providers	Yes
RF Field Engineering Services	Comprehensive coverage verification via field study	Yes
	RF exposure measurements	Yes
	Additional Field Engineering Service	Yes
	Number of Days	60
	Justification	We do not have comprehensive internal resources. Consulting RF Engineers are needed to meet the analytical, coordination, and FCC compliance needs of the station.

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Name	Description
Field Engineering Fees	Comprehensive coverage verification via field study

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	No
	Non-zoning permits	No
	BLM or NFS Coordination	No
	FCC Construction Permit Minor Change	No
	FCC License to Cover Application	No
	FCC Special Temporary Authority Application	No
Other Miscellaneous Expenses	Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)?	Yes
	Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs?	No
	Does this relocation require Equipment Storage?	No
	Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change?	Yes
	Does this relocation require MVPD Notification of a Channel Change?	Yes

Other Expenses

Other Expenses Not Listed

Information not provided.

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	$2,593,707.00	$2,538,707.00	N/A	$1,875,572.14	N/A
Total for all systems	$5,405,254.00	$5,242,696.00	N/A	$3,250,313.06	N/A
Primary Transmitter CTX728	$1,259,307.00	$1,204,307.00		$1,005,474.34
20 Ton system	$115,500.00	$110,000.00	This building is going to require adjustments to the environmental controls. Cooling is estimated to require 20 Tons of capacity and due to the location in a more northern latitude additional heating will also be required at this site for the winter.	$67,048.00	N/A
Other - Continental Electronics	$5,307.00	$5,307.00	N/A	N/A	N/A
Additional Equipment	$50,000.00	$50,000.00	Items needed to make new transmitters equivalent to existing transmitter equipment.	$0.00	This is the invoice for the Main Cooling system. The quote was submitted on 1/31/2020
Primary Transmitter site prep	$25,000.00	$25,000.00	N/A	$17,791.00	KLTS Phase IV Transmitter removal invoice payment 1 of 2. Quote was filed earlier.
Transmitter Install equipment rental	$22,000.00	$22,000.00	Rental of heavy duty equipment will be required to install the transmitter and the heat exchanger.	$14,135.34	N/A
Other -- Building Addition Size: 600.0	$22,000.00	$22,000.00	N/A	N/A	N/A
4" Rigid Conduit and Wiring (Cost per foot)	$50,500.00	$48,000.00	N/A	N/A	N/A
Shipping and Handling	$22,000.00	$22,000.00	N/A	$6,500.00	N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	$947,000.00	$900,000.00	N/A	$900,000.00	N/A
Auxiliary Transmitter CTX724 20kW UHF ATSC Transmitter	$1,334,400.00	$1,334,400.00		$870,097.80
Transmitter Site Survey	$8,000.00	$8,000.00	N/A	$7,223.80	N/A
Electricians Phase 3	$30,000.00	$30,000.00	N/A	$23,256.00	Invoice for KLTS Phase III Transmitter Electrical Install. Payment 1 of 2. Quoted was filed earlier.
Aux Transmitter Power Conditioner	$20,000.00	$20,000.00	N/A	$12,700.00	This is the invoice for the Aux Transmitter Power Conditioner. The quote was filed first.
Aux RF Components	$180,000.00	$180,000.00	N/A	$119,458.00	KLTS-TV_Invoice_#02172002-IRO_Updated Price Change Letter_03-05-2020
Shipping	$15,000.00	$15,000.00	Shipping cost of Interim Transmitter from manufacturer to site.	N/A	N/A
Aux Transmitter Site Demo Phase 1	$25,000.00	$25,000.00	N/A	$9,134.00	This is the invoice for KLTS Phase 1 removal. Payment 1 of 2. The quote was submitted first
Install of Aux Transmitter Power Conditioner	$20,000.00	$20,000.00	N/A	$15,920.00	KLTS Phase V Regulator Invoice payment 1 of 2. Quote was filed earlier
Transformer 3 phase/480v - 300 KVA	$36,800.00	$36,800.00	N/A	$0.00	These are quotes for the 3 phase/ 480v - 300KVA Transformer for KLTS Transmitter site.
Switchgear - industrial 800 amp	$38,200.00	$38,200.00	N/A	$13,031.00	Invoice for KLTS Phase II Switch Gear REP MDP Payment 1 of 2. Quote was filed first.
Service entrance 3 phase/800 amp/208 volt	$14,400.00	$14,400.00	N/A	N/A	N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	$947,000.00	$947,000.00	N/A	$669,375.00	N/A

Components

Actual Information Description	File Name
20 Ton system	Component Description: DMR Mechanical_KLTS_Signed Proposal_KF1402019R_ Progress Billing Invoice_114083_6-30-19 Amount: $19,260.00 Component Description: KLTS_Rogers Welding_Invoice-3009 and Quote-3009 For Fence Area for Transmitter HVAC and Leak Catch Pans for transmitter AC Units Amount: $21,818.00 Component Description: KLTS_Rogers Welding_Invoice-3008 and Quote-3008 for Ice Bridge on HVAC Units Amount: $6,710.00 Component Description: DMR Mechanica_KLTS_Transmitter_Proposal and Invoice 119823_12-31-2019_Finall Billing_AC Install Amount: $19,260.00
Other - Continental Electronics	Information not provided.
Additional Equipment	Component Description: Louisiana_Invoice_KLTS-TV_#02182001-IR0_Main Cooling System and Other Facility Costs_02-18-2020 Amount: $48,200.00 Component Description: Cooling Systems for transmitter Primary and Aux. Amount: $48,200.00
Primary Transmitter site prep	Component Description: KLTS Phase IV_Transmitter Removal_ Quote and Invoice 397040_6-8-20 Amount: $8,895.50 Component Description: KLTS Shreveport Phase IV Primary Site Prep Amount: $17,791.00 Component Description: KLTS Phase IV_Transmitter Removal_ Invoice 396579_2-19-20_ Payment 1 of 2 Amount: $8,895.50
Transmitter Install equipment rental	Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9009113907_9-16-2020 Amount: $175.94 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9009276384_10-14-2020 Amount: $177.15 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008960638_8-19-2020 Amount: $175.94 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008813180_7-22-2020 Amount: $165.19 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9009447401_11-11-2020 Amount: $177.15 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9005301179_11-14-2018 Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008517050_5-27-2020 Amount: $175.94 Component Description: KLTS_40 Standard_Transmission Line_Storage_Invoice_9004474838_6-27-2018. Amount: $529.58 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9004428891_6-19-2018. Amount: $610.39 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9008473969_5-19-2020 Amount: $178.34 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008517051_5-27-2020 Amount: $165.19 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9008321850_4-21-2020 Amount: $178.34 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9007521322_12-3-2019 Amount: $178.34 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9008769852_7-14-2020 Amount: $178.34 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9006890564_8-21-19 Amount: $555.19 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9005591248_1-1-2019 Amount: $166.39 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9005079553_10-9-2018 Amount: $166.39 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9009067446_9-8-2020 Amount: $178.34 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9008624054_6-16-2020. Amount: $178.34 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9007003436_9-10-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9006730679_7-24-2019 Amount: $167.58 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9007171159_10-8-2019 Amount: $178.34 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9005639098_1-9-2019_updated Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008061639_3-4-2020 Amount: $175.94 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9006064946_3-26-2019 Amount: $166.39 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9006218620_4-23-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007901182_2-5-2020 Amount: $175.94 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008218314_4-1-2020 Amount: $175.94 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007737318_1-8-2020 Amount: $165.19 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9004956844_9-19-2018_removal of late fee Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9006272369_5-1-2019 Amount: $167.58 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9008008465_2-25-2020 Amount: $178.34 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007397286_11-13-2019 Amount: $165.19 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9004798203_8-22-201 Amount: $167.58 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9006528805_6-18-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007220980_10-16-2019 Amount: $175.94 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008061640_3-4-2020 Amount: $165.19 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008218315_4-1-2020 Amount: $165.19 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9007846925_1-28-2020 Amount: $178.34 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007052949_9-18-19 Amount: $165.19 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9005963599_3-6-2019 Amount: $167.58 Component Description: KLTS_25x10_Transmission Line_Storage_Quote and_Invoice_9004751392_8-14-2018_Corrected Amount: $166.39 Component Description: KLTS_40' Standard Transmission Line_Storage_Invoice_9005128195_10-17-2018_Removal Of Late Fee. Amount: ($25.14) Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007901183_2-5-2020 Amount: $165.19 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9004798203_8-22-2018 Amount: $192.72 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9005474069_12-12-2018. Amount: $167.58 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9004909714_9-11-2018_updated Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_Cover Letter_9005128195_10-17-2018_Removal Of Late Fee Amount: $167.58 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9008166703_3-24-2020 Amount: $178.34 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9005639098_1-9-2019_Subtract Late Charge Amount: $167.58 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9004751392_8-14-2018. Amount: $191.35 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_Cover Letter_9004909714_9-11-2018_Removal Of Late Fee Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9004798203_8-22-2018_Removal Of Late Fee. Amount: ($25.14) Component Description: KLTS_25x10_Transmission Line Storage Quote and Invoice_9006373734_5-21-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9005806875_2-6-2019 Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9006117142_4-3-2019 Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9005963599_3-6-2019 Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9006890563_8-21-19 Amount: $167.58 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9006684144_7-16-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007220981_10-16-19 Amount: $165.19 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9008916897_8-11-2020 Amount: $178.34 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_Cover Letter_9004751392_8-14-2018_Removal Of Late Fee. Amount: $166.39 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9007688973_12-31-2019 Amount: $178.34 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_Cover Letter_9004798203_8-22-2018_Removal Of Late Fee Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_Cover Letter_9005639098_1-9-2019_Waived Late fee Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote_Invoice_9004956844_9-19-2018 Amount: $192.72 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008366084_4-29-2020 Amount: $175.94 Component Description: KLTS_Mobile Mini Quote_40' _Facility ID Amount: N/A Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008813179_7-22-2020 Amount: $175.94 Component Description: KLTS_25x10_Transmission Line Storage_Quote_ Invoice_9006842794_8-13-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007052948_9-18-19 Amount: $167.58 Component Description: KLTS_25x10_Transmission Line Storage Quote and Invoice_9006064946_3-26-2019 Amount: $166.39 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9005249838_11-6-2018 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9005128195_10-17-2018 Amount: $192.72 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9009113908_9-16-2020 Amount: $165.19 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_Cover Letter_9005751824_1-29-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9006574296_6-26-2019 Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007397285_11-13-2019 Amount: $175.94 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote_Invoice_9006417569_5-29-2019 Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008668253_6-24-2020 Amount: $175.94 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote Single Invoice_9005474069_12-12-2018 Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008960639_8-19-2020 Amount: $165.19 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9006373734_5-21-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007572063_12-11-19.pdf Amount: $165.19 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9005751824_1-29-2019_updated Amount: $166.39 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9005423929_12-4-2018_minus late fee Amount: $166.39 Component Description: KLTS_Mobile Mini Quote_25'_Facility ID Amount: N/A Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008668254_6-24-2020 Amount: $165.19 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9004638287_7-25-2018 Amount: $167.58 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9004909714_9-11-2018. Amount: $191.35 Component Description: KLTS_25x10_Transmission Line Storage Quote and Invoice_9006218620_4-23-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9007572062_12-11-19 Amount: $175.94 Component Description: KLTS_25x10_Transmission Line_Storage_Quote and_Invoice_9004751392_8-14-201 Amount: $166.39 Component Description: KLTS_25x10_Transmission Line Storage_Quote and Invoice_9007346020_11-5-2019 Amount: $178.34 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9005423929_12-4-2018_updated Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9008366085_4-29-2020 Amount: $165.19 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_Cover Letter_9005423929_12-4-2018_minus late fee Amount: $166.39 Component Description: KLTS_25x10_Transmission Line Storage Quote and Invoice_9005910753_2-26-2019_Corrected Amount: $166.39 Component Description: KLTS_25x10_Transmission Line_Storage_Invoice_9004590392_7-17-2018 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9006117142_4-3-2019 Amount: $167.58 Component Description: KLTS_25x10_Transmission Line Storage_Invoice 9004909714_9-11-2018_Removal OF Late Fee.pdf Amount: ($24.96) Component Description: KLTS_25x10_Transmission Line Storage_Invoice 9004751392_8-14-2018_Removal OF Late Fee Amount: ($24.96) Component Description: KLTS_25x10_Transmission Line Storage Quote and Invoice_9005910753_2-26-2019 Amount: $166.39 Component Description: KLTS_40' Standard_Transmission Line_Storage_Quote and Invoice_9006272369_5-1-2019 Amount: $167.58 Component Description: KLTS_40' Standard_Transmission Line_Storage_Invoice_9005128195_10-17-2018_updated Amount: $167.58
Other -- Building Addition Size: 600.0	Information not provided.
4" Rigid Conduit and Wiring (Cost per foot)	Information not provided.
Shipping and Handling	Component Description: Invoice PI-6321-112619-3_Shipping and Insurance Quote_ Final Progress Payment Invoice 11-26-2019_Corrected.pdf Amount: $6,500.00 Component Description: KLTS_E17-0334-5 - Proposal_Shipping and Invoice Amount: $6,500.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	Component Description: KLTS_Channel 17 Transmitter_1st Downpayment_INVOICE_E1703345_Corrected Amount Amount: $157,500.00 Component Description: KLTS_Proposal and Invoice - 30% Progress payment invoice 18385 2-12-2019 Amount: $270,000.00 Component Description: Heartland Video_KLTS Rebrander_Invoice 63487_1-31-18 Amount: $12,812.47 Component Description: KLTS_Channel 17 Transmitter_1st Downpayment_INVOICE_E1703345 Amount: $157,800.00 Component Description: KLTS_ Proposal_E17-0334-5_2nd Down Payment_Invoice-18308_1-7-2019 Amount: $157,500.00 Component Description: Heartland Video_KLTS - Shreveport Rebrander Quote_WISQ48350_11-27-17 Amount: N/A Component Description: KLTS_Invoice PI-6321-112619-1 R1_ Proposal and Final Progress Payment Invoice 11-26-2019_Corrected.pdf Amount: $315,000.00 Component Description: KLTS_ Proposal_E17-0334-5_2nd Down Payment_Invoice-18308_1-7-2019 Amount: $157,500.00 Component Description: N/A Amount: N/A Component Description: KLTS_Proposal and Invoice PI-6321-112619-1-R1 Final Progress Payment 11-26-2019 Amount: $315,000.00
Transmitter Site Survey	Component Description: KLTS-TV_Gates Air_Site Survey Quote and Invoice_US0338823_7-17-2020 Amount: $7,223.80
Electricians Phase 3	Component Description: KLTS Phase III_Transmitter Electrical Install_Proposal and Invoice 396887_6-8-20_Payment 2 of 2 Amount: $11,628.00 Component Description: KLTS Phase III_Transmitter Electrical Install_Invoice 396581_2-19-20_Payment 1 of 2 Amount: $11,628.00 Component Description: KLTS Shreveport Phase III Transmitter Electrical Install Amount: $23,256.00
Aux Transmitter Power Conditioner	Component Description: KLTS-TV_Aux_TX-Pwr_Cond_Invoice and Estimate_Feb 18-20.pdf Amount: $12,700.00 Component Description: Louisiana_Invoice_KLTS-TV_#02182001-IR0_Auxiliary Transmitter Power Conditioner_02-18-2020 Amount: $12,700.00 Component Description: Louisiana_KLTS__Estimate_Auxiliary_Transmitter_Power_Conditioner_02-05-2020 Amount: $12,700.00
Aux RF Components	Component Description: Louisiana_Invoice_KLTS-TV_#02172002-IR0_ Primary RF-System-Material and Other Facility Costs_02-18-2020 Amount: $119,458.00 Component Description: KLTS__Estimate and Invoice_Labor Only Fabrication of RF System_Nov 13-2020.pdf Amount: $62,130.00 Component Description: Louisiana_KLTS__RF System Estimate Interim_Transmitter_02-05-2020 Amount: $177,868.00 Component Description: KLTS-TV_Invoice_#02172002-IRO_Updated Price Change Letter_03-05-2020 Amount: $3,720.00
Shipping	Information not provided.
Aux Transmitter Site Demo Phase 1	Component Description: KLTS Phase I_Removal and Demo_Invoice 396489_1-31-20_Payment 1 of 2 Amount: $9,134.00 Component Description: KLTS Phase 1 Removal and Demo Amount: $18,268.00
Install of Aux Transmitter Power Conditioner	Component Description: KLTS Phase V_Regulator_ Invoice 396579_2-19-20_Payment 1 of 2 Amount: $7,960.00 Component Description: KLTS Phase V_Regulator_Proposal and Invoice 396886_6-8-20_Payment 2 of 2 Amount: $7,960.00 Component Description: KLTS Shreveport Phase V- Regulator Install Amount: $15,920.00 Component Description: KLTS Phase V_Regulator_ Quote and Invoice 397037_6-8-20 Amount: $3,980.00
Transformer 3 phase/480v - 300 KVA	Component Description: Quote for KLTS Transformer includes parts and installation for repack. Amount: $52,089.00 Component Description: Quote for KLTS Transformer for repack. Amount: $18,741.00
Switchgear - industrial 800 amp	Component Description: KLTS Phase II_Switch Gear REP MDP_Invoice 396582_2-29-20_Payment 1 of 2 Amount: $13,031.00 Component Description: KLTS Phase II Switch gear Removal and Disposal Amount: $26,062.00
Service entrance 3 phase/800 amp/208 volt	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	Component Description: KLTS Aux Transmitter Invoice PI-6326-04282020-1 Final Payment 04-28-2020 Amount: $435,093.75 Component Description: KLTS Aux Transmitter_Invoice PI-6326-022020-1 Down Payment 02-20-22020 Amount: $234,281.25 Component Description: KLTS Auxilary Transmitter Proposal Amount: $632,875.00 Component Description: KLTS_Heat Exchanger Legs Proposal_and Invoice_PI-6321-051220_5-12-2020 Amount: $5,307.00 Component Description: KLTS_CEC Heat Exchanger Legs Proposal_E20-0845-1_5-5-2020_signed copy Amount: $5,307.00 Component Description: KLTS Updated Interim Transmitter Proposal_E19-0819-3_1-11-2020 Amount: $669,375.00 Component Description: KLTS Interim Transmitter 399 Amended Request Documents Axcera, Beaver, Gates Air 1-23-20 Amount: N/A

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	$631,370.00	$602,500.00	N/A	$285,285.00	N/A
Total for all systems	$5,405,254.00	$5,242,696.00	N/A	$3,250,313.06	N/A
Interim Antenna ATC-BCSE16M-U1	$297,840.00	$284,400.00		$39,650.00
Shipping	$22,000.00	$22,000.00	Alive has put TBD on the attached quote. This is an arbitrary number that should cover the cost with some left over.	$0.00	N/A
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	$0.00	N/A
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)	$13,700.00	$13,000.00	N/A	$2,150.00	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	N/A	N/A
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized	$227,000.00	$216,000.00	N/A	$37,500.00	N/A
Primary Antenna ATC-BCE4280-V0-17	$333,530.00	$318,100.00		$245,635.00
Shipping	$25,000.00	$25,000.00	Alive has put TBD on the quote that is attached. This is an arbitrary number that should cover the cost with value left over.	$24,835.00	N/A
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	$12,300.00	$11,700.00	N/A	$8,300.00	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$4,500.00	N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	$289,500.00	$275,000.00	N/A	$208,000.00	N/A

Components

Actual Information Description	File Name
Shipping	Information not provided.
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)	Information not provided.
Elbow complex, broadband, at antenna input, per 6 1/8. feedline (if needed)	Component Description: KLTS_Alive Side Mount Wide Band Antenna_Quote and Invoice_1844 Corrected Amount: $2,150.00 Component Description: KLTS_Alive INV 1844 Int Elbow Complex_Station Call Letters and Facility ID_Corrected Amount: $2,150.00 Component Description: KLTS_Alive INV 1844 Int Elbow Complex_Station Call Letters and Facility ID Amount: $2,150.00 Component Description: KLTS_Alive_Updated Quote_INV 1960 Int Elbow Complex Amount: $2,150.00 Component Description: KLTS_Alive INV 1960 Int Elbow Complex_Station Call Letters and Facility ID_6-19-18 Amount: $2,150.00 Component Description: KLTS_Alive Telecom INV 1844 Interim Elbox Complex_11-29-17_Deposit Amount: $2,150.00
Sweep test of existing antenna	Information not provided.
UHF - Lower Power Side Mount, One station antenna -- 200-500 kW, elliptically or circularly polarized	Component Description: KLTS_Alive INV 1963 6 Bay Antenna Proposal, Quote-Invoice- Elbow, Harness_Station Letters and Facility ID_Updated_1-3-19 Amount: $37,500.00 Component Description: KLTS_Alive Side Mount Wide Band Antenna_Quote Invoice_2051 Corrected Amount: $29,000.00 Component Description: KLTS_Alive INV 1842 Int Antenna_Station Call Letters and Facility ID_Corrected Amount: $29,000.00 Component Description: KLTS_Alive INV 1842 Int Antenna_Station Call Letters and Facility ID Amount: $29,000.00 Component Description: KLTS_Alive_INV 2051 Interim Antenna Final Payment_11-8-18 Amount: $29,000.00 Component Description: KLTS Alive Side Mount Wide Band Antenna_Proposal 043018_Revised-6-11-18 Amount: N/A Component Description: KLTS_Alive Updated Quote_INV 1963 Aux Antenna, Elbow, Harness. Amount: $37,500.00 Component Description: KLTS_Alive Side Mount Wide Band Antenna_Quote and Invoice_1842_Corrected Amount: $29,000.00
Shipping	Component Description: KLTS_Proposal and Invoice #2457B_Shipping Field Cuts-10-22-20.pdf Amount: $3,250.00 Component Description: KLTS_Proposal_Invoice #2446 Shipping Main Antenna_9-17-2020 Amount: $9,000.00 Component Description: KLTS_Alive_INV 2056_ Shipping_11-8-18 Amount: $6,285.00 Component Description: KLTS_Alive Telecom_Invoice #2431_8-3-2020_Storage of Antenna and Letter of Explanation Amount: $2,100.00 Component Description: KLTS_Alive Top Mount Antenna Proposal_Shipping Delay Storage and Invoice_12-3-19 Amount: $4,200.00 Component Description: KLTS_Alive Telecom_Invoice #2230_12-3-19_Storage of Antenna and Cover Letter Amount: $4,200.00
Elbow complex, single channel, at antenna input, per 6 1/8. feedline (if needed)	Component Description: KLTS_Alive Telecom INV 1847 Main Elbox Complex_11-29-17_Deposit Amount: $4,150.00 Component Description: KLTS_Alive_INV 2053_ 6 inch 75 ohm Elbow Complex_11-8-18 Amount: $4,150.00
Sweep test of existing antenna	Component Description: KLTS_Proposal and Invoice #2457A_Sweep-10-22-20.pdf Amount: $4,500.00
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	Component Description: KLTS_Proposal and Invoice #2444 Main Antenna_9-17-2020 Amount: $41,600.00 Component Description: KLTS_Alive Telecom INV 1845 Main Antenna_11-29-17_Deposit Amount: $104,000.00 Component Description: KLTS_Alive INV 1845 Main Antenna_Station Call Letters And Facility ID_Corrected Amount: $104,000.00 Component Description: KLTS_Alive_INV 2054_ CH 17 Main Antenna_11-8-18. Amount: $62,400.00 Component Description: KLTS_Alive _Top Mount Antenna Proposal_9-01-17 Amount: N/A Component Description: KLTS_Alive Telecom INV 1847 Main Elbox Complex_11-29-17_Deposit Amount: $4,150.00

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	$402,332.00	$382,672.00	N/A	$266,200.00	N/A
Total for all systems	$5,405,254.00	$5,242,696.00	N/A	$3,250,313.06	N/A
Interim Transmission Line	$136,500.00	$130,000.00		$66,500.00
Flexible Air Transmission Line - dielectric, 5"	$136,500.00	$130,000.00	N/A	$66,500.00	N/A
Primary Transmission Line	$265,832.00	$252,672.00		$199,700.00
Rigid Transmission Line - copper, 6 1/8"	$265,832.00	$252,672.00	N/A	$199,700.00	N/A

Components

Actual Information Description	File Name
Flexible Air Transmission Line - dielectric, 5"	Component Description: KLTS_Alive INV 1843 Int TX Line_Station Call Letters and Facility ID_Corrected Amount: $33,250.00 Component Description: KLTS_Alive INV 1843 Int TX Line_Station Call Letters and Facility ID Amount: $33,250.00 Component Description: KLTS_Alive_INV 2052 Interim TX Line Final Payment_11-8-18 Amount: $33,250.00 Component Description: KLTS_Alive Telecom INV 1843 Interim Transmission Line_11-29-17_Deposit Amount: $33,250.00
Rigid Transmission Line - copper, 6 1/8"	Component Description: KLTS_Alive INV 1961_6 inch TX Line_ Station Call Letters and Facility ID_6-19-18 Amount: $99,850.00 Component Description: KLTS_Alive Updated Quote_INV 1961 TX Line Amount: $99,850.00 Component Description: KLTS_Alive INV 1848 Main TX Line_Station Call Letters and Facility ID_Corrected Amount: $99,850.00 Component Description: KLTS_Alive Telecom INV 1848 Main Transmission Line_11-29-17_Deposit Amount: $99,850.00

Actual Information Description

File Name

Flexible Air Transmission Line - dielectric, 5"

Component Description:: KLTS_Alive INV 1843 Int TX Line_Station Call Letters and Facility ID_Corrected
Amount:: $33,250.00

Component Description:: KLTS_Alive INV 1843 Int TX Line_Station Call Letters and Facility ID
Amount:: $33,250.00

Component Description:: KLTS_Alive_INV 2052 Interim TX Line Final Payment_11-8-18
Amount:: $33,250.00

Component Description:: KLTS_Alive Telecom INV 1843 Interim Transmission Line_11-29-17_Deposit
Amount:: $33,250.00

Rigid Transmission Line - copper, 6 1/8"

Component Description:: KLTS_Alive INV 1961_6 inch TX Line_ Station Call Letters and Facility ID_6-19-18
Amount:: $99,850.00

Component Description:: KLTS_Alive Updated Quote_INV 1961 TX Line
Amount:: $99,850.00

Component Description:: KLTS_Alive INV 1848 Main TX Line_Station Call Letters and Facility ID_Corrected
Amount:: $99,850.00

Component Description:: KLTS_Alive Telecom INV 1848 Main Transmission Line_11-29-17_Deposit
Amount:: $99,850.00

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	$1,288,800.00	$1,242,867.00	N/A	$772,916.20	N/A
Total for all systems	$5,405,254.00	$5,242,696.00	N/A	$3,250,313.06	N/A
Primary Tower GTOWER	$1,288,800.00	$1,242,867.00		$772,916.20
Tall Tower (greater than 500')	$210,500.00	$217,867.00	Please see attached tower crew quote.	N/A	N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$25,000.00	N/A	$0.00	N/A
Serious tower reinforcement/modifications	$1,052,000.00	$1,000,000.00	N/A	$772,916.20	N/A

Components

Actual Information Description	File Name
Tall Tower (greater than 500')	Information not provided.
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Component Description: KLTS_Maximize_Side Mount Antenna Structural Analysis_Malouf Engineering_Invoice-1805103V0_5-17-2018 Amount: $2,500.00
Serious tower reinforcement/modifications	Component Description: Structural Analysis Amount: $6,000.00 Component Description: KLTS_Proposal and Invoice 2573_Tower Service_10-19-20 Amount: $55,876.00 Component Description: KLTS_Tower Service_Invoice 2565 and Cover Letter Proposal and Rate Sheet from Coast_ to_ Coast Tower_Service__Inc_10-19-20 Amount: $7,380.00 Component Description: KLTS_Tower Service_Invoice_2552_and Proposal from_Coast_to_Coast_Tower_Service_Inc_10-5-2020 Amount: $115,000.00 Component Description: KLTS_Tower Service_Invoice_2555_and Proposal from_Coast_to_Coast_Tower_Service_Inc_10-13-20 Amount: $70,000.00 Component Description: Coast to Coast Towers_Invoice 2106_Cover Letter for Change Order _5-8-2019 Amount: $55,876.00 Component Description: KLTS_Tower Services Interim Antenna & Transmission Line Services_Invoice 2100_11-30-18_Corrected Amount: $20,000.00 Component Description: KLTS_MEI_Vendor Quote and Invoice_1805103V0_5-17-18 Amount: $2,500.00 Component Description: KLTS_Tower Services Interim Antenna & Transmission Line Services_Invoice 2099 Amount: $50,000.00 Component Description: Structural Design Modification Amount: $8,000.00 Component Description: Structural Damage Repair Design Amount: $3,000.00 Component Description: KLTS_Proposal and Invoice_2106_Coast to Coast Tower Services_12-07-18 Amount: $55,876.00 Component Description: KLTS_Proposal and Invoice_2105_Coast to Coast Tower Services_Crew Mobilization_12-07-18 Amount: $25,000.00 Component Description: KLTS_Coast To Coast Tower Modification Antenna install Deposit_Invoice 1920_10-20-17 Amount: $217,960.00 Component Description: KLTS_Proposal and Invoice_2106_Coast to Coast Tower Services_12-07-18 Amount: $55,876.00 Component Description: KLTS_Tower Services 5 inch Interim Transmission Line Services_Invoice 2100 Amount: $20,000.00 Component Description: KLTS_Invoice 2192_Repack Interim Antenna_5-8-2019_Cover Letter_Quote 10111701T_corrected Amount: $25,000.00 Component Description: KLTS_Tower Service_Weather Delays_Invoice_2564_ and Proposal from_Coast_to_Coast_Tower_Service_Inc_10-19-20 Amount: $22,000.00 Component Description: KLTS TV Repack_ Coast to Coast Tower Services_Proposal_10111702T_Change Order Letter_Invoice 2107_8-7-19 Amount: $14,541.20 Component Description: KLTS_Tower Service_Completion Repack Tower Modification and Top Antenna Install_Invoice_2566_and Proposal from_Coast_to_Coast_Tower_Service_Inc_10-19-20 Amount: $24,635.00 Component Description: KLTS_Tower Services Reinforcements_Invoice_2060_from_Coast_to_Coast_Tower_Service_Inc_9-21-18. Amount: $60,148.00 Component Description: KLTS_Proposal and Invoice_2107_Coast to Coast Tower Services_Weather Delay_Tower Service_Materials_12-12-18 Amount: $14,541.20 Component Description: KLTS_Maximize_Side Mount Antenna Structural Analysis_Malouf Engineering_Invoice-1805103V0_5-17-2018. Amount: $2,500.00 Component Description: KLTS_Invoice 2192_Repack Interim Antenna_5-8-2019_Cover Letter_Quote_corrected Amount: $25,000.00 Component Description: KLTS_Proposal and Invoice_2105_Coast to Coast Tower Services_Crew Mobilization_12-07-18 Amount: $25,000.00 Component Description: KLTS_Tower Services Interim Antenna & Transmission Line Services_Invoice 2099_11-30-18_Corrected.pdf Amount: $50,000.00 Component Description: KLTS_Tower Reinforcement_Invoice_2054_from_Coast_to_Coast_Tower_Service_Inc_8-31-18. Amount: $40,000.00

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	$447,495.00	$434,950.00	N/A	$40,051.72	N/A
Total for all systems	$5,405,254.00	$5,242,696.00	N/A	$3,250,313.06	N/A
Outside Professional Services	$447,495.00	$434,950.00		$40,051.72
Additional Field Engineering Service, 60 Days	$125,000.00	$125,000.00	Additional Field Engineering services required for Transmitter install and RF modifications.	N/A	N/A
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	$2,000.00	N/A	N/A	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$7,360.00	$7,000.00	N/A	$806.40	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	N/A	$57.60	N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application	$4,210.00	$4,000.00	N/A	$1,141.50	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	N/A	$240.00	N/A
Prepare request for Special Temporary Authorization	$4,100.00	$3,000.00	N/A	N/A	N/A
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application	$1,580.00	$1,500.00	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
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application	$2,105.00	$2,000.00	N/A	N/A	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,000.00	N/A	$139.50	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$8,000.00	due to the complexity of channel reassignment
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	$78.00	N/A
RF Exposure Measurements	$21,050.00	$20,000.00	N/A	N/A	N/A
Project management of the transition	$79,000.00	$75,000.00	N/A	$24,088.72	N/A
Additional Field Engineering Service, 22 Days	$5,500.00	$5,500.00	*System Notice: Estimate adjusted and locked because line has been superseded.*	$5,500.00	N/A
Field Engineering Fees	$84,200.00	$84,200.00	Professional Comprehensive coverage verification via a field study will be needed for new maximized power and coverage pattern.	N/A	N/A

Components

Actual Information Description	File Name
Additional Field Engineering Service, 60 Days	Information not provided.
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.
Attorney Fees - Prepare and File request for Special Temporary Authorization	Component Description: KLTS_Television Repacking Services_Invoice 2757852_7-16-2020 Amount: $1,785.60 Component Description: KLTS_Television Repacking Services Invoice_2755928_6-26-2020 Amount: $806.40
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Component Description: KLTS_Television Repacking Services Invoice_2761087_8-16-2020 Amount: $57.60
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application	Component Description: Status of financial forms Amount: $312.00 Component Description: Review of 399 Amount: $829.50 Component Description: KLTS_Construction Permit Matters_5-14-18. Amount: $139.50
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: Professional Services Repack_KLTS_12-14-17_Invoice 672581 Amount: $78.00 Component Description: KLTS Repack Work_Invoice 2739380_1-17-20 Amount: $162.00
Prepare request for Special Temporary Authorization	Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application	Information not provided.
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	Information not provided.
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, Construction Permit Application	Information not provided.
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	Component Description: KLTS_Construction Permit Matters_4-19-18_Invoice 685296. Amount: $139.50
Perform engineering study for new channel assignment and antenna development	Component Description: Perform TV Study Coverage Amount: $8,000.00
Address transition timing and coordination issues w/ other stations and wireless	Information not provided.
Prepare and or review reimbursement form	Component Description: Professional Services Repack_KLTS_11-22-17_Invoice 670596_Page 5 Amount: $78.00
RF Exposure Measurements	Information not provided.
Project management of the transition	Component Description: Professional Services Repack_KLTS_10-18-17_Invoice 667582_Page 5 Amount: $39.00 Component Description: KLTS TV repack Site Survey Amount: $5,488.62 Component Description: KLTS-TV_38591_Estimate_#02061812-ER0 and Invoice #09181801-IR0_Strngth_Tower1 Amount: $18,561.10
Additional Field Engineering Service, 22 Days	Component Description: KLTS Geo technical survey Amount: $5,500.00
Field Engineering Fees	Information not provided.

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	$41,550.00	$41,000.00	N/A	$10,288.00	N/A
Total for all systems	$5,405,254.00	$5,242,696.00	N/A	$3,250,313.06	N/A
Other Expenses	$41,550.00	$41,000.00		$10,288.00
MVPD Notification of Channel Change	$10,000.00	$10,000.00	N/A	$288.00	N/A
Develop and air announcement of upcoming channel change	$10,000.00	$10,000.00	N/A	$10,000.00	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$10,000.00	$10,000.00	N/A	N/A	N/A
DTV Medical Facility Notification	$11,550.00	$11,000.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
MVPD Notification of Channel Change	Component Description: KLTS_Television Repacking Services_Invoice 2747598_4-13-20 Amount: $172.80 Component Description: KLTS_Television Repacking Services_Invoice 2750384_4-30-2020 Amount: $115.20
Develop and air announcement of upcoming channel change	Component Description: KLTS_FCC Facility ID_38591_Spectrum Repack PSA Spots Quote and Invoice_11640_6-5-2020 Amount: $10,000.00
Disposal Costs (for equipment and other waste, net of any salvage value)	Information not provided.
DTV Medical Facility Notification	Information not provided.

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$5,405,254.00	$5,242,696.00	$3,250,313.06

Reimbursement Status

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

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.	Donald Ray Ballard , Mr. . Television Manager 02/12/2021

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.

Donald Ray Ballard , Mr. .

Television Manager

02/12/2021

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.	Donald Ray Ballard , Mr. . Television Manager 02/12/2021

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.

Donald Ray Ballard , Mr. .

Television Manager

02/12/2021

(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

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Other Types of Users

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