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

FCC Form 399: Reimbursement Request

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

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

Facility ID:
55442
Service:
LPT
Call Sign:
K48GQ-D
Channel:
29 (UHF)
File Number:
0000087683
FRN:
0010478220
Eligibility Status:
Eligible
Date Submitted:
04/09/2021

Applicant Information

Back to Top

Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

REDWOOD TV IMPROVEMENT CORPORATION

Doing Business As: REDWOOD TV IMPROVEMENT CORPORATION

P.O. BOX 120

MORTON, MN 56270

United States

+1 (507) 697-6489 stcl@comcast.net Not-for-Profit

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

Back to Top

Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

Back to Top
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. Yes
Briefly describe transition plan Redwood had four channels displaced to the core. They have 11 channels that share an antenna and the combiner was replaced to accommodate the new channels (15,16,29 & 35).

Question Response
Sharee Station Facility ID 55452
Call Sign K22KU-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 22
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 55451
Call Sign K25II-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 25
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 55447
Call Sign K17BV-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 17
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 55448
Call Sign K28LL-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 28
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 55441
Call Sign K15LS-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 15
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 55446
Call Sign K16MV-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 16
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 55449
Call Sign K35NY-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 35
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 55443
Call Sign K19CV-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 19
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 55439
Call Sign K33LB-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 33
Post-auction RF Channel
Neilsen DMA
Network Affiliation
Question Response
Sharee Station Facility ID 55450
Call Sign K36KW-D
Type
Licensee Name REDWOOD TV IMPROVEMENT CORPORATION
Status LICENSED
DTS No
Community of License REDWOOD FALLS, MN
Pre-auction RF Channel 36
Post-auction RF Channel
Neilsen DMA
Network Affiliation

Transmitters

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

Antennas

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

Transmission Line

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

Tower Equipment And Rigging Costs

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

Outside Professional Services Costs

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

Outside Professional Services Costs

Back to Top

Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

Back to Top
Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Permit and Filing Costs FCC Construction Permit Major Change No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application No
Other Miscellaneous Expenses Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? No
Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? No
Does this relocation require Equipment Storage? No
Point to Point Microwave (STL/ICR) Frequency Coordination for Unidirection System No
Frequency Coordination for Bi-Direction System No
New Point to Point Microwave System No

Other Expenses

Back to Top

Other Expenses Not Listed

Name Description

Combiner

New combiner for displaced channels 15, 16, 29 & 35

Cost Information

Back to Top

Transmitters

Information not provided.

Cost Information

Back to Top

Antennas

Information not provided.

Cost Information

Back to Top

Transmission Line

Information not provided.

Cost Information

Back to Top

Tower Equipment and Rigging Costs

Information not provided.

Cost Information

Back to Top

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 $4,812.50 $3,872.50 N/A $3,872.50 N/A
Total for all systems $12,406.90 $11,301.90 N/A $11,301.90 N/A
Outside Professional Services $4,812.50 $3,872.50 $3,872.50
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $1,162.50 N/A $1,162.50 N/A
Prepare/ Review 399 reimbursement form $1,710.00 $1,710.00 See Redwood BWS Estimate 399R.pdf $1,710.00 N/A
Form 399 assistance or other Program Management costs $1,000.00 $1,000.00 See Redwood BWS Estimate 399E.pdf $1,000.00 N/A

Components

Actual Information Description File Name
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
Eng Fee to search for channels and develop engineering for filing.
Amount:
$862.50

Component Description:
Cost to prepare and file displacement application
Amount:
$300.00
Prepare/ Review 399 reimbursement form

Component Description:
BWS 399 Reimbursement Project Management Cost
Amount:
$1,710.00
Form 399 assistance or other Program Management costs

Component Description:
399 Eligibility 1876 preparation and filing
Amount:
$1,000.00

Cost Information

Back to Top

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 $7,594.40 $7,429.40 N/A $7,429.40 N/A
Total for all systems $12,406.90 $11,301.90 N/A $11,301.90 N/A
Other Expenses $7,594.40 $7,429.40 $7,429.40
Combiner $7,259.40 $7,259.40 Combiner, cables and installation See Uppman Technical Services Invoice 2215 $7,259.40 N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $170.00 N/A $170.00 N/A

Components

Actual Information Description File Name
Combiner

Component Description:
Combiner portion for K29MQ-D
Amount:
$7,259.40
FCC Filing Fees - Form 2100 license to cover application

Component Description:
Filing Fee for K29MQ-D
Amount:
$170.00

Cost Information

Back to Top

Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $12,406.90 $11,301.90 $11,301.90

Reimbursement Status

Back to Top
Question Response
The facility has ceased operating on its pre-auction channel. Yes
Construction of final facilities or all necessary modifications are complete. Yes
All receipts for reimbursement have been submitted no further costs are expected to be incurred. Note this will lock the Form 399 from further editing and begin close-out procedures with the Fund Administrator. Yes

Certification

Back to Top
Section Question Response
Submission of Final Allocation or Accounting Information Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. 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 acknowledges that all certifications and attached documentation are considered material representations.

  2. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.

  3. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.

  4. 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.

  5. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.

  6. 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.

Dale Hansen

President


04/09/2021

Attachments

Back to Top