Applicant | Address | Phone | Applicant Type | |
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SIMCHAT TORAH BEIT MIDRASH Doing Business As: SIMCHAT TORAH BEIT MIDRASH |
PO Box 4810 PARKER, CO 80134 United States |
+1 (303) 841-4840 | STBM613@AOL.COM | Not-for-Profit |
Applicant | Address | Phone | |
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[Confidential] |
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Applicant | Address | Phone | |
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The Preparer is same as the reimbursement contact. |
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Question | Response |
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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 | KDEO Ch 46 displaced into the core new channel 21 |
Section | Question | Response |
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Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
Section | Question | Response |
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Existing Transmitter Description | Type of change | Purchase New |
Use | Primary (Main) | |
Ownership | Owned | |
Is this transmitter currently shared with another station? | No | |
Is this transmitter currently in operating condition? | Yes | |
Existing Transmitter Manufacturer and Type | Manufacturer | |
Model | TTHDU-1250 | |
Year | 2010 | |
Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power Capacity | 1.5 kW |
Section | Question | Response |
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New Transmitter | Use | Primary (Main) |
Change Type | Purchase New | |
Is this a request for upgraded equipment? | No | |
Manufacturer | ||
Model | TRN-U- | |
Transmitter Type | Solid State | |
Solid State Cooling | Air Cooled | |
Solid State Power capacity | 2.1 kW | |
Justification for New Transmitter | EMCEE transmitter cannot be tuned from Ch 46 to Ch 22. |
Section | Question | Response |
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Other Transmitter Costs | ||
Does the transmitter installation require a Transmitter Building Site Survey/Installation? | Yes | |
Electrical Service | Service Entrance (3 phases 800A 208V) | No |
Switchgear (industrial 800 amp) | No | |
Transformer (480V) | No | |
Rigid Conduit and Wiring | No | |
Other Electrical Service | No | |
HVAC Service | Does the replacement transmitter require HVAC Service? | No |
Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
Section | Question | Response |
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Antenna Related Expenses | Do you have antenna related expenses? | Yes |
Section | Question | Response |
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Existing Antenna Description | Type of change | Purchase New |
Antenna Use | Primary (Main) | |
Ownership | Owned | |
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 | ||
Mounting | Side Mount | |
Antenna position in stack | Middle | |
Polarization | Horizontal | |
Type | Slotted Coaxial | |
ERP: | 2.0 kW | |
Manufacturer | ||
Model | ACB16BR | |
Year | 2005 |
Section | Question | Response |
---|---|---|
New Antenna Description | Use | Primary (Main) |
Change Type | Purchase New | |
Ownership | Owned | |
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 Types | ||
Mounting | Side Mount | |
Antenna position in stack | Middle | |
Polarization | Horizontal | |
Type | Log Periodic | |
ERP: | 0.25 kW | |
Manufacturer | ||
Model | CL-1469 | |
Year | 2019 | |
Justification for New Antenna | Old antenna Ch 46 cannot be used for Ch 21. |
Section | Question | Response |
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Elbow Complex | Do you require the separate purchase of the Elbow Complex? | No |
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? | No |
Section | Question | Response |
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Transmission Line Related Expenses | Do you have transmission line related expenses? | No |
Section | Question | Response |
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Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
Section | Question | Response |
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Existing Tower Description | Type of change | Move Equipment |
Tower Use | Primary (Main) | |
Ownership | Leased | |
Is this tower consider Complex? | No | |
Is this tower currently shared with any other stations? | No | |
Is tower documented for structural analysis? | Unknown | |
Is tower compliant with Rev G? | Unknown | |
Existing Tower Structure Registration | Do you have a tower registration number? | No |
Coordinates (NAD83) | Latitude (NAD83) | 39° 43' 58.9" N- |
Longitude (NAD83) | 105° 14' 13.9" W- | |
Overall Structure Height | 78.74 feet | |
Support Structure Height | 78.74 feet | |
Ground Elevation Above Mean Sea Level (AMSL) | 7290.00 feet | |
Structure Type | TOWER - Free Standing or Guyed Structure | |
Tower Owner | Vic Michaels | |
Date Constructed | 01/01/2000 |
Section | Question | Response |
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Tower Rigging Costs | Complex Tower | N/A |
Helicopter Services Required | Are helicopter services required? | No |
Section | Question | Response |
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Outside Project Management Services | Do you require outside project management services? | Yes |
Number of Hours | 20 | |
Explanation | Project Management of Installation and turn on. | |
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 | Yes | |
For Auxiliary Facility | No | |
For Main Facility | Yes | |
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 | Yes |
RF exposure measurements | No | |
Additional Field Engineering Service | Yes | |
Number of Days | 3 | |
Justification | Site survey, oversee equipment delivery |
Section | Question | Response |
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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 |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
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Sub-total | $99,850.00 | $87,050.00 | N/A | $81,200.00 | N/A |
Total for all systems | $221,675.00 | $125,395.00 | N/A | $111,210.00 | N/A |
Primary Transmitter TRN-U- | $99,850.00 | $87,050.00 | $81,200.00 | ||
Transmitter Building Site Survey/Installation | $10,000.00 | $4,800.00 | VandeSande Inv | $4,800.00 | N/A |
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $84,000.00 | $76,400.00 | Jess Ortega Inv | $76,400.00 | N/A |
Retune | $5,850.00 | $5,850.00 | Feb Site survey | $0.00 | N/A |
Actual Information Description | File Name |
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Transmitter Building Site Survey/Installation | |
UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | |
Retune |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $1,125.00 | $5,000.00 | N/A | $0.00 | N/A |
Total for all systems | $221,675.00 | $125,395.00 | N/A | $111,210.00 | N/A |
Primary Antenna CL-1469 | $1,125.00 | $5,000.00 | $0.00 | ||
UHF-Lower Power, Yagi/Cross-Dipole/Log Periodic Transmit antenna | $1,125.00 | $5,000.00 | Array 2 x 3 high cost catalog | N/A | N/A |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $56,190.00 | $1,200.00 | N/A | $1,200.00 | N/A |
Total for all systems | $221,675.00 | $125,395.00 | N/A | $111,210.00 | N/A |
Primary Tower TOWER | $56,190.00 | $1,200.00 | $1,200.00 | ||
Tower Rigging Short Tower (less than 500') | $56,190.00 | $1,200.00 | N/A | $1,200.00 | N/A |
Actual Information Description | File Name |
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Tower Rigging Short Tower (less than 500') |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $64,175.00 | $31,810.00 | N/A | $28,810.00 | N/A |
Total for all systems | $221,675.00 | $125,395.00 | N/A | $111,210.00 | N/A |
Outside Professional Services | $64,175.00 | $31,810.00 | $28,810.00 | ||
Comprehensive coverage verification via field study, if needed | $52,600.00 | $22,500.00 | See EMS Quote QuoNaN142 | $22,500.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $500.00 | N/A | N/A | N/A |
Project management of the transition | $2,110.00 | $1,500.00 | N/A | N/A | N/A |
Additional Field Engineering Service, 3 Days | $3,600.00 | $3,600.00 | 3 days 8 hours @ $150/hour need kind of detailed log of time prep site, oversee antenna install, hook up sat dish, etc... | $3,600.00 | N/A |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $1,000.00 | N/A | N/A | N/A |
Form 399 assistance or other Program Management costs | $1,000.00 | $1,000.00 | See BWS Estimate 399 Eligibility and 1876 Preparation and submission | $1,000.00 | N/A |
Prepare/ Review 399 reimbursement form | $1,710.00 | $1,710.00 | St. Clair Invoice, I'll provide | $1,710.00 | N/A |
Actual Information Description | File Name |
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Comprehensive coverage verification via field study, if needed | |
Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
Project management of the transition | Information not provided. |
Additional Field Engineering Service, 3 Days | |
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | Information not provided. |
Form 399 assistance or other Program Management costs | |
Prepare/ Review 399 reimbursement form |
Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
---|---|---|---|---|---|
Sub-total | $335.00 | $335.00 | N/A | $0.00 | N/A |
Total for all systems | $221,675.00 | $125,395.00 | N/A | $111,210.00 | N/A |
Other Expenses | $335.00 | $335.00 | $0.00 | ||
FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | N/A | N/A |
Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
---|---|---|---|
Total for all systems | $221,675.00 | $125,395.00 | $111,210.00 |
Question | Response |
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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. | No |
Section | Question | Response |
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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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Susan Hansen Consultant 05/10/2021 |
Section | Question | Response |
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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). |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Susan Hansen Consultant 05/10/2021 |
Section | Question | Response |
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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. |
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I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Ralph Messer President 05/10/2021 |