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:
4353
Service:
DCA
Call Sign:
WDES-CD
Channel:
22 (UHF)
File Number:
0000027960
FRN:
0004941621
Date Submitted:
08/13/2021

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

BEACH TV PROPERTIES, INC.

Doing Business As: BEACH TV PROPERTIES, INC.

Byron J. Colley, Jr.

8317 Front Beach Road

Suite 23

PANAMA CITY BEACH, FL 32407

United States

+1 (850) 276-9552 jud.colley@tripsmarter.com Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Transition to channel 22, to maintain signal, a new antenna will be mounted above the present and become the main antenna after the transition. A new transmitter and mask filter will be needed.

Transmitters

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

Primary Transmitter

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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 DT834A 300 watts
Year 2000
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity .30 kW

Primary Transmitter

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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 UAXTE-1-P2R37
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity .40 kW
Justification for New Transmitter Old transmitter cannot be retuned.

Primary Transmitter

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Other Transmitter Costs

Section Question Response
Electrical Service Service Entrance (3 phases 800A 208V) No
Switchgear (industrial 800 amp) No
Transformer (480V) No
Power N/A
Rigid Conduit and Wiring No
Size N/A
Length N/A
Other Electrical Service Yes
Description 120/240
HVAC Service Does the replacement transmitter require HVAC Service? Yes
Type Cooling Only
Size 5 tons
Other Size N/A
Transmitter Building Addition/Modification or Leasehold Improvement Does the Transmitter Building require an addition, modification, other leashold improvement? No
Size N/A
Channel 14 Costs Is an RF Consulting Engineer needed? N/A
Is a channel 14 Mask Filer needed? N/A
Is additional field engineering time needed? N/A
Number of Days N/A

Primary Transmitter

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Other Transmitter Cost Not Listed

Information not provided.

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
Description of Use N/A
Ownership Owned
Owner N/A
Site N/A
Is the existing antenna shared with another station or stations? No
Is the existing antenna directional? Yes
Is antenna in operating condition? Yes
Is antenna located on or in close proximity to an antenna farm? No
Existing Antenna Manufacturer and Type Class Class A
Mounting Side Mount
Antenna position in stack Not in Stack
Polarization Horizontal
Type Slotted Coaxial
Number of Stations Supported N/A
Number of Panels N/A
Design power capacity in use N/A
Lower Limit N/A
Upper Limit N/A
Other Antenna Type N/A
ERP: 5.0 kW
Manufacturer
Model PSILP8ABR-35
Year 2017

Primary Antenna

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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? No
Ownership Owned
Owner N/A
Is antenna shared? No
Is antenna directional? Yes
Will antenna be located on or in close proximity to an antenna farm? No
New Antenna Manufacturer and Types Class Class A
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: 3.78 kW
Manufacturer
Model ATC-BCE46BR-V2-22
Year 2018
Justification for New Antenna New antenna needed for new frequency.

Primary Antenna

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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? No
Broadband or Single Channel? N/A
Feed Line Size N/A
Side Mount Brackets Do you require the separate purchase of side mount brackets for a high power antenna? 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

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Other Antenna Cost Not Listed

Information not provided.

Transmission Line

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

Primary Transmission Line

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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 Flexible Air
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 170 feet per run

Primary Transmission Line

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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 Flexible Air
Diameter 1 5/8 inches
Other Diameter N/A
Segment Length N/A
Other Segment Length N/A
Number of parallel runs 1
Length 200 feet per run
Justification for New Transmission Line New transmission line needed for new antenna.

Primary Transmission Line

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Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change Move Equipment
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? No
One or more FM, AM or TV radio broadcaster(s) N/A
Others Types of Users N/A
Is tower documented for structural analysis? Yes
Is tower compliant with Rev G? Yes
Existing Tower Structure Registration Do you have a tower registration number? No
ASR Number
Coordinates (NAD83) Latitude (NAD83) 30° 23' 50.0" N-
Longitude (NAD83) 086° 30' 27.0" W-
Overall Structure Height 187.99 feet
Support Structure Height 180.12 feet
Ground Elevation Above Mean Sea Level (AMSL) 15.09 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner Beach TV Properties, Inc.
Date Constructed 09/30/1997


Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Tower Crew

Remove and replace antennas.

Structural Analysis

Structural analysis of existing tower

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 620
Explanation No internal ability to accomplish services.
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 No
Quantity N/A
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 1
NEPA Section 106 environmental review No
Environmental Assessment No
ASR Modification No
FAA Consultation (including preparation of FAA Form 7460) No
Negotiation of Lease and other Matter for Shared Locations Yes
Prepare or Review FCC Form 399 for Reimbursement Yes
Address transition timing and coordination issues w/ other stations and wireless providers Yes
RF Field Engineering Services Comprehensive coverage verification via field study Yes
RF exposure measurements Yes
Additional Field Engineering Service No
Number of Days N/A
Justification N/A

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Thomaston Broadcasting

Transmitter and tower work. 80 hrs x $40/hr. $1,600.

Thomaston Broadcasting

WDES 8 hr x $40/hr. $320 Preparation of 399.

Other Expenses

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Section Question Response
AM Pattern Disturbance Is an Impact Study needed? No
Is Remediation needed? No
Facility Expenses Name N/A
Other Distributed Transmission System Expenses Not listed N/A
Name N/A
Is Notification of a Medical Facility required as a result of DTV broadcasting? Yes
Permit and Filing Costs Local Zoning Yes
Non-zoning permits No
BLM or NFS Coordination No
FCC Construction Permit Minor Change No
FCC License to Cover Application Yes
FCC Special Temporary Authority Application 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? Yes
Does this relocation require Equipment Storage? Yes
Does this relocation require the Development and Airing of an Announcement regarding an upcoming channel change? Yes
Does this relocation require MVPD Notification of a Channel Change? Yes

Other Expenses

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Other Expenses Not Listed

Name Description

Mask Filter

Gates Air FLUA-00625-6AT

Cost Information

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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 $59,188.42 $48,938.42 N/A $43,759.08 N/A
Total for all systems $499,508.42 $383,334.42 N/A $166,915.56 N/A
Primary Transmitter UAXTE-1-P2R37 $59,188.42 $48,938.42 $43,759.08
5 Ton system $20,250.00 $10,000.00 N/A $8,768.61 N/A
UHF - Air Cooled Solid State Transmitter .40 kW $35,438.42 $35,438.42 Quote GA-00021736 $34,990.47 N/A
Other Electrical Service: 120/240 $3,500.00 $3,500.00 N/A N/A N/A

Components

Actual Information Description File Name
5 Ton system

Component Description:
Installed a Bard system.
Amount:
$8,768.61
UHF - Air Cooled Solid State Transmitter .40 kW

Component Description:
Performing tests on WDES transmitter by Wade Thomaston.
Amount:
$280.00

Component Description:
WDES Transmitter installation
Amount:
$1,040.00

Component Description:
Transmitter and mask filter
Amount:
$13,137.83

Component Description:
Installation and Completion of new transmitter (New 1st Primary Transmitter)
Amount:
$280.00

Component Description:
1/3 Down Payment
Amount:
$9,212.63

Component Description:
1/3 Down payment. Invoice does not include tax and freight. See Gates Air proposal GA-00021736.
Amount:
$11,040.01

Component Description:
1/3 due prior to shipping. See Gates Air proposal GA-00021736.
Amount:
$11,040.01
Other Electrical Service: 120/240 Information not provided.

Cost Information

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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 $33,030.00 $21,865.00 N/A $16,724.00 N/A
Total for all systems $499,508.42 $383,334.42 N/A $166,915.56 N/A
Primary Antenna ATC-BCE46BR-V2-22 $33,030.00 $21,865.00 $16,724.00
UHF - Lower Power Side Mount, Class A One Station antenna -- basic $26,300.00 $15,465.00 The final invoice includes $1,200 for the cost of shipping the antenna that was not included in the original quote. $15,464.00 The final invoice includes $1,200 for the cost of shipping the antenna that was not included in the original quote.
Sweep test of existing antenna $6,730.00 $6,400.00 N/A $1,260.00 N/A

Components

Actual Information Description File Name
UHF - Lower Power Side Mount, Class A One Station antenna -- basic

Component Description:
Replacement of antenna
Amount:
$414.00

Component Description:
Antenna-AYC-BCH46BR-22
Amount:
$8,125.00

Component Description:
ATC-BCH46BR-22
Amount:
$6,925.00
Sweep test of existing antenna

Component Description:
1/2 down with order. See Alive Telecom proposal #2252017-2.
Amount:
$1,500.00

Component Description:
Swept the WDES Transmission line and antenna system
Amount:
$1,260.00

Cost Information

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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 $6,600.00 $7,851.00 N/A $7,851.00 N/A
Total for all systems $499,508.42 $383,334.42 N/A $166,915.56 N/A
Primary Transmission Line $6,600.00 $7,851.00 $7,851.00
Flexible Air Transmission Line - dielectric, 1 5/8" $6,600.00 $7,851.00 po#135 $7,851.00 N/A

Components

Actual Information Description File Name
Flexible Air Transmission Line - dielectric, 1 5/8"

Component Description:
TX Line system and dehydrator
Amount:
$3,250.00

Component Description:
Replacement of transmission line (New Primary Transmission Line)
Amount:
$186.00

Component Description:
TX Line System - 185 ft of HJ7-50A 1-5/8 Aire Cable Terminated w/ 7/8 EIA Connectors, Gas Barrier w/ Inner Anchor
Amount:
$4,415.00

Cost Information

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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 $119,200.00 $40,000.00 N/A $13,829.55 N/A
Total for all systems $499,508.42 $383,334.42 N/A $166,915.56 N/A
Primary Tower TOWER $119,200.00 $40,000.00 $13,829.55
Short Tower (less than 500') $84,200.00 $5,000.00 N/A N/A N/A
Tower Crew $25,000.00 $25,000.00 N/A $11,379.55 N/A
Structural Analysis $10,000.00 $10,000.00 Structural analysis of existing tower $2,450.00 N/A

Components

Actual Information Description File Name
Short Tower (less than 500') Information not provided.
Tower Crew

Component Description:
Antenna Swap Out
Amount:
$11,379.55
Structural Analysis

Component Description:
Structural Analysis and Report
Amount:
$1,200.00

Component Description:
Structural Tower Analysis
Amount:
$1,250.00

Cost Information

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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 $245,895.00 $229,645.00 N/A $81,598.52 N/A
Total for all systems $499,508.42 $383,334.42 N/A $166,915.56 N/A
Outside Professional Services $245,895.00 $229,645.00 $81,598.52
Thomaston Broadcasting $1,920.00 $1,920.00 N/A $1,160.00 N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization $3,680.00 $750.00 Please see WDES-CD Attorney STA Budget Justification Letter $750.00 N/A
Project management of the transition $97,960.00 $93,000.00 N/A $70,854.77 N/A
Prepare and or review reimbursement form $2,630.00 $2,500.00 N/A $1,308.75 N/A
Address transition timing and coordination issues w/ other stations and wireless $2,630.00 $2,500.00 N/A $400.00 N/A
Perform engineering study for new channel assignment and antenna development $7,360.00 $7,000.00 N/A $1,500.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $3,155.00 $3,000.00 N/A $1,000.00 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), License to Cover Application $1,580.00 $1,500.00 N/A $1,500.00 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
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application $5,260.00 $5,000.00 N/A N/A N/A
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application $4,210.00 $4,000.00 N/A N/A N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application $2,365.00 $2,250.00 N/A $500.00 N/A
Attorney Fees - Negotiation of lease and other matters for shared locations $4,210.00 $2,725.00 The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. $2,625.00 N/A
Comprehensive coverage verification via field study, if needed $84,200.00 $80,000.00 N/A N/A N/A
RF Exposure Measurements $21,050.00 $20,000.00 N/A N/A N/A

Components

Actual Information Description File Name
Thomaston Broadcasting

Component Description:
Working on transmitter install.
Amount:
$280.00

Component Description:
Contract Labor
Amount:
$720.00

Component Description:
2/14/2019 WDES # 4353 Air Conditioning quotes.
Amount:
$160.00
Attorney Fees - Prepare and File request for Special Temporary Authorization

Component Description:
WDES-550-Attorney Fees - Special Temporary Authorization
Amount:
$300.00

Component Description:
Professional Services Rendered
Amount:
$450.00
Project management of the transition

Component Description:
Project Management
Amount:
$1,752.00

Component Description:
Project Management
Amount:
$70.00

Component Description:
Project management
Amount:
$1,751.05

Component Description:
Project Management
Amount:
$409.30

Component Description:
Project Management
Amount:
$93.75

Component Description:
Project Management
Amount:
$2,014.55

Component Description:
Project Management
Amount:
$116.25

Component Description:
Project Management
Amount:
$70.00

Component Description:
Project Management
Amount:
$1,624.50

Component Description:
Project Management
Amount:
$1,942.85

Component Description:
Project Management
Amount:
$1,759.55

Component Description:
Project Management
Amount:
$1,841.15

Component Description:
Project Management
Amount:
$2,268.95

Component Description:
Project Management
Amount:
$2,241.65

Component Description:
Project Management
Amount:
$2,109.20

Component Description:
Project Management
Amount:
$1,839.25

Component Description:
Project Management
Amount:
$2,548.40

Component Description:
Project Management
Amount:
$2,671.35

Component Description:
Project Management
Amount:
$2,109.65

Component Description:
Project management
Amount:
$77.50

Component Description:
Project Management
Amount:
$62.50

Component Description:
Project Management
Amount:
$994.80

Component Description:
Project Management
Amount:
$914.40

Component Description:
FCC 387 form preparation
Amount:
$175.00

Component Description:
Project Management
Amount:
$3,094.70

Component Description:
Project Management
Amount:
$2,246.25

Component Description:
Project management
Amount:
$2,418.35

Component Description:
Project Management
Amount:
$2,894.20

Component Description:
Review initial FCC notification. Email time with client reviewing the FCC filing process.
Amount:
$339.17

Component Description:
Project Management
Amount:
$1,419.45

Component Description:
Project Management
Amount:
$3,447.20

Component Description:
Project Management
Amount:
$2,589.85

Component Description:
Project Management
Amount:
$1,992.60

Component Description:
Project Management
Amount:
$658.75

Component Description:
Project Management
Amount:
$1,760.05

Component Description:
Project Management
Amount:
$2,229.05

Component Description:
Project Management
Amount:
$2,618.25

Component Description:
Project Management
Amount:
$2,581.80

Component Description:
Project Management
Amount:
$1,756.25

Component Description:
Project Management
Amount:
$77.50

Component Description:
Project Management
Amount:
$3,753.05

Component Description:
Project Management
Amount:
$3,520.70
Prepare and or review reimbursement form

Component Description:
Completion of 399 forms.
Amount:
$80.00

Component Description:
Prepare and Review Reimbursement Form
Amount:
$508.75

Component Description:
Get quotes for replacement antenna, help in filing 399.
Amount:
$720.00
Address transition timing and coordination issues w/ other stations and wireless

Component Description:
WDES-590-Transition Timing and Coordination
Amount:
$400.00
Perform engineering study for new channel assignment and antenna development

Component Description:
Replication filing - Review antenna and system data to be specified in CP App. Engineering for App. Limited 399 assistance.
Amount:
$1,500.00

Component Description:
Structural analysis.
Amount:
$1,250.00

Component Description:
Site visit.
Amount:
$1,200.00
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application

Component Description:
FCC App for CP for minor change in frequency including FCC attorney and client coordination.
Amount:
$1,000.00
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), License to Cover Application

Component Description:
COORDINATION CLIENT, ANTENNA MANUFACTURE, LOCAL ENGINEER AND FCC LEGAL COUNSEL
Amount:
$1,500.00
RF Consulting Engineer Fees- Aux Antenna: Prepare engineering section of FCC Form 2100, License to Cover Application Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application Information not provided.
Attorney Fees - Aux Antenna, prepare and File Form 2100 Construction Permit or License Application Information not provided.
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application

Component Description:
WDES-550-Attorney - License to Cover Application (Main)
Amount:
$500.00
Attorney Fees - Negotiation of lease and other matters for shared locations

Component Description:
Professional Services Rendered
Amount:
$850.00

Component Description:
Professional Services Rendered
Amount:
$250.00

Component Description:
Full invoice number is: Invoice WDES-CD - FHH - 7.14.21 but will not fit in the box
Amount:
$975.00

Component Description:
Professional Services Rendered
Amount:
$200.00

Component Description:
Professional Services Rendered
Amount:
$350.00
Comprehensive coverage verification via field study, if needed Information not provided.
RF Exposure Measurements Information not provided.

Cost Information

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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 $35,595.00 $35,035.00 N/A $3,153.41 N/A
Total for all systems $499,508.42 $383,334.42 N/A $166,915.56 N/A
Other Expenses $35,595.00 $35,035.00 $3,153.41
Mask Filter $3,710.00 $3,710.00 N/A $1,160.71 N/A
MVPD Notification of Channel Change $2,500.00 $2,500.00 N/A $0.00 N/A
Develop and air announcement of upcoming channel change $2,500.00 $2,500.00 N/A N/A N/A
Equipment Storage $2,500.00 $2,500.00 N/A N/A N/A
Equipment Delivery and Handling Charges $5,000.00 $5,000.00 N/A N/A N/A
Disposal Costs (for equipment and other waste, net of any salvage value) $5,000.00 $5,000.00 N/A N/A N/A
Local Zoning $2,500.00 $2,500.00 N/A N/A N/A
FCC Filing Fees - Form 2100 license to cover application $335.00 $325.00 N/A N/A N/A
DTV Medical Facility Notification $11,550.00 $11,000.00 N/A $1,992.70 N/A

Components

Actual Information Description File Name
Mask Filter

Component Description:
WDES-610-Mask Filter
Amount:
$1,160.71
MVPD Notification of Channel Change Information not provided.
Develop and air announcement of upcoming channel change Information not provided.
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value) Information not provided.
Local Zoning Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.
DTV Medical Facility Notification

Component Description:
Medical Notification
Amount:
$1,992.70

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $499,508.42 $383,334.42 $166,915.56

Reimbursement Status

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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

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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.

  1. 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.

  2. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

  4. 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).

  5. 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.

  6. 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.

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

  8. 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.

Jud Colley

Owner


08/13/2021

Certification

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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).

  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.

  2. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.

  3. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.

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

  5. 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) .

  6. 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.

  7. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.

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

  9. 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.

Jud Colley

Owner


08/13/2021

Attachments

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