| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
WORD OF GOD FELLOWSHIP, INC. Doing Business As: WORD OF GOD FELLOWSHIP, INC. |
Arnold Torres PO Box 76021 Bedford, TX 76021 United States |
+1 (817) 571-1229 | arnold.torres@daystar.com | Not-for-Profit |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
|
|
|
| Applicant | Address | Phone | |
|---|---|---|---|
|
Samuel Hariton Widelity, Inc. |
Samuel Hariton 4031 University Drive Ste 100 Fairfax, VA 22030 United States |
+1 (339) 222-8107 | sam.hariton@widelity.com |
| 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 | KDTS will transition from channel 8 to channel 14 by changing its antenna and transmitter. KDTS will also change tower sites. |
| Section | Question | Response |
|---|---|---|
| Transmitter Related Expenses | Do you have transmitter related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| 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 | ACAT650P-O | |
| Year | 2010 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | .65 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | TXUD7200ALC | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Liquid Cooled | |
| Solid State Power capacity | 7 kW | |
| Justification for New Transmitter | Moving from channel 8 to channel 14 requires the purchase of a new transmitter because the current transmitter cannot be re-channeled to meet the new channel assignment. |
| Section | Question | Response |
|---|---|---|
| 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 | Yes | |
| Description | Furnish and install power to the new transmitter and outside condenser units and other electrical work required for transmitter operation | |
| 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 |
| Name | Description |
|---|---|
Primary Transmitter - Installation |
Primary Transmitter - Installation |
Primary Transmitter - Additional Parts |
Primary Transmitter - Additional Parts |
Primary Transmitter - EPG Generator Fee |
Primary Transmitter - EPG Generator Fee |
| Section | Question | Response |
|---|---|---|
| Antenna Related Expenses | Do you have antenna related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| 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? | Yes | |
| Existing Antenna Manufacturer and Type | ||
| Mounting | Top Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Horizontal | |
| Type | Slotted Coaxial | |
| ERP: | 0.22 kW | |
| Manufacturer | ||
| Model | ARRAY 4XCL-713/8-H | |
| Year | 2010 |
| Section | Question | Response |
|---|---|---|
| New Antenna Description | Use | Primary (Main) |
| Change Type | Purchase New | |
| Ownership | Owned | |
| Is antenna shared? | No | |
| Is antenna directional? | No | |
| 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 | Not in Stack | |
| Polarization | Circular | |
| Type | Slotted Coaxial | |
| ERP: | 15.0 kW | |
| Manufacturer | ||
| Model | EPR8A470476LD3S | |
| Year | 2019 | |
| Justification for New Antenna | Existing antenna cannot accommodate channel 14 operations. |
| Section | Question | Response |
|---|---|---|
| Elbow Complex | Do you require the separate purchase of the Elbow Complex? | Yes |
| Broadband or Single Channel? | Single Channel | |
| Feed Line Size | 3 1/8 inches inches | |
| Side Mount Brackets | Do you require the separate purchase of side mount brackets for a high power antenna? | Yes |
| Pattern Scatter Analysis | Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna? | No |
| Sweep Test | Do you require the sweep testing of transmission line and antenna? | Yes |
| Name | Description |
|---|---|
Antenna removal and installation |
Antenna removal and installation |
Primary Antenna Pattern Scatter Study |
Simulate antenna mounted to tower section to determine optimum mounting distance from tower face. |
| Section | Question | Response |
|---|---|---|
| Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmission Line Description | Type of change | Purchase New |
| Use | Primary (Main) | |
| Ownership | Owned | |
| 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 Foam | |
| Diameter | 1 5/8 inches | |
| Number of parallel runs | 1 | |
| Length | 100 feet per run |
| Section | Question | Response |
|---|---|---|
| New Transmission Line Costs | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Type | Flexible Air | |
| Diameter | 3 inches | |
| Number of parallel runs | 1 | |
| Length | 1150 feet per run | |
| Justification for New Transmission Line | KDTS is relocating to a different tower site. | |
| Interior RF Systems | Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? | No |
| Section | Question | Response |
|---|---|---|
| Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Tower Description | Type of change | Modify Existing |
| Tower Use | Primary (Main) | |
| Ownership | Leased | |
| Is this tower consider Complex? | Candelabra | |
| 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 | No | |
| 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? | Yes |
| ASR Number | 1001289 | |
| Coordinates (NAD83) | Latitude (NAD83) | 37° 45' 19.0" N- |
| Longitude (NAD83) | 122° 27' 10.0" W- | |
| Overall Structure Height | 976.69 feet | |
| Support Structure Height | 779.85 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 833.98 feet | |
| Structure Type | LTOWER - Lattice Tower | |
| Tower Owner | Sutro Tower Inc. | |
| Date Constructed | 03/27/1998 |
| Facility ID | Call Sign | Service |
|---|---|---|
| 58912 | KPJK | DTV |
| 65526 | KRON-TV | DTV |
| 25452 | KPIX-TV | DTV |
| 69619 | KBCW | DTV |
| 71586 | KCNS | DTV |
| 35500 | KQED | DTV |
| 35703 | KTVU | DTV |
| 51429 | KFSF-DT | DTV |
| 34470 | KGO-TV | DTV |
| Section | Question | Response |
|---|---|---|
| Engineering Study | Please what type of engineering study is required, if any: | No study needed |
| Tower Reinforcements | Please select whether tower reinforcements are needed: | No reinforcements needed |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | Candelabra |
| Helicopter Services Required | Are helicopter services required? | No |
| Section | Question | Response |
|---|---|---|
| Outside Project Management Services | Do you require outside project management services? | Yes |
| Number of Hours | 200 | |
| Explanation | Overall project management which will be more complex due to the complexities of Mount Sutro and the Land mobile users. | |
| Outside RF consulting Engineering Services | Perform engineering study for displacement application | Yes |
| Prepare engineering section of Form FCC Construction Permit Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare engineering section of Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | Yes | |
| Quantity | 1 | |
| Prepare Form 601 | No | |
| Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare and file Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | Yes | |
| Quantity | 1 | |
| 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 | Yes | |
| Additional Field Engineering Service | Yes | |
| Number of Days | 12 | |
| Justification | Project management, network analysis, and tuning as needed |
| Name | Description |
|---|---|
RF Eng - Interference Study |
RF Eng - Interference Study |
Merrill Weiss |
Services will include designing antenna patterns, providing support for selection and integration of system components from different manufacturers, modeling and measurement of interference from Channel 14 transmissions to Land Mobile operations nearby. |
RF Notifications |
Creating a current contact list of Land Mobile users in markets where KDTS-LD will be adjacent to the 450MHz to 470Mhz band. The goal of this work is to discover licensees potentially subject to receiving unacceptable interference |
| 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 | Yes | |
| FCC License to Cover Application | Yes | |
| FCC Special Temporary Authority Application | Yes | |
| Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | Yes |
| Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | Yes | |
| Does this relocation require Equipment Storage? | Yes | |
| 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 |
| Name | Description |
|---|---|
Harmonic Channel Share Encoding System |
Harmonic Channel Share Encoding System |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $656,889.50 | $515,654.27 | N/A | $488,044.27 | N/A |
| Total for all systems | $1,275,544.08 | $1,140,003.84 | N/A | $872,607.56 | N/A |
| Primary Transmitter TXUD7200ALC | $656,889.50 | $515,654.27 | $488,044.27 | ||
| RF Consulting Engineer | $5,260.00 | $5,260.00 | N/A | N/A | N/A |
| Primary Transmitter - Additional Parts | $7,159.50 | $7,159.50 | Please see Estimated Cost Justification KDTS-LD-110-Primary Transmitter - Additional Parts v0 | $7,159.50 | N/A |
| Primary Transmitter - EPG Generator Fee | $50,000.00 | $50,000.00 | Please see KDTS-LD Primary Transmitter - EPG Generator Fee Budget Revision Justification Letter | $50,000.00 | N/A |
| Primary Transmitter - Installation | $70,250.00 | $70,250.00 | Please see KDTS Elettronika America quote 6633 & 6634 | $70,250.00 | N/A |
| Transmitter Building Site Survey/Installation | $10,000.00 | $10,000.00 | N/A | N/A | N/A |
| Channel 14 Mask Filter | $189,500.00 | $48,264.77 | see Estimated Cost Justification KDTS-LD-110-Primary Transmitter - Channel 14 Mask Filter v2 | $48,264.77 | N/A |
| Other Electrical Service: Furnish and install power to the new transmitter and outside condenser units and other electrical work required for transmitter operation | $23,968.00 | $23,968.00 | Please see Estimated Cost Justification KDTS-LD-110-Primary Transmitter - Other Electrical Service v0 | $11,618.00 | N/A |
| UHF - Liquid Cooled Solid State Transmitter 7 kW | $300,752.00 | $300,752.00 | Please see attached Elettronika America Estimate 6348 | $300,752.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| RF Consulting Engineer | Information not provided. |
| Primary Transmitter - Additional Parts | |
| Primary Transmitter - EPG Generator Fee | |
| Primary Transmitter - Installation | |
| Transmitter Building Site Survey/Installation | Information not provided. |
| Channel 14 Mask Filter | |
| Other Electrical Service: Furnish and install power to the new transmitter and outside condenser units and other electrical work required for transmitter operation | |
| UHF - Liquid Cooled Solid State Transmitter 7 kW |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $210,222.59 | $211,002.59 | N/A | $44,492.71 | N/A |
| Total for all systems | $1,275,544.08 | $1,140,003.84 | N/A | $872,607.56 | N/A |
| Primary Antenna EPR8A470476LD3S | $210,222.59 | $211,002.59 | $44,492.71 | ||
| UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Circular | $34,780.86 | $34,780.86 | Radio Frequency Systems 16583669 | $34,780.86 | x |
| UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Circular | $33,261.73 | $33,261.73 | ***System Notice: Estimate adjusted and locked because line has been superseded.***Please see Estimated Cost Justification KDTS-LD-210-Primary Antenna - UHF Low Power Side Mount, C-POL v0 | ($2,223.15) | N/A |
| Primary Antenna Pattern Scatter Study | $5,425.00 | $5,425.00 | Please see Estimated Cost Justification KDTS-LD-210-Primary Antenna - Pattern Scatter Study v0 | $5,425.00 | N/A |
| Antenna removal and installation | $118,800.00 | $118,800.00 | Actual quote. | N/A | N/A |
| Side Mount antenna brackets | $4,625.00 | $4,625.00 | N/A | N/A | N/A |
| Elbow complex, single channel, 3 1/8” input (if needed) | $7,600.00 | $7,600.00 | N/A | N/A | N/A |
| Sweep test of transmission line and antenna | $5,730.00 | $6,510.00 | Please see Estimated Cost Justification KDTS-LD-210-Primary Antenna - Sweep Test v0 | $6,510.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Circular | |
| UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Circular | |
| Primary Antenna Pattern Scatter Study | |
| Antenna removal and installation | Information not provided. |
| Side Mount antenna brackets | Information not provided. |
| Elbow complex, single channel, 3 1/8” input (if needed) | Information not provided. |
| Sweep test of transmission line and antenna |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $67,850.00 | $38,536.99 | N/A | $38,536.99 | N/A |
| Total for all systems | $1,275,544.08 | $1,140,003.84 | N/A | $872,607.56 | N/A |
| Primary Transmission Line | $67,850.00 | $38,536.99 | $38,536.99 | ||
| Flexible Air Transmission Line - dielectric, 3" | $67,850.00 | $38,536.99 | The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $38,536.99 | N/A |
| Actual Information Description | File Name |
|---|---|
| Flexible Air Transmission Line - dielectric, 3" |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $115,500.00 | $115,500.00 | N/A | $115,500.00 | N/A |
| Total for all systems | $1,275,544.08 | $1,140,003.84 | N/A | $872,607.56 | N/A |
| Primary Tower LTOWER | $115,500.00 | $115,500.00 | $115,500.00 | ||
| Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) | $115,500.00 | $115,500.00 | Please see Best Endeavours Proposal 20.233 and Merill Weiss Group Rationale for KDTS-LD Move to Sutro Tower. | $115,500.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Complex Tower (includes, e.g., towers with candelabras and/or stacked antennas) |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $122,882.50 | $157,120.50 | N/A | $95,385.50 | N/A |
| Total for all systems | $1,275,544.08 | $1,140,003.84 | N/A | $872,607.56 | N/A |
| Outside Professional Services | $122,882.50 | $157,120.50 | $95,385.50 | ||
| RF Notifications | $9,400.00 | $9,400.00 | N/A | $4,700.00 | N/A |
| Merrill Weiss | $30,000.00 | $30,000.00 | N/A | N/A | N/A |
| RF Eng - Interference Study | $7,500.00 | $7,500.00 | Please see KDTS-LD RF Eng Interference Study Budget Revision Justification Letter | $7,500.00 | N/A |
| Additional Field Engineering Service, 12 Days | $27,000.00 | $27,000.00 | Please see Peter Eckmann Broadcast Consultants, Inc. estimate 2361 | $27,000.00 | N/A |
| RF Exposure Measurements | $12,100.00 | $12,100.00 | N/A | N/A | N/A |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | $2,235.00 | $2,235.00 | N/A | N/A | N/A |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $1,500.00 | N/A | N/A | N/A |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $3,000.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $1,000.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $2,000.00 | N/A | N/A | N/A |
| Prepare request for Special Temporary Authorization | $1,280.00 | $1,200.00 | N/A | N/A | N/A |
| Perform engineering study for displacement application | $1,800.00 | $1,500.00 | N/A | N/A | N/A |
| Form 399 assistance or other Program Management costs | $1,000.00 | $1,000.00 | N/A | N/A | N/A |
| Prepare/ Review 399 reimbursement form | $1,710.00 | $1,500.00 | N/A | N/A | N/A |
| Project management of the transition | $21,100.00 | $56,185.50 | The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $56,185.50 | N/A |
| Actual Information Description | File Name |
|---|---|
| RF Notifications | |
| Merrill Weiss | Information not provided. |
| RF Eng - Interference Study | |
| Additional Field Engineering Service, 12 Days | |
| RF Exposure Measurements | Information not provided. |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | Information not provided. |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | Information not provided. |
| Prepare request for Special Temporary Authorization | Information not provided. |
| Perform engineering study for displacement application | Information not provided. |
| Form 399 assistance or other Program Management costs | Information not provided. |
| Prepare/ Review 399 reimbursement form | Information not provided. |
| Project management of the transition |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $102,199.49 | $102,189.49 | N/A | $90,648.09 | N/A |
| Total for all systems | $1,275,544.08 | $1,140,003.84 | N/A | $872,607.56 | N/A |
| Other Expenses | $102,199.49 | $102,189.49 | $90,648.09 | ||
| Harmonic Channel Share Encoding System | $89,325.84 | $89,325.84 | The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time. | $89,325.84 | N/A |
| Equipment Storage | $1,000.00 | $1,000.00 | N/A | N/A | N/A |
| Equipment Delivery and Handling Charges | $5,123.65 | $5,123.65 | Please see Estimated Cost Justification KDTS-LD-610-Equipment Delivery and Handling V0 | $1,322.25 | 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 |
| FCC Filing Fees - Special Temporary Authorization request | $305.00 | $305.00 | N/A | N/A | N/A |
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $335.00 | N/A | N/A | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,100.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Harmonic Channel Share Encoding System | |
| Equipment Storage | Information not provided. |
| Equipment Delivery and Handling Charges | |
| Disposal Costs (for equipment and other waste, net of any salvage value) | Information not provided. |
| FCC Filing Fees - Special Temporary Authorization request | Information not provided. |
| FCC Filing Fees - Form 2100 license to cover application | Information not provided. |
| FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $1,275,544.08 | $1,140,003.84 | $872,607.56 |
| 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 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Arnold Torres , Torres . Business Administrator 09/02/2021 |
| 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). |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Arnold Torres , Torres . Business Administrator 09/02/2021 |
