| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
DEVELOPERS & MANAGERS GROUP, LLC Applicant Doing Business As: DEVELOPERS & MANAGERS GROUP, LLC |
Ernest Johnson, DD 3313 GOVERNMENT ST SUITE G BATON ROUGE, LA 70806 United States |
+1 (225) 413-3219 | ERNESTJOHNSON@LACAPFUND.COM | Other |
| Applicant | Address | Phone | |
|---|---|---|---|
|
[Confidential] |
|
|
|
| Applicant | Address | Phone | |
|---|---|---|---|
|
Tony Zummallen Anywave Communications Technologies |
Tony Zummallen 300 Knightsbridge Parkway Suite 150 Lincolnshire, IL 60069 United States |
+1 (816) 882-5600 | nick.solano@anywavecom.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. | No |
| Briefly describe transition plan | Replace the transmitter, antenna and transmission line using reasonable and customary engineering and business practices. |
| 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 | Unknown | |
| Year | 2010 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 4 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | No | |
| Manufacturer | ||
| Model | TRN-U-2000-FA | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 2 kW | |
| Justification for New Transmitter | Replace the transmitter per the channel relocation project using reasonable and customary engineering and business practices. |
| 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) | Yes | |
| Power | 150 kVA | |
| Rigid Conduit and Wiring | Yes | |
| Size | 3 inches | |
| Length | 65.0 feet | |
| Other Electrical Service | Yes | |
| Description | Breaker cut off required. | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
| Type | Heating and Cooling | |
| Size | 5 tons | |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | Yes |
| Size | 200.0 square feet |
| Name | Description |
|---|---|
Site Prep |
Estimated costs to prepare site |
Encoder |
Encoder and encoder installation costs |
Misc. Parts |
Parts and pieces required to connect new equipment |
Decommission |
Estimated costs to decommission old transmitter |
Shipping |
Estimated shipping costs |
Taxes |
Estimated sales tax |
| 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 | Side Mount | |
| Antenna position in stack | Not in Stack | |
| Polarization | Elliptical | |
| Type | Slotted Coaxial | |
| ERP: | 15.0 kW | |
| Manufacturer | ||
| Model | Unknown | |
| Year | 2010 |
| 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 | Not in Stack | |
| Polarization | Horizontal | |
| Type | Slotted Coaxial | |
| ERP: | 15.0 kW | |
| Manufacturer | ||
| Model | SWEDL 12OI/29 | |
| Year | 2019 | |
| Justification for New Antenna | Replace antenna per the channel relocation project using reasonable and customary engineering and business practices. |
| Section | Question | Response |
|---|---|---|
| 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? | 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 |
|---|---|
Taxes |
Estimated sales tax |
Shipping |
Estimated freight costs |
| 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? | No | |
| Existing Transmission Line Manufacturer and Type | Manufacturer | |
| Type | Flexible Foam | |
| Diameter | 1 5/8 inches | |
| Number of parallel runs | 1 | |
| Length | 50 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 Foam | |
| Diameter | 1 5/8 inches | |
| Number of parallel runs | 1 | |
| Length | 50 feet per run | |
| Justification for New Transmission Line | Replace the transmission line per the channel relocation project using reasonable and customary engineering and business practices. | |
| 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 |
| Name | Description |
|---|---|
Sales Tax |
Sales taxes |
Shipping |
Shipping fees |
| 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? | No | |
| Is this tower currently shared with any other stations? | No | |
| Is tower documented for structural analysis? | No | |
| Is tower compliant with Rev G? | No | |
| Existing Tower Structure Registration | Do you have a tower registration number? | Yes |
| ASR Number | 1034014 | |
| Coordinates (NAD83) | Latitude (NAD83) | 32° 39' 36.0" N- |
| Longitude (NAD83) | 092° 05' 15.0" W- | |
| Overall Structure Height | 1074.79 feet | |
| Support Structure Height | 1074.79 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 74.15 feet | |
| Structure Type | TOWER - Free Standing or Guyed Structure | |
| Tower Owner | NEW SOUTH COMMUNICATIONS INC | |
| Date Constructed | 01/01/1987 |
| Section | Question | Response |
|---|---|---|
| Engineering Study | Please what type of engineering study is required, if any: | Study need for guyed or free-standing tower |
| Tower Reinforcements | Please select whether tower reinforcements are needed: | Minor Reinforcements needed |
| Section | Question | Response |
|---|---|---|
| Tower Rigging Costs | Complex Tower | N/A |
| 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 | 350 | |
| Explanation | Required to assist in the turnkey management of the channel relocation project in order that the existing internal personnel can maintain and operate the stations daily operational requirements and plans. | |
| 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 | Yes | |
| 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 | Yes | |
| 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 | 5 | |
| Justification | Estimated field engineering services during transition activities. Actual costs to be determined. |
| Name | Description |
|---|---|
Engineering - General services |
General engineering for repacked station design |
| 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 | Yes |
| 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 |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $238,196.00 | $245,996.00 | N/A | $126,266.00 | N/A |
| Total for all systems | $614,226.00 | $637,126.00 | N/A | $193,395.70 | N/A |
| Primary Transmitter TRN-U-2000-FA | $238,196.00 | $245,996.00 | $126,266.00 | ||
| Taxes | $20,000.00 | $20,000.00 | Estimated sales tax. Actual costs to be determined. | N/A | N/A |
| Shipping | $2,000.00 | $2,000.00 | Estimated costs to ship transmitter. Actual costs to be determined. | $0.00 | N/A |
| Decommission | $6,000.00 | $6,000.00 | Actual Transmitter and RF component decommissioning per Anywave INV FA2103-0796. Estimated costs to deinstall, disconnect and decommission old transmitter. | $6,000.00 | N/A |
| Misc. Parts | $9,000.00 | $9,000.00 | Estimated costs of miscellaneous parts and pieces required to connect new equipment. Actual costs to be determined. | N/A | N/A |
| Encoder | $39,800.00 | $39,800.00 | Per attached quote. | N/A | N/A |
| Site Prep | $7,000.00 | $7,000.00 | Actual cost per Anywave INV FA2103-0796. Includes receiving and inventory of transmitter and associated components; pre-assembly of cabinets and subassemblies; and ensuring site has all materials ready for installation crew. | $7,000.00 | N/A |
| Transmitter Building Site Survey/Installation | $10,000.00 | $20,000.00 | Estimated costs for site survey and transmitter installation. Actual costs per Anywave INV FA2103-0796 | $20,000.00 | N/A |
| Other -- Building Addition Size: 200.0 | $10,000.00 | $10,000.00 | Estimated costs to modify building. Actual costs to be determined. | N/A | N/A |
| Other -- HVAC Service Type: H Size:5 (Other) | $11,466.00 | $11,466.00 | Actual costs per Anywave invoice FA2108-1005 | $11,466.00 | N/A |
| Other Electrical Service: Breaker cut off required. | $10,000.00 | $10,000.00 | Estimated costs to modify breaker. Actual costs to be determined. | N/A | N/A |
| 3" Rigid Conduit and Wiring (Cost per foot) | $3,380.00 | $3,380.00 | N/A | N/A | N/A |
| Transformer 3 phase/480v - 150 KVA | $25,550.00 | $25,550.00 | N/A | N/A | N/A |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW | $84,000.00 | $81,800.00 | Actual costs per Anywave invoice FA2103-0799. Includes estimated shipping and handling | $81,800.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Taxes | Information not provided. |
| Shipping | |
| Decommission | |
| Misc. Parts | Information not provided. |
| Encoder | Information not provided. |
| Site Prep | |
| Transmitter Building Site Survey/Installation | |
| Other -- Building Addition Size: 200.0 | Information not provided. |
| Other -- HVAC Service Type: H Size:5 (Other) | |
| Other Electrical Service: Breaker cut off required. | Information not provided. |
| 3" Rigid Conduit and Wiring (Cost per foot) | Information not provided. |
| Transformer 3 phase/480v - 150 KVA | Information not provided. |
| UHF - Air Cooled Solid State Transmitter 1 - 2.5 kW |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $51,455.00 | $51,455.00 | N/A | $37,100.00 | N/A |
| Total for all systems | $614,226.00 | $637,126.00 | N/A | $193,395.70 | N/A |
| Primary Antenna SWEDL 12OI/29 | $51,455.00 | $51,455.00 | $37,100.00 | ||
| Shipping | $2,000.00 | $2,000.00 | Estimated freight costs to ship antenna. Actual costs to be determined. | $0.00 | Per actual costs on invoice |
| Side Mount antenna brackets | $4,625.00 | $4,625.00 | N/A | N/A | N/A |
| Sweep test of transmission line and antenna | $5,730.00 | $5,730.00 | N/A | N/A | N/A |
| UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Horizontal | $37,100.00 | $37,100.00 | Per Anywave proposal PR2103-1241 | $37,100.00 | N/A |
| Taxes | $2,000.00 | $2,000.00 | Estimated sales tax. Actual costs to be determined. | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Shipping | |
| Side Mount antenna brackets | Information not provided. |
| Sweep test of transmission line and antenna | Information not provided. |
| UHF-Low Power, Side Mount, Slotted Coaxial, 15.0kW input, Horizontal | |
| Taxes | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $3,200.00 | $6,000.00 | N/A | $0.00 | N/A |
| Total for all systems | $614,226.00 | $637,126.00 | N/A | $193,395.70 | N/A |
| Primary Transmission Line | $3,200.00 | $6,000.00 | $0.00 | ||
| Shipping | $1,500.00 | $1,500.00 | Estimated shipping costs for transmission line. Actual costs to be determined. | N/A | N/A |
| Sales Tax | $500.00 | $500.00 | Estimated sales tax for transmission line. Actual costs to be determined. | N/A | N/A |
| Flexible Foam Transmission Line - dielectric, 1 5/8" | $1,200.00 | $4,000.00 | Estimated costs for new line. Actual costs to be determined. | N/A | N/A |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $176,450.00 | $170,985.00 | N/A | $13,995.00 | N/A |
| Total for all systems | $614,226.00 | $637,126.00 | N/A | $193,395.70 | N/A |
| Primary Tower TOWER | $176,450.00 | $170,985.00 | $13,995.00 | ||
| Tower Rigging Tall Tower (greater than 500') | $157,750.00 | $157,750.00 | N/A | $10,760.00 | N/A |
| Study needed for guyed or free-standing tower | $8,700.00 | $3,235.00 | Anywave Quote PR2103-1263 Rev. | $3,235.00 | N/A |
| Minor tower reinforcement/modifications | $10,000.00 | $10,000.00 | Estimated costs to modify tower if required by engineering study | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| Tower Rigging Tall Tower (greater than 500') | |
| Study needed for guyed or free-standing tower | |
| Minor tower reinforcement/modifications | Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $131,715.00 | $149,480.00 | N/A | $16,034.70 | N/A |
| Total for all systems | $614,226.00 | $637,126.00 | N/A | $193,395.70 | N/A |
| Outside Professional Services | $131,715.00 | $149,480.00 | $16,034.70 | ||
| Project management of the transition | $36,925.00 | $53,900.00 | Estimated 350 hours at $154/hour | $7,422.80 | N/A |
| Engineering - General services | $5,000.00 | $5,000.00 | Estimated costs for general engineering related to station design for repack. Actual costs to be determined. | N/A | N/A |
| Additional Field Engineering Service, 5 Days | $12,500.00 | $12,500.00 | Estimated field engineering services during transition activities. Actual costs to be determined. | N/A | N/A |
| Comprehensive coverage verification via field study, if needed | $52,600.00 | $52,600.00 | 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 - Negotiation of lease and other matters for shared locations | $3,262.50 | $3,262.50 | N/A | N/A | N/A |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $1,577.50 | N/A | N/A | N/A |
| Prepare Form 601 | $755.00 | $755.00 | N/A | N/A | N/A |
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $3,025.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $1,052.50 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $2,102.50 | N/A | $2,102.50 | N/A |
| Prepare request for Special Temporary Authorization | $1,280.00 | $1,280.00 | N/A | N/A | N/A |
| Perform engineering study for displacement application | $1,800.00 | $1,800.00 | N/A | $1,800.00 | N/A |
| Form 399 assistance or other Program Management costs | $5,890.00 | $5,890.00 | Per attached Anywave quote. | $2,209.40 | N/A |
| Prepare/ Review 399 reimbursement form | $1,710.00 | $2,500.00 | Per attached Anywave quote. | $2,500.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Project management of the transition | |
| Engineering - General services | Information not provided. |
| Additional Field Engineering Service, 5 Days | Information not provided. |
| Comprehensive coverage verification via field study, if needed | Information not provided. |
| Attorney Fees - Prepare and File request for Special Temporary Authorization | Information not provided. |
| Attorney Fees - Negotiation of lease and other matters for shared locations | Information not provided. |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | Information not provided. |
| Prepare Form 601 | 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 | |
| Prepare request for Special Temporary Authorization | Information not provided. |
| Perform engineering study for displacement application | |
| 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 | $13,210.00 | $13,210.00 | N/A | $0.00 | N/A |
| Total for all systems | $614,226.00 | $637,126.00 | N/A | $193,395.70 | N/A |
| Other Expenses | $13,210.00 | $13,210.00 | $0.00 | ||
| FCC Filing Fees - Special Temporary Authorization request | $305.00 | $305.00 | N/A | N/A | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,110.00 | N/A | N/A | N/A |
| Equipment Storage | $2,500.00 | $2,500.00 | Expecting multiple staggered equipment deliveries from different vendors and need to store and stage new equipment prior to installation date. Anticipate from 6-24 months of storage time. | N/A | N/A |
| Equipment Delivery and Handling Charges | $2,000.00 | $2,000.00 | Transport, forklift rental and handling fees from staging area to transmitter site. | N/A | N/A |
| Disposal Costs (for equipment and other waste, net of any salvage value) | $2,000.00 | $2,000.00 | 4-6 yard disposal bin on site to capture all waste from on site system integration and tower vendors. | 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 Major change CP application | $4,960.00 | $4,960.00 | N/A | N/A | N/A |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $614,226.00 | $637,126.00 | $193,395.70 |
| Question | Response |
|---|---|
| The facility has ceased operating on its pre-auction channel. | No |
| 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. | Ernest Johnson , D.D. . Pastor 12/22/2021 |
| 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. | Ernest Johnson , D.D. . Pastor 12/22/2021 |
