TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
THOMAS BROADCASTING COMPANY Doing Business As: THOMAS BROADCASTING COMPANY	Gerald DiBartolomeo PO Box 3001 OAK HILL, WV 25901 United States	+1 (304) 469-3361	jdibartolomeo@woay.com	Corporation

Applicant

Address

Phone

Applicant Type

THOMAS BROADCASTING COMPANY

Doing Business As: THOMAS BROADCASTING COMPANY

Gerald DiBartolomeo

PO Box 3001

OAK HILL, WV 25901

United States

+1 (304) 469-3361

jdibartolomeo@woay.com

Corporation

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant	Address	Phone	Email
[Confidential]

Preparer Contact Information

Preparer Contact Name and Information

Applicant	Address	Phone	Email
The Preparer is same as the reimbursement contact.

Broadcaster Information and Transition Plan

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	The plan is for WOAY is to replace the existing channel 50 system with a new channel 31 antenna, new line and new transmitter.

Transmitters

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

Primary Transmitter

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	Sigma CD3 Diamond
	Year	2008
	Type	Inductive Output Tube
	IOT Power Type	Single
	Power Capacity	19.2 kW

Primary Transmitter

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	ULXTE-30
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	19.2 kW
	Justification for New Transmitter	GatesAir will no longer offer channel change services, or support in field channel changes on this transmitter.

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	Yes
	Switchgear (industrial 800 amp)	Yes
	Transformer (480V)	Yes
	Power	150 kVA
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	Yes
	Description	Installation and materials for transmitter electrical, including connectors and wiring for new transmitter
HVAC Service	Does the replacement transmitter require HVAC Service?	Yes
	Type	Heating and Cooling
	Size	20 tons
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	Yes
	Size	575.0 square feet
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

Other Transmitter Cost Not Listed

Name	Description
Other Services Hardware and Software	Other Services Hardware and Software

Antennas

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

Primary Antenna

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?	No
	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	Full Power
	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:	600.0 kW
	Manufacturer
	Model	TFU32DSB-A(C)
	Year	2008

Primary Antenna

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?	Yes
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	No
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Top 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:	320.0 kW
	Manufacturer
	Model	TFU-31JTH/VP-R O4
	Year	2017
	Justification for New Antenna	The current antenna cannot be re-tuned.

Primary Antenna

Other Antenna Costs

Section	Question	Response
Combiner for Shared Antenna	Do you need a Combiner for a Shared Antenna?
	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?	Yes
	Broadband or Single Channel?	Single Channel
	Feed Line Size	4 1/16 inches inches
Side Mount Brackets	Do you require the separate purchase of side mount brackets for a high power antenna?
Pattern Scatter Analysis	Do you require separate purchase of pattern scatter analysis for a side mount high or medium power antenna?	Yes
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
Mounting Adapter	Bury mounting adapter with wedding cake.
Primary Antenna Installation	Cost of installation split with interim antenna. Please see ERI 20181008-510 Rev B

Interim Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Interim
	Description of Use	N/A
	Change Type	Purchase New
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	No
	Will antenna be located on or in close proximity to an antenna farm?	No
New Antenna Manufacturer and Type	Class	Full Power
	Mounting	Side Mount
	Antenna position in stack	Not in Stack
	Polarization	Horizontal
	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:	20.0 kW
	Manufacturer
	Model	TFU-8WB C160
	Year	2018
	Justification for New Antenna	Interim antenna is required because installation of their new primary antenna will be delayed 2-4 months in order to address necessary tower work.

Interim Antenna

Other Antenna Costs

Section	Question	Response
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 an 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

Interim Antenna

Other Antenna Cost Not Listed

Name	Description
Interim Antenna Installation Costs	Cost of installation split with primary antenna. Please see ERI 20181008-510 Rev B

Transmission Line

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

Primary Transmission Line

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	5 inches
	Other Diameter	N/A
	Segment Length	N/A
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	650 feet per run

Primary Transmission Line

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	Rigid
	Diameter	4 1/16 inches
	Other Diameter	N/A
	Segment Length	20 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	700 feet per run
	Justification for New Transmission Line	This is a necessary expense to maintain on air operation during the transition. Includes 100' of flexible transmission line for horizontal run to base of building.

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Name	Description
Transmission Line - Additional Parts	Flanges, Connectors, Reducer and additional parts needed for new transmission line
Primary Transmission Line - Nitrogen	Primary Transmission Line - Nitrogen

Interim Transmission Line

New Transmission Line

Section	Question	Response
New Transmission Line Costs	Use	Interim
	Description of Use	N/A
	Change Type	Purchase New
	Type	Flexible Air
	Diameter	4 inches
	Segment Length	N/A
	Other Segment Length
	Number of parallel runs	1
	Length	550 feet per run
	Justification for New Transmission Line	Interim transmission line will be required to support interim antenna as tower work (2-4 months) progresses.

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Information not provided.

Tower Equipment And Rigging Costs

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

Primary Tower

Existing Tower

Section	Question	Response
Existing Tower Description	Type of change	Modify Existing
	Tower Use	Primary (Main)
	Description of Use	N/A
	Ownership	Owned
	Is this tower consider Complex?	Terrain Constrained
	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?	Unknown
	Is tower compliant with Rev G?	Unknown
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1053536
Coordinates (NAD83)	Latitude (NAD83)	37° 57' 26.0" N-
	Longitude (NAD83)	081° 09' 02.0" W-
	Overall Structure Height	717.85 feet
	Support Structure Height	629.85 feet
	Ground Elevation Above Mean Sea Level (AMSL)	2717.85 feet
	Structure Type	TOWER - Free Standing or Guyed Structure
	Tower Owner	Thomas Broadcasting Co
	Date Constructed	01/01/1954

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Facility ID	Call Sign	Service
52789	WAXS	FM
12550	WOAY	AM

Primary Tower

Tower Modification Costs

Section	Question	Response
Engineering Study	Please what type of engineering study is required, if any:	Study needed for undocumented/poorly documented tower
Tower Reinforcements	Please select whether tower reinforcements are needed:	Minor Reinforcements needed

Primary Tower

Tower Rigging Costs

Section	Question	Response
Tower Rigging Costs	Complex Tower	Terrain constrained
Helicopter Services Required	Are helicopter services required?	Yes

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Structural Analysis	ERI conducted the Tower inspection, mapping and Structural analysis
Minor Tower Reinforcement Installation	Please see ERI proposal 20181008-510 Rev B for installation costs
Additional Rigging Costs	WOAY will engage tower crews three times. See attached narrative.

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	700
	Explanation	Local engineering staff is extremely limited and unable to support this project without compromising day to day operations.
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	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
	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	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
	NEPA Section 106 environmental review	Yes
	Environmental Assessment	Yes
	ASR Modification	Yes
	FAA Consultation (including preparation of FAA Form 7460)	Yes
	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	Yes
	Number of Days	28
	Justification	Costs incurred by the installation of the new transmitter and other services as required by the repack.

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Information not provided.

Other Expenses

Section	Question	Response
AM Pattern Disturbance	Is an Impact Study needed?	Yes
AM Pattern Disturbance	Is Remediation needed?	Yes
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	Yes
	BLM or NFS Coordination	Yes
	FCC Construction Permit Minor Change	No
	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
	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

Other Expenses Not Listed

Name	Description
Road Work to Tower	To expand and improve the road to the tower for delivery of equipment and tower crew access.
Security	Security was provided for the tower site due to the Repack.
Equipment Rental	Equipment Rental
Fiber Optic Network	Transfers HD and SD signals and control functions from the studio to the transmitter. Necessary to maintain on air operation during transition.
Modification of Ground System	For installation of transmitter building.

Cost Information

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	$2,040,874.83	$928,951.69	N/A	$675,520.91	N/A
Total for all systems	$5,050,830.60	$3,588,623.47	N/A	$2,138,224.18	N/A
Primary Transmitter ULXTE-30	$2,040,874.83	$928,951.69		$675,520.91
Service entrance 3 phase/800 amp/208 volt	$14,400.00	$13,700.00	N/A	N/A	N/A
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	$684,000.00	$323,063.45	Please see attached GatesAir Quote Q-78932	$312,447.67	N/A
Other -- Building Addition Size: 575.0	$167,000.00	$167,000.00	N/A	$0.00	N/A
20 Ton system	$115,500.00	$0.00	New HVAC units are being requested as part of the building addition because WOAY-TV has to build a new building for the new transmitter. The HVAC, which consists of four 5 ton units, is included in the cost of the building.	N/A	N/A
Transformer 3 phase/480v - 150 KVA	$25,550.00	$24,300.00	N/A	N/A	N/A
Switchgear - industrial 800 amp	$38,200.00	$36,300.00	N/A	N/A	N/A
Other Electrical Service: Installation and materials for transmitter electrical, including connectors and wiring for new transmitter	$24,489.83	$24,489.83	Please see Estimated Cost Justification WOAY-110-1st Primary Transmitter - Other Electrical Work v0	$24,489.83	N/A
Other Services Hardware and Software	$24,735.00	$24,735.00	Please see WOAY Ateme WOAY 1HD+1SD ATSC Quote and WOAY VSA Inc. Quote 09-09202019	$23,220.00	N/A
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	$947,000.00	$315,363.41	*System Notice: Estimate adjusted and locked because line has been superseded.*	$315,363.41	N/A

Components

Actual Information Description	File Name
Service entrance 3 phase/800 amp/208 volt	Information not provided.
UHF - Liquid Cooled Solid State Transmitter 14.2 - 20 kW	Component Description: ULXTE-30 Transmitter Amount: $312,447.67
Other -- Building Addition Size: 575.0	Information not provided.
20 Ton system	Information not provided.
Transformer 3 phase/480v - 150 KVA	Information not provided.
Switchgear - industrial 800 amp	Information not provided.
Other Electrical Service: Installation and materials for transmitter electrical, including connectors and wiring for new transmitter	Component Description: THIS IS THE TOTAL FOR INVOICES NUMBERS 103998, 104000, 104001, 104002 Amount: $24,417.84 Component Description: Electrical Work Amount: $24,489.83
Other Services Hardware and Software	Component Description: Other Services Amount: $23,220.00 Component Description: AJA 2CH 3GSDI to LCFIB TR Amount: $1,515.00 Component Description: TITAN-LIVE-BY-HD-INPUT Amount: $23,220.00
UHF - Liquid Cooled Solid State Transmitter 21 - 31 kW	Component Description: ULXTE-30 Transmitter Amount: $315,363.41 Component Description: Invoice moved as category was superseded per NMI msg. Amount: N/A

Cost Information

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	$1,234,745.00	$943,770.00	N/A	$297,421.00	N/A
Total for all systems	$5,050,830.60	$3,588,623.47	N/A	$2,138,224.18	N/A
Interim Antenna TFU-8WB C160	$333,045.00	$332,715.00		$63,425.00
Interim Antenna Installation Costs	$281,390.00	$281,390.00	Cost of installation and other work split with primary antenna. Please see ERI 20181008-510 Rev B	$13,700.00	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	Please see uploaded Dielectric quote 800289CMZ	$6,400.00	N/A
UHF - High Power, Side Mount, basic slot antenna, 20 kW input, horizontally polarized	$44,925.00	$44,925.00	Please see uploaded Dielectric quote 800289CMZ	$43,325.00	N/A
Primary Antenna TFU-31JTH/VP-R O4	$901,700.00	$611,055.00		$233,996.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$5,000.00	N/A	N/A	N/A
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	$9,570.00	$9,100.00	N/A	$7,528.00	N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	$289,500.00	$52,839.00	Remainder of the upgraded antenna per Dielectric Quote DMS113-5 & Proposal C-70885-5	$4,388.00	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$6,400.00	N/A
Mounting Adapter	$62,250.00	$62,250.00	Bury mounting adapter with wedding cake. This is a required expense for the antenna.	$21,604.00	N/A
Primary Antenna Installation	$281,390.00	$281,390.00	Cost of installation split with interim antenna. Please see ERI 20181008-510 Rev B	$0.00	N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized	$247,000.00	$194,076.00	*System Notice: Estimate adjusted and locked because line has been superseded.*	$194,076.00	N/A

Components

Actual Information Description	File Name
Interim Antenna Installation Costs	Component Description: UHF Sidemount 20 KW Installation Cost Amount: $13,700.00
Sweep test of existing antenna	Component Description: WOAY- Includes one field engineer on-site for one day, travel, expenses and report Amount: $3,200.00 Component Description: WOAY-280-Interim Antenna - Sweep Test Amount: $3,200.00
UHF - High Power, Side Mount, basic slot antenna, 20 kW input, horizontally polarized	Component Description: UHF BROADBAND SIDE MOUNT AUX/INTERIM Amount: $22,462.50 Component Description: UHF -BROADBAND SIDE MOUNT AUX/INTERIM Amount: $20,862.50
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	Information not provided.
Elbow complex, single channel, at antenna input, per 4 1/16. feedline (if needed)	Component Description: WOAY-210-Primary Antenna - Elbow Complex, 4 1/16" Amount: $752.80 Component Description: Primary Antenna Elbow Complex Amount: $3,387.60 Component Description: Elbow Complex Primary Antenna Amount: $3,387.60
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	Component Description: Field Service Amount: $4,388.00 Component Description: Invoice moved to correct budget categories. Amount: N/A
Sweep test of existing antenna	Component Description: WOAY-210-Primary Antenna - Sweep Test Amount: $640.00 Component Description: Primary Antenna Sweep Test Amount: $2,880.00 Component Description: Sweep Test Primary Antenna Amount: $2,880.00
Mounting Adapter	Component Description: RIGID TRANSMISSION LINE- COPPER Amount: $21,604.00
Primary Antenna Installation	Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna, horizontally polarized	Component Description: UHF - High Power Top Mount Amount: $97,038.00 Component Description: UHF - HIGH POWER Amount: $97,038.00

Cost Information

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	$141,395.09	$138,367.26	N/A	$120,250.70	N/A
Total for all systems	$5,050,830.60	$3,588,623.47	N/A	$2,138,224.18	N/A
Interim Transmission Line	$40,700.00	$42,572.17		$38,907.16
Flexible Air Transmission Line - dielectric, 4"	$40,700.00	$42,572.17	see Estimated Cost Justification WOAY-380-Interim Transmission Line - Flexible Air, 4in v0	$38,907.16	N/A
Primary Transmission Line	$100,695.09	$95,795.09		$81,343.54
Primary Transmission Line - Nitrogen	$360.93	$360.93	Please see WOAY-TV Primary Transmission Line Nitrogen Budget Revision Justification Letter	$360.93	N/A
Transmission Line - Additional Parts	$934.16	$934.16	Please see ERI Proposal 20191008-976, plus freight on invoice WOAY-36283C-1	$934.16	x
Rigid Transmission Line - copper, 4 1/16"	$99,400.00	$94,500.00	Includes 100' of flexible transmission line for horizontal run to base of building.	$80,048.45	N/A

Components

Actual Information Description	File Name
Flexible Air Transmission Line - dielectric, 4"	Component Description: WOAY-380-Interim Transmission Line - Flexible Air, 4" Amount: $3,200.00 Component Description: WOAY-380-Interim Transmission Line - Flexible Air, 4" Amount: $18,167.38 Component Description: Other Flexline Angle ADPTR Amount: $972.40 Component Description: WOAY-380-Interim Transmission Line - Flexible Air, 4" Amount: $16,567.38
Primary Transmission Line - Nitrogen	Component Description: Receive transmitter materials Amount: $360.93
Transmission Line - Additional Parts	Component Description: RLA450-350 REDUCER 50 OHM 4-1/16"-3-1/8" Amount: $482.99 Component Description: RLA450-350 REDUCER 50 OHM 4-1/16"-3-1/8" Amount: $451.17
Rigid Transmission Line - copper, 4 1/16"	Component Description: Invoice moved to correct budget categories. Amount: N/A Component Description: WOAY-310-Primary Transmission Line - Rigid Copper, 4 1/16" Amount: $8,004.84 Component Description: Primary Transmission Line Amount: $36,021.81 Component Description: Invoice moved to correct budget category per NMI message Amount: N/A Component Description: Primary Transmission Line Amount: $36,021.80 Component Description: RLA450-350 REDUCER 50 OHM 4-1/16"-3-1/8" Amount: $482.99

Cost Information

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	$1,155,450.00	$1,059,992.97	N/A	$759,631.00	N/A
Total for all systems	$5,050,830.60	$3,588,623.47	N/A	$2,138,224.18	N/A
Primary Tower TOWER	$1,155,450.00	$1,059,992.97		$759,631.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	$421,000.00	$400,000.00	N/A	$272,515.00	N/A
Minor tower reinforcement/modifications	$158,000.00	$101,042.97	Per Estimated Cost Justification WOAY-410-Existing Primary Tower - Minor Tower Reinforcement - Materials v0 Cost for minor tower materials. Please see uploaded ERI Proposal 20181008-510 Rev B.	$101,042.97	N/A
Additional Rigging Costs	$450,000.00	$450,000.00	This is additional cost to move equipment during and after the transition. See attached narrative for explanation.	$277,123.03	N/A
Structural Analysis	$9,800.00	$9,800.00	Please see attached ERI invoice; ERI Proposal #20180730-842,	$9,800.00	N/A
Minor Tower Reinforcement Installation	$38,300.00	$38,300.00	Per Estimated Cost Justification WOAY-410-Existing Primary Tower - Minor Tower Reinforcement - Installation v0 ; Cost for minor tower modification material installation. Please see uploaded ERI Proposal 20181008-510 Rev B	$38,300.00	N/A
Tower Helicopter Lift	$52,050.00	$52,050.00	See attached document - WOAY-410-Helicopter Lift Justification - ERI Invoice 54508	$52,050.00	N/A
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	$26,300.00	$8,800.00	Please see the attached ERI invoice.	$8,800.00	N/A

Components

Actual Information Description	File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	Component Description: ADDITIONAL WORK ON TOWER Amount: $2,875.00 Component Description: WOAY-410-Existing Primary Tower-Tower Rigging, Complex Tower Amount: $133,845.00 Component Description: RF INSTALLATION Amount: $1,950.00 Component Description: Tower Rigging, Complex Tower Amount: $133,845.00
Minor tower reinforcement/modifications	Component Description: Tower Reinforcement Materials & Antenna Installation Amount: $51,482.97 Component Description: Minor Tower Reinforcement Materials Amount: $49,560.00
Additional Rigging Costs	Component Description: Tower Rigging, Additional Rigging Costs Amount: $133,845.00 Component Description: L-864 LED GEN 5 RED BEACON Amount: $3,218.44 Component Description: L-864 LED GEN 5 RED BEACON Amount: $1,414.59 Component Description: Clearance for Antenna Staging Amount: $4,800.00 Component Description: WOAY-410-Existing Primary Tower-Tower Rigging, Additional Rigging Costs Amount: $133,845.00
Structural Analysis	Component Description: Existing Primary Tower - Structural Analysis Amount: $4,800.00 Component Description: Reinforcing Analysis and Design Amount: $5,000.00
Minor Tower Reinforcement Installation	Component Description: Minor Tower Reinforcement Installation Amount: $26,000.00 Component Description: WOAY-410-Existing Primary Tower-Minor Tower Reinforcement-Installation Amount: $12,300.00
Tower Helicopter Lift	Component Description: ADDT'L HELICOPTER CHARGE Amount: $52,050.00
Tower mapping for an undocumented/poorly documented tower and preparation of documentation necessary for tower load study	Component Description: Inspection, Structural analysis, Report Amount: $8,800.00

Cost Information

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	$316,866.32	$356,917.19	N/A	$224,312.19	N/A
Total for all systems	$5,050,830.60	$3,588,623.47	N/A	$2,138,224.18	N/A
Outside Professional Services	$316,866.32	$356,917.19		$224,312.19
Prepare and or review reimbursement form	$2,630.00	$2,531.07	The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time.	$2,531.07	N/A
Attorney Fees - Negotiation of lease and other matters for shared locations	$4,210.00	$10,571.25	Please see WOAY-TV Attorney - Other Matters Budget Revision Justification Letter.pdf. The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time.	$10,571.25	N/A
Additional Field Engineering Service, 28 Days	$47,106.32	$47,106.32	The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time.	$47,106.32	N/A
RF Exposure Measurements	$21,050.00	$20,000.00	N/A	N/A	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$80,000.00	N/A	N/A	N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	$2,105.00	$2,550.00	The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time.	$2,550.00	N/A
ASR modification (prepare FCC Form 854)	$2,105.00	$2,000.00	N/A	$437.50	N/A
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet	$10,520.00	$10,000.00	N/A	N/A	N/A
Attorney Fees - Prepare and File request for Special Temporary Authorization	$3,680.00	$1,125.00	Please see WOAY-TV Attorney STA Budget Revision Justification Letter	$687.50	N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	$3,155.00	$3,000.00	N/A	N/A	N/A
Perform engineering study for new channel assignment and antenna development	$7,360.00	$7,000.00	N/A	$2,832.50	N/A
Address transition timing and coordination issues w/ other stations and wireless	$2,630.00	$2,500.00	N/A	N/A	N/A
Project management of the transition	$110,600.00	$152,521.05	The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time.	$152,521.05	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$2,250.00	N/A	$1,312.50	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$5,000.00	N/A	$1,000.00	N/A
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	$1,580.00	$2,762.50	The estimated cost has been adjusted to include all invoices submitted for reimbursement at this time.	$2,762.50	Actual cost for this component is $1,562.50.
NEPA Section 106 environmental review, if needed	$6,310.00	$6,000.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Prepare and or review reimbursement form	Component Description: WOAY-590-Prepare and/or Review Reimbursement Form Amount: $1,150.00 Component Description: WOAY-590-Prepare and/or Review Reimbursement Form Amount: $68.57 Component Description: WOAY-590-Prepare and/or Review Reimbursement Form Amount: $312.50 Component Description: WOAY-590-Prepare and/or Review Reimbursement Form Amount: $1,000.00
Attorney Fees - Negotiation of lease and other matters for shared locations	Component Description: Professional Services Rendered Amount: $875.00 Component Description: Professional Services Rendered Amount: $375.00 Component Description: WOAY-550-Attorney - Other Matters Amount: $187.50 Component Description: For Professional Services rendered through February 28, 2022 Amount: $431.25 Component Description: Professional Services Rendered Amount: $125.00 Component Description: Professional Services Rendered Amount: $250.00 Component Description: Professional Services Rendered Amount: $312.50 Component Description: Professional Services Rendered Amount: $125.00 Component Description: Professional Services Rendered Amount: $2,250.00 Component Description: Professional Services Rendered Amount: $875.00 Component Description: Professional Services Rendered Amount: $2,250.00 Component Description: Professional Services Rendered Amount: $500.00 Component Description: Professional Services Rendered Amount: $125.00 Component Description: professional services rendered Amount: $125.00 Component Description: Professional Services Rendered Amount: $500.00 Component Description: Professional Services Rendered Amount: $1,000.00 Component Description: Professional Services Rendered Amount: $1,000.00 Component Description: Professional Services Rendered Amount: $640.00 Component Description: Professional Services Rendered Amount: $125.00 Component Description: Professional Services Rendered Amount: $250.00 Component Description: Professional Services Rendered Amount: $500.00 Component Description: Professional Services Rendered Amount: $125.00
Additional Field Engineering Service, 28 Days	Component Description: WOAY-580-Addional Field Engineering Service, 28 Days Amount: $47,106.32
RF Exposure Measurements	Information not provided.
Comprehensive coverage verification via field study, if needed	Information not provided.
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	Component Description: Regarding installation of repack CH-31 main antenna, review FAA Determination of No Hazard as issued... Amount: $1,650.00 Component Description: WOAY-590-FAA Consultant Including FAA Form 7460 Amount: $750.00 Component Description: Consulting Engineer- Regarding Implementation of repack Ch-31 Amount: $150.00
ASR modification (prepare FCC Form 854)	Component Description: Professional Services Rendered Amount: $437.50
Environmental Assessment, if triggered by NEPA Section 106 review or for certain structures over 450 feet	Information not provided.
Attorney Fees - Prepare and File request for Special Temporary Authorization	Component Description: WOAY-550-Attorney - Special Temporary Authorization @ $687.50 Amount: $687.50
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application	Information not provided.
Perform engineering study for new channel assignment and antenna development	Component Description: Tower drawing review & revisions Amount: $132.50 Component Description: Consulting Engineer Amount: $1,125.00 Component Description: Consulting Engineer - Review antenna vendor proposals for interim antenna system for operation on pre-auction Ch-50 and repack Ch-31. Amount: $762.50 Component Description: Professional services Amount: $812.50
Address transition timing and coordination issues w/ other stations and wireless	Information not provided.
Project management of the transition	Component Description: Project Management Amount: $5,012.65 Component Description: Project Management Amount: $3,016.85 Component Description: Project Management Amount: $1,243.75 Component Description: Project Management Amount: $4,843.70 Component Description: Project Management Amount: $233.75 Component Description: Project Management Amount: $12,302.50 Component Description: Project Management Amount: $4,211.25 Component Description: Project Management Amount: $2,131.25 Component Description: Project Management Amount: $506.25 Component Description: Project Management Amount: $7,263.35 Component Description: Project Management Amount: $1,298.60 Component Description: Project Management Amount: $1,446.25 Component Description: Project Management Amount: $3,802.65 Component Description: Project Management Amount: $2,725.70 Component Description: Project Management Amount: $5,808.05 Component Description: Project Management Amount: $2,016.25 Component Description: Project Management Amount: $9,742.90 Component Description: Project Management Amount: $6,665.00 Component Description: Project Management Amount: $2,510.30 Component Description: Project Management Amount: $3,196.65 Component Description: Project Management Amount: $741.25 Component Description: Project Management Amount: $2,805.50 Component Description: Project Management Amount: $3,763.20 Component Description: Project Management Amount: $697.50 Component Description: Project Management Amount: $3,532.30 Component Description: Project Management Amount: $1,739.20 Component Description: Project Management Amount: $2,120.45 Component Description: Project Management Amount: $1,745.00 Component Description: Project Management Amount: $2,186.65 Component Description: Project Management Amount: $3,345.40 Component Description: Project Management Amount: $3,011.65 Component Description: Project Management Amount: $3,162.35 Component Description: Project Management Amount: $6,512.50 Component Description: Project Management Amount: $4,019.80 Component Description: Project Management Amount: $2,892.70 Component Description: Please deny this invoice Amount: N/A Component Description: Project Management Amount: $4,104.10 Component Description: Project Management Amount: $7,207.50 Component Description: Project Management Amount: $2,108.60 Component Description: Project Management Amount: $6,756.45 Component Description: Project Management Amount: $1,024.00 Component Description: Project Management Amount: $3,140.00 Component Description: Project Management Amount: $3,624.35 Component Description: Project Management Amount: $2,302.95
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Component Description: WOAY-550-Attorney - License to Cover Application (Main) Amount: $625.00 Component Description: Professional Services Rendered Amount: $687.50
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: WOAY-550-Attorney - Construction Permit Application (Main) Amount: $1,000.00
Prepare engineering section of FCC Form 2100 (main), License to Cover Application	Component Description: WOAY RF Eng- Construction Permit Application Amount: $1,562.50 Component Description: Consulting Engineer Amount: $800.00 Component Description: Consulting Engineer Amount: $400.00
NEPA Section 106 environmental review, if needed	Information not provided.

Cost Information

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	$161,499.36	$160,624.36	N/A	$61,088.38	N/A
Total for all systems	$5,050,830.60	$3,588,623.47	N/A	$2,138,224.18	N/A
Other Expenses	$161,499.36	$160,624.36		$61,088.38
Modification of Ground System	$13,000.00	$13,000.00	N/A	N/A	N/A
Fiber Optic Network	$8,500.00	$8,500.00	Transfers HD and SD signals and control functions from the studio to the transmitter. Required to remain on air during the transition.	N/A	N/A
Equipment Rental	$324.36	$324.36	Please see WOAY-TV Equipment Rental Budget Revision Justification Letter	$324.36	N/A
Security	$1,155.00	$1,155.00	Please see WOAY-TV Thomas Broadcasting, Inv#0001 (KF47108) Budget Revision Justification Letter.	$1,155.00	N/A
Road Work to Tower	$20,000.00	$20,000.00	N/A	$20,000.00	N/A
MVPD Notification of Channel Change	$500.00	$500.00	N/A	$0.00	N/A
Develop and air announcement of upcoming channel change	$5,000.00	$5,000.00	N/A	N/A	N/A
Equipment Storage	$20,000.00	$20,000.00	N/A	$17,795.00	N/A
Equipment Delivery and Handling Charges	$20,000.00	$20,000.00	N/A	$17,485.09	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$25,000.00	$25,000.00	N/A	$436.43	N/A
BLM or NFS Coordination	$2,000.00	$2,000.00	N/A	N/A	N/A
Non-zoning permits	$2,000.00	$2,000.00	N/A	N/A	N/A
Local Zoning	$3,000.00	$3,000.00	N/A	N/A	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$1,310.00	Please see WOAY-TV FCC Filing Fee - Special Temporary Authorization Budget Revision Justification Letter	$1,310.00	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$335.00	Please see WOAY-TV FCC Filing Fee - License To Cover Budget Revision Justification Letter	$335.00	N/A
DTV Medical Facility Notification	$11,550.00	$11,000.00	N/A	$2,247.50	N/A
AM Pattern Disturbance -- Remedy	$21,050.00	$20,000.00	N/A	N/A	N/A
AM Pattern Disturbance -- Impact study	$7,890.00	$7,500.00	N/A	N/A	N/A

Components

Actual Information Description	File Name
Modification of Ground System	Information not provided.
Fiber Optic Network	Information not provided.
Equipment Rental	Component Description: WOAY-610-Equipment Rental Amount: $324.36
Security	Component Description: Security of the tower site and the equipment that was being installed Amount: $315.00 Component Description: Security of the tower site and the equipment that was being installed Amount: $840.00
Road Work to Tower	Component Description: Construction for WOAY-TV Tower Road Amount: $20,000.00
MVPD Notification of Channel Change	Information not provided.
Develop and air announcement of upcoming channel change	Information not provided.
Equipment Storage	Component Description: WOAY-610-Equipment Storage Amount: $2,020.00 Component Description: WOAY-610-Equipment Storage Amount: $15,775.00
Equipment Delivery and Handling Charges	Component Description: Freight and Shipping Amount: $5,265.00 Component Description: Delivery and Handling Amount: $9,712.87 Component Description: WOAY-610-Equipment Delivery and Handling Amount: $2,507.22
Disposal Costs (for equipment and other waste, net of any salvage value)	Component Description: 55G USED AF/ETHYLENE GLYCOL Amount: $436.43
BLM or NFS Coordination	Information not provided.
Non-zoning permits	Information not provided.
Local Zoning	Information not provided.
FCC Filing Fees - Special Temporary Authorization request	Component Description: Various FCC Filing Fees Related to Repack Amount: $1,310.00
FCC Filing Fees - Form 2100 license to cover application	Component Description: WOAY-610-Filing Fees - License to Cover Amount: $335.00
DTV Medical Facility Notification	Component Description: WOAY Medical Notification Amount: $2,247.50
AM Pattern Disturbance -- Remedy	Information not provided.
AM Pattern Disturbance -- Impact study	Information not provided.

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$5,050,830.60	$3,588,623.47	$2,138,224.18

Reimbursement Status

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

Certification

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.
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. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. 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). 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. 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. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. 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.	Gerald A DiBartolomeo , III . Vice President 03/22/2022

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.

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.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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).
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.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Gerald A DiBartolomeo , III .

Vice President

03/22/2022

Certification

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).
The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. 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) . 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. The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. 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.	Gerald A DiBartolomeo , III . Vice President 03/22/2022

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).

The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.
The above-named entity certifies that the statements in this form and attached documentation are true, complete, and correct.
The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
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) .
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.
The above-named entity certifies that the cost information/documents submitted reflect costs actually incurred.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Gerald A DiBartolomeo , III .

Vice President

03/22/2022

Certification

Section	Question	Response
Submission of Final Allocation or Accounting Information Statements	WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.
The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations. The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount. The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates. 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. The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission. 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.	Gerald A DiBartolomeo , III . Vice President 03/22/2022

Section

Question

Response

Submission of Final Allocation or Accounting Information Statements

The Authorized Person signing below certifies and represents that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity. The above-named entity acknowledges that all certifications and attached documentation are considered material representations.
The above-named entity acknowledges the submission of the information herein creates no obligation on the part of the government to pay any amount.
The above-named entity certifies that all costs identified as "actual costs" herein accurately represent the costs actually paid by the above-named entity, including any discounts, refunds, or rebates.
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.
The above-named entity acknowledges that overpayments or payments in error must be promptly refunded to the Commission.
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.

Gerald A DiBartolomeo , III .

Vice President

03/22/2022

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

Applicant Information

Applicant Name, Type, and Contact Information

Reimbursement Contact Information

Reimbursement Contact Name and Information

Preparer Contact Information

Preparer Contact Name and Information

Broadcaster Information and Transition Plan

Transmitters

Primary Transmitter

Existing Transmitter Information

Primary Transmitter

New Transmitter Costs

Primary Transmitter

Other Transmitter Costs

Primary Transmitter

Other Transmitter Cost Not Listed

Antennas

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary Antenna

Other Antenna Cost Not Listed

Interim Antenna

New Antenna Costs

Interim Antenna

Other Antenna Costs

Interim Antenna

Other Antenna Cost Not Listed

Transmission Line

Primary Transmission Line

Existing Transmission Line

Primary Transmission Line

New Transmission Line

Primary Transmission Line

Other Transmission Line Expenses Not Listed

Interim Transmission Line

New Transmission Line

Interim Transmission Line

Other Transmission Line Expenses Not Listed

Tower Equipment And Rigging Costs

Primary Tower

Existing Tower

FM, AM or TV radio broadcasters. Facility ID's, Call Signs and Services of other broadcast stations with whom the tower is shared

Primary Tower

Tower Modification Costs

Primary Tower

Tower Rigging Costs

Primary Tower

Other Tower Expenses Not Listed

Outside Professional Services Costs

Outside Professional Services Costs

Other Professional Services Expenses Not Listed

Other Expenses

Other Expenses

Other Expenses Not Listed

Cost Information

Transmitters

Components

Cost Information

Antennas

Components

Cost Information

Transmission Line

Components

Cost Information

Tower Equipment and Rigging Costs

Components

Cost Information

Outside Professional Services

Components