Go to the Federal Communications Commission homepage at www.fcc.gov

FCC Form 399: Reimbursement Request

Approved by OMB 3060-1178
Go to the Federal Communications Commission homepage at www.fcc.gov

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

Facility ID:
167440
Service:
LPD
Call Sign:
KAOB-LD
Channel:
32 (UHF)
File Number:
0000088727
FRN:
0006751481
Eligibility Status:
Eligible
Date Submitted:
05/14/2022

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

C. Dowen Johnson

Doing Business As: WINDSONG COMMUNICATIONS, INC.

C. Dowen Johnson

104 WOODMONT DR.

MONTGOMERY, TX 77356

United States

+1 (936) 443-4451 windsongcomm@swbell.net Individual

Reimbursement Contact Information

Reimbursement Contact Name and Information

Applicant Address Phone Email

[Confidential]

 

 

 


Preparer Contact Information

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Preparer Contact Name and Information

Applicant Address Phone Email

The Preparer is same as the reimbursement contact.

 

 

 

Broadcaster Information and Transition Plan

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Question Response
Will the station be sharing equipment with another broadcast television station or stations (e.g., a shared antenna, co-location on a tower, use of the same transmitter room, multiple transmitters feeding a combiner, etc.)? If yes, enter the facility ID's of the other stations and click 'prefill' to download those stations' licensing information. No
Briefly describe transition plan Replace transmitter and antenna per the channel reassignment project using reasonable and customary engineering and business practices.

Transmitters

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

Primary Transmitter

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Existing Transmitter Information

Section Question Response
Existing Transmitter Description Type of change Purchase New
Use Primary (Main)
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 SBP4K
Year 2009
Type Solid State
Solid State Cooling Air Cooled
Solid State Power Capacity 4 kW

Primary Transmitter

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New Transmitter Costs

Section Question Response
New Transmitter Use Primary (Main)
Change Type Purchase New
Is this a request for upgraded equipment? No
Manufacturer
Model TRN-U-4000-FA
Transmitter Type Solid State
Solid State Cooling Air Cooled
Solid State Power capacity 4.4 kW
Justification for New Transmitter New transmitter required for new channel, with 4.4kW being the closest TPO level transmitter Anywave manufactures.

Primary Transmitter

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Other Transmitter Costs

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) Yes
Switchgear (industrial 800 amp) No
Transformer (480V) No
Rigid Conduit and Wiring No
Other Electrical Service Yes
Description Phase Inverter Installation
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

Primary Transmitter

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Other Transmitter Cost Not Listed

Name Description

Transmitter Site Prep

Prepare site for receiving new transmitter.

Taxes

Sales tax for new transmitter

Decommission

Decommission old transmitter

Shipping

Shipping and Freight for new transmitter

Antennas

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

Primary Antenna

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Existing Antenna Information

Section Question Response
Existing Antenna Description Type of change Purchase New
Antenna Use Primary (Main)
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 Top
Polarization Circular
Type Broadband Panel
Number of Stations Supported 1
Number of Panels 4
Design power capacity in use 100.0 %
Lower Limit 14.00 MHz
Upper Limit 69.00 MHz
ERP: 4.0 kW
Manufacturer
Model 5BPUPC
Year 2008

Primary Antenna

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New Antenna Costs

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 Top
Polarization Circular
Type Slotted Coaxial
ERP: 5.0 kW
Manufacturer
Model PSILP8AOB-32-CP
Year 2019
Justification for New Antenna New antenna required to transmit on new channel.

Primary Antenna

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Other Antenna Costs

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

Primary Antenna

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Other Antenna Cost Not Listed

Name Description

Shipping

Shipping and freight fees for new antenna

Taxes

Sales tax for antenna

Transmission Line

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Section Question Response
Transmission Line Related Expenses Do you have transmission line related expenses? No

Tower Equipment And Rigging Costs

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

Primary Tower

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Existing Tower

Section Question Response
Existing Tower Description Type of change 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? Yes
Is tower compliant with Rev G? Unknown
Existing Tower Structure Registration Do you have a tower registration number? No
Coordinates (NAD83) Latitude (NAD83) 30° 06' 35.6" N-
Longitude (NAD83) 094° 01' 42.3" W-
Overall Structure Height 595.14 feet
Support Structure Height 580.05 feet
Ground Elevation Above Mean Sea Level (AMSL) 5.91 feet
Structure Type TOWER - Free Standing or Guyed Structure
Tower Owner American Towers LLC
Date Constructed 04/20/2011


Primary Tower

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Tower Modification Costs

Section Question Response
Engineering Study Please what type of engineering study is required, if any: Tower mapping and report for structural engineer
Tower Reinforcements Please select whether tower reinforcements are needed: Minor Reinforcements needed

Primary Tower

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Tower Rigging Costs

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

Primary Tower

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Other Tower Expenses Not Listed

Name Description

Sales Tax

Sales Tax. Amount determined by invoices.

Outside Professional Services Costs

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Section Question Response
Outside Project Management Services Do you require outside project management services? Yes
Number of Hours 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 station's 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 expected during transition activities.

Outside Professional Services Costs

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Other Professional Services Expenses Not Listed

Name Description

Displacement Window Filings

Displacement Window Filings

Field and Technical Project Management

Field and Technical Project Management

A and E Walk

Site walk coordinated with A&E firm

Co-location Application

Flat fee for preparation of co-location application

Construction Drawings

Construction Drawings

Leasing Audit

Entitlement review of existing lease documents

Negotiation of co-location lease

Negotiation of co-location lease by telecom consultant

Building Permit Application

Flat fee for preparation of BP application

Complex Zoning

Potential for complex zoning with hearing

Fully Executed Amendment with non-MLA landlord

Flat fee service for completion of amendment

Landlord NTP

Flat fee for landlord approval to proceed

NEPA and SHPO Compliance

NEPA/SHPO compliance

Permit Pickup

Flat fee for picking up permit

Zoning and Permitting Determination

Flat fee service for zoning/permitting determination

Other Expenses

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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

Other Expenses

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Other Expenses Not Listed

Information not provided.

Cost Information

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Transmitters

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $262,392.77 $247,185.77 N/A $197,193.00 N/A
Total for all systems $703,175.31 $511,193.31 N/A $310,295.76 N/A
Primary Transmitter TRN-U-4000-FA $262,392.77 $247,185.77 $197,193.00
Shipping $1,650.00 $1,650.00 Estimated shipping and freight charges for new transmitter. $1,650.00 N/A
Decommission $7,000.00 $7,000.00 Estimated costs to deinstall and disconnect old transmitter and all its components. N/A N/A
Transmitter Building Site Survey/Installation $10,000.00 $4,830.00 Cost determined from submitted invoices: Subject to change. $4,830.00 N/A
Other Electrical Service: Phase Inverter Installation $592.77 $592.77 Per Wessel Cronje invoice #2021-04-001 $0.00 N/A
Service entrance 3 phase/800 amp/208 volt $14,400.00 $14,400.00 N/A N/A N/A
UHF - Air Cooled Solid State Transmitter 4 - 6 kW $200,750.00 $190,713.00 Cost determined from Anywave quote submitted on 3/31/20. $190,713.00 N/A
Transmitter Site Prep $8,000.00 $8,000.00 Estimated cost to prepare site for new transmitter. This includes receiving and inventory of transmitter and its components; pre-assembly of cabinets and subassemblies; and ensuring site has all materials required for arrival of installation crew. $0.00 N/A
Taxes $20,000.00 $20,000.00 Estimated taxes for transmitter. Actual costs to be determined. N/A N/A

Components

Actual Information Description File Name
Shipping

Component Description:
Cost of Shipping
Amount:
$1,650.00

Component Description:
Shipping and handling costs
Amount:
$1,650.00
Decommission Information not provided.
Transmitter Building Site Survey/Installation

Component Description:
Partial reimbursement requested
Amount:
$4,830.00

Component Description:
Transmitter install site prep
Amount:
$4,830.00
Other Electrical Service: Phase Inverter Installation Information not provided.
Service entrance 3 phase/800 amp/208 volt Information not provided.
UHF - Air Cooled Solid State Transmitter 4 - 6 kW

Component Description:
Cost of Transmitter.
Amount:
$190,713.00

Component Description:
Cost for transmitter
Amount:
$190,713.00
Transmitter Site Prep Information not provided.
Taxes Information not provided.

Cost Information

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Antennas

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $24,480.00 $20,155.00 N/A $12,525.00 N/A
Total for all systems $703,175.31 $511,193.31 N/A $310,295.76 N/A
Primary Antenna PSILP8AOB-32-CP $24,480.00 $20,155.00 $12,525.00
Taxes $1,900.00 $1,900.00 Estimated taxes for antenna not included on quote. N/A N/A
Shipping $675.00 $675.00 Cost determined from invoices. $675.00 N/A
Side Mount antenna brackets $4,625.00 $300.00 Cost determined from invoices. $300.00 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, 5.0kW input, Circular $11,550.00 $11,550.00 Cost determined from invoices $11,550.00 N/A

Components

Actual Information Description File Name
Taxes Information not provided.
Shipping

Component Description:
Cost of shipping
Amount:
$675.00
Side Mount antenna brackets

Component Description:
Cost of Brackets
Amount:
$300.00
Sweep test of transmission line and antenna Information not provided.
UHF-Low Power, Side Mount, Slotted Coaxial, 5.0kW input, Circular

Component Description:
Cost of Horizontal portion.
Amount:
$11,550.00

Cost Information

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Transmission Line

Information not provided.

Cost Information

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Tower Equipment and Rigging Costs

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $231,084.76 $104,799.76 N/A $33,799.76 N/A
Total for all systems $703,175.31 $511,193.31 N/A $310,295.76 N/A
Primary Tower TOWER $231,084.76 $104,799.76 $33,799.76
Tower mapping and report for structural engineer $21,000.00 $21,000.00 3/30/2020- Working to obtain quote which may be delayed due to coronavirus pandemic N/A N/A
Minor tower reinforcement/modifications $50,000.00 $50,000.00 3/30/2020- Working to obtain quote which may be delayed due to coronavirus pandemic N/A N/A
Tower Rigging Tall Tower (greater than 500') $157,750.00 $31,465.00 Cost determined from submitted invoices; subject to change. $31,465.00 N/A
Sales Tax $2,334.76 $2,334.76 Cost determined by invoices $2,334.76 N/A

Components

Actual Information Description File Name
Tower mapping and report for structural engineer Information not provided.
Minor tower reinforcement/modifications Information not provided.
Tower Rigging Tall Tower (greater than 500')

Component Description:
25% Upon completion of project. Sales tax will be requested separately. All rates are flat fees
Amount:
$7,075.00

Component Description:
50% Upon acceptance of completed project. Tax will be requested separately. All rates are flat fees.
Amount:
$14,150.00

Component Description:
Antenna Installation
Amount:
$3,165.00

Component Description:
Cost of antenna installation.
Amount:
$3,165.00

Component Description:
25% upon acceptance of contract. All rates are a flat fee. Tax amount will be requested separately.
Amount:
$7,075.00
Sales Tax

Component Description:
Sales tax for antenna installation
Amount:
$583.69

Component Description:
Sales tax for antenna installation.
Amount:
$583.69

Component Description:
Sales tax for antenna installation.
Amount:
$1,167.38

Cost Information

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Outside Professional Services

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $166,133.00 $119,968.00 N/A $65,508.00 N/A
Total for all systems $703,175.31 $511,193.31 N/A $310,295.76 N/A
Outside Professional Services $166,133.00 $119,968.00 $65,508.00
Building Permit Application $1,500.00 $1,500.00 Per estimate #1218 N/A N/A
Leasing Audit $750.00 $750.00 Per estimate #1218 N/A N/A
Zoning and Permitting Determination $650.00 $650.00 Per estimate #1218 N/A N/A
Permit Pickup $700.00 $700.00 N/A N/A N/A
NEPA and SHPO Compliance $2,500.00 $2,500.00 N/A N/A N/A
Landlord NTP $1,000.00 $1,000.00 N/A N/A N/A
Fully Executed Amendment with non-MLA landlord $4,000.00 $4,000.00 N/A N/A N/A
Complex Zoning $2,000.00 $2,000.00 Per estimate #1218 (non-complex) N/A N/A
Negotiation of co-location lease $1,750.00 $1,750.00 N/A N/A N/A
Construction Drawings $3,500.00 $3,500.00 N/A N/A N/A
Co-location Application $700.00 $700.00 N/A N/A N/A
A and E Walk $4,500.00 $4,500.00 N/A N/A N/A
Field and Technical Project Management $3,542.00 $3,542.00 Cost determined by invoices. $3,542.00 Per actual costs
Displacement Window Filings $1,500.00 $1,500.00 Actual costs for Displacement Window filings $0.00 N/A
Additional Field Engineering Service, 5 Days $5,000.00 $5,000.00 Estimated field engineering required during transition activities. Actual costs to be determined. N/A N/A
Comprehensive coverage verification via field study, if needed $52,600.00 $25,625.00 Per-attached quote and invoice $25,625.00 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 $1,000.00 Cost determined from invoices. $0.00 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 $1,000.00 Cost determined from invoice $1,000.00 N/A
Prepare engineering section of FCC Form 2100 (main), Construction Permit Application $2,102.50 $2,102.50 N/A N/A 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 $1,500.00 Cost determined from invoice. $1,500.00 N/A
Form 399 assistance or other Program Management costs $24,216.00 $24,216.00 Cost determined from invoices. $24,216.00 N/A
Prepare/ Review 399 reimbursement form $1,710.00 $2,500.00 Per Anywave Quote PR 1910-0542 dated 10/18/19 $2,500.00 N/A
Project management of the transition $36,925.00 $17,875.00 Actual costs submitted plus estimate #1218 $7,125.00 N/A

Components

Actual Information Description File Name
Building Permit Application Information not provided.
Leasing Audit Information not provided.
Zoning and Permitting Determination Information not provided.
Permit Pickup Information not provided.
NEPA and SHPO Compliance Information not provided.
Landlord NTP Information not provided.
Fully Executed Amendment with non-MLA landlord Information not provided.
Complex Zoning Information not provided.
Negotiation of co-location lease Information not provided.
Construction Drawings Information not provided.
Co-location Application Information not provided.
A and E Walk Information not provided.
Field and Technical Project Management

Component Description:
Technical Project Management
Amount:
$462.00

Component Description:
Technical PM Service
Amount:
$308.00

Component Description:
Tech PM - QComm - INV 120013
Amount:
$154.00

Component Description:
Aug 2021 Tech PM - Qcomm - INV 230035
Amount:
$770.00

Component Description:
Technical Project Management.
Amount:
$462.00

Component Description:
Paperwork PM
Amount:
$308.00

Component Description:
Technical PM Service
Amount:
$462.00

Component Description:
July 2021 Tech PM - Qcomm - INV 120014
Amount:
$154.00

Component Description:
Tech PM Dec 2021 - QComm - INV 2022011
Amount:
$770.00

Component Description:
April 2021 Tech PM - QComm - INV QC21-868
Amount:
$462.00
Displacement Window Filings

Component Description:
Displacement window filings. Next Level TV Group
Amount:
$1,500.00
Additional Field Engineering Service, 5 Days Information not provided.
Comprehensive coverage verification via field study, if needed

Component Description:
First 1/2 PV - QComm - INV 230085
Amount:
$12,812.50

Component Description:
2nd half PV - QComm - INV 340021
Amount:
$12,812.50

Component Description:
1st half of PV - QComm - INV 230085
Amount:
$12,812.50
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

Component Description:
License to cover filings. KAOB-LD
Amount:
$1,000.00
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

Component Description:
License to Cover Filings
Amount:
$1,000.00

Component Description:
Cost of license filings.
Amount:
$1,000.00
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

Component Description:
Cost of displacement filings.
Amount:
$1,500.00
Form 399 assistance or other Program Management costs

Component Description:
Oct 2021 PM - Anywave - FA2112-1219
Amount:
$877.80

Component Description:
Aug 2021 399 PM - Anywave - INV FA2109-1083
Amount:
$924.00

Component Description:
399 Follow Up Work
Amount:
$754.60

Component Description:
Paperwork PM
Amount:
$631.40

Component Description:
Dec 2021 PM - Anywave - INV FA2202-1260
Amount:
$616.00

Component Description:
July 2021 399 PM - Anywave - INV FA2109-1106
Amount:
$816.20

Component Description:
PM Paperwork
Amount:
$1,540.00

Component Description:
399 Follow Up Work
Amount:
$1,416.80

Component Description:
PM Paperwork
Amount:
$1,740.20

Component Description:
PM Paperwork
Amount:
$616.00

Component Description:
Paperwork PM
Amount:
$2,109.80

Component Description:
PM Paperwork
Amount:
$1,139.60

Component Description:
Paperwork Pm
Amount:
$2,248.40

Component Description:
Paperwork PM
Amount:
$1,863.40

Component Description:
Paperwork PM
Amount:
$1,755.60

Component Description:
PM Paperwork
Amount:
$1,509.20

Component Description:
399 Follow Up Work
Amount:
$631.40

Component Description:
Paperwork PM
Amount:
$592.90

Component Description:
Sept 2021 399 PM - Anywave - INV FA2110-1155
Amount:
$970.20

Component Description:
Form 399 Assistance
Amount:
$500.00

Component Description:
Paperwork PM
Amount:
$808.50

Component Description:
Nov 2021 PM - Anywave - INV FA2202-1279
Amount:
$154.00
Prepare/ Review 399 reimbursement form

Component Description:
399 Form submittal
Amount:
$2,500.00
Project management of the transition

Component Description:
Technical PM and 399 assistance - 04.22
Amount:
$1,990.00

Component Description:
Technical PM and 399 assistance - 03.22
Amount:
$3,085.00

Component Description:
Technical PM and 399 assistance - 02.22
Amount:
$2,050.00

Cost Information

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Other Expenses

Where no predetermined cost estimate is available, any estimate provided will also become the predetermined cost (displayed in italics).
Description Predetermined
Cost Estimate
Estimated Cost Estimated Cost Justification Actual Cost Actual Cost Justification
Sub-total $19,084.78 $19,084.78 N/A $1,270.00 N/A
Total for all systems $703,175.31 $511,193.31 N/A $310,295.76 N/A
Other Expenses $19,084.78 $19,084.78 $1,270.00
Equipment Storage $5,000.00 $5,000.00 Expecting multiple staggered equipment deliveries from different vendors and need to store and stage new equipment prior to installation date. Anticipate 6-24 months of storage time. N/A N/A
Equipment Delivery and Handling Charges $6,000.00 $6,000.00 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) $1,374.78 $1,374.78 Disposal costs per Clean Sweeps estimate uploaded - split 50/50 between KAOB and K21OB $1,270.00 N/A
FCC Filing Fees - Form 2100 minor change CP application $1,110.00 $1,110.00 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 Major change CP application $4,960.00 $4,960.00 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

Components

Actual Information Description File Name
Equipment Storage Information not provided.
Equipment Delivery and Handling Charges Information not provided.
Disposal Costs (for equipment and other waste, net of any salvage value)

Component Description:
Haul away and disposal - cost split 50/50 with K21OB
Amount:
$1,270.00
FCC Filing Fees - Form 2100 minor change CP application Information not provided.
FCC Filing Fees - Special Temporary Authorization request Information not provided.
FCC Filing Fees - Form 2100 Major change CP application Information not provided.
FCC Filing Fees - Form 2100 license to cover application Information not provided.

Cost Information

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Grand Total

Predetermined
Cost Estimate
Estimated Cost Actual Cost
Total for all systems $703,175.31 $511,193.31 $310,295.76

Reimbursement Status

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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

Certification

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Section Question Response
Submission of Estimated Expenses Statements

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503), AND ANY FALSE STATEMENTS COULD SUBJECT THIS ENTITY TO LIABILITY UNDER THE FALSE CLAIMS ACT.

  1. The Authorized Person signing below certifies that he/she is authorized to submit this TV Broadcaster Relocation Fund Reimbursement Form on behalf of the above-named entity.

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

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

  4. The above-named entity certifies that the equipment and services paid for with money from the TV Broadcaster Relocation Fund are necessary to change channels (broadcasters) or to continue to carry the signal of a broadcaster that changes channels (MVPD).

  5. The above-named entity certifies that all payments from the TV Broadcaster Relocation Fund (Fund) received by the entity listed on this form will be used only for expenses that are eligible for reimbursement from the Fund.

  6. The above-named entity certifies that it will maintain and provide to the Commission detailed records, including receipts, of all costs eligible for reimbursement actually incurred.

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

  8. The above-named entity certifies that it is in full compliance with all statutes, rules, regulations and governmental requirements for which compliance is a pre-requisite for obtaining the payments herein requested.

I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Chuck Johnson

COO


05/14/2022

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