| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
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HOSANNA APOSTOLIC MINISTRIES BROADCASTING CORPORATION Doing Business As: HOSANNA APOSTOLIC MINISTRIES BROADCASTING CORPORATION |
Gaspar Cota 7812 W. Sage Creek Ct. Tucson, AZ 85743 United States |
+1 (520) 971-9274 | ariveradlt@riveradelatorre.com | Corporation |
| Applicant | Address | Phone | |
|---|---|---|---|
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[Confidential] |
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| Applicant | Address | Phone | |
|---|---|---|---|
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The Preparer is same as the reimbursement contact. |
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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 | 1. Move sites 2. Install new antenna at the new site 3. Install new transmitter at the new site 4. Install new coax cable at the new site |
| 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 | E1000 | |
| Year | 2014 | |
| Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power Capacity | 1000 kW |
| Section | Question | Response |
|---|---|---|
| New Transmitter | Use | Primary (Main) |
| Change Type | Purchase New | |
| Is this a request for upgraded equipment? | Yes | |
| Manufacturer | ||
| Model | BE-TV3k0-FAVI | |
| Transmitter Type | Solid State | |
| Solid State Cooling | Air Cooled | |
| Solid State Power capacity | 3 kW | |
| Justification for New Transmitter | We are moving from channel 20 UHF to channel 3 VHF. Retuning is not possible. |
| Section | Question | Response |
|---|---|---|
| Other Transmitter Costs | ||
| Does the transmitter installation require a Transmitter Building Site Survey/Installation? | Yes | |
| Electrical Service | Service Entrance (3 phases 800A 208V) | No |
| Switchgear (industrial 800 amp) | No | |
| Transformer (480V) | No | |
| Rigid Conduit and Wiring | No | |
| Other Electrical Service | Yes | |
| Description | New electric circuit 100 amps | |
| HVAC Service | Does the replacement transmitter require HVAC Service? | Yes |
| Type | Cooling Only | |
| Size | 5 tons | |
| Transmitter Building Addition/Modification or Leasehold Improvement | Does the Transmitter Building require an addition, modification, other leashold improvement? | No |
| 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? | No | |
| Existing Antenna Manufacturer and Type | ||
| Mounting | Side Mount | |
| Antenna position in stack | Top | |
| Polarization | Horizontal | |
| Type | Slotted Coaxial | |
| ERP: | 3.0 kW | |
| Manufacturer | ||
| Model | JLPU | |
| Year | 2014 |
| 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? | No | |
| New Antenna Manufacturer and Types | ||
| Mounting | Side Mount | |
| Antenna position in stack | Middle | |
| Polarization | Circular | |
| Type | Other | |
| Other Antenna Type | omni-directional | |
| ERP: | 3.0 kW | |
| Manufacturer | ||
| Model | JCPD-4/3(12)-V | |
| Year | 2020 | |
| Justification for New Antenna | Changing from UHF Channel 20 to VHF Channel 3. Antenna cannot be re-tuned. |
| 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? | No |
| Section | Question | Response |
|---|---|---|
| Transmission Line Related Expenses | Do you have transmission line related expenses? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Transmission Line Description | Type of change | Purchase New |
| Use | Primary (Main) | |
| Ownership | Owned | |
| Is the existing transmission line shared with another station or stations? | No | |
| Is Transmission Line in operating condition? | Yes | |
| Existing Transmission Line Manufacturer and Type | Manufacturer | |
| Type | Flexible Foam | |
| Diameter | 1 5/8 inches | |
| Number of parallel runs | 1 | |
| Length | 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 | 220 feet per run | |
| Justification for New Transmission Line | New Installation | |
| Interior RF Systems | Does the Installation of the Transmission Line require an additional or replacement Inside RF system including switching, patch panels, and dehydrators? | No |
| Section | Question | Response |
|---|---|---|
| Tower Equipment or Rigging Costs Changes | Do you have tower equipment or rigging costs changes? | Yes |
| Section | Question | Response |
|---|---|---|
| Existing Tower Description | Type of change | Move Equipment |
| 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? | No |
| Coordinates (NAD83) | Latitude (NAD83) | 41° 28' 19.94" N- |
| Longitude (NAD83) | 087° 19' 43.0" W- | |
| Overall Structure Height | 40.00 feet | |
| Support Structure Height | 40.00 feet | |
| Ground Elevation Above Mean Sea Level (AMSL) | 679.00 feet | |
| Structure Type | MAST - Mast | |
| Tower Owner | Hosanna | |
| Date Constructed | 01/11/2011 |
| 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 | 40 | |
| Explanation | Hosanna does not have the expertise to do the work so therefore it will need to hire outside professional services to do the job. We have put an approx. hours per week | |
| 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 | No | |
| Prepare Form 601 | No | |
| Attorney and Other Outside Consulting Services | Prepare and file Form FCC Construction Permit Application | Yes |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare and file Form FCC License to Cover Application | Yes | |
| For Auxiliary Facility | No | |
| For Main Facility | Yes | |
| Prepare request for Special Temporary Authority | No | |
| 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 | No |
| RF exposure measurements | Yes | |
| Additional Field Engineering Service | No |
| Name | Description |
|---|---|
Consulting and assistance |
Assisting with forms 399, city permits, equipment acquisition, installation site walks and supervision, electric install accessories, general contractor, tower construction application and process, faa advice |
| Section | Question | Response |
|---|---|---|
| AM Pattern Disturbance | Is an Impact Study needed? | No |
| Is Remediation needed? | No | |
| Permit and Filing Costs | FCC Construction Permit Major Change | No |
| FCC Construction Permit Minor Change | Yes | |
| FCC License to Cover Application | Yes | |
| FCC Special Temporary Authority Application | No | |
| Other Miscellaneous Expenses | Does this relocation require paying Disposal Costs (for equipment and other waste, net of any salvage value)? | No |
| Does this relocation require Equipment Delivery or Handling Charges not otherwise included in individual item costs? | No | |
| Does this relocation require Equipment Storage? | No | |
| 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 | $201,907.49 | $194,157.49 | N/A | $143,110.29 | N/A |
| Total for all systems | $439,877.24 | $392,624.24 | N/A | $325,823.04 | N/A |
| Primary Transmitter BE-TV3k0-FAVI | $201,907.49 | $194,157.49 | $143,110.29 | ||
| Transmitter Building Site Survey/Installation | $10,000.00 | $7,350.00 | This is the amount charged | $7,350.00 | This is the amount charged |
| 5 Ton system | $20,250.00 | $15,150.00 | N/A | $15,150.00 | N/A |
| Low VHF - Air Cooled Solid State Transmitter 3 kW | $162,457.49 | $162,457.49 | N/A | $111,410.29 | N/A |
| Other Electrical Service: New electric circuit 100 amps | $9,200.00 | $9,200.00 | N/A | $9,200.00 | N/A |
| Actual Information Description | File Name |
|---|---|
| Transmitter Building Site Survey/Installation | |
| 5 Ton system | |
| Low VHF - Air Cooled Solid State Transmitter 3 kW | |
| Other Electrical Service: New electric circuit 100 amps |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $79,211.00 | $85,396.00 | N/A | $85,396.00 | N/A |
| Total for all systems | $439,877.24 | $392,624.24 | N/A | $325,823.04 | N/A |
| Primary Antenna JCPD-4/3(12)-V | $79,211.00 | $85,396.00 | $85,396.00 | ||
| Side Mount antenna brackets | $4,625.00 | $10,810.00 | The estimated cost is greater than the predetermined cost estimate because Jampro the manufacturer priced the mounting brackets at $9,985 | $10,810.00 | The reason the sub total is greater is because Jampro mounting brackets quoted at that price |
| Low VHF-Low Power, Side Mount, Other, 3.0kW input, Circular | $74,586.00 | $74,586.00 | N/A | $74,586.00 | N/A |
| $0.00 | $0.00 | N/A | $0.00 | The sub total is greater than the estimated cost because this is a a VHF dipole panel antenna made from Jampro antennas inc |
| Actual Information Description | File Name |
|---|---|
| Side Mount antenna brackets | |
| Low VHF-Low Power, Side Mount, Other, 3.0kW input, Circular | |
| Information not provided. |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $5,280.00 | $7,427.00 | N/A | $7,427.00 | N/A |
| Total for all systems | $439,877.24 | $392,624.24 | N/A | $325,823.04 | N/A |
| Primary Transmission Line | $5,280.00 | $7,427.00 | $7,427.00 | ||
| Flexible Foam Transmission Line - dielectric, 1 5/8" | $5,280.00 | $7,427.00 | this is the amount for 300' 1-5/8 foam transmission line and installation accessories | $7,427.00 | the sub total is greater than the estimated cost because the quote includes coax cable, connectors, butterfly hanger kit, round member adaptor, standard ground kit and pre laced hoisting grip |
| Actual Information Description | File Name |
|---|---|
| Flexible Foam Transmission Line - dielectric, 1 5/8" |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $56,190.00 | $13,256.00 | N/A | $13,356.00 | N/A |
| Total for all systems | $439,877.24 | $392,624.24 | N/A | $325,823.04 | N/A |
| Primary Tower MAST | $56,190.00 | $13,256.00 | $13,356.00 | ||
| Tower Rigging Short Tower (less than 500') | $56,190.00 | $13,256.00 | The old invoice should be removed. This is the new amount of the Invoice | $13,356.00 | This is the amount charged |
| Actual Information Description | File Name |
|---|---|
| Tower Rigging Short Tower (less than 500') |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $95,843.75 | $91,062.75 | N/A | $76,318.75 | N/A |
| Total for all systems | $439,877.24 | $392,624.24 | N/A | $325,823.04 | N/A |
| Outside Professional Services | $95,843.75 | $91,062.75 | $76,318.75 | ||
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | $3,025.00 | $1,687.50 | This is the amount charged | $1,687.50 | this is the amount charged |
| Consulting and assistance | $47,750.00 | $47,750.00 | N/A | $47,750.00 | this is the amount charged |
| RF Exposure Measurements | $12,100.00 | $12,100.00 | N/A | N/A | N/A |
| Attorney Fees - Negotiation of lease and other matters for shared locations | $3,262.50 | $1,462.50 | This is the amount charged | $1,462.50 | This is the amount charged |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | $1,577.50 | $2,375.00 | This is the amount charged | $2,375.00 | This is the amount charged |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | $2,102.50 | $3,100.00 | this is the amount charged | $3,100.00 | this is the amount charged |
| Form 399 assistance or other Program Management costs | $17,243.75 | $17,243.75 | This is the amount charged | $17,243.75 | this is the amount charged |
| Prepare/ Review 399 reimbursement form | $1,710.00 | $700.00 | This is the amount charged | $700.00 | This is the amount charged |
| Perform engineering study for displacement application | $1,800.00 | $1,800.00 | N/A | N/A | N/A |
| Project management of the transition | $4,220.00 | $844.00 | N/A | N/A | N/A |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application | $1,052.50 | $2,000.00 | This is the amount charged | $2,000.00 | This is the amount charged |
| Actual Information Description | File Name |
|---|---|
| Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application | |
| Consulting and assistance | |
| RF Exposure Measurements | Information not provided. |
| Attorney Fees - Negotiation of lease and other matters for shared locations | |
| Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application | |
| Prepare engineering section of FCC Form 2100 (main), Construction Permit Application | |
| Form 399 assistance or other Program Management costs | |
| Prepare/ Review 399 reimbursement form | |
| Perform engineering study for displacement application | Information not provided. |
| Project management of the transition | Information not provided. |
| Prepare engineering section of FCC Form 2100 (main), License to Cover Application |
| Description | Predetermined Cost Estimate |
Estimated Cost | Estimated Cost Justification | Actual Cost | Actual Cost Justification |
|---|---|---|---|---|---|
| Sub-total | $1,445.00 | $1,325.00 | N/A | $215.00 | N/A |
| Total for all systems | $439,877.24 | $392,624.24 | N/A | $325,823.04 | N/A |
| Other Expenses | $1,445.00 | $1,325.00 | $215.00 | ||
| FCC Filing Fees - Form 2100 license to cover application | $335.00 | $215.00 | N/A | $215.00 | N/A |
| FCC Filing Fees - Form 2100 minor change CP application | $1,110.00 | $1,110.00 | N/A | N/A | N/A |
| Actual Information Description | File Name |
|---|---|
| FCC Filing Fees - Form 2100 license to cover application | |
| FCC Filing Fees - Form 2100 minor change CP application | Information not provided. |
| Predetermined Cost Estimate |
Estimated Cost | Actual Cost | |
|---|---|---|---|
| Total for all systems | $439,877.24 | $392,624.24 | $325,823.04 |
| 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. | 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. |
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| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Dan J Alpert Legal Counsel 09/08/2022 |
| 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). |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Dan J Alpert Legal Counsel 09/08/2022 |
| 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. |
|
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Dan J Alpert Legal Counsel 09/08/2022 |
