TV Broadcaster Relocation Fund Reimbursement Application

Applicant Information

Applicant Name, Type, and Contact Information

Applicant	Address	Phone	Email	Applicant Type
NBC TELEMUNDO LICENSE LLC	Angela Ball 300 NEW JERSEY AVE, N.W. SUITE 700 WASHINGTON, DC 20001 United States	+1 (202) 524-6413	ANGELA.BALL@NBCUNI.COM	Limited Liability Company

Applicant

Address

Phone

Applicant Type

NBC TELEMUNDO LICENSE LLC

Angela Ball

300 NEW JERSEY AVE, N.W.

SUITE 700

WASHINGTON, DC 20001

United States

+1 (202) 524-6413

ANGELA.BALL@NBCUNI.COM

Limited Liability Company

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
Angela Ball NBCUniversal, LLC	300 New Jersey Ave. NW Suite 700 Washington, DC 20001 United States	+1 (202) 524-6413	angela.ball@nbcuni.com

Applicant

Address

Phone

Angela Ball

NBCUniversal, LLC

300 New Jersey Ave. NW

Suite 700

Washington, DC 20001

United States

+1 (202) 524-6413

angela.ball@nbcuni.com

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.	Yes
Briefly describe transition plan	Use existing transmitter and aux antenna as interim facility on old channel.. Remove old antenna. Install new transmitter and replacement top mount antenna for new channel. After transition remove old transmitter and channel 48 aux antenna.

Question	Response
Sharee Station Facility ID	12895
Call Sign	KETH-TV
Type	Noncommercial Educational
Licensee Name	COMMUNITY EDUCATIONAL TELEVISION, INC.
Status	LICENSED
DTS	No
Community of License	HOUSTON, TX
Pre-auction RF Channel	24
Post-auction RF Channel	24
Neilsen DMA	HOUSTON
Network Affiliation

Question	Response
Sharee Station Facility ID	6690
Call Sign	KVVV-LD
Type
Licensee Name	Sovryn Holdings, Inc.
Status	LICENSED
DTS	No
Community of License	HOUSTON, TX
Pre-auction RF Channel	15
Post-auction RF Channel
Neilsen DMA
Network Affiliation

Question	Response
Sharee Station Facility ID	53847
Call Sign	KXLN-DT
Type	Commercial
Licensee Name	KXLN LICENSE PARTNERSHIP, L.P.
Status	LICENSED
DTS	No
Community of License	ROSENBERG, TX
Pre-auction RF Channel	30
Post-auction RF Channel	30
Neilsen DMA	Houston
Network Affiliation

Question	Response
Sharee Station Facility ID	66790
Call Sign	KUGB-CD
Type
Licensee Name	HC2 STATION GROUP, INC.
Status	LICENSED
DTS	No
Community of License	HOUSTON, TX
Pre-auction RF Channel	28
Post-auction RF Channel	28
Neilsen DMA	Houston
Network Affiliation

Question	Response
Sharee Station Facility ID	24436
Call Sign	KLTJ
Type	Noncommercial Educational
Licensee Name	Community Television Educators of Texas, Inc.
Status	LICENSED
DTS	No
Community of License	GALVESTON, TX
Pre-auction RF Channel	23
Post-auction RF Channel	23
Neilsen DMA	HOUSTON
Network Affiliation

Question	Response
Sharee Station Facility ID	60537
Call Sign	KFTH-DT
Type	Commercial
Licensee Name	UNIMAS HOUSTON LLC
Status	LICENSED
DTS	No
Community of License	ALVIN, TX
Pre-auction RF Channel	36
Post-auction RF Channel	36
Neilsen DMA	Houston
Network Affiliation

Question	Response
Sharee Station Facility ID	69269
Call Sign	KUHT
Type	Noncommercial Educational
Licensee Name	University of Houston System
Status	LICENSED
DTS	No
Community of License	HOUSTON, TX
Pre-auction RF Channel	8
Post-auction RF Channel	8
Neilsen DMA	HOUSTON
Network Affiliation

Question	Response
Sharee Station Facility ID	70492
Call Sign	KUBE-TV
Type	Commercial
Licensee Name	RNN NATIONAL, LLC
Status	LICENSED
DTS	No
Community of License	BAYTOWN, TX
Pre-auction RF Channel	31
Post-auction RF Channel	31
Neilsen DMA	Houston
Network Affiliation

Question	Response
Sharee Station Facility ID	57187
Call Sign	KVQT-LD
Type
Licensee Name	C. Dowen Johnson
Status	LICENSED
DTS	No
Community of License	HOUSTON, TX
Pre-auction RF Channel	14
Post-auction RF Channel
Neilsen DMA
Network Affiliation

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	DCX-2H
	Year	2002
	Type	Inductive Output Tube
	IOT Power Type	Two
	Power Capacity	40 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?	Yes
	Manufacturer
	Model	THU9-60
	Transmitter Type	Solid State
	Solid State Cooling	Liquid Cooled
	Solid State Power capacity	88.5 kW
	Justification for New Transmitter	New Transmitter required as the current transmitter is not longer supported (see attached note) Solid State transmitter chosen as it is less expensive then a new solid state (see attached proposal) and will allow old transmitter to be used as interim

Primary Transmitter

Other Transmitter Costs

Section	Question	Response
Electrical Service	Service Entrance (3 phases 800A 208V)	No
	Switchgear (industrial 800 amp)	No
	Transformer (480V)	Yes
	Power	150 kVA
	Rigid Conduit and Wiring	No
	Size	N/A
	Length	N/A
	Other Electrical Service	Yes
	Description	Electrical Connectivity to new transmitter
HVAC Service	Does the replacement transmitter require HVAC Service?	No
	Type	N/A
	Size	N/A
	Other Size	N/A
Transmitter Building Addition/Modification or Leasehold Improvement	Does the Transmitter Building require an addition, modification, other leashold improvement?	No
	Size	N/A
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
Transmitter Installation	Installation of Transmitter, Filter, and ground level RF components
RF Filter installation	RF Filter for new channel (ch 22)

Antennas

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

Auxiliary Antenna

Add Antenna Information

Section	Question	Response
Existing Antenna Description	Type of change	Purchase New
	Antenna Use	Auxiliary (Backup)
	Description of Use	To maintain coverage when primary antenna is unavailable
	Ownership	Owned
	Owner	N/A
	Site	N/A
	Is this antenna currently shared with any other stations?	No
	Is this 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	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:	676.0 kW
	Manufacturer
	Model	TFU-24DSB-C
	Year	2004

Auxiliary Antenna

New Antenna Costs

Section	Question	Response
New Antenna Description	Use	Auxiliary (Backup)
	Description of Use	Used to maintain coverage when main antenna is unavailable
	Change Type	Purchase New
	Is this a request for upgraded equipment?	No
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	Yes
New Antenna Manufacturer and Types	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:	600.0 kW
	Manufacturer
	Model	TFU-16DSB-D
	Year	2019
	Justification for New Antenna	New antenna required because existing auxiliary is single channel and will not work on new channel.

Auxiliary 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?	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 a high power antenna?	No
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

Auxiliary Antenna

Other Antenna Cost Not Listed

Name	Description
Aux Antenna Installation	New Aux Antenna Installation
Elbow for Aux	Elbow Assemby for Aux Antenna 4 1/16
Reducer	4-50 to 3-50 antenna input reducer

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?	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	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Top
	Polarization	Elliptical
	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:	1000.0 kW
	Manufacturer
	Model	ATW26HS6-ETCXL-22H
	Year	2002

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?	No
	Ownership	Owned
	Owner	N/A
	Is antenna shared?	No
	Is antenna directional?	Yes
	Will antenna be located on or in close proximity to an antenna farm?	Yes
New Antenna Manufacturer and Types	Class	Full Power
	Mounting	Top Mount
	Antenna position in stack	Top
	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:	592.0 kW
	Manufacturer
	Model	ATW19HS6-ETCX-22H
	Year	2019
	Justification for New Antenna	A new antenna is required as the current antenna is designed for channel 48 will not work on the new channel (Ch 22)

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	8 3/16 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?	No
Sweep Test	Do you require the sweep testing of transmission line and antenna?	Yes

Primary Antenna

Other Antenna Cost Not Listed

Name	Description
Antenna Mount	Tower Stub, 6 ft., 42" face triangular tower, structural mount for antenna
Additional Installation Weather Days	Additional Installation Weather Days
Antenna Installation	Install Antenna- Structural Installation

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	Waveguide
	Diameter	N/A
	Other Diameter	N/A
	Segment Length	N/A
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	2045 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	8 3/16 inches
	Other Diameter	N/A
	Segment Length	20 inches
	Other Segment Length	N/A
	Number of parallel runs	1
	Length	2045 feet per run
	Justification for New Transmission Line	New line is required because the existing GLW1500 waveguide will not work on channel 22.

Primary 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	Leased
	Is this tower consider Complex?	Candelabra
	Is this tower currently shared with any other stations?	Yes
	One or more FM, AM or TV radio broadcaster(s)	Yes
	Others Types of Users	Yes
	Is tower documented for structural analysis?	No
	Is tower compliant with Rev G?	No
Existing Tower Structure Registration	Do you have a tower registration number?	Yes
Existing Tower Structure Registration	ASR Number	1064696
Coordinates (NAD83)	Latitude (NAD83)	29° 34' 16.0" N-
	Longitude (NAD83)	095° 30' 38.0" W-
	Overall Structure Height	1973.07 feet
	Support Structure Height	1842.17 feet
	Ground Elevation Above Mean Sea Level (AMSL)	76.77 feet
	Structure Type	GTOWER - Guyed Structure Used for Communication Purposes
	Tower Owner	American Towers, LLC
	Date Constructed	11/19/2001

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
35524	KRBE	FM
58835	KPXB-TV	DTV
53847	KXLN-DT	DTV
18516	KTBZ-FM	FM
12895	KETH-TV	DTV
35073	KLOL	FM
25449	KKHH	FM
25439	KILT-FM	FM
24436	KLTJ	DTV
70492	KUBE-TV	DTV
35337	KODA	FM
66790	KUGB-CD	DTV
47749	KHMX	FM
60537	KFTH-DT	DTV

Other Types of Users

Users
KVQT-LD
KPBX-LD
KDHU-LD
KVVV-LD

Primary Tower

Tower Modification Costs

Section	Question	Response
Engineering Study	Please what type of engineering study is required, if any:	Study needed for tower with candelabra
Tower Reinforcements	Please select whether tower reinforcements are needed:	Serious Reinforcements needed

Primary Tower

Tower Rigging Costs

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

Primary Tower

Other Tower Expenses Not Listed

Name	Description
Tower Drawling Package	Tower Permit Drawing Package (Cost per customer of ATC)
Ground and Building Permit Drawing Package	Ground & Building A&E Permit Drawing Package (Cost per customer of ATC)

Outside Professional Services Costs

Section	Question	Response
Outside Project Management Services	Do you require outside project management services?	Yes
	Number of Hours	1040
	Explanation	Project oversight of transmitter install, electrical connectivity, tower work, and antenna installation. Additional time will be spent tracking financial and legal process and coordinating with other broadcasters
Outside RF consulting Engineering Services	Perform engineering study for new channel assignment and antenna development	No
	Prepare engineering section of Form FCC Construction Permit Application	No
	For Auxiliary Facility	N/A
	For Main Facility	N/A
	Prepare engineering section of Form FCC License to Cover Application	No
	For Auxiliary Facility	N/A
	For Main Facility	N/A
	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	No
	Quantity	N/A
	NEPA Section 106 environmental review	Yes
	Environmental Assessment	No
	ASR Modification	Yes
	FAA Consultation (including preparation of FAA Form 7460)	Yes
	Negotiation of Lease and other Matter for Shared Locations	No
	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	20
	Justification	Ground Level RF Engineering

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?	No
AM Pattern Disturbance	Is Remediation needed?	No
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	No
	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
Public Hearing	Public Hearing (cost per customer) as per ATC documentation

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	$2,859,527.94	$1,264,970.94	N/A	$1,160,758.20	N/A
Total for all systems	$5,965,480.94	$3,297,740.17	N/A	$2,883,520.04	N/A
Primary Transmitter THU9-60	$2,859,527.94	$1,264,970.94		$1,160,758.20
RF Filter installation	$4,500.00	$4,500.00	N/A	$0.00	N/A
Transmitter Installation	$189,825.49	$189,825.49	N/A	$90,112.75	N/A
Other Electrical Service: Electrical Connectivity to new transmitter	$9,652.45	$9,652.45	Electrical connection costs are reflected in the installation cost estimate	$9,652.45	N/A
Transformer 3 phase/480v - 150 KVA	$25,550.00	$11,200.00	N/A	$11,200.00	N/A
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW	$2,630,000.00	$1,049,793.00	N/A	$1,049,793.00	N/A

Components

Actual Information Description	File Name
RF Filter installation	Component Description: DAC installation expense non-reimbursable Amount: N/A Component Description: RF installation for antenna input, 50% payment with order Amount: $4,426.50
Transmitter Installation	Component Description: Install new THU9-60evo transmitter Amount: $90,112.75
Other Electrical Service: Electrical Connectivity to new transmitter	Component Description: Installation expenses for KTMD Amount: $9,652.45
Transformer 3 phase/480v - 150 KVA	Component Description: Transformers for 3 cabinet DTV transmitter. Amount: $11,200.00
UHF - Liquid Cooled Solid State Transmitter 86.8 . 106 kW	Component Description: Changed the transmitter model and associated information. Amount: $1,049,793.00

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	$458,333.00	$466,663.00	N/A	$346,850.00	N/A
Total for all systems	$5,965,480.94	$3,297,740.17	N/A	$2,883,520.04	N/A
Primary Antenna ATW19HS6-ETCX-22H	$364,555.00	$363,475.00		$258,700.00
Antenna Installation	$25,000.00	$25,000.00	N/A	$13,000.00	N/A
Additional Installation Weather Days	$10,075.00	$10,075.00	N/A	$8,450.00	N/A
Antenna Mount	$18,000.00	$18,000.00	N/A	$18,000.00	N/A
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed)	$15,250.00	$14,500.00	N/A	$0.00	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$0.00	N/A
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	$289,500.00	$289,500.00	N/A	$219,250.00	N/A
Auxiliary Antenna TFU-16DSB-D	$93,778.00	$103,188.00		$88,150.00
Elbow for Aux	$3,920.00	$3,920.00	N/A	$3,920.00	N/A
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	$5,260.00	$15,000.00	Actual exceed predetermined cost	$12,825.00	N/A
UHF - High Power, Side Mount, basic slot antenna, 600 kW input, directional,, horizontally polarized	$45,000.00	$45,000.00	N/A	$39,032.00	N/A
Aux Antenna Installation	$32,000.00	$32,000.00	N/A	$31,505.00	N/A
Reducer	$868.00	$868.00	N/A	$868.00	N/A
Sweep test of existing antenna	$6,730.00	$6,400.00	N/A	$0.00	N/A

Components

Actual Information Description	File Name
Antenna Installation	Component Description: Installation expenses for Main Antenna split 50/50 between KTMD and KUBE. Amount: $4,550.00 Component Description: expenses shared between KUBE and KTMD. Amount: $1,950.00 Component Description: Uploaded in wrong category. please see Aux Antenna Installation section Amount: N/A Component Description: wrong category Amount: $5,850.00 Component Description: Weather day- Split 50/50 between KTMD and KUBE Amount: $1,950.00 Component Description: weather days ERI Installation expenses for KTMD Amount: $10,075.00 Component Description: revised invoice attached. Non-reimbursable expenses Amount: N/A Component Description: Installation for High Wind- Weather day cost split 50/50 with KUBE. Amount: $2,925.00 Component Description: DAC system non-reimbursable Amount: N/A Component Description: Line items are the list of Date of services in Cover letter. please find attached quote Amount: $10,075.00 Component Description: installation for Main Antenna with quote attached Amount: $2,925.00 Component Description: ERI Hoist removal from the job site. cost shared between KTMD and KUBE Amount: $3,408.75 Component Description: Installation expenses- Weather Days -Split 50/50 W/KUBE Amount: $4,550.00 Component Description: DAC monitoring system is not reimbursable Amount: N/A Component Description: Duplicate submission. Please see invoice KTMD004. Amount: N/A Component Description: Wrong category Amount: N/A
Additional Installation Weather Days	Component Description: Installation expenses due to weather delay Amount: $1,950.00 Component Description: In climate Weather_ ERI Installation Inc. performed word for weather day. Amount: $1,950.00 Component Description: Weather Days expenses - cost shared 50/50 w/KUBE. Amount: $4,550.00
Antenna Mount	Component Description: 8.25% reimbursed tax amount should be credited from the 30% of the line item 2. Amount: ($445.50) Component Description: 10% of the line item 2. please see attached cover letter. Amount: $1,800.00 Component Description: 30% of the line item 2 from the attached invoice is requested for the payment Amount: $5,400.00 Component Description: 30% of the line item 2 from the attached invoice. Amount: $5,400.00 Component Description: 8.25% reimbursed tax amount should be credited from the 30% of the line item 2. Amount: ($445.50) Component Description: 30% of the line item 2, Tower stub, 6' 42" face mount Amount: $5,400.00 Component Description: 30% of line 2, plus 8.25% sales tax. Amount: $5,845.50 Component Description: 10% of the line item 2. please see attached cover letter. Amount: $1,800.00 Component Description: 30% of the line 2 from the attached invoice. Tax is not included Amount: $5,400.00 Component Description: 30% of the line item 2 from the attached invoice. Amount: $5,400.00 Component Description: 30% of the line 2 requested for the payment Amount: $5,400.00 Component Description: 10% of the line item 2 from the attached invoice, tax excluded Amount: $1,800.00
Elbow complex, single channel, at antenna input, per 8 3/16. feedline (if needed)	Information not provided.
Sweep test of existing antenna	Information not provided.
UHF - High Power Top Mount (200-1000 kW), One station antenna , elliptically or circularly polarized	Component Description: 30% of the line item 1 from the attached invoice is requesting for the payment Amount: $65,775.00 Component Description: please line 1, 30% invoiced for the item Top mounted Elliptically polarized UHF. Amount: $65,775.00 Component Description: 10% of the line item 1 from the attached invoice, tax excluded Amount: $21,925.00 Component Description: Wrong attachment Amount: N/A Component Description: 30% of the line item 1. please attached cover letter Amount: $65,775.00 Component Description: 10% of the line item 1 is requested for the reimbursement. tax is not included Amount: $21,925.00 Component Description: wrong category Amount: N/A Component Description: Wrong category. Amount: N/A Component Description: 30% of the line 1 from the attached invoice. Amount: $65,775.00 Component Description: 8.25% of the 30% of the line item 1 should credited. Amount: ($5,426.44) Component Description: 30% of the line item 1. tax are not included since we are exempted. please see cover letter Amount: $65,775.00 Component Description: please see line 1, 30% invoiced Amount: $65,775.00 Component Description: 30% of line 1, plus 8.25% sales tax. Amount: $71,201.44 Component Description: 30% of line 1. Amount: $65,775.00
Elbow for Aux	Component Description: Elbow Assembly 4 1/16 Amount: $3,920.00 Component Description: Add cover letter with explanation or Expedited shipping and add call sign "KTMD" Amount: $3,920.00
Pattern scatter analysis for side mount high/med power antennas (if not included in antenna base cost)	Component Description: See line 2 of invoice Amount: $1,215.00 Component Description: scatter study. 10% of the line item 2-remaining balance Amount: $270.00 Component Description: 10% of the line item 2, scatter study. Amount: $270.00 Component Description: Custom Mounts for TFU-16DSB-D for Scatter Study Amount: $10,125.00 Component Description: scatter studies are costs requested here. 10% of the line item 2. Amount: $270.00 Component Description: please see line item 2 Amount: $1,215.00
UHF - High Power, Side Mount, basic slot antenna, 600 kW input, directional,, horizontally polarized	Component Description: Antenna UHF Mount Installation costs are requested here, 10% of the line item 1. Amount: $3,903.20 Component Description: See line 1 of invoice Amount: $17,564.40 Component Description: Remaining 10% invoices for Antenna UHF Side Mount Amount: $3,903.20 Component Description: please see line item 1 from the attached invoice Amount: $17,564.40 Component Description: Antenna UHF Side mount- 10% of the line item 1. Amount: $3,903.20
Aux Antenna Installation	Component Description: Cost shared 50/50 with KUBE Amount: $15,275.00 Component Description: Weather day reallocation expenses shared w/KUVE 50/50 split Amount: $5,850.00 Component Description: 10% upon substantial completion Amount: $1,038.00 Component Description: Wrong category Amount: N/A Component Description: 40% Prior to Mobilization Amount: $4,152.00 Component Description: 50% payment with order Amount: $5,190.00
Reducer	Component Description: reducer - 10% of the line item 3 from the attached invoice. Amount: $86.80 Component Description: Reducer costs are requested here. 10% of the line item 3. Amount: $86.80 Component Description: 10% of the line 3 from attached invoice. Amount: $86.80 Component Description: See line 3 of invoice Amount: $390.60 Component Description: please see line item 3 from the attached invoice Amount: $390.60
Sweep test of existing antenna	Information not provided.

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	$709,615.00	$578,704.23	N/A	$560,186.83	N/A
Total for all systems	$5,965,480.94	$3,297,740.17	N/A	$2,883,520.04	N/A
Primary Transmission Line	$709,615.00	$578,704.23		$560,186.83
Rigid Transmission Line - copper, 8 3/16"	$709,615.00	$578,704.23	Line, adapters, and deign services from attached Antenna Proposal	$560,186.83	N/A

Components

Actual Information Description	File Name
Rigid Transmission Line - copper, 8 3/16"	Component Description: 10% of the line items from 4-23. tax is not included. Amount: $53,459.98 Component Description: 30% of them lines from 4 to 23. Tax was credited from the vendor Amount: $160,379.93 Component Description: Additional parts and Equipment purchased Amount: $19,034.82 Component Description: 30% of the line items 4 thru 23. tax is not included. Amount: $160,379.92 Component Description: 10% of the line items 4 thru 23 from the attached invoice, tax excluded Amount: $53,459.97 Component Description: Transmission Line accessories Amount: $6,552.28 Component Description: Additional parts for Transmission line expenses. Amount: $19,034.82 Component Description: 8.25% tax reimbursed before from the 30% line item 4-23 should be credited Amount: ($13,231.35) Component Description: 30% of lines 4-23, plus 8.25% sales tax. Amount: $173,611.27 Component Description: T/L equipment Purchased- Repack Parts Amount: $6,552.28 Component Description: 8.25% tax reimbursed before from line items 4-23 of 30% should be credited Amount: ($13,231.35) Component Description: Rigid Transmission line Amount: $4,550.00 Component Description: please see line item 4 to 23, 30% of the line items invoiced for this attached invoice. Amount: $160,379.92 Component Description: 30% of the line 4 thru 23, excluding tax amount Amount: $160,379.92 Component Description: Please line item 4 thru 23 from the attached invoice. Amount: $160,379.92 Component Description: 10% of the line items from 4-23. tax is not included. Amount: $53,459.97 Component Description: 30% of the line item 4-23. Tax is not included. Amount: $160,379.92 Component Description: T/L equipment Purchased- Repack Parts REVISED Amount: $6,552.28

Actual Information Description

File Name

Rigid Transmission Line - copper, 8 3/16"

Component Description:: 10% of the line items from 4-23. tax is not included.
Amount:: $53,459.98

Component Description:: 30% of them lines from 4 to 23. Tax was credited from the vendor
Amount:: $160,379.93

Component Description:: Additional parts and Equipment purchased
Amount:: $19,034.82

Component Description:: 30% of the line items 4 thru 23. tax is not included.
Amount:: $160,379.92

Component Description:: 10% of the line items 4 thru 23 from the attached invoice, tax excluded
Amount:: $53,459.97

Component Description:: Transmission Line accessories
Amount:: $6,552.28

Component Description:: Additional parts for Transmission line expenses.
Amount:: $19,034.82

Component Description:: 8.25% tax reimbursed before from the 30% line item 4-23 should be credited
Amount:: ($13,231.35)

Component Description:: 30% of lines 4-23, plus 8.25% sales tax.
Amount:: $173,611.27

Component Description:: T/L equipment Purchased- Repack Parts
Amount:: $6,552.28

Component Description:: 8.25% tax reimbursed before from line items 4-23 of 30% should be credited
Amount:: ($13,231.35)

Component Description:: Rigid Transmission line
Amount:: $4,550.00

Component Description:: please see line item 4 to 23, 30% of the line items invoiced for this attached invoice.
Amount:: $160,379.92

Component Description:: 30% of the line 4 thru 23, excluding tax amount
Amount:: $160,379.92

Component Description:: Please line item 4 thru 23 from the attached invoice.
Amount:: $160,379.92

Component Description:: 10% of the line items from 4-23. tax is not included.
Amount:: $53,459.97

Component Description:: 30% of the line item 4-23. Tax is not included.
Amount:: $160,379.92

Component Description:: T/L equipment Purchased- Repack Parts REVISED
Amount:: $6,552.28

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	$1,501,700.00	$516,355.00	N/A	$454,464.00	N/A
Total for all systems	$5,965,480.94	$3,297,740.17	N/A	$2,883,520.04	N/A
Primary Tower GTOWER	$1,501,700.00	$516,355.00		$454,464.00
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	$421,000.00	$421,000.00	See proposal from ERI for antenna installation services	$404,459.50	N/A
Serious tower reinforcement/modifications	$1,052,000.00	$55,000.00	see attached American Tower cost estimate form	$12,899.50	N/A
Structural engineering tower load study for a documented tower with candelabra	$20,000.00	$31,655.00	Price for tower mapping and structural engineering, as per ATC documentation	$31,655.00	N/A
Ground and Building Permit Drawing Package	$1,000.00	$1,000.00	see attached American Tower cost estimate form	$750.00	N/A
Tower Helicopter Lift	$3,000.00	$3,000.00	As per M. Rhodes: cost reflected in "Complex Tower" line item	$0.00	N/A
Tower Drawling Package	$4,700.00	$4,700.00	see attached American Tower cost estimate form	$4,700.00	N/A

Components

Actual Information Description	File Name
Complex Tower (includes, for example, those with candelabras and/or stacked antennas)	Component Description: tax not included. 30% of the line item 3 and 24 only. Television services Amount: $119,292.60 Component Description: 30% of the line item of 3 and 24, tax excluded Amount: $119,292.60 Component Description: 30% of the line items 3 and 24. tax is not included Amount: $119,292.60 Component Description: please see line item 3 and 24 for Television services from the attached invoice. Amount: $119,292.60 Component Description: 30% of the line items 3 and 24. tax is not included Amount: $119,292.60 Component Description: 10% of the line items from 3 & 24 is requesting for the payment. tax is not included. Amount: $39,764.20 Component Description: please see line item 3 & 24, Television services, 30% of the line item. Amount: $119,292.60 Component Description: 10% of the line item 3 and 24. tax excluded. please see cover letter. Amount: $39,764.20 Component Description: previously reimbursed tax should be credited. 8.25% from the the 30% of the line item 3 and 24 Amount: ($9,841.64) Component Description: 30% of lines 3 and 24, plus 8.25% sales tax. Amount: $129,134.24 Component Description: previously reimbursed tax should be credited. 8.25% from the the 30% of the line item 3 and 24 Amount: ($9,841.64) Component Description: 10% of the line items 3 and 24 from the attached invoice, tax excluded Amount: $39,764.20 Component Description: Hoist Removal from job site and labor cost for the station. Amount: $6,817.50
Serious tower reinforcement/modifications	Component Description: Capital Contribution- Broadcast Repack Channel 22. Amount: $5,399.50 Component Description: Wrong category Amount: N/A Component Description: Wrong Category Amount: N/A Component Description: Capital contributions for Tower Reinforcement Amount: $7,500.00 Component Description: Capital Contribution- Broadcast Repack Channel 22. Amount: $5,399.50 Component Description: wrong category Amount: N/A Component Description: Main antenna and line installation Amount: $8,100.00 Component Description: Capital contributions- Tower Reinforcement cost Amount: $7,500.00
Structural engineering tower load study for a documented tower with candelabra	Component Description: structural Engineering tower load study for a documented tower with candelabra Amount: $9,775.00 Component Description: Please see PO line 1 Amount: $12,400.00 Component Description: Towers cost- Project management services Amount: $9,480.00 Component Description: Please see PO line 3 for the project management cost for KTMD Amount: $9,480.00
Ground and Building Permit Drawing Package	Component Description: Building and Ground Permit fees Amount: $750.00
Tower Helicopter Lift	Information not provided.
Tower Drawling Package	Component Description: KTMD - American Tower invoice for Tower Permit Drawing Package Amount: $4,700.00

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	$312,975.00	$355,032.00	N/A	$285,289.25	N/A
Total for all systems	$5,965,480.94	$3,297,740.17	N/A	$2,883,520.04	N/A
Outside Professional Services	$312,975.00	$355,032.00		$285,289.25
Additional Field Engineering Service, 20 Days	$20,000.00	$20,000.00	N/A	$10,000.00	N/A
RF Exposure Measurements	$21,050.00	$15,000.00	N/A	$0.00	N/A
Comprehensive coverage verification via field study, if needed	$84,200.00	$47,732.00	N/A	$47,732.00	N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	$2,105.00	$1,400.00	N/A	$0.00	N/A
ASR modification (prepare FCC Form 854)	$2,105.00	$500.00	N/A	$0.00	N/A
NEPA Section 106 environmental review, if needed	$6,310.00	$5,400.00	N/A	$0.00	N/A
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	$5,260.00	$2,500.00	N/A	$415.80	N/A
Address transition timing and coordination issues w/ other stations and wireless	$2,630.00	$8,500.00	Actual cost exceed predetermined cost estimate	$8,471.60	N/A
Prepare and or review reimbursement form	$2,630.00	$2,500.00	N/A	$816.86	N/A
Project management of the transition	$164,320.00	$250,000.00	PM cost exceed predetermined cost	$217,761.19	N/A
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	$2,365.00	$1,500.00	N/A	$91.80	N/A

Components

Actual Information Description	File Name
Additional Field Engineering Service, 20 Days	Component Description: Engineering site visit, inspection, measurements, drawing and planning for repack transmitter and RF installation, budgeting and planning. Amount: $10,000.00
RF Exposure Measurements	Information not provided.
Comprehensive coverage verification via field study, if needed	Component Description: Field Survey Study include mobilization- Final payment Amount: $23,866.00 Component Description: Field Survey and Measurements - Deposit, Station EIN used Amount: $23,866.00 Component Description: Wrong attachment REVISED Amount: N/A Component Description: Wrong Attachment REVISED Amount: N/A
FAA consultant, including cost of preparing FAA Form 7460 (Notice of Proposed Construction), if needed for height increase	Information not provided.
ASR modification (prepare FCC Form 854)	Information not provided.
NEPA Section 106 environmental review, if needed	Information not provided.
Attorney Fees - Prepare and File FCC Form 2100 (main), Construction Permit Application	Component Description: See lines 1 & 2 of invoice, less 10% vendor discount. See explanation of variance for line 3. Amount: $226.80 Component Description: See lines 1 & 2 of invoice, less 10% vendor discount. Amount: $189.00
Address transition timing and coordination issues w/ other stations and wireless	Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $174.60 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $4,500.00 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $2,132.00 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $1,575.00 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $90.00
Prepare and or review reimbursement form	Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $35.70 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $87.30 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $35.70 Component Description: Review of Form 399 Amount: $43.65 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $43.65 Component Description: See lines 3-5 of invoice, less 10% vendor discount. Amount: $310.86 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $360.00 Component Description: please find attached cover letter for the variance. Amount: $260.00
Project management of the transition	Component Description: Project Management Amount: $30,788.00 Component Description: KTMD-Houston-Program Leader-Project Management Services Actions- 64984 KTMD-Houston-Repack Finance Resource- Project Management Services- 64984 Amount: $3,311.00 Component Description: Project Management expenses- Excluded T-Mobile coordination services Amount: $31,754.29 Component Description: Project Management Services Amount: $2,405.00 Component Description: Point B Project Management November 2019 Amount: $1,501.00 Component Description: M&E total on page 2 of invoice Amount: $1,678.36 Component Description: October 2018 Project Management Amount: $8,575.00 Component Description: Project management services for KTMD Amount: $20,189.42 Component Description: Houston-Engagement Leader-Project Management Services Actions- 64984 Houston-Program Leader-Project Management Services Actions- 64984 Amount: $13,850.00 Component Description: KTMD-Houston-Repack Finance Resource Project Management Services Actions- 64984 Amount: $2,212.00 Component Description: KTMD - Point B invoice April 2020 Amount: $2,923.00 Component Description: June 2018 Project Management Amount: $6,250.00 Component Description: Project Management service for KTMD Amount: $4,029.00 Component Description: receipts not attached since expenses are below under $75.00. please find email thread. Amount: $415.14 Component Description: This is for the project management services for Point B for the month of July 2019. Amount: $200.62 Component Description: Jan 2018 Project Management Amount: $9,750.00 Component Description: Point B project management services for the month of February 2019. See line item. Amount: $4,800.00 Component Description: Point B Project Management January 2020 Amount: $3,476.00 Component Description: Project Management Services Amount: $3,380.00 Component Description: Project Management Invoice Amount: $20,539.75 Component Description: KTMD-Houston-Repack Finance ResourceProject Management Services Actions- 64984 Amount: $3,792.00 Component Description: Project Management Services Amount: $975.00 Component Description: Project Management Services Amount: $2,470.00 Component Description: Project Management Amount: $4,750.00 Component Description: Project Management Amount: $8,250.00 Component Description: Point B Project Management December 2019 Amount: $4,746.27 Component Description: Point B Project Management January 2019 Amount: $4,885.00 Component Description: Project Management service for KTMD Amount: $632.00 Component Description: KTMD-Project Management Services - 64984 Amount: $632.00 Component Description: Apr-18 Project Management Amount: $6,150.00 Component Description: Project management services, please see attached cover letter. Amount: $31,754.29 Component Description: August 2018 Project Management Amount: $2,650.00 Component Description: Project Management Amount: $6,965.00 Component Description: Repack Finance Resource-Project Management Services for KTMD- September Amount: $790.00 Component Description: Project Management Services Amount: $348.95 Component Description: KTMD - Point B invoice February 2020 Amount: $1,975.00 Component Description: Project Management Services Updated Amount: $4,800.00 Component Description: July 2018 Project Management Amount: $4,060.00 Component Description: D-Houston-Repack Finance Resource Project Management Services Actions- 64984 Amount: $3,239.00 Component Description: Project Management service for KTMD Amount: $1,027.00 Component Description: November 2018 Project Management Amount: $5,655.00 Component Description: T&E expenses are not requested for this attached invoice. Amount: $460.00 Component Description: Project Management service for KTMD Amount: $4,345.00 Component Description: Point B Project Management October 2019 Amount: $4,266.00 Component Description: KTMD-Houston-Repack Finance ResourceProject Management Services Actions- 64984 Amount: $2,528.00 Component Description: KTMD - Point B invoice March 2020 Amount: $2,686.00 Component Description: Houston-Program Leader-Project Management Services Actions- 64984 Amount: $4,705.77 Component Description: Project Management service for KTMD Amount: $6,860.00 Component Description: Project Management Amount: $6,150.00 Component Description: Project Management Services Amount: $1,072.50 Component Description: Wrong category Amount: N/A Component Description: KTMD - Point B invoice May 2020 Amount: $1,580.00
Attorney Fees -Prepare and File FCC Form 2100 (main), License to Cover Application	Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $270.00 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $183.60 Component Description: Post-Auction Repacking - KTMD; NBCU1809; Wilkinson Barker Knauer, LLP Amount: $91.80

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	$123,330.00	$116,015.00	N/A	$75,971.76	N/A
Total for all systems	$5,965,480.94	$3,297,740.17	N/A	$2,883,520.04	N/A
Other Expenses	$123,330.00	$116,015.00		$75,971.76
Public Hearing	$2,000.00	$2,000.00	see attached ATC documentation	$0.00	N/A
MVPD Notification of Channel Change	$12,000.00	$12,000.00	N/A	$0.00	N/A
Develop and air announcement of upcoming channel change	$5,000.00	$5,000.00	N/A	$0.00	N/A
Equipment Storage	$16,000.00	$16,000.00	N/A	$15,237.00	N/A
Non-zoning permits	$2,500.00	$2,500.00	N/A	$0.00	N/A
Local Zoning	$750.00	$750.00	N/A	$0.00	N/A
FCC Filing Fees - Special Temporary Authorization request	$195.00	$190.00	N/A	$0.00	N/A
FCC Filing Fees - Form 2100 license to cover application	$335.00	$325.00	N/A	$0.00	N/A
DTV Medical Facility Notification	$11,550.00	$4,250.00	N/A	$4,250.00	N/A
Equipment Delivery and Handling Charges	$58,000.00	$58,000.00	N/A	$56,484.76	N/A
Disposal Costs (for equipment and other waste, net of any salvage value)	$15,000.00	$15,000.00	N/A	$0.00	N/A

Components

Actual Information Description	File Name
Public Hearing	Information not provided.
MVPD Notification of Channel Change	Information not provided.
Develop and air announcement of upcoming channel change	Component Description: This is an invoice from VoiceNation for call center support help to help deal with customers calling in with questions about retuning their televisions due to repack. Amount: $1,150.00
Equipment Storage	Component Description: only storage expenses are requesting in this package. Amount: $2,445.00 Component Description: only storage expenses are requesting in this line. Amount: $2,445.00 Component Description: PAF Van storage- please see line item 2 Amount: $2,445.00 Component Description: Consolidation Transmitter and 6 cabinet Equipment Storage charge Amount: $12,792.00
Non-zoning permits	Information not provided.
Local Zoning	Information not provided.
FCC Filing Fees - Special Temporary Authorization request	Information not provided.
FCC Filing Fees - Form 2100 license to cover application	Information not provided.
DTV Medical Facility Notification	Component Description: KTMD Medical Notification Complete per FCC Repack Amount: $4,250.00
Equipment Delivery and Handling Charges	Component Description: Total Line Haul and Gap Insurance Amount: $4,030.32 Component Description: line item 2- Fuel Surcharge is not reimbursable Amount: $784.46 Component Description: Total Line haul-Fuel surcharge-Gap insurance Amount: $872.21 Component Description: Total Line Haul-Fuel surcharge-Gap Insurance-Lift gate destination Amount: $810.07 Component Description: Total Line Haul-Layover fee-Gap Insurance Amount: $18,828.23 Component Description: "KTMD" call sign indicated through cover letter and EIN# corrected Amount: $695.72 Component Description: Missing Station name "KTMD" added through cover letter Amount: $11,090.15 Component Description: Station call sign "KTMD" added through cover letter and EIN# updated Amount: $4,030.32 Component Description: Shipping expenses - Total line haul and Gap Insurance. KBLR Station Vendor EIN used for submission Amount: $4,030.32 Component Description: Total Line Haul Gap Insurance-KTMD Amount: $11,090.15 Component Description: Revised invoice attached, KBLR station EIN provided since Vendor EIN is not manageable. Amount: $784.46 Component Description: Shipping expenses for Total Line Haul and Gap Insurance. Amount: $695.72 Component Description: Layover fees excluded. Adding cover cover letter for invoice missing "KTMD" station call sign Amount: $17,828.23 Component Description: Please see cover letter with invoice, deducted non-reimbursable items. KBLR station EIN used for submission. Amount: $695.72 Component Description: Please see line item 1 for shipping and handling. Amount: $3,220.00 Component Description: FREIGHT, SHIPPING, AND HANDLING PAF VAN DELIVERY Amount: $3,220.00 Component Description: KTMD sign added though cover letter and Fuel Charge is not reimbursable per FCC Amount: $782.50 Component Description: Freight only invoice Amount: $19,533.56 Component Description: Total Line haul-Fuel surcharge Amount: $978.13 Component Description: Total Line Haul-Gap Insurance Amount: $4,030.32
Disposal Costs (for equipment and other waste, net of any salvage value)	Information not provided.

Cost Information

Grand Total

	Predetermined Cost Estimate	Estimated Cost	Actual Cost
Total for all systems	$5,965,480.94	$3,297,740.17	$2,883,520.04

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.

Angela Ball

Assistant Secretary

11/02/2022

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.

Angela Ball

Assistant Secretary

11/02/2022

Certification

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.

Angela Ball

Assistant Secretary

11/02/2022

(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

Auxiliary Antenna

Add Antenna Information

Auxiliary Antenna

New Antenna Costs

Auxiliary Antenna

Other Antenna Costs

Auxiliary Antenna

Other Antenna Cost Not Listed

Primary Antenna

Existing Antenna Information

Primary Antenna

New Antenna Costs

Primary Antenna

Other Antenna Costs

Primary 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

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

Other Types of Users

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