Hi KD,
Regarding the 5V fan in the picture, I can't remember if I was just lucky that it worked at 12V or if I was playing with a lower voltage. The picture is misleading. I did buy about half a dozen 12V fans of the correct size from Ali Express to experiment with. I can send you one in a padded envelope if you are in the US.
I was not happy with the results from the fan. There is data somewhere on this list, but IIRC the fan only lowered the temperature by a few degrees, even at the hottest points of operation. I think the fan is just too small for the job. Others have had success with pointing a larger fan at the unit. The heat shim is another better option. I personally think people are often too worried about the temperature, one of the problems created by reporting the temperature. It is okay if the unit reaches the low 50Cs during operation.
I think the tuner has only been used by a couple of people with a true Icom AH-4. There may be issues with compatible AH-4 tuners.
The original idea with the end plate was a lot of flexibility. But I agree with you that this flexibility has often led to a confusing bunch of wires. Maybe it is time for an end plate 2.0 with just one ribbon connector from DB1 plus the Vsup and GND.
You wiring in the picture looks correct. You shouldn't expect a 5V swing unless there is something connected to the ACC which pulls it up. Once the AH-4 is connected, you should see the larger voltage swings. This is just the nature of the level shifter used here.
One last note, you may want to run some extra ground connections. This has helped with noise for noise user.
73,
Steve
kf7o