I've confirmed that I have all of the files installed by downloading a new copy of the Add On and overwriting everything that was installed originally.

I've confirmed that the correct tables were installed.

I've found the following in my cache log:

15-Nov-2011 15:48:58] PHP Parse error: syntax error, unexpected T_STRING, expecting ',' or ';' in /public_html/includes/templates/Custom/templates/tpl_download_fetch_default.php on line 228
There are also a couple other logs in the cache that reference line 217 with the same error.

Anyone have any other ideas?

Skipwater has been very helpful and gotten me to this point, Thank you.