20150612MIDVALE CAF ICC REDACTED FILED.pdf

June 12, 2015

VIA ELECTRONIC FILING AND FEDX –
CONFIDENTIAL FILING

Ms. Jean Jewell, Commission Secretary
Idaho Public Utilities Commission
472 W. Washington Street
Boise, Idaho 83720-0074

RE: WC Docket No. 10-90: Administration of Connect America Fund Intercarrier
Compensation Replacement, Annual Reporting Requirements
Case Number GNR-T-15-01

Moss Adams LLP respectfully files on behalf of Midvale Telephone Exchange, Inc. with the Idaho Public
Utilities Commission (PUC) in accordance with 47 C.F.R. §§4.304(d)(1)and 54.313(h)(i). This filing
includes the projected eligibility for CAF ICC funding for July 1, 2015 through June 30, 2016, and Local
Rate Floor Data. These filings have also been made with the Federal communications Commission and
the Universal Services Administrate Company as required by federal rules and regulations.

In addition to this redacted electronic filing, a hard copy of the redacted and confidential version (on
yellow paper and in a sealed envelope) will be sent via overnight mail to the Commission as confidential
information that is exempt from disclosure under the Idaho Public Utilities Commission Rules of
Procedure, Rule 67.

Should you have any questions regarding this filing, please contact me via electronic mail
at [e-mail] or by telephone at 209-955-6116.

Sincerely,
Eric Votaw, Senior Manager for
Moss Adams LLP

Enclosures

2015 CAF ICC Data Collection
NECA Home NECA Data Collections Contact Us CAF ICC - Instructions & Documents Logout
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Home Select Company Main Page Study Area Data Input Menu CAF & ARC Output ElectronicElectronic Certifications Certifications
Study Area: MIDVALE TEL EXCH INC (ID: 472226)
Holding Company: MIDVALE TELEPHONE EXCHANGE INC. (ID: 200000255)
Intrastate Revenues (FCC TRP exhibit)
Option 1:View TRP Output in Excel
Option 2:Download TRP Data in Excel
Intrastate Revenues
Test Year 2015-2016 Expected Maximum Intrastate Revenue:$0.00
Col D--
Rate Element Description
Col E--
Unit of Demand
Col F--
7/1/2015 Interstate
Rate
Col G--
Test Year2014-2015
Current
Intrastate Rate
Col H--
7/1/2015 Proposed
Intrastate
Rate
Col I--
FY 2011 Intrastate
Units:
Terminating forNon-Dedicated or Originating and
Terminating for DedicatedElements
Col J--
H*I
Intrastate Price-out with
7/1/2015 proposedintrastate rate and
FY2011 Demand
Col K--
FY 2014 Intrastate Units:
Terminating for Non-Dedicated and total
for Dedicated Elements
Col L--
Test Year2015-2016 Forecasted
Intrastate Units
Col M--
[(L/K)^
(12/21)-1]*100
Intrastate
Units Growth Rate %
Col N--
H*L
TY 2015-16 Forecasted Intrastate
Revenue
Terminating End
Office Access Service Terminating EndOffice, Premium, per access minute
MOU
Terminating End Office Access
Service
Terminating End
Office, Non-Premium, per access minute
MOU
Entrance Facility, Per Termination Voice Grade TwoWire
Terminatio
Entrance Facility, Per Termination Voice Grade FourWire
Terminatio
Entrance Facility, Per Termination
High Capacity DS1
Terminatio
Entrance Facility,
Per Termination
High Capacity DS3
Terminatio
Entrance Facility,
Per Termination
Synchronous Optical Channel OC3
Terminatio
Entrance Facility, Per Termination Synchronous Optical Channel OC12
Terminatio
Entrance Facility, Per Termination
ESALT 2 Mbps
Circuit
Entrance Facility,
Per Termination
ESALT 10 Mbps
Circuit
Entrance Facility,
Per Termination
ESALT 50 Mbps
Circuit
Page 1 of 52015 CAF ICC Data Collection
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Direct Trunked Transport Facility/ Mile Voice Grade -Two Wire & Four Wire
Mile
Direct Trunked Transport Facility/ Mile High CapacityDS1
Mile
Direct Trunked
Transport Facility/
Mile High Capacity
DS3
Mile
Direct Trunked
Transport Facility/ Mile SynchronousOptical Channel OC3
Mile
Direct Trunked Transport Facility/ Mile SynchronousOptical Channel
OC12
Mile
Direct Trunked
Transport Facility/
Mile ESALT 2 Mbps
DTF-E1
Circuit
Miles
Direct Trunked
Transport Facility/ Mile ESALT 2 MbpsDTF-E2
Circuit Miles
Direct Trunked Transport Facility/ Mile ESALT 2 MbpsDTF-E3
Circuit Miles
Direct Trunked Transport Facility/ Mile ESALT 2 Mbps
DTF-E4
Circuit Miles
Direct Trunked
Transport Facility/
Mile ESALT 10
Mbps DTF-E1
Circuit
Miles
Direct Trunked
Transport Facility/ Mile ESALT 10 Mbps DTF-E2
Circuit Miles
Direct Trunked Transport Facility/ Mile ESALT 10 Mbps DTF-E3
Circuit Miles
Direct Trunked Transport Facility/ Mile ESALT 10
Mbps DTF-E4
Circuit Miles
Direct Trunked
Transport Facility/
Mile ESALT 50
Mbps DTF-E1
Circuit
Miles
Direct Trunked Transport Facility/ Mile ESALT 50 Mbps DTF-E2
Circuit Miles
Direct Trunked Transport Facility/ Mile ESALT 50 Mbps DTF-E3
Circuit Miles
Direct Trunked Transport Facility/
Mile ESALT 50
Mbps DTF-E4
Circuit
Miles
Direct Trunked
Transport
Facility/Termination Voice Grade - Two Wire & Four Wire
Termination
Direct Trunked Transport Termination
Page 2 of 52015 CAF ICC Data Collection
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Facility/Termination High Capacity DS1
Direct Trunked
Transport Facility/Termination High Capacity DS3
Termination
Direct Trunked Transport Facility/Termination Synchronous
Optical Channel
OC3
Termination
Direct Trunked
Transport
Facility/Termination SynchronousOptical Channel OC12
Termination
Direct Trunked Transport Facility/Termination ESALT 2 Mbps
Circuit terms
Direct Trunked Transport
Facility/Termination
ESALT 10 Mbps
Circuit
terms
Direct Trunked
Transport
Facility/Termination ESALT 50 Mbps
Circuit
terms
Multiplexing, Per Arrangement DS3 to DS1 Termination
Multiplexing, Per Arrangement DS1 to Voice Termination
Customer Node Per Node OC3 155.52 Mbps Port
Customer Node Per Node OC12 622.08 Mbps Port
Customer Premises Port, Per Port OC3
155.52 Mbps
Port
Customer Premises
Port, Per Port STS-
1 51.84 Mbps
Port
Customer Premises
Port, Per Port DS3
44.736 Mbps
Port
Customer Premises Port, Per Port DS1 1.544 Mbps Port
Add/Drop Multiplexing Central Office Port, Per Port DS1 1.544 Mbps
Port
Add/Drop Multiplexing
Central Office Port,
Per Port OC3
155.52 Mbps
Port
Add/Drop
Multiplexing Central Office Port, Per Port DS344.736 Mbps
Port
Network Blocking, Per Blocked Call Network Blocking, Per Blocked Call,
Applies to FGD only
Call
ESALT Real Time
CoS/QoS, Per
ESALT DTF-E1 Facility ESALT 2
Facility
Page 3 of 52015 CAF ICC Data Collection
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Mbps
ESALT Real Time
CoS/QoS, Per
ESALT DTF-E1 Facility ESALT 10 Mbps
Facility
ESALT Real Time CoS/QoS, Per ESALT DTF-E1 Facility ESALT 50
Mbps
Facility
ESALT Entrance
Facility Protection,
Per ESALT Entrance
Facility ESALT 2 Mbps
Circuit
ESALT Entrance Facility Protection, Per ESALT EntranceFacility ESALT 10 Mbps
Circuit
ESALT Entrance Facility Protection, Per ESALT Entrance
Facility ESALT 50
Mbps
Circuit
Common Channel
Signaling Network
Connection Signaling Mileage Facility, Per Mile
Mile
Common Channel Signaling Network Connection Signaling Mileage Termination, Per
Termination
Termination
Common Channel
Signaling Network
Connection
Signaling Entrance Facility, Per Facility
Facility
Common Channel Signaling Network Connection STP Port, Per Port
Port
Terminating Tandem Switched Transport Terminating
Tandem Switched
Transport Facility
Minutes / Mile
Terminating
Tandem Switched
Transport Terminating Tandem Switched Termination
Minutes
Terminating Tandem Switched Transport Terminating
Tandem Switching
Minutes
Nonrecurring
Charges Voice
Grade Two Wire
Facility
Nonrecurring
Charges Voice Grade Four Wire Facility
Nonrecurring Charges High Capacity DS1 Facility
Nonrecurring Charges High Capacity DS3 Facility
Nonrecurring
Charges
Synchronous Optical Channel
Facility
Page 4 of 52015 CAF ICC Data Collection
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OC3
Nonrecurring
Charges
Synchronous Optical ChannelOC12
Facility
Nonrecurring Charges Interim NXX Translation, Per Order
Order
Nonrecurring Charges FGC and
FGD Conversion of
Multifrequency
Address Signaling to SS7 Signaling or SS7 Signaling to Multifrequency Address Signaling, per 24 trunks
converted or
fraction thereof on
a per order basis
Order
Nonrecurring
Charges Trunk Activation, per 24 trunks activated or fraction thereof on a per order basis
Order
Nonrecurring Charges Flexible Automatic Number
Identification (Flex
ANI), per End
Office, per CIC
End Office
Nonrecurring
Charges ESALT 2 Mbps Facility
Nonrecurring Charges ESALT 10 Mbps Facility
Nonrecurring Charges ESALT 50 Mbps Facility
Nonrecurring Charges ESALT Direct Trunked Termination, per
ESALT Direct
Trunked
Termination installed
Order
Nonrecurring Charges ESALT Entrance Facility Protection, per ESALT Entrance Facility
Facility
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2015 CAF ICC Data Collection
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NOTES:#Per FCC Designation Order, calculated as (Sum of Line 9 for all TS pool participants) * (Line 1/ Sum of Line 1 for all TS pool participants)
**NECA estimate provided for informational purposes only - actual to be calculated by USAC.
Home Select Company Main Page Study Area Data Input Menu CAF & ARC Output ElectronicElectronic Certifications Certifications
Study Area: MIDVALE TEL EXCH INC (ID: 472226)
Holding Company: MIDVALE TELEPHONE EXCHANGE INC. (ID: 200000255)
Study Area USAC Reports
[ ] View Printer-friendly report 2015 USAC Data Report 
CONNECT AMERICA FUND
Data to be Provided to USAC/FCC in June 2015 for CAF ICC Purposes
Current Settlement Type: Cost
Test Period 7/1/15-6/30/16 Post True-up (Filing) View
Rate-of-Return (ROR) Carrier Revenue Requirement
1 2011 Interstate Switched Access Revenue Requirement
2 FY 2011 Intrastate Terminating Switched Access Revenues
3 FY 2011 Net Reciprocal Compensation Revenues
4 2011 ROR Carrier Base Period Revenue (Line 1 + Line 2 + Line 3)
5 ROR Carrier Baseline Adjustment Factor (0.95 x 0.95 x 0.95 x 0.95)
6 ROR Carrier Revenue Requirement (Line 4 x Line 5)
7 Pool Administration Expenses
8 Total ROR Carrier Revenue Requirement (Line 6 + Line 7)
Revenues from Reformed Intercarrier Compensation (ICC) Rates
9 Interstate Switched Access Revenues
10 Interstate Allocated Switched Access Revenues#
11 Transitional Intrastate Access Service Revenues
12 Net Transitional Reciprocal Compensation Revenues
13 Total ICC Revenue (Line 10 + Line 11 + Line 12)
Eligible Recovery
14 TRS Increment
15 Regulatory Fees Increment
16 NANPA Increment
17 Interstate Local Switching Support for Price Cap Affiliates
18 Adjustment for Double Recovery or Corrections
19 Test Period 13/14 Trueup - Net Impact on Total Eligible Recovery
20 Eligible Recovery (Line 8 - Line 13) + (Line 14 + Line 15 + Line 16 + Line 18 + Line 19) - (Line 17)
Revenues from Access Recovery Charges (ARC)
21 Residential ARC Revenues
22 Single Line Business ARC Revenues
23 Multi-Line Business ARC Revenues
24 Total ARC Revenues (Line 21 + Line 22 + Line 23)
Connect America Fund (CAF) ICC Support**
25 Connect America Fund (CAF) ICC Support (Line 20 - Line 24)
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2015 CAF ICC Data Collection
NECA Home NECA Data Collections Contact Us CAF ICC - Instructions &Documents Logout
Logged in User: Choua Her
Home Select Company Main Page Study Area Data Input Menu CAF & ARC Output ElectronicElectronic Certifications Certifications
Study Area: MIDVALE TEL EXCH INC (ID: 472226)
Holding Company: MIDVALE TELEPHONE EXCHANGE INC. (ID: 200000255)
Access Recovery Charges
Recalculate ARC Rates & CAF Support revenuesRecalculate ARC Rates & CAF Support revenues
Test Period 2015-2016 Pre-True-up View Test Period 2015-16 Post-True-Up (Filing) View
Test Period 2015-2016 Post True-Up (Filing) View
Exchange/Zone
Name
Residential
Lines
excludingLifelines
Residential
ARC
Residential
ARC
Revenue
SLB
Lines
SLB
ARC
SLB ARC
Revenue
MLB
Lines
MLB
ARC
MLB ARC
Revenue
Total ARC
Revenue
LAKEVIEW
MIDVALE
STANLY
WARM LAKE
WARREN
YELLOW PINE
Study Area
Summary
Page 1 of 22015 CAF ICC Data Collection
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2015 CAF ICC Data Collection
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Logged in User: Choua Her
Home Select Company Main Page Study Area Data Input Menu CAF & ARC Output ElectronicElectronic Certifications Certifications
Study Area: MIDVALE TEL EXCH INC (ID: 472226)
Holding Company: MIDVALE TELEPHONE EXCHANGE INC. (ID: 200000255)
Study Area - Exchange Level Residential Lines and Local Rates for ARC Calculation
[ ] Upload Residential Lines &Upload Residential Lines & Rates Rates [ ] Download NECA template
Exchange Level Residential Lines & Rates Residential Lines & Rates Summary Study Area Test Period Lines
Test Period 2015/2016
Study Area Lines for Test Period 2015/2016 - (July 1, 2015 - June 30, 2016)
Study Area ID
Test Year 2015-16
Residential Lines
Excluding Life Lines
Test Year 2015-16
Single Line Business
Lines
Test Year 2015-16
Multi-Line Business
Lines
472226
Data previously submitted on 4/1/2015 2:21:10 PM (Eastern Time)Data submitted by Choua Her
[Records response entered/updated on the above part of the screen]
Submit ResponseSubmit Response
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Certification of Officer as to the Accuracy of the CAF ICC Data Reported
I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the actual data reported; and, to the
best of my knowledge, the information reported on this form is accurate.
Name of Reporting Carrier:
Signature of Authorized Officer:
Printed name of Authorized Officer:
Title or position of Authorized Officer:
Telephone number of Authorized Officer:
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C.
§§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Study Area Code of Reporting Carrier Filing Due Date for this form
(mm/dd/yyyy)
Date:
472226 6/16/2015
MIDVALE TEL EXCH INC
John Stuart
CEO
208-355-2211
5/27/2015
John Stuart
TO BE COMPLETED BY THE REPORTING CARRIER.
Digitally signed by John Stuart DN:cn=John
Stuart,email=[e-mail],O=midvale tel
exch inc,l=Midvale ID 83645, Date:5/27/2015
Certification of Officer to Authorize an Agent to File Data Reported on Behalf of Reporting Carrier
I certify that (Name of Agent) _________________________________________________ is authorized to submit the information reported on behalf of
the reporting carrier. I also certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the data
provided to the Authorized Agent; and, to the best of my knwoledge, the actual data provided to the Authorized Agent is accurate.
Name of Reporting Carrier:
Signature of Authorized Officer:
Printed name of Authorized Officer:
Title or position of Authorized Officer:
Telephone number of authorized officer:
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C.
§§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Study Area Code of Reporting Carrier Filing Due Date for this form
(mm/dd/yyyy)
Date:
472226 6/16/2015
MIDVALE TEL EXCH INC
John Stuart
CEO
208-355-2211
5/27/2015
John Stuart
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING DATA ON THE CARRIER'S BEHALF:
Name of Authorized Agent :National Exchange Carriers Association, Inc.
National Exchange Carriers Association, Inc.
Digitally signed by John Stuart DN:cn=John
Stuart,email=[e-mail],O=midvale tel exch
inc,l=Midvale ID 83645, Date:5/27/2015
Certification of Officer for Rate-of-Return Carrier Eligibility for CAF/ICC Recovery
I certify that I am an officer of the reporting carrier and that, to the best of my knowledge, the reporting carrier on this form certifies that it
has complied with Eligible Recovery §51.917(d) and Access Recovery Charge §51.917(e) and is eligible to receive the CAF ICC support
requested pursuant to §51.917(f).
Name of Reporting Carrier:
Signature of Authorized Officer or employee:
Printed name of Authorized Officer or employee:
Title or position of Authorized Officer or employee:
Telephone number of Authorized Officer or employee:
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C.
§§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Study Area Code of Reporting Carrier Filing Due Date for this form
(mm/dd/yyyy)
Date:
472226 6/16/2015
MIDVALE TEL EXCH INC
John Stuart
CEO
208-355-2211
5/27/2015
John Stuart
TO BE COMPLETED BY AN OFFICER OF THE REPORTING CARRIER
Digitally signed by John Stuart DN:cn=John
Stuart,email=[e-mail],O=midvale tel exch
inc,l=Midvale ID 83645, Date:5/27/2015
Certification of Officer for Rate-of-Return Carrier Not Seeking Duplicative Recovery
I certify that I am an officer of the reporting carrier and that, to the best of my knowledge, the reporting carrier is not seeking duplicative
recovery in the state jurisdiction for any Eligible Recovery subject to the recovery mechanism as per §51.917(d)(vii).
Name of Reporting Carrier:
Signature of Authorized Officer or employee:
Printed name of Authorized Officer or employee:
Title or position of Authorized Officer or employee:
Telephone number of Authorized Officer or employee:
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C.
§§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Study Area Code of Reporting Carrier Filing Due Date for this form
(mm/dd/yyyy)
Date:
472226 6/16/2015
MIDVALE TEL EXCH INC
John Stuart
CEO
208-355-2211
5/27/2015
John Stuart
TO BE COMPLETED BY AN OFFICER OF THE REPORTING CARRIER
Digitally signed by John Stuart DN:cn=John
Stuart,email=[e-mail],O=midvale tel exch
inc,l=Midvale ID 83645, Date:5/27/2015
RATE FLOOR DATA COLLECTION - OMB Control Number 3060-0986
Block 1 - Contact Information
ROW #DATA ELEMENT RESPONSE
FORMAT OF
REQUESTED
DATA
1 472226Carrier Study Area Code 6 numeric digits
2 Carrier Study Area Name MIDVALE TEL. EXCH. INC.alpha characters
3 Service Provider Identification Number 1430025189 numeric digits
4 Residential Local Service Charge Effective Date 07/01/15mm/dd/yy
5 Her, ChouaContact Name alpha characters
6 Contact Telephone Number (include area code)209-955-61419 numeric digits
7 Sheet Number numeric digit(s)
8 Total Number of Sheets numeric digit(s)
Block 2- Residential Local Service Rates, Fees, and Line Counts
Column 1
Residential Local
Service Charge
Column 2
State Subscriber
Line Charge
Column 3
State Universal
Service Fee
Column 4
Manditory
Extended Area
Service Charge
Column 5
Loops
Column 6
Exchange Name/
Zone Name
Column 7
Class Of Service
9
USAC Proprietary Confidential