20131011Farmers Mutual FCC Form 481 Redacted.pdf

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FCC Form 481FCC Form 481 - Carrier Annual Reporting OMB Control No. 3060-0986/OMB Control No. 3060-0819
Data Collection Form July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name: Person USAC should contact with questions about this data

<035>Contact Telephone Number: Number of the person identified in data line <030>
<039>Contact Email Address: Email of the person identified in data line <030>
54.313
Completion
Required
54.422
Completion
Required
<100>Service Quality Improvement Reporting

<200>Outage Reporting (voice)
<210><-- check box if no outages to report

<300>Unfulfilled Service Requests (voice)
<310>Detail on Attempts (voice)
<320>Unfulfilled Service Requests (broadband)
<330>Detail on Attempts (broadband)

<400>Number of Complaints per 1,000 customers (voice)
<410>Fixed
<420>Mobile
<430>Number of Complaints per 1,000 customers (broadband)
<440>Fixed
<450>Mobile

<500>Service Quality Standards & Consumer Protection Rules Compliance
<510>
<600>Functionality in Emergency Situations
<610>
<700>Company Price Offerings (voice)
<710>Company Price Offerings (broadband)
<800>Operating Companies and Affiliates
<900>Tribal Land Offerings (Y/N)?
<1000>Voice Services Rate Comparability
<1010>
<1100>Terrestrial Backhaul (Y/N)?
<1110>
<1200>Terms and Condition for Lifeline Customers

Price Cap Carriers, Proceed to Price Cap Additional Documentation Worksheet
Including Rate-of-Return Carriers affiliated with Price Cap Local Exchange Carriers
<2000>
<2005>
Rate of Return Carriers, Proceed to ROR Additional Documentation Worksheet
<3000>
<3005>
ANNUAL REPORTING FOR ALL CARRIERS
(if yes, complete attached worksheet)
(check to indicate certification)
(if not, check to indicate certification)
(complete attached worksheet)
(attached descriptive document)
(check to indicate certification)
(complete attached worksheet)
(complete attached worksheet)
(complete attached worksheet)
(check to indicate certification)
(attached descriptive document)
(attach descriptive document)
(complete attached worksheet)

(check box when complete)
(complete attached worksheet)
(complete attached worksheet)
(attach descriptive document)

(complete attached worksheet)
(check to indicate certification)
(complete attached worksheet)
(check to indicate certification)

(attach descriptive document)
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FARMERS MUTUAL TEL
209-955-6116
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Eric Votaw
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47221ID510
[e-mail]
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<010>
<015>
<020>
<030>
<035>
<039>
<110>Has your company received its ETC certification from the FCC?(yes / no )
<111>
If your answer to Line <110> is yes, do you have an existing §54.202(a) "5
year plan" filed with the FCC?(yes / no )
If your answer to Line <111> is yes, then you are required to file a progress
report, on line <112> delineating the status of your company's existing §
54.202(a) "5 year plan" on file with the FCC, as it relates to your provision of
voice telephony service.
<112>Attach Five-Year Service Quality Improvement Plan or, in subsequent years,
your annual progress report filed pursuant to 47 C.F.R. § 54.313(a)(1). If your company is a
CETC which only receives frozen support, your progress report is only
required to address voice telephony service.
Please check these boxes below to confirm that the attached PDF, on line
112, contains a progress report on its five-year service quality improvement
plan pursuant to § 54.202(a). The information shall be submitted at the wire
center level or census block as appropriate.
<113>Maps detailing progress towards meeting plan targets
<114>Report how much universal service (USF) support was received
<115>How (USF) was used to improve service quality
<116>How (USF)was used to improve service coverage
<117>How (USF) was used to improve service capacity
<118>Provide an explanation of network improvement targets not met in the prior calendar year.

Study Area Code
Study Area Name
Program Year
Contact Name - Person USAC should contact regarding this data
Contact Telephone Number - Number of person identified in data line <030>
Name of Attached Document (.pdf)
Contact Email Address - Email Address of person identified in data line <030>
(100) Service Quality Improvement Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013

2014
472221
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
10/08/2013
[e-mail]
Page 3
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(200) Service Outage Reporting (Voice)FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<220><a><b1><b2><b3><b4><c1><c2><d><e><f><g><h>
NORS
Reference
Number
Outage Start
Date
Outage Start
Time
Outage End
Date
Outage End
Time
Number of
Customers Affected Total Number of
Customers
911 Facilities
Affected
(Yes / No)
Service Outage
Description (Check
all that apply)
Did This Outage
Affect Multiple
Study Areas
(Yes / No)
Service Outage
Resolution
Preventative
Procedures

2014
472221
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
10/08/2013
[e-mail]
-- See attached
worksheet --
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(700) Price Offerings including Voice Rate Data FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<701>Residential Local Service Charge Effective Date
<702>Single State-wide Residential Local Service Charge

<703><a1><a2><a3><b1><b2>
State Exchange (ILEC)SAC (CETC)Rate Type
Residential Local
Service Rate

<c>
Total per line Rates and Fees
<b5>
Mandatory Extended Area
Service Charge
<b4>
State Universal Service Fee
<b3>
State Subscriber Line Charge
2014
472221
FARMERS MUTUAL TEL
209-955-6116
1/1/2013
Eric Votaw
10/08/2013
-- See attached worksheet
--
[e-mail]
Page 5
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(710) Broadband Price Offerings FCC Form 481
Data Collection Form OMB Control No. 3060-0986
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>

<711><a2><b1><b2><c><d1><d2><d3><d4>
Exchange (ILEC)Residential Rate
State Regulated
Fees Total Rate and Fees
Broadband Service -
Download Speed
(Mbps)
Broadband Service -
Upload Speed (Mbps)
Usage Allowance
Action Taken When
Limit Reached {select}

<a1>
Usage Allowance
(GB)

State
/OMB Control No. 3060-0819
2014
472221
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
10/08/2013
[e-mail]
-- See attached
worksheet --
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(800) Operating Companies FCC Form 481
Data Collection Form OMB Control No. 3060-0986
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<810>Reporting Carrier
<811>Holding Company
<812>Operating Company

<813>

<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
<813>

<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
<813>

<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
<813>

<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
/OMB Control No. 3060-0819
2014
Famers Mutual Telephone Company
472221
FARMERS MUTUAL TEL
209-955-6116
Farmers Mutual Telephone Company
Eric Votaw
10/08/2013
[e-mail]
-- See attached worksheet --
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(900) Tribal Lands Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<910>Tribal Land(s) on which ETC Serves
<920>Tribal Government Engagement Obligation
If your company serves Tribal lands, please select (Yes,No, NA) for
each these boxes to confirm the status described on the attached
PDF, on line 920, demonstrates coordination with the Tribal
government pursuant to § 54.313(a)(9) includes:
Select
(Yes,No,
NA)
<921>
<922>Feasibility and sustainability planning;
<923> Marketing services in a culturally sensitive manner;
<924>Compliance with Rights of way processes
<925>Compliance with Land Use permitting requirements
<926>Compliance with Facilities Siting rules
<927>Compliance with Environmental Review processes
<928>Compliance with Cultural Preservation review processes
<929>Compliance with Tribal Business and Licensing requirements.
Needs assessment and deployment planning with a focus on Tribal
community anchor institutions;
Name of Attached Document (.pdf)

/OMB Control No. 3060-0819
2014
472221
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
10/08/2013
[e-mail]
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(1100) No Terrestrial Backhaul Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013

<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
Please check this box to confirm no terrestrial backhaul
options exist within the supported area pursuant to § 54.313(G)
Please check this box to confirm the reporting carrier offers
broadband service of at least 1 Mbps downstream and 256 kbps
upstream within the supported area pursuant to § 54.313(G)
<1120>
<1130>

2014
472221
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
10/08/2013
[e-mail]
4
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(1200) Terms and Condition for Lifeline Customers FCC Form 481LifelineOMB Control No. 3060-0986/OMB Control No. 3060-0819Data Collection Form July 2013

<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<1210>Terms & Conditions of Voice Telephony Lifeline Plans
Name of attached document (.pdf)
“Please check these boxes below to confirm that the attached PDF,
on line 1210, or the website listed, on line 1220,
contains the required information pursuant to §
54.422(a)(2) annual reporting for ETCs receiving low-income
support, carriers must annually report:
<1221>
<1222>
<1223>Additional charges for toll calls, and rates for each such plan.
<1220>Link to Public Website HTTP
Information describing the terms and conditions of any voice
telephony service plans offered to Lifeline subscribers,
Details on the number of minutes provided as part of the plan,

http://online.fmtc.com/corporate/index.php?display=detail&sp=0&id=4651d70dc19a5b509663feb639af5767
2014
472221
4
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
10/08/2013
[e-mail]
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(2000) Price Cap Carrier Additional Documentation FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
Including Rate-of-Return Carriers affiliated with Price Cap Local Exchange Carriers July 2013

<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
Incremental Connect America Phase I reporting
<2010>2nd Year Certification {47 CFR § 54.313(b)(1)}
<2011>3rd Year Certification {47 CFR § 54.313(b)(2)}
Price Cap Carrier Receiving Frozen Support Certification {47 CFR § 54.312(a)}
<2012>2013 Frozen Support Certification
<2013>2014 Frozen Support Certification
<2014>2015 Frozen Support Certification
<2015>2016 and future Frozen Support Certification
Price Cap Carrier Connect America ICC Support {47 CFR § 54.313(d)}
<2016>Certification Support Used to Build Broadband

Connect America Phase II Reporting {47 CFR § 54.313(e)}
<2017>3rd year Broadband Service Certification
<2018>5th year Broadband Service Certification
<2019>Interim Progress Certification
Please check the box to confirm that the attached PDF , on line 2021,
contains the required information pursuant to § 54.313 (e)(3)(ii), as a recipient
of CAF Phase II support shall provide the number, names, and addresses of
community anchor institutions to which began providing access to broadband
service in the preceding calendar year.
<2021>Interim Progress Community Anchor Institutions Name of Attached Document Listing Required Information
<2020>
CHECK the boxes below to note compliance as a recipient of Incremental Connect America Phase I support, frozen High Cost support, High Cost support to offset access charge reductions, and Connect America Phase II
support as set forth in 47 CFR § 54.313(b),(c),(d),(e) the information reported on this form and in the documents attached below is accurate.

2014
472221
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
10/08/2013
[e-mail]
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(3000) Rate Of Return Carrier Additional Documentation FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013

<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
Progress Report on 5 Year Plan
(3010)Milestone Certification {47 CFR § 54.313(f)(1)(i)}Name of Attached Document Listing Required Information
Please check this box to confirm that the attached PDF , on line 3012,
contains the required information pursuant to § 54.313 (f)(1)(ii), as a
recipient of CAF Phase II support shall provide the number, names, and
addresses of community anchor institutions to which began providing
access to broadband service in the preceding calendar year.
(3012)Community Anchor Institutions {47 CFR § 54.313(f)(1)(ii)}Name of Attached Document Listing Required Information
(3013)Is your company a Privately Held ROR Carrier {47 CFR § 54.313(f)(2)}(Yes/No)
(3014)If yes, does your company file the RUS annual report (Yes/No)
Please check these boxes to confirm that the attached PDF, on line 3017,
contains the required information pursuant to § 54.313(f)(2) compliance
requires:
(3017)If the response is yes on line 3014, attach your company's RUS annual
report and all required documentation Name of Attached Document Listing Required Information
(3018)If the response is no on line 3014, Is your company audited?(Yes/No)
If the response is yes on line 3018, please check the boxes below to
confirm your submission, on line 3026 pursuant to § 54.313(f)(2), contains
:
If the response is no on line 3018, please check the boxes below
to confirm your submission, on line 3026 pursuant to § 54.313(f)(2),
contains:
(3024)Underlying information subjected to an officer certification.
(3026)Attach the worksheet listing required information Name of Attached Document Listing Required Information
(3022)
(3023)
(3025)
(3015)
(3016)
(3019)
(3020)
(3021)
Copy of their financial statement which has been subject to review by an
independent certified public accountant; or 2) a financial report in a
format comparable to RUS Operating Report for Telecommunications
Borrowers, Underlying information subjected to a review by an independent certified
public accountant
PDF of Balance Sheet, Income Statement and Statement of Cash Flows
Electronic copy of their annual RUS reports (Operating Report for
Telecommunications Borrowers)
PDF of Balance Sheet, Income Statement and Statement of Cash Flows
Either a copy of their audited financial statement; or (2) a financial report
in a format comparable to RUS Operating Report for Telecommunications
PDF of Balance Sheet, Income Statement and Statement of Cash Flows
Management letter issued by the independent certified public accountant
that performed the company’s financial audit.

(3011)
CHECK the boxes below to note compliance on its five year service quality plan (pursuant to 47 CFR § 54.202(a)) and, for privately held carriers, ensuring compliance with the financial reporting requirements set forth in 47
CFR § 54.313(f)(2). I further certify that the information reported on this form and in the documents attached below is accurate.
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2014
472221
47221ID3026
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
10/08/2013
[e-mail]
Page 12
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Certification - Reporting Carrier FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAL REPORTING ON ITS OWN BEHALF:
Printed name of Authorized Officer:
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or LI Recipients
Name of Reporting Carrier:
Signature of Authorized Officer:Date
I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the annual reporting requirements for universal service support
recipients; and, to the best of my knowledge, the information reported on this form and in any attachments is accurate.
Title or position of Authorized Officer:
Telephone number of Authorized Officer:
Study Area Code of Reporting Carrier:Filing Due Date for this form:

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.

2014
472221
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
10/08/2013
[e-mail]
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Certification - Agent / Carrier FCC Form 481Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>

Certification of Agent Authorized to File Annual Reports for CAF or LI Recipients on Behalf of Reporting Carrier
TO BE COMPLETED BY THE AUTHORIZED AGENT:
Telephone number of Authorized Agent or Employee of Agent:
Signature of Authorized Agent or Employee of Agent:
Name of Authorized Agent or Employee of Agent:
I, as agent for the reporting carrier, certify that I am authorized to submit the annual reports for universal service support recipients on behalf of the reporting carrier; I have provided
the data reported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate.
Date:
Printed name of Authorized Agent or Employee of Agent:
Title or position of Authorized Agent or Employee of Agent
Name of Reporting Carrier:
Study Area Code of Reporting Carrier:Filing Due Date for this form:
Printed name of Authorized Officer:
Name of Reporting Carrier:
Study Area Code of Reporting Carrier:
Title or position of Authorized Officer:
Telephone number of Authorized Officer:
Filing Due Date for this form:
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAL REPORTS ON THE CARRIER'S BEHALF:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or LI Recipients 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 annual data reporting requirements provided to the authorized
agent; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate.
Date:
Name of Authorized Agent:
Signature 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.
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.
10/15/2013
2014
472221
472221
Eric N. Votaw
Eric N Votaw
Eric N Votaw
FARMERS MUTUAL TEL
FARMERS MUTUAL TEL
209-955-6116
Eric Votaw
Senior Manager
10/08/2013
472221
[e-mail]
10/08/2013
General Manager
Daniel Greig
FARMERS MUTUAL TEL
10/08/2013
10/15/2013
208 452 2000
209-955-6116
CERTIFIED ONLINE
Moss Adams LLP
CERTIFIED ONLINE
10/08/2013
Response Line 510
Farmers Mutual Telephone Company
Study Area 472221

Pursuant to 47 C.F.R. § 54.313(a)(5) and or 47 C.F.R. § 54.422(b)(3) Farmers Mutual Telephone Company
(“FMTC”) is in compliance with the Idaho Public Utilities Commission’s Telephone Customer Relations
Rules, IDAPA 31.41.01 as well as the applicable FCC Service Quality Standards and Consumer Protection
Rules. FMTC provides CPNI training to all of its new employees and in addition trains all of its existing
employees on an annual basis. SMTA also conducts subscriber outreach regarding CPNI by periodically
placing CPNI explanation messages into subscriber’s bills. In addition FMTC trains staff on Red Flag
issues on an annual basis. All company employees are required to sign and acknowledge that they have
completed CPNI and Red Flag training and understand obligations to adherence of applicable rules.

Response Line 610
Farmers Mutual Telephone Company
Study Area 472221

Functionality in Emergency Situations:

Pursuant to 47 C.F.R. § 54.313(a)(6) and 47 C.F.R § 54.22(b)(4) as set forth in 47 C.F.R. § 54.202(a)(2)
Farmers Mutual Telephone Company (“FMTC”) meets the requirements to remain functional in
emergency situations and has the following capabilities; Back-up power is provided to FMTC’s central by
use of a fixed generator and batteries that provide it with 8 hours of emergency power. In addition,
FMTC’s field electronics have 8 hours of back-up power by use of generators and batteries. FMTC also
has SONET technology deployed in its core fiber optic network that is self-healing and will automatically
reroute traffic should a fiber cut occur. FMTC also has diverse routing to adjacent telecommunication
providers and telephone exchanges that provide FMTC the ability to reroute traffic in emergency
situations. Lastly, FMTC is capable of managing traffic spikes resulting from emergency situations.

III. LIFELINE

A. GENERAL

Applicable to qualifying low-income subscribers to single party Residential service of the Company.
B. RATES

1. Baseline Lifeline is a reduction or credit in the local service charges normally paid by qualifying low-income consumers. The reduction to the normal residential one-party rates are as follows:

Residential Access Lines Monthly Credit
or Discount Federal Baseline Lifeline Reduction Subscriber line charge
Federally funded reduction in local rate $9.25

State Matching Local Rate Reduction $2.50

These reductions or credits are from the normal residential one-party
service subscribed to by the consumer. The Federal baseline lifeline
reduction shall be used to waive the consumer s Federal End-User Common Line Charge or Subscriber Line Charge.

In addition to the above Federal Service Discount, the State may
provide an additional discount for eligible consumers, pursuant to
Idaho code Title 56, Chapter 9. The State Discount is only provided if it is funded through the States Universal Service Fund or a surcharge
upon customers.

In no case will the discount exceed the rate charged for the service
subscribed to by each individual.

Issued August 6, 2010
Farmers Mutual Telephone Company Page 45
IV. LIFELINE, CONTINUED

B. RATES, CONTINUED

1. The following services are included: a. Single party, voice grade access to the Public Switched Network
b. Access to emergency services
c. Access to operator services
d. Access to interexchange services, unless toll blocking is chosen e. Access to directory assistance f. Toll Blocking

C. ELIGIBILITY REQUIREMENTS
1.An applicant must meet all of the following criteria in order to qualify for Lifeline Service:

a. The consumer must meet eligibility requirements established in Idaho
Code, Title 56, Chapter 9.
b. To qualify for Lifeline Service, the consumer must be a head of household
and whose gross income is at or below one hundred and thirty-five
percent (135%) of the Federal Poverty Limit.
c. The customer must be recertified annually by the appropriate state agency.

d. The premises at which the residential service is requested is the
applicant's principle place of residence.
e. There is only one telephone line serving the residential premises eligible
for the credit. The residential premises shall consist of that portion of an
individual house or building or one flat or apartment occupied by a single
family or individuals functioning as one domestic unit.

Issued August 6, 2010
Farmers Mutual Telephone Company Page 46

IV. LIFELINE, CONTINUED

C. ELIGIBILITY REQUIREMENTS, CONTINUED
2. Lifeline will not be furnished on a Foreign Exchange (FX) basis.
3. Lifeline service shall not be disconnected for non-payment of toll
charges.
4. If the consumer chooses "toll blocking, the company will not charge a service deposit. No toll blocking charges will be assessed to Lifeline
subscribers.

D. FUNDING
The total cost of providing the State Lifeline program shall be funded from a
monthly surcharge to each business and residential access line.
Residences receiving Lifeline assistance are exempt from the uniform monthly
surcharge.

E. REGULATIONS
1. The Telephone Assistance Program credit will begin with the next billing

1.cycle following the date the Company receives notification of customer
qualification.
2. The regular service connection charge, move and change charge, and
regulations applicable to the service offerings specified in the tariff will apply.
The service connection charge and move and change charge to change to or
from this program due to eligibility status will be waived.

Issued August 6, 2010
Farmers Mutual Telephone Company Page 47
III. LIFELINE, CONTINUED

E.REGULATIONS, CONTINUED
3. The lifeline credit will be subject to the following restrictions:
a. Applicant must be head of household or person whose name the
property or rental agreement resides.
b. Lifeline credit will only be provided to the applicant' s principle residence.

c. The credit will only be applicable for one single residential access
line. 4. The Company will offer Lifeline assistance only during such periods
as reimbursement of the discount is available to the Company from
Federal and/or State revenue sources.

V. IDAHO TELECOMMUNICATIONS SERVICE ASSISTANCE PROGRAM (IT
SAP) SURCHARGE

A. RATES
The monthly surcharge is set at the amount ordered by the Idaho Public Utilities
Commission.

B.CONDITIONS
1.A surcharge assessed on all access lines to contribute toward
funding for the Idaho Telecommunications Service Assistance
Program (ITSAP) or the State-matching portion of the Lifeline
program.
2. The surcharge rate will remain in effect until otherwise modified
canceled, or changed by the Commission.

Issued August 6, 2010
Farmers Mutual Telephone Company Page 48