20131015Gold Star FCC 481 and ETC.pdf

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october 15, 2013
VIA ELECTRONIC SUBMISSION
Jean Jewell, Commission Secretary
ldaho Public Utilities Commission
472W. Washington
PO Box 83720
Boise,lD 83720-0A74
Re: Gold Star Communications, LLC (SAC 479011) 2013 Eligible Telecommunications Carrier
(ETC)Annual Report Filing; Docket No. GNR-T-13-01
Dear Ms. Jewell:
Gold Star Communications, LLC ("Gold Sta/') hereby files with the Commission its 2013 ETC
Annual Report Filing, as follows:
A copy of the FCC Form 481 - Carrier Annual Reporting Collection Form, completed pursuant to
47 CFR 95 54.313 and54.422, as applicable; and,
Affidavit of Business or Corporate Officer certifying compliance with applicable rules and
guidelines.
Request is hereby made that the Commission notify the Federal Communications Commission
and the Universal Service Administration Company, prior to December 16,2013, that Gold Star is eligible
for federal high-cost support for the year 20L4.
Questions regarding this filing should be directed to my attention as shown below.
Thank you,
t.t.f,l''-'?
t":
, ,J _.i
Enclosures
legal & Regulatory Administrator
3S?i883-6590
-Y$"tesituerstar'net
PaBe 1
479011<010> Studv Area Code
Gold SEar Commuications LLC<015> Studv Area Name
<020> Prosram Year
<030> Contact Name: Person USAC should contact
with questions about this data
Michelle Motzkus
<035> Contact Telephone Number:
Number ot the person identitied in data line <030>307-883-6690
<039> Contact Email Address:
Email otthe person identitied in data line <030>
mamoE zkus@s ilverstar . net
<100> Service Quality lmprovement Reporting
<200> Outage Reporting (voice)
( con pl ete oft och ed w otk sh eet)
I c o n pl ete o ft och ed wotk sh e et )
(check box when complete)
-iEl_!_ll____!___J
=ffitl/il/ll
<310>
<320>
<330>
<400>
<410>
<420>
<210>
<300> Unfulfilled Service Requests (voice)
Detail on Attempts (voice)l-J kttach desc.iPtive document)
I / ll<- check box if no outages to report
Unfulfilled Service Requests (broadband)
Detail on Attempts (broadband) l-J htbch descriptNe document)
Number of Complaints per 1,000 customers (voice)
Fixed
Mobile
<430> Number of Complaints per 1,000 customers (broadband)
<500> Service Quality Standards & Consumer Protection Rules Compliance.51Orm
<500> Functionality in Emergency Situations<oro>W
<700> Company Price Offerin8s (voice)
<710> Company Price Offerings (broadband)
<800> Operating Companies and Affiliates^ .A<900> Tribal Land Offerings (Y/N)? U (9
<1000> Voice Services Rate Comparability
.1O1Or-..A.
<1100> Terrestrial Backhaul (Y/N)? (9 t<1110>
<1200> Terms and Condition for Lifeline Customers
[-]rc
<440>
<450>
Fixed
Mobile
(check to indicote cettilicotion)
( o ft o ch ed desc t i pti ve d o. um e nt)
(check to indicate cettilcotion)
( o ft o ch ed desc t i pti ve d o c utu ent)
( con plete o ft och ed wo.ksh e et)
( co fr ple te o ft och ed wotksh e e t)
(compl ete oft o che d wo,ks h eet)
(il yes, complete oftoched wotksheet)
(check to indicote certilicotion)
( dtto ch d esc i ptive doc u m en t)
(il not, check to indicote cettilicalion)
( com pl ete dft o ch ed w orksh eet)
( com pl ete oft o ch e d w o tk sh eet)
<2000>
<2005>
<3000>
<3005>
Price Cap Carrie6, Proceed to Price Cap Additional Documentation Woiksheet
lncluding Rote-of-Return Carriers offilioted with Price Cop Locol Exchonge Corriers
(check to indicote certifi.otion)
( com p I ete o t o ch ed work sh eet )
Rate of Return Carriers, Proceed to ROR Additional Documentation Worksheet
(check to indicdte certificdtion)
( c o m pl ete o ft o ch ed wotksh eet)
10114t2013 Page 1
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<o1o> study Area Code 479017
<01S> StudvAreaName Gold Star ComEications LLC
<020> Prosram Year 20t4
<o3o> contactName-personUsAcshouldcontactresardingthisdata Mi'cheIIe Motzkus
<035> contactTeleohoneNumber-Numberofpersonidentifiedindataline<o3O> 307-883-6590
<039> contactEmailAddress-EmailAddressofpersonidentifiedindataline<O3O> mamotzkus@silverstar'net
Certification of Ofticer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
certify that I am an officer ofthe reportlng carrier; my responsibilities lnclude rnsurint the accuracy ofthe annual reponlnt requirements for univ€rsal srulce suppon
ecipients; an4 to the best of my ktrowledge, th€ infsmation report€d on this form and in any attachments is accurate.
,lameofReportingcarrier: Gold star commuications tlc
ofAuthorizedofficel CERTTFTED ONLTNE Date 70/74/2073
,rinted name of Authorized officer: Jef ferson England
-itle orpositionof Authorized officer: chi'ef Financial officer
elephone numberof Authorized Officer' 30?-883-5621
;tudvArea code of ReDortinc carrier: 479011 Filins oue Dateforthisform: \0/\5/2013
Persohs willfully making false statements on this form can be puhished by fne or forfeiture under the Communic.tions Act of 1934 47 U.S.C. 55 502, 503{b), or fine or imprisonment
underTitle 18 ofthe United States Code, 18 U.S.C. 5 1001.
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAT REPORTING ON ITS OWN BEHALF:
10t14n013
Pagc 13
479011<010> StudvArea Code
<015> StudvArea NahE Gold Star Commuications LLC
<020> ProsramYear 2074
Michelle Motzkus
<035> ContactTeleDhoneNumber-Numberofm.sonidentifiedindataline<O3O> 307-883-5690
<o4g> conta.t Fmail Addre<< - Fmail Addrass of oerson identified in dara linr <oqo> mamot zkus@s i,Ivels ta! . net
Certification of officer to Authorize an Agent to File Annual Reports for CAF or Ll RecipienB on Eehalf of Reportint Carriel
certify that (Nem of E authorlzed to rubmlt th. lnfomton Eportod on beh.lt of tho repodng cairle..
llo ceilfy thai I am an ofllcer of the rcpordng c.nlor; my respomlbllldaE lnclude ensudng the eccuncy of t,lo .nnual dat Eporfng Equlrcmntr prcvlded to the .uthotlEd
gsnt; and, to the best of [ry knowl€dgs, the rcportr rnd dila provlded to tfie autftodzed aoenl h accuEte.
,lame of Authorized Asent:
,lame of ReDortinc Carrieri
ofAuthorized Officer:Oate:
'rinted name ofAuthorized Officer:
'itle or position ofAuthorized Office.
eleohone number of Authorized Officer:
;tudv Area Code of Carrier:Filin. Due Date for this form:
Per$ns willfully makinS false statements on this form can be punished by fine or forfeiture under the Communicationr Act of 1934, 47 U.S.C. 55 502, S03(b), or fne or imprlsnment
underTitle 18ofthe Lrnited StatesCode, lS U.S.C.5 1001.
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAT REPORTS ON THE CARRIER.S BEH,A[F:
TO BE COMPTETED BY THE AUTHORIZEO AGENT:
Certiltcation of Agent Authorired to File Annual Reports for CAF or Ll Recipients on Behalf of Reportint Carrier
he data reported heiein based on data provided by the reportlng erl€r; .nd, to the best of my lnowledF, the informatlon rcported hercln ls accuEte.
,lame of Reoortina Carrier:
,lame ofAuthorized Aqent or Emolovee ofAgent:
;i:nature ofAuthorized Acent or Emolovee ofAtent:Date
I name ofAuthoaized Arent or EmDlovee ofArent:
'itle or Dosition ofAuthorized Asent or Emolovee ofA{ent
eleDhone number ofAuthorized Aeent or EmDlovee ofAtent:
itudv Area Code of Carri Filinr Due Oat. for this form:
18 ofthe United States Code, 18 U.S.C. 5 1001.
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Gold Star Communications, LLC
dba Silver Star Communications ("Silver Star")
Service Quality Standards & Consumer Protection Rules
Statement of Compliance
Silver Star has established operating procedures designed to facilitate compliance with applicable
consumer protection rules; including rules regarding verification of orders for telecommunications
service as required of submitting carriers (i.e., Slamming) {Section 64.1100}, compliance with the FCC's
Truth-in-Billing Requirements {54.2400}, compliance with the FCC's customer proprietary network
information (CPNI) Requirements {54.2009}, consumer protection and service quality rules pursuant to
the CTIA Code of Conduct, and all other customer protection rules including employee training and
policy manual development as applicable.
Gold Star Communications, LLC
dba Silver Star Communications ("Silver Star")
Functionality in Emergency Situations
Statement of Compliance
Silver Star has established operating procedures designed to facilitate compliance with
applicable service quality standards, which may include customer remedies and
improvement plans. Specifically Silver Star maintains its entire plant and system in such
condition as to enable it to furnish safe and continuous service and it inspect its system
and facilities in such manner and with such frequency as may be necessary to obtain
knowledge of their current condition and adequacy. Silver Star is capable of functioning
in emergency situations, by maintaining both battery and generator back-up power,
which ensure reasonable functionality of voice services without an external power
source. Additionally, voice traffic can be rerouted around damaged facilities, and Silver
Star is capable of managing traffic spikes resulting from emergency situations.
Gold Star Communications, LLC
dba Silver Star Communications ("Silver Star")
Low-lncome Telephone Assistance Program Terms & Conditions
Silver Star offers a variety of local usage calling plans, ranging from local and/or
low usage plans to plans providing essentially unlimited usage. Lifeline-eligible
residential customer accounts are discounted by the federally authorized amount
of 59.25, and state telephone assistance discounts, where applicable. Silver Star's
lifeline-discounted monthly telephone service provides access to emergency,
operator, interexchange, and directory assistance services. The service does not
include enhanced calling features such as voice mail, caller lD, call forwarding,
internet or long distance telephone service. Toll Limitation service is provided at
no charge for lifeline customers, upon customer request and pursuant to FCC
guidelines.
State of Wpming
County of Lincoln
SUBSCRIBED AND SWORN to before me this
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1.
2.
3.
4.
5.
6.
MrcHEtrt MOn(usNolory Publlc
Srolg o, wyoming
County ol !rncoln
My Commission Erpiras
Mo,ch 15. 2017
CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPL]ANCE WITH SERVICE QUALITYAIVD CUSTOMER
PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH.COST SUPPORT.
AFFIDAVIT OF BUS]NESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Carriers certtfy
that it is compliant with applicable service quality standards and consumer protection rules; and ETCs must
demonstrate the ability to remain functional in emergencies. ln addition, the Commission must file an annual
certtfication with the USAC and the FCC that allfederal high-cost support provided to ETCs within the State of
ldaho will be used only for the provision, maintenance, and upgrading of facilities and services for which the
support is intended. Accordingly, the undersigned states and verifies under oath the following:
I am an officer of Gold Star Communications, LLC (dba Silver Star Communications), an eligible
telecommunications carrier for receiving federal universal service support under section 214(e) of the
Telecommunications Act of 1996 in the state of ldaho.
I am familiar with the Company's day-today operations in the state of ldaho and with the State's service
quality standards and consumer protection rules as set forth in Commission Order No. 29&41.
Gold Star Communications, LLC is complying with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the ldaho Public Utilities Commission.
I certify to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841and in 47 C.F.R. $ 54.201(a)(2).
I also certify that all federal universal service support funds received by Gold Star Communications, LLC
during the current calendar year will be used in a manner consistent with section 254(e); that is, for the
provision, maintenance, and upgrading of facilities and services for which the support is intended. The
company will continue to comply for the period of January 1 , 2014, through December 31 , 2014, to be
eligible for federal universal service fund support.
This verification and affidavit is provided to be the ldaho Public Utilities Commission to enable the IPUC to
certify to the FCC that federal universal service support received by the eligible caniers in the state will be
used in a manner consistent with Section 254(e) of the Telecommunications Act.
Notary Public for Wyoming, residing at Lincoln County
(
/& Date
t/ day of October, 2013.
MY Commission exPires 3* *-17