20131015Midvale FCC 481.pdf

i5
State of ldaho
ss
County of Washington
cERTTFTCATTON BY ELTGTBLE TELECOMMUNTCATTONF CARRTER
OF COMPLIANCE WITH SERVICE QUALITY AND CUSIOMER
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. 29841requires that Eligible Telecommunications Carriers certify
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
certification with the USAC and the FCC that all federal high+ost 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:
1. I am an officer of Midvale Telephone Company, 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.
2. I am familiar with the Company's day{o{ay operations in the state of ldaho and with the State's service
quallty standards and consumer protection rules as set forth in Commission Order No. 29841.
3. Midvale Telephone Company is complying with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the ldaho Pubtic Utilities Commission.
I certify to the Commission that the Gompany is able to remain functional in emergencies as set forth in
Commission Order No. 29841 and in 47 C.F.R. S 54.201(aX2).
I also certify that all federal universal service support funds received by Midvale Telephone Cornpany
during the cunent 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 1,2012 through December 31,2012, 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 carriers in the state will be
used in a manner consistent wilh Section 254(e) of the T
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4.
5.
6.
SUBSCRIBED AND SWORN to before me this ll?) aay oW*
otary Public for
My Commission expires
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ldaho Service Quality Standards and Consumer Protection Rules Compliance
Midvale Telephone understands and complies with the ldaho Public Utilities Commission'sTelephone
Customer Relations Rules, IDAPA 31.41.01, adopted under the general legal authority of the Public
Utilities Law, Chapters l through 7, Title 51, ldaho Code, and the Telecommunications Act of 1988,
Chapter 5, Title 52, ldaho Code, with regards to service. These telephone customer relations rules
provide a set of fair, just, reasonable, and non-discriminatory rules regarding deposits, guarantees,
billing, application for service, denial of service, termination of service, complaints to telephone
companies, billing for interrupted service, and provisions of certain information about customer to
authorities.
Functionality in Emergency Situations
Pursuant to 47 C.F.R. S 5a.313(a)(6) and/or 47 c.F.R 5 54.422(b)(4) as set forth in 47 C.F.R. 54.202
(aXZ). Midvale Telephone meets the requirements to remain functional in emergency situations
and has the following capabilities: Back-up power is provided to Midvale Telephone's central and or
remote office(s) by use of fixed generator and batteries that provide it with a minimum of 24 hours
of emergency power service. ln addition, Midvale Telephone's field electronics have a minimum of
24 hours of back-up power by use of fixed/mobile generators and batteries. Midvale Telephone
also has SONET technology in its network that allows for self-healing network should a fiber cut
occur in its core network and will automatically reroute traffic. Midvale Telephone also has 2
redundant paths within its network to provide for the capability to reroute traffic. Midvale
Telephone has equipped its remote offices with Emergency Stand Alone technology that will
provide for call completion and access to 911. in emergency situations. Midvale Telephone is
capable of managing traffic spikes resulting from emergency situations.
IDAHO PUBLIC UTILITIES
Midvate Telephone Company - Applo'-t-1-
Customer Service ContaCt 6OO1UZ-+SZ3 Aug. 13' 2012 Au9.27,2O12
Jean D. Jewell Secrctary
ldaho Fublic Utilities Commission
Tariff Number 4
Original Sheet Number: 62
IV. LIFELIIIE
A. GENERAL
A federal program applicable to quali$ing low-income subscribers to
single party residential service of the Company.
B. RATES
1. Baseline Lifeline is a reduction or credit in the local seryice charges normally paid by
qualiffing low-income consumers. The reduction to the normal residential one-pa4y
rates are as established by the Federal Communications Commission (FCC).
These reductions or credits are from the normal residential one-party service
subscribed to by the consumer.
In addition to the Federal Service Discount, the State may provide an
additional discount for eligible consumers, pursuant to Idaho code Title 56,
Chapter 9.
In no case will the discount exceed the rate charged for the service subscribed
to by each individual.
C. ELIGIBILITY REQUIREMENTS
1. To qualifr for Lifeline Service, an applicant must meet all of the requirements
established by the FCC.
a. The consumer must be a head of household whose gross income is at or below
one hundred and thirty-five percent (L35%) of the Federal Poverty Limit.
b. The customer must be recertified annually by the appropriate state agency.
c. The premises at which the residential service is requested is the applicant's
principle place of residence.
IssuedJuly 27,2012 EffectiveAugust 27,2012
Issued by Midvale Telephone Compauy
: Steohen G- Child Title: CEO
IDAHO PUBLIC UTILITIES
Midvale Telephone company - Apqt:'^"^1-
Customer Service Contact: (bO111 qeZ-qSZ3 Aug. 13, 2012 Aug- 27 ' 2O12
Jean D. JewellSecretary
Idaho Public Utilities Commission
TariffNumber4
Original SheetNumber: 63
C.
E.
rv. LTFELTNE (CONTTNIIED)
ELIGIBILITY REQUIREMENTS, (CONTINUED)
d. Only one telephone line (wireline or wfueless) per household is eligible for the
credit. A "household" is any individual or group of individuals, related and
unrelated, who are living together at the same address as one economic unit. An
"economic unit" consists of all adult individuals contributing to and sharing in the
income and expenses of a household.
REGULATIONS
1. 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.
2. 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. IDAHOTELECOMMT]NICATIONSSERVICEASSISTAI\CEPROGRAM
(rrsAP)
A state progmm applicable to qualiffing low-income residential subscribers ITSAP
provides eligible recipients with a reduction in costs of residential basic local exchange
telephone service.
SURCHARGE RATES
The monthly surcharge is set at ttre amount ordered by the Idaho Public Utilities
Commission.
IssuedJuly 27,2012 EffectiveAugustz7,z0l2
Issued by Midvale Telephone Company
: Stephen G. Child Title: CEO
B.
IDAHO PUBLIC UTILITIES
Midvale Telephone Company - App:':-tl--
Customer Service Contact: (bOq CAZ-+SZ3 Aug. 13, 2012 Au9.27,2O12
Jean D. Jewell Secretary
Idaho Public Utilities Commission
Tariff Number 4
Original Sheet Number: 64
rv. rTsAP (CoNTINUED)
C. CONDITIONS
1. A surcharge assessed on all access lines to contribute toward funding for the
Idaho Telecommunications Service Assistance Program (ITSAP). The
ITSAP surcharge will not be assessed on ITSAP-eligible subscribers' bills
2. The surcharge rate will rernain in effect until otherwise modified, canceled, or
changed by the Commission.
VI. IDAHO UNIVERSAL SERVICE F'UND SURCHARGE
A. RATES
The monthly surcharge is set at the amount ordered by the Idaho Public
Utilities Commission.
B. CONDITIONS
A surcharge assessed on all access lines to contribute toward firnding for an Idaho
Universal Service Fund.
The surcharge rate will remain in effect until otherwise modified, canceled, or changed
by the Commission.
VI[. CONCURRENCES
Midvale Telephone Company concurs in the filed tariffs of the Mounain States Telephone and
Telegraph Company dba CenturyLink, together with amendments and successive issues thereof,
for the puq)ose of providing message toll telephone service between its points when no other
telephone company jointly provides the message toll service'fi/ith the Company.
Issued July 27, 2012 Effective August 27,2012
Issued by Midvale Telephone Company
: Steohen G. Child Title: CEO
tha d$! Dad.d, ud of iDfo.filrim
PLANT, PROPERIY, ANO EQUIPI,IENT
t8.
Ue
20. Piant
21. Plant
22, L€ss
19
USDA.RUS
OPERATING REPORT FOR
TELECOMI'IUT{IGATIONS BORROU'ERS
!&.c *rlT Ec s.d D] RtJs to frtd )aw ,liwcol ,xwilo^ l&t et,Efia k ,qntcd by , U-s.c. 9Ol ., ,.1
fudt,et ltut il l r'ilaldroB rufitlinx .ufidfitlol inlud,tio* pill
Midvale ?eJ.ephone Company
Sub^it npd to RUS ||ithin ltt dqs olcr clNe dllv Frid.
dctailcd iwtnnore, sn RUS Bullctia l7l1-2, E.t?oil in wlnk dolton oaly.Decchber,2012
CERTIFICAIION
W'e huabl $rtw lhot lhc enrries ih this rcport aro ih accordarcc with the occomts (nd other recordr of thc s1*tefl aild relect the tlutt of fhe rystlm
lo tha best ofow kno*ledge und l*liS,
ALL INSURANCE REQUIRED BY 7 CFR PART 1788, CIIAPTER XVII, RUS, WAS IN FONCE DURTNG TIIE REPORTING PERIOD AND
RENEWALSHAVS BEEN OBTAINED FORALL POLICIES.
UURING 'I'HU PI;RIOD L'OVURCD BY 'I'ITI$ ru:POR'I' PUR$UAN'I'1O PART- IT8I O} 7(jr;l( CHAT}TIIR XVII
(CrBcl< ffie ot lhe lolloffingl
flfl At or Ue oalipttons under th6 RUS toan dElnentr
- naw Os tulflled it all mateti8t r6speds.f] Tnan na uae n e dd.un h lhe turfillmen( oa the dluation!
under th. RUS loah dBmenE. said doleut(s, ii/iro
ipeciti€lt dcsibe., h lha'faleom OpeEtjrg Repoi
L,351 ,8't3 664, 15 1.383.872
25,201
t2 , toL.2 r1 , 060, 9r9
2 ,378 ,7 2, L26,75
2,t23,01
1.1.050.91912.111.55
1 , 849. l3
i.:i,...:iiii,.,iiiii. ...:ii
39.215,31
t45.295
L9 ,2L6 , 62s19,357,417
IOTAL LlAElLlTlEs ANO EqUfry [3316+50]58]
23 ,5'12,462
Total Equity = 26 . 78* % of Total AsseE Page 1 of 6
f.l. TOTAL ASSETS (10rt7.23,
Page 2 of 6
USDA-RUS
OPERATING REPORT FOR
TELECOTilMUNICATIONS BORROUI'ERS
]ORROWER DESIGNATION
rDo518
rERND ENDING
Deceftber. 2012n/SIRUCITON& 3ee RUS Bufretin 1744^2
PART B. STATE'YIENTS OF INCON,IE AND RETAINED EARNINGS OR MARGINS
ITEi'PRIORYEAR THISYEAR
1, Local N€h,Ork ServiQes Revenues L ,255 . 465 714.089
2. Net{ork Access Services Revenues L 717 , OsE 9, 82 6, 831
3. LonE Distance Netwo* Saruices Revenues 170, 950 1?4. 131
4. Carier Billino and Collection Revenues
5. Miscellaneous Revenues 480, 603 27,239
6. Uncollectible Revenues 255 ,396
7. H€tODeratinq Revenu€s (1 thru 5 lBss 6)11,428,5? 5 10,?38.292
8. Plant Speclfic QDerations Expense s,156,203 a , 8s5 ,25A
9. Planl Nonsoecific Ooeralions Exoense (Excludino DeDreciation & Amortizerrbnl 355.9113 t88 ,47 4
10. DeDrechtion Exoense 2,233,506 2,251 ,Og(,
1. Amortizalbn Expense
12. Cugtomer Ogerations Erpense 382,9't1 308, 55(
t3. Corporate Operalions Expense t, 17 2 ,265 1,2s7,900
la. Total Op.ratin! Expenssr (8 thru 13)9, 3r0, 994 8,861 ,264
,5. Operatins lnaome or Marsins (7 les6 14)2,t17,642 1, 871.028
16. Other Operating lnome and Expanses (559,558)
17. State and Local Taxes 10, 15?276,99C
18. Fademl lncome Taxes (s9.5371
19. OtherTaxes 219.723
m. Totr! Ogoratlno Tares ('17+18+19)170. 253 276,99C
l. Net Ooerelino lncome or Maruins (15+16-201 1,387,77r., 594. 03 I
12- lnlereston Funded Oebt 701,3?3 585,821
13. lnterBst Exoense - CaDital Leases
14. OtherlntercstExpense L!'Jv.ttt 3?0,884
U 5. Allowance ft( Funds Used Duting Constnrtion 3't,477 22,:,5t
16. Total Fixed charqes 122+23+2tl-251 ??3.153 vJt I rqJ
7. Nonooerelino Net lncome 81, 555
28. Extraordinail ltems
19. Jurisdiclhnal Oiflbrences
10. Nonreoulated Net lncome (68.530)(r00.889)
!1. Totel ll€t lncolne or tlaroinr (21 +27+28+29+30-26)545,088 540 . \41
12. Iolal Taxes Based on lncome 400 _ 448 3 53. 95(
13. RetEined Earninos or Marqins B€oinninq-of-Year 3 . 756 .722 5 ,'t02 . tLl(
14. Miscelleneous Credits Year-to.Dale
35. Divldends DecfarRd (Common)
16. Oividends Declared (PreErred)
17. Other Oebits Year-lcDate
]8. Transkrsto PatDnag€ Capifal
t9. Retrhed Erminsa or uarsins End-ol-Period (31+33+3{) - {35+36}37+36)l 5,702,4L0 6,342,954
to Palrdneor Carilal Beolnnino-of-Year
1, Transreffi to Pationage Capilal
12- Patronaoe Csoital Credils Retired
13. Patronage Capltal Endd-Year (40+4142)0
{4. Annual Debt Service Pavmenls 2,670,951 2, O45,'t84
t5. Cash Ratio I(f4+20-1o-1 1) / 7l 0 - 5342 0. 6{1
{6, Operatins Aoc.ual Ratjo I(14+N+28\ I Tl 0.8973 0. 9385
{7. TIERI(31+26}/281 1 . ?063 1. 68s?
18. DSCR l(31+26+10+11) /441 1 .3302 1.873[
USDT-RUS
OPERATIT{G REPORTFOR
TELECOIUU UilICANONS BORROWERS
BORROI/UER DESIGNATION
rD051 I
PERIOD ENDED
December.2012
INSTRUCTIONS - See help in the online applicolion.
PART I -STATEiNENTOF CASH FLOWS
1.Aegannlng Cash (Cash and Equivalents plus RUS Gonstruc{lon Fund}238,X04
CASH FLOWS FROf,I OPEMTING ACTlUilES
2.i{et lncomo 540,54It
Adiustmenls la Reconoile AIel /ncome to /Vet Cash Provided by Oqcrl,lino Activilies
3.Add: Deprecialion ?,251 ,OA0
4.Add: Amortizalion 0
5. Other (Explain)
Depreciation catculaEed in non-reg net income and adjustment to balance 548.504
Chanoes in Ooeralri4q Assets and Liabililies
6.Decrease/(lncrease) in Accounls Receivable a34 ,642
7.Oecrease/(lncrEase) in Materiab and lnventory (360.5?2 )
8.Decrcase/flncreasel in PreDavments and Defetred Charoes (89,823)
s Decrea6e/(tncreasel in Olher Culrent Assets 85,264
10.lncrease/(Decrease) ln Accounts Payable 5!5.535
11.lncrease/(Decrease) in Advance Bfllinqs & Payments 45, 566
12.lncreaser(Decrease) in Ofter Current Liabilities (727, 835)
{3_Not Cash Providsdr(U3edl bv Ooeratlons 3,779, 905
CASH FLOWS FROM FINATIC]NG ACT]VITIES
14. Decrease/(lncrease) in Note6 Receivable 0
15. lncreaser(Decrease) in Notes Payabh (115,903)
16,lncreasel(Decrease) in Cugtomer Oegosits (660)
17.Nel lncrease(Decrease) in Long Term Debt (lncluding Currenl Maturilies){r-,06?,059)
18.lnffea$e/(Decrease) in Olhcr Lbbilitie$ & Deferred Credits 655,092
19. lncrease/(DecEase) in Caoital Stock. Paid-in Caoital. Membetshio and Caoital Certiticates & Other Caoital 0
20.Less: Pavmenl ot Dividends 0
21 Less: Patronaoe Caoital Credits Retired 0
22 Olher (Explain)BIP
449 ,922
23,Net Cash ProvidedtlUsedl bv Financlno Ac'tlvitles (69, 518)
CASH FLOWS FROM INVEST]NG ACIVMES
24.Nel Caoilal Expendltures (Prooertv. Plant & Equipment)(3,051.8621
25. Other Lonq-Term lnvestmenh t4O3,t82t
26.Olher Noncurrcnt Assets & Jurisdictional DitErences n
27- Other (Explain)
28.l{et Cash Provldedl(Usedl by lnvestlng Actlvlties 3.455,044 )
29.Het lncrraser(D.crrase, ln cash 254.247
30. Endlnq Cash 492 , {4'l
Reviaion DrtE 20'10
rtww. tto ssl Dl|{s. col,r
INDEPENDENT AUDITOR'S MANAGEMENT LETTER
Board of Directors
Midvale Telephone Company, Inc.
We have audited the financial statements of Midvale Telephone Company, Inc. for the year ended
December31-,2OL2, and have issued our report thereon dated April 29,2OL3. We conducted our audit
in accordance with auditing standards generally accepted in the United States of America, the standards
applicable to financial audits contained in Government Auditing Standards issued by the Comptroller
General of the United States, and 7 CFR 1773, Policy on Audits of Rural lltilities Sentice (RUS) Borrowers.
Those standards require that we plan and perform the audit to obtain reasonable assurance about
whether the financial statements are free of material misstatement.
In planning and performing our audit of the financial statements of Midvale Telephone Compann Inc. for
the year ended December 31,2072, we considered its internal control over financial reporting as a basis
for designing our auditing procedures for the purpose of expressing an opiniou on the financial
statements, but not for the purpose of expressing an opinion on the effectiveness of the Company's
internal control over financial reporting. Accordingly, we do not express an opinion on the effectiveness
of the Company's internal control over ffnancial reporting.
A deficiency in internal control exists when the design or operation of a control does not allow
management or employees in the norrnal course of performing their assigned functions, to prevent or
detect misstatements on a timely basis. A material weakness is a deficiency, or combination of
deficiencies, in internal control, such that there is a reasonable possibility that a material misstatement
of the entity's financial statements will not be prevented, or detected and corrected on a timely basis.
Our consideration of internal control over financial reporting was for the limited purpose described in
the first paragraph of this sectiqn and was not designed to identi$r all deficiencies in internal control
that might be sigrrificant deficiencies or material weaknesses. We did not identiry any deficiencies in
internal control over financial reportingthat we consider to be material weaknesses, as defined above.
25
INDEPENDENT AUDITOR'S MANAGEMENT LETTER
[continuedJ
7 CFR 1773.33 requires comments on specific aspects of the internal control over financial reporting,
compliance with specific RUS loan and security instrument provisions, and other additional matters, We
have grouped our comments accordingly. ln addition to obtaining reasonable assurance about whether
the financial statements are free frorn material rnisstatements, at your request, we performed tests of
specific aspects ofthe internal control over financial reporting; ofcornpliance with specific RUS loan and
securitSr instrument provisions, and of additional rnatters. The specific aspects of the internal control
over financial reporting compllance with specific RUS loan and securigt instrument provisions, and
additional matters tested include. arnong other things, the accounting procedures and records.
compliance with specific RUS loan and security instrument provisions set forth in 7 CFR 1773.331e)(2)
and related party transactions and investments, In addition, our audit of the financial statements also
included the procedures specified in 7 CFR L773.38-.+5, Our objecrive was not to provide an opinion on
these specific aspects of the lnternal control over financial reporting, compliance with specific RUS loan
and security instrument provisions, or additional matters, and accordingly, we express no opinion
thereon.
No reports (other than our independent auditor's report, and our independent auditor's report on
internal control over financial reporting and on compliance and other matters, all dated April 29, 2013)
or summary of recommendations (other than the audit fieldwork exit merno) related to our audit have
been furnished to management,
Our comments on specific aspects of the internal control over financial reporting, compliance with
specific RUS loan and security lnstrurnent provisions, and other additional matters as requlred by 7 CFR
L773.33 are presented below.
COMMENTS ON CERTAIN SPECIFIC ASPECTS OF THE INTERNAL CONTROT OVER FTNANCIAL
REPORTING
We noted no matters regarding Midvale Telephone Company, Inc.'s internal control over financial
repofting and its operation that we consider to be a material weakness as previously deftned with
respect to:
the accounting procedures and records;
the process for accumulating and recording labor, material, and overhead costs, and the distribution
ofthese costs to construction, retirement, and maintenance or other expense accounts; and
the materials control,
)
a
27
IND EPENDENT AUDITOR'S MANAGEMENT LETTER
fcontinued]
COMMENTS ON COMPLIANCE WITH SPECIFIC RDUP LOAN AND SECURITY INSTRUMENT
PROVISIONS
At your request, we have performed the procedures listed below with respect to cornpliance with
certain provlsions of laws, regulations, contracts, and grants, The procedures we performed are
summarized as follows:
r Procedures performed with respect to the requirement for a borrower to obtain written approval
of the moftgagee to enter into any contract, agreemenr, or lease between the borrower and an
affiliate for the year ended Decernber 31, 2012, of Midvale Telephone Company, Inc.;
- Obtained and read a borrower-prepared schedule of new written contracts, agre€ments, or
leases between the borrower and an affiliate as defined in 7 CFR 1773.33(eJ[2)(i).
- Reviewed Board of Directors' rninutes to ascertain whether Board-approved written contracts
are included in the borrower-prepared schedule.
- Noted the existence of written RUS approval of each conrract listed by the borrower.
' Procedure performed with respect to the requirement to submit the operating report for
telecommunications borrowers to the RUS;
- Agreed amounts reported in the operating report for telecommunications borrowers to
Midvale Telephone Company, Inc.'s records.
The results of our tests indicate that, with respect to the items tested, Midvale Telephone Company, Inc.
complied, in all material respects, with the speclfic RUS loan and security insffuments provisions
referred to below. The specific provisions tested, as well as any exceptions noted, include the
requirements that:
. the borrower has obtained written approval of the RUS to enter into any contract, agreement, or
lease with an afflllate as defined in 7 CFR 1773.33(e)(21[i); and
. the borrower has submitted its the operating report for telecornrnunications borrowers to the RUS
and the operating report for telecommunications borrowers, as of December3l,2012, represented
by the borrower as having been submitted to the RUS is in agreement with Midvale Telephone
Company, lnc.'s audited records, in all material respects, and appears reasonable based on the audit
procedures perforrned.
28
INDEPENDENT AUDITOR'S MANAGEMENT IETTER
(continued)
COMMENTS ON OTHER ADDITIONAI MATTERS
In connection with our audit of the financial statements of Midvale Telephone Company, Inc., nothing
came to our attention that caused us to believe the Company fuiled to complywith respect tot
' the reconciliation of continuing property records to the controlling general ledger plant accounts
addressed at 7 CFR 1773,33(cJ(U;
' the Company updates its continuing property records annually to agree with its general ledger. Due
to the volume of activity, this routinely takes several months after year end to complete. As of audit
Ileldwork, the Company's continuing property records are current through 2011 and in process for
2O72t
. the clearing of construction accounts and the accrual of depreciation on completed construction
addressed at 7 CFR 1773.33(c)(2);
' the retirement of plantaddressed at 7 CFR 1773.3S[c](31 and (4);
' the approval ofthe sale, lease, or transfer ofcapital assets and disposition ofproceeds for the sale or
lease ofplant, rnaterial, or scrap addressed at 7 CFR 177333(cJ(5);
' the disclosure of material related party transactions, for the year ended December 31, 201.2, in the
financial statements referenced in the first paragraph ofthis report addressed at 7 CFR L773.33(e);
and
e the detailed schedule of investments.
Our audit was made for the purpose of forming an opinion on the basic financial statements taken as a
whole. The detailed schedule of investments ln afhliated companies required by 7 CFR 1773.33(i), and
attached to this letter, is presented for purposes ofadditional analysis and is not a required part ofthe
basic financial statements, This information has been subjected to the auditing procedures applied ln
our audit of the basic financial statements, and, in our opinion, is fairly stated, in all rnaterial respects, in
relation to the basic financial statements taken as whole.
See attached Schedule of Investment in Affiliated Cornpany.
This report is intended solely for the information and use of the Board of Directors, managemenL others
within the entit5r, and the RUS and supplemental lenders and is not intended to be, and should not be
used by anyone other than these specified parties.
Aur, Mmt> rt
Spokane, Washington
April 29,20L3
29
fCCFo,mtlS! . . ,
Form 481 - Carrler Annual Reporting , oirB co.rrd ilc a06o.B5/oiiB conrrol Nc:to5ooar9
COllectrOn FOrm .. lch2og , . '.
412225<010> Studv Area Code
MIDVALE TEL, EXCH. INC<015> Studv Area Name
<020> Program Year
<030> Contact Name: Person USAC should contact
with questions about this data
John Stuart
<035> Contact Telephone Number: 2a83s5227tNumber ot the oerson identitied in data line <030>
<039> Contact Email Address:
Email ot the person identitied in data line <030>
john, stuarL@mEecom, com
:
REPORTING FOR AI.L CARRIERS
54.313 I y.422
Completbn I Completlon
<100> Service Quality lmprovement Reporting
<200> Outage Reporting (uoigg)_
<210> ! f ll.-- check box if no outages to report
(conplete oft oched worksh eet)
(compl ete ottoched worksh eet)
(check box when complete)
-wffiI_II-I
ll / [-ll
IJ/lW
<300> Unfulfilled Service Requests (voice)
<310> Detail on Attempts (voice) bftach desctiptive document)
<320> Unfulfilled service Reouests (broadband) J o
Detail on Attempts (broadband) bftoch de'(nptNe do(ument)
Number of Complaints per 1,000 customers (voice)
Fixed
Mobile
<330>
<400>
<410>
<4ZO>
<430> Number of Complaints per 1,000 customers (broadband)
<440> Fixed fil-------l<4so> Mobile loi---------l
<500> Service Quality Standards & Consumer Protection Rules Compliance
<:rU> tr- I
<600> Functionality in Emergency SituationsqGlO>ry
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<1000> Voice Services Rate Comparability
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<O1S> StudvAreaName MIDV&E TEL. EXCH. INC-ID
<020> Procram Year 2044
<o3o> contactName-PersonusAcshouldcontactresardinqthisdata John stuart
<035> ContactTeleDhoneNumber-Numberofoersonidentifiedindataline<o3o> 20835522Lr
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
cenify that I am an offlcer of the reporting carier; my responsibilities include ensuring the accuracy ofthc annual reportlnt r€qulrements for universal seryice support
ecipients; and, to thc b€st of my knowl€dt€, the information reported on this form and in any attachmrnts ls accurate.
,lameof Reportinrcarrier: MTDVALE TEL- ExcH- rNC'ID
;icnature of Authorized officer: CERTTFTED omrm Date
,rinted name of Authorized Officer:
'itle or position of Authorized Officer:
elephone number of Authorized Officer:
itudv Area Code of Reponing Carrier: 412226 Filinc Due Dateforthisform: r0/15/2013
Peisonswillfllymakintfalsestatefentsonthisformcanb€punishedbyfiheorforfeitureundertheCommunicationsActof1934,4TU.S.C.SS502,503(b),orfheorimprisonment
underTitle 18 ofthe United States Code. 18 U.S.C. 5 1001.
<039> contact Email Address - Email Address of person identified in data line <o3o> john stuart@mtecom com
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAL REPORTING ON ITS OWN BEHAIF:
101'11t2013 Page 12
Page 13
412225<010> StudvArea Code
<015> StudyArea Name MIDVAIJE TEL. EXCH. INC.ID
<020> Prosram Ycar 20 14
<030> Contact Name - Person USAC should contact regarding this data ,rohn stuart
<035> ContactTelephoneNumbe.-NumberofErsonidentifiedindataline<O3O> 20835522L1
<039> Contact Email Address - Email Address of persgn identified in data line <O3O> joln ' studtmtecom. com
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll RecipienB on Behalf of Reporting Carriel
ffylfiat (Nam of lr authorized to lubmlt the lnfomlion rcpofted on b€half of l,te EpoTtng c.rloi
enity tfi.t I sm an olnce, otthe rcportng catle4 [ry nsponsibilites lncludo amudng ths accuEcy otihe.nnu.l data rcpo]dng nqulremnt3 prevlded to ttE aulftorlad
[; and, to the bert of nry knowledg€, lhe Epo]tt rnd drt provlded to th. .utlrodzed agent ls accunte.
,lame of Authorized Arent:
,lameofReportintCarrier: MIDVALE TEL. EXCH. rNC.rD
iignatureofAuthorizedOfficer: CERTIFIED oNLINE Date
rrinted name ofAuthorized officer:
'itle or position ofAuthorizcd Officer:
'elephone number of Authorized Officer:
itudv Area Code of Renfii^e Cailier 472225 Filins Du. Dat. for thistdr6: 70 /ls/2o\1
Perens willfully making false datements of, this form can be punished by fine or forfeiture under the Communications Ad of 1934, 47 U.S.C. 59 502, 503(b), or fine or imprisonment
underTitle 18 ofthe Unlted States Code, 18 U.S.C. 6 1001.
TO BE COMPTETEO 8Y THE R€PORTING CARRIE& IF AN AGENT IS FITING ANNUAT REPORTS ON THE CARRIER'S BEHATF:
TO BE COMPTETED BY THE AUTHORIZED AGENT:
Certification of Agent Authorized to File Annual Reports for cAF or Ll Recipients on Behalf of Reporting Carrier
he data reported herein bascd on data pmvlded by the reportlnt carrier; and, to the best ofmy knowledte, the lnformation reported herein ls accurate.
lame of Reportins Carrier:MIDVAIE TEIJ. EXCH. ]NC.ID
lame ofAuthorized Arent or Emolovee ofAsent:
of Authorized Arent or Employee of Agent cERTrFrED ONLTNE Datei
'rinted name ofAuthori2ed Asent or Emolov.e of Asent:
itle or position ofAuthorized A.ent or Emolovee ofArent
elephone number ofAwhorized Asent or EmDlovee of Atent:
tudv Area Code of Remrtino Carrier: 472226 FilinE Due Date for this form: 1 o / 1 \ / )n1 1
18 ofthe tJnited States Code, 18 U.S.C. 6 1001.
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