20131015Project Mutual FCC 481 and ETC.pdf

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THATOUNIS
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March 4,20t3
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Attached you will find in PDF format (with printing capabilities only) the financial statements as of
December 3L, 2012. You should not alter the language or financial information included in the
document.
Any reproduction of the financial statements must be in their entirety, including our accompanying
reports. You may not include the financial statements and our repoft in an annual report, offering
memorandum, or similar document without our review and approval.
You must have version 8 or later of Acrobat Reader to open the attached financial statements, then
double-click in the area below. Your opening of this attachment indicates your understanding and
acceptance of these conditions,
Please do not hesitate to contact me if you have any questions.
Very truly yours,
MOSS ADAMS LLP
fu*t',, UM\$h a^-/
Camille Christiansen, Senior Manager
Attachment
Page 1
<010> Study Area Code
PROJECT MTITUAI TEL<015> Studv Area Name
<020> Program Year
<030> Contact Name: Person USAC should contact
with questions about this data
Rick Harder
<035> Contact Telephone Number:
Number ot the person identitied in data line <030>
208 434-1124
<039> Contact Email Address:
Email ot the oerson identitied in data line <030>rharder@pmt . coop
<100> Service Quality lmprovement Reporting
<200> Outage Reporting (voice)
<z!)>
-.-
cnecK oox rT no ourages ro reporl
( com plete attached worksh eet)
(compl ete dttach ed worksh eet)
<310>Detail on Attempts (voice)
0<300> Unfulfilled Service Requests (voice)
<320> Unfulfilled Service Requests (broadband)
<330>
( ottoch descri ptive document)
l_/_ll____!___J
ll / ltt /-ll
II-Tffi
<410>
<420>
<430>
<440>
<450>
Detail on Attempts (broadband) ]-l biloch desct,ptNe documentl
<400> Number of Complaints per 1,000 customers (voice)
Fixed
Mobile
Number of Complaints per 1,000 customers (broadband)
Fixed
Mobile
<500> Service Quality Standards & Consumer Protection Rules Compliance<s10>m
<500> Functionality in Emergency Situations
<610>4
<700> Company Price Offerings (voice)
<710> Company Price Offerings (broadband)
<800> Operating Companies and Affiliates \ ..A\<900> Tribal Land Offerings (Y/N)? (. (9
<1000> Voice Services Rate Comparability
.tOtOrF
<1100> Terrestrial Backhaul (Y/N)? (9 (J
<1 L10>
<1200> Terms and Condition for Lifeline Customers
(check to indicote certilication)
( aftoched descri ptive document)
(check to indicote certilicotion)
( attoch ed descri ptive docunent)
(compl ete dttoch ed worksheet)
( compl ete attoch ed worksheet)
( compl ete ottoch ed worksheet)
(il yes, complete attoched wotksheet)
(check to indicote certilication)
(ottach desci ptive docu ment)
(il not, check to indicote certilicotion)
(compl ete dttach ed worksheet)
( compl ete attoch ed wotksheet)
<2000>
<2005>
<3000>
<3005>
Price Cap Carriers, Proceed to Price Cap Additional Documentation Worksheet
lncluding Rote-of-Return Corriers offilioted with Price Cop Local Exchonge Corriers
(check to indicote certilication)
(conpl ete aft och ed worksheet)
(check to indicote certilicotion)
IcomDl ete ottach ed worksheet)
Rate of Return Carriers, Proceed to
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<o1o> studv area code 472211
<O1S> StudvArea Name PROJECT MIITUAL TEL
<020> Prosram Year 2074
<O3O> contact Name - Person UsAc should contact resardinc this data Rick Harder
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<O3O> 2oa 434-1124
<039> cohtactEmailAddress-EmailAddressofoersonidentifiedihdataline<o3o> [e-mail]
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting tor CAF or Ll Recipients
cenify that I am an offic€r ofth€ reportint 6rrier; my responsibilities include ensurint th€ acuracy ofthe annual reportint rcquirements for univ€rsal seruic€ suppon
eciplents; and, to the besl of my knowledte, th€ information reponed on this form and in any attachments is accurate.
,lame of ReDortins carrier: PRoJEcr m[ TEL
iisnature of Authorized officer: cERrrFrED oMrM Date
)rinted name of Authorized officer:
'itle or oosition of Authorized officer:
eleohone number of Authorired officer:
;tudv Area code of ReDortin{ carrie.: 412211 Filins Due Dateforthisform: 10/75/2013
Personswillfllymakin!flie5tatementionthi5formcanbepunishedbyfineorforfeitureunde.theCommunicationsActof1934,4TU.S.C.SS502,503(b),orfineorimprironment
underTitle 18 ofthe United States Code, 18 LJ.S.C. 6 1001.
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAL REPORTING ON ITS OWN BEHATF:
10t14t2013 PaEe 72
Page 13
412237<010> Studv Area Code
<015> StudyArea Name PRO.]ECT MUTUAL TEL
<020> ProEram Year 20t4
<O3O> ContactName-PersonUSACshouldcontactregardinsthisdata Rick Harder
<035> ContactT.leDhoneNumber-NumberofErsonidentifiedindataline<O3O> 208 434-1124
<039> Crstact Email Address - Email Address of person identified in data line <O3O> rhalder@Iht . coop
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAT REPORTS ON THE CARRIER'S BEHALF:
TO BE COMPTETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an ASent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carriel
cenify that (Nam of Ia authodzed to aubnrlt tho lnfomlion rcpoi$d on beh.lf of the rcporting Brlsr
gent; .nd, to ths be3t ot my knowl€dge, the nporl! .nd d.ta provided to lhe .utiodzsd agant ls iccuEt3.
lame of Authoriz.d Arent:
lameofRelortintcarri.r: PRO,JECT MUTUAL TEIJ
e ofAuthorized Offlcer: CERTIPIED ONIJINE Date
'rinted name ofAutho.ized Officer:
itle or position of Authorized Officer:
'elephone number of Authorized Officer
tudvArea Code of R.mrti 47221t Filin. Du. DatEforthisfiln: 70 /15 /2o).1
Persns willfully making false statements on this form.an be punished by fine orforfeiture underthe Communi.ations Ad of 1934, 47 U.S.C. 55 502, S03(b), orfine or imprienment
underThle 18 ofthe United States Code, 18 U.S.C. I 1001.
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behall of Reporting Carriel
he data reponed hereln based on data provided by the reportlng carier; and, to the be3t ofmy knowledte, the lnformation reponed herein is accurate,
,lame of ReDortins Carrier:PRO,fECT MUIUAI TEL
,/ame ofAutho.ized Asent or Emolovee ofAEent
;ignature of Authorized Arent or Emplovee of Agent: CBRTTPTED oNLrM Date
,rinted name of,or EmDlovee ofAaent:
'itle or Dosition ofAutho.ized Arent or EmDlovea ofAEent
elephone number ofAuthorized Asent or EmDlovre of Acent:
;tudvArea Code of R.mrtim Carrirr: 472217 FilincDueDat.fdrthisform: 1ol1q/)n
18 ofthe t nited States Code, 18 U.S.C. 5 1001.
State of _ldaho _ ) CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
) ss OF COMPLIANCE WITH SERVICE QUALITYAND CI.TSTOMER
County of Minidoka ) PROTECTION, ABILITY TO REMAIN FUNCTIONAL lN EMERGENCIES,
AND USE OF FEDERAL HIGH.COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No, 29841requlres that Eligible Telecommunications Carriers certify
that it is compliant with applicable service quatity 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-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:
1. I am an officer of Project Mutual Telephonl_, an eligible telecommunications carrier for receiving
federal universal service support under section2l4(el of the Telecommunications Act of 1996 in the state
of ldaho.
2. I am familiar with the Company's day-to-day 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. 29841.
3, Proiect Mutual Telohone is compllng with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the ldaho Public Utilities Commission-
4. I certify to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No.29841 and in 47 C.F,R. $ 5a.201(aX2).
5. I also certify that all federal universal service support funds received by Proiect MutualTelephone
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
companywillcontinuetocompIyfortheperiodofJanuary1,.L,throughDecember31,2O14-', to be eligible for federal universal service fund support.
6. This vertfication 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 Telecommu.nications
Cfc)
Name/Titie
a /,,i)r>
uate
2-o13SUBSCRIBED AND SWORN to before me this
Notary Public for
lrof AR r
PUBU\O
Commission expires
residing at
Project MutualTelephone is in compliance with ldaho Public Utilities Telephone Customer Relations
Rules (IDAPA 3L.4L.OL, Rules 500 through 599). Project MutualTelephone has received no complaints
as defined in 47 C.F.R. S 5a.313(aX4) or as defined in ldaho Public Utilities Telephone Customer
Relations Rules (IDAPA 3L.4L.OL, Rule 401, 04) in 2013. Project MutualTelephone conducts CPNI/Red
Flag training with new employees and annually with all employees. Additionally, Project Mutual
Telephone has had zero outages as defined in 47 C.F.R. 5 5a.38(aX2Xi) in 2013.
PMT has a published Emergency Plan. This plan has been developed in coordination with the Minidoka
County Emergency Operations Plan. The plan addresses and/or identifies emergency conditions,
authority, and level of response, preparation and testing of emergency equipment, resources, switching
option, and the priority of network connection restorations. Each central office is equipped with
emergency batteries and generators. Portable generators can be placed at remote sites in cases where
the outage is expected to last beyond battery backup limits.
TmtI
Lifeline - Low Income Support
What is Lifeline?
Lifeline is a govemment program that offers qualified low income households a discount on
unlimited basic local telephone service with the availability of long distance restrictions.
Through this government program you could save up to $ I 1.7 5 a month. This program can cover
basic local telephone service charges, plus the subscriber line charge.
What is the Cost of Landline Telephone Service?
PMT's basic local telephone service is $18.25 plus applicable taxes and surcharges. Long
distance toll charges will apply. For Example: If you choose PMT as your Preferred Interstate
Carrier (PIC), long distance toll charges are currently $.12 per minute. However, long distance
toll blocking is provided to Lifeline customers at no charge.
Eligibility / Restrictions
Lifeline can only be used for the primary telephone line in a household. You may purchase
additional services available to a non-Lifeline customer. You must establish phone service prior
to applying for the Lifeline discount. The name on the phone bill must match the name of the
household member participating on the eligible program.
How do I apply?
Eligibility is determined by the South Central Community Action Partnership at 1-800-627-1733.
Do I Need to Apply Every Year?
Yes. If you still meet the eligibility criteria and wish to continue receiving financial assistance,
you must re-apply every year.
More Information
You can find this and more information about Lifeline at the website for LJniversal Service
Adrninistrative Company'. Any additional questions can be answered by calling PMT at: (208)
436-7 l5l or I -(800)-322-407 4