20140129Cricket Communications Form 555.pdf

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Suite 2400
1300 SW Fifth Avenue
Portland, OR 97201 -5630
Alan J. Galloway
503.778.5219 tel
503.778.5299 fax
alangalloway@dwtcom
January 29,2014
VIA ELECTRONIC FILING - [e-mail]
Ms. Jean Jewell, Commission Secretary
Idaho Public Utilities Commission
P.O. Box 83720
472West Washington
Boise,lD 83702-0074
Re: Cricket Communications -Form 555 Filing - Docket GNR-T-14-01
Dear Ms. Jewell:
On behalf of Cricket Communications, enclosed for filing is FCC Form 555 pursuant to 47
c.F.R. $ s4.416(b).
Very truly yours,
Davis Wright Tremaine LLPru-fu
Of Attorneys for Cricket Communications
AJG/jan
Enclosure
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I t-ds Anoeles
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I NmYork I Seattl€
I Portuna I shanshat
I SanFranctrco I Wrehinoton,o.c.www.dwt.com
Approved by OMB
3060-0819FCC Form 555
December 2013
Annual Lifeline Eligible Telecommunications Carrier Certification Form
All caniers must complete all or portions of all sections
Form must be submitted to USAC and filed with the Federal Communications Commission
IMPORTANT: PLEASE READ INSTRUCTIONS FIRST
Deadline: lanuary 31't (Annually)
State
{An Eligible Telecommunications Carrier (ETC) must provide a certiJicationform/or each state inwhich it provides Lifeline service).
4790t4 Cricket Communications
ID
Study Area Code(s) (SAC)
Cricket Communications
ETC Name(s)
Cricket Communications
Holding Company Name(s)DBA, Marketing or Other Branding Name(s)
ffiliated ETCs (include names and SACs, attach
ional sheets
Provide a list of all ETCI that are tifliliated with the reporting ETC, Afiiliation shall be determined in accordance with section 3(2) af the
Communications Act. That Section defines "a/liliate" as "a person that (directly or indirealy) owns or conuols, is owned or controlled by, or is
undercommonotttnershiporcontrolwith,anolherperson."4TU.S.C.Sl53(2). Seealso47C.F.R.S76.l2A0.
For purposes of this filing, an offrcer is an occupant of a position listed in the article of incorporation, articles of
formation, or other similar legal document. An officer is a person who occupies a position specified in the corporate by-
laws (or partnership agreement), and would typically be president, vice president for operations, vice president for
finance, comptroller, treasurer, or a comparable position. If the filer is a sole proprietorship, tle owner must sign the
certification
Section l: l// ETCs MUST COMPLETE SECTION 1- Inltial Certilication
I certiff that the company listed above has certification procedures in place either to;
A) Review income and program-based eligibility documentation prior to enrolling a consumer in the Lifeline
progran\ and that, to the best of my knowledge, the company was presented with documentation ofeach
consumer's household income and/or program-based eligibility prior to his or her enrollment in Lifeline or
B) Confirm consumer eligibility by relying upon access to a state database and/or notice of eligibility from the
state Lifeline administrator prior to enrolling a consumer in the Lifeline program.
I am an officer of the company named above. I am authorized to make this certification for the Study Area(s)
listed above. Initial RJI
FCC Form 555
December 2013
Section 2: All ETCs MUST COMPLETE SECTION 2-Annual Recert{lcation
Do not leave empty columns, I/an ETC has nothing to report in a column, enter a zero.
Approved by OMB
3060-0819
A B C
Numberol
Subccrlbcrs Clalmed on
February FCC Fonn(s) 497
ofcurretrt Form 555
crlendar year
Numbcr of Llnes Claimed on
February FCC Form(s) 497
ofcurrent f,'orm 555
calendar yerr provlded to
Wlrdlne Resellen
Number of Subscrlbcn clalmed
on the Februrry FCC Form(s)
497 that werc lnltlally enrolled ln
curcnt Form 555 calendar yerr
3173 0 I 170
Initial the certifications below thal apply to your ETC qnd complele the tables corresponding lo the certiJication below. Depending on
the state, BOTH CERTIFICATION A AND B MAy APPLY.
A) I certifr that the company listed above has procedures in place to recertifr the continued eligibility of all of its Lifeline
subscribers, and that, to the best of my knowledge, the company obtained signed certifications from all subscribers
attesting to their continuing eligibility for Lifeline. Results are provided in the chart below. I am an officer of the
company named above. I am authorized to make this certification for the Study Area(s) listed above. Initial _
D E F =D-E G H = (F+G)I
Number of
Suhacrlbers ETC
Contactcd Directly
to Receftify
Eligibillty Through
Attcstrtion
Number of
Subscrlberc
Respondlng to
ETC Contrct
Number ofNon-
Responding
Subscriberc
Number of
Subscribers
Rcsponding That
They Are No
Longer Eligible
Number ofSubscriberc
Dc-enrolled or
Scheduled to be De-
Enrolled rs e Result of
Non-Response or
Inelieibilitv
N[mber ot
Subscribers Who
De-Enrolled Prior
to Reccrtificatlon
Attempt
0 0 0 0 0 0
AND/OR
In the space below, please list the program eligtbtlity data sources, such as ETC access to a slate database and/or notice o/eltgibiltty
from the state Lifeline administrator or the Universal Semice Administrative Company (USAC) and indicate lor which qualifying
progrqms (e.g., SNAP, SSI) these sources qre used to verifi subsuiber eligibility. If any o/subscribers are subsequently contacted
directly by the ETC in an oilempt to recertfu eligibility, those subscribers should be listed in columns D through I as appropriate and
nol in columns J through L.
B) I certify that the company listed above has procedures in place to re-certiff consumer eligibility by relying on
Communitv Action Partnershio. Notice of Elipibiliw . Results are
provided in the chart below. I am an officer of the company named above. I am authorized to make this
certification for the Study Area(s) listed above. Initial RII
J K L
Numbcr ofSubscribcrs
Whose Eligibllity was
Revlewed By State
Adminlstrator
ETC Access to Eligibility
Data or bv USAC
Numbcr of
Subscriberu De-Enrolled or
Schcduled to be De-Enrolled as a
Rcsuli of Finding of Incligibility by
State Administrator, ETC Accesg to
Elisibilitv Drta or USAC
Number of Subscribers Who
Do.Enrolled Prior to
Recertlflcatlon Attempt
2482 204 116
OR
C) I certify that my company did not claim federal low income support for any Lifeline subscribers for the February Form
497 datamonth for the crurent Form 555 calendar year. I am an officer of the company named above. I am authorized
to make this certification for the Study Area(s) listed above. Initial
-
FCC Form 555
December 2013
Section 3: ALL ETCS MUSTCOMPLETE SECTION 3 -De-enroll percentage
Ithal ls the percentage of subscribers de-enrolledfor this ETC?
Approved by OMB
3060-0819
M N o P=N+O Q=((P+M)*loo)
Numbcr of
Subscrlbcrs Clalmed
on Februery FCC
Fom{s) 497
(From Colrmn A)
Number ofSubscrlbers
De. Enrolled or
Scheduled to beDo
Enrolled rs a Rcsult of
Non-Response or
Inellglblllty
(From Column H)
Numbcr ofSubscrlbers
De- Enrolbd or
Schedulcd to be De-
Enrollcd as e Rcsult of
a Ftndlng of Incllgiblltty
(From Column K)
Total Numbcr of
Subscribers De-Enrolled
or Sdreduled to bc De-E
nrolled
Percentage of Subscrlbers
De-Enrolled or Scheduled t(
be De-Enrolled that were
Clalmcd on the
February FCC Form(s) 497
3173 0 204 204 60/o
Section 4: ALL ETCS MUST COMPLETE APPROPRIATE CHECK BOX; PRE-PAID ETCS MUST COMPLETE
ALL OF SECTION 4
Is the ETC Pre-Pald?
Yes n iVo V (n Pre-Patd ETC does not ossess ot collect q monrhtyfeelrom its Lifeline subsuibers)
If yes, record the number of subscribers de-enrolledfor non-usage by month in column S below.
Non-Usage Results Appllcable to Pre-Paid ETCs:
R s
Month
January
Februarv
March
April
May
June
Julv
Ausust
Seotember
October
November
December
Signature Blockz ALL ETCS MUST COMPLETE SIGNATURE FIELDS
By signing below, I oertify that the company listed above is in compliance with all federal Lifeline certification
procedures. I am an offrcer of the company named above. I am authorized to make this certification for the Study Area(s)
listed above.
Approved by OMB
3060-0819FCC Form 555
December 2013
Signed,
Robert J. Irving, Jr,Robert J. Irving, Jr.
Signature of Officer
Chief Legal and Administrative Offrcer
Printed Nanie of Officer
Jan-28-14
Title of Officer Date
Maheen Siddiqui 858-882-6216
Person Completing this Certification Form Contact Phone Number
FCC Form 555
December 2013
Approved by OMB
3060-0819
ETC Identification
SAC ETC Name
479014 Cricket Communications
0r Other
FCC Form 555
December 2013
Approved by OMB
3060-0819
Affiliated ETCs
SAC Name