20140131AT&T Mobility-New Cingular Wireless Form 555.pdf

@at&t John D Sisemore
Director- Regulatory
AT&T Services, lnc.
152 Roseheart
San Antonio, TX 78259
T: 210-545-3519
F:2L4.202-5076
[e-mail]4i1!:T,: Ii *i
Via E-Mail _
';,
January 31,2014
Idaho Public Utilities Commission
PO Box 83720
Boise,ID 83720-0074
ATTN: Ms. Jean Jewell, Secretary
Email: iean jewell(4puc.idaho.gov
Re: FCC Form 555, Annual Lifeline Eligible Telecommunications Carrier
Certification Form for New Cingular Wireless PCS, LLC ("AT&T Mobility")
Dear Ms. Jewell:
On behalf of AT&T Mobility, attached please find a copy of FCC Form 555.1 AT&T
Mobility is providing you with a copy of this FCC filing in accordance with 47 C.F.R. $
s4.422(c).
Please do not hesitate to contact me if you have any questions or concerns.
Sincerely,
" i't
,--l)- -.5-(J
John D. Sisemore
Enclosure
' ' AT&T Mobility filed its FCC Form 555 online with the Universal Service Administrative Company
(USAC). Once a carrier enters its six-digit study area code (SAC) into USAC's online FCC Form 555, the
online tool automatically populates a nam€ associated with that SAC. In some cases, this automatically
generated name difflers from (e.g., is an abbreviated version of) the legal entity name for AT&T Mobility's
eligible telecommunications carrier affrliate.)
Approved by OMB
3060-08 I 9FCC Form 555
December 2013
Annual Lifeline Eligible Telecommunications Carrier Certification Form
All carriers 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: fanuary 3L't (Annually)
State
(An Eligible Telecommunications Carrier (ETC) must provide a certification form for each state in which it provides Lifeline semice).
479006 Cingular Wireless
ID
Study Area Code(s) (SAC)
AT&T Mobility II LLC
ETC Name(s)
AT&T Mobility
Holding Company Name(s)DBA, Marketing or Other Branding Name(s)
ffiliated ETCs (include names and SACs, attach -See Attached Sheet-ttional sheets if necessary)
Provide a list of all ETCs that are af/iliatedwith the reporting ETC. Affiliation shall be determined in accordance with section 3(2) of the
Communications Act. That Section defines "ffiliate" as "a person that (directly or indirectly) owns or controls, is owned or controlled by, or is
undercommonownershiporcontrolwith,anotherperson."4TU.S.C.Sl53(2). Seealso47C.F.R.S76.l200.
For purposes of this filing, an officer 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, the owner must sign the
certification
Section l: All ETCs MUST COMPLETE SECTION 1- Initial CertiJication
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
program, and that, to the best of my knowledge, the company was presented with documentation of each
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 WEI
FCC Form 555
December 2013
Section 2: All ETCs MUST COMPLETE SECTIAN 2-Annual Recertiftcation
Do not leave empty columns. If an ETC has nothing to report in a column, enter a zero.
Approved by OMB
3060-08 l 9
A B C
Numbcr of
Subscribers Claimed on
February FCC Form(s) 497
ofcurrent Form 555
celendar year
Number of Lines Claimcd on
February FCC Form(s) 497
ofcurrent Form 555
calendar year provided to
\ilireline Resellers
Number of Subscribcrs claimed
on the Fcbruary FCC Form(s)
497 that were initially enrolled ir
current Form 555 calendar ycar
t7 0 I
Initial lhe certifications below that apply to your ETC and complete the tables conesponding to the certification below. Depending on
the state, BOTH CERTIFICATION A AND B MAY APPLY.
A) I certify that the company listed above has procedures in place to recertiff 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 11= (F+G)
Number of
Subscribers ETC
Contacted Directly
to Recertif
Eligibility Through
Attestation
Number of
Subscribers
Responding to
ETC Contact
Number ofNon-
Responding
Subscribers
Number of
Subscribers
Responding That
They Are No
Longer Eligible
Number ofSubscribers
De-enrolled or
Scheduled to be De-
Enrolled as a Result of
Non-Response or
Inelisibilitv
Number of
Subscribers Who
De-Enrolled Prior
to Recertilication
Attempt
0 0 0 0 0 0
AND/OR
In the space below, please list the program eligibility data sources, such as ETC access to a state database and/or notice ofeligibility
from the state Lifeline administrator or the Universal Service Administrative Company (USAC) and indicatefor which qualtfying
programs (e.g., SNAP, SSI) these sources are usedtoverifu subscriber eligibility. If any of subscribers are subsequently contacted
directly by the ETC in an attempt to recertify eligibility, those subscribers should be listed in columns D through I as appropriate and
not in columns J through L.
B) I certiff that the company listed above has procedures in place to re-certifu consumer eligibility by relying on
USAC . 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 WEH
J K L
Number of Subscribers
Whose Eligibility was
Reviewed By State
Administrator
ETC Access to Eligibility
I)ata or bv USAC
Number of
Subscribers De-Enrolled or
Scheduled to be De-Enrolled as a
Result of Finding of Ineligibility by
State Administrator, ETC Access to
Elieibilitv Data or USAC
Number of Subscribers Who
De-Enrolled Prior to
Recertification Attempt
l5 6 4
OR
C) I certifr that my company did not claim federal low income support for any Lifeline subscribers for the February Form
497 data month for the current Form 555 calendar year. I am an officer ofthe 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 MUST COMPLETE SECTION 3 -De-enroll percentage
lYhat is the percentage of subscribers de-enrolled for this ETC?
Approved by OMB
3060-08 I 9
M N o P=N+O Q=((P+M)*loo)
Number of
Subscribcrs Claimed
on February FCC
Form(s) 497
(From Column A)
Number ofSubscribers
De- Enrolled or
Schedulcd to be Dc-
Enrolled as r Result of
Non-Response or
Ineligibility
(From Column H)
Number of Subscribers
De- Enrolled or
Scheduled to bc De-
Enrolled rs r Result of
r Finding of Ineligibility
(From Column K)
Total Number of
Subscribers De-Enrollcd
or Schedulcd to be De-E
nrolled
Percentage of Subscribers
De-Enrolled or Scheduled tr
be De-Enrolled thtt werc
Claimed on the
February FCC Form(s) 497
t7 0 6 6 35o/o
Section 4: ALL ETCS MUST COMPLETE APPROPRIATE CHECK BOX; PRE-PAID ETCS MUST COMPLETE
ALL OF SECTION 4
Is the ETC Pre-Paid?
Yes E lfa V (l fre-faid ETC does not clsess or collect a monrhlyfeefrom its Lifeline subscribers)
If yes, record the number of subscribers de-enrolledfor non-usage by month in column S below.
Non-Usage Results Applicable to Pre-Paid ETCs:
R S
Month Subscritrers De-Enrolled for Non-Usase
January
February
March
April
Mav
June
Julv
Ausust
September
October
November
December
Sienature Block: ALL ETCS MUST COMPLETE SIGNATURE FIELDS
By signing below, I certifr that the company listed above is in compliance with all federal Lifeline certification
procedures. I am an officer 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,
William E. Hogg
Signature of Officer
SVP Network Planning and Engineering
Title of Officer
Karen Groschel
Person Completing this Certification Form
Printed Name of Officer
Jan-27-14
William E. Hogg
Date
732-420-5148
Contact Phone Number
FCC Form 555
December 2013
Approved by OMB
3060-08 1 9
ETC Identification
SAC ETC Name
479006 Cinsular Wireless
Holdin
AT&T Mobilitv II LLC
DBA, Mark or Other Brandi
Approved by OMB
3060-08 I 9FCC Form 555
December 2013
Affiliated ETCs
SAC Name
305 I 50 The Ohio Bell Telephone Companv
479006 Cinsular Wireless
235193 BellSouth Telecommunications LLC
345070 Illinois Bell Telephone Company
3990 I 5 Cineular Wireless
639005 Cinsular Wireless
s49004 ATandT Com.
529910 Cingular Wireless
269905 Cingular Wireless
335220 Wisconsin Bell Inc.
295185 BellSouth Telecommunications LLC
405211 Southwestern Bell Telephone Company
555 I 73 Nevada Bell Telephone ComDany
245194 BellSouth Telecommunications LLC
285 I 84 BellSouth Telecommunications LLC
199009 Cinsular Wireless
619004 Cingular Wireless
I 35200 The Southem New Ensland Telephone Comapny
259908 Cinsular Wireless
5390 l0 ATandT Mobilitv LLC
275183 BellSouth Telecommunications LLC
2090t2 Cingular Wireless
545170 Pacific Bell Telephone Company
319026 Cineular Wireless
289912 Cinsular Wireless
325080 Indiana Bell Teleohone Comoanv Incoroorated
339920 Cingular Wireless
409004 ATandT Mobility LLC
425213 Southwestem Bell Telephone Company
3 l 5090 Michiean Bell Telephone Comoanv
389015 ATandT Mobilitv LLC
435215 Southwestern Bell Telephone Company
445216 Southwestern Bell Telephone Company
265182 BellSouth Telecommunications LLC
255181 BellSouth Telecommunications LLC
229014 Allied Wireless Communications Corporation
415214 Southwestern Bell Telephone Companv
225192 BellSouth Telecommunications LLC
215191 BellSouth Telecommunications LLC
449022 Cingular Wireless
2790t0 Cingular Wireless