20140131Inland Cellular Form 555.pdf

INLAND CELLULAR TELEPHONE COMPANY
Corporate Offices
103 S.Znd St.
PO. Box 688
Roslyn, WA9894l
Telephone: [phone]
Fax: (Soe) %giEflgry 3L,2ot4
erll: r-1' ^ I,1i:'.1 . . .'i
ir'l' i , I .: '
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Via Dlectronic Comm.ent F-lllng Sustem
Marlene H. Dortch, Secretar5l
Office of the Secretary
Federal Communications Commission
445 L2rh Street, SVI
Suite TW-A325
Washington, DC 20554
Via emall in .PDF fonnat to lean,[e-mail]
Idaho Public Utilities Commission
Commission Secretar5r
+72 W. Washington
P.O. Box 83720
Boise, ID 8372O-OO74
Dear Ms. Dortch and Ms. Jewel:
Re: WC Docket No. 11-42
- Lifeline Certification and Reporting
Pursuant to 47 C.F.R. S 54.416(b)
Due Januarv 31. 2014
Pursuant to a review by the Universal Service Administrative Comparry
fUSAC') of the electronic copy of tJ:e previously filed FCC Form 555 (Aruruat
Lifeline Eligible Telecommunications Carrier Certilication for Inland Cellular
LLC V/k/a Washington RSA No. 8 Limited Partnershipl(d/b/a Inlal.d Cellular),
("Compan/)(SAC 479OO71, USAC has pointed out that there is an error in the
calculation of Section 3, Column Q. Enclosed is a corrected FCC Form 555;
replacing tJ:e previously submitted FCC Form 555 for the Company's Lifeline
service subscribers residing in the State of ldaho.
Sincerely,
ames K. Brooks
Accompanying document
FCC Form 555
December 2013
Approved by OMB
3060-08 I 9
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 REAI} INSTRUCTIONS FIRST
Deadline: January 31il (Annualty)
ldaho
State
(An Elisible Teleconmwnicalions Carrier (ETC) nrust provide a certilicationfonnlor each state in vhich il provides Lifelitte service).
479407 lnland Cellutar LLC (f/Ua Washington RSA No. I L.P.)
Study Area Code(s) (SAC)
lnland Cellular Telephone Company
Holding Company Name(s)DBA, Marketing or Other Branding Name(s)
Affiliated YfCs (include names and SACs, attach See list of Affrliated ETCrsadditional sheets
Provide a list of all ETCs that are afiliated with lhe reporting ETC. Afflialion shall be deternined in accordance witlt sectiott 3(2) of the
Connnmicalions Act. Thot Seclion defines "afiliate " as "a person lhat (direclly ar indirecllfl av'ns or conlroh, is otvned or conlrolled by, o7
is under conrmon ownership or contol with, another person. " 17 U.S.C. i I 5i(2). See also 47 C.F.R. S 76. I 200.
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-larvs (or partnership agreement), and rvould typically be president vice president for operations, vice president for
finance, conrptroller, 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 CertiJicotion
I certifr that the company listed above has certification procedures in place eitherto:
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 ySany named above. I am authorized to make this certification for the Study Area(s)
listed above. lnitial (4fu/
/
ETCName(s)
lnland Cellular
Approved by OMB
3060-08 I 9FCC Form 555
Dcember 2013
Section 2: All ETCs MUST COMPLETE SECTION 2-Annual RecertiJication
Do nol leave emply columns, If on ETC has nothing to report in a colunm, enter a zero.
A B C
Numbcr of
Subscrlbcru Clrlnrcd on
Fcbruary FCC Form(s) .197
ofcurrcnl Form 555
calcndnr ycer
Numbcr of Liucs Cleimrd on
Fcbruary FCC Form(s) 497
ofcurrcnl Form 555
telcndrr ycar providcd to
\Yirtlinc Rcrcllcrs
Numbcr of Subscrlbcrs clrlmtd
on lhc Fcbruary FCC Form(s)
497 that wcrc iailiolly.trrollcd ir
currcnl Form 555 crlcndar ycar
6?0 ts
Initial the cerlilications belov that opply to your ETC and contplete lhe tables corresponding to the certitication belov. Depending
on The slaIe, EOTH CERTIFIC.,ITION A AND B A*IY APPLY.
A) I certiff that the company listed above has procedures in place to recertiff the continued eligibiliry 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 company named above. I am authorized to nrake this certification for the Study Area(s) listed above.
AND/OR
In the space belov, please list the prog'atn eligibility data sources, nrch as ETC access to a slate database and/or notice of
eligibilityfrom the stale Lifeline adminislrator or the Universal Service Adntinistrative Conrpany (USAC), and indicatefor which
qualifuing programs (e.g., SNzlP, SSf lhese soarces are used lo verify subscriber eligibility. I/ary sfsr6t.ribers are
subsequently contacted directly by the ETC in an atle,npt to recertifi, eligibility, those subscribers should be lisled in columns D
through I as appropriate and nol itt colwnw J lhraugh L.
B) I certift that the company listed above has procedures in place to re-certiry consumer eligibility by relying on
Action Partnership Assoclation (CAPA) of ldaho . Results are
provided in the chart below. I am an officer of the named above. I am authorized to make this
certification for the Study Area(s) Iisted above. Initia
OR
C) I certify that my company did not claim federal lorv income support for any Lifeline subscribers for the February
Form 497 data month for the culrent Fonn 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 _
Number of
Subscribcrs ETC
Contactcd Dircctly
to Reccrti!
Eltglbility Through
Attcrtrtion
Number of Subscribers
Dc-cnrolled or
Schcduled to be De.
Enrolled as r Result of
Non-Rcsponse or
Number of
Subscribe rs Who
Dc-Enrolled Prior
to Rcccrtilicrlion
Attcmpt
Number ofSubscribcrs
lYhose Eligibility was
Revicrved By State
Adminigtrator
ETC Access to Eligibility
Drtu or bv USAC
Numhcr of
Subccribcrs Da.Enrollerl or
Schcdulcd to bc Dc-Enrolled as a
Rcsult of Finding of Incligibility by
Strtc Administrator, ETC .A.cccs! to
Numbcr of Subscribcrs Who
De.Enrollcd Prior to
Rccertification Attcmpt
Approved by OMB
3060-0819FCC Form 555
December 2013
Section 3: ALL ETCS MUST COMPLETE SECTION 3 - De-enroll percentage
llhat is the percentage of subscribers de-enrolledfor this ETC?
SCCtion 4: ALL ETCS MUST COMPLETE APPROPRIATE CHECK BOX; PRE.PAID ETCS MUST
COMPLETE ALL OF SECTION 4
Is the ETC Pre-Paid?
,* f *, V Ql Ptu-Paid ETC does not astess or collect a ntonthlyfeefrom its Lifeline sttbscribers)
If yes, record the number of subscribers de-enrolledfor non-usage by month in column S below.
Non-Usoge Results Applicable to Pre-Paitl ET& :
R s
Month Subscribers De-Enrolled for Non-Usase
January
Februarv
March
April
May
June
July
Ausust
September
October
November
December
Sienature Block: ALL ETCS MUST COMPLETE SIGNATURE FIELDS
By signing below, I certiff 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.
M N o P=N+O O = (fP+ M). l00l
Numbcr of
Subrcrlbcn C-lslmcd
on Fcbruery FCC
Form(!) 497
(Fron Colunn A)
Numbcr ofSubgcribtrs
Dc- Enrolhd or
Schcduled to bc De'
Enrolltd as r Rcrull of
Non-Rcsponsc or
Ircligibifiry
(From Colunw H)
Number ofSubscribcrs
De- Eurolhd or
Scheduhd to br Dc-
Eorollcd as r Rcsult of
I Fiadiug of Intliglbility
(FromColwa K)
Tolrl Numbcr of
Subrcriberr Dc-Eurolktl
orSchcdulcd io bc Dc-E
nrollcd
Pcrctnlrgc of Subscrlbcru
Dc-Enrolled or Schcduled ft
be Dc-Enrollcd lbrt wcrc
Chlmed on the
Fcbruary FCC Form(t) 497
62 0 0 0 0
Approved by OMB
3060-08 l 9FCC Form 555
December 2013
Person Completing this Certification Form
Printed Name of Officer
01t34t2014
James K. Brooks
Date
[phone]
Contact Phone Number
Title of Officer
James K. Brooks
ETC ldentification
sAc ETCName
472423 lnland Teleohone Company
3U423 lnland TelEphone Company
479007 lnland Cellular LLC (flUa Washington RSA No. 8 L,P.)
529003 lnland Callular LLC (frua Washlnqton ESA No. 8 L.P,l
529004 lnland Cellular LLC (l/Ua Eastem Sub-RSA L.P.)
Holdine Co tanv Namefs
SAC Holdine Company Name
472423 Westem Etlte lncorporalod seMces
522423 WEstem Elltg lncorporated Servlces
479007 lnland Callular Telephone Company
s29003 ln,and Csllular Telephone Company
529004 lnland Cellular Tel€phon€ Companv
DBA, Marketing or Otlher Brandine Namefs
SAC Name
4?2423 lnland Networks
522423 lnland Notworks
479007 lnland Cellular
529003 lnland C€llular
529004 lnland Cellular
Approved by OMB
3060-0819
Affiliated ETCs
SAC Name
522423 lnlend Telephone Company (d/b/a lnland Networks)
472423 lnland TelaDhone Comoanv (d/bla lnland Networks)
529003 lnland Cellular LLC (f/Ua Washinolon RSA No. I L.P.Xdlbla lnland Cellularl
529004 lnland Cellular LLC (f/Ua Easlem Sub-RSA L.P.Xdlb/a lnland Cellularl