20140701Gold Star Communications FCC 481.pdf

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VIA ELECTRONIC SUBMISSlON
Jean Jewell, Commission Secretary
ldaho Public Utilities Commission
472W. Washington
PO Box 83720
Boise,lD 83720{1074
Re: Gold Star Communications, LLC {SAC 479011) 2014 Eligible Telecommunications Carrier (ETC)
Annual Report Filing; Docket No. GNR-T-14-01
Dear Ms. Jewell:
Gold Star Communications, LLC ("Gold Star") hereby files with the Commission its 2014 ETC Annual Report
Filing, as follows:
A copy of FCC Form 481 - Carrier Annual Reporting Collection Form, completed pursuant to 47 CFR 55
54.313 and 54.427, as applicable, along with the Officer Affidavit per Commission Order 29UL.
Request is hereby made that the Commission notify the Federal Communications Commission and the
Universal Service Administration Company, prior to October 1,2014, that Gold Star is eligible to receive
federal high-cost support for the year 2015.
Questions regarding this filing should be directed to my attention as shown below.
Regards,
Leg.{.& Regulatory Admlnistrator
307i58:l€690
Enclosures
Form il81 - carler Annual Reportlng
;caiom $1
OirE Cortd l{o. 3{XOO$5/q$E Cmtrol No. 3060.{819
I{lI2Or3
<010> Studv Area Code
<015> Studv Area Name GoId Star Commuications LLC
<020> Program Year
<030> Contact Name: Person USAC should contact
with questions about this data Michelle Motzkus
<035> Contact Telephone Number:
Number ot the person identitied in data line <030>
1078815590 ext
<039> Contact Email Address:mamoLzkus@si 1verstsar. netEmail ot the identitied in data line <030>
<100>
<200>
<210>
<300>
<310>
Service Quality I mprovement Reporting
Outage Reporting (voice)
l7I.--.heckboxrf no
Unfulfilled Service Requests (voic
Detail on Attempts (voice)
Unfulfilled Service Requests (broadband)
Detail on Attempts (broadband)
Number of Complaints per 1,
(com plete ottoched wotksh eet)
( com plete ottoch ed wotksh eet)
to report
<320>
<330>
<400>
<410>
<4ZO>
<430>
<440>
<450>
<500>
<510>
<600>
<610>
<700>
<710>
<800>
<900>
<1000>
<1010>
<1100>
<11 10>
<1200>
( o tto ch d e s cri pti ve d oc u m e nt)
Number of Complaints per 1,000 customers (broadband)
Fixed
Mobile
Service Quality Standards & Consumer Protection Rules Compliance
479011id510.pdf
Fixed
Mobile
Voice Services Rate Comparabilit
Terrestrial Backhaul (Y/N)?
Terms and Condition for Lifeline Customers
o.729
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to c h ed d e s ci pti v e d ocu m e nt)
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(check to indicote certilicotion)
(ottoched descri ptive document)
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Company Price Offerings (broadband)
OperatinB Companles and Affiliates
Tribal Land Offerings (Y/N)? O O
(il not, check to indicote cettification)
( c o mpl ete o tto ch e d w o tk sh eet )
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<2000>
<2005>
<3000>
<3005>
Price Cap Carriers, Proceed to Price Cap Additional Documentation Worksheet
lncluding Rote-of-Return Corriers offilioted with Price Cop Locol Exchange Corriers
(check to indicote cettilicotion)
(compl ele dftached workshe et)
Rate of Return Carriers, Proceed to ROR Additional Documentation Worksheet
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<010> Studv Area Code 4?S011
<015> StudvArea Name GoLd Star Commuications LLc
<020> Procram Year 20L5
<030> Contect Name - Person USAC should contact rarardinE this data Michelle Motzkus
<035> ContactTelcDhoneNumber-NumberofDersonidentifiedindatalin!<030> 3078835690 ext
<039> ContactEmailAddress-EmailAddressofpersonidentifiedindataline<030> [e-mail]
TO BE COMPTETEO BY THE REPORTING CARRIER, IF THE REPORTING CARRIER tS FITING ANNUAT REPORTING ON ITS OWN BEHALF:
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reportint for CAF or Ll Reciplents
cartlfy thet I .m an ofncer of thr rcportlng BrrieD my ,csponsibiliti€s lncluda Gnsu.int the .ccur.cy ofth€ annual reporting rcqulrcmcnts for uniycTsal sruice support
?clplents; and, to thr bcst of my knowlGdge, the informatlon reported on thls iom and in any att.chments ls accurat€.
lam! of Reoo*ins Carricr: tuld Star Commuications IJIJC
iiEnaturr of Authorized officer: CERTTFTED ONLTNE Datc 06/26/2014
'rinted name of Authori2ed officer:''ef fe'son England
'itle or oosition of Authorized Officer: Chief financial Otf icer
clephone numberof Authorized officer' 3078805521 ext'
,tudv Araa Code of Rcoortinq carrier: { 7 9 0 1 1 Filinr Duc Date forthisfotm. 07 / 0)'/ 2ot4
Persns willtully makin! fuls. st.tomcnts on this fo.m can b. punished by fne or forfeiture under thc Communications Act of 1934, 47 U.S.C. S5 502, 503(b), or fin! or imprisonmcnl
underTitl. 18 ofthr United Stat.s Code, 18 U.S.C, I 1001.
Page 72
Page 13
-Agent/Carrier FCCFomr13t
Collection Form OMB Control No. 906&.@86/oMB oontrol No. 306G0819
Juty 2013
<010> Studv Area Code
<015>Gold Star Communications LLC
<020> Program Year
Person USAC should contact this data MicheIle Motzkus
<035> ContactTelephoneNumber-NumberofDersonidentifiedindataline<030> 3078836690 ext
Address - Email Address of person identified in data line <030>mamot zkus ls i lversEar . net
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT 15 FILING ANNUAL REPORTS ON THE CARRIER'S BEHALF:
TO BE COMPLETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
certify that (Name of is authorized to submit the infomation reported on behalf of the reporting carier.I
lso cerlify that I am an omcer of lhe reporting carier; my responsibilities include ensuring the accuracy of the annual data Eporting requirerents provided to ihe authorized
gent; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate.
,Jame of Authorized Asent
lame of Reporting Carriel
,isnature of Authorized Officer Date
I name of Authorized Officer
rtle or posrtron of Authorrzed Offrcer
eleohohe number of Authorized Officer:
itudv Area Code of Reoortins Carrier FilinE Due Date for this form
under Title 18 of the United States Code. 18 U.S.C. q 1001.
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carriel
he data reponed herein based on data provided by the reportint carrier; and, to the best ol my knowledge, the information ieponed herein is accurate.
,lame of Reoortins Carrierl
,Jame of Authorized Agent or Employee of Agent
,ignature ofAuthorized Agent or Employee ofAgent Date
, name of Authorized Asent or EmDlovee of Aqent
'itle or posation of Authorized Aqent or EmDlovee of Aqedt
elephone number of Authorized Agent or EmDlovee of AEent
itudv Area Code of ReoortinE Carrier:Filin. Due Date for this form
18 ofthe Unated States Code, 18 U.S.C. q 1001.
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Gold Star Communications, LLC
dba Silver Star Communications ("Silver Star")
Service Quality Standards & Consumer Protection Rules
Statement of Compliance
(FCC Form 481 - Line 510)
Silver Star has established operating procedures designed to facilitate compliance with applicable
consumer protection rules; including rules regarding verification of orders for telecommunications
service as required of submitting carriers (i.e., Slamming) {Section 64.1100}, compliance with the FCC's
Truth-in-Billing Requirements {64.2400}, compliance with the FCC's customer proprietary network
information (CPNI) Requirements {64.2009}, consumer protection and service quality rules pursuant to
the CTIA Code of Conduct, and all other customer protection rules including employee training and
policy manual development as applicable.
Gold Star Communications, LLC
dba Silver Star Communications ("Silver Star")
Functionality in Emergency Situations
Statement of Compliance
(FCC Form 481 - tine 610)
Silver Star has established operating procedures designed to facilitate compliance with
applicable service quality standards, which may include customer remedies and
improvement plans. Specifically Silver Star maintains its entire plant and system in such
condition as to enable it to furnish safe and continuous service and it inspect its system
and facilities in such manner and with such frequency as may be necessary to obtain
knowledge of their current condition and adequacy. Silver Star is capable of functioning
in emergency situations, by maintaining both battery and generator back-up power,
which ensure reasonable functionality of voice services without an external power
source. Additionally, voice traffic can be routed around damaged facilities, and Silver
Star is capable of managing traffic spikes resulting from emergency situations.
Gold Star Communications, LLC
dba Silver Star Communications ("Silver Star")
Low-lncome Telephone Assistance Program Terms & Conditions
(FCC Form tl81- tine 1210)
Silver Star offers a variety of local usage calling plans, ranging from local and/or
low usage plans to plans providing essentially unlimited usage. Lifeline-eligible
residential customer accounts are discounted by the federally authorized amount
of 59.25, and state telephone assistance discounts, where applicable. Silver Star's
lifeline-discounted monthly telephone service provides access to emergency,
operator, interexchange, and directory assistance services. The service does not
include enhanced calling features such as voice mail, caller ID, call forwarding,
internet or long distance telephone service. Toll Limitation service is provided at
no charge for lifeline customers, upon customer request and pursuant to FCC
guidelines.
State of Wyoming )CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
PROTECTION, ABILITYTO REMAIN FUNCTIONAL IN
EMERGENCIES, AND USE OF FEDEML HIGH.COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
County of Lincoln
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications
Caniers certfy that it is compliant with applicable service quality standards and consumer protection
rules; and ETCs must demonstrate the ability to remain functional in emergencies. In 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 Gold Star Communications, LLC (dba Silver Star Communications), an eligible
tefecommunications canier 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-today operations in the state of ldaho and with the State's
service quality standards and consumer protection rules as set forth in Commlssion Order No. 29841.
3. Gold Star Communications, LLC is complying 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 lhat the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841 and in 47 C.F.R.5 34.201(aX2).
5. I also certffy that all federal universal service support funds received by Gold Star Communications,
LLC during the current calendar year will be used in a manner consistent with section 25a(e); that is, for
the provision, maintenan@, and upgrading of facilities and services for wtrich the support is intended. The
company will continue to comply for the period of January '1,2015, through December 31, 2015, to be
eligible for federal universal service fund support.
6. This verification and affidavit is provided to be the ldaho Public Utilities Commission to enable the
IPUC to certfy to the FCC that federal universal service support received by the eligible caniers in the
state will be used in a manner consistbnt with Section 254(e) of the Telecommunications Act.
SUBSCRIBED AND SWORN to before me this bftrrof June, 2014
MtcxfNolOry PuOilcSto,o of WyomlngCcunly cl tincol;My Commisiicn Expl.otMorch lS, 201 7
d- [L"^-t-h./t /tu
County
My Commission expires
Notary Public for Wpmlng,at Lincoln
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