HomeMy WebLinkAbout20150130Citizens Telecommunications of Idaho 555.pdfffir*
January 28,2015
Mrs. Jean Jewell
Commission Secretary
Idaho Public Utilities Commission
47 2 W est Washington Street
Boise, ID 83720
RE: Annual Eligibility Re-Certification of Lifeline Subscribers
Dear Mrs. Jewell:
Citizens Telecommunications Company of Idaho d/b/a Frontier Communications of Idaho
(Study Area Code 474427) and Frontier Communications Northwest, Inc (Study Area
Code 472416) herein after referred to as "Frontier" hereby provides a copy of its Annual
Lifeline Eligible Telecommunications Carrier Certification FCC Form 555 in compliance
with 47 CFR 54.416 as adopted by the Federal Communication Commission (FCC) in its
Lifeline Reform Order, FCC 12-11, released February 6,2012.
Section 54.416(b) requires eligible telecommunication carriers (ETCs) to annually
provide the results of their re-certification efforts performed pursuant to Section 54.410
(f) to the FCC and the Universal Service Administrative Company (USAC). ETCs are
also required to provide the results of their re-certification efforts to state commissions
and relevant tribal govemments.
If you have any questions, please contact me at (916) 686-3588 or by email at
joe.chicoine@ftr.com.
ly Submitted,
Chicoine
Manager, Regulatory
Enclosures
cc: Renee Willer
Compliance and Reporting
ta': ia i: l' ' "I +t - / L_ I -
?BlI Jf,il 3n Pli t2: 22
9260 E.Stockton Blvd. 1[ j':,i i--,- -: ; ,] , , ,,:,' , l
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FCC Form 555
November 2014
Approved by OMB
3060-08 I 9
Annual Lifeline Eligible Telecommunications Carrier Certification Form
All carriers must cornplete 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: January 31il (Annually)
Does the reporting company have affiliated ETCs? Yes @l No [d
Provide a list of all ETCs that are afiliated with the reporting ETC, using page 4 and additional sheets if necessary. Affiliation shall be
determined in accordance with Section 3(2) of the Communications Act. That Section defines "afiliate" as "a person that (directly or indirectly)
owns or controls, is owned or controlled by, or is under common ownership or control with, another person." 47 U.S.C. S 153(2). See also 47
c.r.R. $ 76.r200.
Affiliated ETC's SAC Affiliated ETC's Name
-- See attached worksheet -
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 sigr the certification.
Section l: Initial Certification All ETCs must complete this section
I certify that the company listed above has certification procedures in place 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; and/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 authorizsdto make this certification for the Study Area Code listed
above.
Initial jcm
474427
Study Area Code (SAC)
(An Eligible Telecommunications Carrier @TC) must provide a certificationformfor each SAC through which it provides Lifeline service).
ID CITIZENS TELECOMM CO OF IDAHO
State
Frontier Communications of ldaho
ETCName
Frontier Communications Corporation
DBA, Marketing or Other Branding Name(lf same as ETC naie, list " N/A " Do not leave blankl
Holding CompanyName(If same as ETC name, list "N/A" Do not leave blank)
FCC Form 555
November 2014
Section 2:Annual Recertification
Approved by OMB
3060-08 l9
Do not leave empty blocks. If an ETC has nothing to report in a block, enter a zero
A B c D E=(A-B-C-D)
Number ofsubscribers
claimed on February
FCC Form 497 of
current Form 555
calendar year
(February data month)
Number of lines
claimed on February
FCC Form 497 of
current Form 555
calendar year
provided to wireline
resellers
Number of subscribers claimed on the
February FCC Form 497 that were
initiallv enrolled in the current Form
555 calendar year
(These subscribers did not hove Lifeline
seruice pior to Jaauary I of the current 555
calendar year.)
Nurnber of subscribers
de-enrolled E&I to
recertification attempt
by either the ETC, a
state administrator,
access to an eligibility
database, or by USAC
Number of
subscribers ETC is
responsible for
recertifying for
current Form 555
calendar year
605 0 4 60 541
F G H = (F_c)I y = 1H+r)
Number of
subscribers ETC
contacted directly to
recertify eligibility
through attestation
Number of
subscribers
responding to ETC
contact
Nurrber of non-
responding
subscribers
Number of subscribers
responding that they are
no longer eligible
(This should be a subsa of Block
G.)
Nurnber of subscribers de-
enrolled or scheduled to be
de-emolled as a result of
non-response or response of
ineligibility from ETC
recertification attempt
0 0 0 0 0
Recertification Results:
K L
Number of
subscribers whose
eligibility was
reviewed by state
administrator,
ETC access to eligibility
database, or by 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
eligibility database, or USAC
541 371
Note'. If any rubscriber was reviewed by an ETC accessing a state database or
by a state administrator and subsequently contacted directly by the ETC in an
attempt to recertifi eligibility, those subscibers should be listed in Blocks F
through J as appropriate and not in Blocl<s K and L. As a result, all subscribers
subject to recertification who were not de-enrolled prior to the recertification
attempt must be accounted for in Block F or Block K.
The total of Block F and Block K should equal the number reported in Block
E.
support for any Lifeline subscribers for the February
I am an officer of the company named above. I am
Certification:
Based on the data entered above, initial the certification(s) below that apply. Both Certification A and B may apply depending on the recertification
procedures in place for the SAC reporting on this form. If Certification C applies, neither Certification A nor B may apply.
A.) I certify that the company listed above has procedures in place to recertify the continued eligibility of all of its
Lifeline subscribers, and that, to the best of my knowledge, the company obtained sigrred certifications from all
subscribers attesting to their continuing eligibility for Lifeline. Results are provided in the chart above in Blocks F
through J. I am an officer of the company named above. I am authorized to make this certification for the SAC listed
above.
Initial
AND/OR
B.) I certifu that the company listed above has procedures in place to recertify consumer eligibility by relying on:
Commrrnitv Action Partnershin Association of ldaho Results are provided in the chart above in
Blocks K through L. I am an officer of the company named above. I am authorized to make this certification for the
SAC listed above.
Initial icm
OR
C.) I certi$ that my company did not claim federal low income
Form 497 data month for the current Form 555 calendar year.
authorized to make this certification for the SAC listed above.
Initial
FCC Form 555
November 201 4
Section 3: De-enroll Percentage
Using the data entered in Section 2, complete the chart below tofind the percentage ofsubscibers de-enrolledfor this ETC.
114 = (F+K)11= (J+L)o=(N+M)*100)
Number of subscribers that the
ETC attemfted to recertify directly
q through a state administrator,
ETC access to a state database, or
by USAC
(This should equal the number
reported in Black E)
Nunrber of
subscribers de-
enrolled or scheduled
to be de. enrolled as a
result of non-response
or ineligibility
Percentage of subscribers
de-enrolled or scheduled to
be de-enrolled as a result of
ineligibility or non-response
541 371 68.58%
Section 4: Pre-Paid ETCs
All ETCs must complete the appropriate check-box; pre-paid ETCs must complete all of Section 4. Pre-paid ETCs ganerally do not assess or collect a
monthlyfeefromtheirLifelinerubscribers. ETCsthatonlyassessafeebildonotcollectsuchfeesarepre-paidETCsandmustcompletethe
chart below.
Is the ETC Pre-Paid?Yes [@ No [G[
lf Yes, record the number of subscibers de-enrolledfor non-usage by month in Block Q below
Signature Block
Approved by OMB
3060-08 I 9
P o
Month Subscribers De-Enrolled for Non-Usase
Januarv 0
February 0
March 0
April 0
Mav 0
June 0
July 0
Auzust 0
September 0
October 0
November 0
December 0
Total Subscribers 0
By signing below, I certify 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 Code (SAC) listed above.
Jessica C. Matushek, Director,Signed, Accounting
Certified Online
Signature of Officer
i essica.matushek@,ftr.com
Email Address of Officer
Cassandra Guinness
Person Completing This Certification Form
Printed Name and Title of Officer
01t28t20't5
Date
585-777-4557
Contact Phone Number
3
FCC Form 555
November 2014
Approved by OMB
3060-08 I 9
Affiliated ETCs
SAC Name
250306 Frnntier (-nmmrrninqfinnc nf A lqhqmq I I C
250301 Frontier Cnmmrrnicatinnq Lamgr Cnrrnfv LLC
250i I 8 Frontier Communications of fhe Sorrfh T.LC
2l0i l 8 F'rontier Commrrnicntions of the Sorrfh T.T.C
454425 ]ITTZF.NS I ITII.ITItr,S CO
452172 CITIZENS UTILITIES RT]RAI, TET, CO
4s2302 Frontier Communications of the Southwest Inc.
54 I 863 Frontier Communications of the Southwest Inc.
\\)70)Frnntipr f-nmm r rninqf innc nf tha Qnr rfhrrraot
454449 NAVAJO COMM CO
504449 NAVAJO COMM CO
494449 NAVA IO COMM CO
542308 C TTZENS TF,I,F,COMM CO OF CA
542315 C TIZENS TF,I,F,COMM CO OF CA
544342 C TIZF,NS TEI,ECOMM CO OF CA
543402 C TIZENS TELECOMM CO OF CA
s42344 Frnnfier (-nmmrrnicafinns \l/eef (-nqef Inn
220362 Frontier Cnmmrrnicatinns of Fciffinrrnt LL(-
220387 Frnntier Cnmmrrninatinnq nf Genroia LI C
151 1)1 Frontier Cnmmrrninctinns nf Inwq Inc
4744)7 CITIZENS TEI,ECOMM CO OF IDAHO
341 183 CITIZENS TEI, OF II,I,INOIS INC
34 1 055 F'rnnfier (-nmmrrninqfinnc - I\firllqnrl Inn
340998 Frnntier Cnmmrrninefinnc nf DePrrc Inc
34 038 Frontier Communications of Illinois Inc.
34 0l Frontier Commrrnications of I-akeside Tnc
34 061 Frontier Communications of Mt. Pulaski Inc.
34 067 Frontier Communications of Orion Inc.
34 073 Frontier Communications - Prairie Inc.
34 079 Frontier Communications - Schuvler Inc.
34 015 Frontier North Inc.
34 036
320772 Frontier North nc
320779 Frontier North nc
3 1069s Frontier Nnrth na
3006 I s Frontier North nc
330886 Frontier North nc
343035 Frontier Communications of the Carolinas Inc.
230479 Frontier Communications of the Carolinas Inc.
230509 Frnntier Cnmmunicatinnc of the Cernl ncs Inn
240479 Frontier Communications of the Carolinas Inc.
240526 Frontier Communications of the Carolinas Inc.
320750 Frontier Communications of Indiana Inc.
320828 Frontier Communications of Thomtown Inc.
323034 Frontier Midstates Inc.
3 13033 Frontier Midstates Inc.
3 1 0682 Frnntiar Cnmmrrnicatinns nf Michioan Inc
300682 Frnntier Cnmmrrnicefinns nf Michioqn Inc
361123 CITIZENS TEI, OF MINNESOTA
367123 CITIZENS TEL OF MINNESOTA
3060-08 I 9
Affiliated ETCs
SAC Name
761767 F'rnnf i er (-nmm r rn i cqf innc nf IVI i nneenf q Inn
280450 Frnntier (-nmmrrnicafions nf IVliscissinni Inc
484322 CTT ZF,NS Ttr,I,tr,COMM CO OF MONTANA
37 1 128 CIT ZENS TEL OF NEBRASKA
554431 CIT ZENS TEI, COMPANY
554432 CIT ZENS TEI, COMPANY
154572 CIT ZENS TEI,ECOMMI INICATIONS COMPANY OF
I 5453i CIT ZENS TEI,ECOMMI INICATTONS COMPANY OF
1 54574 (-ITITtrNS TtrI F(-r)MMI INI(-ATIr)NS (-NMPANY r)F I
150072 Frontier Communications of AuSable Vallev Inc.
I50100 Fronfier Cnmmrrnicetions of Neu/ Ynrk Inc
1 501))Frnnf icr (-nmmrrninqfinnc nf Qpnpcq (lnrhqm Tnn
150128 Frnnficr (-nmmrrninqfinnc nf Qrrlrrqn I qVc lna
I 50121 Frontier Telenhone of Rochester Inc.
I 501 l0 OGDEN TEI,EPHONE COMPANY
53340 I CITIZENS TEI,ECOMM CO OF OREGON
170161 Commnnwee'lth Telenhnne Cnm nqnr
170149 Frontier Communications of Breezewood LLC
170152 Frontier Communications of Canton LLC
11o'.t1R E'rnnficr (-nmmrrnincfinnc nf I olrcrrrnnrl I I C
110194 Frnnfiar (-nmmrrninqfinnc nf ncrrrorrn f,lirzer I I O
170168 F'rnnfier Cnmmrrninafions nf Pennsrrlrraniq I I (-
294336 CITIZENS TE,I, OF TENNE,SSEE I,T,C
290580 CITIZENS TEI- OF VOLT]NTEER STATE
504429 CITIZENS TELECOMM CO OF UTAH
472416 Frnnfier (-nmmrrnicqfinnc Nnrfhrrrpst Inn
532416 Frontier Communications Northwest Tnc
522416 Frontier Communications Northwest Inc.
522449 Frontier Communications Northwest Inc.
330912 Frontier Communications of Mondovi LLC
330967 Frontier Communications of Virooua LLC
330964
330944 Frontier Communications - St. Croix LLC
330870 RHINELANDER TEL CO
33089 I Rhinelander Tpl Cn
330940 Rhinelqnder Tel Cn
330941 Rhinelander Tel Co
200271 CITIZENS MOUNTAIN STATE TEL
204338 Citizens Mountain State Tel
204339 Cifizens Morrntain Stefe TPI
205050 Frontier West Virsinia Inc.
I 35200 The Southem New Ensland Teleohone Comaonv