20150130Frontier Communications Northwest 555.pdf

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9260 E. Stockton Blvd. li.;i,; , i--;- -r ; , ;
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January 28,2015
Mrs. Jean Jewell
Commission Secretary
Idaho Public Utilities Commission
47 2 W est Washington Street
Boise, lD 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 l2-ll, 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 governments.
If you have any questions, please contact me at [phone] or by email at
[e-mail].
lly Submitted,
Manager, Regulatory
Enclosures
cc: Renee Willer
Compliance and Reporting
f',-." ij j''' ' l
?$l" -!.1:: 3 i)ll l?: 22
FCC Form 555
November 2014
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 READ INSTRUCTIONS FIRST
Deadline: January 31't (Annually)
472416
Study Area Code (SAC)
(An Eligible Telecommunications Carrier @TC) must provide a certification formfor each SAC through which it provides Lifeline semice).
lD Frontier Communications Northwest lnc.
State
Frontier Communications Northwest lnc.
ETCName
Frontier Commun ications Corporation
DBA, Marketing or Other Branding Name Holding Company Name(lf same as ETC name. list "N/A" Do not leave blank) (If same as ETC name, list "N/A" Do not leave blank)
Does the reporting company have affiliated ETCs?Yes @ No liil
Provide a list of all ETCs that are ffiliated 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 "afrliate" 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 tlpically 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 sigrr the certification.
Section 1: 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 andlor 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 authorized to make this certification for the Study Area Code listed
above.
Initiat jcm
FCC Form 555
November 2014
Section 2: Annual Recertification
Do not leave empty blocks. If an ETC has nothing to report in a block, enter a zero.
Recertification Results:
K L
Number of
subscribers whose
eligibility was
reyiewed 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
1762 790
Note'. If any subscriber was reviewed by an ETC accessing a state database or
by a state administrator and nbsequently contacted directly by the ETC in an
attempt to recertify eligibility, those subscibers should be listed in Blocks F
through J as appropriate and not in Blocks K and L. As a result, all subscribers
subject to recertification who were not de-enrolled prior to the recertification
attempt must be accountedfor in Block F or Block K.
The total ofBlock F and Block K should equal the number reported in Block
E.
Approved by OMB
3060-08 1 9
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 signed 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 icm
AI\D/ORB.) I certifu that the company listed above has procedures in place to recertify consumer eligibility by relying on:
Commrrnitv Action Partnershin Association of Idaho Results are provided in the chart above in
Bloclcs 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 certifu that my company did not claim federal low income support for any Lifeline subscribers for the February
Form497 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 SAC listed above.
Initial
A B C D E=(A_B_C_D)
Number of subscribers
clairred on February
FCC Form 497 of
current Form 555
calendar year
(February data month\
Number of lines
clainrcd 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 have Lifeline
service prior to January I of the current 555
calendar year.)
Number of subscribers
de-enrolled @I to
recertifi cation attempt
by either the ETC, a
state administrator,
access to an eligibility
database, or by USAC
Number of
suhscribers ETC is
responsible for
recertifying for
current Form 555
calendar year
2121 0 30 272 1819
F G H = (F_c)I I = (H+I)
Number of
subscribers ETC
contacted directly to
recertify eligibility
through attestation
Number of
subscribers
responding to ETC
contact
Number of non-
responding
subscribers
Number of subscribers
responding that they are
no longer eligible
(This should be a subsa of Block
G.)
Number of subscribers de-
enrolled or scheduled to be
de-emolled as a result of
non-response or response of
ineligibility from ETC
recertifi cation attempt
57 23 34 1 35
FCC Form 555
November 2014
Section 3: De-enroll Percentage
Using the data entered in Section 2, complete the chart below tofind thepercentage ofsubscibers de-enrolledfor this ETC.
M =(F+K)N = (J+L)O = (N -:- M) * 100)
Number of subscribers that the
ETC attempted to recertify directly
or through a state administrator,
ETC access to a state database, or
by USAC
(This should equal the number
reported in Block E)
Number of
subscribers de-
enrolled or scheduled
to be de' enrolled as a
result of non-resporrse
or ineligibility
Percentage of subscribers
de-enrolled or scheduled to
be de-enrolled as a result of
ineligibility or non-response
1819 825 45.36%o
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
monthlyfee from their Liftline nfiscibers. ETCs that only assess a fee but do not collect such fees are pre-paid ETCs and must complete the
chart below.
Is the ETC Pre-Paid? Yes [@ No [E[
If Yes, record the number of subscibers de-enrolledfor non-usage by month in Block Q below.
P o
Month Subscribers De-Enrolled for Non-Usage
January 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
Signature Block
Approved by OMB
3060-08 I 9
By sigring 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@ft r.com
Email Address of Officer
Cassandra Guinness
Person Completing This Certification Form
Printed Name and Title of Officer
01t28t2015
Date
585-7774557
Contact Phone Number
J
FCC Form 555
November 2014
Approved by OMB
3060-08 I 9
Affiliated ETCs
SAC Name
2s0306 Frnntier (-nmmrrnicatinnc nf Alqhemq I I (-
250301 Frontier Commnnications [.amar Cnrrntv T.I .C
250i I 8 Frontier Communications of the Sorrth [.LC
2l0i I I Frontier Communications of the South LLC
4s4426 CITIZENS UTILITIES CO
452172 CITIZENS TITILITIES RT]RAI, TEI, CO
452302 Frontier Communications of the Southwest Inc.
541 863 Frontier Communications of the Southwest Inc.
\i,70)Frnntipr (-nmmr rninaf inna nf fha Snrrfhrr;acf
4s4449 NAVAJO COMM CO
504449 NAVAJO COMM CO
494449 NAVAJO COMM CO
542308 CITIZF,NS TF,I,F,COMM CO OF CA
542715 CITIZENS TELECOMM CO OF CA
544342 CITIZENS TELECOMM CO OF CA
543402 CITIZENS TELECOMM CO OF CA
542144 F'rontier Commrrnicatinnq West Coact Inc
220362 Frontier Communications of Fairmount LLC
220387 Frontier Communications of Georsia LLC
351127 Frnntipr (-nmmrrnicqfinns nf Inrrra Inc
474427 CITIZF,NS TF,I,F,COMM CO OF IDAHO
341 183 CITIZENS TF,I, OF IT,T,TNOIS INC
341 055 Frontier Commrrnications - Midland Inc
340998 Frontier Communications of DePue Inc.
34 I 038 Frontier Communications of Illinois Inc.
34101 F'rontier Cnmmunicetinns nf I alrecide lnc
341061 Fron er Communications of Mt. Pulaski Inc
341067 Fron er Communications of Orion Inc
341073 Fron er Communications - Prairie Inc
341079 Frontier Communications - Schuvler Inc.
34101s Frontier North Inc.
341036
320772 Frontier North Inc
320779 Frontier North Inc.
3 10695 Frontier North Inc.
3006 I 5 Frontier North Inc.
330886 Frontier North Inc-
34303s Frontier Communications of the Carolinas Inc.
230479 Frontier Communications of the Carolinas Inc.
230509 Frontier Communications of the Carolinas Inc-
240479 Frontier Communications of the Carolinas Inc.
240526 Frontier Communications of the Carolinas Inc.
320750 Frontier Communications of Indiana Inc.
320828 Frontier Communications of Thorntown Inc.
323034 Frontier Midstates Inc
3 I 3033 Frontier Midstates Inc.
3 10682 Frontier Communications of Michisan Inc
300682 Frontier Communications of Michisan Inc
361123 CITIZENS TEL OF MINNESOTA
367123 CITIZENS TEL OF MINNESOTA
FCC Form 555
November 2014
Approved by OMB
3060-08 I I
Affiliated ETCs
SAC Name
361367 Frnniicr (:nmmrrninafinnc nf J\rI nnpcnfa In
280460 Frnniipr (-nmmrrninqfinnc nf I\rl cciccinni Inn
484122 CITIZENS TEI,ECOMM CO OF MONTANA
171 128 CITIZENS TF,T, OF NF,BRASKA
554411 CITIZENS TEI, COMPANY
554432 CITIZF,NS TF.I, COMPANY
154532 CITIZENS TELECOMMUNICATIONS COMPANY OF 1
154533 CITIZENS TELECOMMUNICATIONS COMPANY OF ]
1 54\74 CTTIZtr,NS Ttr,I,tr,COMMI INICATIONS COMPANY OF I
150072 Frnnfier (-nmmrrninqtinnc nf A rrQchlc \/allprr Inn
150100 Frontier Communications of New York Inc.
150122 Frnntier (-nmmrrnicqtinns nf Senece Gnrhcm Inn
I 50r 28 F'rnnfier (-nmmrrninetionc nf Svlrrqn I nVc lne
l50l2l F'rnnfier Telpnhnne of f,lnchesfcr Tnc
l50l l0 OGDF,N TF,T,EPHONE COMPANY
533401 CITIZENS TELECOMM CO OF OREGON
170161 Commonwealth Telenhone Comnanv
170149 Frnnfier Cnmmrnicatinns nf Rreezervnnd LLC
170152 Frnntier Onmmrrnicatinnc nf (-qntnn I I C
170178 Frnntier Cnmmrrnicafinns nf I eLervnnd I T.C
170194 Fronfier (-nmmrrnieqfinnq nf f)curqrrn f,livpr T I (-
170168 F'rnnfier (-nmmrrninefinnq nf Pennsvlrrqniq T T (-
294176 CITIZF,NS TF-I, OF TF-NNF,SSF,F, T,T,C
290580 CITIZF,NS TEI, OF VOI,IINTF,F-R STATF,
s04429 CITIZENS TELECOMM CO OF UTAH
472416 Frontier Communications Northwest Inc.
532416 Frnntier Cnmmrrnicafionq Nnrthrvest Inc
522416 Frontier Commrrnicafinns Northrlreqt Inc
522449 Frnntier Commrrnicafinns Northwect Inc
330912 Frontier Communications of Mondovi LLC
330967 Frontier Communications of Virooua LLC
330964
330944 Frontier Cnmmrrnicetinnc - St Crnin LLC
330870 RHINELANDER TEL CO
330891 Rhinelander Tel Co
330940 Rhinelander Tel Co
330941 Rhinelander Tel Co
200271 CITIZENS MOUNTAIN STATE TEL
204338 Citizens Mountain State Tel
204339 Citizens Mountain State Tel
205050 Frontier West Virsinia Inc.
I 35200 The Southem New Ensland Teleohone Comaonv