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Home My WebLink About20150202New Cingular Wireless 555.pdf Via Email February 2, 2015 Ms. Jean Jewell Commission Secretary Idaho Public Utilities Commission 472 W. Washington Boise, ID 83720-0074 Re: FCC Form 555, Annual Lifeline Eligible Telecommunications Carrier Certification Form for New Cingular Wireless PCS, LLC (“AT&T Mobility”) Dear Ms. Jewell: As required by the FCC in its February 6, 2012 Released Order in WC Docket No. 11-42, attached is a copy of AT&T Mobility’s Idaho FCC Form 555 filed with the FCC.1 These results must be provided to the Commission, the Universal Service Administrative Company (“USAC”), and to the states and tribal governments. Please contact me with any questions or concerns you may have at (210) 545-3519. Sincerely, John Sisemore Director - Regulatory cc: Grace Seaman David Discher, Esq. Attachment 1 AT&T Mobility filed its FCC Form 555 online with 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 name associated with that SAC. In some cases, this automatically generated name differs from (e.g., is an abbreviated version of) the legal entity name for AT&T Mobility’s eligible telecommunications carrier affiliate. John D. Sisemore AT&T Services, Inc. 162 Roseheart San Antonio, TX 78259 T: 210-545-3519 F: 214-202-5076 John.Sisemore@att.com Anisa A. Latif AT&T Services. Inc. Associate Director 1120 20th Street, N.W., Federal Regulatory Suite 1000 Washington, D.C. 20036 202.457.3068 Phone 202.457.3071 Fax al7161@att.com E-mail January 30, 2015 Via Electronic Submission Ms. Marlene H. Dortch Secretary Federal Communications Commission 445 12th Street, SW 12th Street Lobby – TW-A325 Washington, D.C. 20554 Re: AT&T Annual Lifeline Eligible Telecommunications Carrier Certification Form – FCC Form 555 WC Docket No. 14-171 Dear Ms. Dortch: Pursuant to 47 C.F.R. § 54.416, AT&T, on behalf of its affiliate AT&T Mobility1, hereby submits its 2015 Annual Lifeline Eligible Telecommunications Carrier Certification Form via the Commission’s Electronic Comment Filing System. As required, AT&T also submitted its filing to the Universal Service Administrative Company. Should you have any questions, feel free to contact me. Sincerely, /s/ Anisa A. Latif Anisa A. Latif Attachment 1 SAC Nos. 619004, 259908, 409004, 479006, 269905, 279010, 319026, 289912, 389015, 539010, 639005, 399015, 449022, 529910, and 209012. FCC Form 555 November 2014 Approved by OMB 3060-0819 1 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 31st (Annually) Study Area Code (SAC) (An Eligible Telecommunications Carrier (ETC) must provide a certification form for each SAC through which it provides Lifeline service). State ETC Name DBA, Marketing or Other Branding Name Holding Company Name (If 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 Provide a list of all ETCs that are affiliated 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 “affiliate” 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. § 153(2). See also 47 C.F.R. § 76.1200. Affiliated ETC’s SAC Affiliated ETC’s Name 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 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 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 authorized to make this certification for the Study Area Code listed above. Initial 479006 SAM Cingular Wireless AT&T Mobility AT&T Mobility II LLC -- See attached worksheet -- ID FCC Form 555 November 2014 Approved by OMB 3060-0819 2 K L Number of subscribers whose eligibility w as review ed 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 Section 2: Annual Recertification 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 of subscribers 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 initially enrolled in the current Form 555 calendar year (These subscribers did not have Lifeline service prior to January 1 of the current 555 calendar year.) Number of subscribers de-enrolled prior 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 Recertification Results: F G H = (F-G) I J = (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 subset of Block G.) Number of subscribers de- enrolled or scheduled to be de-enrolled as a result of non-response or response of ineligibility from ETC recertification attempt Note: If any subscriber 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 recertify eligibility, those subscribers 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 accounted for in Block F or Block K. The total of Block F and Block K should equal the number reported in Block E. 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 AND/OR B.) I certify that the company listed above has procedures in place to recertify consumer eligibility by relying on: . 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 OR C.) I certify 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 of the company named above. I am authorized to make this certification for the SAC listed above. Initial SAM USAC 0 0 11 0 12 6 0 0 2 0130 FCC Form 555 November 2014 Approved by OMB 3060-0819 3 Section 3: De-enroll Percentage Using the data entered in Section 2, complete the chart below to find the percentage of subscribers de-enrolled for 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-response or ineligibility Percentage of subscribers de-enrolled or scheduled to be de-enrolled as a result of ineligibility or non-response 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 generally do not assess or collect a monthly fee from their Lifeline subscribers. 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 If Yes, record the number of subscribers de-enrolled for non-usage by month in Block Q below. P Q Month Subscribers De-Enrolled for Non-Usage January February March April May June July August September October November December Total Subscribers Signature Block 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. Signed, Signature of Officer Printed Name and Title of Officer Email Address of Officer Date Person Completing This Certification Form Contact Phone Number 425-580-6105 0 0 Scott A. Mair - SVP Technology Planning and Engineering 0 Tristan Reni 0 0 0 50.0%6 0 0 12 0 0 Certified Online scott.mair@att.com 01/20/2015 0 0 0 FCC Form 555 November 2014 Approved by OMB 3060-0819 4 Affiliated ETCs SAC Name Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cingular Wireless Cingular Wireless Indiana Bell Telephone Company Incorporated Illinois Bell Telephone Company Nevada Bell Telephone Company Michigan Bell Telephone Company Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cingular WirelessATandT Corp. Cingular Wireless Cingular Wireless Cricket Communications Cingular Wireless Cricket Communications ATandT Mobility LLC Cricket Communications BellSouth Telecommunications LLC Cricket Communications BellSouth Telecommunications LLC BellSouth Telecommunications LLC BellSouth Telecommunications LLC Cricket Communications BellSouth Telecommunications LLC BellSouth Telecommunications LLC BellSouth Telecommunications LLC BellSouth Telecommunications LLC BellSouth Telecommunications LLC Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications Cricket Communications 209012 269905 345070 325080 315090 555173 509008 199017 529017 339035 399015 449065 259908 639005 249001 549004 299024 225192 539009 215191 179017 539010 309011 529910 439053 559014 159025 499014 349028 329017 419025 269035 189008 429012 239027 379024 229023 479014 579006 235193 245194 285184 295185 265182 275183 549009 469012 409034 459009 255181 FCC Form 555 November 2014 Approved by OMB 3060-0819 4 Affiliated ETCs SAC Name Cingular WirelessCingular Wireless ATandT Mobility LLC Cingular Wireless ATandT Mobility LLC Cingular Wireless Cingular Wireless Wisconsin Bell Inc. Cingular Wireless Pacific Bell Telephone Company Southwestern Bell Telephone Company Southwestern Bell Telephone Company The Ohio Bell Telephone Company Southwestern Bell Telephone Company Southwestern Bell Telephone Company Southwestern Bell Telephone Company 389015 319026 289912279010 619004 479006 449022 409004 545170 405211 445216 305150 425213 435215 335220 415214