HomeMy WebLinkAbout20150626Direct Communications Rockland CAF ICC .pdfItww.taoSgrlol x5. cou
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lune 24,2015
VlA ELECTRONIC FTLING AND FEDX.
goNFrDENTtAt FtLtNG
Ms. Jean Jewell, Commission Secretary
ldaho Public Utilities Commission
472 W. Washington Street
Boise, ldaho 837 20-007 4
RE: WC Docket No. 10-90: Administratlon of Connect America Fund lntercarrier
Compensation Replacement, Annual Reporting Requirements
Case Number GNR-T-15-01
Moss Adams LLP respectfully files on behalf of Direct Communications - Rockland with the ldaho Public
Utilities Commission (PUC) in accordance with 47 C.r.R. $54.30a(d)(1)and 54.313(hXi). This filing
includes the projected eligibility for CAF ICC funding for July 1, 2015 through June 30, 2016, and Local
Rate Floor Data. These filings have also been made with the Federal communications Commission and
the Universal Services Administrate Company as required by federal rules and regulations.
ln addition to this redacted electronic filing, a hard copy of the redacted and confidential version {on
yellow paper and in a sealed envelope) will be sent via overnight mail to the Commission as confidential
information that is exempt from disclosure under the ldaho Public Utilities Commission Rules of
Procedure, Rule 57.
Should you have any questions regarding this filing, please contact me via electronic mail at
Eric,Votaw@mossadaiTs.com or by telephone at 209-955-6115.
Sincerely,
-t--/ I Lt^4r,r*' *
Eric Votaw, Senior Manager for
Moss Adams LLP
Enclosures
Fr*xifv
0ol I)
Rat0 frlo,tsol
Description
Terminating End
, Office Access
I Service
Terminating End
lOffice, Premium,
I per access minute
, Terminatinq End
i office Access
. Service
lTerminating End
Office, Non-
rPremium, per
access minute
Entrance Facility,
Per Termination.Voice Grade Two
Wire
Entrance Facility,'Per Termination
I Voice Grade Four
lWire
I Entrance Facility,
lPer Termination
lHigh Capacity DS1
] Entrance Facility,'Per Termination
iHigh Capacity DS3
Entrance Facility,
Per Termrnation
Synchronous
Optical Channel
oc3
Entrance Facility,
Per Termination
Synch ronous
r Optical Channel
oc12
I Entrance Facility,
lPer Termination
i rsnlr z uops
i Entrance Facility,
iPer Termination
I eSAlr rO UOps
i Entrance Facility,
. Per Termination
ESALT 50 Mbps
Direct Trunked
https ://www. necai nfo.org/l CCI_CA F /Source/l ntrastateTRPOutput.aspx 611912015
2015 CAF ICC Data Collection
,rrfm:'
Page I of5
2015 CAF ICC Data Collection
Contact Us CAF ICC - Instructions & Documents LogoutNECA Home NECA Data Collections
Logged in User: Choua Her
Home Select Company Main Page Study Area Data lnput Menu l CAF & ARC Output
Study Area: DIRECT COMM-ROCKLAND (ID: 472232)
Holding Company: DIRECT COMMUNICATIONS ROCKLAND, INC. (ID: 2OOOO2232)
Intrastate Revenues (FCC TRP exhibit)
option 1: View TRP Output in Excel
option 2: Download TRP Data in Excel
Intrastate Revenues
Test Year 2015-2016 Expected Maximum tntrastate Revenue: f
c*
Col f ..llt
7 I 1t2A1S
lnter$tate
Rate
Col G
Tc$t Year
2014-2015
Current
lntrastato
Rats
":: n
't t1t2o15
Propo$ed
lnirastatc
Rate
Co"l I
FY ?01 1
lntrastato
Unils )
Ternrinatinq io.
N0n'0cdicated
or Onl}inatio()
and
Tcfminatrn0 tor
Oed icnted
Elements
Col J
H'l
lntrflstate
Frice"out
wlth
7/1/?01 5
prop0sed
in trastatc
ratc ind
ljY?011
Dema,ld
':l ^
FY 201 4
lntrflslate
Uni*i:
T{irrninatinq
l0r Non'
Dsdicated
arld total lor
D0drcated
6lemerlts
":l'
Te$t Year
201 $-201 6
Foreca$ted
lntrastate
Unit$
Col M
ftr_/x)^
(1?r21 )-11'1S0
Col N
H'L
TY ?015-16
Forecasted
lntraslats
Rov0flue
Unit of
0emand
Urlit$
Gr0wth
Rate %
MOU
Termination
Termination
Termination
Termination
Termination
Termination
Circu it
Circuit
Circuit
2015 CAF ICC Data Collection Page 2 of'5
-fransport Facrlrty/
Mrle Voice Grade
Two Wire & Fou r
Direct Trunked
Transport Facility/
Mile High Capacity
DS1
Direct Trunked
Transport Facility,/
Mile High Capacity
DS3
Drrect Trunked
Transport Facility/
M rle Sy nchronou s
Opticai Channel
oc3
Direct Trunked
Transport Facility/
lvlile Synchronous
. Optical Channel
, oc12
' Direct Trunked
. Transport Facility/
lMile ESALT 2 Mbps.DTF-E1
Direct Trunked
Transport Facility/
Mile ESALT 2 tvlbps
DTF-E2
Direct Trunked
Transport Facilrty/
Mile ESALT 2 Mbps
DTF.E 3
Direct Trunked
Transport Facility/
rvlile ESALT 2 Mbps
DTF E4
Direct TrLrnked
Transport Facility/
MiIe ESALT 1O
lvlbps DTF-E1
Direct Trunked
Transport Facility/
MiIe ESALT 1O
Mbps DTr-E2
Drrect Trunked
Transport Facility/
Mile ESALT 10
Ivlbps DTF-E3
'Direct Trunked
Transport Facility/
. MiIE ESALT 1O
Mbps DTF-E4
urrect I runkeo
Transport Facility/
MiIe ESALT 50
t\,1bps DTF-E1
Direct Trunked
Transport Facility/
I\4iIe ESALT 50
IVIbPS DTF-E2
Drrect Trunked
Transport Facility/
MiIE ESALT 50
Mbps DTF-E3
Direct Trunked
Transport Facrlity/
Mrle ESALT 50
Mbps DTF-E4
Direct Trunked
Transport
Faci lity/Term i nation
Voice Grade - Two
Wire & Four Wire
Direct Trunked
Transport
Facr I ityll e rm i natio n
High Capacrty DS1
M ile
Mile
Mrle
Mile
Mile
Circu it
Miles
Crrcu it
lvl iles
Crrcurt
lvl iles
Circu it
MiIES
Circuit
Miles
Crrcu it
t\4 iles
Circurt
tvl iles
Crrcuit
[,tiles
Circu it
Ivl iles
Circu it
l'l iles
Crrcuit
M iles
Circuit
t"l iles
Term i nation
Termination
https ://www. neca i rrfb.org/l CCl-CAF/Source/l ntrastateTRPOutput.aspx 6lt9l20t5
2015 CAF ICC Data Collection Page 3 of5
Direct TrLrnked
Transport
Facility/Termination
, High Capacity DS3
, Direct Trunked
Tra nsport
Facllity/Termination
, Synchronous
Optical Channel
oc3
Direct Trunked
Tra nsport
Facility/Termination
, Synchronous
' Optical Channel
oc12
Direct Trunked
Transport
Facility,/Ternr i nation
ESALT 2 MbpS
Direct Trunked
: Transport
Facility/Termination
ESALT 10 Nlbps
Direct Trunked
r Transport
' Facility/Termination
I ESALT 50 Mbps
I [4ultiplexing, PerrArrangement DS3Ito DS1
. Multiplexing, Per
Arrangement DS1
to Voice
Customer Node Per
'Node OC3 155.52
i Mbps
I Customer Node Per
I Node oc12 622,08
M bps
Customer Premises
'Port, Per Port OC3
155.52 Mbps
lCustomer Premises
I Port, Per Port STS-
I r sr.sq Mbps
lCustomer Premises
. Port. Per Port DS3
44.736 Mbps
, Customer Premises
Port, Per Port DS1
,1.544 Mbps
I Add/Drop
,Multiplexing
I Central Office Port,
' Per Port DS1 1.544
It"rUps
1 Add/Drop
lMultiplexingI Central Office Port,,Per Port OC3
'155.52 tutbps
i eooTorop
tMultiplexing
Central Office Port,
, Per Port DS3
.44.736 Mbps
r Network Blocking,
1 Per Blocked Call
I Network Blocking,
Per Blocked Call,
. Applies to FGD only
ESALT Real Time
CoS/QoS, Per
i ESALT DTF.E1lFacility ESALT 2'Mbps
: ESALT Real Time'CoS/QoS, Per
Terminatio n
Circuit
terms
Circu it
terms
Circu it
terms
Termination
Terminatio n
Port
Port
Port
Port
Port
Port
Port
Terminatio n
Terminatio n
Facility
Port
LaI
https://www.necainfb.org/lCC-CAIr/Sor"rrce/lntrastateTRPOutptlt.aspx 6t19t2015
2015 CIAF ICC Data Collerction
ESALT DTF-E1
Facility ESALT 10
M bps
ESALT ReaI Time
CoS/QoS, Per
ESAtT DTF-E 1
Facility ESALT 50
M bps
ESALT Entrance
Facility Protection,
Per ESALT Entrance
Facilrty ESALT 2
M bps
ESALT Entrance
Facrlity Protectron,
Per ESALT Entrance
Facility ESALT 10
tvlbps
ESALT Entrance
Facility Protection,
Per ESALT Entrance
Facility ESALT 50
Mbps
Common Channel
Signaling Network
Con nection
Signallng Mileage
Facility, Per Mile
Common Channel
Signaling Network
Co nnection
Signalinq Mileage
Termination, Per
Te rmrnatron
Common Channel
Signaling Network
Co n nection
Signaling Entrance
Facility, Per Facility
Common Channel
Signaling Network
Connection STP
Port, Per Port
Ternlin ati ng
Tandem Switched
Transport
Ternrinati ng
Tandem Switched
Transport Facility
Te rmin ating
Tandem Switched
Tra nsport
Terminating
Tandem Switched
Termrnation
Te rm lnati n9
Tandem Switched
Tra ns po rt
Terminating
Tandem Switching
N onrecurring
Charges Voice
Grade Two Wire
Non recu rring
Charges Voice
Grade Four Wire
Non recu rring
Charges High
Capacity DS 1
Non recu rring
Charges High
Capacity DS3
Nonrecurring
Cha rges
Sy nch ronous
Optical Channel
oc3
Nonrecu rring
Charges
Sy nch ronous
Circuit
Mile
Term i nation
Facility
Port
Minutes /
Mile
M i nutes
Faci lity
Facility
Circuit
Circu it
M i nutes
Faci lity
Faci I ity
Faci I ity
Faci I ity
Faci I ity
Facality
https://www.necainfb.org/lCCl-CAIr/Sor"rrce/lntrastateTRPOutput.aspx 611912015
2015 CAF ICC Data Collection Page 5 of5
I Optical Channel
I OC12
. Nonrecurring
Charges Interim
NXX Translation,
Per Order
Nonrecurrinq
, Charges FGC and
FGD Conversion of
Multifrequency
Address Signaling
Ito ss7 signaling or
lSST Signaling to
rMultifrequency
rAddress Signaling,
I per 24 trunks
I converted or
I fraction thereof on
I a per order basis
1
I Nonrecurring
1 Charges Trunk
J Activation, per 24
I trunks activated or
r fraction thereof on
, a per order basis
I Nonrecurring
Charges Flexible
rAutomatic Number
r Identificatlon (Flex
, ANI), per End
. Office, per CIC
, Nonrecurring
I Charges ESALT 2
. Mbps
i Nonrecurring
r Charges ESALT 10
i Mbps
'Nonrecurring
. Charges ESALT 50
'Mbps
Nonrecu rrinq
Charges ESALT
Direct Trunked
, Termination, per
. ESALT Direct,Trunked
lTermination
: installed
I Nonrecurring
I Charges ESALT
I Entrance Facility
I Protection, per
I ESALT Entrance'Facility
Order
Order
End Office
Facility
Facility
Facility
Order
Facility
https ://www. necai nfb.org/l CC-CAF/Source/l ntrastateTRPOutput'aspx 611912015
2015 CAF ICC Data Collection Page I of I
trf{RT,2Ot5 CAF ICC Data Collection
NECA Home NECA Data Collections Contact Us CAF ICC - Instructions & Documents Logout
Logged in User: Choua Her d
HomeSeIectCompanyMainPageStudyAreaDataInputMenU)cAr&ARcoutput);.....]..,..].,>
Study Area: DIRECT COMM-ROCKLAND (IDr 472232)
Holding Company: DIRECT COMMUNICATIONS ROCKLAND, INC. (ID: 200002232)
Study Area USAC Reports
lView Printer-friendly report I J2O15 USAC D.t. Rcport -vJ
2011 Interstate Switched Access Revenue
8
2
4
5
6
7
Total ROR Carrier Revenue
FY 2011 Intrastate T
2011 ROR Carrier Base Period Revenue (Line 1 + Line 2 + Line 3)
ROR Carrier Revenue
Pool Administration Expenses
Switched Access Revenues
FY 2011 Net Revenues
ROR Carrier Baseline Factor (0.95 x 0.95 x 0.95 x 0,95)
4 x Line
Line 6 + Line
R€v€nues from R€formed Intercarrier
1
3
9
CONNECT AMERICA FUND
Data to be Provided to USAC/FCC in lune 2015 for CAF ICC Purposes
Test Period 7/1/15-6/30116 Post True-up (Filing) View
Ratetf-Return (ROR) Carrier Rev€nue Requirement
ICC) Rates
lnterstate Switched Access Revenues
t0 Interstate Allocated switched Access Revenues#
11 Transitional Intrastate Access Service Revenues
t2 Net Transitional tion Revenues
IJ Total lcc Revenue 10 + Line 11 + Line 12
Eligible Recovery
t4 TRS Increment
15 Fees Increment
t7 Interstate Local Swit for Price Affiliates
18 for Double or Corrections
19 Test Period 13/14 Trueup - Net hpact on Total Eligible Recovery
EligibleRecovery(Line8-Line13)+(Line14+Line15+Line16+Line18+Line19)-(Line
17)20
ReY€nues trom Access
2r Residential ARC Revenues
22 Line Business ARC Revenues
23 Multi-Line Business ARC Revenues
24 Total ARC Revenues (Line 21 + Line 22 + Line 23)
Conn€ct America Fund (CAF) ICC
z5 Connect America Fund rcc Line 20 - Line
NOTES:
*Per FCC Designation Or.,er, calculated as (Sum of Line 9 for all TS p@l participants) * (Line 1/ Sum of Line 1 for all TS p@l particlpants)
*iNECA estlmate provided for informational purposes only - actual to be calculated by USAC.
https://www.necai nfo.org/l CC_CA F/Source/U SACData.aspx 6/t912015
2015 CAF ICC Data Collection
f{fr'{>2015 CAF ICC Data Collection
NECA Home NECA Data Collections Contact Us CAF ICC - Instructions & Documents Logout
Logged in User: Choua Her
Home Select Company Main Page Study Area Data lnput Menu ) CAf & ARC Output ) rrr..! 'r , r::::,,
''.
Study Area: DIRECT COMM-ROCKLAND (ID: 472232)
Holding Company: DIRECT COMMUNICATIONS ROCKLAND, INC. (ID: 200002232)
Access Recovery Charges
Test Period 2015-2016 Pre-True-up View Test Period 2015-16 Post-True-Up (Filing) View
Test Period 2015-2O16 Post True-Up (Filing) View
Page I of2
d
Exchange/Zone
Name
Residential
Lines
excluding
Arbon
Paris
Rockland
Study
https ://www. neca i nfo.org/l CC_CAF/Source/A RCChanges.aspx 6t19t2015
2015 CAF ICC Data Collection Page I of3
flfm>2015 CAF ICC Data Collection
NECA Home NECA Data Collections Contact Us CAF ICC - Instructions & Documents Logout
Logged in User: Choua Her C*
Home SelectCompany Mainpage StudyAreaOatalnputMenu ) CAf &ARCOutput ) Ii:,r'r,,,r,, i.,:111,;1 .,1r1;1;1' )
Study Area: DIRECT COMM-ROCKLAND (ID: 472232)
Holding Company: DIRECT COMMUNICATIONS ROCKLAND, INC. (lD: 2OOO02232)
Study Area - Exchange Leve! Residential Lines and Local Rat€s for ARC Calculation
I El Downtoad NECA template]
Exchange Level Residential Lines & Rates Residentlal Llnes & Rates Summary Study Area Test Period Lines
Test Period 2Ot5/2OtG
Study Area Lines for Test Period 2015/2016 - (July 1, 2015 - Jun6 30, 2015)
- - - 1 -;;iY"* ,o1s-;"*f-1;y."' zorEro I i.rt v.r. zo15-16 I
Study Area ID I Residential Lines I Singte Line Business I t{ulti-l-ine Business i
I Excludins Life Lines I unes I Lines
i
Data previously submitted on3/24/2075 3:58:19 PM (Eastern Time)
Data submitted by Bruce Steed
IRecords response entered/updated on the above pad of the screen]
https ://www. necai nfo.org/l CC_CAF/Source/Residential Rates.aspx 6lt91201s
rO BE COMPLETED BY THE REPORTING CARRIER.
C.rtltlcatlon of Ofrlcu rr to thc Accuracy ot th. CAF ICC D.tr Reportod
I card, lhat I rn .n sftlc.r o, th. nporllng crrrtlr: my [rpotralbllltlat lncluda .n.cdng tha rcccncy ot tha tctu.l ddr nporLd; .nd, to lht
baat ot my knox,Ldga, tha lntom.$on nport d on thlt tom la accont .
Moy ?marl.l@narddrjrcdcom.om ):dtrefl
.oflm{ockla,rd l:Roctlard lo 832?1. Date 5/15/2015
Printed name of Authorizgd Offic€r:
Title or position of Authorized Officor:
Telephone number of Authoriz€d Ofricor:
Study Ar6a Code of Reporling Canier
Porom wllltully mrklng trlr $8t mfltt on thb ,om crn b. punldrad by 0m oi lorlliun undar thr Communlcatlons AGt ot I 9&1, 'U U.g.C,
$9 502, 503(b), or flo. or lmprlronmnl ud.r TUe lt ot lh. Unltrd Slr!3t Cod., 1t U,s.c. ! 1001.
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING DAIA ON THE CARRIER'S BEMLF
CGrtltlc.tlon of Offlcar to Authoflz. rn Ag.nt to Fllc Drt! R6po(rd on Bchrlf of Reportlng Crnlcr
lgt]tlfylh.l(Nrmco'Ae.n0@F9,non.o.o,uo,ltth.ln,omdlon[Po]i.donb.hrllof
lha nponlng erl.a l.lro anfy th.l I rm rn ofricar otfia npoiilng crrlari my nrponalbllllLa hclud. anrurltrg lhr.ccrncy olth. d.tr
prcvld.d to the Au$orlrd Ag.nt; .nd, to th. baal ol my knrcLdea, iha actual d.6 prevld.d to tlrt Aclhodz.d Ag.ril lr rccunt .
Leonrrd uay
ofAuthorized Otficor
May.emarkhoila(l(qdreclcam.cofi r.i):dked
comGEci(lrM,l=Ro*larid lO 83271, Dde:5/158015
Printed name otAuthorizod fffiGr:
Titlo or position of Authorized Officer:
Tolephone numb€r o, authoriz€d officer:
Study Area Cods of Roporting Canisr
PoEomwlltrullymrklngtrlradrt muironlhBfomcrtrDrpunlrh.dby[morforralturaundarthoCqmmcnlc.ilonaActol193,1,'l7U,S.C,
!g 502, 503(bl, orrln. or lmprlronmnl und.,Tno lt otth. Unlt d Stlt r Cod., lt U,S.C. t 1001,
sO BE Col\41 LE!ED BY AN OFFICER OF sl E REI ORsHltG CARRIER
C6rtlfic8tlon of Omcor for Rated-Retum Caricr Ellgibllity for CAF/ICC Recovcry
I canlty th.t I rm rn oflc3, ot thi rcponlng c.nirr.nd thrt, to lho be5i o, my knowlodg., th! roponlng c.rlsr on lhir tom c!,tlllor thrl lt
hrs compli.d with EligiblG Rrcovlry S61.917(d) ard Acccqt Recovcry Charg. S5l.9l7(e) rnd lr cligibl. lo cc.lv! tha CAF ICC suppon
Egusrt.d puru.nt lo !51.917(0.
Name o, Reporting Carrier:DIRECT COMM-ROCKLAND
Leonard May
uurt.E rjgrl-J y, Lr.erd
Mal "saf *i)nri,1,iredk)maon'{l dr.Fd.omrr,norancf adkand & 83:i 1=care 5; 15/1J15
Signatur8 of Authorized OfriEr or empBToe Oaro: 5t15120j5
I rinted nams of Authorized Otficer or ompbTee Leonard May
s rtB or pobrtion ol Authorrzed Otficer or BmpBTes President
ssBphone numyer ot AuthorizEd Officer or omp0Tee:208"548-2345
StudTAr6a Cod6 of Roporting Carri€r 472232 Fifrlg Due Date for thib form
(mmiddrffn)0/16/2015
Prriont wllltully maktng tal$ rtatrmcntE on thlr tom c.n b. punlrhcd by lln€ or fortllturo und.r tho Communlcallonr Act ol 1934, 47 U,g.C.
tS 502, 503{b), or tlno or lmprisonmont undir Titlo 1E ot th. Unllrd St.to. Codi, '18 U.S.C. ! 1001.
30 8E COMI LEIED BY AN OFRCER OF sl E REI ORrillc CARRIGR
Clnncafion of Omcer for Rrt -ot Rrtum Crryl.r Not Scekln, DupllcrtlvG R.covcry
I cont y lh.t I rm an omcar ot thr nponlng ctnltr and that, to tha bGt ot my knoyrlcdga, tha nporllng qrLr lt not skltrg dupllc.tlvr
ncov!ry in llra rtlta ludldlctlon tor.ny Ellglbh Racovary $bl.sl lo th. Ecov.ry mcunllm ar par g51.tt?(dxvlll.
Ma'l'cma4?i"ronard dtrecfcom@n\4 d{ed
ccmril&tad*R&*AM E, 83:I1=Dels 5/1srlCl5
Signature of Authoriued Officor or empET66
I rinted n6me of Aulhoflzed Officer or 6mpDTae:
sitE or potition ot Authorizsd Otficer or empETee:
sEDphong numyer of Authorizsd Ofiicar or ampDToe:
StudTAr€a CodB of Reporting Canier
PaEotrr wllltully mklng trls rotamanta oo thl3 lom crn ba punlrhed by llnc ortorfaltun undar lha Commurlc.doil Act ol 1034,47 U.s.C.
TIl! lt otlir Unltcd SllLt Cod., 1E U.S.C, ! 1001,
DATA ELEMENT
Residential Local S6rvice Charge Effoctlve Date
Total Number of Sheets
RATE FLOOR OATA COLLECTION - OMB Control Number 3060-0986
Block 1 . Contact lnformatlon
RESPONSE
Block 2" Ro3ldontlal Local Servlco Rstos, Feos, and LIno Counts
USAC Proprietary Confidential
Certiflcatlon ol Ofllcer ac to the Accuracy of tte Oata Reportod for tho Rats Floor Drta
I csrtlfy tt.t I !m .n offlcor of tlr. repottlng c.rlor; ]Iry rorpontlbllltlot lnclude enlurlng uro acculrcy of ths rctual rrte lloor d.tr
r€porlod ; .nd, to the bsst of my lmorvlcdge,lhs lnbrmstlon rportred on thk form lr accurdr,
*"* General
548:234q
lo*litylhsiowmpanyreivilorlepn slcdtoreiwHlghCslLoopgupptrlorHEhCostModdSupporl in20'lS.rdha6nomonlhvrssldonu.lrato8(plsdH!o!
aB delinod) i€s lhin $21.22.
IO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILIT.IG RATE FLOOR DATA ON THE CARRIER'S BEHALF:
Certlffcatlon of Offlcer to Authorlze an Agent to File Rate Floor Data on Behalf of Reportlng Carrier
l,ffiliH*ll i,#'1"?*?l,li"'33[Xlsrurrruer
lnclude anlurlng tho accurlcy of ths ectual'rato lbor .lrta provlded to lhe authorlzed agent; and, to the beSt of my knowlodgo, the
actual ralo floor?ata ptovldoal to tho.uthorlz8d tgent ls adcurate.
I certifv th.t I am authorlzed to cubmit the inform.tlon roported on thls form on behal, of the reportlnq ctrrlori that I hrvo provldod
thg lnfbrmatlon rsportod horeln b.sed on datr provld€d by th€ reportlng c.rrlor; rnd to the bo.l ot my knowl€dge the infoimationroportod hereln la sccurate,
\lam otAuthdlzed Ao6nr Nationel Exchanoe Cani€r Association (NECA)
.am€ or Rooonim c"6", Direct Coqmgg*ZfQ?'s'Rockland
:ionatm ol authorizsa otncer X .-1, I \*,-512612015
lrintod nam6 0f auihorized otfmr Jeremy Smith
GeneralManager
[er€ohom oumb.r or .urhoriz€d off*r: (208) 548--2345o]!t
irudy tusa cod6 or Reponins caricr l+l zzlz 1.,,
t,' "li,lfr.r#rff e ror rhis ,orm I orr,ro,, | " ' i',: , .
CERI IFICATION.AGENT