20150629Budget PrePay form 481.pdf

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FCC Form 481FCC Form 481 - Carrier Annual Reporting OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name: Person USAC should contact with questions about this data
<035>Contact Telephone Number: Number of the person identified in data line <030> <039>Contact Email Address: Email of the person identified in data line <030>
54.313
Completion
Required
54.422
Completion
Required
<100>Service Quality Improvement Reporting
<200>Outage Reporting (voice)
<210><-- check box if no outages to report

<300>Unfulfilled Service Requests (voice)
<310>Detail on Attempts (voice)
<320>Unfulfilled Service Requests (broadband)
<330>Detail on Attempts (broadband)
<400>Number of Complaints per 1,000 customers (voice)
<410>Fixed
<420>Mobile
<430>Number of Complaints per 1,000 customers (broadband)
<440>Fixed
<450>Mobile
<500>Service Quality Standards & Consumer Protection Rules Compliance
<510>
<600>Functionality in Emergency Situations
<610>

<700>Company Price Offerings (voice)
<710>Company Price Offerings (broadband)
<800>Operating Companies and Affiliates
<900>Tribal Land Offerings (Y/N)?
<1000>Voice Services Rate Comparability Certification
<1010>
<1100>
<1110>
<1200>Terms and Condition for Lifeline Customers
Price Cap Carriers, Proceed to Price Cap Additional Documentation Worksheet
Including Rate-of-Return Carriers affiliated with Price Cap Local Exchange Carriers
<2000>
<2005>
Rate of Return Carriers, Proceed to ROR Additional Documentation Worksheet
<3000>
<3005>
ANNUAL REPORTING FOR ALL CARRIERS
(if yes, complete attached worksheet)
(if not, check to indicate certification)
(complete attached worksheet)
(attached descriptive document)
(check to indicate certification)
(complete attached worksheet)
(complete attached worksheet)
(complete attached worksheet)
(check to indicate certification)
(attached descriptive document)
(attach descriptive document)
(complete attached worksheet)

(complete attached worksheet)
(complete attached worksheet)
(attach descriptive document)

(complete attached worksheet)
(check to indicate certification)
(complete attached worksheet)
(check to indicate certification)

(attach descriptive document)

(check box when complete)

Data Collection Form

4
Lakisha Taylor
4
2016
4
0.0
[e-mail]
4
4
4
Budget PrePay Inc.
4
3186715000 ext.
479016id510.pdf
0.0
479016id610.pdf
4
4
479016
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<010>
<015>
<020>
<030>
<035>
<039>
<110>Has your company received its ETC certification from the FCC?(yes / no )
<111>
If your answer to Line <110> is yes, do you have an existing §54.202(a) "5
year plan" filed with the FCC?(yes / no )
If your answer to Line <111> is yes, then you are required to file a progress
report, on line <112> delineating the status of your company's existing §
54.202(a) "5 year plan" on file with the FCC, as it relates to your provision of
voice telephony service.
<112>Attach Five-Year Service Quality Improvement Plan or, in subsequent years,
your annual progress report filed pursuant to 47 C.F.R. § 54.313(a)(1). If your company is a
CETC which only receives frozen support, your progress report is only
required to address voice telephony service.
<113>Maps detailing progress towards meeting plan targets
<114>Report how much universal service (USF) support was received
<115>
<116>
<117>
<118>Provide an explanation of network improvement targets not met in the prior calendar year.

Study Area Code
Study Area Name
Program Year
Contact Name - Person USAC should contact regarding this data
Contact Telephone Number - Number of person identified in data line <030>
Contact Email Address - Email Address of person identified in data line <030>
(100) Service Quality Improvement Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013

Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
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(200) Service Outage Reporting (Voice)FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<220><a><b1><b2><b3><b4><c1><c2><d><e><f><g><h>
NORS
Reference
Number
Outage Start
Date
Outage Start
Time
Outage End
Date
Outage End
Time
Number of
Customers Affected Total Number of
Customers
911 Facilities
Affected
(Yes / No)
Service Outage
Description (Check
all that apply)
Did This Outage
Affect Multiple
Study Areas
(Yes / No)
Service Outage
Resolution
Preventative
Procedures

Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
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(700) Price Offerings including Voice Rate Data FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<701>Residential Local Service Charge Effective Date
<702>Single State-wide Residential Local Service Charge

<703><a1><a2><a3><b1><b2>
State Exchange (ILEC)SAC (CETC)Rate Type
Residential Local
Service Rate

<c>
Total per line Rates and Fees
<b5>
Mandatory Extended Area
Service Charge
<b4>
State Universal Service Fee
<b3>
State Subscriber Line Charge

Lakisha Taylor
1/1/2015
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
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Page 5
(710) Broadband Price Offerings FCC Form 481
Data Collection Form OMB Control No. 3060-0986
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>

<711><a2><b1><b2><c><d1><d2><d3><d4>
Exchange (ILEC)Residential Rate
State Regulated
Fees Total Rate and Fees
Broadband Service -
Download Speed
(Mbps)
Broadband Service -
Upload Speed (Mbps)
Usage Allowance
Action Taken When
Limit Reached {select}

<a1>
Usage Allowance
(GB)

State
/OMB Control No. 3060-0819

Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
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(800) Operating Companies FCC Form 481
Data Collection Form OMB Control No. 3060-0986
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<810>Reporting Carrier
<811>Holding Company
<812>Operating Company

<813>

<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
<813>

<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
<813>

<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
<813>

<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
/OMB Control No. 3060-0819

Not Applicable
Lakisha Taylor
n/a
2016
[e-mail]
Budget PrePay, Inc. d/b/a Budget Mobile
Budget PrePay Inc.
3186715000 ext.
479016
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(900) Tribal Lands Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<910>Tribal Land(s) on which ETC Serves

<920>Tribal Government Engagement Obligation
<921>
<922>Feasibility and sustainability planning;
<923> Marketing services in a culturally sensitive manner;
<924>Compliance with Rights of way processes
<925>Compliance with Land Use permitting requirements
<926>Compliance with Facilities Siting rules
<927>Compliance with Environmental Review processes
<928>Compliance with Cultural Preservation review processes
<929>Compliance with Tribal Business and Licensing requirements.

/OMB Control No. 3060-0819

Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
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(1100) No Terrestrial Backhaul Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013

<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>

<1130>
Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
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(1200) Terms and Condition for Lifeline Customers FCC Form 481LifelineOMB Control No. 3060-0986/OMB Control No. 3060-0819Data Collection Form July 2013

<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<1210>Terms & Conditions of Voice Telephony Lifeline Plans
<1221>
<1222>
<1223>Additional charges for toll calls, and rates for each such plan.
<1220>Link to Public Website HTTP
Information describing the terms and conditions of any voice telephony service plans offered to Lifeline subscribers,
Details on the number of minutes provided as part of the plan,

budgetmobile.com
Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
4
4
4
479016
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(2000) Price Cap Carrier Additional Documentation FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
Including Rate-of-Return Carriers affiliated with Price Cap Local Exchange Carriers July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
Incremental Connect America Phase I reporting
<2010>2nd Year Certification {47 CFR § 54.313(b)(1)i}
<2011a>3rd Year Certification {47 CFR § 54.313(b)(1)ii}
Price Cap Carrier Receiving Frozen Support Certification {47 CFR § 54.312(a)}
<2012>2013 Frozen Support Calculation {47 CFR § 54.313(c)(1)}
<2013>2014 Frozen Support Calculation {47 CFR § 54.313(c)(2)}
<2014>2015 Frozen Support Calculation {47 CFR § 54.313(c)(3)}
<2015>2016 and future Frozen Support Calculation {47 CFR § 54.313(c)(4)}
Price Cap Carrier Connect America ICC Support {47 CFR § 54.313(d)}
<2016>Certification Support Used to Build Broadband

Connect America Phase II Reporting {47 CFR § 54.313(e)}<2017>3rd year Broadband Service Certification<2018>5th year Broadband Service Certification<2019>Interim Progress Certification
<2021>Interim Progress Community Anchor Institutions
<2020>
Select the appropriate responses below (Yes, No, Not Applicable) to note compliance as a recipient of Incremental Connect America Phase I support, frozen High Cost support, High Cost support to offset access charge reductions, and
Connect America Phase II support as set forth in 47 CFR § 54.313(b),(c),(d),(e). The information reported on this form and in the documents attached below is accurate.

Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
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(3000) Rate Of Return Carrier Additional Documentation FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013

<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>

Progress Report on 5 Year Plan(3010)Milestone Certification {47 CFR § 54.313(f)(1)(i)}
Name of Attached Document Listing Required Information
(3012)Community Anchor Institutions {47 CFR § 54.313(f)(1)(ii)}
Name of Attached Document Listing Required Information
(3013)Is your company a Privately Held ROR Carrier {47 CFR § 54.313(f)(2)}(Yes/No)
(3014)If yes, does your company file the RUS annual report (Yes/No)
(3017)If the response is yes on line 3014, attach your company's RUS annual
report and all required documentation
Name of Attached Document Listing Required Information
(3018)If the response is no on line 3014, Is your company audited?(Yes/No)
If the response is yes on line 3018, please check the boxes below to

confirm your submission, on line 3026 pursuant to § 54.313(f)(2), contains
:
If the response is no on line 3018, please check the boxes belowto confirm your submission, on line 3026 pursuant to § 54.313(f)(2),
contains:
(3024)Underlying information subjected to an officer certification.
(3026)Attach the worksheet listing required information
Name of Attached Document Listing Required Information
(3022)
(3023)
(3025)
(3015)
(3016)
(3019)
(3020)
(3021)
Copy of their financial statement which has been subject to review by an independent certified public accountant; or 2) a financial report in a
format comparable to RUS Operating Report for Telecommunications
Borrowers,
Underlying information subjected to a review by an independent certified
public accountant
Electronic copy of their annual RUS reports (Operating Report for
Telecommunications Borrowers)
Either a copy of their audited financial statement; or (2) a financial report in a format comparable to RUS Operating Report for Telecommunications

(3011)
CHECK the boxes below to note compliance on its five year service quality plan (pursuant to 47 CFR § 54.202(a)) and, for privately held carriers, ensuring compliance with the financial reporting requirements set forth in 47
CFR § 54.313(f)(2). I further certify that the information reported on this form and in the documents attached below is accurate.

Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
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(3000) Rate Of Return Carrier Additional Documentation (Continued)FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
Name of Attached Document Listing Required Information

Financial Data Summary
(3027) Revenue
(3028) Operating Expenses
(3029) Net Income
(3030) Telephone Plant In Service(TPIS)
(3031) Total Assets
(3032) Total Debt
(3033) Total Equity
(3034) Dividends
Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
Page 13
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Certification - Reporting Carrier FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAL REPORTING ON ITS OWN BEHALF:
Printed name of Authorized Officer:
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or LI Recipients
Name of Reporting Carrier:
Signature of Authorized Officer:Date
I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the annual reporting requirements for universal service support
recipients; and, to the best of my knowledge, the information reported on this form and in any attachments is accurate.
Title or position of Authorized Officer:
Telephone number of Authorized Officer:
Study Area Code of Reporting Carrier:Filing Due Date for this form:

Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C. §§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.

Lakisha Taylor
2016
[e-mail]
Budget PrePay Inc.
3186715000 ext.
479016
Page 14
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Certification - Agent / Carrier FCC Form 481Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>

Certification of Agent Authorized to File Annual Reports for CAF or LI Recipients on Behalf of Reporting Carrier
TO BE COMPLETED BY THE AUTHORIZED AGENT:
Telephone number of Authorized Agent or Employee of Agent:
Signature of Authorized Agent or Employee of Agent:
Name of Authorized Agent or Employee of Agent:
I, as agent for the reporting carrier, certify that I am authorized to submit the annual reports for universal service support recipients on behalf of the reporting carrier; I have provided
the data reported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate.
Date:
Printed name of Authorized Agent or Employee of Agent:
Title or position of Authorized Agent or Employee of Agent
Name of Reporting Carrier:
Study Area Code of Reporting Carrier:Filing Due Date for this form:
Printed name of Authorized Officer:
Name of Reporting Carrier:
Study Area Code of Reporting Carrier:
Title or position of Authorized Officer:
Telephone number of Authorized Officer:
Filing Due Date for this form:
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAL REPORTS ON THE CARRIER'S BEHALF:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or LI Recipients on Behalf of Reporting Carrier
I certify that (Name of Agent)_______________________________________________________ is authorized to submit the information reported on behalf of the reporting carrier. I
also certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the annual data reporting requirements provided to the authorized
agent; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate.
Date:
Name of Authorized Agent:
Signature of Authorized Officer:

Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C. §§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C. §§ 502, 503(b), or fine or imprisonment under Title
18 of the United States Code, 18 U.S.C. § 1001.

Lakisha Taylor
07/01/2015
2016
CFO
[e-mail]
3186715000 ext.
479016
3186715000 ext.
06/24/2015
479016
CFO
Budget PrePay Inc.
David Donahue
3186715000 ext.
Budget PrePay Inc.
06/22/2015
07/01/2015
CERTIFIED ONLINE
Robin Enkey
Robin Enkey
Robin Enkey
Robin Enkey
CERTIFIED ONLINE
479016
Budget PrePay Inc.
Attachments
Line 610 – Functionality in Emergency Situations

Section 54.202(a)(2) of the Commission’s Rules requires that each eligible
telecommunications carrier (“ETC”) must “[d]emonstrate its ability to remain functional in
emergency situations, including a demonstration that it has a reasonable amount of back-up
power to ensure functionality without an external power source, is able to reroute traffic around
damaged facilities, and is capable of managing traffic spikes resulting from emergency
situations.”1 Section 54.313(a)(6) requires ETCs to certify that they are “able to function in
emergency situations as set forth in §54.202(a)(2)”2 in connection with their provision of voice
and broadband services.
Budget PrePay, Inc. d/b/a Budget Phone and d/b/a Budget Mobile has deployed [resells
the services of underlying carriers that have deployed] sufficient power generators to ensure
functionality without an external power source, is able to reroute traffic around damaged
facilities, and is capable of managing traffic spikes resulting from emergency situations.
Budget PrePay Inc. has geographically located its switching infrastructure. All facilities
are equipped with both AC and DC battery backup as well as generators. All critical equipment
is also supplied with 2 separate power sources (or primary and redundant power feeds).
Budget PrePay maintains multiple paths to reach our network. This is setup by using multiple IP
transit providers for all IP connectivity and an N+1 configuration on all TDM connectivity.
Once the origination traffic reaches the Budget PrePay network all elements are setup with the
same N+1 configuration. The configuration allows each element a primary and redundant path
to terminate the traffic without service interruption. In the event the main element fails or that

1 47 C.F.R. § 54.202(a).
2 47 C.F.R. § 54.313(a)(6).
element reaches maximum capacity Budget has designed the network to advance the traffic to 1
of 3 other elements in the same N+1 configuration that is listed above.
The switching infrastructure will advance to the next termination carrier in route in the event of a
failure on any termination carrier’s route.
.

Budget PrePay, Inc.

Line 510 – Compliance with Service Quality Standards and
Consumer Protection

Budget PrePay, Inc. (“Budget”) hereby certifies that it has reviewed and complies with
applicable service quality and consumer protection practices, and that it is in compliance with all
applicable state requirements in connection with its provision of wireline (if applicable) and
wireless voice services. Among other things, Budget:
 Complies with the service standards promulgated by the State of Idaho.
 Discloses rates and terms of its voice services to customers.
 Provides current terms and conditions to customers and confirms changes in voice
service.
 Separately identifies carrier charges from taxes on billing statements and purchase
receipts.
 Provides ready access to customer service.
 Promptly responds to consumer inquiries and complaints received from federal
and state government agencies.

 Abides by CPNI rules and other rules for the protection of consumer privacy.
 Makes available maps showing the local calling area on point of sale materials
and website.
 Provides specific disclosures in advertising if applicable.
 Provides customers the right to terminate voice service