20150629Silver Star-Columbine Telephone Form 481.pdf

Sincerely,
Michelle Motzkus
SILVER
STAR
COMMUNICATIONS
June 29, 2015
VIA ELECTRONIC SUBMISSION
Jean Jewell, Commission Secretary
Idaho Public Utilities Commission
472 W. Washington
PO Box 83720
Boise, ID 83720-0074
Re: 2015 Eligible Telecommunications Carrier (ETC) Annual Report Filing; Docket No. GNR-T-15-01
Silver Star Telephone Company/Columbine Telephone Company (472295)
Dear Ms. Jewell:
Silver Star Telephone Company, Inc. and Columbine Telephone Company, Inc. ("Silver Star") hereby file
with the Commission the 2015 ETC Annual Report Filing(s), as follows:
A copy of the Silver Star Telephone Company, Inc.-472295 FCC Form 481 — Carrier Annual Reporting
Collection Form and a copy of the Columbine Telephone Company, Inc.-472295 FCC Form 481 — Carrier
Annual Reporting Collection Form, each form completed pursuant to 47 CFR §§ 54.313 and 54.422, as
applicable, redacted for public viewing to protect confidential and proprietary financial information, along
with the Officer Affidavit per Commission Order 29841.
The non-redacted, confidential information is submitted to the Commission separately via express delivery, pursuant
to Rule 67 of the Idaho Public Utilities Commission Rules of Procedure and Idaho Code § 9-340D(1).
Request is hereby made that the Commission notify the Federal Communications Commission and the
Universal Service Administration Company, prior to October 1, 2015, that Silver Star is eligible to receive federal high-
cost support for the year 2016.
Questions regarding this filing should be directed to my attention as shown below.
Legal & Regulatory Administrator
ph: 307-883-6690
email: [e-mail]
Enclosures
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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

<035>Contact Telephone Number:
<039>Contact Email Address:
54.313
Completion
Required
54.422
Completion
<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)
(complete attached worksheet)
(complete attached worksheet)
(check to indicate certification)
(attached descriptive document)
(attach descriptive document)

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

(complete attached worksheet)
(check to indicate certification)

(attach descriptive document)

(check box when complete)

Data Collection Form

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<010>
<015>
<020>
<030>
<035>
<039>
<110>Has your company received its ETC certification from the FCC?(yes / no )
<111>(yes / no )
report, on line <112> delineating the status of your company's existing §
<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
<113>Maps detailing progress towards meeting plan targets
<114>Report how much universal service (USF) support was received
<115>
<116>
<117>
<118>
(100) Service Quality Improvement Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013

Michelle Motzkus
Yes
2016
[e-mail]
Yes
Not Applicable
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
Yes
Yes
472295
472295id112.pdf
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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>
NORS
Reference
Number
Outage Start
Date
Outage Start
Time
Outage End
Date
Outage End
Time
Number of
Customers Affected Total Number of
911 Facilities Service Outage Affect Multiple
Service Outage Preventative

Michelle Motzkus
2016
[e-mail]
-- See attached
worksheet --
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
472295
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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>
State Exchange (ILEC)SAC (CETC)Rate Type
Residential Local
Service Rate

Total per line Rates and Fees
Mandatory Extended Area
Service ChargeState Universal Service FeeState Subscriber Line Charge

Michelle Motzkus
1/1/2015
2016
-- See attached worksheet
--
[e-mail]
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
472295
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(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>
Exchange (ILEC)Residential Rate
State Regulated
Broadband Service -
Download Speed Broadband Service -
Usage Allowance
Action Taken When
select}

Usage Allowance

/OMB Control No. 3060-0819

Michelle Motzkus
2016
[e-mail]
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
-- See attached
worksheet --
472295
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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>
<812>

<813>

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

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

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

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

Horizon Communications, Inc.
Michelle Motzkus
Silver Star Telephone Company, Inc.
2016
[e-mail]
Silver Star Telephone Co., Inc.
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
-- See attached worksheet --
472295
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(900) Tribal Lands Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986
July 2013
<921>
<922>
<923>
<924>
<925>
<926>
<927>
<928>
<929>

/OMB Control No. 3060-0819

Michelle Motzkus
2016
[e-mail]
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
472295
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(1100) No Terrestrial Backhaul Reporting
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>
Michelle Motzkus
2016
[e-mail]
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
472295
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(1200) Terms and Condition for Lifeline Customers
Lifeline OMB 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>
<1220>Link to Public Website HTTP
telephony service plans offered to Lifeline subscribers,
Details on the number of minutes provided as part of the plan,

Michelle Motzkus
2016
[e-mail]
472295id1210a.pdf
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
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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.

Michelle Motzkus
2016
[e-mail]
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
472295
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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)
§ 54.313(f)(1)(i)}
(3012)Community Anchor Institutions {47 CFR § 54.313(f)(1)(ii)}
Name of Attached Document Listing Required Information
(3017)
Name of Attached Document Listing Required Information
If the response is yes on line 3018, please check the boxes below to

If the response is no on line 3018, please check the boxes below
(3022)
(3023)
(3025)
(3015)
(3016)
(3019)
(3020)
(3021)
independent certified public accountant; or 2) a financial report in a
format comparable to RUS Operating Report for Telecommunications
Either a copy of their audited financial statement; or (2) a financial report

(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

472295id3012a.pdf
4
Michelle Motzkus
4
2016
[e-mail]
472295id3010a.pdf
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
4
472295id3017.pdf
472295
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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

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
Michelle Motzkus
2016
[e-mail]
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
472295
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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.

CERTIFIED ONLINE
07/01/2015
3078836675 ext.
Michelle Motzkus
Jefferson England
2016
06/26/2015
[e-mail]
SILVER STAR TELEPHONE CO., INC.
Chief Financial Officer
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
472295
472295
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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:
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.

Michelle Motzkus
2016
[e-mail]
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
472295
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SILVER STAR TELEPHONE COMPANY, INC.
dba Silver Star Communications (“Silver Star”)
Line 112 (54.313(a)(1) Compliance)
(FCC Form 481)

Page 1 of this section, consisting of the 2015 Progress Report Narrative is
redacted in its entirety.

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Silver Star’s Five-Year Service Quality Improvement Plan, 2015 Progress Report
(FCC Form 481 – Line 112)

Narrative Description, continued

p.2

Through April 30, 2015, USF disbursement to Silver Star (SAC 472295) totals $1,030,278. This
amount is a combination of High Cost Loop, Interstate Common Line Support and Connect
America Fund Intercarrier Compensation components.
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SILVER STAR TELEPHONE COMPANY, INC.
dba Silver Star Communications (“Silver Star”)
Line 112 (54.313(a)(1) Compliance)
(FCC Form 481)

Pages 3 and 4 of this section, consisting of the 2015 Progress Report and 2015-
2019 5-year Service Quality Improvement Plan are redacted in their entirety.

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SILVER STAR TELEPHONE COMPANY, INC.
dba Silver Star Communications (“Silver Star”)
Line 200 (54.313(a)(2) Compliance)
(FCC Form 481)

This section, consisting of one (1) page, is redacted in its entirety.

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Silver Star Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Service Quality Standards & Consumer Protection Rules
Statement of Compliance
(FCC Form 481 – Line 510)

Silver Star has established operating procedures designed to facilitate compliance with applicable
consumer protection rules; including rules regarding verification of orders for telecommunications
service as required of submitting carriers (i.e., Slamming) {Section 64.1100}, compliance with the FCC’s
Truth-in-Billing Requirements {64.2400}, compliance with the FCC’s customer proprietary network
information (CPNI) Requirements {64.2009}, and all other customer protection rules including employee
training and policy manual development as applicable.
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Silver Star Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Functionality in Emergency Situations
Statement of Compliance
(FCC Form 481 – Line 610)

Silver Star has established operating procedures designed to facilitate compliance with
applicable service quality standards, which may include customer remedies and
improvement plans. Specifically Silver Star complies with Section 236 of the Wyoming
Public Service Commission rules requiring it to furnish to its customers safe, adequate
and continuous service in accordance with accepted good practice, and to that end,
maintains its entire plant and system in such condition as to enable it to furnish such
service, and inspect its system and facilities in such manner and with such frequency as
may be necessary to obtain knowledge of their current condition and adequacy. Silver
Star is capable of functioning in emergency situations, by maintaining both battery and
generator back-up power, which ensure reasonable functionality of voice services
without an external power source. Additionally, Silver Star can reroute voice traffic
around damaged facilities and is capable of managing traffic spikes resulting from
emergency situations.

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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

Total per line Rates and Fees
Mandatory Extended Area
Service ChargeState Universal Service FeeState Subscriber Line Charge

Michelle Motzkus
1/1/2015
25.92
16.16
25.92
16.16
2016
[e-mail]
0.0
Wayan
Irwin
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Irwin
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SILVER STAR TELEPHONE CO., INC.
WY
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ID
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FR
3078836690 ext.
FR
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(710) Broadband Price Offerings 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>

<711>
State Exchange Residential State Regulated Broadband Service -
Download Speed
(Mbps)

Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Michelle Motzkus
ID
ID
ID
ID
2016
ID
ID
ID
[e-mail]
999999
999999
999999
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999999
999999
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Irwin/Wayan
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Irwin/Wayan
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Irwin/Wayan
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
59.99
44.99
199.99
54.99
74.99
84.99
114.99
6.0
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20.0
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59.99
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54.99
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84.99
472295
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<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(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>
<812>

/OMB Control No. 3060-0819

Horizon Communications, Inc.
Michelle Motzkus
Silver Star Telephone Company, Inc.
Silver Star Communications
Silver Star Communications
Silver Star Communications
2016
Silver Star Communications
Silver Star Communications
Silver Star Communications
[e-mail]
Silver Star Telephone Co., Inc.
SILVER STAR TELEPHONE CO., INC.
3078836690 ext.
Gold Star Communications, LLC
Silver Star Telephone Company, Inc.
Gold Star Communications, LLC
Millennium Networks, LLC
Columbine Telephone Company, Inc.
Silver Star Telephone Company, Inc.
472295
519001
512295
519005
472295
479011
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Silver Star Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Fixed Voice Services Rate Comparability
Statement of Compliance
(FCC Form 481 –Line 1010)
Silver Star’s monthly retail residential local service rates do not exceed $37.75.
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Silver Star Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Low-Income Telephone Assistance Program Terms & Conditions

Statement of Compliance
(FCC Form 481 – Line 1210)

Silver Star provides unlimited local calling for lifeline-eligible residential
customers, discounted by the federally authorized amount of $9.25, and
state telephone assistance discounts, where applicable. Silver Star’s
lifeline-discounted monthly telephone service provides access to
emergency, operator, interexchange, and directory assistance services.
The service does not include enhanced calling features such as voice
mail, caller ID, call forwarding, internet or long distance telephone
service. Toll Limitation service is provided at no charge for lifeline
customers, upon customer request and pursuant to FCC guidelines.

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Silver Star Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Community Anchor Institutions (CAIs)

Statement of Compliance
(FCC Form 481 – Line 3012)

To the best of Silver Star’s knowledge and information, all CAIs within its study area have access
to a high quality voice and broadband connection, since at least 2013. All CAI requests for
broadband services made in 2014 were fulfilled. Silver Star continually evaluates its network
capabilities and invests in and upgrades its facilities in order to make available high quality, high
speed broadband access throughout its service area.

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SILVER STAR TELEPHONE COMPANY, INC.
dba Silver Star Communications (“Silver Star”)
Line 3017 (54.313(f)(2) Compliance)
(FCC Form 481)

This section, consisting of three (3) pages, is redacted in its entirety.

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SUBSCRIBED AND SWORN to before me this P day of Ju 2015,_
Notary Public for Wyoming, resi•at Lincoln County
„3—/ 57- / 7
MICHELLE MOTZKUS Notary Public
State of Wyoming
County of Lincoln
My Commission Expires
March 15, 2017
My Commission expires
State of Wyoming CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
: SS. OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
County of Lincoln PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN
EMERGENCIES, AND USE OF FEDERAL HIGH-COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The Idaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Carriers
certify that it is compliant with applicable service quality standards and consumer protection rules; and ETCs
must demonstrate the ability to remain functional in emergencies. In addition, the Commission must file an
annual certification with the USAC and the FCC that all federal high-cost support provided to ETCs within the
State of Idaho will be used only for the provision, maintenance, and upgrading of facilities and services for
which the support is intended. Accordingly, the undersigned states and verifies under oath the following:
1. I am an officer of Silver Star Telephone Company, Inc. (dba Silver Star Communications) an eligible
telecommunications carrier for receiving federal universal service support under section 214(e) of the
Telecommunications Act of 1996 in the state of Idaho.
2. I am familiar with the Company's day-to-day operations in the state of Idaho and with the State's service
quality standards and consumer protection rules as set forth in Commission Order No. 29841.
3. Silver Star Telephone Company, Inc. is complying with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the Idaho Public Utilities Commission.
4. I certify to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841 and in 47 C.F.R. § 54.201(a)(2).
5. I also certify that all federal universal service support funds received by Silver Star Telephone Company, Inc.
during the current calendar year will be used in a manner consistent with section 254(e); that is, for the
provision, maintenance, and upgrading of facilities and services for which the support is intended. The
company will continue to comply for the period of January 1, 2016, through December 31, 2016, to be eligible
for federal universal service fund support.
6. This verification and affidavit is provided to be the Idaho Public Utilities Commission to enable the IPUC to
certify to the FCC that federal universal service support received by the eligible carriers in the state will be
used in a manner consistent with Section 254(e) of the Telecommunications Act.
Ron B. McCue
President and Chief Operations Officer
~?-/sue
Date
Page 1
Page 1
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

<035>Contact Telephone Number:
<039>Contact Email Address:
54.313
Completion
Required
54.422
Completion
<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)
(complete attached worksheet)
(complete attached worksheet)
(check to indicate certification)
(attached descriptive document)
(attach descriptive document)

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

(complete attached worksheet)
(check to indicate certification)

(attach descriptive document)

(check box when complete)

Data Collection Form

4
4
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472295id1010b.pdf
2016
4
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[e-mail]
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COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
Yes
4
3078836690 ext.
472295id510b.pdf
0.26
4
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472295id610b.pdf
0
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472295
4
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<010>
<015>
<020>
<030>
<035>
<039>
<110>Has your company received its ETC certification from the FCC?(yes / no )
<111>(yes / no )
report, on line <112> delineating the status of your company's existing §
<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
<113>Maps detailing progress towards meeting plan targets
<114>Report how much universal service (USF) support was received
<115>
<116>
<117>
<118>
(100) Service Quality Improvement Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2013

Michelle Motzkus
Yes
2016
[e-mail]
Yes
Not Applicable
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
Yes
Yes
472295
472295id112.pdf
Yes
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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>
NORS
Reference
Number
Outage Start
Date
Outage Start
Time
Outage End
Date
Outage End
Time
Number of
Customers Affected Total Number of
911 Facilities Service Outage Affect Multiple
Service Outage Preventative

Michelle Motzkus
2016
[e-mail]
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
472295
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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>
State Exchange (ILEC)SAC (CETC)Rate Type
Residential Local
Service Rate

Total per line Rates and Fees
Mandatory Extended Area
Service ChargeState Universal Service FeeState Subscriber Line Charge

Michelle Motzkus
1/1/2015
2016
-- See attached worksheet
--
[e-mail]
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
472295
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(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>
Exchange (ILEC)Residential Rate
State Regulated
Broadband Service -
Download Speed Broadband Service -
Usage Allowance
Action Taken When
select}

Usage Allowance

/OMB Control No. 3060-0819

Michelle Motzkus
2016
[e-mail]
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
-- See attached
worksheet --
472295
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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>
<812>

<813>

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

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

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

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

Horizon Communications, Inc.
Michelle Motzkus
Columbine Telephone Company, Inc.
2016
[e-mail]
Columbine Telephone Company, Inc.
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
-- See attached worksheet --
472295
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Page 7
(900) Tribal Lands Reporting FCC Form 481
Data Collection Form OMB Control No. 3060-0986
July 2013
<921>
<922>
<923>
<924>
<925>
<926>
<927>
<928>
<929>

/OMB Control No. 3060-0819

Michelle Motzkus
2016
[e-mail]
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
472295
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Page 8
(1100) No Terrestrial Backhaul Reporting
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>
Michelle Motzkus
2016
[e-mail]
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
472295
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Page 9
Page 9
(1200) Terms and Condition for Lifeline Customers
Lifeline OMB 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>
<1220>Link to Public Website HTTP
telephony service plans offered to Lifeline subscribers,
Details on the number of minutes provided as part of the plan,

Michelle Motzkus
2016
[e-mail]
472295id1210b.pdf
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
4
4
4
472295
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Page 10
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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.

Michelle Motzkus
2016
[e-mail]
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
472295
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Page 11
(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)
§ 54.313(f)(1)(i)}
(3012)Community Anchor Institutions {47 CFR § 54.313(f)(1)(ii)}
Name of Attached Document Listing Required Information
(3017)
Name of Attached Document Listing Required Information
If the response is yes on line 3018, please check the boxes below to

If the response is no on line 3018, please check the boxes below
(3022)
(3023)
(3025)
(3015)
(3016)
(3019)
(3020)
(3021)
independent certified public accountant; or 2) a financial report in a
format comparable to RUS Operating Report for Telecommunications
Either a copy of their audited financial statement; or (2) a financial report

(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

472295id3012b.pdf
4
4
4
Michelle Motzkus
2016
[e-mail]
472295id3010b.pdf
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
472295id3026.pdf
3078836690 ext.
4
472295
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Page 12
Page 12
(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

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
Michelle Motzkus
2016
[e-mail]
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
472295
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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.

CERTIFIED ONLINE
07/01/2015
3078836675 ext.
Michelle Motzkus
Jefferson England
2016
06/26/2015
[e-mail]
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
Chief Financial Officer
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
472295
472295
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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:
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.

Michelle Motzkus
2016
[e-mail]
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
472295
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CONFIDENTIAL INFORMATION – SUBJECT TO
PROTECTIVE ORDER IN WC DOCKET NOS. 10-90, 07-
135, 05-337, 03-109, CC DOCKET NOS. 01-92, 96-45, GN
DOCKET NO. 09-51, WT DOCKET NO. 10-208, BEFORE
THE FEDERAL COMMUNICATIONS COMMISSION and
PURSUANT TO 47 CFR §§ 0.457(d)

COLUMBINE TELEPHONE COMPANY, INC.
dba Silver Star Communications (“Silver Star”)
Line 112 (54.313(a)(1) Compliance)
(FCC Form 481)

Page 1 of this section, consisting of the 2015 Progress Report Narrative is
redacted in its entirety.

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Silver Star’s Five-Year Service Quality Improvement Plan, 2015 Progress Report
(FCC Form 481 – Line 112)

Narrative Description, continued

p.2

Through April 30, 2015, USF disbursement to Silver Star (SAC 472295) totals $1,030,278. This
amount is a combination of High Cost Loop, Interstate Common Line Support and Connect
America Fund Intercarrier Compensation components.

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COLUMBINE TELEPHONE COMPANY, INC.
dba Silver Star Communications (“Silver Star”)
Line 112 (54.313(a)(1) Compliance)
(FCC Form 481)

Pages 3 and 4 of this section, consisting of the 2015 Progress Report and 2015-
2019 5-year Service Quality Improvement Plan are redacted in their entirety.

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FELT
TETONIA
DRIGGS
ALTA
TETONIA
EXCH.
DRIGGS
EXCH.
LEIGH
CANYON
EXCH.
ALTA
EXCH.
VICTOR
EXCH.
¬«33
¬«32
¬«33
¬«31
¬«
IDAHO
WYOMING
IDAHO
WYOMING
T
48
N
T
47
N
T
46
N
T
45
N
T
44N
T
43
N
T
42
N
T
41
N
T40
N
R 118 W R 117 W
T
2
N
T
3
N
T
4
N
T
5
N
T
6
N
T
7
N
T
8
N
T
9
N
R 43 E R 44 E R 45 E
BONNEVILLE
TETON
FREMONT
TETON
FREMONT
TETON
MADISON
TETON
TETON
TETON
s
Legend
Exchange Boundary
State Boundary
County Boundary
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Columbine Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Service Quality Standards & Consumer Protection Rules
Statement of Compliance
(FCC Form 481 – Line 510)

Silver Star has established operating procedures designed to facilitate compliance with applicable
consumer protection rules; including rules regarding verification of orders for telecommunications
service as required of submitting carriers (i.e., Slamming) {Section 64.1100}, compliance with the FCC’s
Truth-in-Billing Requirements {64.2400}, compliance with the FCC’s customer proprietary network
information (CPNI) Requirements {64.2009}, and all other customer protection rules including employee
training and policy manual development as applicable.

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Columbine Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Functionality in Emergency Situations
Statement of Compliance
(FCC Form 481 – Line 610)

Silver Star has established operating procedures designed to facilitate compliance with
applicable service quality standards, which may include customer remedies and
improvement plans. Specifically Silver Star complies with Rule 500.01 of the Idaho Public
Utilities Commission rules requiring it to furnish to its customers safe, adequate and
continuous service in accordance with accepted good practice, and to that end,
maintains its entire plant and system in such condition as to enable it to furnish such
service, and inspect its system and facilities in such manner and with such frequency as
may be necessary to obtain knowledge of their current condition and adequacy. Silver
Star is capable of functioning in emergency situations, by maintaining both battery and
generator back-up power, which ensure reasonable functionality of voice services
without an external power source. Additionally, Silver Star can reroute voice traffic
around damaged facilities and is capable of managing traffic spikes resulting from
emergency situations.

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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

Total per line Rates and Fees
Mandatory Extended Area
Service ChargeState Universal Service FeeState Subscriber Line Charge

Michelle Motzkus
1/1/2015
24.26
16.13
16.16
31.5
2016
[e-mail]
0.0
Alta/Leigh Canyon
Alta/Leigh Canyon
Driggs/Tetonia/Victor
Driggs/Tetonia/Victor
0.0
0.0
0.0
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
WY
WY
ID
ID
MS
FR
MS
3078836690 ext.
FR
0.0
0.0
0.0
0.0
16.0
24.1
31.25
16.0
0.128
0.25
472295
0.16
0.16
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(710) Broadband Price Offerings 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>

<711>
State Exchange Residential State Regulated Broadband Service -
Download Speed
(Mbps)

Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Michelle Motzkus
399.99
399.99
199.99
114.99
114.99
199.99
100.0
100.0
10.0
10.0
5.0
5.0
ID
ID
WY
ID
WY
WY
ID
2016
WY
ID
WY
[e-mail]
999999
999999
999999
999999
999999
999999
999999
999999
999999
999999
Alta/Leigh
Canyon
Alta/Leigh
Canyon
Driggs/Tetonia/V
ictor
Alta/Leigh
Canyon
Driggs/Tetonia/V
ictor
Driggs/Tetonia/Vi
ctor
Alta/Leigh
Canyon
Driggs/Tetonia/V
ictor
Alta/Leigh Canyon
Driggs/Tetonia/Vi
ctor
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
Other, No limit on usage
100.0
50.0
1000.0
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
100.0
1000.0
50.0
3078836690 ext.
0.0
0.0
0.0
0.0
0.0
0.0
399.99
199.99
399.99
114.99
199.99
114.99
44.99
44.99
74.99
74.99
84.99
84.99
59.99
59.99
54.99
54.99
WY
ID
WY
ID
WY
ID
Alta/Leigh Canyon
Driggs/Tetonia/V
ictor
Alta/Leigh
Canyon
Driggs/Tetonia/V
ictor
Alta/Leigh
Canyon
Driggs/Tetonia/V
ictor
30.0
30.0
5.0
74.99
5.0
74.99
6.0
84.99
6.0
84.99
10.0
10.0
20.0
20.0
44.99
44.99
59.99
59.99
54.99
54.99
472295
1.0
1.0
3.0
3.0
1.0
1.0
1.0
1.0
5.0
5.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
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<813>

<a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(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>
<812>

/OMB Control No. 3060-0819

Horizon Communications, Inc.
Michelle Motzkus
Columbine Telephone Company, Inc.
Silver Star Communications
Silver Star Communications
Silver Star Communications
2016
Silver Star Communications
Silver Star Communications
Silver Star Communications
[e-mail]
Columbine Telephone Company, Inc.
COLUMBINE TELEPHONE CO., INC. DBA TETON TELECOM
3078836690 ext.
Silver Star Telephone Company, Inc.
Silver Star Telephone Company, Inc.
Millennium Networks, LLC
Gold Star Communications, LLC
Gold Star Communications, LLC
Silver Star Telephone Company, Inc.
472295
512295
472295
479011
519001
519005
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Columbine Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Fixed Voice Services Rate Comparability
Statement of Compliance
(FCC Form 481 – Line 1010)

Silver Star’s monthly retail residential local service rates do not exceed $37.75.
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Columbine Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Low-Income Telephone Assistance Program Terms & Conditions

Statement of Compliance
(FCC Form 481 – Line 1210)

Silver Star provides unlimited local calling for lifeline-eligible residential
customers, discounted by the federally authorized amount of $9.25, and
state telephone assistance discounts, where applicable. Silver Star’s
lifeline-discounted monthly telephone service provides access to
emergency, operator, interexchange, and directory assistance services.
The service does not include enhanced calling features such as voice
mail, caller ID, call forwarding, internet or long distance telephone
service. Toll Limitation service is provided at no charge for lifeline
customers, upon customer request and pursuant to FCC guidelines.

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Columbine Telephone Company, Inc.
dba Silver Star Communications (“Silver Star”)
Community Anchor Institutions (CAIs)

Statement of Compliance
(FCC Form 481 – Line 3012)

To the best of Silver Star’s knowledge and information, all CAIs within its study area have access
to a high quality voice and broadband connection, since at least 2013. All CAI requests for
broadband services made in 2014 were fulfilled. Silver Star continually evaluates its network
capabilities and invests in and upgrades its facilities in order to make available high quality, high
speed broadband access throughout its service area.

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COLUMBINE TELEPHONE COMPANY, INC.
dba Silver Star Communications (“Silver Star”)
Line 3026 (54.313(f)(2) Compliance)
(FCC Form 481)

This section, consisting of five (5) pages, is redacted in its entirety.

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otary Public for Wyoming, residhrgat Lincoln County
My Commission expires 7
MICHELLE MOTZKUS Notary Public
State of Wyoming
County of Lincoln
My Commission Expires
March 15, 2017
State of Wyoming CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
: 55. OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
County of Lincoln PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN
EMERGENCIES, AND USE OF FEDERAL HIGH-COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The Idaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Carriers
certify that it is compliant with applicable service quality standards and consumer protection rules; and ETCs
must demonstrate the ability to remain functional in emergencies. In addition, the Commission must file an
annual certification with the USAC and the FCC that all federal high-cost support provided to ETCs within the
State of Idaho will be used only for the provision, maintenance, and upgrading of facilities and services for
which the support is intended. Accordingly, the undersigned states and verifies under oath the following:
1. I am an officer of Columbine Telephone Company, Inc. (dba Silver Star Communications) an eligible
telecommunications carrier for receiving federal universal service support under section 214(e) of the
Telecommunications Act of 1996 in the state of Idaho.
2. I am familiar with the Company's day-to-day operations in the state of Idaho and with the State's service
quality standards and consumer protection rules as set forth in Commission Order No. 29841.
3. Columbine Telephone Company, Inc. is complying with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the Idaho Public Utilities Commission.
4. I certify to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841 and in 47 C.F.R. § 54.201(a)(2).
5. I also certify that all federal universal service support funds received by Columbine Telephone Company, Inc.
during the current calendar year will be used in a manner consistent with section 254(e); that is, for the
provision, maintenance, and upgrading of facilities and services for which the support is intended. The
company will continue to comply for the period of January 1, 2016, through December 31, 2016, to be eligible
for federal universal service fund support.
6. This verification and affidavit is provided to be the Idaho Public Utilities Commission to enable the IPUC to
certify to the FCC that federal universal service support received by the eligible carriers in the state will be
used in a manner consistent with Section 254(e) of the Telecommunications Act.
R6n B. McCue
President and Chief Operations Officer
tr-
Date
SUBSCRIBED AND SWORN to before me thisC%9 da ne, 2015.,