20150701Inland Telephone Company Form 481.pdf

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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 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
4
4
James K. Brooks
4
4
4
150630 472423 VOICE SERVICES RATE COMPARABILITY
CERTIFICATION.pdf
2016
4
4
0.0
[e-mail]
4
4
4
4
0.0
4
4 4
4
4
4
INLAND TEL-ID
Yes
4
5096492211 ext.
150630 AFFIDAVIT OF OFFICER CONTAINING CERTIFICATIONS.pdf,
150222 802299 ITC CPNI CERT AND OP PROC.pdf
0.0
4
4
4
4
150629 472423 EMERGENCIES CERTIFICATION.pdf
0
4
0
4
4
4
4
0.0
472423
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>
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

James K. Brooks
Yes
2016
[e-mail]
Yes
Not Applicable
INLAND TEL-ID
5096492211 ext.
Yes
No
472423
150629 472423 5 YR FORECAST.pdf
No
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Page 3
(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

James K. Brooks
2016
[e-mail]
INLAND TEL-ID
5096492211 ext.
472423
Page 4
Page 4
(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

James K. Brooks
1/1/2015
2016
-- See attached worksheet
--
[e-mail]
INLAND TEL-ID
5096492211 ext.
472423
Page 5
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

James K. Brooks
2016
[e-mail]
INLAND TEL-ID
5096492211 ext.
-- See attached
worksheet --
472423
Page 6
Page 6
(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

Western Elite Incorporated Services
James K. Brooks
Inland Telephone Company
2016
[e-mail]
Inland Telephone Company
INLAND TEL-ID
5096492211 ext.
-- See attached worksheet --
472423
Page 7
Page 7
(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

James K. Brooks
150630 472423 TRIBAL ENGAGEMENT STATEMENT.pdf
Yes
2016
[e-mail]
Yes
Yes
Not Applicable
Yes
Lenore exchange - Nez Perce Tribe
Not Applicable
INLAND TEL-ID
Not Applicable
Yes
5096492211 ext.
Not Applicable
472423
Page 8
Page 8
(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>
James K. Brooks
2016
[e-mail]
INLAND TEL-ID
5096492211 ext.
472423
Page 9
Page 9
(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,

inlandnet.com
James K. Brooks
2016
[e-mail]
140929 APPLICATION - LIFELINE CERT.pdf, 150127 472423 FCC-Form-555.pdf
INLAND TEL-ID
5096492211 ext.
4
4
4
472423
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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.

James K. Brooks
2016
[e-mail]
INLAND TEL-ID
5096492211 ext.
472423
Page 11
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)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.

4
James K. Brooks
4
2016
[e-mail]
INLAND TEL-ID
5096492211 ext.
150623 2014 INLAND RUS OP REPORT FORM 479.pdf
472423
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
<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
27004739
James K. Brooks
2016
[e-mail]
5052182
119126
INLAND TEL-ID
6206194
15004348
5096492211 ext.
4968903
6440072
472423
0
Page 13
Page 13
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
5096492211 ext.
James K. Brooks
James Brooks
2016
06/30/2015
[e-mail]
INLAND TEL-ID
Treasurer/Controller
INLAND TEL-ID
5096492211 ext.
472423
472423
Page 14
Page 14
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.

James K. Brooks
2016
[e-mail]
ext.
ext.
INLAND TEL-ID
5096492211 ext.
472423
Attachments
(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

James K. Brooks
1/1/2015
25.92
16.16
16.16
25.92
2016
[e-mail]
0.0
LENORE
LENORE
LEON
LEON
0.0
0.0
0.0
INLAND TEL-ID
ID
ID
ID
ID
MS
FR
MS
5096492211 ext.
FR
0.0
0.0
0.0
0.0
16.0
25.76
25.76
16.0
0.16
0.16
472423
0.16
0.16
(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><a1><a2><b1><b2><c><d1><d2><d3><d4>
State Exchange (ILEC)Residential
Rate
State Regulated
Fees
Broadband Service -
Download Speed
(Mbps)

Other, Warning call
Other, Warning call
Other, Warning call
Other, Warning call
James K. Brooks
ID
ID
ID
2016
ID
[e-mail]
500.0
500.0
500.0
500.0
LENORE
LEON
LEON
LEON
INLAND TEL-ID
5096492211 ext.
59.95
49.95
80.95
49.95
6.0
4.0
4.0
10.0
59.95
49.95
49.95
80.95
472423
1.0
1.0
1.0
1.00.0
0.0
0.0
0.0
<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>Holding Company
<812>Operating Company

/OMB Control No. 3060-0819

Western Elite Incorporated Services
James K. Brooks
Inland Telephone Company
Inland Cellular
2016
Inland Cellular
Inland Telephone Company dba Inland Networks
Inland Cellular
[e-mail]
Inland Telephone Company
INLAND TEL-ID
5096492211 ext.
Inland Cellular LLC
Inland Cellular LLC
Inland Cellular LLC
Inland Telephone Company
472423
479007
522423
529004
529003
National School Lunch Program's free lunch program
National School Lunch Program's free lunch program
  Aged, Blind, or Disabled (ABD) Cash Assistance
  Refugee Assistance
  Community Options Program Entry System (COPES)
  Pregnant Women Assistance (PWA)  Supplemental Nutrition Assistance Program (SNAP)(Food 
Stamps)
  Temporary Assistance for Needy Families (TANF)
  Supplemental Security Income (SSI)
103 S. 2ND Street
P.O. Box 171
Roslyn, WA 98941
Fax [phone]
CERTIFICATION BY CUSTOMER IN ORDER TO RECEIVE FEDERAL LIFELINE SUPPORT
I certify that I am qualified through the:
Washington Department of Social and Health Services (DSHS) ‐ Case #
Community Action Partnership Association of Idaho (CAPAI) (Inland must receive email confirmation from CAPAI)
(Must have a current Washington DSHS Case # and participate in at least one of the programs below)
It is understood that by participating in the Lifeline program, the support that I receive is not actual payment to me but a discount on my monthly 
billed service.  Participating in Lifeline does not protect me from collection procedures if I do not pay my phone bill.  I fully understand that this 
discount, as well as the criteria for participation in the Lifeline Program, may change and I may no longer qualify, or the amount of support may 
increase or decrease.
SUBSCRIBER CERTIFICATION
Federal Public Housing Assistance (FPHA) or 
Section 8
Supplemental Nutrition Assistance Program 
(SNAP)(Food Stamps)
Low Income Home Energy Assistance Program 
(LIHEAP)
Bureau of Indian Affairs General Assistance
Medicaid Income Eligibility (See Income Eligibility)
Tribal Administered Temporary Assistance for Needy Families 
(TTANF)
  State Family Assistance (SFA)
  Medicaid (Medical Assistance)
  Chore Services
I certify that I qualify for Lifeline Support and am currently participating in one or more of the programs listed that I have checked below and am 
providing a copy of my benefit or program participation card or award letter.
I certify that I qualify for tribal Lifeline Support, as I reside on land that meets the Bureau of Indian Affairs definition of "reservation" (any federally 
recognized Indian tribe's reservation, Pueblo, or Colony including former reservations in Oklahoma, Alaska Native regions, and Indian Allotments) 
AND participate in one or more of the programs listed that I have checked below and am providing a copy of my benefit or program participation 
card or award letter.
Supplemental Nutrition Assistance Program 
(SNAP)(Food Stamps)
Federal Public Housing Assistance (FPHA) or 
Section 8
TRIBAL LIFELINE ELIGIBILITY
FEDERAL ELIGIBILITY
Low Income Home Energy Assistance Program 
(LIHEAP)
INCOME ELIGIBILITY
I certify that my household income is at or below 135% of the federal poverty guidelines and therefore I qualify for Lifeline Support 
under the federal income requirements and have provided proof of my qualifications.
Medicaid
Temporary Assistance for Needy Families (TANF)
Supplemental Security Income (SSI)
Tribal Identification Number
INLAND TELEPHONE COMPAN
STATE ELIGIBILITY (Subscriber signature not required)
[phone]; [phone]
Head Start (Income eligible) Supplemental Security Income (SSI)
Food Distribution Program on Indian Reservations
Temporary Assistance for Needy Families (TANF)
Filename: 140929 APPLICATION ‐ BY EXCHANGE.xlsx LIFELINE CERTIFICATION Page 1 of 3
DATE
XXX‐XX‐
Inland Telephone Company service ‐ Customers serving Exchang
I certify that the information provided on this form is true and correct to the best of my knowledge under penalty of perjury and if I have provded 
any misleading statements in order to receive support, I will be liable for any support received, my service may be discontinued, it may result in de‐
enrollment and my being barred from the program and I would be subject to state and federal fines and imprisonment.
As the Certifying Subscriber, I certify that, (i) the service is for me and not a member of the household; (ii) I am not listed as a dependent on 
someone else’s tax return; and, (iii) the service address is my primary residence.  I further certify that the service that I receive from Inland 
Telephone Company is my main line of service and neither I nor anyone in my household receives Lifeline Support for any other 
telecommunications service.  Further, I understand that Lifeline is a federal benefit program that provides a monthly discount on either home or 
mobile telephone service and ONLY ONE Lifeline discount is allowed per household.  Members of a household are not permitted to receive Lifeline 
Support from multiple telecommunications companies.  I understand that violation of the one‐per‐household requirement will result in de‐
enrollment from the program and possible fines and imprisonment.  As the Certifying Subscriber claiming income eligibility, I certify that the 
documentation I have provided accurately represents: (i) my household income and the number of persons in my household; or, (ii) proof of 
participation in an eligible program.
I fully understand that the Lifeline Program is administered by the Universal Service Administration Company (USAC) under the guidance and 
authority of the Federal Communications Commission (FCC)and that all of the information that I have supplied pertaining to my eligibility will be 
shared with USAC and the FCC and I give my consent to do so.
I certify that I will notify Inland Telephone Company within 30 days,(i) if for any reason I should no longer participate in any of the eligible programs or qualify 
by income, and or (ii) if I move from the address provided on this form.  If my address listed above is temporary, I certify that I will verify my address to Inland 
Telephone Company every 90 days.  I understand that if I fail to respond to an attempt to verify my address within 30 days, my Lifeline support may be 
terminated.  I understand that if I fail to give notice as required, I am subject to penalties, including de‐enrollment, being barred from the program and fines 
and imprisonment.
BILLING ADDRESS
TELEPHONE NUMBER NUMBER OF PERSONS IN FAMILY OR HOUSEHOLD
Further, I fully understand that in order to continue to receive this support, I must annually, or more often, certify my eligibility and provide proof of eligibility.  
I understand that my failure to timely re‐certify will result in de‐enrollment and termination of my Lifeline benefits.
I understand that Lifeline Support is not transferrable and that I may not transfer my service to any individual, including another eligible Lifeline Support 
recipient.  I further understand that if my service goes unused for 60 days, my service will be suspended subject to a 30 day period in which I may use the 
service or contact Inland Telephone Company to confirm that I want to continue receiving the service.
UNIONTOWN, WA
LENORE, ID
LEON, ID
SIGNATURE OF CUSTOMER SERVICE REPRESENTATIVE
PRINTED NAME OF CUSTOMER SERVICE REPRESENTATIVE
Inland Telephone Company will keep the information contained in this form confidential, except as required by federal or state law. ALL INFORMATION 
COMPLETED ON THIS FORM IS SUBJECT TO STATE AND FEDERAL PERJURY PENALTIES.
See Federal Poverty Guideline for a list of acceptable documentation for income eligibility.
DEWATTO, WA
PRESCOTT, WA
ROSLYN, WA
SIGNATURE OF APPLICANT
APPLICANT (PRINTED)
////////// BELOW ‐ FOR OFFICIAL USE ONLY \\\\\\\\\\
SOCIAL SECURITY NUMBER DATE OF BIRTH
SERVICE ADDRESS
Filename: 140929 APPLICATION ‐ BY EXCHANGE.xlsx LIFELINE CERTIFICATION Page 2 of 3
1)
YES NO
>
>If you checked NO, please answer question #2.
2)
A.YES NO
B.YES NO
C.YES NO
D.YES NO
E.Other YES NO
>
>
3)
YES NO
>
>
Please initial the certification below and sign and date this worksheet which must accompany your Lifeline application.
A.
B.
DATE
[phone]; [phone]
Fax [phone]
LIFELINE HOUSEHOLD WORKSHEET
If you checked YES, you may not sign up for Lifeline because someone in your household already receives Lifeline.  Only ONE Lifeline discount is 
allowed per household.
Other than a spouse or partner, do other adults (people over the age of 18 or emancipated minors) live with you at your address?
Another adult relative (such as a sibling, aunt, 
cousin, grandparent, grandchild, etc..)
An adult roommate
An adult son or daughter
A parent
Your household is everyone who lives together at your address as one economic unit (including children and people who are not related to you).
The adults you live with are part of your economic unit if they contribute to and share in the income and expenses of the household.  An adult is 
any person 18 years of age or older, or an emancipated minor (a person under age 18 who is legally considered to be an adult).  Household 
expenses include food, health care expenses (such as medical bills) and the cost of renting or paying a mortgage on your place of residence (a 
house or apartment, for example) and utilities (including water, heat and electricity).   Income includes salary, public assistance benefits, social 
security payments, pensions, unemployment compensation, veteran’s benefits, inheritances, alimony, child support payments, worker’s 
compensation benefits, gifts, and lottery winning
Spouses and domestic partners are considered to be part of the same household.  Children under the age of 18 living with their parents or 
guardians are considered to be part of the same household as their parents or guardians.  If an adult has no income, or minimal income, and lives 
with someone who provides financial support to that adult, both people are considered part of the same household.
You have been asked to complete this Worksheet because someone else currently receives a Lifeline‐supported service at your address.  This 
other person may or may not be a part of your household.  Answer the questions below to determine whether there is more than one 
household residing at your address.
Does your spouse or domestic partner (that is, someone you are married to or in a relationship with) already receive a Lifeline‐discounted 
phone? (check NO if you do not have a s ouse or partner
CERTIFICATION
I certify that I live at an address occupied by multiple households.
I understand that violation of the one‐per‐household requirement is against the Federal Communications Commission's rules and may 
result in me losing my Lifeline benefits, and potentially, prosecution by the United States Government.
SIGNATURE
If you checked NO for each statement above, you do not need to answer the remaining questions.  Please initial line B, below, and sign and date the 
worksheet.
If you checked YES, please answer question #3.
Do you share living expenses (bills, food, etc.) and share income (either your income, the other person’s income or both incomes 
together) with at least one of the adults listed above in question #2?
If you checked NO, then your address includes more than one household.  Please initial lines A and B below, and sign and date the worksheet.
If you checked YES, then your address includes only one household.  You may not sign up for Lifeline because someone in your household already 
receives Lifeline.
INLAND TELEPHONE COMPAN
Filename: 140929 APPLICATION ‐ BY EXCHANGE.xlsx LIFELINE CERTIFICATION Page 3 of 3
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid
OMB control number for this information collection is 0572-0031. The time required to complete this information collection is estimated to average 4 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
USDA-RUS This data will be used by RUS to review your financial situation. Your response is required by 7 U.S.C. 901 et seq.
and, subject to federal laws and regulations regarding confidential information, will be treated as confidential.
BORROWER NAME
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
INSTRUCTIONS-Submit report to RUS within 30 days after close of the period.PERIOD ENDING BORROWER DESIGNATION
For detailed instructions, see RUS Bulletin 1744-2. Report in whole dollars only.
CERTIFICATION
We hereby certify that the entries in this report are in accordance with the accounts and other records of the system and reflect the status of the system
to the best of our knowledge and belief.
ALL INSURANCE REQUIRED BY 7 CFR PART 1788, CHAPTER XVII, RUS, WAS IN FORCE DURING THE REPORTING PERIOD AND
RENEWALS HAVE BEEN OBTAINED FOR ALL POLICIES.
DURING THE PERIOD COVERED BY THIS REPORT PURSUANT TO PART 1788 OF 7CFR CHAPTER XVII
(Check one of the following)
All of the obligations under the RUS loan documents There has been a default in the fulfillment of the obligations have been fulfilled in all material respects. under the RUS loan documents. Said default(s) is/are
specifically described in the Telecom Operating Report
DATE
PART A. BALANCE SHEET
BALANCE BALANCE BALANCE BALANCE
ASSETS PRIOR YEAR END OF PERIOD LIABILITIES AND STOCKHOLDERS' EQUITY PRIOR YEAR END OF PERIOD
CURRENT ASSETS CURRENT LIABILITIES
1.Cash and Equivalents 25.Accounts Payable
2.Cash-RUS Construction Fund 26.Notes Payable
3.Affiliates:27.Advance Billings and Payments
a. Telecom, Accounts Receivable 28.Customer Deposits
b. Other Accounts Receivable 29.Current Mat. L/T Debt
c. Notes Receivable 30.Current Mat. L/T Debt-Rur. Dev.
4.Non-Affiliates:31.Current Mat.-Capital Leases
a. Telecom, Accounts Receivable 32.Income Taxes Accrued
b. Other Accounts Receivable 33.Other Taxes Accrued
c. Notes Receivable 34.Other Current Liabilities
5.Interest and Dividends Receivable 35.Total Current Liabilities (25 thru 34)
6.Material-Regulated LONG-TERM DEBT
7.Material-Nonregulated 36.Funded Debt-RUS Notes
8.Prepayments 37.Funded Debt-RTB Notes
9.Other Current Assets 38.Funded Debt-FFB Notes
10.Total Current Assets (1 Thru 9)39.Funded Debt-Other
NONCURRENT ASSETS 40.Funded Debt-Rural Develop. Loan
11.Investment in Affiliated Companies 41.Premium (Discount) on L/T Debt
a. Rural Development 42.Reacquired Debt
b. Nonrural Development 43.Obligations Under Capital Lease
12.Other Investments 44.Adv. From Affiliated Companies
a. Rural Development 45.Other Long-Term Debt
b. Nonrural Development 46.Total Long-Term Debt (36 thru 45)
13.Nonregulated Investments OTHER LIAB. & DEF. CREDITS
14.Other Noncurrent Assets 47.Other Long-Term Liabilities
15.Deferred Charges 48.Other Deferred Credits
16.Jurisdictional Differences 49.Other Jurisdictional Differences
17.Total Noncurrent Assets (11 thru 16)50.Total Other Liabilities and Deferred Credits (47 thru 49)
PLANT, PROPERTY, AND EQUIPMENT EQUITY
18.Telecom, Plant-in-Service 51.Cap. Stock Outstand. & Subscribed
19.Property Held for Future Use 52.Additional Paid-in-Capital
20.Plant Under Construction 53.Treasury Stock
21.Plant Adj., Nonop. Plant & Goodwill 54.Membership and Cap. Certificates
22.Less Accumulated Depreciation 55.Other Capital
23.Net Plant (18 thru 21 less 22)56.Patronage Capital Credits
24.TOTAL ASSETS (10+17+23)57.Retained Earnings or Margins
58.Total Equity (51 thru 57)
59.TOTAL LIABILITIES AND EQUITY (35+46+50+58)
Total Equity = % of Total Assets Page 1 of 6
0
578,942
12,273,217
0
60,011
2,063,377
1,779,140
190,106
0
0
578,942
(2,655)
0
6,105,869
7,175
0
0
Gregory Maras
2,816,944
0
15,004,348
872,782
0
2,292,893
528,126
0
0
0
0
0
0
38,205
0
2,329
0
27,004,739
11,451,149
1,012,178
1,606,179
0
0
0
6,088,399
0
0
6,229,991
0
41.36%
0
0
231,678
98,938
448,400
0
3/31/2015
0
2,544,789
0
815,571
0
0
20
1,134,728
0
0
2,578,522
6,440,072
0
142,940
22,848,876
8,486,932
0
1,821,312
0
0
0
538,193
0
636,441
93,150
WA0534
0
75,774
84,486
114,840
395,813
298,416
42,366
528,126
0
0
0
7,175
0
201,491
0
0
0
45,278
0
93,150
3,111,903
5,988,074
December, 2014
2,539
(Prepared with Audited Data)
1,722,908
0
0
6,206,194
X
Inland Telephone Company
2,541,021
17,846,483
15,004,348
16,940,466
250
0
241,005
733,101
389,000
0
0
12,273,217
51,709
250
65,936
269,547
356,671
(3,363)
0 0
0
168,166
0
BORROWER DESIGNATION
PERIOD ENDING
INSTRUCTIONS- See RUS Bulletin 1744-2
PRIOR YEAR THIS YEAR
1. Local Network Services Revenues
2. Network Access Services Revenues
3. Long Distance Network Services Revenues
4. Carrier Billing and Collection Revenues
5. Miscellaneous Revenues
6. Uncollectible Revenues
7. Net Operating Revenues (1 thru 5 less 6)
8. Plant Specific Operations Expense
9. Plant Nonspecific Operations Expense (Excluding Depreciation & Amortization)
10. Depreciation Expense
11. Amortization Expense
12. Customer Operations Expense
13. Corporate Operations Expense
14. Total Operating Expenses (8 thru 13)
15. Operating Income or Margins (7 less 14)
16. Other Operating Income and Expenses
17. State and Local Taxes
18. Federal Income Taxes
19. Other Taxes
20. Total Operating Taxes (17+18+19)
21. Net Operating Income or Margins (15+16-20)
22. Interest on Funded Debt
23. Interest Expense - Capital Leases
24. Other Interest Expense
25. Allowance for Funds Used During Construction
26. Total Fixed Charges (22+23+24-25)
27. Nonoperating Net Income
28. Extraordinary Items
29. Jurisdictional Differences
30. Nonregulated Net Income
31. Total Net Income or Margins (21+27+28+29+30-26)
32. Total Taxes Based on Income
33. Retained Earnings or Margins Beginning-of-Year
34. Miscellaneous Credits Year-to-Date
35. Dividends Declared (Common)
36. Dividends Declared (Preferred)
37. Other Debits Year-to-Date
38. Transfers to Patronage Capital
39. Retained Earnings or Margins End-of-Period [(31+33+34) - (35+36+37+38)]
40. Patronage Capital Beginning-of-Year
41. Transfers to Patronage Capital
42. Patronage Capital Credits Retired
43. Patronage Capital End-of-Year (40+41-42)
44. Annual Debt Service Payments
45. Cash Ratio [(14+20-10-11) / 7]
46. Operating Accrual Ratio [(14+20+26) / 7]
47. TIER [(31+26) / 26]
48. DSCR [(31+26+10+11) / 44]
Page 2 of 6
ITEM
USDA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
PART B. STATEMENTS OF INCOME AND RETAINED EARNINGS OR MARGINS
6,286,883
0
1,011,766
(167,547)
2,001,657
December, 2014
1.4221
780,069
119,126
182
7,139
1,331
144,819
0
75,452
(14,982)
549,599
126,725
4,983,175
10,098
5,052,182
0
(165,487)
396,535
0
-2.1929
643,649
6,105,869
348,954
0
(3,308)
0
(302,403)
0
3,594
5,988,074
19,260
0
(103,081)
124,460
(189,401)
94,712
182
1.0570
6,272
WA0534
(1,216)
55,958
4,179,688
(788)
675,461
4,213,114
668,600
595,029
139,873
4,968,903
51,445
52,563
951,200
(120,071)
1,762,438
0
2.4712
5,213,398
0
333,319
1.0458
5,988,074
00
0
19,802
30,457
1,346,798
(83,279)
0
70,664
0
(2,287)
(230,223)
(40,822)
0
1,316,875
0.74970.7737
1.9571
USDA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
INSTRUCTIONS - See RUS Bulletin 1744-2
BORROWER DESIGNATION
WA0534
PERIOD ENDED
December, 2014
Part C. SUBSCRIBER (ACCESS LINE), ROUTE MILE, & HIGH SPEED DATA INFORMATION
1. RATES 2. SUBSCRIBERS (ACCESS LINES)3. ROUTE MILES
EXCHANGE B-1
(a)
R-1
(b)
BUSINESS
(a)
RESIDENTIAL
(b)
TOTAL
(c)
TOTAL
(including fiber)
(a)
FIBER
(b)
DEWATTO 27.00 22.00 19 293 312 144.03 40.07
PRESCOTT 26.50 16.50 41 115 156 198.31 43.37
ROSLYN 24.00 14.00 187 1,014 1,201 157.54 34.06
LEON 40.68 25.76 1 24 25 20.37 13.14
LENORE 40.68 25.76 24 234 258 178.24 12.00
UNIONTOWN 25.00 15.00 213 297 510 258.81 64.17
MobileWireless 0
Route Mileage
Outside Exchange
Area
18.07 18.07
Total 485 1,977 2,462 975.37 224.88
No. Exchanges 6
USDA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
INSTRUCTIONS - See RUS Bulletin 1744-2
BORROWER DESIGNATION
WA0534
PERIOD ENDED
December, 2014
Part C. SUBSCRIBER (ACCESS LINE), ROUTE MILE, & HIGH SPEED DATA INFORMATION
4. BROADBAND SERVICE
Details on Least Expensive Broadband Service
EXCHANGE No. Access Lines
with BB
available
(a)
No Of Broadband
Subscribers
(b)
Number Of
Subscribers
(c)
Advertised
Download Rate
(Kbps)
(d)
Advertised
Upload
Rate (Kbps)
(e)
Price Per Month
(f)
Standalone/Pckg
(f)
Type Of
Technology
(g)
DEWATTO 312 226 74 768 512 39.95 Package DSL
PRESCOTT 156 57 29 768 512 39.95 Package DSL
ROSLYN 1,201 885 749 6,000 1,500 49.95 Package DSL
LEON 25 17 13 6,000 1,500 49.95 Package DSL
LENORE 258 133 115 768 512 39.95 Package DSL
UNIONTOWN 510 245 190 6,000 1,500 49.95 Package DSL
Total 2,462 1,563
USDA-RUS BORROWER DESIGNATION
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS PERIOD ENDING
INSTRUCTIONS- See RUS Bulletin 1744-2
PART D. SYSTEM DATA
1. No. Plant Employees 2. No. Other Employees 3. Square Miles Served 4. Access Lines per Square Mile 5. Subscribers per Route Mile
PART E. TOLL DATA
1. Study Area ID Code(s)2. Types of Toll Settlements (Check one)
a.Interstate: Average Schedule Cost Basis
b.
c.Intrastate: Average Schedule Cost Basis
d.
e.
f.
g.
h.
i.
j.
PART F. FUNDS INVESTED IN PLANT DURING YEAR
1. RUS, RTB, & FFB Loan Funds Expended
2. Other Long-Term Loan Funds Expended
3. Funds Expended Under RUS Interim Approval
4. Other Short-Term Loan Funds Expended
5. General Funds Expended (Other than Interim)
6. Salvaged Materials
7. Contribution in Aid to Construction
8. Gross Additions to Telecom. Plant (1 thru 7)
PART G. INVESTMENTS IN AFFILIATED COMPANIES
CURRENT YEAR DATA CUMULATIVE DATA
Cumulative Cumulative
INVESTMENTS Investment Income/Loss Investment Income/Loss Current
This Year This Year To Date To Date Balance
(a)(b)(c)(d)(e)(f)
1. Investment in Affiliated Companies - Rural Development
2. Investment in Affiliated Companies - Nonrural Development
Page 5 of 6
839,292
472423
522423
5.32 2.523146317
X
3,887,106
733,101
December, 2014
4,726,398
X
733,101681,392
WA0534
USDA-RUS BORROWER DESIGNATION
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS PERIOD ENDING
PART H. CURRENT DEPRECIATION RATES
Are corporation's depreciation rates approved by the regulatory authority with jurisdiction over the provision of telephone services? (Check one) YES NO
EQUIPMENT CATEGORY DEPRECIATION RATE
1. Land and support assets - Motor Vehicles
2. Land and support assets - Aircraft
3. Land and support assets - Special purpose vehicles
4. Land and support assets - Garage and other work equipment
5. Land and support assets - Buildings
6. Land and support assets - Furniture and Office equipment
7. Land and support assets - General purpose computers
8. Central Office Switching - Digital
9. Central Office Switching - Analog & Electro-mechanical
10. Central Office Switching - Operator Systems
11. Central Office Transmission - Radio Systems
12. Central Office Transmission - Circuit equipment
13. Information origination/termination - Station apparatus
14. Information origination/termination - Customer premises wiring
15. Information origination/termination - Large private branch exchanges
16. Information origination/termination - Public telephone terminal equipment
17. Information origination/termination - Other terminal equipment
18. Cable and wire facilities - Poles
19. Cable and wire facilities - Aerial cable - Metal
20. Cable and wire facilities - Aerial cable - Fiber
21. Cable and wire facilities - Underground cable - Metal
22. Cable and wire facilities - Underground cable - Fiber
23. Cable and wire facilities - Buried cable - Metal
24. Cable and wire facilities - Buried cable - Fiber
25. Cable and wire facilities - Conduit systems
26. Cable and wire facilities - Other
Page 6 of 6
5.00%
9.00%
WA0534
16.00%
4.00%
16.00%
7.59%
5.00%
13.00%
11.19%
42.06%
6.00%
December, 2014
X
15.00%
25.00%
USDA-RUS

OPERATING REPORT FOR TELECOMMUNICATIONS BORROWERS
BORROWER DESIGNATION
PERIOD ENDED
INSTRUCTIONS – See help in the online application.
PART I – STATEMENT OF CASH FLOWS
1. Beginning Cash (Cash and Equivalents plus RUS Construction Fund)
CASH FLOWS FROM OPERATING ACTIVITIES
2. Net Income
Adjustments to Reconcile Net Income to Net Cash Provided by Operating Activities
3. Add: Depreciation
4. Add: Amortization
5. Other (Explain)

Changes in Operating Assets and Liabilities
6. Decrease/(Increase) in Accounts Receivable
7. Decrease/(Increase) in Materials and Inventory
8. Decrease/(Increase) in Prepayments and Deferred Charges
9. Decrease/(Increase) in Other Current Assets
10. Increase/(Decrease) in Accounts Payable
11. Increase/(Decrease) in Advance Billings & Payments
12. Increase/(Decrease) in Other Current Liabilities
13. Net Cash Provided/(Used) by Operations
CASH FLOWS FROM FINANCING ACTIVITIES
14. Decrease/(Increase) in Notes Receivable
15. Increase/(Decrease) in Notes Payable
16. Increase/(Decrease) in Customer Deposits
17. Net Increase/(Decrease) in Long Term Debt (Including Current Maturities)
18. Increase/(Decrease) in Other Liabilities & Deferred Credits
19. Increase/(Decrease) in Capital Stock, Paid-in Capital, Membership and Capital Certificates & Other Capital
20. Less: Payment of Dividends
21. Less: Patronage Capital Credits Retired
22. Other (Explain)

23. Net Cash Provided/(Used) by Financing Activities
CASH FLOWS FROM INVESTING ACTIVITIES
24. Net Capital Expenditures (Property, Plant & Equipment)
25. Other Long-Term Investments
26. Other Noncurrent Assets & Jurisdictional Differences
27. Other (Explain)

28. Net Cash Provided/(Used) by Investing Activities
29. Net Increase/(Decrease) in Cash
30. Ending Cash
Revision Date 2010

(3,870,234)
0
3,387,359
Retire/Trans in Net Plant-($442,980), Op Cashflow L/T Invest.-$5,650, Op Depr. L/T Invest-
($113,624)
1,007,858
182,734
28,542
182
159,476
119,126
1,346,798
694,229
(210)
0
(4,161)
0
50,816
(477,644)
0
0
190,614
(261,946)
December, 2014
(550,954)
3,387,569
0
(50,816)
Deferred FIT on Investments-$686, Operating Deferred FIT-($51,502)
(562,893)
(503,615)
0
Increase in CSV-($5,650), Depreciation on non-regulated investments-$113,624, Deferred FIT-
$51,502
0
(4,898,832)
WA0534
USDA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
BORROWER DESIGNATION
WA0534
INSTRUCTIONS - See RUS Bulletin 1744-2 PERIOD ENDED
December, 2014
NOTES TO THE OPERATING REPORT FOR TELECOMMUNICATIONS BORROWERS
USDA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
BORROWER DESIGNATION
WA0534
INSTRUCTIONS - See RUS Bulletin 1744-2 PERIOD ENDED
December, 2014
CERTIFICATION LOAN DEFAULT NOTES TO THE OPERATING REPORT FOR TELECOMMUNICATIONS BORROWERS
FCC FORM 481 (100)
INLAND TELEPHONE COMPAN 54.313(a)(1)
IDAHO OPERATIONS ‐ 472423
FIVE YEAR FORECAST ‐ NETWORK ADDITIONS
2015 2016 2017 2018 2019
LENORE (836)
Access Lines (@ 12/31/2014) 258
Data Subscribers (@ 12/31/2014) 133
Microwave (Alt/Ethernet) 450,000
Fiber to the Node 1,000,000
Electronics 500,000
TOTAL LENORE 1,950,000
LEON (224)
Access Lines (@ 12/31/2014) 25
Data Subscribers (@ 12/31/2014) 17
TOTAL 0 1,950,000 0 0 0
FORECASTED OPERATING EXPENSES
PLANT SPECIFIC OPERATIONS 300,989 316,032 333,467 353,614 376,839
PLANT NON‐SPECIFIC OPERATIONS 55,964 54,857 53,785 52,746 51,739
ACCUMULATED DEPRECIATION 221,295 276,295 276,295 276,295 276,295
CUSTOMER OPERATIONS EXPENSES 68,465 70,200 71,979 73,804 75,676
CORPORATE OPERATIONS EXPENSES 123,956 116,857 110,469 104,732 99,592
TOTAL OPERATING EXPENSES 770,669 834,241 845,994 861,190 880,140
As they are known to the Company at the date of this Report, the planned investments and forecasted
expenses related to Idaho operations (Study Area Code 472423) for the period January 1, 2015 through
December 31, 2019, are listed below. The Company expects to use all Universal Service Fund support
received in order to fund the expenses related to the provisioning, maintenance and services provided over
these upgraded facilities as well as existing facilities and to service the debt with the Rural Utility Service
created in order to make these improvements; improving service quality, coverage and capacity. The
Company (SAC 472423) received $384,510 in federal high-cost support for the calender year ended
December 31, 2014. The Company expects that the continued receipt of Universal Service Fund support
will aid the Company's efforts to continue to provide the supported services at rates that are comparable to
the rates for such services in urban areas of which all customers and potential customers in the Company's
designated ETC service area will benefit.
The Company forecasted for 2014, that upgrades to the facilities in its Leon exchange would be $130,000;
upgrading fiber-to-the-node utilizing a ring and upgrading carrier cabinets (shortening loop lengths). The
actual cost of the upgrades at its Leon exchange totaled $554,520. The Company has until October 16,
2016, in order tp complete all RUS projects.
Filename: 150629 ITC FORECAST.xlsx FIVE YEAR‐472423
TRIBAL ENGAGEMENT STATEMENT

Although the Lenore exchange service area of Inland Telephone
Company, Idaho operations, is within the conventional boundaries of the Nez
Perce Tribe reservation, the exchange primarily consists of private property
(non-tribal owned). Inland does not serve the areas in which the Nez Perce
have their tribal headquarters, administration, enterprises, cultural center and
anchor institutions. Inland Telephone Company is an equal opportunity
provider and does not ask or keep track of race, creed, color or sexual
orientation when providing service; we wouldn’t know if a subscriber was a
tribal member unless they were claiming Tribal Lifeline.

The Company fully cooperates with the Nez Perce Tribe in matters
involving easements, rights of way and any build that may require the possible
disturbance of tribal ground; potential archeological study whether the ground
is tribally owned or not.