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HomeMy WebLinkAbout20160125Frontier Communications Northwest ETC Form 555.pdf 805 Central Expressway South Suite 200 Allen, Texas 75013 Phone 972-908-4415 Fax 214-383-2737 Email: kimberly.a.douglass@ftr.com January 25, 2016 Ms. Jean Jewell Commission Secretary Idaho Public Utilities Commission 472 West Washington Street Boise, Idaho 83720 RE: Annual Eligibility Re-Certification of Lifeline Subscribers Dear Ms. Jewell: Citizens Telecommunications Company of Idaho d/b/a Frontier Communications of Idaho (Study Area Code 474427) and Frontier Communications Northwest, Inc. (Study Area Code 472416) herein after referred to as “Frontier” hereby provides a copy of its Annual Lifeline Eligible Telecommunications Carrier Certification FCC Form 555 in compliance with 47 CFR 54.416 as adopted by the Federal Communication Commission (FCC) in its Lifeline Reform Order, FCC 12-11, released February 6, 2012. Section 54.4 16(b) requires eligible telecommunication carriers (ETCs) to annually provide the results of their re-certification efforts performed pursuant to Section 54.4 10 (f) to the FCC and the Universal Service Administrative Company (USAC). ETCs are also required to provide the results of their re-certification efforts to state commissions and relevant tribal governments. Please call me at (972) 908-4415 if you have any questions. Sincerely, Kim Douglass Manager Compliance – Regulatory Affairs Attachments cc: Renee Willer, Frontier FCC Form 555 November 2014 Approved by OMB 3060-0819 1 Annual Lifeline Eligible Telecommunications Carrier Certification Form All carriers must complete all or portions of all sections Form must be submitted to USAC and filed with the Federal Communications Commission IMPORTANT: PLEASE READ INSTRUCTIONS FIRST Deadline: January 31st (Annually) Study Area Code (SAC) (An Eligible Telecommunications Carrier (ETC) must provide a certification form for each SAC through which it provides Lifeline service). State ETC Name DBA, Marketing or Other Branding Name Holding Company Name (If same as ETC name, list “N/A” Do not leave blank) (If same as ETC name, list “N/A” Do not leave blank) Does the reporting company have affiliated ETCs? Yes No Provide a list of all ETCs that are affiliated with the reporting ETC, using page 4 and additional sheets if necessary. Affiliation shall be determined in accordance with Section 3(2) of the Communications Act. That Section defines “affiliate” as “a person that (directly or indirectly) owns or controls, is owned or controlled by, or is under common ownership or control with, another person.” 47 U.S.C. § 153(2). See also 47 C.F.R. § 76.1200. Affiliated ETC’s SAC Affiliated ETC’s Name For purposes of this filing, an officer is an occupant of a position listed in the article of incorporation, articles of formation, or other similar legal document. An officer is a person who occupies a position specified in the corporate by- laws (or partnership agreement), and would typically be president, vice president for operations, vice president for finance, comptroller, treasurer, or a comparable position. If the filer is a sole proprietorship, the owner must sign the certification. Section 1: Initial Certification All ETCs must complete this section I certify that the company listed above has certification procedures in place to: A) Review income and program-based eligibility documentation prior to enrolling a consumer in the Lifeline program, and that, to the best of my knowledge, the company was presented with documentation of each consumer’s household income and/or program-based eligibility prior to his or her enrollment in Lifeline; and/or B) Confirm consumer eligibility by relying upon access to a state database and/or notice of eligibility from the state Lifeline administrator prior to enrolling a consumer in the Lifeline program. I am an officer of the company named above. I am authorized to make this certification for the Study Area Code listed above. Initial 472416 JCM Frontier Communications Northwest Inc. Frontier Communications Northwest Inc.Frontier Communications Corporation -- See attached worksheet -- ID FCC Form 555 November 2014 Approved by OMB 3060-0819 2 K L Number of subscribers whose eligibility w as review ed by state administrator, ETC access to eligibility database, or by USAC Number of subscribers de-enrolled or scheduled to be de-enrolled as a result of finding of ineligibility by state administrator, ETC access to eligibility database, or USAC Section 2: Annual Recertification Do not leave empty blocks. If an ETC has nothing to report in a block, enter a zero. A B C D E = (A – B – C – D) Number of subscribers claimed on February FCC Form 497 of current Form 555 calendar year (February data month) Number of lines claimed on February FCC Form 497 of current Form 555 calendar year provided to wireline resellers Number of subscribers claimed on the February FCC Form 497 that were initially enrolled in the current Form 555 calendar year (These subscribers did not have Lifeline service prior to January 1 of the current 555 calendar year.) Number of subscribers de-enrolled prior to recertification attempt by either the ETC, a state administrator, access to an eligibility database, or by USAC Number of subscribers ETC is responsible for recertifying for current Form 555 calendar year Recertification Results: F G H = (F-G) I J = (H+I) Number of subscribers ETC contacted directly to recertify eligibility through attestation Number of subscribers responding to ETC contact Number of non- responding subscribers Number of subscribers responding that they are no longer eligible (This should be a subset of Block G.) Number of subscribers de- enrolled or scheduled to be de-enrolled as a result of non-response or response of ineligibility from ETC recertification attempt Note: If any subscriber was reviewed by an ETC accessing a state database or by a state administrator and subsequently contacted directly by the ETC in an attempt to recertify eligibility, those subscribers should be listed in Blocks F through J as appropriate and not in Blocks K and L. As a result, all subscribers subject to recertification who were not de-enrolled prior to the recertification attempt must be accounted for in Block F or Block K. The total of Block F and Block K should equal the number reported in Block E. Certification: Based on the data entered above, initial the certification(s) below that apply. Both Certification A and B may apply depending on the recertification procedures in place for the SAC reporting on this form. If Certification C applies, neither Certification A nor B may apply. A.) I certify that the company listed above has procedures in place to recertify the continued eligibility of all of its Lifeline subscribers, and that, to the best of my knowledge, the company obtained signed certifications from all subscribers attesting to their continuing eligibility for Lifeline. Results are provided in the chart above in Blocks F through J. I am an officer of the company named above. I am authorized to make this certification for the SAC listed above. Initial AND/OR B.) I certify that the company listed above has procedures in place to recertify consumer eligibility by relying on: . Results are provided in the chart above in Blocks K through L. I am an officer of the company named above. I am authorized to make this certification for the SAC listed above. Initial OR C.) I certify that my company did not claim federal low income support for any Lifeline subscribers for the February Form 497 data month for the current Form 555 calendar year. I am an officer of the company named above. I am authorized to make this certification for the SAC listed above. Initial JCM JCM Community Action Partnership Association of Idaho 20 30 1709 50 1659 289 0 30 52 1317740 FCC Form 555 November 2014 Approved by OMB 3060-0819 3 Section 3: De-enroll Percentage Using the data entered in Section 2, complete the chart below to find the percentage of subscribers de-enrolled for this ETC. M = (F+K) N = (J+L) O = ((N ÷ M) * 100) Number of subscribers that the ETC attempted to recertify directly or through a state administrator, ETC access to a state database, or by USAC (This should equal the number reported in Block E) Number of subscribers de- enrolled or scheduled to be de- enrolled as a result of non-response or ineligibility Percentage of subscribers de-enrolled or scheduled to be de-enrolled as a result of ineligibility or non-response Section 4: Pre-Paid ETCs All ETCs must complete the appropriate check-box; pre-paid ETCs must complete all of Section 4. Pre-paid ETCs generally do not assess or collect a monthly fee from their Lifeline subscribers. ETCs that only assess a fee but do not collect such fees are pre-paid ETCs and must complete the chart below. Is the ETC Pre-Paid? Yes No If Yes, record the number of subscribers de-enrolled for non-usage by month in Block Q below. P Q Month Subscribers De-Enrolled for Non-Usage January February March April May June July August September October November December Total Subscribers Signature Block By signing below, I certify that the company listed above is in compliance with all federal Lifeline certification procedures. I am an officer of the company named above. I am authorized to make this certification for the Study Area Code (SAC) listed above. Signed, Signature of Officer Printed Name and Title of Officer Email Address of Officer Date Person Completing This Certification Form Contact Phone Number 585-777-6719 0 0 Jessica C. Matushek; Director, Accounting 0 Christine Burke 0 0 0 18.67%319 0 0 1709 0 0 Certified Online jessica.matushek@ftr.com 01/20/2016 0 0 0 FCC Form 555 November 2014 Approved by OMB 3060-0819 4 Affiliated ETCs SAC Name Frontier North Inc. Frontier Communications of Indiana Inc. Frontier Midstates Inc. Frontier North Inc. Frontier Communications of Michigan Inc. Frontier Communications of Michigan Inc. Frontier North Inc. CITIZENS TEL OF TENNESSEE LLC CITIZENS TEL OF VOLUNTEER STATE Frontier Communications of Mississippi Inc. Frontier Communications - St. Croix LLC Rhinelander Tel Co Rhinelander Tel Co Frontier North Inc. Rhinelander Tel Co Frontier Communications of Mondovi LLC Frontier Communications of Thorntown Inc. Frontier North Inc. RHINELANDER TEL CO Frontier Midstates Inc. Frontier Communications of AuSable Valley Inc.The Southern New England Telephone Company OGDEN TELEPHONE COMPANY Frontier Communications of New York Inc. Citizens Mountain State Tel Frontier Telephone of Rochester Inc. Citizens Mountain State Tel Frontier Communications of Seneca Gorham Inc. CITIZENS MOUNTAIN STATE TEL Frontier Communications of Sylvan Lake Inc. Frontier Communications of Oswayo River LLC CITIZENS TELECOMMUNICATIONS COMPANY OF NY INC CITIZENS TELECOMMUNICATIONS COMPANY OF NY INC CITIZENS TELECOMMUNICATIONS COMPANY OF NY INC Frontier West Virginia Inc. Frontier Communications of Breezewood LLC Frontier Communications of Lakewood LLC Frontier Communications of Pennsylvania LLC Commonwealth Telephone Company Frontier Communications of Canton LLC Frontier Communications Lamar County LLC Frontier Communications of the Carolinas Inc. Frontier Communications of the South LLC Frontier Communications of Alabama LLC Frontier Communications of Fairmount LLC Frontier Communications of the South LLC Frontier Communications of the Carolinas Inc. Frontier Communications of Georgia LLC Frontier Communications of the Carolinas Inc. Frontier Communications of the Carolinas Inc. 330941 330944 330886 330891 330912 330940 320779 320828 323034 330870 150110 320772 150100 150072 313033 135200 320750 154532 310682 150128 310695 150122 300615 150121 300682 290580 294336 280460 220387 230479 230509 240479 240526 250301 250306 250318 210318 220362 205050 154533 154534 170168 170178 170152 170161 204338 204339 170194 200271 170149 FCC Form 555 November 2014 Approved by OMB 3060-0819 4 Affiliated ETCs SAC Name Frontier Communications of the Southwest Inc. CITIZENS TELECOMM CO OF CA CITIZENS TELECOMM CO OF CA Frontier Communications West Coast Inc. CITIZENS TELECOMM CO OF CA CITIZENS TELECOMM CO OF CA Frontier Communications of the Southwest Inc. CITIZENS TELECOMM CO OF OREGON Frontier Communications Northwest Inc. Frontier Communications Northwest Inc. CITIZENS TEL COMPANY CITIZENS TEL COMPANY Frontier Communications of Viroqua LLCFrontier Communications of Wisconsin LLC Frontier Communications of Lakeside Inc. Frontier Communications of DePue Inc. CITIZENS TEL OF NEBRASKA Frontier North Inc. CITIZENS TEL OF MINNESOTA Frontier North Inc. Frontier Communications of Minnesota Inc. Frontier Communications of Illinois Inc. CITIZENS TEL OF MINNESOTA Frontier Communications - Midland Inc. Frontier Communications of Mt. Pulaski Inc. Frontier Communications of Orion Inc. CITIZENS UTILITIES RURAL TEL CO Frontier Communications - Prairie Inc. Frontier Communications of Iowa Inc Frontier Communications of the Carolinas Inc. CITIZENS TEL OF ILLINOIS INC Frontier Communications - Schuyler Inc. CITIZENS TELECOMM CO OF UTAH NAVAJO COMM CO Frontier Communications Northwest Inc. NAVAJO COMM CO CITIZENS UTILITIES CO Frontier Communications of the Southwest Inc. Frontier Communications Northwest Inc. NAVAJO COMM CO CITIZENS TELECOMM CO OF MONTANA CITIZENS TELECOMM CO OF IDAHO 554431 554432 341011 552302 340998 330967 543402 330964 544342 341055 542315 341038 542344 341036 541863 341015 542308 532416 533401 522449 454449 472416 474427 484322 494449 504429 504449 522416 452302 454426 452172 341061 341067 343035 351127 341079 341183 367123 371128 361123 361367 341073 FCC Form 555 November 2014 Approved by OMB 3060-0819 1 Annual Lifeline Eligible Telecommunications Carrier Certification Form All carriers must complete all or portions of all sections Form must be submitted to USAC and filed with the Federal Communications Commission IMPORTANT: PLEASE READ INSTRUCTIONS FIRST Deadline: January 31st (Annually) Study Area Code (SAC) (An Eligible Telecommunications Carrier (ETC) must provide a certification form for each SAC through which it provides Lifeline service). State ETC Name DBA, Marketing or Other Branding Name Holding Company Name (If same as ETC name, list “N/A” Do not leave blank) (If same as ETC name, list “N/A” Do not leave blank) Does the reporting company have affiliated ETCs? Yes No Provide a list of all ETCs that are affiliated with the reporting ETC, using page 4 and additional sheets if necessary. Affiliation shall be determined in accordance with Section 3(2) of the Communications Act. That Section defines “affiliate” as “a person that (directly or indirectly) owns or controls, is owned or controlled by, or is under common ownership or control with, another person.” 47 U.S.C. § 153(2). See also 47 C.F.R. § 76.1200. Affiliated ETC’s SAC Affiliated ETC’s Name For purposes of this filing, an officer is an occupant of a position listed in the article of incorporation, articles of formation, or other similar legal document. An officer is a person who occupies a position specified in the corporate by- laws (or partnership agreement), and would typically be president, vice president for operations, vice president for finance, comptroller, treasurer, or a comparable position. If the filer is a sole proprietorship, the owner must sign the certification. Section 1: Initial Certification All ETCs must complete this section I certify that the company listed above has certification procedures in place to: A) Review income and program-based eligibility documentation prior to enrolling a consumer in the Lifeline program, and that, to the best of my knowledge, the company was presented with documentation of each consumer’s household income and/or program-based eligibility prior to his or her enrollment in Lifeline; and/or B) Confirm consumer eligibility by relying upon access to a state database and/or notice of eligibility from the state Lifeline administrator prior to enrolling a consumer in the Lifeline program. I am an officer of the company named above. I am authorized to make this certification for the Study Area Code listed above. Initial 474427 JCM CITIZENS TELECOMM CO OF IDAHO Frontier Communications of Idaho Frontier Communications Corporation -- See attached worksheet -- ID FCC Form 555 November 2014 Approved by OMB 3060-0819 2 K L Number of subscribers whose eligibility w as review ed by state administrator, ETC access to eligibility database, or by USAC Number of subscribers de-enrolled or scheduled to be de-enrolled as a result of finding of ineligibility by state administrator, ETC access to eligibility database, or USAC Section 2: Annual Recertification Do not leave empty blocks. If an ETC has nothing to report in a block, enter a zero. A B C D E = (A – B – C – D) Number of subscribers claimed on February FCC Form 497 of current Form 555 calendar year (February data month) Number of lines claimed on February FCC Form 497 of current Form 555 calendar year provided to wireline resellers Number of subscribers claimed on the February FCC Form 497 that were initially enrolled in the current Form 555 calendar year (These subscribers did not have Lifeline service prior to January 1 of the current 555 calendar year.) Number of subscribers de-enrolled prior to recertification attempt by either the ETC, a state administrator, access to an eligibility database, or by USAC Number of subscribers ETC is responsible for recertifying for current Form 555 calendar year Recertification Results: F G H = (F-G) I J = (H+I) Number of subscribers ETC contacted directly to recertify eligibility through attestation Number of subscribers responding to ETC contact Number of non- responding subscribers Number of subscribers responding that they are no longer eligible (This should be a subset of Block G.) Number of subscribers de- enrolled or scheduled to be de-enrolled as a result of non-response or response of ineligibility from ETC recertification attempt Note: If any subscriber was reviewed by an ETC accessing a state database or by a state administrator and subsequently contacted directly by the ETC in an attempt to recertify eligibility, those subscribers should be listed in Blocks F through J as appropriate and not in Blocks K and L. As a result, all subscribers subject to recertification who were not de-enrolled prior to the recertification attempt must be accounted for in Block F or Block K. The total of Block F and Block K should equal the number reported in Block E. Certification: Based on the data entered above, initial the certification(s) below that apply. Both Certification A and B may apply depending on the recertification procedures in place for the SAC reporting on this form. If Certification C applies, neither Certification A nor B may apply. A.) I certify that the company listed above has procedures in place to recertify the continued eligibility of all of its Lifeline subscribers, and that, to the best of my knowledge, the company obtained signed certifications from all subscribers attesting to their continuing eligibility for Lifeline. Results are provided in the chart above in Blocks F through J. I am an officer of the company named above. I am authorized to make this certification for the SAC listed above. Initial AND/OR B.) I certify that the company listed above has procedures in place to recertify consumer eligibility by relying on: . Results are provided in the chart above in Blocks K through L. I am an officer of the company named above. I am authorized to make this certification for the SAC listed above. Initial OR C.) I certify that my company did not claim federal low income support for any Lifeline subscribers for the February Form 497 data month for the current Form 555 calendar year. I am an officer of the company named above. I am authorized to make this certification for the SAC listed above. Initial JCM Community Action Partnership Association of Idaho 0 0 457 0 457 108 0 0 3 64660 FCC Form 555 November 2014 Approved by OMB 3060-0819 3 Section 3: De-enroll Percentage Using the data entered in Section 2, complete the chart below to find the percentage of subscribers de-enrolled for this ETC. M = (F+K) N = (J+L) O = ((N ÷ M) * 100) Number of subscribers that the ETC attempted to recertify directly or through a state administrator, ETC access to a state database, or by USAC (This should equal the number reported in Block E) Number of subscribers de- enrolled or scheduled to be de- enrolled as a result of non-response or ineligibility Percentage of subscribers de-enrolled or scheduled to be de-enrolled as a result of ineligibility or non-response Section 4: Pre-Paid ETCs All ETCs must complete the appropriate check-box; pre-paid ETCs must complete all of Section 4. Pre-paid ETCs generally do not assess or collect a monthly fee from their Lifeline subscribers. ETCs that only assess a fee but do not collect such fees are pre-paid ETCs and must complete the chart below. Is the ETC Pre-Paid? Yes No If Yes, record the number of subscribers de-enrolled for non-usage by month in Block Q below. P Q Month Subscribers De-Enrolled for Non-Usage January February March April May June July August September October November December Total Subscribers Signature Block By signing below, I certify that the company listed above is in compliance with all federal Lifeline certification procedures. I am an officer of the company named above. I am authorized to make this certification for the Study Area Code (SAC) listed above. Signed, Signature of Officer Printed Name and Title of Officer Email Address of Officer Date Person Completing This Certification Form Contact Phone Number 585-777-6719 0 0 Jessica C. Matushek; Director, Accounting 0 Christine Burke 0 0 0 23.63%108 0 0 457 0 0 Certified Online jessica.matushek@ftr.com 01/21/2016 0 0 0 FCC Form 555 November 2014 Approved by OMB 3060-0819 4 Affiliated ETCs SAC Name Frontier North Inc. Frontier Communications of Indiana Inc. Frontier Midstates Inc. Frontier North Inc. Frontier Communications of Michigan Inc. Frontier Communications of Michigan Inc. Frontier North Inc. CITIZENS TEL OF TENNESSEE LLC CITIZENS TEL OF VOLUNTEER STATE Frontier Communications of Mississippi Inc. Frontier Communications - St. Croix LLC Rhinelander Tel Co Rhinelander Tel Co Frontier North Inc. Rhinelander Tel Co Frontier Communications of Mondovi LLC Frontier Communications of Thorntown Inc. Frontier North Inc. RHINELANDER TEL CO Frontier Midstates Inc. Frontier Communications of AuSable Valley Inc.The Southern New England Telephone Company OGDEN TELEPHONE COMPANY Frontier Communications of New York Inc. Citizens Mountain State Tel Frontier Telephone of Rochester Inc. Citizens Mountain State Tel Frontier Communications of Seneca Gorham Inc. CITIZENS MOUNTAIN STATE TEL Frontier Communications of Sylvan Lake Inc. Frontier Communications of Oswayo River LLC CITIZENS TELECOMMUNICATIONS COMPANY OF NY INC CITIZENS TELECOMMUNICATIONS COMPANY OF NY INC CITIZENS TELECOMMUNICATIONS COMPANY OF NY INC Frontier West Virginia Inc. Frontier Communications of Breezewood LLC Frontier Communications of Lakewood LLC Frontier Communications of Pennsylvania LLC Commonwealth Telephone Company Frontier Communications of Canton LLC Frontier Communications Lamar County LLC Frontier Communications of the Carolinas Inc. Frontier Communications of the South LLC Frontier Communications of Alabama LLC Frontier Communications of Fairmount LLC Frontier Communications of the South LLC Frontier Communications of the Carolinas Inc. Frontier Communications of Georgia LLC Frontier Communications of the Carolinas Inc. Frontier Communications of the Carolinas Inc. 330941 330944 330886 330891 330912 330940 320779 320828 323034 330870 150110 320772 150100 150072 313033 135200 320750 154532 310682 150128 310695 150122 300615 150121 300682 290580 294336 280460 220387 230479 230509 240479 240526 250301 250306 250318 210318 220362 205050 154533 154534 170168 170178 170152 170161 204338 204339 170194 200271 170149 FCC Form 555 November 2014 Approved by OMB 3060-0819 4 Affiliated ETCs SAC Name Frontier Communications of the Southwest Inc. CITIZENS TELECOMM CO OF CA CITIZENS TELECOMM CO OF CA Frontier Communications West Coast Inc. CITIZENS TELECOMM CO OF CA CITIZENS TELECOMM CO OF CA Frontier Communications of the Southwest Inc. CITIZENS TELECOMM CO OF OREGON Frontier Communications Northwest Inc. Frontier Communications Northwest Inc. CITIZENS TEL COMPANY CITIZENS TEL COMPANY Frontier Communications of Viroqua LLCFrontier Communications of Wisconsin LLC Frontier Communications of Lakeside Inc. Frontier Communications of DePue Inc. CITIZENS TEL OF NEBRASKA Frontier North Inc. CITIZENS TEL OF MINNESOTA Frontier North Inc. Frontier Communications of Minnesota Inc. Frontier Communications of Illinois Inc. CITIZENS TEL OF MINNESOTA Frontier Communications - Midland Inc. Frontier Communications of Mt. Pulaski Inc. Frontier Communications of Orion Inc. CITIZENS UTILITIES RURAL TEL CO Frontier Communications - Prairie Inc. Frontier Communications of Iowa Inc Frontier Communications of the Carolinas Inc. CITIZENS TEL OF ILLINOIS INC Frontier Communications - Schuyler Inc. CITIZENS TELECOMM CO OF UTAH NAVAJO COMM CO Frontier Communications Northwest Inc. NAVAJO COMM CO CITIZENS UTILITIES CO Frontier Communications of the Southwest Inc. Frontier Communications Northwest Inc. NAVAJO COMM CO CITIZENS TELECOMM CO OF MONTANA CITIZENS TELECOMM CO OF IDAHO 554431 554432 341011 552302 340998 330967 543402 330964 544342 341055 542315 341038 542344 341036 541863 341015 542308 532416 533401 522449 454449 472416 474427 484322 494449 504429 504449 522416 452302 454426 452172 341061 341067 343035 351127 341079 341183 367123 371128 361123 361367 341073