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Home My WebLink About20160128CenturyLink QC [475103] ETC Form 555.pdfCenturyl-ink 1600 7th Avenue, Room 1506 Seattle, Washington 98191 Phone (206) 733-5178 Facsimile (206) 343-4040 Maura E. Reynolds Paralegal Regulatory Law Dept. January 26,20L6 Jean D. Jewell, Secretary ldaho Public Utilities Commission 472 West Washington Boise, ldaho 83702-5983 Dear Ms. Jewell: RECEIVED 20lt JAt{ 28 &t{ ll: lr9 iL]AHC PUBLIC sI7d TrrY Centurylink' iiT tLl itEs 00tdt{tsstoN &NR-T- /b-o r Pursuant to the Federal Communications Commission's Report ond Ordel requiring eligible telecommunications carriers to re-certify the eligibility of their Lifeline subscribers and to report the results to the Federal Communications Commission, Universal Service Administrative Company and to state commission and Tribal governments, Centurylink hereby submits its 2015 Lifeline re-certification results for each FCC study area (company) in ldaho. Please do not hesitate to contact me should you have any questions regarding this filing. 1 ln the Matter of Lifeline and Link Up Reform and Modernization, Lifeline and Link Up, Federal-State Joint Board on Universal Service, Advancing Broadband Availability Through Digital Literacy Training, Report and Order and Further Notice of Rulemaking,2T FCC Rcd 6656, 67L5-L61i132(20L21;47 C.F.R. S 54,416. Also see Public Notice, 28 FCC Rcd 12947 (2013). Approvedby OMB 3060{819 Annual Lifeline Eligible Telecommunications Carrier Certilication F orm A11 carriers must corylete 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 31n (Annually) Does the reporting company have afliliated ETCs?Yes @ No [Gl Provide a list of all ETCs that are ffiliated with the reporting ETC, using page 4 and additional sheets if necessaty. Afiliation shall be determined in accordance with Section 3(2) of the Commtmications Act. That Section defines "affiiate" as "a person that (directly or indirectly) owns or controls, is owned or controlled by, or is under comrnon ownership or antrol with, aruther person." 47 U.S.C. S 153(2). See also 47 c.F.a. $ 76.1200. Affiliated ETC's SAC Affiliated ETC's Name -- See attached worksheet -- For purposes of this filing an officer is an occupant of a position listed in the article of incorporation, articles of forrnation, 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 sectian I certift that the conpany listed above has certification procedures in place to: A) Review income and program-based eligibility documentation prior to enrolling a consumer in the Lifeline prograrn, and that, to the best of my knowledge, the conpany was presented with documentation of each consumer's household income and/or program-based eligibilityprior to his or her enrollment in Lifeline; and/or B) Confinn 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 aborrc. I am authorizsd to makie this certification for the Study Area Code listed above. lriti"t JMA FCC Form 555 November 2014 475103 StudyArea Code (SAC) (An Eligible Telecommunications Carrier @TC) must provide a cenificationfotmfor each SAC through which it proides Lifeline semice). lD CenturyLink Qwest Corporation State CenturyLink QC ETCName CenturyLink DBA. Marketins or Other BrandinsName Qf same as ETC nar7e, tist "N/A" Do not lefre blo*)Holdins ComoanvName (If same oi nfC ni-c,'tist "N/A" Do rct leave blank) FCC Form 555 November 2014 Section 2: Annual Recertification Do not leave empty blocks. If an ETC has nothing to report in a block, enter a zero. Recertification Results : K L Number of subccrlbers whose eltgibility was reviewed by state admirishator, ETC access to e[gtbility databasg or by USAC Number of subscribers deenrolled or scheduled to be de-enrolled as a result of findng of lneligibiltty by state odministrator, ETC access to ettgibility databasg or USAC 0 0 Notez If any subscriber was reviewed by an ETC accessing a state database or by a state administmtor and subsequmtly contactd directly by the ETC in an attenpt to recertify elisibility, those subscribers should be listed in Blocks F through J as appropriate and not in Blocks K and L, As a revlt, all subscibers subject to recertification who were not de-enrolled prior to'the recertification attempt trutst be accounted for in Block F or Block K The total of Block F and Block K should equal the numher reported in Block E. Approved byOMB 30604819 Certilication: Basd on the data entered aboye, initial the certificafion(s) below that apply. Both Certification A and B may apply depending on the recertification procedures in placefor the SAC reporting on this fonn. If Certification C applies, neiiher Ce*ification A nor B may apply. A.) I certifu that the company listed above has procedures in place to recertiff 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 affesting to their continuing eligibility for Lifeline. Results are Fovided in the chart above in Blocls F through J. I am an officer of the corrpany named above. I am authorized to make this certification for the SAC listed above. Initial JMA AI\D/OR B.) I certiff that the company listed above has procedures in place to recertify consumer eligibilitybyrelying 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 certifrcation for the SAC listed above. Initial OR C.) I certiff that my company did not claim federal low income support for any Lifeline subscribers for the Febmary Form 497 data month for the current Form 555 calendar year. I am an officer of the coupany named above. I am authorized to make this certification for the SAC listed above. Initial A B c D f,=(A-B-C-D) Number of subscribers claimed on February FCC Form 497 of current Form 555 calendar year (February ddto month) Number of lines claimed on February FCC Form497 of current Form 555 calendar year provided to wirdine resellers Number of subscribers claimed on the February FCC Form 497 that were inttiallv enrolled in tle current Form 555 calendar year (Thesc subscribers dld not have llfeline service prior to hnuary I of the cunent 555 calendar year.) Number of subscribers de.enrolled g!q4 to recertificadon atteqt by elther the ETC, a state sdminlstrator, rcceos to an eligibility tlatabase, or by USAC Number of subscribers ETC is responsible for recertiMng for current Form 555 calendar year 4019 0 23 413 3583 F G E = G-c)I J = (E+r) Number of subacribers ETC contacted direcdy to recertify eligiHlity through attestation Number of subscribers responding to ETC contsct Number ofnon- responding subscribers Number of subscribers respondlng that they are no longer eligible (This should be a subset of Block G.) Number of subocribers de- emolled or scheduled to be de-enrolled as a result of norresponge or response of ineligibility from ETC recertification attempt 3583 1445 2138 1 2139 FCC Form 555 November 2014 SeCliq[li De.enroll Percentage Using the data entered in Section 2, complete the chart below to find the percantage ofxtbscriben de-enrolledfor this ETC. M = (F+K)N = (J+L)o=((N+l\o*100) Number of subscriberr that the ETC attempted to recertify direcdy q through a state adminishator, ETC access to a state databasg or by USAC (This should qual the number repotd in Block E) Nuderof subacribers de- enrolled or scheduled to be de enrolled as a result of non-response or ineligiHlity Percentage of subscribere de-enrolled or scheduled to be de-enrolled as e result of ineligibtlity or non-response 3583 2139 59.70/o Section 4: Pre.Paid ETCs All ETCs must complete the apprcpriate check-box; pre-paid ETCs must complete all of Section 4. Pre-paid ETCs ganemlly do not assess or collect a monthlyfeefrom their Lifeline subscribers. ETCs rtat only assess afee but do not collect such fees are pre-paid ETCs and must complete the chart below. Is the ETC Pre.Paid?Yes E[ No lGil If Yes, record the number of subscribers de-enrolledfor non-usage by month in Block Q below. Signature Block ApprovedbyOMB 3060-08 19 P o Month Subscribers De-Enrolled for Non-Usase January 0 February 0 March 0 April 0 Mav 0 June 0 Julv 0 Augrrst 0 September 0 October 0 November 0 December 0 Total Subscribers 0 By siping below, I certify that the company listed above is in conpliance with all federal Lifeline certification procedures. I am an officer of the company named above. I am authorizad to make this certification for the Study Area Code (SAC) listed above. Jerry M Allen, Vice President ofsigned, Revenues Certified Online Sipature of Officer Jerry.allen@centurvlink. com Email Address of OfEcer Pam Hankins Person Completing This Certification Form Printed Name and Title of Officer 01t14t2016 Date 318-388-9174 C-ontact Phone Number FCC Form 555 November 2014 Approved byOMB 30604819 Affiliated ETCs SAC Name l50l38 (rantrrnrT inlz ITni+ad l'clnhnne (-n nf Ncrw Tcrcpw /E'IfA Fr 170209 (acnhrnrT inlr TTnitcrl Te'lcnhnne Cn nf Ppnncwlwanie FKA I 1902s4 Ccntrrrul.ink Cenfrel Tclenhnne Cn nf Viroinia I'FKA tr-mh 190567 (-errhrruLinlz Ilnited Telanhnne-Snrrfhenqf Ine (FKA Emh; 210341 Ocnfirruf inlr-F.mhera Flnrida Inc fFK A trmhern) 220356 (aenfrrruI inlr /-nqcfql ITtilitips Ifl. 2304'70 CenftrruT irlr Cqrnlina Telenhnne end Telcorqnh Co FKA F 230471 Cenhrrvl.ink Central Telenhone Co.-North CarolinafFKA T 230485 Cenhrrvlink MehTel Inc. 240506 CcnfirruT.ink I Tnifed Telenhnne nf the Catnlinas-SC fFKA 250298 CcnhrnrT .ink Grrlf Telenhnne (lomnanv 259788 (lenfirnrl inlz (-enfirnrTel nf Alqhqma fNnrfhpr.n nnd Snrrfhp 259789 CenhrrvT.ink CenhrrvTel of Alahama fNorthem and Southe 270427 faenfirnrT inlr (.pnfirnrTel nf flenfrql T nrriciann T.f .C 270424 (acnfirnrf inlr (-enfirroTel nf Snrrfheqsf T.nrrisinna T.T.C 270427 Centurvlink CenturvTel of Chatham LLC 270431 CpnfrrruT inlr faenhrwTcl nf Nnrthwccf T.nuisinna Tnc 270434 Centurvlink CenturvTel of Evanseline LLC 270436 Centuwlink CenturvTel of North Louisana LLC 270439 Cenfirnrf inlr CenfirruTel nf Tlinoonlrl I.T.(- 270440 Cenhrruf .inlr CentrrnrTel nf F.asf T .nrrisianq T.T.C 270442 (lcnh rnrT .ink Cenh rrvTel nf Snrrfhrve<f [ .ntri si ena L[ .C 2804s8 Cenfirrul .ink CentrrnrTel nf Norfh Mi qsi<sinni Tnc 290552 Centurvlink CenhrrvTel of Adamsville Inc. 2905s7 Centurvlink CenturvTel of Claiborne Inc. 290567 flenhrrwl.ink ITnited Telenhone-Soufheest Inc fFKA F.mhr 290574 Centurvlink CenturvTel of Ooltewah-Collesdale Inc 300630 Cenhrrvl.ink CenfrrrrrTel of Ohio Tnc- 300661 Centurvlink United Telephone Co. of Ohio FKA Embaro 3t0671 Centurvlink CenturvTel of Midwest-Michisan Inc. 3 10689 Centurvlink CenturvTel of Uooer Michisan Inc. 310702 CenhrrvLink CenturvTel of Michisan [nc. 3 1070s Cenhrrvlink CentrrrvTel of Northem Michisan Inc. 320747 CenturvTel of Central Indiana Inc. 320801 Cenhrrvlink CenturvTel of Odon Inc. 320832 Centurvlink United Teleohone Co. of Indiana GKA Emba 330841 Centurvlink CenturvTel of the Midwest-Wisconsin fNorth 330857 CenturvLink CenturvTel of the Midwest-Wisconsin CNorth 330877 CenturvLink CenturvTel of Fairwater-Brandon-Alto LLC 330884 Centurvlink CenturvTel of Forestville LLC 330895 CenturvLink CenturvTe ofWisconsin LLC 330898 Centurvlink CenturvTe of Laresen-Readfield LLC 3309r 3 CpnhrrvT.inlr flenhrrvTe nf Monrne Cnrrnfv T-LC 330922 CenhrrvT.inlr Oenfi rrvTe nf the Midrresf-Wisconsin fNnrth 330924 Centurvlink CenturvTe ofthe Midwest-Kendall LLC 33093 I (lcnhrruT.inlr CenhrnrTe nf Smrfher,r Wi<consin T.T.C 110974 /-cnfirnrT inlr (renfirruTel nf fhe Mirlwpcf-\l/isnnnsin fNnrth i30950 (rpnfirnrl nlr (-enfirroTel nf Nnrthrvecf \l/iccnncin T.I .C 330956 Centrrnrl nlr CenfirroTel nf Nnrfhcrrr ll/isnnncin f .[.(- 330959 Centurvlink CenturvTel of the Midwest-Wisconsin fNorth FCC Form 555 November 2014 Approved by OMB 30604819 Affiliated ETCs SAC Name 330970 (.pnfirruT inlr (.pnhrruTel nf fhe Midwpcf-Wiscnnsin fNnrfh 331155 Cenhrn'T.ink Telenhnne IISA of Wiqconsin L[.C 331159 CenhrrvT.ink CenhrrvTel of Central Wisconsin LT,C 34t057 flenfrrnrT inlr Grllqfin Il irrcr (-nmmrrninafinnc f .T.C 351126 CenhrrvT.ink CentrrrvTel of Chester Tnc 351274 Cenhrrvlink CentrrrvTel of Postville Tnc 355141 Centurvlink Owest Comoration 36t445 Centurvlink CenturvTel of Minnesota Inc. 1614s5 flanfirnrT inlz - Fmhorn I\rfinnacnfo Inn /EI{A Fmhqrn\ 365t42 CenhrrvT.ink Owest Comorafion 377595 Cenhrrvl.ink Ilnifed Telenhone Co- of the Wesf (FKA F.mt 375143 franhrnrT nlz l.)uract (lnmnrafinn 385144 franfrrarT nlr f'hrrocl f:nmarafinr 395145 Cenhrrvl -ink Ourest Cnrrrnrafinn 401142 Cenhrrvl.ink CenfrrrvTel of R rrssel'lville 401143 Centurvlink CenturvTel of Russellville 40t144 (-cnfirnrTel nf l\rf emm nth Snrin c Tqnlrcnnrzi I I e 40t70s CenhrnrT.ink CenfirruTel nf Arlransas fne 40171 CenturvTel of Mountain Home Inc. 40t720 CenhrrvT.ink CenfirrvTel nf Redfield Tnc 40t727 Centrrrr,,I.ink CentrrrvTel of Sorrfh Arkansas Inc- 4lt3t7 CentrrrvT.ink Ilnited Telenhone Co-Eastem Kansas (FKA T 411842 OenfirruT inlr ITnitar{ Talcnhnne (-n - Kqnces fE'I(A Fmharr 4t1957 Ccnhrrvl .ink-Fmharn Mi ccnrrri Tnc fE'K A F.mhnrn\ 42lt s1 Soectra Communications Groun LLC dlbla Centurvlink +21957 Centurvlink-Embaro Missouri Inc fFKA Embaro'l +29784 CenhrruI-ink CentrrrvTel nfMi<s^rrri T.T.C 429785 CenturvLink CenturvTel of Missouri LLC 429786 Centurvlink CenturvTel of Missouri LLC 429787 Centurvlink CenturvTel of Missouri LLC 442084 Centurvlink United Telephone Co of Texas Inc. FKA Em 44210t Cenhrnr [-inlr (lenhrrvTcl nf [-alre l)cllns Inc 4421t4 Centurvlink Central Teleohone Co. of Texas FKA Embaro 442t17 Centurvlink CenturvTel of Port Aransas Inc. 442t40 CenhrrvT.inlr CanhrrvTel nf San Marcns fnc 455101 Cenh rtvf .ink Ourest Corrrntnfi nn 462t8s Cenhrrvl .ink CenhrrvTel of F-aole Inc. 462187 Centurvlink The El Paso Countv Teleohone Comoanv 462208 Centurvlink CenturvTel of Colorado Inc. 465t02 CcnhrruT.inlr f)rvc<f Cnmnrqfinn 472223 Centurvlink CenturvTel of the Gem State (Nevada) 472225 Centurvlink CenturvTel of Idaho Inc. 475103 Cenhrrvl .ink Owest Cornoration 475162 Cenfirrof inL f)rvpsf ('nmnrqfinn 482249 Centurvlink CenturvTel of Montana Inc. 485 I 04 Centurvlink Owest Comoration 492274 Centurvlink CenturvTel of the Southwest fNew Mexico) 495105 CenfirrvT.ink Owesf Cornnration 505107 CentrrrvT.ink Owesf (lornorafinn 511595 CenhrrvT.ink ITnifed Telenhnne Cn nffhe Wesf fF'KA F.mt FCC Form 555 November 2014 Approved byOMB 306048r9 Affiliated ETCs SAC Name 512299 (1enfirruT inlr flentrrnrTal nf ll/vnmino fne 515108 CenfrrruT.inle Owpcf Cnrnnrafinn 522400 (aenfrrnrT inlr T Tnitad 'l'alenhnne (-n nf fhc Nnrfhrrnct(F'K A I 522408 (acnfirarf inL (aanfrrarTel nf Wq<hinafnn Tnn s22410 (rcnhrnrf inlz laanfrrarTal nf (anrrrinhe Tnn 525161 Ccntrrrvf .inlr Orvesf Cnrnnraf i nn 532361 Centurvlink CenturvTel of C)reson Inc.. CenturvTel of Ea 532400 CenfirrvT.inlr T TnifFd Telenhnne Cn of fhe NorthwesffF'K A I 5?s I 63 iaanfrrnrf inlr f)rrroot lanmnrofi s52223 Cenhrrvl.ink CenhrrvTel of fhe Gem State fNevada'l s52348 Cenhrrvl.ink Cenfrel Telenhnne Co ofNeveda fFKA)