HomeMy WebLinkAbout20160128CenturyTel of Idaho 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).
FCC Form 555
November 2014
Approved by OMB
3060-0819
Annual Ufeline Eligible Telecommunications Carrier Certification Form
All carriers must corylete allor portions of all sections
Form must be submitted to USAC and filed with the Federal Communications Commission
IMPORTANT: PLEASE READ INSTRUCTIONS FIRST
Deadline: January 31il (Annually)
472225
StudyArea Code (SAC)
(An Eligible Telecommunications Canier @TC) must provide a cenification formfor each SAC through which it provides Ldeline sentice).
lD CenturyLink CenturyTelof ldaho lnc.
State
CenturyLink
ETCName
CenturyLink
DBA, Marketing or Other BrandingName(f same as ETC name, list "N/4" Do not leave blotk)
Holdins ComoanvName
Qf same aI Uc "i-.,'t*t "N/A" Do tut leave blank)
Does the reporting company have affiliated ETCs?Yes 6 No [d
Provide a list of all ETCs that are afiliated with the reponing ETC, using page 4 and additional sheets if necessary. Afiliation shall be
determined in accordance with Section 3(2) of the Communications Act. That Section defines "afiliate" 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. S 153(2). See also 47
c.F.R. $ 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
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,
corytroller, treasurer, or a conrparable position. If the filer is a sole proprietorship, the owner must sign the certification.
Section 1: Inidal Certification All ETCs must complete this section
I certifr that the conqrany listed above has certification procedures in place to:
A) Review income and program-based eligibility documentation prior to enrolling a consumer in the Lifeline progarq and
that, to the best of my knowledge, the corryany was presented with documentation of each consumer's household
income and/or program-based eligibility prior to his or her enrolknent 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.
tnitiat JMA
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
Nuder of
subscribers whose
eligibility was
reviemed by state
administrator,
ETC access to eltgibiltty
databasg or by USAC
Number of
subscribers de-enrolled or
scheduled to be deenrolled os
a result of flndlng of
ineligibiltty by state
admhlstrator, ETC access to
eligibility database, or USAC
0 0
Note: If any sabscriber was reviewed by an ETC accessing a state database or
by a state administrator and subsequently contacted directly by the ETC in an
attempt ta recertifi eWibility, those subscribers should be listed in Blocks F
through J as appropriate and not in Blocks K and L. As a resalt, all subscribers
subject to recertification who were not de-enrolled prtor b the recertification
attempt must be accounted for in Block F or Block K.
The total of Block F and Block K should equal the nwnber reported in Block
E,
support for any Lifeline subscribers for the February
I am an officer of the conpany named above. I am
Approved by OMB
30604819
Certilication:
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 fonn. If Certification C applies, neither Certification A nor B may apply.
A-) I certiff 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 siped 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 corryany named above. I am authorized to make this certification for the SAC listed
above.
Initial JMA
AND/OR
B.) I certiff that the conpany 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 certiff that my company did not claim federal low incorne
Form 497 data month for the current Forrn 555 calendar year.
authorized to make this certification for the SAC listed above.
Initial
A B c D E= (A_B_C_D)
Number of subscrlbers
clalmed on February
FCC Form497 of
current Form 555
calendar year
(February data mofih)
Number of lines
claired on February
FCC Form497 of
current Form 555
calendar year
provided to wirdlne
resellers
Number of subscribers claimed on the
February FCC Form497 thatwere
initiallv enrolled in the current Form
555 calendar year
(These subscrib*s did not have Lifehne
semice pdor tu fanuary I ofthe cunent 555
calendar ycan)
Number of subacribers
deenrolled pglq to
recertification atteryt
by either the ETC, a
state administrator,
eccess to an eligibtlity
database, or by USAC
Number of
subscribers ETC is
responsible for
recertifying for
current Form 555
calendar year
107 0 0 I 98
F G u=(F-c)I J = (E+r)
Number of
subscriberr ETC
contacted dlrectly to
recertify eligiHlity
tlrough attestadon
Number of
subscribers
responding to ETC
contact
Number ofnon-
respondirg
subscribers
Number of subccriberc
respondng thrt they are
no longer eligible
(This shonld be a subset ofBlock
c.)
Number of subscribers de
enrolled or scheduled to be
de-emolled as a result of
non-response or response of
tnellgtbility from ETC
recerdllcadon attempt
98 45 53 0 53
FCC Form 555
November 2014
Section 3: De-enrollPercentege
Using rte data atered in Section 2, complete the chart below to find the percentage of wbscibers de-enrolledfor this ETC.
M =(Ir+K)1r1 = (J+L)O=((N=M)*100)
Number of subscribers that the
ETC attempted to recertify direcdy
q through a sta@ admlnish'ator,
ETC access to s state dotabasg or
by USAC
(This should qual the number
reporled h Bbck E)
Nuder of
subscribers de-
enrolled or scheduled
to be de enrolled as a
result of non-response
or ineltgtbtlity
Percentage of subscrlbers
de-enrolled or scheduled to
be de-enrolled as a result of
ineltgibility or non-response
98 53 54.08Yo
Section 4: Pre.Paid ETCs
All ETCs must completc the apprcpriate check-box; pre-paid ETCs must complete all of Section 4. Pre-paid ETCs ganerally do not assess or collect a
monthlyfeefrorn their Lifeline rubscibers. 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 lcil
If Yes, recotd the number of subscribers de-arolledfor non-usage by month in Block Q below.
P o
Month Subscribers De-Enrolled for Non-Usaee
January 0
Februarv 0
March 0
April 0
Mav 0
June 0
Julv 0
Auzust 0
September 0
October 0
November 0
Decernber 0
Total Subscribers 0
Signature Block
Approved byOMB
3060-08 I 9
By signing below, I certify that ttre company listed above is in corryliance with all federal Lifeline certification
procedures. I am an officer of the coryany 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
Signature of OfEcer
Jerrv. allen@ centurvlink. com
Email Address of Officer
Pam Hankins
Person Completing This Certification Form
Printed Name and Title of Offcer
01t14t2016
Date
318-388-9174
Contact Phone Number
3
FCC Form 555
November 2014
Approved by OMB
30604819
Affiliated ETCs
SAC Name
160138 CenhrrvT.ink Ilnited Telnhnne Cn nf New fersev (F'KA F.n
t70209 (-anfrrruf inlr Tlnitad Tplanhnne Cn nf Dennerrkzqniq ELA I
190254 CenhrrvLink (enftal Telenhnne (1n nf Vir.oinin l'trK,A trml
190567 Cenhrrvl.ink ITnifed Telenhone-Snrfheacf Tnc fE'I(A Fnrhr
210341 CenhrwT.inlr-F.mharn E'lnrida Tnc /FI(A F.mharn\
220356 CenhrnrT.inlr Cnaqfel TTtilitipe Inn
230470 OenfirruT.inlr Aaraline Telenhnne end Teleornnh Cn E'K A E
2304'.11 Centrrrvlink Central Telenhone Co.-North Carolina(FKA I
2i0485 CenhrruLinlr MehTpl Tnn
240506 Cenhrrvl.inlr Ilnifed Telenhnne nf thc Cernlinac-SC fF'KA
250298 Cenhrnr|.inlr Grrlf Telenhnne Comnanw
2s9788 Cenhrrwl.ink CenhrwTel of Alahama fNnrfhem end Sorrfhe
259789 CentrrrvT.ink CenhrrvTel of Alaherna fNnrfhern and Southe
270423 Centurvlink CenturvTel of Central Louisiana LLC
270424 Centurvlink CenturvTel of Southeast Louisiana LLC
270427 CenturvLink CenturvTel of Chatham LLC
270431 CenfirrvT.inlr (.enhrruTel nf Nnrfhwecf T nrrisiana Tnn
270434 CenturuLink CenturvTel of Evanseline LLC
270436 Centurvlink CenturvTel of North Louisana LLC
270439 CenhrrvT.ink CenhrrvTel of Rinssold LLC
270440 Cenhrnrl.ink (-enhrruTel nf F.esf I .nrrisicnq T .I (-
270442 CenhrrvT.ink CenhrnrTel nf Snrrfhurect f .nrriqicnq T.T.(-
280458 CentrrruT .inlr CenhrrvTel of Norfh Mi ssiceinni Ifl e
2905s2 Centurvlink CenturvTel of Adarnsville Inc.
290s57 CenturvLink CenturvTel of Claibome Inc.
290s67 CenhrrvT.ink ITnifed Telenhone-Sorrthea<f Inn fFKA F.mh;
290574 Centurvlink CenturvTel of Ooltewah-Collesdale Inc.
300630 CenhrrvT.ink CenhrrvTel of Ohio Inc,
300661 Cenhrrvlink tlnited Teleohone Co. of Ohio FKA Emharn
3 I 0571 CenturvLink CenturvTel of Midwest-Michiean Inc,
3 10689 Centurvlink CenhrrvTel of Uooer Michisan Inc-
3t0702 Centurvlink CenturvTel of Michisan Inc.
3 10705 Centurvlink CenturvTel of Northem Michisan Inc.
320747 CentwvTel of Central Indiana Inc.
32080r Centurvlink CenturvTel of Odon Inc.
320832 Centurvlink United Telenhone Co. of Indiana GKA Emba
330841 Centurvlink CenturvTel of the Midwest-Wisconsin fNorth
330857 CenturvLink CenturvTel of the Midwest-Wisconsin (North
330877 CenturvLink CenturvTel of Fairwater-Brandon-Alto LLC
330884 Cenhrrvl.ink CenhrrvTel of Fnreqfville T.T.C
33089s CenturvLink CenturvTel of Wisconsin LLC
330898 CenturvLink CenturvTel of Laresen-Readfield LLC
330913 Centurvlink CenfurvTel of Monroe Countv LLC
330922 Centurvlink CenturvTel of the Midwest-Wisconsin fNorth
330924 Centurvlink CenturvTel of the Midwest-Kendall LLC
33093 I Centurvl-ink CenturvTel of Southem Wisconsin T.LC
330934 Centurvlink CenturvTel of the Midwest-Wisconsin fNorth
330950 Centurvlink CenturvTel of Northwest Wisconsin LLC
330956 Centurvlink CenturvTel of Northem Wisconsin LLC
3309s9 Centurvlink CenturvTel of the Midwest-Wisconsin fNorth
FCC Form 555
November 2014
Approved by OMB
30604819
Affiliated ETCs
SAC Name
330970 fl anf r r nrT ir lz (a anfr rnrTel nf th a l\rfi rlrrracf -\1,/i a nnn s in fNnrf h
33 1 155 CenfirrvT.ink Telenhone IISA of Wisconsin LLC
331 I sS Cpnfirnrl inlr CenhrruTel nf Central Wiecnncin T.T.C
3410s1 (-pnfirnrT inlr Gqllafin Riwer. Cnmmunicafinnc T.[.C
351 126 CenturvT.ink CentrrrvTel of Chester Inc.
151274 CcnfirnrT inlr (-anhrruTpl nf Fnsfville Tne
355 141 Cenhrrvl.ink Owest Cornorafion
36144s Centurvlink CenturvTel of Minnesota Inc
761 L\6 (aanfirnrT inlr - Fmhqrn l\rfinncsnfq Inc fF'I(A Fmhqrn\
16s142 (1entr rnrf nlr Orvecf Onmnrafinn
371 595 (-entrrruT nlr I Inited Telenhnne On nf fhe Wect fFK A trml
77\141 11 anhrnrl nlz Arrracf fanmnrqfinn
1R\14,4 flanfirnrT nlr f'luracf (anrnnrofi nn
395145 Cenhrrvl.ink Owest Conrorafinn
40 142 Cenfirrvlink CenhrrvTel of Rrrssellville
40 143 CenturvLink CenturvTel of Russellville
40 144 (-entr rnrTel nf l\rf amm nfh Sndno laclucnnwi Il e
40 705 Centurvlink CenturvTel of Arkansas Inc.
40 711 CenturvTel of Mountain Home Inc.
40 120 CenhrrvT.ink CenfrrrvTel of Redfield Inc
40 721 Cenhrrvlink CenhrrvTel of Sorrth Arkansas Inc.
41 317 Cenhrrvl.ink Ilnited Telenhone Co-Eastem Kansas (FKA F
41 842 (aenfirruT inlr I Tnitpd Tclenhnne an - Kqncnc fFK A F.rnhqrr
41 957 lenhrroT .ink-F.mharn Missnrri Tnc fF'K A F-mhato\
42 151 Soectra Communications Groun LLC dlbla CenturvLink
42 957 CentrrruT.ink-F.rnharn Misqnrrri Inc fF'K A F.mharn\
429784 Centurvlink CenturvTel of Missouri LLC
429',18s Centurvlink CenturvTel of Missouri LLC
429786 Centurvlink CenturvTel of Missouri LLC
429787 CenturvLink CenturvTel of Missouri LLC
442084 CenturvLink United Teleohone Co of Texas Inc. FKA Em
442101 Centurv T.ink CenturvTel of Lake Dallas Inc.
4421t4 Centurvlink Central Teleohone Co. of Texas FKA Embarc
4421r7 Centurvlink CenturvTel of Port Aransas Inc.
442140 CenhrruLinlr CentrrruTel nf San Marnnq Inc
4s5101 CenhrrvT nk Orveef Cnrnnrafinn
462185 Cenhrrvl nk CenturvTel of Easle Inc.
462187 Cenhrvlink The El Paso Countv Telenhone Comoanv
462208 Centurvlink CenturvTel of Colorado Inc.
465102 (acnfrrruT inlr f.lwpsf Cnrrrnrefinn
472223 CenturvLink CenturvTel of the Gem State (Nevada)
472225 CenturvLink CenturvTel of Idaho Inc.
475103 Centurvlink Owest Comoration
475162 Centurvlink Owest Corooration
482249 Centurvlink CenturvTel of Montana Inc.
48s 104 Centurvlink Owest Corooration
492274 Cenhrnil.ink CenhrrvTel of fhe Smrfhwesf fNew Mexic.o]
495105 Cenhrrvl .ink Orvesf Cnrnorafinn
505107 Cenhrrvl .ink Owesf Cnrnnratinn
51 l59s Centurvlink tlnited Teleohone Co. of the West GKA Emb
FCC Form 555
November 2014
Approved by OMB
3060{819
Affiliated ETCs
SAC Na:ne
5'.t2299 (-cnhrruT.inlr CenhrrvTel nf Wvnminrr Tnc
515108 CenhrrvT.ink Owest Comoretion
7).).400 Cenhrnrl,ink Ilnifed Telenhone Co ofthe Northwest(FKA
522408 (apnfrrnrf inL CenfirnrTel nf \I/ashincrtnn Ine-
5224r0 (ranfirnrf inL CenfirnrTal nf Cmrinhc Inc-
525167 CenhrrvT.ink Owest Comorafion
532351 Centurvlink CenturvTel of Oreeon Inc.. CenturvTel ofEa
532400 Centurvlink United Teleohone Co of theNorthwestGKA
{?5 1 6?faan?r rnrT ialr f)rrresf fanmnrqfinn
552223 Cenhrrvl.ink CentrrvTel of the Gem State (Nevada)
552348 CenfirrvT.ink Central Telenhone Co. ofNevada (FKA)