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HomeMy WebLinkAbout20160613Inland Telephone CAF ICC.pdfCertification of Officer to Authorize an Agent to File Data Reported 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 data provided to the Authorized Agent; and, to the best of my knwoledge, the actual data provided to the Authorized Agent is accurate. Name of Reporting Carrier: Signature of Authorized Officer: Printed name of Authorized Officer: Title or position of Authorized Officer: Telephone number 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. Study Area Code of Reporting Carrier Filing Due Date for this form (mm/dd/yyyy) Date: 472423 6/16/2016 INLAND TEL-ID James Brooks Treasurer/Controller/Reg. Manager 509-649-2211 5/24/2016 James Brooks TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING DATA ON THE CARRIER'S BEHALF: Name of Authorized Agent :National Exchange Carriers Association, Inc. National Exchange Carriers Association, Inc. Digitally signed by James Brooks DN:cn=James Brooks,email=jbrooks@inlandnet.com,O=inland tel-id,l=Roslyn WA 98941, Date:5/24/2016 Certification of Officer for Rate-of-Return Carrier Not Seeking Duplicative Recovery I certify that I am an officer of the reporting carrier and that, to the best of my knowledge, the reporting carrier is not seeking duplicative recovery in the state jurisdiction for any Eligible Recovery subject to the recovery mechanism as per §51.917(d)(vii). Name of Reporting Carrier: Signature of Authorized Officer or employee: Printed name of Authorized Officer or employee: Title or position of Authorized Officer or employee: Telephone number of Authorized Officer or employee: 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. Study Area Code of Reporting Carrier Filing Due Date for this form (mm/dd/yyyy) Date: 472423 6/16/2016 INLAND TEL-ID James Brooks Treasurer/Controller/Reg. Manager 509-649-2211 5/24/2016 James Brooks TO BE COMPLETED BY AN OFFICER OF THE REPORTING CARRIER Digitally signed by James Brooks DN:cn=James Brooks,email=jbrooks@inlandnet.com,O=inland tel-id,l=Roslyn WA 98941, Date:5/24/2016 Col D Col E Col F Col G Col H Col I Col J Col K Col L Col M Col N ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ H*I [(L/K)^(12/21)‐ 1]*100 H*L Rate Element Description Unit of  Demand 7/1/2016  Interstate  Rate Test Year 2015‐ 2016 Current  Intrastate Rate 7/1/2016  Proposed  Intrastate Rate FY 2011 Intrastate  Units: Terminating  for Non‐Dedicated  or Originating and  Terminating for  Dedicated  Elements Intrastate Price‐ out with  7/1/2016  proposed  intrastate rate  and FY2011  Demand FY 2015 Intrastate  Units: Terminating  for Non‐Dedicated  and total for  Dedicated  Elements Test Year 2016‐ 2017 Forecasted  Intrastate Units Intrastate Units  Growth Rate % TY 2016‐17  Forecasted  Intrastate  Revenue Terminating End Office Access Service  Terminating End Office, Premium, per access  minute MOU $0.00500 $0.01847 $0.00500 317,851.00 $1,589.26 171,899.00 155,722.00 ‐5.49% $778.61 Terminating End Office Access Service  Terminating End Office, Non‐Premium, per  access minute MOU $0.00500 $0.01014 $0.00500 0 $0.00 0 0 0.00% $0.00 Entrance Facility, Per Termination Voice  Grade Two Wire Termination $42.15 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Entrance Facility, Per Termination Voice  Grade Four Wire Termination $67.43 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Entrance Facility, Per Termination High  Capacity DS1 Termination $205.47 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Entrance Facility, Per Termination High  Capacity DS3 Termination $1,876.11 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Entrance Facility, Per Termination  Synchronous Optical Channel OC3 Termination $1,913.07 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Entrance Facility, Per Termination  Synchronous Optical Channel OC12 Termination $2,042.54 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Entrance Facility, Per Termination ESALT 2  Mbps Circuit $363.93 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Entrance Facility, Per Termination ESALT 10  Mbps Circuit $392.26 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Entrance Facility, Per Termination ESALT 50  Mbps Circuit $508.19 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile Voice  Grade ‐ Two Wire & Four Wire Mile $3.00 $2.98 $3.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile High  Capacity DS1 Mile $14.07 $13.99 $14.07 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile High  Capacity DS3 Mile $122.63 $121.91 $122.63 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  Synchronous Optical Channel OC3 Mile $131.27 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Intrastate Revenues (FCC TRP exhibit) Intrastate Revenues Test Year 2016‐2017 Expected Maximum Intrastate Revenue: $1,155.41 Filename: 160524 472423 Study Area Intrastate Revenues FCC TRP Output.xlsx Page 1 of 6 Col D Col E Col F Col G Col H Col I Col J Col K Col L Col M Col N ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ H*I [(L/K)^(12/21)‐ 1]*100 H*L Rate Element Description Unit of  Demand 7/1/2016  Interstate  Rate Test Year 2015‐ 2016 Current  Intrastate Rate 7/1/2016  Proposed  Intrastate Rate FY 2011 Intrastate  Units: Terminating  for Non‐Dedicated  or Originating and  Terminating for  Dedicated  Elements Intrastate Price‐ out with  7/1/2016  proposed  intrastate rate  and FY2011  Demand FY 2015 Intrastate  Units: Terminating  for Non‐Dedicated  and total for  Dedicated  Elements Test Year 2016‐ 2017 Forecasted  Intrastate Units Intrastate Units  Growth Rate % TY 2016‐17  Forecasted  Intrastate  Revenue Intrastate Revenues (FCC TRP exhibit) Intrastate Revenues Test Year 2016‐2017 Expected Maximum Intrastate Revenue: $1,155.41 Direct Trunked Transport Facility/ Mile  Synchronous Optical Channel OC12 Mile $164.75 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 2 Mbps DTF‐E1 Circuit Miles $41.46 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 2 Mbps DTF‐E2 Circuit Miles $27.64 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 2 Mbps DTF‐E3 Circuit Miles $80.06 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 2 Mbps DTF‐E4 Circuit Miles $134.07 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 10 Mbps DTF‐E1 Circuit Miles $105.14 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 10 Mbps DTF‐E2 Circuit Miles $63.09 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 10 Mbps DTF‐E3 Circuit Miles $201.53 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 10 Mbps DTF‐E4 Circuit Miles $413.36 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 50 Mbps DTF‐E1 Circuit Miles $294.37 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 50 Mbps DTF‐E2 Circuit Miles $196.27 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 50 Mbps DTF‐E3 Circuit Miles $658.19 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport Facility/ Mile  ESALT 50 Mbps DTF‐E4 Circuit Miles $1,173.02 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport  Facility/Termination Voice Grade ‐ Two Wire  & Four Wire Termination $30.18 $30.00 $30.18 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport  Facility/Termination High Capacity DS1 Termination $73.04 $72.61 $73.04 0 $0.00 0 0 0.00% $0.00 Filename: 160524 472423 Study Area Intrastate Revenues FCC TRP Output.xlsx Page 2 of 6 Col D Col E Col F Col G Col H Col I Col J Col K Col L Col M Col N ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ H*I [(L/K)^(12/21)‐ 1]*100 H*L Rate Element Description Unit of  Demand 7/1/2016  Interstate  Rate Test Year 2015‐ 2016 Current  Intrastate Rate 7/1/2016  Proposed  Intrastate Rate FY 2011 Intrastate  Units: Terminating  for Non‐Dedicated  or Originating and  Terminating for  Dedicated  Elements Intrastate Price‐ out with  7/1/2016  proposed  intrastate rate  and FY2011  Demand FY 2015 Intrastate  Units: Terminating  for Non‐Dedicated  and total for  Dedicated  Elements Test Year 2016‐ 2017 Forecasted  Intrastate Units Intrastate Units  Growth Rate % TY 2016‐17  Forecasted  Intrastate  Revenue Intrastate Revenues (FCC TRP exhibit) Intrastate Revenues Test Year 2016‐2017 Expected Maximum Intrastate Revenue: $1,155.41 Direct Trunked Transport  Facility/Termination High Capacity DS3 Termination $469.01 $466.26 $469.01 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport  Facility/Termination Synchronous Optical  Channel OC3 Termination $488.35 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport  Facility/Termination Synchronous Optical  Channel OC12 Termination $1,063.29 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport  Facility/Termination ESALT 2 Mbps Circuit terms $96.76 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport  Facility/Termination ESALT 10 Mbps Circuit terms $118.28 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Direct Trunked Transport  Facility/Termination ESALT 50 Mbps Circuit terms $144.57 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Multiplexing, Per Arrangement DS3 to DS1 Termination $427.94 $425.43 $427.94 0 $0.00 0 0 0.00% $0.00 Multiplexing, Per Arrangement DS1 to Voice Termination $165.21 $164.24 $165.21 0 $0.00 0 0 0.00% $0.00 Customer Node Per Node OC3 155.52 Mbps Port $444.22 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Customer Node Per Node OC12 622.08  Mbps Port $1,283.32 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Customer Premises Port, Per Port OC3  155.52 Mbps Port $145.76 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Customer Premises Port, Per Port STS‐1  51.84 Mbps Port $175.00 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Customer Premises Port, Per Port DS3  44.736 Mbps Port $175.00 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Customer Premises Port, Per Port DS1 1.544  Mbps Port $44.86 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Add/Drop Multiplexing Central Office Port,  Per Port DS1 1.544 Mbps Port $35.89 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Filename: 160524 472423 Study Area Intrastate Revenues FCC TRP Output.xlsx Page 3 of 6 Col D Col E Col F Col G Col H Col I Col J Col K Col L Col M Col N ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ H*I [(L/K)^(12/21)‐ 1]*100 H*L Rate Element Description Unit of  Demand 7/1/2016  Interstate  Rate Test Year 2015‐ 2016 Current  Intrastate Rate 7/1/2016  Proposed  Intrastate Rate FY 2011 Intrastate  Units: Terminating  for Non‐Dedicated  or Originating and  Terminating for  Dedicated  Elements Intrastate Price‐ out with  7/1/2016  proposed  intrastate rate  and FY2011  Demand FY 2015 Intrastate  Units: Terminating  for Non‐Dedicated  and total for  Dedicated  Elements Test Year 2016‐ 2017 Forecasted  Intrastate Units Intrastate Units  Growth Rate % TY 2016‐17  Forecasted  Intrastate  Revenue Intrastate Revenues (FCC TRP exhibit) Intrastate Revenues Test Year 2016‐2017 Expected Maximum Intrastate Revenue: $1,155.41 Add/Drop Multiplexing Central Office Port,  Per Port OC3 155.52 Mbps Port $145.76 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Add/Drop Multiplexing Central Office Port,  Per Port DS3 44.736 Mbps Port $89.75 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Network Blocking, Per Blocked Call Network  Blocking, Per Blocked Call, Applies to FGD  only Call $0.02 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 ESALT Real Time CoS/QoS, Per ESALT DTF‐E1  Facility ESALT 2 Mbps Facility $7.93 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 ESALT Real Time CoS/QoS, Per ESALT DTF‐E1  Facility ESALT 10 Mbps Facility $39.64 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 ESALT Real Time CoS/QoS, Per ESALT DTF‐E1  Facility ESALT 50 Mbps Facility $123.17 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 ESALT Entrance Facility Protection, Per  ESALT Entrance Facility ESALT 2 Mbps Circuit $285.85 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 ESALT Entrance Facility Protection, Per  ESALT Entrance Facility ESALT 10 Mbps Circuit $285.85 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 ESALT Entrance Facility Protection, Per  ESALT Entrance Facility ESALT 50 Mbps Circuit $285.85 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Common Channel Signaling Network  Connection Signaling Mileage Facility, Per  Mile Mile $4.05 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Common Channel Signaling Network  Connection Signaling Mileage Termination,  Per Termination Termination $40.62 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Common Channel Signaling Network  Connection Signaling Entrance Facility, Per  Facility Facility $77.79 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Common Channel Signaling Network  Connection STP Port, Per Port Port $400.84 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Filename: 160524 472423 Study Area Intrastate Revenues FCC TRP Output.xlsx Page 4 of 6 Col D Col E Col F Col G Col H Col I Col J Col K Col L Col M Col N ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ H*I [(L/K)^(12/21)‐ 1]*100 H*L Rate Element Description Unit of  Demand 7/1/2016  Interstate  Rate Test Year 2015‐ 2016 Current  Intrastate Rate 7/1/2016  Proposed  Intrastate Rate FY 2011 Intrastate  Units: Terminating  for Non‐Dedicated  or Originating and  Terminating for  Dedicated  Elements Intrastate Price‐ out with  7/1/2016  proposed  intrastate rate  and FY2011  Demand FY 2015 Intrastate  Units: Terminating  for Non‐Dedicated  and total for  Dedicated  Elements Test Year 2016‐ 2017 Forecasted  Intrastate Units Intrastate Units  Growth Rate % TY 2016‐17  Forecasted  Intrastate  Revenue Intrastate Revenues (FCC TRP exhibit) Intrastate Revenues Test Year 2016‐2017 Expected Maximum Intrastate Revenue: $1,155.41 Terminating Tandem Switched Transport  Terminating Tandem Switched Transport  Facility Minutes / Mile $0.00043 $0.00043 $0.00043 2,342,562.00 $1,014.33 158,839.00 140,598.00 ‐6.73% $60.88 Terminating Tandem Switched Transport  Terminating Tandem Switched Termination Minutes $0.00225 $0.00223 $0.00225 317,851.00 $714.21 158,839.00 140,598.00 ‐6.73% $315.92 Terminating Tandem Switched Transport  Terminating Tandem Switching Minutes $0.00567 $0.00000 $0.00000 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges Voice Grade Two Wire Facility $483.86 $290.13 $483.86 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges Voice Grade Four  Wire Facility $483.86 $290.13 $483.86 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges High Capacity DS1 Facility $354.84 $290.13 $354.84 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges High Capacity DS3 Facility $478.49 $290.13 $478.49 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges Synchronous Optical  Channel OC3 Facility $387.09 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges Synchronous Optical  Channel OC12 Facility $387.09 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges Interim NXX  Translation, Per Order Order $236.56 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges FGC and FGD  Conversion of Multifrequency Address  Signaling to SS7 Signaling or SS7 Signaling to  Multifrequency Address Signaling, per 24  trunks converted or fraction thereof on a  per order basis Order $475.25 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges Trunk Activation, per  24 trunks activated or fraction thereof on a  per order basis Order $493.53 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Filename: 160524 472423 Study Area Intrastate Revenues FCC TRP Output.xlsx Page 5 of 6 Col D Col E Col F Col G Col H Col I Col J Col K Col L Col M Col N ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ H*I [(L/K)^(12/21)‐ 1]*100 H*L Rate Element Description Unit of  Demand 7/1/2016  Interstate  Rate Test Year 2015‐ 2016 Current  Intrastate Rate 7/1/2016  Proposed  Intrastate Rate FY 2011 Intrastate  Units: Terminating  for Non‐Dedicated  or Originating and  Terminating for  Dedicated  Elements Intrastate Price‐ out with  7/1/2016  proposed  intrastate rate  and FY2011  Demand FY 2015 Intrastate  Units: Terminating  for Non‐Dedicated  and total for  Dedicated  Elements Test Year 2016‐ 2017 Forecasted  Intrastate Units Intrastate Units  Growth Rate % TY 2016‐17  Forecasted  Intrastate  Revenue Intrastate Revenues (FCC TRP exhibit) Intrastate Revenues Test Year 2016‐2017 Expected Maximum Intrastate Revenue: $1,155.41 Nonrecurring Charges Flexible Automatic  Number Identification (Flex ANI), per End  Office, per CIC End Office $0.00 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges ESALT 2 Mbps Facility $573.45 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges ESALT 10 Mbps Facility $573.45 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges ESALT 50 Mbps Facility $573.45 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges ESALT Direct Trunked  Termination, per ESALT Direct Trunked  Termination installed Order $377.81 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 Nonrecurring Charges ESALT Entrance  Facility Protection, per ESALT Entrance  Facility Facility $579.65 $0.00 $0.00 0 $0.00 0 0 0.00% $0.00 $3,317.80 $1,155.41  Filename: 160524 472423 Study Area Intrastate Revenues FCC TRP Output.xlsx Page 6 of 6 Certification of Officer as to the Accuracy of the CAF ICC Data Reported I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the actual data reported; and, to the best of my knowledge, the information reported on this form is accurate. Name of Reporting Carrier: Signature of Authorized Officer: Printed name of Authorized Officer: Title or position of Authorized Officer: Telephone number 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. Study Area Code of Reporting Carrier Filing Due Date for this form (mm/dd/yyyy) Date: 472423 6/16/2016 INLAND TEL-ID James Brooks Treasurer/Controller/Reg. Manager 509-649-2211 5/24/2016 James Brooks TO BE COMPLETED BY THE REPORTING CARRIER. Digitally signed by James Brooks DN:cn=James Brooks,email=jbrooks@inlandnet.com,O=inland tel-id,l=Roslyn WA 98941, Date:5/24/2016 Certification of Officer for Rate-of-Return Carrier Eligibility for CAF/ICC Recovery I certify that I am an officer of the reporting carrier and that, to the best of my knowledge, the reporting carrier on this form certifies that it has complied with Eligible Recovery §51.917(d) and Access Recovery Charge §51.917(e) and is eligible to receive the CAF ICC support requested pursuant to §51.917(f). Name of Reporting Carrier: Signature of Authorized Officer or employee: Printed name of Authorized Officer or employee: Title or position of Authorized Officer or employee: Telephone number of Authorized Officer or employee: 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. Study Area Code of Reporting Carrier Filing Due Date for this form (mm/dd/yyyy) Date: 472423 6/16/2016 INLAND TEL-ID James Brooks Treasurer/Controller/Reg. Manager 509-649-2211 5/24/2016 James Brooks TO BE COMPLETED BY AN OFFICER OF THE REPORTING CARRIER Digitally signed by James Brooks DN:cn=James Brooks,email=jbrooks@inlandnet.com,O=inland tel-id,l=Roslyn WA 98941, Date:5/24/2016 2016 CAF ICC Data Collection NECA Home NECA Data Collections Contact Us CAF ICC - Instructions & Documents Paper Certification Tracking Logout Logged in User: James Brooks Home Select Company Main Page Study Area Data Input Menu CAF & ARC Output E-Certification Study Area: INLAND TEL-ID (ID: 472423) Study Area Test Period 2016-17 Summary Report View Summary Report in Excel Summary Report for Study Area ID 472423 - For data collected during year 2016 for Test Period 2016-2017 Interstate Revenues Eligible Recovery Data Study Area Amounts 1 TY 2011-2012 Frozen Interstate Switched Access Revenue Requirement excluding Pool Administration Expenses $194,406.00 2 Projected TY 2016-2017 Interstate Switched Access Revenue Requirement + Pool Administration Expenses $154,896.07 3 Current TY 2015-2016 Interstate Terminating Switched Access End Office Rate $0.018465 4 Proposed July 1, 2016 Interstate Terminating Switched Access End Office Rate = $0.005 $0.005000 5 Current TY 2015-2016 Total Interstate Switched Access Composite Rate $0.042064 6 Projected TY 2016-2017 Total Interstate Local Switching Minutes 684,281 7 Projected TY 2016-2017 Total Interstate Switched Access Revenue at the Current Rate $28,783.60 8 Projected TY 2016-2017 Interstate Terminating Switched Access End Office (Local Switching) Minutes 408,228 9 Projected TY 2016-2017 Interstate Terminating Switched Access End Office Revenue at Current Rate $7,537.93 10 Projected TY 2016-2017 Interstate Terminating Switched Access End Office Revenue at Proposed Rate $2,041.14 11 Adjustments to the Total Projected TY 2016-2017 Interstate Switched Access Revenue $5,496.79 12 Projected TY 2016-2017 Total Interstate Switched Access Revenue at the Proposed Rate $23,286.81 13 Projected TY 2016-2017 Allocated Interstate Switched Access Revenue $56,700.12 14A Adjustments to the 2011-2012 Interstate Switched Access Revenue Requirement to Avoid Double Recovery $0.00 14B No double recovery option is selected 14C1 Adjustment in 2011-2012 Interstate Special Access Revenue Requirement Related to Double Recovery $0.000000 14C2 Adjustment in 2011-2012 Interstate Common Line Revenue Requirement Related to Double Recovery $0.000000 14C3 Adjustment in 2011-2012 Other Related to Double Recovery $0.000000 14 Projected TY 2016-2017 Interstate Eligible Recovery $98,195.95 2016 CAF ICC Data Collection https://www.necainfo.org/ICC_CAF/Source/SummaryReport.asp 1 of 8 5/24/2016 4:34 P 14D True-Up Adjustments for Interstate Switched Access in 2013-2014 and 2014-2015 for Double Recovery $0.00 14E Adjusted TY 2016-2017 Interstate Eligible Recovery $98,195.95 15 Proposed TY 2016-2017 Total Interstate Switched Access Composite Rate $0.034031 16 FY 2015 (October 1, 2014 - September 30, 2015) Total Interstate Local Switching Minutes 795,737 17 TY 2016-2017 Growth Rate relative to FY 2015 -8.26% (Interstate Data for Study Area 472423) 2016 CAF ICC Data Collection https://www.necainfo.org/ICC_CAF/Source/SummaryReport.asp 2 of 8 5/24/2016 4:34 P Intrastate Revenues Eligible Recovery Data Study Area Amounts Line 1 FY 2011 (October 2010 through September 2011) Received Revenue including Correction of Errors and Halo $12,999.00 Line 2 95% of Total TY2015-2016 Revenue Requirement (95%^5 Line 1) $10,058.38 (Option B) Line 9 Projected Total TY2016-2017 Intrastate Terminating Switched Access Service Revenue $1,155.41 Line 10 Test Year 2016-2017 Net settlement from the State Pool $0.00 Line 11 Test Year 2016-2017 State Terminating Access Support Rebalancing Fund Revenue $0.00 Line 12 Total Test Year 2016-2017 Projected Intrastate Terminating Switched Access Service Revenue $1,155.41 Line 13A Adjustments to FY2011 Received Revenue due to Halo Uncollectibles $0.00 Line 13B Correction of Errors Resulting in Downward Adjustments in FY2011 Received Revenue $0.00 Line 13C Adjustments to FY2011 Received Revenue to Avoid Double Recovery $0.00 Line 13D Correction of Errors Resulting in Upward Adjustments in FY2011 Received Revenue $0.00 Line 13 The Total TY 2016-2017 Intrastate Eligible Recovery $8,902.97 Line 13E True-Up Adjustment for Intrastate Terminating Switched Access in 2013-2014 and 2014-2015 for Double Recovery $0.00 Line 13F Adjusted TY2016-2017 Intrastate Eligible Recovery $8,902.97 (Intrastate Data for Study Area 472423) 2016 CAF ICC Data Collection https://www.necainfo.org/ICC_CAF/Source/SummaryReport.asp 3 of 8 5/24/2016 4:34 P Reciprocal Compensation Revenue Eligible Recovery Data CMRS Amount NON CMRS Amount Line 1/Line 10 FY2011 (October 2010 through September 2011) Net Reciprocal Compensation Received Revenue $0.00 $0.00 Line 2/Line 11 TY 2016 - 2017 Terminating Reciprocal Compensation Minutes 0 0 Line 3/Line 12 TY 2016 - 2017 Terminating Reciprocal Compensation Composite Rate $0.00 $0.024868 Line 4/Line 13 TY 2016 - 2017 Originating Reciprocal Compensation Minutes 0 0 Line 5/Line 14 TY 2016 - 2017 Originating Reciprocal Compensation Composite Rate $0.00 $0.024868 Line 6/Line 15 TY 2016 - 2017 Terminating Reciprocal Compensation Revenue $0.00 $0.00 Line 7/Line 16 TY 2016 - 2017 Originating Reciprocal Compensation Expense $0.00 $0.00 Line 8/Line 17 TY 2016 - 2017 Net Forecasted Reciprocal Compensation Revenue $0.00 $0.00 Line 9/Line 18 TY 2016 - 2017 Net Reciprocal Compensation Revenue Requirement $0.00 $0.00 Line 19/Line 20 Eligible Recovery $0.00 $0.00 Line 19A/Line 20A Downward Adjustments to FY2011 Net Reciprocal Compensation Received Revenue $0.00 $0.00 Line 19B/Line 20B Upward Adjustments to FY2011 Net Reciprocal Compensation Received Revenue $0.00 $0.00 Line 21 Total Adjusted Reciprocal Compensation Eligible Recovery $0.00 $0.00 (CMRS Data for Study Area 472423) 2016 CAF ICC Data Collection https://www.necainfo.org/ICC_CAF/Source/SummaryReport.asp 4 of 8 5/24/2016 4:34 P Test Period 2016-17 Lines Data Test Year 2016-17 Residential Lines Excluding Life Lines Test Year 2016-17 Single Line Business Lines Test Year 2016-17 Multi-Line Business Lines 220 6 15 (Test Period Lines Data for Study Area 472423) Exogenous Data Telecommunications Relay Service Increment Regulatory-Fees Increment NANPA Increment Total Exogenous Costs $0.00 $0.00 $0.00 $0.00 (Exogeneous Data for Study Area 472423) 2016 CAF ICC Data Collection https://www.necainfo.org/ICC_CAF/Source/SummaryReport.asp 5 of 8 5/24/2016 4:34 P Test Period 2014-15 True-Up Data Study Area Forecasted Amount Study Area Reported Amount Difference [Reported - Forecasted] 1 TY 2014-2015 Allocated Interstate Access Revenue $89,035.45 $83,557.95 ($5,477.50) 2 Total TY 2014-2015 Intrastate Terminating & Reciprocal Compensation Revenue $7,455.89 $5,980.00 ($1,475.89) 3 Total TY 2014-2015 Intrastate Terminating Switched Access Service Revenue $7,455.89 $6,205.03 ($1,250.86) 4 Total TY 2014-2015 Net Reciprocal Compensation Revenue $0.00 ($225.03) ($225.03) 5 TY 2014-2015 Residential ARC Revenue $0.00 $0.00 $0.00 6 TY 2014-2015 SLB ARC Revenue $162.00 $159.00 ($3.00) 7 TY 2014-2015 MLB ARC Revenue $432.00 $576.00 $144.00 8 TY 2014-2015 TRS Increment $0.00 N/A 9 TY 2014-2015 Regulatory Fees Increment $0.00 N/A 10 TY 2014-2015 NANPA Increment $0.00 N/A 11 Total Exogenous Costs $0.00 $0.00 $0.00 12 Net impact on Total Eligible Recovery $6,812.39 13 TY 2014-2015 Eligible Recovery $87,841.31 $92,383.50 $4,542.19 14 TY 2014-2015 CAFICC Support $87,247.31 $91,648.50 $4,401.19 (TP 14-15 True-up Data for Study Area 472423) 2016 CAF ICC Data Collection https://www.necainfo.org/ICC_CAF/Source/SummaryReport.asp 6 of 8 5/24/2016 4:34 P ARC Rates - Test Period 2016-2017 Pre-True-Up View Exchange/Zone Name Residential Lines excluding Lifelines Residential ARC Residential ARC Revenue SLB ARC SLB ARC Revenue MLB ARC MLB ARC Revenue Total ARC Revenue Lenore 222 $0.00 $0.00 Leon 25 $0.00 $0.00 Study Area Summary 247 $0.00 $2.50 $180.00 $3.00 $540.00 $720.00 (Pre True-Up ARC Rates - for Study Area 472423) CAF ICC - Test Period 2016-2017 Pre-True-Up View Line ID Line Description Study Area Amounts 10 Interstate Eligible Recovery $98,195.95 20 Intrastate Eligible Recovery $8,902.97 30 Reciprocal Compensation Eligible Recovery $0.00 40 Interstate Local Switching Support (LSS) for Price Cap Affiliates $0.00 50 Total Exogenous Costs $0.00 60 Total Eligible Recovery $107,098.92 80 Residential ARC Revenue at the FCC Prescribed Rate $0.00 90 SLB ARC Revenue at the FCC Prescribed Rate $180.00 100 MLB ARC Revenue at the FCC Prescribed Rate $540.00 110 Total ARC Revenue $720.00 120 CAF ICC Support $106,378.92 (Before TP 14-15 True-Up CAF ICC Data for Study Area 472423) 2016 CAF ICC Data Collection https://www.necainfo.org/ICC_CAF/Source/SummaryReport.asp 7 of 8 5/24/2016 4:34 P ARC Rates - Test Period 2016-2017 Post-True-Up View (Filing view) Exchange/Zone Name Residential Lines excluding Lifelines Residential ARC Residential ARC Revenue SLB ARC SLB ARC Revenue MLB ARC MLB ARC Revenue Total ARC Revenue Lenore 222 $0.00 $0.00 Leon 25 $0.00 $0.00 Study Area Summary 247 $0.00 $2.50 $180.00 $3.00 $540.00 $720.00 (Filing View (Post True-Up) ARC Rates - for Study Area 472423) CAF ICC - Test Period 2016-2017 Post True-Up (Filing) View Line ID Line Description Study Area Amounts Test Period 2016-2017 Pre True-Up View 10 Total Eligible Recovery (Pre-TrueUp)$107,098.92 30 Residential ARC Revenue at FCC Prescribed Rate $0.00 40 SLB ARC Revenue at FCC Prescribed Rate $180.00 50 MLB ARC Revenue at FCC Prescribed Rate $540.00 60 Total ARC Revenue (Pre-TrueUp)$720.00 70 CAFICC Support (Pre-TrueUp)$106,378.92 Test Period 2014-2015 True-Up 80 Net Impact on Total Eligible Recovery $6,812.39 Test Period 2016-2017 Filing (Post True-Up) View 90 Total Eligible Recovery (Post-TrueUp)$113,911.31 110 Residential ARC Revenue at FCC Prescribed Rate $0.00 120 SLB ARC Revenue at FCC Prescribed Rate $180.00 130 MLB ARC Revenue at FCC Prescribed Rate $540.00 140 Total ARC Revenue (Post-TrueUp)$720.00 150 CAFICC Support (Post-TrueUp)$113,191.31 (Filing view - After TP 14-15 True-Up CAF ICC Data for Study Area 472423) © 2016 NECA Terms of Use Privac Polic 2016 CAF ICC Data Collection https://www.necainfo.org/ICC_CAF/Source/SummaryReport.asp 8 of 8 5/24/2016 4:34 P RATE FLOOR DATA COLLECTION - OMB Control Number 3060-0986 Block 1 - Contact Information ROW #DATA ELEMENT RESPONSE FORMAT OF REQUESTED DATA 1 472423Carrier Study Area Code 6 numeric digits 2 Carrier Study Area Name INLAND TELEPHONE COMPANY - IDalpha characters 3 Service Provider Identification Number 1430025279 numeric digits 4 Residential Local Service Charge Effective Date 07/01/16mm/dd/yy 5 Brooks, James KContact Name alpha characters 6 Contact Telephone Number (include area code)509-649-22119 numeric digits 7 Sheet Number numeric digit(s) 8 Total Number of Sheets numeric digit(s) Block 2- Residential Local Service Rates, Fees, and Line Counts Column 1 Residential Local Service Charge Column 2 State Subscriber Line Charge Column 3 State Universal Service Fee Column 4 Manditory Extended Area Service Charge Column 5 Loops Column 6 Exchange Name/ Zone Name Column 7 Class Of Service 18.00 0.00 0.00 0.00 9 2 Leon RES-Measured 18.00 0.00 0.00 0.00 10 7 Lenore RES-Measured USAC Proprietary Confidential