20170630Custer Telephone Broadband ETC.pdf

CTCI
Custer Telephone Broadband Services LLC.
Challis Headquarters
P.O. Box 324
1101 E.Main Ave.
Challis,lD 83226
208-879-4000
Salmon Office
400 Shoup Street
Salmon,lD 83467
208-756-4111
Toll Free: 1 -866-87 9-2281
July 1 ,2017
Ms. Jean Jewell
Commission Secretary
!daho Public Utilities Commission
472 W estWashington Street
Boise, ldaho 83720
jean.jewell@puc. idaho. gov
RE {r2017 Eligible Telecommunications Carrier (ETC) Annual Rtporti
Requirements with the IPUC - Case number GNR-T-17-01
Dear Ms. Jewell:
Custer Telephone Broadband Services LLC ("the Company") hereby
provides copies to the ldaho Public Utilities Commission ("Commission") of the
filing to the Federal Communications Commission ("FCC") and the Universal
Service Administrative Corporation ("USAC") for designation as an Eligible
Telecommunications Carrier, in accordance with 47 U.S.C. 54.313 and 54.422.
Section 54.313 applies to eligible telecommunications carriers ("ETCs") receiving
high cost federal USF support and Section 54.422 applies to ETCs receiving low-
income support. Both sections require the Company to file the annual report with
the FCC, USAC and the Commission. I have also included the signed Affidavit
pursuant to Commission Order 29841.
Company is an Eligible Telecommunications Carrier (ETC) providing Life
Line service and receives universal service low-income support only, therefore
further requests the Commission disregard item 5 of the Affidavit.
lf you have any questions, do not hesitate to contact me directly
Sincerely,
Dennis L Thornock
President and General Manager
Page 1
<010> StudvAreacode 'l? 9019
<015> StudvArea Name Cusle! fel€phone Broadband ServlceE LLC
<02O> ProaramYear 2018
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<035> Contact Telephone Number:
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208819228r ext.L7
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<400>
Select from the dropdown list to indicate how you would like to report
voice complaints {zero or greater} for voice telephony service in the prior
calendar year for each service area in which you are designated an ETC for
any facilities you own, operate, lease, or otherwise utilize.
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oM8 C6rd Xo. !060{986y'OM8 ConGl No. !fi0{819
iuly 2O!t
<010> Study Area Code
<015> Study Area Name Custer Telephone Broadband Services LLC
<020> Program Year 2078
<030> cortact Name - Person USAC should contad regarding this data Dennis L Thornock
<035> Contact Telephone Number - Number of pe6on identilied in data llne <030> 20887 92281 ext . 1 7
<o39> Contact EmailAddress - EmailAddress ot pe6on identified in data tine <o3o> denn i s G cu s te rte l- ' ne t
Select from the drop down menu or check the boxes below to note compliance with 54.313(fX1). Privately held carriers must ensure compliance with the
financial reporting requirements set forth in 47 CFR 54.3f 3(fX2I. I further certify that the information reported on this form and in the documents
attached below is accurate.
(300e)
(3010A)
(30108)
(3012A)
(3or2B)
(3013)
(3014)
Progress Report on 5 Year Plan
carrier certifi es to 54.313(fXlxiii)
Certification of Public lnterest Obligations {47 CFR 5
s4.313(fx1xi))
Please Provid€ Attachment Name of Attached Document Listing Required
lnformation
Community Anchor lnstitutions {47 CFR E
s4.313(fxl)(ii))
Please Provide Attachment Name of Attached Document Listin8 Required
ls your company a Privately Held RoR carrier {47 cFR
5 s4.313(fX2))
lf yes, does your company file the RUS annual report
lnformation
(Yes/No)oooo(Yes/No)
(301s)
(3016)
(30171
(3018)
Please check these boxes to confirm that the
attached PDF, on line 3017, contains the required
information pursuant to 5 54.313(0(2) compliance
requires:
Eledronic copy oftheir annual RUs reports
(Operating Report for Telecommunications
Borrowers)
Document(s) with Balance sheet, lncome statement
and Statement of Cash Flows
lf the response is yes on line 3014, attach your
company's RUS annual report and all required
documentatlon
lf the response ls no on Iine 3014, is your company
audited?
lf the respof,se is yes on line 3018, please check the
boxes below to confirm your submission on line
3026 pursuant to S 54.313(fX2), contains:
Either a copy of their audited financial statement; or
(2) a financial report in a format comparable to RUs
Operating Report for Telecommunications Borrowers
Document(s) for Balance Sheet, lncome statem€nt
and Statement of Cash Flows
Management letter and/or audit opinion issued by
the independent certlfied public accountant that
performed the company's financial audit.
lf the response is no on line 3018, please check the
boxes below to confirm your submission on line
3026 pursuant to 5 54.313(fX2), contains:
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 subjeded to a review by an
independent certified public accountant
E
E
Name of Attached Document Listing Required
lnformation
(Yes/No) O O
(301s1
(3020)
(302U
t_l
(3022)E
E
E
E
(3023)
(3024)Underlying information subjected to an officer
certification.
(302s)Document(s) with Balance 5heet, lncome Statement
and statement of cash Flows
Name of Attached Document Listing Required
lnformation
(3026) Attach the worksheet listing required information
page 16
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<015> StudyArea Name c,..". '.r.pn.." "'..aa..a s".,r."' rrc .
2013
<039> Contact Email Address - Email Address of person identified in data line <03O, &.ni!€cu!t.d.r.n.r
Authorized Rural Broadband Exp€riment (RBE) reipients must address the cenlfication for publlc lnterest oblltations, provlde a llst of newly served
community anchor institutiont and provide a list of locations where broadband has been deployed.
Publlc lBtcr6t OblLatlons - FcC l4-9E (pa6sr.pht 2F29, 781
Please address Line 4001 regardinB compliance with the Commission's public interest obligations. All RBE participants must provide a response to Llne 4001.
4001. Recipient certifies that it is offerint broadband to th. identificd locatlons meeting the rcquisite public
interest obli&tions consistent with the category for whlch they were s.lected, includinS broadband speed,
latency, usage capecity, and rates that are reasonably comparable to rates for comparabh offerin$ in urban
areas?
Cqrmunity Anchor lnstltutlo.is - F1CC !l-9E (paraS?aph 79,
lIl03.. RBE particlpants must provide the number, namet and addresres of community anchor institutions to
which they newly deployed broadband sewice ln the precedin8 calendar ye.r. on this line, please respond
{yes - attach new community ancho6, no - no new anchors) to indicate whether this list will be provid€d.
lf y6 to {o03A" pl€ase provlde a r.sponic for 40038.
a0o3b. Provide the number, names and addresses
of community anchor institutions to which the
recipient nwly began providing access to
broadband service in the preceding calendar year.
Name of Attached Document Listing Required lnfomation
Bro.dband D€ploym€nt Lo€euont- tCC l4€t (par.sr.ph 601
tl00{a. Attach a list of geocoded locations to
which broadband has been deployed as ofthe
June lst immediately preceding the July 1st filing Name ofAttached Document Listing Rcquired lnfo,mation
deadline for the Fcc Form rE1.
aolr.lb. Attach evidence demonstrating that the
recipient is meetinS the relsant publlc service
oblitations for the identified locations. Materials
must at l€ast detail the pricin& offered broadband
speed and data usage allowances avallable in the
relevant Seo8raphic area.
Name ofAttached Document Listing Requlred lnformation
p.t! 18
Page 19
<010> StudvArea Code a?qn1 q
<015> StudvArea Name Custe! teleDhone Broadband Services LLC
<020> Program Year 2078
<030> ContactName-PeEonUSACshouldcontactregardlngthisdata Dennis L Thornock
<O3D ContactTelephoneNumber-Numberofpersonidentifledindataline<030> 2088792281 ext.17
<039> Contact Email Address - Emall Address of person ldentifled ln data llne <030>dennis0custertel.noL
TO BE COMPTETED BY THE REPORTING CARRIER, IF THE REPORNNG CARRIER IS FIUNG ANNUAT REPORTING ON lTS OWN BEHAI"F:
Certificatlon of Offlcer as to the Accuracy of the Data Reponed for the Annual Reportint for CAF or U Recipients
certlfy that I am an olflcer of the reportln3 canler; my rcsponslbllldes lndude omurlnt the .ccurarl of the annual repot{ni r.quiremcnts for uniuenal s€tylcr support
tclpl.nts; .nd, to thc best of my knowbdge, thr hro]mauon rcportad m thl. ionn rnd ln any attedrmGnE ls.ccur.tc.
',lameofRelortingCarrler. Custer TelePhone Broadband Selvices LLC
iirnatureof Authorized officer: CERTTFTED oNLTNE Date 06/29/20t1
,rinted name of Authorlzed officer: Dennls Tho!trock
ntle or msition of Authorized officer: Preaident
fel€ohone number of Authorized Officer. 20897 9228! exE. 11
itudv Area code of Remrtinr carrier: 4190L9 Fllins Due Date for t6ir;orln' 07l03/2017
P€Eonswillfullymakingfalsertatementsonthlsform@nbepunishedbyfineorforfcitureundcrtheCommuni@tionsActof1934,47U.S.C.99502,5O3(b),orfinrorimptipnment
under Trtle 18 of the Unhed States Code, 18 U.s.C. 5 1m1.
Page 19
Page 20
<010> Studv Area code 419479
<o1 s>Str.lv Area Name Custer lelephone Broadband Services LLC
<020> Propram Year 2Cl8
<030> Contact Name - Person USAC should contact regarding this data Dennis L Thornock
<035> contact relebhone Number - Number of oerson identified in data line <o3o > 20881 92281 ext ' 1'7
<039> Contact Email Address - Email Address of oerson identified in data line <O3O> dennis0custertel . neL
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAL REPORTS ON THE CARRIER'S BEHALF:
TO BE COMPLETED BY THE AUTHORIZED AGENT:
FCC Form,l81
OMB Control No. 306G0986/OMB Control No. 306&0819
carriet
Collection Form
- Agent
2013
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Repo*inE Carrier
certifythat(NamoofA9ont)i3authorizgdtosubmitthain,omationr.portedonbehalfofthereporting6rrior.l
rlsocertifythatlam"noff".,ofth"eaccuEcyoflh6annualdatarePortingrgquircmenbprovldedtotheaulhorized
rgent; and, to lhe bert of my knowlodgo, the roporls and dala proyided to the aulhdized agent is accurato.
{ame of Authorized Asent:
{ame of Reporting Carrier:
;ignature of Authorized Officer:Date:
,rinted name ofAuthorized Officer:
fitle or position of Authorized Officer:
felephone number of Authorized Officer:
Study Area Code of Reporting Carrier:Filing Due Date for this form:
underTitle 18 of the United States Code, 18 U.S.C. E 1001.
Certification of Atent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
lhe data reported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate.
!ame of Regorting Carrier:
\ame of Authorized Asent Firm:
iipnature of Authorized Acent or Emolovee ofAqent:Datp:
!ame ofAuthorized Asent Emolovee:
ntle or position of Authorized Apent or Emplovee ofAgent
felephone number of Authorized Agent or Employee of Agent:
;tudv Area Code of Reoortin! Carrier:Filins Due Date for this form:
18 0f the united states code, 18 u.s.c. 5 1001.
Page 20
What is a telephone assistance program?
Financial assistance is available in Idaho to help qualified low-income individuals pay
for telephone or intemet service. The Idaho Telephone Service Assistance Program
(ITSAP) offers a discount of $2.50 on monthly telephone bills. A separate program -
the Federal Communication Commission's Lifeline program (Lifeline) - offers a
discount of $9.25 on monthly telephone or internet bills. These programs provide a
communication "lifeline" to those who might not otherwise be able to afford telephone
or intemet service. It also enhances the value of service for everyone by increasing the number of people who can be
reached by telephone. A small surcharge is applied to every Idaho telephone line each month to reimburse local telephone
companies for the cost of state discounts under ITSAP. The surcharge is waived for customers receiving the ITSAP
discount. The Idaho Public Utilities Commission (IPUC) reviews the surcharge annually and may increase or decrease
the surcharge.
Who Is Eligible?
Any residential customer who meets program-based or income-based eligibility criteria may apply. To find out if you are
eligible call 866-255-708 l.
The assistance provides the following discounts:
Landline phone:
o Idaho Telephone Service Assistance Credit - $2.50o Lifeline Network Access Fee Credit - $6.50o Federal Lifeline Credit - $2.75
lnternet:o Federal Lifeline Credit - $9.25
Note: Custer Telephone Broadband does not provide credits on bundled service packages at this time.
How Do I Apply For Assistance?
. Apply by calling 866-255-7081.. If you are eligible, your name, address and telephone number will be forwarded to Custer Telephone.o The monthly discount will begin on your next billing statement if you are eligible and your name, address and
number match the telephone company's records.
Do I Need To Apply Every Year?
Yes. Your eligibility must be renewed each year
Lifeline and ITSAP are government assistance programs. The credits are non-transferable, only eligible consumers may
enroll in the program, and the programs are limited to one discount per household.
Bmdtrud Savls
CTCI
Lifeline Service Terms
Custer Telephone Broadband Services LLC is a quality telecommunications service provider which provides basic and enhanced
services at reasonable rates within its service territory. Basic residential telephone service is offered at the following rate :
Monthly Non-Recurring
Rates & Charges Charge
Single Party Residential Telephone Service
The following fees apply in addition to the above monthly rates:
$18.00 $18.00
o Network Access Feeo Idaho Telephone Service Assistance Program (ITSAP)
o Idaho Universal Service Fund (ID USF)o Lemhi County 911 Feeo Federal Excise Tax
o Federal Universal Service Fund
Single Party Residential Telephone Service Total
$6.s0
$0.01
$0.12
$1.25
$0.77
$1.13
$27.78
($2.75)
($6.s0)
($2.50)
($0.01)
($0.03)
($ 1.1 3)
Federal Lifeline Credit
Network Access Fee Credit
Idaho Telephone Assistance Program Credit
Idaho Telephone Service Assistance Program (ITSAP) Credit
Federal Excise Tax Credit
Federal Universal Service Fund Credit
Single Party Universal Lifeline Telephone Service Monthly Rate*$14.86 $r8.00
*Discounted basic service rates and free Toll-Blocking are available to those that qualifu for Universal Lifeline telephone servlce.
The above rates include the following:o Unlimited Local Callingo Touch Tone Capabilityo Access to Operator Serviceso Directory Assistance and tnter-Change Service Providers
o Voice Grade Access to the Public Switched Networko Free Access to 800 and 800-like Toll Free Serviceso One Free Directory Listingo Free Access to a Business Office and Free Access to the Idaho Relay Service by Dialing 711
Emergency 9ll Service.Surcharge for 91 I services is assessed according to government regulations.
Long Distance is not included. Long Distance rate is ten cents ($0.10) per minute or flat-rate plans are available.
Custer Telephone Broadband Services LLC offers basic services to all customers within its service territory
Lifeline broadband only service: ** l0/lMb internet plan $69.95 - $9.25 Federal Lifeline credit: $60.95 Lifeline broadband only
monthly total
**FCC mandate requires at least l0/l Mb download/upload speeds unless not available in your area in which case the plan must be at
least a 4i lMb plan.
For additional details on any of these services, please contact our business office at 208.756.41I 1 or toll-free 866.879.2281