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HomeMy WebLinkAbout20170630Q Link Wireless Form 481.pdfPage 1 Page 1 FCC Form 481FCC Form 481 - Carrier Annual Reporting OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name: Person USAC should contact <035>Contact Telephone Number: <039>Contact Email Address: Data Collection Form Form Type 54.422 Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 2 Page 2 (200) Service Outage Reporting (Voice)FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> <220> NORS Reference Number Outage Start Date Outage Start Time Outage End Date Outage End Time Number of Customers Affected Total Number of 911 Facilities Service Outage Affect Multiple Service Outage Preventative <210>For the prior calendar year, were there any reportable voice service outages? Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 (300) Unfulfilled Service Request FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> <300> Unfulfilled service request (voice) <310> Detail on attempts (voice) <320> Unfulfilled service request (broadband) <330> Detail on attempts (broadband) Name of Attached Document Name of Attached Document Page 3 Page 3 Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> <400> Select from the drop-down 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. <410>Complaints per 1000 customers for fixed voice <420>Complaints per 1000 customers for mobile voice <430> Select from the drop-down list to indicate how you would like to report end-user customer complaints (zero or greater) for broadband 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. <440> <450> Complaints per 1000 customers for fixed broadband Complaints per 1000 customers for mobile broadband Page 4 Page 4 (400) Number of Complaints per 1,000 customers FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 (500) Compliance With Service Quality Standards and Consumer Protection Rules FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> Page 5 Page 5 <500> Certify compliance with applicable service quality standards and consumer protection rules <510>Descriptive document for Service Quality Standards & Consumer Protection Rules Compliance <515> Certify compliance with applicable minimum service standards Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 <010> <015> <020> <030> <035> <039> Study Area Code Study Area Name Program Year Contact Name - Person USAC should contact regarding this data Contact Telephone Number - Number of person identified in data line <030> Contact Email Address - Email Address of person identified in data line <030> (600) Functionality in Emergency Situations FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <600> Certify compliance regarding ability to function in emergency situations Page 6 <610>Descriptive document for Functionality in Emergency Situations Page 6 Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 7 Page 7 <701>Residential Local Service Charge Effective Date <702>Single State-wide Residential Local Service Charge <703> State Exchange (ILEC)SAC (CETC)Rate Type Residential Local Service Rate Total per line Rates and Fees Mandatory Extended Area Service ChargeState Universal Service FeeState Subscriber Line Charge (700) Price Offerings including Voice Rate Data FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <010> <015> <020> <030> <035> <039> Study Area Code Study Area Name Program Year Contact Name - Person USAC should contact regarding this data Contact Telephone Number - Number of person identified in data line <030> Contact Email Address - Email Address of person identified in data line <030> Heather Kirby 1/1/2017 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 8 Page 8 <711> Exchange (ILEC)Residential Rate State Regulated Broadband Service - Download Speed Broadband Service - Usage Allowance Action Taken When select} <a1> Usage Allowance (710) Broadbrand Price Offerings FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 9 Page 9 (800) Operating Companies FCC Form 481 Data Collection Form OMB Control No. 3060-0986 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> <810>Reporting Carrier <811> <812> <813> Doing Business As Company or Brand Designation <a1> Affiliates <a2> SAC <813> Doing Business As Company or Brand Designation <a1> Affiliates <a2> SAC <813> Doing Business As Company or Brand Designation <a1> Affiliates <a2> SAC <813> Doing Business As Company or Brand Designation <a1> Affiliates <a2> SAC /OMB Control No. 3060-0819 QUADRANT HOLDINGS GROUP LLC Heather Kirby Q Link Wireless LLC 2018 etc@telecomcounsel.com Q Link Wireless LLC Q Link Wireless LLC 7702327805 ext. -- See attached worksheet -- 479018 Page 10 <910>Tribal Land(s) on which ETC Serves <920>Tribal Government Engagement Obligation <921> <922> <923> <924> <925> <926> <927> <928> <929> (900) Tribal Lands Reporting FCC Form 481 Data Collection Form OMB Control No. 3060-0986 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> /OMB Control No. 3060-0819 Page 10 <900>Does the filing entity offer tribal land services? (Y/N) Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 11 (1000) Voice and Broadband Service Rate Comparability FCC Form 481 Data Collection Form OMB Control No. 3060-0986 July 2013 /OMB Control No. 3060-0819 <1000> Voice services rate comparability certification <1010> Attach detailed description for voice services rate comparability compliance Name of Attached Document comparability compliance Name of Attached Document Page 11 Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 12 Page 12 (1100) No Terrestrial Backhaul Reporting FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> <1130> Certify whether terrestrial backhaul options exist (Y/N) <1100> Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 13 Page 13 (1200) Terms and Condition for Lifeline Customers FCC Form 481LifelineOMB Control No. 3060-0986/OMB Control No. 3060-0819Data Collection Form July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> <1210>Terms & Conditions of Voice Telephony Lifeline Plans <1221> <1222> <1223> <1220>Link to Public Website HTTP telephony service plans offered to Lifeline subscribers, Details on the number of minutes provided as part of the plan, Heather Kirby 2018 etc@telecomcounsel.com Q Link 1210 (2017) generic with tribal.pdf Q Link Wireless LLC 7702327805 ext. 4 4 4 479018 Page 14 Page 14 FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 (2005) Price Cap Carrier Additional Documentation Data Collection Form Including Rate-of-Return Carriers affiliated with Price Cap Local Exchange Carriers July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> July 2017 certification, this applies to Round 2 recipients of Incremental Support. <2022> Recipient certifies, representing year three after filing a notice of acceptance of funding pursuant to 54.312(c), that the locations in question are not receiving support under the Broadband Initiatives Program or the Broadband Technology Opportunities Program for projects that will provide broadband with speeds of at least 4 Mbps/1Mbps - 54.313(b)(2)(i). Round 2 recipients only. <2023> The attachment on line 2024 includes a statement of the total amount of capital funding expended in the previous year in meeting Connect America Phase I deployment obligations, accompanied by a list of census blocks indicating where funding was spent. This covers year three - 54.313(b)(2)(ii). Round 2 recipients only. <2024A> Round 2 Recipient of Incremental Support? <2024B> Attach list of census blocks indicating where funding was spent in year three - 54.313(b)(2)(ii). Round 2 recipients only. Name of Attached Document Listing Required Information <2025A> Round 2 Recipient of Incremental Support? <2025B> Attach geocoded Information for Phase I milestone reports (Round 2 for year three) - Connect America Fund , WC Docket 10-90, Report and Order, FCC 13-73, paragraph 35 (May 22, 2013). Name of Attached Document Listing Required Information <2015> 2016 and future Frozen Support Certification 47 CFR § 54.313(c)(4) Select the appropriate responses below (Yes, No, Not Applicable) to note compliance as a recipient of Incremental High Cost support, High Cost support to offset access charge reductions, and Connect America Phase II support as set forth in 47 CFR § 54.313(b),(c),(d),(e). The information reported on this form and in the documents attached below is accurate. Incremental Connect America Phase I reporting <2011> 3rd Year Certification 47 CFR §54.313(b)(1)(ii) - Note that for the Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 15 FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 (2005) Price Cap Carrier Additional Documentation Data Collection Form Including Rate-of-Return Carriers affiliated with Price Cap Local Exchange Carriers July 2013 Page 15 Price Cap Carrier Connect America ICC Support {47 CFR § 54.313(d)} <2016> Certification support used to build broadband Connect America Phase II Reporting {47 CFR § 54.313(e )} <2017A> Connect America Fund Phase II recipient? institutions to which the carrier newly began providing access to broadband service in the preceding calendar year - 54.313(e)(1)(ii)(A) Name of Attached Document Listing Required Information <2019> Recipient certifies that it bid on category one telecommunications and Internet access services in response to all FCC Form 470 postings seeking broadband service that meets the connectivity targets for the schools and libraries universal service support program for eligible schools and libraries located within any area in a census block where the carrier is receiving Phase II model-based support, and that such bids were at rates reasonably comparable to rates charged to eligible schools and libraries in urban areas for comparable offerings - 54.313(e)(1)(ii)(C) <2017C> Total amount of Phase II support, if any, the price cap carrier used for capital expenditures in 2016. <2018> Attach the number, names, and addresses of community anchor <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> Select from the drop down menu or check the boxes below to note compliance with 54.313(f)(1). Privately held carriers must ensure compliance with the financial reporting requirements set forth in 47 CFR 54.313(f)(2). I further certify that the information reported on this form and in the documents attached below is accurate. Progress Report on 5 Year Plan (3009) Carrier certifies to 54.313(f)(1)(iii) (3010A) (3010B) Name of Attached Document Listing Required Information (3012A) (3012B) Name of Attached Document Listing Required Information (3013) (Yes/No) (3014) (Yes/No) (3015) (3016) (3017) Name of Attached Document Listing Required Information Please Provide Attachment Community Anchor Institutions {47 CFR § 54.313(f)(1)(ii)} Please Provide Attachment Is your company a Privately Held ROR Carrier {47 CFR §54.313(f)(2)} If yes, does your company file the RUS annual report Please check these boxes to confirm that the attached PDF, on line 3017, contains the required information pursuant to § 54.313(f)(2) compliance requires: Electronic copy of their annual RUS reports (Operating Report for Telecommunications Borrowers) Document(s) with Balance Sheet, Income Statement and Statement of Cash Flows If the response is yes on line 3014, attach your company's RUS annual report and all required documentation If the response is no on line 3014, is your company audited? If the response is yes on line 3018, please check the boxes below to confirm your submission on line 3026 pursuant to § 54.313(f)(2), 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, Income Statement and Statement of Cash Flows Management letter and/or audit opinion issued by the independent certified public accountant that performed the company’s financial audit. If the response is no on line 3018, please check the boxes below to confirm your submission on line 3026 pursuant to § 54.313(f)(2), 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 subjected to a review by an independent certified public accountant Underlying information subjected to an officer certification. Document(s) with Balance Sheet, Income Statement and Statement of Cash Flows Attach the worksheet listing required information Name of Attached Document Listing Required Information page 16 (3005) Rate Of Return Carrier Additional Documentation FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 Page 16 Certification of Public Interest Obligations {47 CFR § 54.313(f)(1)(i)} Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 17 Page 17 (3005) Rate Of Return Carrier Additional Documentation (Continued)FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 Financial Data Summary (3027) Revenue (3028) Operating Expenses (3029) Net Income (3030) Telephone Plant In Service(TPIS) (3031) Total Assets (3032) Total Debt (3033) Total Equity (3034) Dividends Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> 4005 Rural Broadband Experiment Authorized Rural Broadband Experiment (RBE) recipients must address the certification for public interest obligations, provide a list of newly served community anchor institutions, and provide a list of locations where broadband has been deployed. Public Interest Obligations – FCC 14-98 (paragraphs 26-29, 78) 4001 interest obligations consistent with the category for which they were selected, including broadband speed, latency, usage capacity, and rates that are reasonably comparable to rates for comparable offerings in urban Community Anchor Institutions – FCC 14-98 (paragraph 79) 4003a which they newly deployed broadband service in the preceding calendar year. On this line, please respond If yes to 4003A, please provide a response for 4003B. 4003b of community anchor institutions to which the recipient newly began providing access to Broadband Deployment Locations – FCC 14-98 (paragraph 80) 4004a which broadband has been deployed as of the June 1st immediately preceding the July 1st filing Name of Attached Document Listing Required Information 4004b recipient is meeting the relevant public service obligations for the identified locations. Materials must at least detail the pricing, offered broadband speed and data usage allowances available in the Name of Attached Document Listing Required Information FCC Form 481 (4005) Rural Broadband Experiment Additional Documentation OMB Control No. 3060-0986/OMB Control No. 3060-0819 Data Collection Form July 2013 page 18 Page 18 Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 19 Page 19 Certification - Reporting Carrier FCC Form 481 Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAL REPORTING ON ITS OWN BEHALF: Printed name of Authorized Officer: Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or LI Recipients Name of Reporting Carrier: Signature of Authorized Officer:Date I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the annual reporting requirements for universal service support recipients; and, to the best of my knowledge, the information reported on this form and in any attachments is accurate. Title or position of Authorized Officer: Telephone number of Authorized Officer: Study Area Code of Reporting Carrier:Filing Due Date for this form: 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. Heather Kirby 2018 etc@telecomcounsel.com Q Link Wireless LLC 7702327805 ext. 479018 Page 20 Page 20 Certification - Agent / Carrier FCC Form 481Data Collection Form OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> Certification of Agent Authorized to File Annual Reports for CAF or LI Recipients on Behalf of Reporting Carrier TO BE COMPLETED BY THE AUTHORIZED AGENT: Telephone number of Authorized Agent or Employee of Agent: Signature of Authorized Agent or Employee of Agent: Name of Authorized Agent Firm: I, as agent for the reporting carrier, certify that I am authorized to submit the annual reports for universal service support recipients on behalf of the reporting carrier; I have provided the data reported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate. Date: Name of Authorized Agent Employee: TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAL REPORTS ON THE CARRIER'S BEHALF: Certification of Officer to Authorize an Agent to File Annual Reports for CAF or LI Recipients 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 annual data reporting requirements provided to the authorized agent; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate. Date: Name of Authorized Agent: Signature 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. 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. Heather Kirby 07/03/2017 2018 Regulatory Specialist etc@telecomcounsel.com 8006101540 ext. 479018 6786722831 ext. 06/30/2017 479018 CEO Q Link Wireless LLC Issa Asad 7702327805 ext. Q Link Wireless LLC 06/29/2017 07/03/2017 CERTIFIED ONLINE Expert Telecom Compliance, Inc. Expert Telecom Compliance, Inc. Expert Telecom Compliance, Inc. Expert Telecom Compliance, Inc. CERTIFIED ONLINE 479018 Q Link Wireless LLC Attachments <813><a3> Doing Business As Company or Brand Designation <a1> Affiliates <a2> SAC (800) Operating Companies FCC Form 481 Data Collection Form OMB Control No. 3060-0986 July 2013 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding this data <035>Contact Telephone Number - Number of person identified in data line <030> <039>Contact Email Address - Email Address of person identified in data line <030> <810>Reporting Carrier <811> <812> /OMB Control No. 3060-0819 QUADRANT HOLDINGS GROUP LLC Heather Kirby Q Link Wireless LLC 2018 Q LINK WIRELESS etc@telecomcounsel.com Q Link Wireless LLC Q Link Wireless LLC 7702327805 ext. N/A 479018 479018 Form 481 section 1210 Q LINK WIRELESS LIFELINE OFFERING JUNE 2017 LIFELINE NON-TRIBAL: Bundle Plan 1: 350 Minutes & 500 MB Data (“Q LINK ALWAYS ON”) 350 anytime minutes per month (no rollover) Unlimited text messaging 500 MB data per month Net cost to Lifeline customer: $0 Data-Only Plan 2: 500 MB Data 500 MB data per month Net cost to Lifeline customer: $0 Bundle Plan 3: 500 Minutes & 500 MB Data 500 anytime minutes per month (no rollover) Unlimited text messaging 500 MB data per month Net cost to Lifeline customer: $15 every 90 days* *Fee waived first 90 days; thereafter, if customer misses payment, customer is automatically moved to the no-cost Bundle Plan 1 LIFELINE TRIBAL: Unlimited Talk & Text & 500 MB Data (“Q LINK ALWAYS ON TRIBAL”) Unlimited anytime voice minutes per month Unlimited text messaging 500 MB data per month Net cost to Tribal Lifeline customer: $0 All plans include:  Free data-capable device  Free calls to Q LINK Customer Service  Free calls to 911 emergency services  Free access to Voicemail, Caller-ID, and Call Waiting features  Voice minutes may be used for Domestic Long Distance at no extra charge  Data is at 3G speeds or higher Additional Airtime available for purchase, rates posted on Q LINK’s website: https://qlinkwireless.com/members/cart/quickpurchase.aspx Complete program terms and conditions posted on Q LINK’s website: https://qlinkwireless.com/terms/states.aspx