HomeMy WebLinkAbout20180705Inland Telephone Form 481.pdfINLAND TELEPHONE COMPANY
Corporate Offices
103 S. 2nd St
P.O, Box 171
Roslyn, WA 98941
RICEIVED INIA,AIDTELEPHONE
Telephona: (509) 649-221 1
Fax: (509) 649-3300 lil;lii i,, r'rl llii-lU
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July 3, 2OLT bNB-r- lt.o t
Via ele ctronic .filing to : dinne. hanian@)uc. idaha. g ou
Ms. Diane Hanian
Commission Secretary
Idaho Rrblic Utilities Commission
472 W est Washington Street
Boise, ldaho 83720
RE: 2OL7 Eligible Telecommunications Carrier (ETC) Annual Reporting
Requirements with the IPUCI 2018 ETC Re-Certification
Dear Ms. Hanian:
Inland Telephone Company hereby provides copies to the Idaho Public
Utilities Commission ("Commission") of the filing of the FCC Form 481 that was
electronically completed and submitted to the Universal Service Administrative
Corporation ("USAC") and the Federal Communications Commission ("FCC") for
carriers designated as an Eligible Telecommunications Carrier, in accordance
with 47 C.F.R. SS 54.313 and 54.422.
I have also included the signed Affidavit pursuant to Commission Order
298+1. Inland Telephone Company, Study Area Code 472+23, is a rural
incumbent local exchange carrier [LEC) as designated by the FCC, and is
eligible to receive federal universal service high-cost support pursuant to the
Code of Federal Regulations ("CFR"), Title 47, SS 54.301, 54.305, and Part 36,
sub-part F.
Please review the attached liling and include Inland Telephone Company
in your Annual Use Certification Letter to USAC and the FCC. If you should
have any questions, do not hesitate to contact me directly.
Sincerely,
James K. Brooks
Treasurer/Controller
Enclosures
State of Washington
County of Kittitas
ss
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CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WTH SERVICE QUALITY AND CUSTOMER
PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH.COST SUPPORT.
AFFIDAVIT OF BUS]NESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Caniers (ETC)
certify that it is compliant with applicable service quality standards and consumer protection rules; and ETCs must
demonstrate the ability to remain functional in emergencies. ln addition, the Commission must file an annual
certification with the USAC and the FGC that all federal high-cost support provided to ETCs within the State of
ldaho will be used only for the provision, maintenance, and upgrading of facilities and services for which the
support is intended. Accordingly, the undersigned states and verifies under oath the following:
1. I am an officer of Inland Telephone Company, an eligible telecommunications canier for receiving federal
universal service support under section 214(e) of the Telecommunications Act of 1996 in the state of
ldaho.
2. I am Familiar with the Company's day-today operations in the state of ldaho and with the State's service
quality standards and consumer protection rules as set forth in Commission Order No. 29841.
3. lnland Telephone Company is complying with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the ldaho Public Utilities Commission
4. I certify to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841 and in 47 C.F.R. $ !a.201(a)(2).
5. t also certify that all federal universal service support funds received by lnland Telephone Company
during the current calendar year will be used in a manner consistent with section 254(e); that is, for the
provision, maintenance, and upgrading of facilities and services for which the support is intended. The
company will continue to comply for the period of January 1 , 2019, through December 31 , 2019, to be
eligible for federal universal service fund support.
6. This verification and affidavit is provided to be the ldaho Public Utilities Commission to enable the IPUC to
certiff to the FCC that federal universal service support received by the eligible carriers in the state will be
used in a manner consistent with Section 254(e) of the Act.
K. Brooks, Treasurer/Controller
SUBSCRIBED AND SWORN tO bEfOrE ME this of July ictx
PAMELA R. NELSON
STATE OF WASHTNGTOIiI
NOTARY PUBLIC
MYCOMMISSIOI{ EXPIRES
09-0919
Notary Public for Washington,at
My Commission expires q\ql,q
Page 1
<010> Study Area Code 412423
<015> Study Area Name INND TEL- ID
<020> Program Year 2 019
<030> Contact Name: Person USAC should contact
with questions about this data .JameB K. Brooks
<035> ContactTelephone Number:
Number ot the person identitied in data line <030>
5096492211 exE.5231
<039> Contact Email Address:
Email ot the person identitied in data line <030>jbrooks@inlandnet. com
Form Type 54,313 and 54.422
Page 1
tCC torm 481
July 2018
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<010> Study Area Code 4'12421
<015> StudyArea Name INLAND TEL-ID
<020> Prog.am Year 20L9
<030> Contact Name - Person USAC should contact reSardinS this data James K. Brooks
<03S> ContactTelephoneNumber'Numberofpersonidentifiedindataline<030> 50964922L1 eXE,523L
<039> contact Email Address - Email Address of person identified in data line <030> j b rooksO inl andne t ' com
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 reportingrequirementssetforthin4TCFR54.313(f)(2). lfurthercertifythattheinformationreportedonthisformandinthedocuments
attached below is accurate.
(300e)
(3010A)
(30108)
(3012A)
(30128)
(30131
(3014)
Progress Report on 5 Year Plan
carrier certifies to 54.313(f )(1)(iii)
(301s)
(3015)
(3017)
(3018)
Please check these boxes to confirm that thc
attached PDF, on line 3017, contains the required
information pursuant to 5 54.313(f)(2) compliance
requires:
Electronic copy of their annual RUS reports
(Operating Report for Telecommunications
Borrowers)
Oocument(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
documentation
lf the response is no on line 3014, is your company
audited?
lf the response is yes on line 3018, please check the
boxes below to confirm your submission on line
3026 pursuant to 5 54.313(fX2), contains:
Either a copy of their audited financial statement; or
(2) a financiai report in a format comparable to RUS
Operating Report forTelecommunications Borrowers
Document(s) for Balancc Sheet, lncome statement
and statement of Cash Flows
Management letter and/or audit opinion issucd by
the independent cenified 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
subiect to review by an independent certified public
accountant; o.2) a financial report in a format
comparable to RUS Opcrating Report for
Telecommunications Borrowers
Underlying information subjected to a review by an
independent certifi ed public accountant
Certification of Public lnterest Obligations {47 CFR 5
s4.313(fX1)(i))
Please Provide Attachment
Community Anchor lnstitutions {47 cFR I
s4.313(f)( 1)(ii))
Please Provide Attachment
ls your company a Privately Held RoR Carrier (47 CFR
s s4.313(f)(2))
lf yes, does your company file the RUs annual report
Yea - Atlach Cer!ificatiotr
Name of Attached Document Listing Required
lnformation
No - No New community MchorB
412421 7D CERTIFlCATION OF PBLIC IMEREST
OBLIGATIONS LN 30108. pdf
412423 ID RUs NAL REPoRT LN 3017.pdf
Name of Attached Document Listing Required"',i'Ji:T o o
(Yes/No) O O
(3019)
(3020)
(3021)
l.3022].
(302 3)
(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
(yes/No) O O
Name of Attached Document Listing Required
lnformation
(3026) Attach the worksheet listing required information
P.8. 13
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<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>
<035>
Contact Name - Person USAC should contact
Contact Telephone N
this data
person tn <030>
<039> Contact Email Address - Email Address of person identified in data line <030> )brook,otnian&er coh
4005 Rural Eroadband Experiment
Authorized Rural Eroadband Experiment (RBE) recipients must address the certification for public interest obligations and provide a
list of newly serued community anchor institutions.
Public lnterest Obligatlons - FCC 14-98 (paratraphs 26-29, 78)
Please address Line 4001 regarding compliance with the Commission's public interest obligations. AII RBE participants must provide a
response to Line 4001.
4001. Recipient certifies that it is offering broadband meeting the requisite public 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 areas.
Community Anchor lnstitutlons - FCC 14-98 (paragraph 79)
4003a. RBE participants must provide the number, names, and addresses of community anchor institutions to
whichtheynewlydeployedbroadbandserviceintheprecedingcalendaryear. Onthisline,pleaserespond
(yes - attach new community anchors, no - no new anchors) to indicate whether this list will be provided.
lf yes to 4003A, please provld€ a response for 4003B.
4003b. Provide the number, names and addresses
of community a nchor institutions to which the
recipient newly began providing access to
broadband service in the preceding calendar year.
Name of Attached Document Listing Required lnformation
Pa8. 15
OMB Control No. 306(H)986/OMB Control No.Data Collection form
Page 16
<010>
<020>
Area Code
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> ,brook'.i.ro&.r. cor
5005 Alaska Plan
(5010) Do you participate in the Alaska plan?
Please indicate whether any terrestrial backhaul or other satellite backhaul became
commercially available in the previous calendar year in areas previously served
exclusively by performance{imiting satellite backhaul.
{s012)
lf the filing carrier identified in its approved perfomance plans that it relies exclusively on
satellite backhaul for a certain poriton of the population in its 5eruice area, indicate whether
any terrestrial backhaul or other satellite backhaul became commercially available in the
previoius calendar year in areas that were previoiusly served exclusively by satellite backhaul.
(s011)
(Yes/No)
(Yes/No)
lYes/No)
{.wly S.ru.d tootion3 or Popul.tion
<5013>
&rcription Ot A.c*h.ul T.chnoloty
Page 16
(5005) Alaska Plan PartlcipantsAdditional Docunentatlon
Data Collection Form
Julv 201.8
Page l7
<010> Studv Area Code 472423
<015> Study Area Name INND TEL'ID
<020> ProSram Year 2 019
<030> Contact Name - Person USAC should contact regarding this data
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 50964922a1 ext.5231
<039> Contact Email Address - Email Address of person identified in data line <030> jbrooks@inlandner. com
TO BE COMPTETED 8Y THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAL REPORTING ON ITS OWN BEHATF:
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
I certify that I am an officer of the reporting carrier; my responsibillties include ensurint the accuracy of the annual reportlnt requlrements ,or unlversal seruice support
recipients; and, to the best of my knowl€dge, the informatlon r€ported on thls form end in any attachments is accurate.
Name of Reporting ca.rlur TNLAND TEL-rD
Signature of Authorized officer: CERTTPTED oNLTNE Oate 01 /03/2ot9
Printed name of Authorized officer: James Brooks
l'itle or position of Authorized officer: ?!easurer/conErol ler
Ielephone numberof Authorizedofficer: so96492211 ext 5231
Study Area Code of Reporting Carrier: 472423 Filing Due Date for this form 0?/16l2018
und.r Titl. 18 of the United States Code, 18 U.S.C. I 1001.
Pagc 17
FCC torm 481
OMB Control No.3060-0819
James K. Blook6
Page 18
412423<010>Studv Area Code
<015> Study Area Name INI.AXD TEL-1D
<020>Protram Year 2 019
<030> Contact Name - Person USAC should contact regarding this data Jame6 K. Brook6
<035>Conta.t TeleDhone Number - Number of identified in data line <030> 5096492217 ext s231
<039> Contact Email Address - Email Address of person identified in data line <O3O> jbrooks@inlandnet . com
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAL REPORTS ON THE CARRIER'S BEHATF:
TO 8E COMPI-ETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or U Recipients on Behalf of Reporting Carrier
I certify that (Namo ot is authorlzod to 3ubmit ths information reporlad on bohalf of the roporting carier. I
agent; and, to tho best of my knowlEdge, ths repo(s and data provided to the aulhorized ageht i6 accuralo.
Name of Authorized Agent:
Name of Reporting Carrier:
Signature of Authorized Officer:Date:
Print.d name of Authorizcd Officer:
fitle or position of Authorized Ofticerl
Telephone number of Authorized Officer:
Study Area Code of ReportihS Carrier:Filihg Due Date for this form:
under Title 18 of the United States Code, 18 U.S.C. 5 1001.
Certification of Agent Authorized to File Annual Reports for CAF or tl Recipients on Behalf of Reporting Carrier
the data report€d hereln based on data provided by th€ reportint carrier; and, to the best of my knowledgc, th€ lnformatlon r€ported hereln ls accurate,
Name of Reporting Carrierl
Name of Authorized Agent Firm:
Sisnature of Authorized Agent or Employee ofAgent:Datei
Name of Authorized Atent Emplovee:
Title or position of Authorized Agent or Employee of Agent
Telephone number of Authorized Agent or Employee of Agent:
Study Area Code of Reportint Carrier:Filing Due Date for this form:
18 ofthe United States Code, 18 U.S.C. 6 1001.
under Title
Page 18
FCC tom 481
3050{819
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INLAND TELEPHONE COMPANY . SAC 472423lD
ATTACHMENTS TO THE FCC FORM 48L
L|NE s10 - COMPLTANCE WITH SERVTCE QUALITY STANDARDS AND
CONSUMER PROTECTION RULES
(4724231D s10 SERVICE qUALITY AND CPNI CERTIFICAT|ON.pdf)
|1472423 !D s10 lTc cPNl PROCEDUREs.pdf)
LINE 510 . FUNCTIONALITY IN EMERGENCY SITUATIONS
(4724231D FUNCTIONAL lN EMERGENCIES CERTIFICATION LN 610.pdf)
Ability to Remain Functional in Emergencies Certification
S54.313(aXl )
EfCs musf demonstrate that it has a reasonable amount of back-up power to ensure functionality without
an external power source, is able to re-route traffic around damaged facilities, and is capable of managing
traffic spikes resulting from emergency situations.
$54.202(a)(2) Demonstrate its ability to remain functional in emergency situations, including a
demonstration that ff has a reasonable amount of back-up power to ensure functionality without an
external power source, is able to reroute traffic around damaged facilities, and is capable of managing
traffic spikes rcsulting from emergency situations.
l, James K. Brooks, being of lawful age, state that I am Treasurer/Controller of
lnland Telephone Company ("Company'XSAC 472423), that I am authorized to execute
this certification on behalf of the Company, and that the facts set forth in this certification
are true to the best of my knowledge, information and belief.
On this basis, the Company certifies that it maintained the ability to function in
emergency situations under the standard found in fldaho Public Utilitiesl Commission
Order No. 29841 and in 47 C.F.R. $5a.202(a)(2), as such standards relate to
functionality of wireline carriers in emergency situations. The Company further certifies
that it maintains back-up power to ensure functionality without an external power source
in the forms of auxiliary generators and batteries in its central offices as well as
adequate battery back-up in its subscriber carrier cabinets. The Company's switching
capability is more than adequate to manage the traffic of its subscribers.
For calls within the exchange of Leon, depending upon where a cut is made,
there exists redundant toll routing however, the Lenore exchange has no redundant toll
routing. ln both exchanges, customers can continue to make calls within the exchange
should the interexchange interconnected facilities get disconnected. The Company
does not have 'ring" technology at this tirne however; the Company is always looking for
redundant routing alternatives.
I certify under penalty of perjury under the laws of the State of Washington that
the foregoing is true and correct.
Dated this day of June, 2018 in Roslyn, Washington.
By:
K.
rer/Controller
Inland Telephone Company
LTNE 610
LINE 92O. TRIBAL GOVERNMENT ENGAGEMENT OBLIGATION
(472423 !D TRIBAL ENGAGEMENT STATEMENT LN 920.pdf)
(4724231D EAGLE RIVER-TRIBAL EXAMPLE LN 920.pdf)
TRIBAL ENGAGEMENT STATEMENT
Although the Lenore, Idaho exchange service area of [nland Telephone
Company, Study Area Code 472423, is within the conventional boundaries of
the Nez Perce Tribe reservation, the exchange primarily consists of private
property (non-tribal owned). The Company did not perform a needs
assessment, deployment planning, feasibility, or sustainability planning with a
focus on Tribal community anchor institutions since the Company's exchange
boundary does not encompass the areas in which the Nez Perce have their
tribal headquarters, administration, enterprises, cultural center, hatchery, or
any anchor institutions.
As for subscribers, the Company would not know if a subscriber was a
tribal member unless they were claiming Tribal Lifeline. Inland Telephone
Company is an equal opportunity provider and does not ask or keep track of
race, creed, color or sexual orientation when providing service; to keep track of
this information may be considered profiling which the Company does not
engage in.
The Company fully cooperates with the Nez Perce Tribe in matters
involving easements, rights of way and any build that may require the possible
disturbance of tribal ground; potential archeological study whether the ground
is tribally owned or not.
Attached is a copy of correspondence from a contractor, Eagle River
Development LLC, contracted by the Company to perform a study compliant to
the National Environmental Policy Act for a proposed tower site. The study
demonstrates that although the proposed tower site is not on tribal owned
property, the Company seeks Section 106 concurrence from the Nez Perce
Tribe as it is located within the traditional boundaries of the Nez Perce
Reservation.
I certi$r under penalty of perjury under the laws of the State of
Washington that the foregoing is true and correct.
Dated this day of June, 2018 in Roslyn, Washington.
K. Brooks
Treasurer/Controller
Inland Telephone Company
By:
UNE 920
Inland Telephonc Company Nerv 185' Lnttice Antenna Tolver: Lenore, ID
Mr. Bob I-lillweg
Inland Telephone Company
P.O. Box 1Z
Roslyn, WA 98941
lr O. lt.,i )lil, S|t,Lrr(', IVA (r'.'2.1{,
j.,i. .12(l l.r}.r' RLl. 5F rLrnu Vrllul'. 11 A (f 'l I 2
l': 1,('.5.|li-.{hrl l': i{I+!t.!li-.,1 I S I
IVSCL: IAGLEllDe90l,5
Proposed New-Build 185'Lattice Antenna Tower Site: Lenore, ID: NEPA Checklist Summary Report
Site Location: NW V4 Section 32, Township 37 North, Range 01 West 8.M., Nez Perce County,
ID.
Eagle River Development, LLC ProjecB 15118
Dear Mr. Flillweg:
Eagle River Development, LLC at Inland Telephone Company request prepared a NEPA Checklist and
Summary Report, Archaeological/Cultural Resource Field Survey, THPO/SHPO Archive Research,
TFIPO Concurrence Letter and Tribal Notifications including FCC Form 620 submission package for the
proposed 185' lattice antenna tower and property owned by Inland Telephone Company located
approximately 4 miles soutlleast of Lenore, Idalro within the Nez Perce Indian Reservation in the NW %
of Secfion 32, Township 37 North, Range 01 West, B.M. Nez Perce County, Idaho.
The National Environmental Policy Act (NEPA) Checklist and Reviews (report attached) did not reveal
Sectiorr 105 adverse effects for the project pertaining to direct and visual effects for the undertaking. Even
though no direct or visual effects on culrural resources for the subject site and property the Nez Perce
THPO fi(eith Baird) has delayed Section 106 concurrence due to some perceived misunderslandings
between the ownerslilp of this site and ongoing difficulties regarding some of Inland Cellular LLC
holdings in the area. All other items for the attached NEPA report did not reveal significant effects or
impacts to the environment under the FCC regulations,4T CFR 1.1307-1.1319. Preliminary FCC TOWAIR
Analysis determination results ol:tained from the FCC website indicated that the tower may not require
registration, although overlying Section 106 considerations may make registration of the tower a prudent
action. It is your firm's obligation to attain an FAA Determination Letter for the tower even though it
appears to be more tlran 5 miles from aIr airport.
An Archaeological and Cultural Resource Field Survey and Report as well as archival research did not
reveal any new culrural sites on the tower site or within a 0.5-1.0 inile radius. A THPO letter with results
of our findingp with FCC Form 520 and the Archaeological Report was emai.led the TI-IPO on4/27/76.
Other Tribal notifications and comments have either been covered or elimilated from commenb through
the National Programmatic A greement Regul ations.
It is the opinion of Eagle River Development, LLC that this property should receive concurrence to allow
for construction pendirrg any delays being promulgated by the Nez PerceTHPO. We caution Inland
Telephone Company from initiating any construction activities on the site until concurrence from tlre Nez
Perce TLIPO is received and all other County /Local permits that may be required are received. We are
submitting this report and invoice prior to such concurrence at the request of Mr. Bob Hillweg.
Resoectfullv.<Erz;.2
John F. Wark, RPG
Principal Environmental Geologist
Attachnrents: Invoice, Emai.l of Report, 2 hard copies of nepa checklist surrunary report & disc w/nepa
report.
RE:
iitcr'Dcuelo(ii'Irrglc n yntettt, l-LC
LINE 1O1O - VOICE SERVICE RATE COMPARABILITY COMPLIANCE
(4724231D VOICE SERVICES COMPARABILITY CERTIFICATION LN 1010.pdf)
Voice Services Rate Comparability Gertification
554.313(aX2)
Any recipient of high-cosf supporf shall provide the following: A certification that the pricing of the
company's voice services ,s not more than two standard deviations above the applicable national averago
urban rate for voice seruice, as specified in the most recent public notice issued by the Wireline
Competition Bureau, Wreless Telecommunications Bureau, and Office of Engineering and Technology.
PUBLIC NOTICE DA 17-1093 - Voice Rates. Based on the suruey resu/fg the 2018 urban average
monthly rate (the rate floo| is $22.50. Therefore, the reasonable comparability benchmark for voice
seryices, two standard deviations above the urban average, is $45.38. Under the Commission's rules,
each ETC, including competitive ETCs providing fixed voice seruices, musf ceftify in the FCC Form 481
filed no later than July l, 201[8] that the pricing of ifs Daslc residential voice services is no more than
$45.38.
l, James K. Brooks, being of lavvful age, state that I am Treasurer/Controller of
lnland Telephone Company ("Company"), Study Area Code 472423, that I am
authorized to execute this certification on behalf of the Company, and that the facts set
forth in this certification are true to the best of my knowledge, information and belief.
On this basis, the Company certifies, pursuant to 47 C.F.R. $ 54.313(a)(10), that
the Company's pricing of its voice services is no more than $45.38.
The Company further submits, as support, the following residential service lines
and rates; excluding the Federal Subscriber Line Charge of $6.50 and below $22.50:
I certify under penalty of perjury under the laws of the State of Washington that
the foregoing is true and correct.
Dated this day of June, 2A18 in Roslyn, Washington
By:
K.
ller
lnland Telephone Company
Exchange Rate Type Gount Base
Res.
Rate
State
sLc
State
USF Fee
Mand.
EAS
Charqe
Total Per
Res.
LENORE (836)Res-Measured 6 18.00 0 .25 0 18.25
LEON (224)Res-Measured 2 18.00 0 .25 0 18.25
LINE 1010
LINE 1O3O . BROADBAND COMPARABILITY COMPLIANCE
14724231D BROADBAND RATE COMPARABILITY CERTIFICATION LN 1030.pdf)
Broadband Services Rate Comparability Certification
S54.313(aX3)
Any recipient of high-cost support shall provide the following: A ceftification that the pricing of a service
that meets the Commission's broadband public interest obligations is no more than the applicable
benchmark to be announced annually in a public notice r.ssued by the Wireline Competition Bureau, or is
no more than the non-promotional price charged for a comparable fixed wireline service in urban areas in
the sfafes or U.S. Tenitories where the eligible telecommunications canier receives supporf.
PUBLIC NOTICE DA 17-1093 - Broadband Rafes. Recipients of high-cost and/or Connect America Fund
support that are subject to broadband performance obligations are required to offer broadband seruice at
rates that are at or below the relevant reasonable comparability benchmark. Cariers subject to the
Alaska Plan are required to meet A/aska-specific benchmarks and to certify that they ara meeting the
relevant reasonable comparability benchmark for their broadband servica offering in the FCC Form 481
filed no later than July 1, 2018.
l, James K. Brooks, being of lavrrful age, state that I am Treasurer/Controller of
lnland Telephone Company ("Company"), Study Area Code 472423, that I am
authorized to execute this certification on behalf of the Company, and that the facts set
forth in this certification are true to the best of my knowledge, information and belief.
The Company offers at least one broadband service plan that meets the relevant
metrics in all of its exchanges; pricing benchmark for the minimum speed standard of 10
Mbps downstream and 1 Mbps upstream. The Company's rate for a 10 Mbps
downstream and 1 Mbps upstream service is $75.00; the benchmark is $88.13. On this
basis, the Company certifies that the pricing of a service that meets the Commission's
broadband public interest obligations is no more than the applicable benchmark
announced in Public Notice DA 17-1093; compliant pursuant to 47 C.F.R. S
54.313(a)(3).
I certify under penalty of perjury under the laws of the State of Washington that
the foregoing is true and correct.
Dated this day of June, 2018 in Roslyn, Washington
By:
Brooks
urer/Controller
lnland Telephone Company
LTNE IO3O
LINE LZLO. TERMS & CONDITIONS OF VOICE TELEPHONY LIFELINE
PLANS
14724231D LIFELINE ASSISTANCE LN 1210.pdf)
From Inland Telephone Company
Do you qualify for discounted monthly telephone
seruice?
Lifeline Discounts
Inland Telephone Company (d/b/a Inland Networks) customers may be eligible to currently save $9.25 per
month through the Federal Lifeline Program and, for Idaho residents, an additional $2.50 per month through
the Idaho Telecommunications Service Assistance Program (ITSAP), administered through the Community
Action Partnership Association of Idaho (CAPAI).
Qualifying for Federal Lifeline can be obtained from a Customer Service
Representative at I -800-462-457 8.Customers may qualify for Federal Lifeline
assistance if they are currently participating in one
or more of the following assistance programs:For State assistance, Inland Telephone Company
still asks that you complete an application
however, for State assistance please contact the
applicable State agency; CAPAI for Idaho residents.
INLAND
Your Coffiiion
(SNAP)(Food Stamps)
Additionally, customers may qualify for Federal
Lifeline if their total household income is at or
below l35ok of the Federal Poverty Guideline
(lncome Eligibility).
Customers who are also residents of federally
recognized Tribal Lands may qualify for additional
Federal Lifeline support of up to $25 per month
and may qualify for Lifeline under the assistance
programs listed above or if they currently
participate in one or more of the following
assistance programs:
Assistance for Needy Families (TTANF)
standard)> Food Distribution Program on Indian
Reservations (FDPIR)
Signine-Up for Lifeline Senzice
If you believe that you may qualify for Federal
assistance, you must complete an application that
LIFELINE ASSISTANCE
Additional Information
For additional information about the Federal
Lifeline program, please visit u'rwv.usac.orgli
Important Information
Lifeline assistance is a government assistance
program that provides only eligible consumers with
discounted service that is non-transferable and is
available for onlg one dlscount per household. A
household is defined, for purposes of the Lifeline
program, as any individual or group of individuals
living at the same address that share income and
expenses. The Lifeline assistance is only available
in areas where the company has Eligible
Telecommunications Carrier status. The Federal
Communications Commission has mandated that
all recipients of Federal Lifeline certify their
eligibility annually.
" Yottr H o meto w n Co nne ctlo n"
(an Inland Netutorks Familg Company)
INLAND TELEPHOND COMPAM(
lo3 s. 2rD street
P.O. Box 171
Roslyn, llIA 98941
Telephone Number:
l5o9l 649-22Lt; (8oo| 462-4s78
Fu: (5O9| 649-2555
Email: custserv@inlandnet,com
Strtc:
Strtc:
s of Additional:
CERTTFICATION BY CUSTOMER IN ORDER TO RECEIVE FEDERAL LIFELINE SUPPORT
Please respond completely. lnaccurate or incomplete responses may cause your application to be rejected . lnformation provided should be that
of the account holder.
(lustomer Name:
Service Address:
Ililling Address:
(iity:
City:
s38,8s3
544,496
S50,139
5ss,782
Ss,543
l.ast 4 Digits of Social Security Number:Datc 0f Birth:
lfI qualify for Federal l,ifeline Support, I rvould like thc l,ifeline Support to be applied to my (Please selcct one)
Telephone Service lnternet Service (Must suscribe to at least a 10/1 service level)
INCOMII TLICIBILITY (lXXllill!l\1 A'll{)\ RIr)Q( llt}.1})
f-l I certify that my household income is at or below 135% of the federal poverty guidelines and therefore I qualify for Lifeline Support under
the federal income requirements and have provided proof of my qualifications.
5
6
7
8
2
4
s 16,281
52t,924
527,s67
S33,2 1o
FEDER{L PROGRAM ELIGIBTLITY (D()C t. \rL\r :\ r' r()\ R}iQl' rRrrr))
I certify that I qualify for Lifeline Support and am currently participating in one or more of the programs listed that I have checked below and am
providing a copy of my benefit or program participation card or award letter. ( Please check all applicable boxes)
For each additional household member add f: s
NOTE: IHE ABOVE AMOUNIS ARt 2017 TIDERAL pOVERTY LEVELS; SUgJECTTO CHANGE ANNUALLY.
nsupptemental Nutrition Assistance Program
-(SNAPxf/k/a
Food Stamps)
f]suootemental Nutrition Assistance Program
(SNAPXf/k/a Food Stamps)
IfeOerat Public Housing Assistance (FPHA]
ISupptemental Security lncome (SSl)
Iveaicaia
f]v"t"rrn, Pension and Survivors Benefit
Federal Public Housing Assistance (FPHA)
Medicaid
Veterans Pension and Survivors Benefit
f]sunntemental Security lncome (SSl)
l'RIIIAI LIFELINE ELIGIBILITY (rxxrr'\ll.\'r,\ r'ro\ Rr.Q{ IR}-D)
I certify that I qualify for tribal Lifeline Support, as I reside on land that meets the Bureau of lndian Affairs definition of "reservation" (any federally
recognized lndian tribe's reservation, Pueblo, or Colony including former reservations in Oklahoma, Alaska Native regions, Hawaiian Home Lands
and lndian Allotments) ANp participate in one or more ofthe proSrams listed that I have checked below and am providing a copy of my benefit or
program participation card or award letter. (Please check all applicable boxes)
Tribal Administered Temporary Assistance for Needy Families
(TTANF)
Bureau of lndian Affairs General Assistance
Head Start (lncome eligible)
Food Distribution Program on lndian Reservations (FDPIR)
lncome Eligibility (See above lncome Eligibility)
StII}SCRIBER CERTI FICA'I'ION
It is understood that by participating in the Lifeline program, the support that I receive is not actual payment to me but a discount on my monthly
billed service. Participating in Lifeline does not protect me from collection procedures if I do not pay my telephone or lnternet bill. I fully
understand that this discount, as well as the criteria for participation in the Lifeline Program, may change and I may no longer qualify, or the
amount of support may increase or decrease.
E
EEltf
Tribal ldentification Number:
Filename: 170925 LIFELINE CERTIFICATION FORM.xlsx LIFELIN E CERTIFICATION Page 1 of 3
nEn
tf
tl
INLAND TfiLEPHONE COIWPAMT
1O3 S. 2{D Street
P.O. Box 171
Roslyn, WA 98941
l5o9l 649-22tL; (8ool 462-4s78
Fu: (5O9f 649-2555
Email: custserv@inlandnet.com
As the Certifying Subscriber, I certify that, (i) the service is for me and not a member of the household; (ii) I am not listed as a dependent on
someone else's tax return; and, (iii) the service address is my primary residence. lfurther certify that the service that I receive from lnland
Telephone Company is my main service line and neither I nor anyone in my household receives Lifeline Support for any other telecommunications
service. Further, I understand that Lifeline is a federal benefit program that provides a monthly discount on either home or mobile service and
ONtY ONE Lifeline discount is allowed per household. Members of a household are not permitted to receive Lifeline Support from multiple
telecommunicationsproviders. lunderstandthatviolationoftheone-per-householdrequirementwill resultinde-enrollmentfromtheprogram
and possible fines and imprisonment. As the Certifying Subscriber claiming income eligibility, I certify that the documentation I have provided
accurately represents: (i) my household income and the number of persons in my household; or, (ii) proof of participation in an eligible program.
I certify that I will notify tnland Telephone Company within 30 days,(i) if for any reason I should no longer participate in any of the eli8ible programs or qualify by
income, and or (li) if I move from the address provided on this form. lf my address listed above is temporary, I certify that I will verify my address to lnland
TelephoneCompanyeveryg0days. lunderstandthatif lfail torespondtoanattempttoverifymyaddresswithin30days,myLifelinesupportmaybe
terminated. lunderstandthatif lfail togivenoticeasrequired, lamsubiecttopenalties,includingde-enrollment,beingbarredfromtheprogramandfinesand
imprisonment.
I understand that Lifeline Support is not transferrable and that I may not transfer my service to any individual, including another eligible Lifeline Support
recipient. lfurtherunderstandthatif myservicegoesunusedfor60days,myservicewill besuspendedsubjecttoa30dayperiodinwhichlmayusetheservice
or contact lnland Telephone Company to confirm that I want to continue receiving the service.
Further, lfullyunderstandthatinordertocontinuetoreceivethissupport, lmustannually,ormoreoften,certifymyeligibilityandprovideproofof eligibility. I
understand that my failure to timely re-certify will result in de-enrollment and termination of my Lifeline benefits.
I fully understand that the Lifeline Program is administered by the UniversalService Administration Company (USAC) under the guidance and
authority of the Federal Communications Commission (FCC)and that all of the information that I have supplied pertaining to my eligibility will be
shared with USAC and the FCC and I give my consent to do so.
I certify that the information provided on this form is true and correct to the best of my knowledge under penalty of perjury and if I have provded
any misleading statements in order to receive support, I will be liable for any support received, my service may be discontinued, it may result in de-
enrollment and my being barred from the program and I would be subject to state and federal fines and imprisonment.
SIGNATURE OF APPLICANT DATE
APPLICANT (PRINTED)
lnland Telephone Company will keep the information contained in this form confidential, except as required by federal or state law.AtL INFORMATION
COMPLETTD ON THIS TORM IS SUBJECT TO STATE AND FEOERAL PERJURY PENALTIE!
Filename: 170925 LIFELINE CERTIFICATION FORM.xlsx TIFELINE CERTIFICATION Page 2 of 3
INLAND TELEPHONE COMPANT
1O3 S. 2!D Street
P.O. Box 171
Roslyn, WA 98941
A parent
An adult son or daughter
l5o9l 649-2211; (8oo) 462-4s78
Fu: (5O9| 649-2555
Email: custserv@inlandnet.com
LIFELINE HOUSEHOLD WORKSHEET
Your household is everyone who lives together at your address as one economic unit (including children and people who are not related to you).
The adults you live with are part of your economic unit if they contribute to and share in the income and expenses of the household. An adult is
any person 18 years of age or older, or an emancipated minor (a person under age 18 who is legally considered to be an adult). Household
expenses include food, health care expenses (such as medical bills) and the cost of renting or paying a mortgage on your place of residence (a
house or apartment, for example) and utilities (including water, heat and electricity). lncome includes salary, public assistance benefits, social
security payments, pensions, unemployment compensation, veteran's benefits, inheritances, alimony, child support payments, worker's
compensation benefits, sifts, and lotterv winninps
Spouses and domestic partners are considered to be part of the same household. Children under the age of 18 living with their parents or
guardiansareconsideredtobepartofthesamehouseholdastheirparentsorguardians. lfanadulthasnoincome,orminimal income,andlives
with someone who provides financial support to that adult, both people are considered part of the same household.
You hove been dsked to complete this Worksheet becouse someone else may currently recelve a Lifeline-supported service at your oddress, This
other person moy ot moy not be d pdrt of yout household, Answer the questions below to determine whether there is more thon one household
residing ot your address,
1) Does your spouse or domestic partner (that is, someone you are married to or in a relationship with) already receive a Lifeline-
discounted phone? (check NO if vou do not havr)asPousefSifl'
l-l^ro
> lf you checked YES, you may not sign up for Lifeline because someone in your household already receives Lifeline, Only ONE Lifeline discount is
allowed per household.
> lf you checked NO, please answer question f2.
2l Other than a spouse or partner, do other adults (people over the age of 18 or emancipated minors) who live with you at your address
already receive Lifeline-discounted service? lcheck NO for oll options if NO other odults live ot your address\
nves l-lruo
l-lves l-lruo
[ves l-l"o
['*
Other
>lfyoucheckedNOforeachstatementabove,youdonotneedtoanswertheremainingquestions. Pleaseinitial lineB,belowunderCERTIt|CAT|ON,
and sign and date the worksheet.
> lf you checked YES, please answer question #3.
Do you share livinB expenses (bills, food, etc.) and share income (either your income, the other person's income or both incomes
together) with at least one ofthe adults listed above in question #2?
nruo
>lfyoucheckedNO,thenyouraddressincludesmorethanonehousehold. Pleaseinitial linesAandBbelow,andsignanddatetheworksheet.
> lf you checked YES, then your address includes only one household. You may not sign up for Lifeline because someone in your household already
receives Lifeline.
CER'I'IF-I(]A'I'ION
Pleose initiol the certification below ond sign ond dote this worksheet which must accompony your Lit'eline opplicotion.
A. _l certify thot I live at on oddress occupied by multiple households.
B. I understdnd thot violotion of the one-per-household requirement is agoinst the Federol Communicotions Commission's rules and moy
result in me losing my Lifeline benefits, ond potentiolly, prosecution by the United Stotes Government.
SIGNATURE OF APPLICANT
APPLICANT (PRINTED}
A.
B.
c.
D.
E.
Another adult relative (such as a sibling, aunt,
cousin, grandparent, grandchild, etc..)
An adult roommate fI*o
l-lruo
3)
Filename: 170925 LIFELINE CERTIFICATION FORM.xlsx LIFELINE CERTIFICATION
DATE
Page 3 of 3
LINE 30108 - CERTTFTCATE OF PUBLTC TNTEREST {47 CFR S
s4.313(fX1Xi))
1472423 !D CERTIFICATE OF PUBLIC INTEREST OBLIGATIONS LN 30108.pdf)
Public lnterest Obligations - Broadband Certification
ss4.313(0(1Xi)
Rate-of-Return ETCs are required to provide ceftain certifications and other details related to their
broadband obligations.
l, James K. Brooks, being of lawful age, state that I am Treasurer/Controller of
lnland Telephone Company ("Company"), Study Area Code 472423, that I am
authorized to execute this certification on behalf of the Company, and that the facts set
forth in this certification are true to the best of my knowledge, information and belief.
On this basis, the Company certifies, pursuant to 47 C.F.R. S 54.313(f)(1)(i), that
it has taken reasonable steps to provide upon reasonable request, broadband service at
actual speeds of 10 Mbps downstream/1 Mbps upstream, with latency suitable for real-
time applications, including Voice over lnternet Protocol, and usage capacity that is
reasonably comparable to reasonably comparable offerings in urban areas, and that
requests for such service are met within a reasonable amount of time.
The Company currently offers a maximum speed of 10 Mbps downstream/1
Mbps upstream in its Leon and Lenore exchanges, however, the Company cannot
achieve this speed to all subscribers within the Lenore exchange. The Company has
taken further steps for achieving a standard of 25 Mbps downstream/3 Mbps upstream.
The Company has upgraded the data backhaul from the subscriber carrier cabinets
back to the central office and has a Gigabit Ethernet connection at the central otfice to
the lnternet backbone; further subscriber carrier upgrades are planned (upgrading
ADSL to VDSL).
I certify under penalty of perjury under the laws of the State of Washington that
the foregoing is true and correct.
Dated th day of June, 2018 in Roslyn, Washington.
By:
mes K. Brooks
rer/Controller
Inland Telephone Company
LINE 30IOB
LINE 30L7 - RUS ANNUAL REPORT AND ALL REQUIRED
DOCUMENTATION
1472423!D RUS ANNUAL REPORT LN 3017.pdf)
OMB mtrol
0d the
USOA-RUS
OPERATING REPORT FOR
TELECOMMU NICATIONS BORROWERS
Thlt dataelll br nrod b, llUS lo revl@ lout Ji,tuhalal sltotion. fot rapnt. lr ruEh..l by 7 U.S.C. gt)l at ssg
rhrl. rublecl blEderul lMi and leguldtiohs tcRordinp cdlldentlol hfotfrat'@, *lll be lrcoted a! conlidantiol.
EORROWER NAME
Inland Telephone Company
(Prepared with Audited Data)
INSTRUCT'lON$Stbnit reporl to RUS within 30 doys aler clore olthe period.
Fot detdilcd i8rttr.lions, see R(/S billelln 1711-2. Rcporl invholc dollan only,
ENDING DESIGNATION
December,2017 wAo534
CERTlFICATION
We hereby cenify that the entties in this report are in accordance wilh lhe accounts and other records ofthe syrtem and reJlect the sratu$ ofrhe system
to lhe besl ofour knowledge and belie.L
ALL INSI,IRANCI REQIITRED BY 7 CFR PAR'I' 1788, CIIAPTER XYII, RUS, WAS IN I'ORCE DURING TIIE RSPORTING PERIOD ANI)
RENEWALS UAVE BEEN OBTAIMD FOR AI,I, POI,ICID,S.
DURING'fHf,, PtrRIOD COV}:R"UD tsY 'I'HIS RT]PORI PUI{,SUAN "I'O PARI' ITEE OI.'7CT'R CIIAP'I'I'R XVII
(ClBck one ol thc loilowing)
ltr'l All of lhs obliEsr.ifi! undsr trE RUS lsr documont8
- haw b6en tulf$ad ln aX mateflel rasFda.E The€ h8s bftn e d3tett h [lo tutfilmnt olrhe obligetions
under lhe RUS lm d,ocmonts Sdd dclrd(s) is/are
specilically do€qibsd in th6 Tdo@m Operating Repoi
G:aegory Maras 3/21/20t8
DATE
PART A. BALANCE SHEET
ASSETS
SALANCE
PRIORYEAR
BALANCE
ENO OF PERIOD LIABILITIES AND STOCKHOLOERS' EQUITY
BALANCE
PRIOR YEAR
BALANCE
END OF PERIOO
CURRENT ASSETS
1. Cash and Equlvalon(s ,o1 nE,3i1,540
CURRENT LIABILITIES
25. Accounts Payable 260 ,605 195, 519
2. Cesh-RUS Constructlon Fund 70"1 , 37 3 t-. 069, 000 26. Notes Payable 0 0
3. Afflllates:27, Advance Blllinqc and Payments 0 0
a. Telecom, Accounts Roceivable 0 0 28. Customer oeposits 2 ,640 2 ,706
b. Oth€r Accounts Roceivable 0 0 29. Curenl Mal. L/T Debt 1,132,800 1,100, 063
c. Notss Receivable 0 0 30 Cunent Mal. L/T Oebt-Rur. Dev.0 0
4. Non-Affiliates:31. Cunent Mat.-Capital Leases 0 0
a. Tsl€com, Accounts Recelvable 376,357 129 , r80 32. lncomeTaxesAccrued 20 0
b. Other Accounts Receivable 0 0 33. OlherTax6sAccrued 83,701 68,435
c- Notes Rec.eivable 0 0 34. Othsr Currenl Liabilities 519,318 561.570
5. lnteresl and Dlvldonds Recelvable 0 0 35. ToLl Curr€nt Llabilitl€s (25 thru 34)1, 999, 084 L , 928 ,293
6, Material-Regulaled 270,709 27\,274 LONG.TERM DEBT
36. Funded DeblRUS Noles 51, ,4?8 22,'1L37. Material-Nonrsgulatsd 0 0
8. Prepayments 88, 993 14 5, 154 37. Funded DebtRTB Notes 51 0
9, OtherCurentAssots 0 38. Funded DeblFFB Notes 14,380,5ss t3,309,235
{0. Total CurrantAssat (1 Thru 9l t, 814 , 484 2,525,t48 39. Fundsd Deblother (3,715)(3,904)
NONCURRENT ASSETS
, 1. lnvaslmenl in Affillatod Comoanies
{0. Funded Debt-Rural Develoo. Loan 0 0
41. Premlum (Discounl) on L/f Debt 0 0
a, Rural Development 808, 605 L , 989 ,282 42. Reacquirsd Debt 0 0
b. Nonrural Developm6nt 0 0 43. Obli0ations Under CaDital Leas6 0 0
12. Other lnvastmenls 44. Adv. Frcm Amliated Companies 0 0
a. Rural Development 0 0 45. Other Lono-Term Oebt 0 0
b. Nonrural Develogment 236 ,24L 248,164 46. Total Long-Term Debt (36 thru 45)L4 ,428 ,319 13,328,04s
13, Nonregulated lnvestments 2, 071,1ga L, L79,]-66 OTHER LIAB. & DEF. CREDITS
47. Other Lonq-Term Liabilities 014. Olher NoncurentAssels 250 250
'15. Defor€d Chames (I 0 48. Oth€r Defered Credits L ,304 ,2L0 2 , 05't ,272
16. Jurlsdlctlonal Differencos o 0 49. Other Jurisdlc{ional Difrerencos 0 0
17. Total Noncurr€ntAsrots ('ll thru 16)3,116,88s 3 ,4t7 ,462 50. Ioi'l Olher Liabilities and Defered Credl(s (it7 thru 49)1, 304,2r0 2 , 057 .212
PLANT, PROPERTY, ANO EQUIPMENT
18. Telecom, PlanFin-Servico 37, 510 , 983 35 , 4L7 ,4L8
EQUITY
51. Cap. Stock Outstand. & Subscribed 93, 150 93,150
19. Prop8rty Held torFuture Use 3L2, r04 10,213 52. Additional Paid-in-Capltal 1 ,l't5
20, Plant Under Constructlon 380,098 653 ,1,O2 53. Treasury Stock 0 0
21. Plant Adj,, Nonop, Plant & Goodwill 0 0 54. Mombershlp and Cap. Certilicates 0 0
22. L6ss Accumulated Depreciatlon 18,990.699 L7 ,22L,62'1 55, OtherCapltal 0 0
23. Not Plant (18 tiru 21 loss 22)19 ,2t2 ,486 r8, 859,105 56. Patronage Capital Credlts 0 0
2/0. TOTAL ASSETS (10+17+23)
24.163, 855 24 ,$QL.7L6
57. Retained Eamlngsor Margins 6.331.91?7,38'1 ,7St
6 ,432,242 7,488.105
59. TOTAL LIAB|UTIES AND EQUTTY (36+46+50+58)
24 ,163 , 855 24,84L,7:.6
Total Equity = 30.19t % ofTotaiAssets Page 1 ofo
c
,E, Tohl Eouitv (5'l thru 571
USDA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
BORROWER DESIGNATION
wAo 5 34
PERIOD ENDING
December,2017,NSfRUCflONS- See RUS Buletin 174+2
PART B. STATEMENTS OF INCOME AND RETAINED EARNINGS OR MARGINS
ITEM PRIORYEAR THIS YEAR
1. Local Network Services Revenues 706,702 71S,349
2. NetworkAccess Services Revenues 4,79].,978 4, 658. 180
3. Long Di8tanc€ Network Services Revenues 510 87
4. Caffiet Billing and Collection Rev€nues 46,96s 38,553
5. Miscellaneous Revenues 42,002 56,082
6. Uncollectible Revenues 2,417 3 ,325
7. Not Operating Revenues (l thru 6 less 6)5 , 5e5,720 5,477 ,926
8. Plant Specific Operations Expense L, 433 ,646 1,5s9,523
9. Plant Nonspecific Operations Expense (Excluding Depreciation & Amortizalion)445, 503 515,400
10. DepreclationExp€nse 1",3L2t366 1,531,366
1'1. Amortization Expense LS2 142
12. Customer Operations Expense 561,806 560,44'7
13. Corporate Operations Expense 943, 198 921,830
14. Total Oporating Expenses (8 thru 't3)4 ,7L't ,80r 5, r88,748
15. Operating lncome or Margins (7 less 14)867,9L9 289,178
16, Olher Operating lncome and Expenses 0 0
17. State and Local Taxes 159, 343 195, 199
18. Fedelal lncome Taxes 200 ,167 (8?2,180)
19. OtherTaxes 0 0
20. Total Operatlng Taxos (17+18+19)359,7r0 (575,981)
21 , Net Operating Income or Margins (15+16-20)508, 209 966, 159
22. lnter€st on Funded Debt 288,35s 326, 008
23. lnterest Expense - Capital Leases 0 0
24. Other lnterest Expense 3,580 2t
25. Allowance for Funds Used During Conslruction !09,525 9 ,259
26. Total Flxed Charges 122+23+24.251 742,424 3L6 ,174
27. Nonoperating Net lncome 9 ,061 315,874
28. Extraordinary ltems 0 0
29. Jurisdictional Differences 0 0
30. Nonregulated N6t lncome (11,540)90,309
31. Total Net lncome or Marglnr 121+21+28+29+€A-261 323,315 L,055,5?2
32. Total Taxes Based on lncome
33. Relained Eamings or Margins Beginning-of-Year 6, 004, 551 6.331.917
34. Miscellaneous Credits Year{o-Date 4 , 0,10 2 A')
35. Dividends oeclared (Common)0 0
36. Dividends oeclared (Preferred)0 0
37. Other Debits Year-to-Date 0 0
38. Translers to Pakonage Capital 0
39, Rotainod Earnlnqs or Margins End-of-Perlod (31+33+31) - (35+36+37+38)l 6, 33 1, 917 7,39'7,7AL
40. Patronage Capilal Beginning-of-Year 0
41. Translers to Patronago Capital 0
42. Patronage Capltal Credits Relired 0
43. Patronago Capitrl End-of-Yeat 140+11121 0 0
44. Annual Debt Service Payments 1,059,871 1.459,019
45. Cash Ratlo [(14+20-10-1'l) l7l 0.6740 0.5440
46. Operating Accrual Ratio l(14+20+26) I 7l 0 .9417 0.88r.5
47. TIER [(31+e6;7 2U'2.7724 4.3323
48. DSCR l(31+26+10+11) t 441 1.6995 1.9903
Page 2 of 6
USOA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
,NSIRUCTTONS - See RUS Builetln 1744-2
BORROV\IER OESIGNATION
wA0534
PERIOD ENOED
Dacembor, 201 7
Part C. SUBSCRIBER (ACCESS LINE). ROUTE MILE. & EIGH SPEED DATA INFORMATION
.I, f,ATES 2. SUBSCRIBERS (ACCESS LINES)3. ROUTE MILES
EXCHANGE B-1
(a)
R-1
(b)
BUSINESS
(a)
RESIDENTIAL
rb)
TOTAL
/c)
TOTAL
(inchrdlng flbor)
(a)
FIBER
(b)
DEWATTO 27.O0 22.00 14 286 300 't57.60 5a 42
PRESCOTT 26.50 1E.00 38 97 135 208.09 53 15
ROSLYN 24.00 18,00 212 1.231 1.443 220.00 e6 38
UNIONTOWN 25.00 18.00 123 278 401 309.21 84.25
LEON 40.88 25.76 1 23 2A 20.37 13 14
LENORE 40.68 25.76 18 200 218 I 78.34 12.00
Moblle\MrsleBs 0
Route Mlleage
Outside Exdrange
Arca
6_47 6.47
Total 406 2.117 2323 1.1 00.08 298.81
No. Exchanqss 6
I
USDA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
/NSIRUCITONS - see RUS Bullelln 1744-2
BORROWER DESIGNATION
wAo534
PERIOD ENDED
Doc6mbar, 201 7
Port C. STIBSCRIBER (ACCES.S LINE). ROLTTE MlLe, & HIGII SPEED DATA INFORMATION
4. BROADBAND SERVICE
Oetallr on L68tt Erpon!lvo Broadband Servlce
EXCHANGE No. Access Lines
with BB
svallable(a)
No Ot Broadband
Subscribers
(bl
Number Of
Subscribers
{c)
Advsrlised
Oownload Rate(Kbps)(d)
Advsrllsed
Upload
Rate (Kbps)
ae\
Price Per Month
(0
Standalone/Pckg
(0
Tw Of
TGi,hobsy
(q)
DEWATTO 300 235 34 708 512 39.95 Packa0g DSL
PRESCOTT .l35 60 13 768 39.05 Packaoe DSL
ROSLYN 1.443 1,189 164 6,000 1,500 49.95 Packaqe DSL
UNIONTOWN 401 z.r2 158 6.000 1.500 49.95 Packaoa DSL
LEON 26 21 14 6.000 't.500 49.95 PaclGqe DSL
LENORE 218 119 59 708 512 30.96 Packaoe DSL
TOIAI 2,523 ',,850
USDA.RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
BORROVVER DESIGNATION
wAos34
PERIOO ENDING
December, 2017
IATSIRUCT,OiVS- See RUS Bulletin 1744-2
PARTD. SYSTEMDATA
l. No Plont llmploy.*
[z
xo. ortrcr emltorcs
18 40
,- Squile Milas Scrvgrl
463
4 Access Uns p.rSqudc Mile
5 .45
5, Subscnbc.s po. Rou(c Mile
2,29
PART E. TOLL DATA
a 4'.72423 lnterstatg:E Avorags Scheduls
fl Avorage schcdute
[l cost Basis
[l cost Basis
22423
c.
d.
o.
f.
9.
h.
i.
lntrastato:
PART F. FUNOS INVESTED IN PLANT OURING YEAR
l. RUS, RTB. & FFB Loan Flllds Exl!9nd6d
2. Olhet LonghTs,m Loan Funds Exponded
3. Funds Exponded Under RUS lnterim Approval
4. Othsr Shoi-Tetm Losn Funds Expended
5. Genersl Fundr Expendsd {Olisr than lntorlm)t-.302,430
B. Salva06d Materials
7. Cortrlbullon in Ald lo Construdion
8. Gross Additions to Tel€com, Plant (1 thru 7)1.302,430
PART G. INVESTMENTS IN AFFILIATEO COI1TPANIES
INVESTMENTS
(a)
CURRENT YEAR DATA CUMULANVE OATA
lnvostnent
This Yoar
o)
lncome/Lo6s
This Y€ar
(c)
Cumulatve
lnvostmont
To Dale
(d)
Cumulative
lncome/Loss
To Dete
k)
Cu16nt
Balance
(D
l. hvestmonl ln Aflilialed Companiss - Rural Davcloprnent 1,180,676 L , 989 ,282 L , 989 ,282
2. lnvostment ln Affiliated Companies - Nonrural O6velopmeni
Page 5 of 6
USDA.RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
OESIGNATION
wAo5 3 4
ENDING
2017
PART H. CURRENT DEPRECIATION RATES
Are oorporation's depreciation rates approved by the regulatory a[thonty
with.iurisdiction over the provision oftelephone services? (Check one)tr YES NO
EQUIPMENT CATEGORY OEPREGIATION RATE
1. Land and support assets - Motor Vehicles r,6 . oot
2. Land and support assets - Aircrafi
3. Land and support assets - Special purpose vehicles
4. Land and support assets - Garage and otherwork equipment 16.00k
5. Land and support assets - Buildings 4.00t
6. Land and support assets - Furniture and ffice equipment 15.00t
7. Land and support a$sets - General purpo$o computers 25.00t
8. Central Office Switchino - Digital 9.00t
9. Central Office Switchinq - Analog & Electro-mechanical
10. Central Office Switchinq - Operator SyEtems
11. C€nkal Office Transmission - Radio Systems 13 .00t
't2. Cenkal Office Transmission - Circuit equipment 11 .191
1 3. lnformation origination/termination - Station apparatus
14. lnformation origination/termination - Customer premises wiring
15. lnformation origination/terminalion - Large private branch exchanges
16. lnformation origination/termination - Public telephone terminal equipment
17. lnformation origination/termination - Other terminal equipment
18. Cable and wir6 facilities - Poles 7. s9t
19. Cable and wire facilities - Aerial cable - Metal 42.06*
20. Cable and wire facilities - Aerial cable - Fiber 5.00t
21 . Cable and wire facilaties - Underground cable - Metal 5.00*
22. Cable and wire facilities - Underground cable - Fiber 5.003
23. Cable and wire facilities - Buried cable - Metal
24. Qable and wire facilities - Buried cable - Fiber
25. Cable and wire facilities - Conduit systems
26. Cable and wire facilities - Other
Page 6 of 6
rl
USDA-RUS
OPERATING REPORT FOR
TELECOII'IM UNICAIIOT.IS BORROWERS
BORROWER DESIGNATION
wAo 5 34
PERIOD ENDED
December.20L?
INSTRUCTIONS - See help in the online application.
PART I - STATEMENT OF CASH FLOWS
1. Beginning Cash (Cash and Equlvalente plus RUS Constructlon Fund)1. 098,425
CASH FLOWS FROM OPERA]]NG ACTIVITIES
2, Not lncome 1, 055, 572
Adjustments to Reconcile Not lncome to Net Casi Provided by Operating Activities
3. Add: Depreciation 1,531,366
4. Add: Amortlzation LA2
5. Other (Explain)
SEE NOTES SECTION (672,861)
Changes in Operating Assets and Liabilities
6. Decrease/(lncrease)lnAccountsReceivable (?52 , A23\
7. Decrease/(lncrease) in Materials and lnventory (s6s)
8, Decrease/(lncrease) in Prepayments and Defened Charges (55,161)
9. Decrease/(lncrease) in Other Current Assets 0
10. lncreasei(Decrease) in Accounts Payable (5s,0e5)
11. lncrease/(Decrease) in Advance Billinss & Payments 0
12. lncrease/(Decrease) in Other Cunent Liabilities 26 ,966
13. Net Cash Provided(Used) by Operatlons 1,456, 590
CASH FLOWS FROM FINANCING ACTIVITIES
14. Decrease/(lncrease) in Notes Receivable 0
15. lncrease/(Decrease) in Notes Payable 0
16, lncrease/(Decrease) in Customer Deposits 66
17. Net lncrease/(Oecrease) in Long Term Debt (lncludlng Current Maturities)(1,133,0r1)
18. lncrease/(Decrease) in Other Liabilities & Defened Credits 151 , 062
19. lncrease/(Oecrease) in Capital Stock, Paid-in Capital, Membership and Capital Ce(ificates & Other Capital 0
20. Less: Payment of Dividends 0
21. Less: Patronage Capital Credits Retired 0
22. Other (Explain)
SEE NOTES SE TION
(753,1.28].
23. Net Cash Provldedl(Used) by Flnanclng Activities (r., r.33,0rI)
CASH FLOWS FROM INVESTING ACTVINES
24. Net Capital Expenditures (Propery, Plant & Equipment)2,t22,452
25. Other Long-Term lnvestrnents (300, s77)
26. Other Noncurrent Assets & Jurisdictional Difierences 0
27. Other (Explain)
SEE NOTES SECTION (1,8?4,339)
28. Net Cash Proyidedr(Used) by lnvestlng Activities (s2,464 )29. Net lncreaser(Decrease) ln Cash 281, 115
30. Endlng Cash L,379,540
Rovlsion oate 2010
USDA.RTJS
OPORATING REPORT FOR
TELECOMMUNICATIONS BORNOWERS
BORROWER DESIGNATION
wAos34
INSTRUCTIONS - Scc RUS Bulletin 1744-2 PEzuOD ENDED
Deccmber,20l7
NOTES TO THD OPERATING REPORT FOR TELECOMMUNICATIONS BORROWERS
INLAND TELEPHONE COMPANY
CASH FLOW RECONCILING EXPLANATIONS
RUS OPERATING REPORT 2017
Description Amount
Line 5 Other
Depreciation and amortization on nonregulated
investments 94,002.00
Change in deposits 66.00
Cash surrender value of life insurance (7,739.00)
Less plant in AP 66,899.00
Deferred FIT (872,159,00)
Building Sale (322,562.00)
Affiliate 369,1 13.00
Deposit for Building 5,200.00
Non-cash stock dividend (5,681.00)
Total Amount of Adjustment
Line 22 Other
(672,861.00)
T'SDA-RTJS
OPERATINCREPORT FOR
TELECOMMUNTCATIONS BORROWERS
BOIIIIOIVUR DES IGNATION
wA0534
INSTRUCTIONS - See RUS Bullstin l?44-2 PEzuOD ENDED
December,20l7
NO'Tf,S TO THE OPERATING BEPORT FOR TELECOMMUNICATIONS BORROWERS
Operating deferred FIT on lnvestments 1,190.00
Non-cash transfer of deferred FIT (1,626,411.00)
Change in deposits (66.00)
Operating defered FIT 872,159.00
Total Amount of Adjustment (753,128.00)
Line 27 Other
Retirements/Transfers in Net Plant (3,300,620.00)
Other comprehensive income - unrealized gain 292.40
Cash surrender value of life insurance 7,739.00
Non-cash stock dividend 5,681.00
Affiliate (369,113.00)
Building Sale 317,362.00
Deferred FIT on investments (1,190.00)
Plant in AP (66,899.00)
Non-cash transfer of deferred FIT 1,626,411.00
Operating depreciation on long-term investments (94,002.00)
Total Amount of Adjustment (1,874,339.00)
Page 1 of2
INLAND TELEPHONE COMPANY
CASH FLOW RECONCILING EXPTANATIONS
RUS OPERATING REPORT 2017
Description Amount
Line 5 Other
De preciation a nd a mortization on non regulated investments
Change in deposits
Cash surrender value of life insurance
Less plant in AP
Deferred FIT
Building Sale
Affiliate
Deposit for Building
Non-cash stock dividend
Total Amount of Adjustment
Line 22 Other
Operating deferred FIT on lnvestments
Non-cash transfer of deferred FIT
Change in deposits
Operating defered FIT
Total Amount of Adjustment
Line 27 Other
Retirements/Transfers in Net Pla nt
Other comprehensive income - unrealized gain
94,002.00
66.00
(7,739.00)
66,899.00
(872,159.00)
1322,562.00],
369,113.00
5,200.00
(5,681.00)
672,86t.00
1,190.00
(1,626,411.00)
(66.00)
872,L59.00
(753,128.00)
(3,300,620.00)
292.00
https://dcs.sc.egov.usda.gov/Form4T9Nieweraspx?bid=O4535c65-5667-4c45-93db-2c6a8... 3123/2018
Page2 of2
Cash surrender value of life insurance
Non-cash stock dividend
Affiliate
Building Sale
Deferred FIT on investments
Plant in AP
Non-cash transfer of deferred FIT
7,739.00
5,681.00
(359,113.00)
3L7,362.00
(1,190.00)
(66,899.00)
L,626,4tL.OO
Operating depreciation on long-term investments (94,002.00)
Total Amount of Adjustment
11,8r4,119:gq]_
https://dcs.sc.egov.usda.gov/Iorm4T9Niewer.aspx?bid=04535c65-5667-4c45-93db-2c6a8... 3123/2018