20180710Q Link Wireless Form 481.pdf

State of Florida
County of Broward
SUBSCRIBED AND methis db a"vor -I r*rnC
ss
)
)
)
t1'tNR-T-r?-ol
l-i [: l] [ io"'L iJ
CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
oF COMPLIANCE WtrH SERVICE QUALTTY AND CUSTOIIE& , ,, r . Df,: e. D:
PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN L : ':' \ JL' I U I ii J' (\J
EMERGENCIES, AND USE OF FEDERAL HIGH-COST SUPPORT L.r-Ltv
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841requires that an Eligible Telecommunications
Canier 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 FCC that all federal high+ost support provided to
ETCs within the State of ldaho will be used only for the provision, maintenance, and upgrading of facilitres
and services for which the support is intended. Accordingly, the undersigned states and verifies under
oath the following:
1. I am an officer of Q Link Wireless LLC, an eligible telecommunications canier for receiving federal
universal service support under section 214(e) of the Telecommunications Act of 1996 in the
sEte of ldaho.
2. I am familiar with the Company's day-to-day 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.
298/-1.
3. Q Link Wireless LLC is complying with appticable 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. 298/.1and in 47 C.F.R. $ 54.201(aX2).
5. I also certify that all federal universal service support funds received by Q Link Wireless LLC
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, 2018, through
December 31, 2018, 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 certify 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 Telecommunications
Act.
lssa
2018.
My Commission Expires:mJ r< ,N)\
Page 1
<010> Study Area Code 479018
<015> Study Area Name Q Link Wirele66 LLC
<020> Program Year 20a9
<030> Contact Name: Person USAC should contact
with questions about this data Heather Kirby
<035> Contact Telephone Number:
Number ot the person identitied in data line <030>
1f42327805 exl
<039> Contact Email Address:
Email ot the person identitied in data line <030>etc@telecomcouosel . com
Form Type 54 -422
Page 1
FCC Form /ltl
OMB Control No. 306OO986/OMB Control No.305GO819
July 2018Data Colle.tion Form
d
A
-
o11PV
=oo.;
o
ov
I!oto.
9Ei
go
OJuEoryov3
6o
c;o'E
'-o
ou
OAdxNN
oq
ooeooo
@
o
o
o
!
.9!oEco;o
oo
o
@
!
E
ooo
oE
o
o
o
*o
o
o
€
6!
.E
!
E
;o
o
oD
E-z
o
Etz
@coEooEF
co
o
!
o
6
,9E
i
co
!
o
I
fco
d
Ez
E
co
o
o
E
Uo
a
o
II
o
3
I
o
Ez
@
f
o
oa
Go
!f
a
o
6do?ot
C'z6
coL'6Eo
@@6?o6o
dz
ari oa!F E6i qd690EoN
9S>H6=
Eor
.9
soIo
oo
o.9o
@g
o
oG,ouo
oo.9
o
oo
.ia
6':Ebgi9tr
ouoE
=odEoE'Eg
@
$'.r-
E;;;
sE;g9orvoo!oEE i!
>.=PgH;
6
o^E! O=@zE# ad<>o
obe!oEE=ozi,gooF
!o
E#E<o9torEzo
fI
Ecuooc
6E
fo
Etie@og6to
t6
OFu,=6F
o
t6
OOo!rd
lo
o
EOEyg E-of EZ
trumb.r ol Complaiilt par l,m curtm.6
Colldion Fom
rcC tum 01fl4ffib. 3@ry/OMBbtdh. ru19
HYru
<010> Study Area Code
<015> Study Area Name Q Lint rire1e6. LLC
<020> Program Year
<030> Contact Name - Person USAC should contact regarding this data
<035>Contact Telephone Number - Number of person identified in data line
<030>
<039>Contact Email Address - Email Address of person identified in data line
<030>
[e-mail],coa6c1. c.h
<400>
Select from the drop-down list to indicate how you would like to report
voice complaints (zero or greater) for voice telephony service in the prior
calendar year for each service area in which you are designated an ETC for
any facilities you own, operate, lease, or otherwise utilize.
Complaints per 1000 customers for fixed voice
Complaints per 1000 customers for mobile voice
<410>
<420>
(5O0) Cmplhnc. W-th Scdic qulity Sbnd.rds.nd Gniumr Prclcdlon Rulct
D.t. coll.dlon Fom
rcch{l
oMB 6nrd b. M/il8ffi| b. wl9
idy D[
<01> StudvAr..Nafte a Liik rire:ett LLc
<03O 6nbdN.m.-P.r$[e-mail].t. Belrherxirbv
@35> cont.d T.l.phon. Numb.r . Number of pdbn id..nfrcd h d.t. lin. <o3D 7'o2rr'30< (*' '
<039> Conr.dEm.ilAddr.st-fmailAddr.ssofp.trooidentilidindat.lln.<O3b 'r'6'ete'or'6D"e1 'or
<515> C.dify.omplirncewithapplicable minimum service*andard5
(600) Functionality in EmerS€ncy Situations tCC fom 481
OMB Crntrol No. 305(Hxrt6/of,lB htd ilo. 3lr5oo819
luh 2018
oata collection Form
<010> Study Area Code
<015> Srudy Area Name
<020> Program Year
<030> Contad Neme - Person USAC should contad re8ardinB thrs data
<035> conlad Telephone Number - Number of person identified in data line <O3O>
<039> contad [mail Address - Email Address ot person idenlified in d.t. line <030>
<600> Cenify compliance re8arding abilaty to fundion in emergency situations
<610> Descriptive document for Fundionality in €merSenq Situations
P.ge 5
@o
o
U
.9
GE
.!9
oo
E
Go
o
Eoo
EoIJ
o
'a,oUc'5o
o
N
o6
@
ojI
a
I
3
z
j
o
co
EoO
@.g
oo
N
@
Ii
D
Eo
oz
ojoE
Fz
o43o
cGo
EoUU.=!o-
@
Ud
,
3
z!o
atr
UucEooon
o
@
Eo
9
dao
Eoo
@
o
oc
6!;o
Ecop
co
q
o
a!!
EU
a!
o
EU
6
coU
oo
a.g
!
.=!.q=cop
co
oo
o
o!E-z
o!
E
=zoco!ogoF
coU
o
!.!!E
@
.E!
G@o
co
!
=o
)ao
ao
oEz
6
co
o
o
Eo
o
oNo
aEz6a
!
=
o
o
6oooo
C'z
o
co(.,
to
=o
ro@Oloo1l)o
C;z
6ts
E EP:(,0ricoNLr5:H6r
.EcGELEE8i9c.:opt6o
oo85rcAE
o!oU6o
Ef
oo
@o@6d
N
0)u0oc
coEf
oo!oE
o
oo
EGz
ob€o.9aZ-dHud
EAT>z
ti
III
6.o
Fc69ocB rEolE 3E6 :- o o '=5 g 5 uEr; E E 8diB F g gAH'E P Z X>.c,469*Oooliog>Loa $Efri,".EF=
=coXc19>.J'oE =1EE=eEEt.-E;3EP.l--o90:6'd=zi0E-E>.i:6-=dg.E
€;E Ei*r Et*:Ei;--s,=EEE-€q:;otJquQFOYr9----i<tro-'7Pf-2!y!3 FE I3 3 3 ;; 3O:o:'-oooooo3€>HSEEEEEO ==.= o o o o G GflE€.vEaaaaaQEHEEEEEEElg ooS o o o o o oZ,ON-U9(.)(JUU
o
ooos
Eo@oo
o^'e;x E2922=16'0 ao..- o
=5 ErdEo_:g3vs59,oG-
c=--s '-: .E
oYF
";! 9EctcO-
!Ee--g'r€'trcr3.9afE!c f E:gr6;>;8.=EIao
Ec(EGu.:t;o
=c:moHtr<ii€3
c
.9
o
.q0Eo
co
E0)UoUcU
co
Ec
0)
(,
G!
F
oN
o)to
UFU
3.os3co
EcoJ
G3'cF
o
o
z
o'5
o
roco
G!'-
ru
o
Pco
@.!
ot
OJ
o
ooo
nAnnnnAANm<in(oF\COOINNNNNNNN(nOrOO)OTOOOVVVVVVVV
No
Eo
9
d
o
Eo
I
o
o
€
!
.9
!
.,
Cpco
o
o
@
EE
E
!E
E
a
oo
xo
tr
oa
o
!;o',c
p
o
od
o
o
Ez
E
=z
c
Eo
6F
o
o
!
6oE
.2E
n
co
=foE
=o
o
o
E
z
co
oo
o
E
o
oa
o
o
B
I
o
oEz
o
El
o
or
cooo€o
dz
E
co(,
.o
=o
roogrooiOo(n
dz
oYs 5s:90ricoNu5,.!u=3
ug
Eoo_PE.88EEooJ'EE!LOFU
BE
o
GE
Ef
a
o
NasGd
oooso
co
EfUoo
Eo
rc
ooI
@z
Ea
Ef
ooEo
G
oo
Eoz
E
o!T'oo
!
o
cO0J
.=cBAOEEE-o9o>=*
:6
!Goooc{8
c
.9
o
E0l
t!-
!6
oo
Eo
co
oo
co
oo
o.9
eo
0).9o
o
oo
=.s3aotreoEUo>
x5;G
<oUO6Ci8
.9o
EoI
EE
@
6o
E
ao
@
AJ
Eo
o.9o
omoNoooo
EoI
o
Eo
o
@
o
o
0).=
ooro
.9Eo
FCop
co
oo.
oEE
ru
EU
o
E
o
EU
o
co(J
Orm
"x
omo
o
EooE
.E
q)
FC
6J
'a
oo
o
o
Efz
o
Efz
rucoEoo
o)F
o
co
6
o
p
o
ot
@
oE
.9E
Uc-6
s@o
o
co
!loE
(J
lc
oc
o
E6z
G
CoU
o6o
oo
EoUo
G
oNo
UdI
o
-
j
o
o
EGzoo
!f
n
o
o!
(J
oo
!l
o
@oU6L
6
a0oo@o
C;z
o
co(Jo
=o
ro@orooroo
d2
6!
-CEOEeuco(J5H6
E
or
tr
.9
Ig
5U
lE
oo
O)oboG
oEo.oooG
c
dcceiooo.}o
thPC@!.exE,!!o3ocP
=>Ia
oo
!:g3
-A=oicLO
iio0ca3
ao-oJ(0-. rotsN!EEEto
Eq8E9-oo=E€a)6;
= o-oo= o{a-
2a8dE;z-a eo*7-oo6cg;s'E=cogoo6O. * (t)g6r
.E€Eg3b
Bts &Epe$€ c(n v!
=o.=oL=o,q=o--O EDEsE$3 gEo--83
z
.9xo)
c.9
o-o
oE
ol)
o
0,
o
OJ3
o!3
E0)(J
oo <t
eo
9
o
Eo
@
omo
o
Eo
@.c,
.g
!o
,tr
E
OJp
co
o,CL
OJ
!E
o
EU
oEE
=G
Eu
ao
c
(,
Otmo
omo
qJ
.E
oo!
.9.E'
o
Fc0)p
co
OJo-
o
o-o
Efz
ql
E
=z
0)co
o.UoF
@
c
U
nmo
!
E
6
o!
.g=
bo.aI'
o000i
oo
cooE5os
(J
oC
o
EGz
Ia
c
(,
ocoo
oal
EoUoc
oNo
UAd
o
3
d
o
o
Eozoo
rn
oEo(J
oo
E
=
oo
Ol
F{6oo10o(Yt
dz
E
co(Jo
=o
rOcooloorOoG1
dz
60€tsEcoiod69oscoN(J<>.H5=
@tr
EoCLoG
ag
.v,I(!
aoEEEE@e
=o.oEF9ogZ-6
^(JXoiH
vq
oooo
o
obDoc
ioo
!
f
t
oo
o
o6
Eco
Io
o
om
6E
oC
EE!
mNN
i@o
o)
oto
o
!op
o
o
f
.=
E
o
ol)
Elcot
co
9_
@
0)o
NNN
0).a
6b
u.-
Cq9€
Po
oE
CJoO
F=!O
o+
=oD0C.co!o'Eo
X.eo>Eb
c6.9>ooFEiooo;o
NN
d
ddt;o>.EoE
E!Loco-oEa;hE:O5 dt'FcO
=oo6ol
-ioUB Eteo
orct ii'-ic.:;o=o<o-Po@!sEqo';
P=AEEEGEoctu8bhou--^'OANE
Xot;.EQVcPoo-3 .EsE=o;s<=o,!
YENo!/;=o.E4-9EHiN.>E.eiEJP6C96oE
dFF-
o,2
l)o
=.on
do
c.3
NN
qoEf
oo
!oE
o
t
o
Eoz
codo
.so:
C
coo,oFo.9o
c
,E
co
cU
E
oF
o
N
t+
!
3
oc
o
e
3
d
j
o
omo
oc
o
@
,EEo
Fcop
co
o
o
OJ
!E
o
EU
0,!
o
EU
o
co
Olmo
o
r
o
o
.g
ooE
.g
E'oE
C0,p
co
o
CL
o
o,-oEz
o-oEfz
0)CoE
ooF
6
cou
rn
o
!
oE
o
o!
.9s
Uc:-
6Uo
6
CooEf
3
U
lco
oa
o
Eoz
o
c
o
rco
Eouo
d
oNo
Ij
3
j
o
o
eozo0
E
n
o
o
(J
oo
E
oo
ooood orH@ooiDo
dz
E
Co(J
@Eo
rD@q)oo(oo(n
dz
6Orftsc coF Orx (JC'd coNrJ s->(J=f
0
o
Eo
f
o
.EE
5
Lo
c
.92!,5eL'L o!:BL-s.EET.b -elee;<=6{ei950
boE ^ =.co gyl
EJooio.YI HE=E;ic YIE : i o =g s;i 3 EE(o 1;-c O o > o: g!.P5€*
2 o€ 3 95 3O
; E gi:; I
=
o, * > I o i Eo-ar
-\)Yo-oP=d)(uLI>8,^'Ou!-.13:EE;891
il ; E H :E*b
P [+ i;:; EoBXsE9tsop -u;>Q-9n c c -. c+:r On.e.i.UIt;g
f ;tIEEEH
E r E UE E 5.E9l UuEPt>3
E ; E i i rE H
eEEEEuu€
O|
"{oN
bo
,F
=Co
E
(.)oco.9-olOJ:-ctrOL6O
PC
sEoo)O)=
LOic0JZE
g
o ;--:
c oJ o.)o l.i x
!abO:
= c<fE pT
c>L!Oou i9
ACL-6G91 m-trH.s;I >Gt Er! -Pcoq
-LY3 3aE uPP trT-eEL-'-or.Yo-o<utr B'55 obCP6at 2z
P.Y6s :-oH EE
oOrloN
o
Eo
f
Lo'tr
oI
o-(ou
OJ(J'tro-oE.
j
(o
=P.LoONo-:fOohl
=coi '-(uo
o-iE!L7at=o_d6F_6gE'aE3F
UNr-laN
:oE;T!F{HE9<l:ur^.
'E lr) *c
=&,.9_d !t .s.YU.gl\9 <rg;o
=.c3lJPT6Xo-+ FEdE,iE=ro.9o.9E EP
S.EELCOctro&u
(o(,A3 ESr!C!" 8RV
-l(n
etuttA
E,
(J
if
o
CL
CL
=thII
GI
Lo
E
(,otrtro(J
o
L
(!
L)
tLo(-)
o
o-
a
I
rn
FlrO+rn
@1
&.L(J
N$c.9
(!UEtro|J
ooo
o,Nouo
5
f,
!c(o
(o
doN
lJ1rlaN
o-cOPCLtr=olrrEclotr(Jo-cLEgIC;.9
OGCLtro.i=o
oo(J .CL
.9P -.-lt
0, tt
o.i
oF{
-d!csfru l..r'Ea'Eu
.!<.
.E.=o..c
.Ee!+o
o6tJ(!
9rtsE8.-o-9;
-oo3E
O-CCLa<.E ao9g<E=.< c,:EH,-g.egEe
>eEB?!oJoXlt -:BFH6.=P
=iJ.!ftE EEL(Us $E.EE83:;*8f,(RUtr
or oI
Eaucr#:ooE
E p.E
Eo9
c
o
Eooo
o
@
o
o
,E
!
,-c
!
5cp
co
o!
-E
E
o
E
ts
o
o
o
o
c
!
.g
!
E
=co
a
o
!
Ez
D
Ez
co
og
F
co
o
!
o
.9
o
=oE
lco
d
E6z
co
A
o
E
o
o
o
UJd
o
o
3
E
d
o
E
2
:
ioV
!o
J
o
ooo6@o
.t26
cou6
=oa@ooo@o
d2oo<!E =ebdEr6No<>P6=
GU
qo
Eo
qcQcU.9 -ro-c.t9=Er
oo
t:'ot
Eltc<(,LC
uo+F:buoaoii6.9 dqit3fretoQloE-trN;C
d
o
d
z
(u
do,
TE
:,
OJ
o,
OJE,
ooG
c
OJ
E
a
0)'lC
o
o)oo(!
c)
CJo-
o,s
OJp
o
o_
0.)
roo,o
L)@ooco
o!
.go
o
o.o
fn
rnN
o
!0lo)o-
!c
C,-o!(oo
_oo
OJ(J|J(I,
v3
c
.9
ft,oI
=f-o
=(uc
o
(u
-oE
=Z
Nco@(fOrn
-o
o.-o
FIoFI
(oo
(o
o
Eo)0,,o.
!C(o
-oT'(oo
-oo
OJ(J()(o
E.P3
.9
(oUo
!'= vi_o o->sE20J ro
tsNLC0Jr!n<
Eo
=qz0)
r-lcooooorn
(oEtr
OJ
(oI
o'tr
o.
o,E,
;o
o
o_€soq'F5t!(U(oo_
9ooc3'=oo
o
o(us
3b
:eJ6co)
a .v_53
E}bg!(!bB
g3r0Lo(!a- 9.
co@oO(n
GC)
L(oEcI(oo
o'tro.
a)-c
bo
'tr
=EEo)
oo.o!oo3
Eo
(o(,)o
3o
(u.C
oc3o
(o
.U
.=o
rooc
@Oorn
hoc
o
o)E.
cou
(J
o
?
r-lo(n
d
oU
Eo
Uor-lotJ
G)
U
JJo
omo
(Jc
o
oE
,sEc)
E
(L,
=Eo
OJo
o
C)
E'
o
EU
OJ'o-o
o
EU
Io
coU
oraoo
-;
Xo
LNO
cor-N
an
C\o
t--
t--
omo
0,c=N
@T'
.=
o,
=c
OJp
co
oo-
o
0l-oE
z
€J
EfzocoE
0)
0)F
Io
c
(-)
nmo
-atJ-.{
M
t{o
-l
lJ(d
c)
lJr
o
oE'
.9=
bo
=oboo
6co
I
os
U
f
Co
oc
c)
EGz
o
o(J
cno
OrFlON
rc0)
Erc
o!o
C
No
UFlFl
(/)
TDoJo
${.-l
E
j1
d-.1
Fl
or
o,
EGz
@
OJ
E
6do
orlO
Or
t-.$
oEo(J
@o
E
odo
d
OldooolOo
ctz5
coTJ
loEo
tOoorooloo
C;2
og39E 53:(JoricoNu5!u==
c
.9
e
Eo
E
oo;E
.9
!E
o
oL)c_
6.9
AO
0u;oEEiie
=tE3
P.g€ 13
13005) n.tc Ot [dum OricrAddiiioml Docum.nt.tbn
D.t.Gllcdion Form
FCC fom 81
OMB Control No. 3050-0985/oMB hrd No. aH{819
<010> Study Area Code 47CO1R
<015> Study Area Name O Link Wireless LLC
<O2O> Program Y€ar 201.9
<030> Contact Neme - Person USAC should contact regarding this data Heather Kirby
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 77O2327805 e)..L
<039>contactEmaitaddres! tnraitaddressofpersonidenlrfiedindaratine<030> etc@telecomcounsel'com
I
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)
(3013)
(3014)
Progress Report on 5 Year Plan
Carrier certifies to 54.313(fXlXiii)
Certification of Public lnterest Obligations (47 CFR 5
s4.313(fX1Xi))
Please Provide Attachment Name of Attached Document Listing Required
lnformation
community Anchor lnstitutions {47 cFR 5
s4.313(fxlxii))
Please Provide Attachment Name of Attached Document Listing Required'"ti'J,l:T O O
(Yes/No) O O
ls your company a Privately Held ROR Carrier (47 CFR
5 s4.313(fX2))
lf yes, does your company file the RUs annual report
(301s)
(3015)
(3017)
(3018)
Please check these boxes to confirm that the
attached PDF, on line 3017, contains the required
information pursuant to 5 54.313(fX2) compliance
requires:
Electronic copy of their 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
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
3025 pursuant to 5 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 f or Telecommunications Borrowers
Document(s) for Balance Sheet, lncome 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.
lf the response is no on line 3018, please check the
boxes below to confirm your submission on line
3025 pursuant to 5 54.313(fX2), contains:
Copy of their financial statement which has been
sub.ject 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
Name of Attached Document Listing Required
lnformation
(Yes/No)oo
(3019)
(3020)
(302 1)
(3022]|
(3023)
(3024r.Underlying information subjected to an officer
certification.
(302s)Document(s) with Balance Sheet, lncome Statement
and Statement of Cash Flows
Name of Attached Document Listing Required
lnformation
(3026) Attach the worksheet listing required information
P.9.13
E
tl
E
E
o@
d
,9
E
s
,E
,!
e
6
Ez
o@
d
adEo.9aoq6oc
CPOEooa..Iod!4>EuE967'EoE9.c9636'6PiZEE{<ouE;9 E;-UEEEF
oN69)OdNmsf'-NN:lmmmmmEOOVOOOOOEmmSfmmmmm
iI
EEe
Eo
.9
go
!
c
co
o
E
oo
Eo
!!
G
o
4
Pate 15
<010>Study Area Code
<0 15>
<020>
Area Name
Program Year
<030>Contact Name - Person USAC should contact this data
ContactEmailAddress-EmailAddressofpersonidentifiedindataline<030> eLci.e:ccor..(is.: cor
<035>
<039>
4005 Rural Broadband Experiment
Authorized Rural Broadband Experiment (RBE) recipients must address the certification for public interest obligations and provide a
list of newly served community anchor institutions.
Public lnterest Oblitations - FCC 14-98 (paragraphs 26-29, 78)
PleaseaddressLine4O0lregardingcompliancewiththeCommission'spublicinterestobligations. AllRBEparticipantsmustprovidea
response to Line 4001.
4(x)1. 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 lnstitutions - FCC 14-98 (paragaph 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 Iist will be provided.
lf yes to 40034, please provide a response lor 40038.
4003b. Provide the number, names and addresses
of community anchor institutions to whlch the
recipient newly began providing access to
broadband service in the preceding calendar year.
Name of Attached Document Listing Required lnformation
PaBe 15
FCC Fo,m /l81
OMB Control No. 306&0986/OMB Control No.Data Collection Form
Page 15
<0L0>Area Code
Name
<020>Program Year<030> Contact Name - Person USAC should contact regarding this data s.,:h.r 6rby
<039> Contact Email Address - Email Address of person identified in data line <030>
5005 Alaska Plan
(5010) Do you participate in the Alaska plan?(Yes/No)
(s011)
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-limiting satellite backhaul.
(Yes/No)
(s012)
lf the filing carrier identified in its approved perfomance plans that it relies exclusively on
satellite backhaul for a certain poriton ofthe population in its service 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.
(Yes/No)
<5013>
hs..lption Of B.ckh.ul T!(hnology N.wly s.rucd Lo..tions or Popul.tion
Page 16
0 Llf,k iirer€Es LLc
oMB Control No. 306&0985/OMB contlol No. 3060-0819
FCC Form 481(5005) Alaska Plan Participants Addltional Documentation
Data Collection Form
Julv 2018
Page 17
Certification - Reportint carrier
Data Collection Form
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 306G0819
July 2018
<010> Study Area Code 479018
<015> Study Area Name Q Link wireleas LLC
<020> Program Year 2 019
<030> Contact Name - Person USAC should contact regarding this data Heather Kirby
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 110232184s exx
<039> Contact Email Address - Email Address of person identified in data line <030> eEc@tefecomcounsel. com
TO BE COMPI-ETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAT REPORTING ON ITS OWN BEHAI.F:
Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
I cenify that I am an officer of th€ r€porting carrier; my responsibilities include ensuring the accuracy of the annual reporting requirements tor universal s€ryice support
recipients; and, to the best of my knowledg€, the lnformation reported on this form and in any attachments is accurate.
Name of ReportinE Carrier:
sisnature of Authorized officer:Date
Printed name of Authorized Officer:
fitle or position of Authorized Officer:
Ielephone number of Authorized officer:
Study Area Code of Reporting Carrier:Filing Due Date for this form:
Per5onswillfllymakingfalsestatementsonthisformcanbepunishedbyfineorforfeitureundertheCommunicationsAdof1934,4TU.S.C.S5502,503(b),orfineorimprisonment
under Title 18 ofthe United States Code, 18 U.S.C. 5 1001.
Page 17
Page 18
Certification - Agent / Carrier FCC Form 481
OMB Control No. 306O{X,86/OMB Control No. 3060{819
July 2018
Data Collection Form
<010> Study Area Code 479018
<015> Study Area Name O Link Wileless LLC
<020> Program Year 2079
<030> ContactName-PersonUSACshouldcontactregardingthisdata Heathe! Kirby
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 1102321805 ext'
<039> Contact Email Address - Email Address of persoh identified in data line <o3o> etc@telecomcounsel ' com
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAL REPORTS ON THE CARRIER'S BEHALF:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reportin8 Carrier
lcertifythat(NameolAsent)i5authorizedtosubmittheinformationreport€donbehal'ofthereportingcarrior.l
agont; and, to the bost ol my knowledge, the roporls and data providod to the authorized agent is accurale.
NameofAuthorizedAEent: Expert Telecom compliance
NameofReportinECarrier: O Link wireless LLC
Signatureof Authorized Officer: CERTTFTED oNLINE Date: 01 /os/207e
Printed name of Authorized Officer: rssa Asad
Iitle or position ofAuthorized Officer: cEo
Ielephone number of Authori2ed Officer: 8005101540 exl
Studv Area Code of Reporting Carrier: 479018 Filing Due Date for this lotmt oi / 02 / 2ot9
under Title 18 ofthe United States Code, 18 U.S.C. I 1001.
TO BE COMPLETED BY THE AUTHORIZED AGENT:
Certifi€ation of A8ent Authorized to File Annual Reports for CAF or U Re€ipients on Behalf of Reporting Carrier
the data reported herein based on data provid€d by the reportint carrier; and, to the best of my knowled8e, the information reported herein is accurate.
Q Link wireless LLCName of Reporting Carrier:
Name of Authorized Asent Firm:Expert Telecoh Compliance
Signatureof AuthorizedAqentorEmploveeof Agentl CERTTFTED oNLINE Date: o6/2't /2ot9
victoria MartinName oI Authorized Agent Employee:
Title or position ofAuthorized ASent or Employee ofAgent Regulatory specialist
Telephone number of Authorized Aqent or Emplovee of Agent: 6f 861 22831 exL
Studv Area Code of Reportins Carrier:41 9018 FilihgDueDateforthisform: of/02/2ar1
18 ot the United States Code, 18 U.s.C. ! 1001
PaBe 18
Form 481 section l2l0 Q LINK WIRELESS LIFELINE OFFEzuNG Effective l2lll20l7
LIFELINE NON-TRIBAL:
Bundle Plan 1: 350 Minutes & I GB Data ("O LINK ALWAYS ON")
350 anytime minutes per month
Unlimited text messaging
I GB data per month
Minutes & data do not rollover
Net cost to Lifeline customer: $0
Data-Onlv Plan 2: 1 GB Data
I GB data per month (no rollover)
Net cost to Lifeline customer: $0
Bundle Plan 3: 750 Minutes & I GB Data
750 anytime minutes per month
Unlimited text messaging
I GB data per month
Minutes & data do not rollover
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 I (Q LINK ALWAYS ON)
Bundle Plan 4: 1000 Minutes & 100 MB
1000 anytime minutes per month
Unlimited text and picture messaging
100 MB data per month
Minutes & data do not rollover
Net cost to Lifeline customer: $0
LIFELINE TRIBAL:
Unlimited Talk & Text & 1 GB Data ("Q LINK ALWAYS ON TRIBAL")
Unlimited anytime voice minutes per month
Unlimited text messaging
I GB data per month (no rollover)
Net cost to Tribal Lifeline customer: $0
All plans include:
r Free data-capable deviceo Free calls to Q LINK Customer Serviceo Free calls to 9l I emergency servicesr Free access to Voicemail, Caller-ID, and Call Waiting features. Voice minutes may be used for Domestic Long Distance at no extra chargeo Data is at 3G speeds or higher
Form 481 section 1210 Q LINK WIRELESS LIFELINE OFFERING Effective l2lll20l7
Additional Airtime available for purchase, rates posted on Q LNK's website:
https : //q linkwireless. con/members/caft/quickpurchase. aspx
Complete program terms and conditions posted on Q LINK's website:
https ://ql inkwireless. com/terms/states. aspx