20180713Potlatch Telephone Co Form 481 - Redacted.pdf

S25Junction Rd.
Madirrl Wl 53717 HECEIVED
ZBIB JUL l3 At{ 9: 57
GNL-a.' le-61
July 13, 2018 .llJt-iv
SS U
Re: Copyof FCC481 Filing andRequestforConfidentialTreatment
Dear Ms. Hanian
Eligible Telecommunications Carriers ("ETCs") who receive federal high cost or low income support are
required to file a nnua I reports ("Annua I ETC Reports") pursua nt to 47 C. F. R. $$ 54.313 a nd 54.422 with
the UniversalService Administrative Company ("USAC'). The Annual ETC Reports are required to be
filed on FCC Form 481, with attached materials.
ln the past, the FCC has required carriers to provide a copy of their Form 481 with state commissions.
While the FCC has eliminated that requirement beginning with this year'sfiling, the ldaho Public Utilities
Commission has requested to continue receiving a copy. ln fulfillment of this requirement, Potlatch
Telephone Company, (the "Company'') has enclosed a confidential and redacted copy of its FCC Form
481,.
The Company requests that information identifying anchor institutions be treated confidentially and not
subject to public inspection. This information is competitively sensitive and is not normally released to
the public. The Company competes with cable operators and wireless carriersand the information in
question relatesto services subject to competition. Release of this information would have a substantial
negative impact on the Company.
The confidentialinformation has been redacted from the public version with black shading,
indicating where confidential information was redacted
Any questions or concerns can be directed to Gail Long at 541-516-8210 or ga il. long @ tdste lecom. com
Sincerely,
Filed via emailto Diane Hanian
Diane Hanian
Commission Secretary
ldaho Public Utilities Commission
472W. Washington
Boise, lD 83720-0074
E nclosures
c.c. GailLong
&*A{,i* -
Bruce Schiefelbein
Ma nager - Reg ulatory Complia nce
TDS Telecom
(60s) 664-s4ss
bruce. schiefe lbe in@ tdstelecom.com
Page 1
Page 1
FCC Form 481 - Carrier Annual Reporting FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
<010>Study Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name: Person USAC should contact with questions about this data
<035>Contact Telephone Number:Number of the person identified in data line <030>
<039>Contact Email Address:Email of the person identified in data line <030>
Data Collection Form
Form Type 54.313 and 54.422
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
Page 2
Page 2
(200) Service Outage Reporting (Voice)
Data Collection Form
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
<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><a><b1><b2><b3><b4><c1><c2><d><e><f><g><h>
NORS
Reference
Number
Outage Start
Date
Outage Start
Time
Outage End
Date
Outage End
Time
Number of
Customers Affected Total Number of
Customers
911 Facilities
Affected
(Yes / No)
Service Outage
Description (Check
all that apply)
Did This Outage
Affect Multiple
Study Areas
(Yes / No)
Service Outage
Resolution
Preventative
Procedures
<210>For the prior calendar year, were there any reportable voice service outages?
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<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
Page 3
Page 3
(400) Number of Complaints per 1,000 customers
Data Collection Form
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
(500) Compliance With Service Quality Standards and Consumer Protection Rules
Data Collection Form
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
<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 4
Page 4
<515> Certify compliance with applicable minimum service standards
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<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
Data Collection Form
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
<600> Certify compliance regarding ability to function in emergency situations
Page 5
<610> Descriptive document for Functionality in Emergency Situations
Page 5
Bruce Schiefelbein
2019
Yes
[e-mail]
472230id610.pdf
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
Page 6
Page 6
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
2019
[e-mail]
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
-- See attached worksheet --
472230
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Page 7
<910>Tribal Land(s) on which ETC Serves
<920>Tribal Government Engagement Obligation
<921>
<922>Feasibility and sustainability planning;
<923> Marketing services in a culturally sensitive manner;
<924>Compliance with Rights of way processes
<925>Compliance with Land Use permitting requirements
<926>Compliance with Facilities Siting rules
<927>Compliance with Environmental Review processes
<928>Compliance with Cultural Preservation review processes
<929>Compliance with Tribal Business and Licensing requirements.
(900) Tribal Lands Reporting
Data Collection Form
<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 7
<900>Does the filing entity offer tribal land services? (Y/N)
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Bruce Schiefelbein
472230id920.pdf
Yes
2019
[e-mail]
Yes
Yes
Yes
Yes
Yes
Nez Perce Tribe
Yes
POTLATCH TEL CO INC
Yes
Yes
6086645455 ext.
Yes
472230
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Page 8
(1000) Voice and Broadband Service Rate Comparability
Data Collection Form
<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>
<1000> Voice services rate comparability certification
<1010> Attach detailed description for voice services rate
comparability compliance
Name of Attached Document
<1020> Broadband comparability certification
<1030> Attach detailed description for broadband
comparability compliance
Name of Attached Document
Page 8
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Bruce Schiefelbein
2019
[e-mail]
Yes - Pricing is no more than the most recent applicable benchmark announced by
the Wireline Competition Bureau
POTLATCH TEL CO INC
6086645455 ext.
Yes
472230
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Page 9
(1100) No Terrestrial Backhaul Reporting
Data Collection Form
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
<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>
<1140>Alaska Plan rate-of-return certification (yes, no, or not applicable) of
compliance with approved performance plan.
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
Yes
472230
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Page 10
Page 10
(1200) Terms and Condition for Lifeline Customers
Lifeline
Data Collection Form
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2018
<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>Additional charges for toll calls, and rates for each such plan.
<1220>Link to Public Website HTTP
Information describing the terms and conditions of any voice telephony service plans offered to Lifeline subscribers,
Details on the number of minutes provided as part of the plan,
Bruce Schiefelbein
2019
[e-mail]
472230id1210.pdf
POTLATCH TEL CO INC
6086645455 ext.
4
4
4
472230
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Page 11
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(2005) Price Cap Carrier Additional Documentation
Data Collection Form
Including Rate-of-Return Carriers affiliated with Price Cap Local Exchange Carriers
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
<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>
<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 frozen 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(c),(d),(e). The information reported on this
form and in the documents attached below is accurate.
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?
<2017C> Total amount of Phase II support, if any, the price cap carrier used for
capital expenditures in 2017.
<2018> Attach the number, names, and addresses of community anchor
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)
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
Page 12
(3005) Rate Of Return Carrier Additional Documentation
Data Collection Form
<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>
(3008A) (Yes/No)
(3008B)
(3008C)
Page 12
CAF BLS Reporting
Please indicate whether new locations were deployed during the prior calendar year.
Please enter the number of new locations deployed in the prior calendar
year associated with each of the following speed tiers.
Number of newly built locations with access to broadband speeds of at least 10/1 Mbps but
less than 25/3 Mbps.
Number of newly built locations with access to broadband speeds of 25/3 Mbps or higher.
Please provide the percentage of deployment across the entire study area.
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
(3008B1)
(3008B2)
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<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
(3018) (Yes/No)
(3019)
(3020)
(3021)
(3022)
(3023)
(3024)
(3025)
(3026)
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
(3005) Rate Of Return Carrier Additional Documentation
Data Collection Form
Page 13
Certification of Public Interest Obligations {47 CFR §
54.313(f)(1)(i)}
Page 13
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
472230id3012.xlsm
Bruce Schiefelbein
2019
[e-mail]
Yes - Attach Certification
472230id3010.pdf
POTLATCH TEL CO INC
6086645455 ext.
472230
Yes - Attach New Community Anchors
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Page 14
(3005) Rate Of Return Carrier Additional Documentation (Continued)
Data Collection Form
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
<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>
Name of Attached Document Listing Required Information
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
Page 14
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<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 and provide a
list of newly served community anchor institutions.
Public Interest Obligations – FCC 14-98 (paragraphs 26-29, 78)
Please address Line 4001 regarding compliance with the Commission’s public interest obligations. All 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 Institutions – FCC 14-98 (paragraph 79)
4003a. RBE participants must provide the number, names, and addresses of community anchor institutions to
which they newly deployed broadband service in the preceding calendar year. On this line, please respond
(yes – attach new community anchors, no – no new anchors) to indicate whether this list will be provided.
If yes to 4003A, please provide a response for 4003B.
4003b. Provide the number, names and addresses
of community anchor institutions to which the
recipient newly began providing access to
broadband service in the preceding calendar year.
Name of Attached Document Listing Required Information
(4005) Rural Broadband Experiment Additional Documentation
Data Collection Form
Page 15
Page 15
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
Page 16
(5005) Alaska Plan Participants Additional Documentation
Data Collection Form
<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>
5005 Alaska Plan
(5010) Do you participate in the Alaska plan?(Yes/No)
(5011)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)
(5012)
If 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 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)
Page 16
<5013><c>
Newly Served Locations or Population
<a>
Description Of Backhaul Technology
<b>
Date Backhaul Available
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
Page 17
Page 17
Certification - Reporting Carrier
Data Collection Form
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2018
<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.
CERTIFIED ONLINE
07/02/2018
6086644155 ext.
Bruce Schiefelbein
Drew Petersen
2019
07/05/2018
[e-mail]
POTLATCH TEL CO INC
Senior Vice President - Corporate Affairs
POTLATCH TEL CO INC
6086645455 ext.
472230
472230
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Certification - Agent / Carrier
Data Collection Form FCC Form 481OMB Control No. 3060-0986/OMB Control No. 3060-0819 July 2018
<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:
Title or position of Authorized Agent or Employee of Agent
Name of Reporting Carrier:
Study Area Code of Reporting Carrier:Filing Due Date for this form:
Printed name of Authorized Officer:
Name of Reporting Carrier:
Study Area Code of Reporting Carrier:
Title or position of Authorized Officer:
Telephone number of Authorized Officer:
Filing Due Date for this form:
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.
Bruce Schiefelbein
2019
[e-mail]
POTLATCH TEL CO INC
6086645455 ext.
472230
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
Attachments
REDACTED - AVAILABLE FOR PUBLIC INSPECTION

TDS Emergency Operations Plan
Company is able to remain functional in an emergency situation through the use of back-up power to
ensure functionality without an external power source. The Company’s standard for battery backup is 8
hours in offices with no generator and 4 hours in offices with a generator. This is ensured during semi-
annual routine maintenance which includes battery inspection, cleaning, documentation of float voltage
and cell temperature, as well as equalization or replacement if necessary. In addition, permanent
generators are present at significant wire centers to maintain power in the event a commercial power
failure extends beyond battery backup capabilities. Also, portable generators are available for
deployment to remote wire centers without permanent generators. The Company’s network is
engineered to provide maximum capacity in order to handle excess traffic in the event of traffic spikes
resulting from emergency situations. Company facilities are remotely monitored and managed by a
centralized Network Operations Center which is staffed 24 x 7, 365 days a year. Technicians are able to
remotely access and respond to alarm conditions. By design, transport redundancy is built into the
telephony and data network on many levels and in the event of a hardware or circuit failure or traffic
spike, the networks are able to self-correct in many cases or, at many locations, technicians are able to
manually switch network elements to standby facilities both locally and remotely.
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
2019
TDS Telecom
TDS Telecom
TDS
TDS Telecom
Camden Telephone & Telegraph Company, Inc.
Central State Telephone Company, LLC
Calhoun City Telephone Company, Inc.
Camden Telephone Company, Inc.
Burlington, Brighton & Wheatland Telephone Company, LLC
Butler Telephone Company, Inc.
Bonduel Telephone Company, LLC
Bridge Water Telephone Company
Black Earth Telephone Company, LLC
Blue Ridge Telephone Company
[e-mail]
Cobbosseecontee Telephone Company
Communications Corporation of Indiana
Chatham Telephone Company
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
330851
220346
330849
330859
220351
320744
280448
250284
330856
361362
100005
310685
320776
Badger Telecom, LLC
Amelia Telephone Corporation
TDS Telecommunications LLC
f/k/a TDS Telecommunications Corporation
Arizona Telephone Company
Arcadia Telephone Company
Northwest Minnesota Special Access LLC
Arvig Telephone Company
Asotin Telephone Company, WA
Asotin Telephone Company, OR
Telephone and Data Systems, Inc.
472230
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
532404
522404
330844
TDS Telecom
300585
190217
361350
TDS Telecom
452171
TDS Telecom
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
2019
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
Humphreys County Telephone Company
Island Telephone Company (MI)
Home Telephone Company, Inc. (IN)
Hornitos Telephone Company
Hollis Telephone Company, Inc.
The Home Telephone Company of Pittsboro, Inc.
Happy Valley Telephone Company
Hartland & St Albans Telephone Company
Grantland Telecom, LLC
Hampden Telephone Company
[e-mail]
Leslie County Telephone Company
Lewisport Telephone Company
Kearsarge Telephone Company
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
542321
100010
330930
310677
290566
542322
320778
320777
123321
100011
260411
120045
260412
The Farmers Telephone Company, LLC
Concord Telephone Exchange, Inc.
Communications Corporation of Southern Indiana
Delta County Tele-Comm, Inc.
Continental Telephone Company
Dickeyville Telephone, LLC
Deposit Telephone Company, Inc.
Edwards Telephone Company, Inc.
Eastcoast Telecom of Wisconsin, LLC
Communication Corporation of Michigan
472230
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
330875
330914
150092
330880
TDS Telecom
320809
310672
300607
290559
150089
TDS Telecom
462184
TDS Telecom
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
2019
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
Oakwood Telephone Company
Oklahoma Communications Systems, LLC
f/k/a Oklahoma Communications Systems, Inc.
Norway Telephone Company, Inc.
Oakman Telephone Company, Inc.
New Castle Telephone Company
Northfield Telephone Company
Myrtle Telephone Company, Inc.
Nelson-Ball Ground Telephone Company
Mosinee Telephone Company, LLC
Mt. Vernon Telephone Company, LLC
[e-mail]
Peoples Telephone Company, Inc.
Perkinsville Telephone Company, Inc.
Mid-America Telephone, LLC f/k/a Mid-America Telephone, Inc.
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
287449
330917
330915
431984
300645
250311
240535
140061
193029
220375
250314
432010
140062
Midway Telephone Company, LLC
Ludlow Telephone Company
Little Miami communications Corporation
McClellanville Telephone Company, Inc.
Mahanoy & Mahantango Telephone Company
Merrimack County Telephone Company
McDaniel Telephone Company
Mid-State Telephone Company
Mid-Plains Telephone, LLC
Lewis River Telephone Company, Inc.
472230
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
120047
330881
361433
330909
TDS Telecom
300613
522427
170183
140058
522430
TDS Telecom
240533
TDS Telecom
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
2019
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
St. Stephen Telephone Company
Sugar Valley Telephone Company
Stockbridge & Sherwood Telephone Company, LLC
Strasburg Telephone Company
Southwestern Telephone Company
The State Long Distance Telephone Company, LLC
Milwaukee SMSA Tower Holding LLC
Milwaukee SMSA LP
Southeast Mississippi Telephone Company, Inc.
Southeast Telephone Co. of Wisconsin, LLC
[e-mail]
TDS METROCOM, LLC
New York Access Billing LLC
TDS Long Distance Corporation
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
330952
283301
170206
240544
462207
330954
330955
452174
Somerset Telephone Company
Quincy Telephone Company, FL
Potlatch Telephone Company
Riverside Telecom, LLC
Quincy Telephone Company, GA
Salem Telephone Company
S&W Telephone Company, Inc.
Shiawassee Telephone Company
Scandinavia Telephone Company, LLC
Port Byron Telephone Company
472230
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
260417
330945
310726
100024
TDS Telecom
472230
150118
220338
210338
320816
TDS Telecom
330943
TDS Telecom
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
2019
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
West Point Telephone Company, Incorporated
The West Penobscot Telephone & Telegraph Company
Warren Telephone Company
Waunakee Telephone Company, LLC
Vernon Telephone Company, Inc.
Virginia Telephone Company
Union Telephone Company
UTELCO, LLC
Tri-County Telephone Company, Inc.
Tri-County Communications Corporation
[e-mail]
Wilton Telephone Company, Inc.
Winsted Telephone Company
Williston Telephone Company
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
120049
320830
100034
320837
330968
100031
190253
150133
330963
120050
240551
361507
Township Telephone Company, Inc.
Tellico Telephone Company, Inc.
TDS Telecom Tower LLC
The Island Telephone Company, Inc. (ME)
Tennessee Telephone Company
Tenney Telephone Company, LLC
The Merchants and Farmers Telephone Company
Tipton Telephone Company, Inc.
The Vanlue Telephone Company
TDS Telecom Service, LLC
472230
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
TDS Telecom
330958
300662
320829
150129
TDS Telecom
290575
290578
320788
TDS Telecom
100007
TDS Telecom
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
United States Cellular Corporation
2019
TDS Telecom
TDS Telecom
Farmers Mutual Cellular Telephone Company, Inc.
Iowa RSA No. 12 Limited Partnership
Farmers Cellular Telephone Company, Inc.
Iowa RSA #12, Inc.
USCC First Responder, Inc. f/k/a Humphreys County Cellular, Inc.
Iowa RSA #3, Inc.
Jacksonville Cellular Telephone Company
Hardy Cellular Telephone Company
USCOC of Jacksonville, LLC
Jacksonville Cellular Partnership
[e-mail]
McDaniel Cellular Telephone Company
USCC Distribution Co., LLC
Jefferson Cellular Telephone Company, Inc.
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
239006
359016
359016
209005
529001
Wilmington Cellular Telephone Company
United States Cellular Corporation
Wolverine Telephone Company
Carroll PCS, Inc.
Barat Wireless, Inc.
Eastern North Carolina Cellular Joint Venture
CellVest Inc.
Wilmington Cellular Partnership
USCOC of Wilmington, LLC
Winterhaven Telephone Company
472230
United States Cellular
United States Cellular
United States Cellular Corporation
United States Cellular Corporation
239006
310738
542323
United States Cellular Corporation
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
2019
Central Cellular Telephones LTD
Madison SMSA Tower Holding LLC
Vermont RSA No. 2-B2, Inc.
United States Cellular Investment Company, LLC
USCOC of Oregon RSA #5, Inc.
USCOC of Washington 4, Inc.
King Street Wireless, LP
USCOC of Rochester, Inc.
Barat Wireless, LP
Carroll Wireless, LP
[e-mail]
Iowa RSA No.9 Limited Partnership
Minnesota Invco of RSA #7, Inc.
Iowa RSA #9, Inc.
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
529001
539002
359016
Aquinas Wireless, L.P.
Lab465, LLC
USCC Services, LLC
USCC EIP LLC
USCC Purchase, LLC
USCC Master Note Trust
USCC Receivables Funding LLC
Advantage Spectrum, L.P.
USCC Wireless Investment, Inc.
USCC Financial L.L.C.
472230
United States Cellular Corporation
United States Cellular Corporation
United States Cellular
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
2019
Pennsylvania RSA No. 6 (II)Limited Partnership
California Rural Service Area #1, Inc.
Pennsylvania RSA 1 Limited Partnership
Pennsylvania RSA No. 6 (I) Limited Partnership
United States Cellular Operating Company, LLC
Venus Cellular Telephone Company, Inc.
Oklahoma City SMSA Tower Holding LLC
Oklahoma City SMSA Limited Partnership
Los Angeles SMSA Limited Partnership
United States Cellular Investment Co. of Oklahoma City, LLC
[e-mail]
Crown Point Cellular, Inc.
Indiana RSA #5, Inc.
Champlain Cellular, Inc.
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
339007
United States Cellular Investment Corporation of Los Angeles
Texas Invco of RSA #6, Inc.
Relay Ventures Parallel Fund III L.P.
Texas TSA 6 Tower Holdings, LP
Community Cellular Telephone Company
USCCI Corporation
Texas RSA 6 Limited Partnership
Fresno MSA Limited Partnership
USCIC of Fresno
Redding MSA Limited Partnership
472230
United States Cellular Corporation
f/k/a United States Cellular Investment Company of Oklahoma City, Inc.
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
United States Cellular Corporation
United States Cellular Corporation
United States Cellular Corporation
United States Cellular Corporation
United States Cellular Corporation
2019
United States Cellular Corporation
United States Cellular Corporation
United States Cellular Operating Company of Chicago, LLC
USCOC of Chicago Real Estate Holdings, LLC
United States Cellular Operating Company of Cedar Rapids
Cedar Rapids Cellular Telephone, L.P.
United States Cellular Operating Company of Bangor
Bangor Cellular Telephone, L.P.
Township Cellular Telephone, Inc.
St. Lawrence Seaway RSA Cellular Partnership
PCS Wisconsin, LLC
Racine Cellular Telephone Company
[e-mail]
Dubuque Cellular Telephone, L.P.
United States Cellular Operating Company of Knoxville
United States Cellular Operating Company of Dubuque
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
339007
339007
349007
359016
109002
359016
299010
Oregon RSA #2, Inc. (WA)
Kenosha Cellular Telephone, L.P.
Indiana RSA No. 5 Limited Partnership
Maine RSA #1, Inc.
Madison Cellular Telephone Company
Newport Cellular, Inc.
Maine RSA #4, Inc.
Oregon RSA #2, Inc. (OR)
NH #1 Rural Cellular, Inc.
Indiana RSA No. 4 Limited Partnership
472230
United States Cellular Corporation
United States Cellular
United States Cellular Corporation
United States Cellular Corporation
United States Cellular Corporation
129002
539002
529001
Unites States Cellular Telephone Co. (Greater Knoxville) LP
339007
339007
109002
United States Cellular
109002
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
United States Cellular Corporation
United States Cellular Corporation
United States Cellular Corporation
United States Cellular Corporation
2019
United States Cellular Corporation
Unites States Cellular Telephone Co. (Greater Knoxville) LP
Unites States Cellular Telephone Co. (Greater Knoxville) LP
USCOC of Pennsylvania RSA No. 10-B2, Inc.
Allentown SMSA Limited Partnership
USCOC Nebraska/Kansas, LLC (NE)
Kansas #15 Limited Partnership
USCOC Nebraska/Kansas, Inc.
USCOC Nebraska/Kansas, LLC (KS)
USCOC of Jack/Wil, Inc.
USCOC of LaCrosse, LLC
USCOC of Greater Oklahoma, LLC
USCOC of Greater Oklahoma, LLC
[e-mail]
USCOC of South Carolina RSA #4, Inc.
USCOC of Texahoma, Inc.
USCOC of Richland, Inc.
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
439035
439004
379019
419012
339007
529001
USCOC of Cumberland, LLC
United States Cellular Operating Company of Medford
United States Cellular Telephone Company (Greater Knoxville), LP.
Yakima MSA Limited Partnership
United States Cellular Operating Company of Yakima
USCOC of Greater Iowa, LLC (DE)
USCOC of Central Illinois, LLC
USCOC of Greater North Carolina, LLC
USCOC of Greater Missouri, LLC
Tennessee RSA No. 3 Limited Partnership
472230
USCOC of Nebraska/Kansas LLC DBA U.S. Cellular?
USCOC of Nebraska/Kansas LLC
United States Cellular Corporation
United States Cellular Corp ? CL
United States Cellular Corporation
429007
239006
299010
299010
539002
349007
529001
United States Cellular Corporation
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
2019
United States Cellular Corporation
United States Cellular Corporation
United States Cellular Corporation
Nelson-Ball Ground Cellular Telephone & Services, Inc.
New Paris Telephone, Inc.
MGW Communications, Inc.
National Telephone & Telegraph Company
InterLinx Communication, LLC
Tonaquint Networks, LLC
TDS Broadband Service LLC
TDS Broadcasting LLC
M.C.T. Communications, Inc. (d/b/a MCT Cable)
TDS Broadband, LLC
[e-mail]
Graphic Arts Alliance LLC
OneNeck IT Solutions LLC
Suttle-Straus, Inc.
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
123321
GTE Mobilnet of Indiana LP
Washington RSA #5, Inc.
USCOC of Virginia RSA #3, Inc.
Westelcom Cellular, Inc.
Western Sub-RSA Limited Partnership
Affiliate Fund
New York RSA 2 Cellular Partnership
CommVest, Inc.
Airadigm Communications, Inc.
Texahoma Cellular Limited Partnership
472230
TDS Telecom
199004
439004
529001
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
<813><a3>
Doing Business As Company or Brand Designation
<a1>
Affiliates
<a2>
SAC
(800) Operating Companies
Data Collection Form
<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>Holding Company
<812>Operating Company
FCC Form 481
OMB Control No. 3060-0986/OMB Control No. 3060-0819
July 2018
Telephone and Data Systems, Inc.
Bruce Schiefelbein
Potlatch Telephone Company
2019
[e-mail]
Potlatch Telephone Company
POTLATCH TEL CO INC
6086645455 ext.
OneNeck Data Center Holdings LLC
OneNeck UK Limited
Volcano Communications Company
OneNeck IT Services Corporation
472230
542343
REDACTED - AVAILABLE FOR PUBLIC INSPECTION
Potlatch Telephone Company – Study Area 472230
Nez Perce Tribe
Juliette, ID
Meeting – 11/21/2017 12:00 noon PST
FCC - 54.313(a)(9)

REDACTED - AVAILABLE FOR PUBLIC INSPECTION
MEETING MINUTES
In fulfillment of its §54.313 (a)(9) tribal engagement obligation and in furtherance of the goal of
establishing good working relationships with its customers located on tribal lands, Potlatch
Telephone Company d/b/a TDS Telecom (“Potlatch Telephone” or “TDS Telecom”) met with the
Nez Perce Tribe on November 21, 2017.
Attendees at the meeting representing the Nez Perce Tribe were:
 Danae Wilson, Department of Technology Services Manager
Attendees representing TDS Telecom were:
 Gail Long, Manager State Government Affairs
 Randy Brunes, Field Services Manager
Potlatch Telephone serves the Nez Perce Tribe in its Kendrick exchange in Idaho. During the
meeting, the participants discussed subjects which have been categorized below using the FCC
rule and guidance published by the Office of Native Affairs and Policy1 regarding specific topics
that should be covered in these meetings.
Needs Assessment and Deployment Planning
Randy explained that there is now a redundant route in place to help ensure uninterrupted
traffic flow in and out of the serving area.
There was discussion about service to the Cherry Lane Fish Hatchery. Randy explained that it
will be part of TDS Telecom’s ACAM project. TDS looked at microwave to serve the hatchery
but it would require another provider to meet us on the other end which could result in a long
delay. Gail asked if, as an alternative, the tribe might be able to finance fiber across the tribal
land to a meet point with TDS. Danae will look into that possibility. Randy agreed to send
Danae a map of the area so the tribe could calculate distances and determine the cost.
Danae mentioned the tribe also has needs in the town of Lenore. Randy explained that TDS
doesn’t provide service in Lenore. Danae said she will check to see who the provider is.
The Forest Service is looking at placing a park and restroom on the south side of the river and is
negotiating with an individual tribal member who owns the land. If the plan goes forward and
connectivity is requested we can explore the various options available for TDS to be able to
serve the area.
The tribe doesn’t have plans to add any new anchor institutions within the TDS serving area.

1 See Office Of Native Affairs and Policy, Wireless Telecommunications Bureau, and
Wireline Competition Bureau Issue Further Guidance on Tribal Government Engagement Obligation
Provisions of the Connect America Fund, WC Docket No. 10-90, DA 12-1165, Released July 19, 2012.
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Feasibility and Sustainability Planning
Danae provided an update on the tribal owned wireless broadband system: The system has 22
towers with 18 neighborhood solutions. The tribe ran 9 miles of fiber last year and plans on 21 miles in
2018.
Marketing Services in a culturally sensitive manner
The tribe continues to be heavily involved with the Lifeline program by educating residents,
especially senior citizens about the benefits of the Lifeline program.
In February 2014, TDS sent brochures that included a map of the TDS service area. The tribe
prints copies of the brochures for the general council meetings to hand out to interested members.
Right of Way, Other Permitting and Review Processes
The tribe didn’t have any new issues or complaints.
Compliance with Tribal Business and Licensing Requirements
There were no issues raised. Danae said TDS is one of the easiest businesses to work with.

Follow Up
The tribe will contact TDS if they need any assistance. Gail Long will continue to be the main
point of contact for the Nez Perce tribe.
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-Terms and Conditions of Voice Telephony Lifeline Service –
54.422(a)(2)
Lifeline Service Overview
1. A Lifeline customer may subscribe to any local service offering available to all
residential customers. Such local service offerings include:

 Basic local exchange telephone flat rate service (R1) which entitles the
customer to an unlimited number of telephone calls within the exchange and
local calling area (including EAS points) without additional charges. Toll
charges do not apply.

 A local measured service (if offered by the Company). The service is priced
lower than R1 service but either a per minute or per message rate also applies.
The measured service plan may include an allowance of minutes/messages.
 An expanded local calling service which is priced higher than R1 service but
includes a larger local calling service area without incurring toll charges.

 Any broadband service offering; however, only broadband service meeting
Lifeline’s minimum service standards receives Lifeline credits.

 Any bundle service that includes residential basic local exchange service or
broadband service.

2. For a list of local exchange services and rates, refer to the Company’s Local
Exchange tariff posted on its website at
http://www.tdstelecom.com/CustomerService/TariffSearch.aspx and/or contact the
Company at 1-888-CALL TDS (1-888-225-5837). (Note, not all bundles are tariffed)

3. Any of the local service offerings listed above is for a minimum one month period
and entitles the customer to telephone calls within the exchange and local calling
area (including EAS points). Toll charges do not apply to such calls.

4. Telephone Service including Lifeline service also includes –
 Touch Tone
 Access to 911 emergency service along with other N11 services
 Access to operator services
 Access to directory assistance
 Access to toll calling via long distance carrier  Toll restriction service at no charge for Lifeline customers

5. Participants in Lifeline Assistance shall not be disconnected from Local Service for
non-payment of toll charges. In addition, the Company will not deny re-
establishment of local service to customers who are eligible for Lifeline Assistance
and have previously been disconnected for non-payment of toll charges. Lifeline
Assistance will not be connected if an outstanding balance is owed by the customer
for local service.

6. Applicable taxes levied by state, county and local taxing authorities are added to
local service rates.

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-Terms and Conditions of Voice Telephony Lifeline Service –
54.422(a)(2)

STAR Packages
STAR Packages are optional service bundles. Each package permits a customer to receive
services and features for a flat monthly rate, for each STAR Package subscriber line provided.
The STAR Package options include the following services:

1) 3 STAR Package
Includes: Residential One-Party Line, Caller ID Deluxe, Call
Waiting/Cancel Call Waiting, Call Forwarding, and Preferred Call
Forwarding (not flat rate service at some companies)

The 3 STAR Package can be upgraded to include Anonymous Call
Rejection, Three-Way Calling, Priority Ringing, Special Call
Acceptance, and Personal Voicemail. The charge for this upgrade is
set forth under “Residence” below (not flat rate service at some
companies).

2) 4 STAR Package
Includes: Residential One-Party Line, Caller ID Deluxe, Call
Waiting/Cancel Call Waiting, Call Forwarding, Preferred Call
Forwarding, Anonymous Call Rejection, and 300 Minutes of LATA-Wide
and/or Long Distance calling

The 4 STAR Package can be upgraded to include Three-Way Calling,
Priority Ringing, Special Call Acceptance and Personal Voicemail. The
charge for this upgrade is set forth under “Residence” below.

3) 5 STAR Package
Includes: Residential One-Party Line, Caller ID Deluxe, Call
Waiting/Cancel Call Waiting, Call Forwarding, 3-Way Calling,
Anonymous Call Rejection, Priority Ringing, Special Call Acceptance,
Preferred Call Forwarding, Personal Voice Mail, and Unlimited LATA-
Wide and/or Long Distance calling

Conditions and Limitations

a. Rules, regulations, and limitations as specified elsewhere in the Company’s tariffs for
each individual service will apply as part of this Package.
b. STAR Package customers may terminate their Package at any time upon notice to
the Company.

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-Terms and Conditions of Voice Telephony Lifeline Service –
54.422(a)(2)
c. Unless terminated by the STAR Package customer or the Company, a customer will
remain enrolled in the Package, as amended from time-to-time, with any applicable
changes in rate, for as long as the Plan continues to be offered by the Company.
d. New Customers that subscribe to one of the STAR Packages will receive a waiver of
all installation charges.

Service Charges will not apply when the STAR Package replaces existing Local
Exchange Service or if the customer requests a change from the STAR Package
back to Local Exchange Service.
e. A Package Change Fee will apply when a customer downgrades from the 4 STAR or
5 STAR Package to the 3 STAR or 4 STAR Package. Customers may upgrade to a
higher STAR Package without incurring a charge.

f. The Star Package may not be combined with any other optional toll calling plan
service, except for those specified in this offering.
g. Customers who fail to pay the entire Package rate per month will have all STAR
Package optional features removed. The customer will then be converted to the
tariffed Basic Local service rate. Service Charges will not apply for converting
services back to tariff rates. Such customers will not be permitted to re-enroll in this
any of the Packages until such time as all associated unpaid balances are
satisfactorily paid in full.

Residence 1) 3 STAR Package, per line $19.99 to $29.99
2) 4 STAR Package, per line $29.99 to $39.99
3) 5 STAR Package, per line $39.99 to $49.99

a. Package Upgrade (features added to existing package) $5.00
b. Package Change Fee $7.50

SECURITY LINE SERVICE

1. General

Security Line Service is a bundle for residential customers who have their main
telecommunications service with a wireless provider but require a basic access line
for back-up and high speed data.

The bundle includes a Residential One-Party Line and up to 1 Mbps high speed
data. (Could be an LMS line at companies that provide LMS)

2. Terms and Conditions

a. Security Line Service will be provisioned where facilities are available.

b. Rules, regulations, and limitations as specified elsewhere in the Company’s
tariffs will apply to this bundle.
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-Terms and Conditions of Voice Telephony Lifeline Service –
54.422(a)(2)

c. No other optional services or features are allowed with this bundle, except
Toll Restriction, Toll Restriction PIN Override, Non-Published Numbers, and
Non-Listed Numbers. These four services will be allowed at the rate listed
elsewhere in the tariff. As stated in the Lifeline Service Overview, charges for
toll restriction do not apply to Lifeline Customers.

d. Customers must subscribe to this service for 1 year. Cancellation of the
bundle prior to the one year timeframe will cause an early termination fee of
$99 to apply.

e. Customers must subscribe to TDS Long Distance Corporation as their long
distance provider.

f. Any toll calls will be billed at TDS Long Distance toll rates.

g. Service Connection Charges will not apply.

h. Optional Call plans are not available with this bundle.

i. Seasonal Service is not available with this bundle.

3. Rates and Charges
Monthly Rate

Bundle Base Rate $44.20 to 49.201

1 Other data speeds may be available for an additional charge. A Lifeline benefit is available if the
data speeds meet the Lifeline minimum service requirements, where those data speeds are available.

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Attachment 1
State Study Area Name SAC
AL Butler Telephone Company 250284
AL Oakman Telephone Company, Inc. 250311
AL Peoples Telephone Company, Inc. 250314
AZ Arizona Telephone Company 452171
AZ Southwestern Telephone Company 452174
CA Happy Valley Telephone Company 542321
CA Hornitos Telephone Company 542322
CA Winterhaven Telephone Company 542323
CO Delta County Tele-Comm, Inc. 462184
CO Strasburg Telephone Company 462207
FL Quincy Telephone Company, FL 210338
GA Blue Ridge Telephone Company 220346
GA Camden Telephone & Telegraph Company, Inc. 220351
GA Nelson-Ball Ground Telephone Company 220375
GA Quincy Telephone Company, GA 220338
ID Potlatch Telephone Company 472230
IN Camden Telephone Company, Inc. 320744
IN Communications Corporation of Indiana 320776
IN Communications Corporation of Southern Indiana 320809
IN Home Telephone Company, Inc. (IN) 320778
IN S&W Telephone Company, Inc. 320816
IN The Home Telephone Company of Pittsboro, Inc. 320777
IN The Merchants and Farmers Telephone Company 320788
IN Tipton Telephone Company, Inc. 320829
IN Tri-County Telephone Company, Inc. 320830
IN West Point Telephone Company, Incorporated 320837
KY Leslie County Telephone Company 260411
KY Lewisport Telephone Company 260412
KY Salem Telephone Company 260417
ME Cobbosseecontee Telephone Company 100005
ME Hampden Telephone Company 100010
ME Hartland & St Albans Telephone Company 100011
ME Somerset Telephone Company 100024
ME The Island Telephone Company, Inc. (ME) 100007
ME The West Penobscot Telephone & Telegraph Company 100034
ME Warren Telephone Company 100031
MI Chatham Telephone Company 310685
MI Communication Corporation of Michigan 310672

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State Study Area Name SAC
MI Island Telephone Company (MI) 310677
MI Shiawassee Telephone Company 310726
MI Wolverine Telephone Company 310738
MN Arvig Telephone Company 361350
MN Bridge Water Telephone Company 361362
MN Mid-State Telephone Company 361433
MN Mid-State Telephone Company, KMP 361413
MN Winsted Telephone Company 361507
MS Calhoun City Telephone Company, Inc. 280448
MS Myrtle Telephone Company, Inc. 287449
MS Southeast Mississippi Telephone Company, Inc. 283301
NH Contoocook Valley Telephone Company 123321
NH Hollis Telephone Company, Inc. 123321
NH Kearsarge Telephone Company 120045
NH Merrimack County Telephone Company 120047
NH Union Telephone Company 120049
NH Wilton Telephone Company, Inc. 120050
NY Deposit Telephone Company, Inc. 150089
NY Edwards Telephone Company, Inc. 150092
NY Oriskany Falls Telephone Corporation 150114
NY Port Byron Telephone Company 150118
NY Township Telephone Company, Inc. 150129
NY Vernon Telephone Company, Inc. 150133
OH Arcadia Telephone Company 300585
OH Continental Telephone Company 300607
OH Little Miami communications Corporation 300613
OH Oakwood Telephone Company 300645
OH The Vanlue Telephone Company 300662
OK Mid-America Telephone, Inc. 432010
OK Oklahoma Communications Systems, Inc. 431984
OR Asotin Telephone Company, OR 532404
PA Mahanoy & Mahantango Telephone Company 170183
PA Sugar Valley Telephone Company 170206
SC McClellanville Telephone Company, Inc. 240533
SC Norway Telephone Company, Inc. 240535
SC St. Stephen Telephone Company 240544
SC Williston Telephone Company 240551
TN Concord Telephone Exchange, Inc. 290559
TN Humphreys County Telephone Company 290566
TN Tellico Telephone Company, Inc. 290578

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State Study Area Name SAC
TN Tennessee Telephone Company 290575
VA Amelia Telephone Corporation 190217
VA New Castle Telephone Company 193029
VA Virginia Telephone Company 190253
VT Ludlow Telephone Company 140058
VT Northfield Telephone Company 140061
VT Perkinsville Telephone Company, Inc. 140062
WA Asotin Telephone Company, WA 522404
WA Lewis River Telephone Company, Inc. 522427
WA McDaniel Telephone Company 522430
WI Badger Telecom, LLC 330844
WI Black Earth Telephone Company, LLC 330849
WI Bonduel Telephone Company, LLC 330851
WI Burlington, Brighton & Wheatland Telephone Company, LLC 330856
WI Central State Telephone Company, LLC 330859
WI Dickeyville Telephone, LLC 330875
WI Eastcoast Telecom of Wisconsin, LLC 330914
WI Grantland Telecom, LLC 330930
WI Mid-Plains Telephone, LLC 330881
WI Midway Telephone Company, LLC 330909
WI Mosinee Telephone Company, LLC 330915
WI Mt. Vernon Telephone Company, LLC 330917
WI Riverside Telecom, LLC 330943
WI Scandinavia Telephone Company, LLC 330945
WI Southeast Telephone Co. of Wisconsin, LLC 330952
WI Stockbridge & Sherwood Telephone Company, LLC 330954
WI Tenney Telephone Company, LLC 330958
WI The Farmers Telephone Company, LLC 330880
WI The State Long Distance Telephone Company, LLC 330955
WI UTELCO, LLC 330963
WI Waunakee Telephone Company, LLC 330968

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FCC Form 481 OMB Control No. 3060-0986
Number Name Street Address State Zip
1 CHURCH ADVENT 1158 BIG MEADOW RD - TROY ID 83871
2 CITY OF JULIAETTA 908 STATE HWY 3 - JULIAETTA ID 83535
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Template for Reporting Community Anchor Institutions (Lines 2018, 3012B, and 4003B)
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