20190131Citizens Telecomm Form 555 - Revised.pdf

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Communications
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o 7979 N. Belt Line Rd
Irving, Texas 75063
Phone [phone]
Email: kimberly.a.douglass(cr,,ftr.con
January 31,3019
Crrtl B- r- r?-s I
Ms. Diane Hanian
Commission Secretary
Idaho Public Utilities Commission
47 2 W est Washington Street
Boise, Idaho 83720
RE: Annual Eligibility Re-Certification of Lifeline Subscribers - REVISED
Dear Ms. Hanian:
On January 30,2019, Citizens Telecommunications Company of Idaho d/b/a Frontier Communications of
Idaho (Study Area Code 47M27) and Frontier Communications Northwest, [nc. (Study Area Code 472416)
herein after referred to as "Frontier" submitted a copy of its Annual Lifeline Eligible Telecommunications
Carrier Certification FCC Form 555 in compliance with 47 CFR 54.416 as adopted by the Federal
Communication Commission (FCC) in its Lifeline Reform Order, FCC l2-l l, released February 6,2012.
Frontier respectfully requests that the previously submitted copy be replaced with the attached REMSED copy
The list of affiliates on page 6 of the FCC Form 555 was inadvertently excluded from the previously submitted
copy.
Please call me at (972) 9084415 if you have any questions.
Sincerely,
-/7*
Kim Douglass
Manager
Compliance - Regulatory Affairs
Attachments
cc: Jessica Epley, Frontier
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Annual Lifetine Etigible Telecommunications Carrier Certification Form All carriers must complete all or portions
of all sections Form must be submitted to USAC and filed with the Federal Communications Commission
IMPORTANT: PLEASE READ INSTRUCTIONS FIRST
Deadline: January 31't (Annually)
Does the reporting company have afliliated ETCs? Yes EI No @
Provide a list of all ETCs that are afiliated with the reporting ETC, using page 4 and additional sheets if necessary. Affliation shall be
determined in accordance with Section 3(2) of the Communications Act. That Section defines "afliliate" as "a person that (directly or indirectly)
owns or controls, is owned or controlled by, or is under common ownership or control with, another person." 47 U.S.C. S 153(2). See also 47
c.r.R. $ 76.t200.
Affiliated ETC's SAC lerRtlut"a ETC's Name
- See attache{worksheet -
474427 143002528
Study Area Code (SAC) Service Provider Identification Number (SPIN)
(An Eligible Telecommunications Carrier (ETC) must provide a certificationformfor each SAC through which it provides Lifeline seruice).
2018 ID CITIZENS TELECOMM CO OF IDAHO
Recertification Year
N/A
State ETC Name
Frontier Commnunications Corporation
DBA, Marketing, or Other Branding Name
(lf same as ETC name, list "N/A" Do not leave blank)
Holding CompanyName
(lf same as ETC name, list "N/A" Do not leotte blank)
1
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ETCs Subject to the Non-Usage Requirements
All ETCs must complete the appropriate check-box. ETCs that do not assess and collect a monthly fee from their Lifeline subscribers are subject
to the non-usage requirements. ETCs subject to the non-usage requirements must indicate the number of subscribers de-enrolled by month in
Section 4. ETCs that only assess afee but do not collect suchfees are subject to the non-usage requirements and must also indicate the number of
subscribers de-enrolled by month.
Is the ETC subject to the non-usage requirements? yes E[ No E[
Ifyes, record the number of subscribers de-enrolledfor non-usage by month in Block Q below.
P o
Month Subscribers De-Enrolled for Non-Usage
January 0
February 0
March 0
April 0
Mav 0
June 0
July 0
August 0
September 0
October 0
November 0
December 0
Total Subscribers 0
For purposes of this filing, an officer is an occupant of a position listed in the article of incorporation, articles of formation,
or other similar legal document. An officer is a person who occupies a position specified in the corporate byJaws (or
partnership agreement), and would typically be president, vice president for operations, vice president for finance,
comptroller, treasurer, or a comparable position. If the filer is a sole proprietorship, the owner must sign the certification.
Initial Certificatioln. All ETCs musr complete this section
I certifr that the company listed above has certification procedures in place to:
A) Review income and program-based eligibility documentation prior to enrolling a consumer in the Lifeline program, and
that, to the best of my knowledge, the company was presented with documentation of each consumer's household
income and/or program-based eligibility prior to his or her enrollment in Lifeline; and/or
B) Confirm consumer eligibility by relying upon access to a state database and/or notice of eligibility from the state
Lifeline administrator prior to enrolling a consumer in the Lifeline program.
I am an officer of the company named above. I am authorized to make this certification for the Study Area Code listed
above.
JCMInitial
2
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Minimum Service Level
I certify that the company listed above is in compliance with the minimum service levels set forth in the 47 CFR Section
s4.408.
I am an officer of the company named above. I am authorized to make this certification for the SACs listed above.
Initiat JCM
Annual Recertification
Do not leave empty blocks. Ifan ETC has nothing to report in a block, enter a zero.
Report the number of Lifeline subscribers due for recertification by month (January-December)
A. Subscribers eligible for recertification by anniversary monthB. Subscribers de-enrolled prior to recertification attemptsC. Total number of subscribers ETC is responsible for recertiffing (A-B)
Recertification Methods
State of federal databaseD. Subscribers recertified through ETC access to state or federal database by anniversary month
the number of subscribers verified access to a state or federal database.
E. Name of the data source(s) used to verifo consumer eligibility:
ETC Direct ContactF. Subscribers contacted by ETC directly to recertifo (You may also use this section to report subscriber initiated recertifications).
the number of Lifeline subscribers the
G. Subscribers who failed to recertifr through ETC direct outreach attempt
the number of Lifeline subscribers
3
Jan Feb Mar Apr May Jun Jul Aug sep Oct Nov Dec Year
Total
A.33 1B 11 3 7 5 10 5 3 6 19 17 137
B.0 0 0 0 0 0 0 0 0 0 0
c.33 18 11 3 7 5 10 5 3 6 19 17 137
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year
Total
D.0 0 0 0 0 0 0 0 0 0000
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year
Total
F 0 0 0 0 0 0 0 0 0 0 0 0
Jan Feb Mar Apr May Jun Jul Aug sep Oct Nov Dec Year
Total
G.0 0 0 0 0 0 0 0 0 0 0 0 0
0 0
0
Jan Feb Mar Apr May Jun Jul Aug sep Oct Nov Dec Year
Total
H.0 0 0 0 0 0 0 0 0 0 0 0 0
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H. Subscribers who recertified through ETC direct outreach attempt
recertified ETC's outreach
Third Party
I. Subscribers whose eligibility was reviewed by state administrator, third party administrator, or USAC
the number of Lifeline subscribers contacted a state administrator,third or USAC for the of recertification.
J. Name of third party administrator used to verifu subscriber eligibility:
USAC
K. Subscribers de-enrolled as a result of a third party recertification attempt
the number of subscribers as a result of or to outreach from a state rhild
L. Subscribers who recertified through a state administrator, third party administrator, or USAC's recertification effort
the number of subscribers that recertified from a state administrator,third administ"ator or USAC
or USAC.
a
Certification:
Recertification Method: Database
I certifu that the company listed above has procedures in place to recertify consumer eligibility by relying on a database. I
am an officer of the company named above. I am authorized to make this certification for the SAC(s) listed above.
Initial
4
Jan Feb Mar Apr May Jun JUI Aug Sep Oct Nov Dec Year
Total
I.33 18 11 3 7 5 10 5 3 6 19 17 137
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year
Total
K.12 7 2 1 3 4 3 0 2 2 4 2 42
Jan Feb Mar Apr May Jun Jul Aug Sep 0ct Nov Dec Year
Total
L.21 11 9 2 4 1 7 5 1 4 15 15 95
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Recertification Method: ETC
I certify that the company listed above has procedures in place to recertifu the continued eligibility of all of its Lifeline
subscribers, and that, to the best of my knowledge, the company obtained signed certifications from all subscribers attesting
to their continuing eligibility for Lifeline. I am an officer of the company named above. I am authorized to make this
certification for the SAC(s) listed above.
Initial
Recertification Method: Third Party
I certify that the company listed above has procedures in place to recertify consumer eligibility by relying on an
administrator. I am an officer of the company named above. I am authorized to make this certification for the SAC(s)
listed above.
lnisid JCM
No Subscribers
I certify that my company did not claim federal low income support for any Lifeline subscribers for the current Form 555
data year. I am an officer of the company named above. I am authorized to make this certification for the SAC listed
above.
Initial
Signature Block
By signing below, I certify that the company listed above is in compliance with all federal Lifeline certification
procedures. I am an officer of the company named above. I am authorized to make this certification for the Study
Area Code (SAC) listed above.
Signed,
Jessica C. Matushek Director, Accour Jessica C. Matushek Director, A
Signature of Officer
jessica. matushek@ft r.com
Email Address of Officer
Christine Burke
Person Completing This Certification Form
Printed Name and Title of Officer
Jan 29,2019
Date
585-777-6719
Contact Phone Number
5
M =(c+K)N = (D+F+I)O = M/l{*100
Total number of subscribers de-enrolled as
a result of recertilication
Total number of subscribers ETC is
responsible for recertifying
Percent of subscribers due for
recertification who were de-enrolled
42 137 30.66%
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FCC Form555
AffiIiAtEd ETCS
sAc Narre
135200 The Southem Ncw Enqland Teleohona ComDenv
lso072 Fmnder Cornmunimtions of AuSahle Vallev [nc,
t50100 Fmntier Commrmications ofNers Ynrk Inc
l50t 10 OGDEN TELEPHONE COMPANY
I50r2r Frontier Telcohonc of Rochcstcr Inc"
150122 Fronticr C-ommunicetions of Sanm (}nrhnm Inc
150t28 Fmnticr Commrrni&tions of Svlvan l.slca Inc-
154532 CITIZENS TELECOMMUNICATIONS COMPANY OF }
I 5d<??CITIZENS TF.I.F.EOMMIIMEATIONS TX]MPANY OF }
t545t4 CTTIZENS TTLFCOMMIJNICATIONS COMPANY OF It
170149 Frontier Communications of Breezcwood LLC
170t52 Fmntier Cnmmnnicntions of C:rvrtnn I.I.C
170r51 Commonwcalth Telanhone Com rmnv
r70168 Fronticr Communications of Pennsvlvania LLC
t70178 Frontier Communications of Lakcwood LLC
170194 Fmnticr Communications of Oswavo River LLC
200271 CITTZENS MOI.INTAIN STATts TBL
2M338 Citizcns Mountain State Tcl
204339 Citizens Mountain State Tel
205050 Fmntier West Virpinia Inc-
2to?I *Frontier Communications of the South LLC
210328 FronticrFlorida LLC
220362 Fmnticr Commrmications of Fairmorrnt I.T-C
220387 Fronticr Communicetions of Gcoroia LLC
230479 Prontier Communications of the Carolinas Inc.
23050S Ftontier Communicatiors of the Carolinm Inc-
24M.79 Frontier Communicatioru of the Carolinas Inc"
24052l'Frcntier Commtmications of the Carolinas Inc.
250301 Frcntier Commrmications Lamar Countv LLC
250306 Frcnticr Commuuications of Alabama LLC
250318 Frontier Commudcations of tho Soutr LLC
28M50 Frontior Communications of Mississiooi Inc.
290580 CITIZENS TEL OF VOLI.JNTEER STATts
294336 CITIZENS TEL OF TENNESSEE LLC
300615 FrontierNorth Inc.
300682 Frcnticr Communications of Michioan Inc.
310682 Fmntier Communications of Michiean Inc.
310695 FrontierNorth Inc.
313033 Frontier MidsEtes Inc.
320750 Frontier Communications of Indiana Inc.
320772 FronticrNorttr [nc.
320',t79 FronticrNorth Inc.
320828 Fronticr Communicatiors of Thomtonm Inc.
123034 Frontier Midsates Inc.
330870 RHINELANDERTEL CO
330886 FrontierNorth Inc.
33089r RhinelandcrTcl Co
330912 Frontier Communications of Mondovi LLC
330940 Rhinelander Tcl Co
330941 Rhinelander Tel Co
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FCC Forn555
Alfiliated ETCs
sAc Name
370944 FronderCommunications - SL Cmix LLC
3?0q64 Frontiar Communicntiom of Wisconein LLC
770qKl E'ronfier Orrmmnnir:ationc of Virrrarre [-[.C
?409S8 Fronticr Cornmunications of DePue Inc-
3410t I Frontler Communications of Lakeside Inc-
341015 FrontierNorth lnc-
34rc36 FmntierNor&r Inc.
341038 Fmnticr Communications of Illinols Inc-
?r,toss Frnntierr Cnmmrmicatione - Midlnnd Inc-
34r061 Fmntier Communicatiors ofML Pulxki Inc.
34rM?Fmntier Cnmrnrmicetinnt nf Orinn Inc-
741014 Frnntier (lnmmrmicntnns - Prcirie Ina
741O79 Fmntier Commrrnications - Scfruvlcr Inc.
34t t83 CMZENS TEL OF ILLINOIS INC
343035 Fronticr Communications of the Carolinas [nc.
351127 Fronticr Communications of Iowa Inc
161123 CITIZENS TEL OF MINNESOTA
161167 Frontict Commrmications of Mlnncsota Inc.
167121 CITIZENS TEL OF MTNNESOTA
111l)j ETNT.ENS ?ET- OF NF,BR A SKA
442080 Frnntie: Snr rlhrycct Inenrrrarqfed
ttal\4 Fmntier Sor fhwest I ncornratcd
LS7.t72 CITIZENS UTII.NIFS RTIR.AL TBLCO
452302 Frontier Communications of the Southwest Inc.
454426 CITIZENS TJTILITIES CO
4544/9 NAVA]OCOMMCO
472416 Frontier Communications Northwest Inc.
47447 CTTIZENS TELECOMM CO OF IDAHO
484322 CITIZENS TELECOMM CO OF'MONTANA
494449 NAVAJO COMMCO
504429 CTTIZENS TELECOMM CO OF UTAH
50M49 NAVAJOCOMMCO
522416 Fmntier Communicatlons Northwet Inc.
522M9 Frontier Communications Northwest Inc.
532416 Pmntier Commrmications Northwcst Inc.
533401 CITIZENS TELECOMM CO OF OREOON
541863 Frontier Communications of the Southwmt [nc.
542342 Frontier Cdifomialnc-
542308 CITIZENS TELECOMM @ OFCA
542315 CITIZENS TELECOMM CO OF CA
5423t9 Frontier Califomia Inc.
542344 CITIZENS TELECOMM CO OF CA Frontier Communicr
541402 CITIZENS TELECOMM CO OF CA
s44342 CITIZENS TELECOMM CO OF CA
552302 Fronticrr Communications ofthc Southwxt [nc-
55/+/t3l CITIZENS TEL COMPANY
ss4432 CITIZENS TEL COMPANY
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