20190628QLink Wireless Form 481.pdf

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<010> StudvArea Code 4 7 9018
<015> StudyArea Name Q Link wireleEB LLc
<020> Program Year 2020
<030> Contact Name: Person USAC should contact
with questions about this data Heather Kirby
<035> Contact Telephone Number:
Number ot the person identitaed in data line <030>
7702327805 ext.
<039> Contact Email Address:
Email ot the person identitied in data line <030>etc@tseLecomcounsel. con
Form Type s4 .422
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Form 481 - Carrier Annual Reporting
FCC Fom /t81
OIIIB Contd ilo. 3060486/OtvlB Contd ilo. 3(r&6il1
Jub 20rt
State of Florida
County of Broward
SUBSCRIBED AND SWORN to before me thrs
CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WITH SERVICE QUALIW AND CUSTOMER
PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN
EMERGENCIES, AND USE OF FEDERAL HIGH-COST SUPPORT
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AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29E41requires that an Eligible Telecommunications
Canier certify that it is compliant with applicable service qualig standards and consumer protection rules,
and ETCs must demonstrate the ability to remain functional in emergencies. In 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 facilities
and services for which the support is intended. Accordingly, the undersigned states and verifies under
oath the following:
1. I am an officer of 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
state 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.
29841.
3. Q Link Wreless LLC is complying with applicable service quality standards and consumer
protection rules of the Federal Communications Commission and the ldaho Public Utilities
Commission.
4. I certify to the Conrmission that the Company is able to remain functional in emergencies as set
forth in Commission Order No. 298/.1and in 47 C.F.R. S 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 'l ,2O2O, through
December 31, 2020, to be eligible for federal universal service fund support.
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.
6
q(,)2t
Date
2019.
Notary Public
of ,1
lfYffitlcrotil00l?ltIc
E@nE&ilotratl?!..tll
VAI.ERE
My Commission Expires'tlo.rct,rr)tel 25,2022
lssa Asad, CEO
l5flt) Compliance With SeMce qualityStandards and Consumer Protectlon Rules
Data Goll€ction Form
FCC Form rl81
OMB Control
July 2018
Ito. ilO
<010> Study Area Code 4?9018
<015> Study Area Name Q Link wireless LLC
<020> Program Year 2020
<030> Contact Name - Person USAC should contact regarding this data HeaEher (irby
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 7702321aos ex|-
<039> Contact Email Address - Email Address of person identified in data line <030> etc@terecomcounsel . com
<515> Certiry compliance with applicable minimum service standards
(tt{x,) Number of complaints per 1,(x)0 customers
Data Collection Form
<010> Study Area Code 4?9018
FCC Form 481
OMB Control
luly 2018
<015> Study Area Name Q Link t{ireLeEB LLc
<020> Program Year 2020
<030> Contact Name - Person USAC should contact regarding this data Hearher Kirby
<035>Contact Telephone Number - Number of person identified in data line
<030>'7'702327A05 ext.
<039>Contact Email Address - Email Address of person identified in data line
<030>
etc@telecomcounsel . com
<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 othenarise utilize.
<410> Complaints per 1000 customers for fixed voice
<42O> Complaints per 1000 customers for mobile voice
(6fl1! Functionality ln Emergency
Data Collection Form
<010> StudyArea Code
FCC Form 481
OMB Contro! No. 306Gr
2018
4?9018
<015> Study Area Name O Link wi.reless LLC
<020> Prosram Year 2020
<030> Contact Name - Person USAC should contact regardinc this data Heather Kirby
<035> Contact Telephone Number - Number of person identified in data line <030> '770232"7805 exL
<039> Contact Email Address - Email Address of person identified in data line <030> etc@telecomcounael . com
<600> Certify compliance regarding ability to function in emergenry situations
<610> Descriptive document for Functionality in Emergency Situations
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(30051 Rate Of Return Carrier Additional Documen:ation
Data Collection Form
FCC Form 481
OMB Control I
July 2018
<010> Study Area Code
<015> Study Area Name O Link Wireless LLC
<020> Program Year 2020
<039> Contact Email Address - Email Address of person identified in data line <030>etc@telecomcounse l- . con
Select from the drop down menu or check the boxes below to note compliance with 54.313(f)(1). Privately held carrier!
financial reporting requirements set forth in 47 CFR 54.313(fX2). I further certify that the information reported on this
attached below is accurate.
Progress Report on 5 Year Plan
Carrier certifi es to 5a.313(fXlXiii)(3ooe)
(3010A)
(30108)
(3012A)
(3012B)
(3013)
(3014)
(301s)
(3016)
(3017)
(301e)
Certification of Public lnterest Obligations {47 CFR 5
s4.313(fx1xi))
Please Provide Attachment
Community Anchor lnstitutions {47 CFR S
s4.313(fxl)(ii))
Please Provide Attachment
ls your company a Privately Held ROR Carrier {47 CFR
s s4.313(f)(2))
lf yes, does your company file the RUS annual report
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, lncome Statement
and Statement of Cash Flows
lf the response is yes on line 3014, attach your
company's RUS annual report and all required
documentation
lf the response is no on line 3014, is your company
audited?
lf the response is yes on line 3018, please check the
boxes below to confirm your submission on line
3026 pursuant to 5 54.313(f)(2), contains:
Either a copy of their audited financial statemen! or
(2) a financial report in a format comparable to RUS
Operating Report for Telecom mu nications Borrowers
Document(s) for Balance Sheet, lncome Statement
and Statement of Cash Flows
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Name of Attached Document Listing Required
lnformation
Name of Attached Document Listing Required
lnformation
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(Yes/No)
Name of Attached Document Listing Required
lnformation
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(3018)
(3020)
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(ves/No)
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<030> Contact Name - Person USAC should contact regardingthis data Ha"th"a Kirba,
<035> Contact Telephone Number - Number of person identified in data line <030> 17 02327 BO5 ext .
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<010>Area Code 479018
<015>Study Area Name Q Link wireless LLc
<020>Program Year 2020
<030> Contact Name - Person USAC should contact regarding this data Hearher Kirby
<039>Contact Email Address - Email Address of person identified in data line <030> [e-mail]
t()05 Rural Broadband Experiment
Authorized Rural Broadband Experiment (RBE) recipients must address the certification for public interest obligations and provir
list of newly served community anchor institutions.
Public lnterest Obligations - FCC 14-98 (paragraphs 25-29, 78)
Please address Line 4001 regarding compliance with the Commission's public interest obligations. All RBE participants must pr(
response to Line 4001.
4001. Recipient certifies that it is offering broadband meeting the requisite public interest obligations consistent with the categ
which they were selected, including broadband speed, latency, usage capacity, and rates that are reasonably comparable to rat
comparable offerings in urban areas.
Community Anchor lnstitutions - FCC 1+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.
lf yes to 4O03A, please provide a response for tO03B.
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 lnformation
Data Collection Form
@ipants Additional Documentation
I oata Collection Form
I
Form 481
OMB Control No. 3051
July 2018
<010>Study Area Code
<015>Study Area Name Q Link wireless LLC
<020>Program Year 2020
<030> Contact Name - Person USAC should contact regarding this data HeaEher Kirby
<039>Contact Email Add ress - Email Address of person identified in data line <030> etc@relecomcounsel . com
5005 Alaska Plan
(5010) Do you participate in the Alaska plan?
Please indicate whether any terrestrial backhaul or other satellite backhaul became
commercially available in the previous calendar year in areas previously served
exclusively by performance-limiting satellite backhaul.
(s012)
lf the filing carrier identified in its approved perfomance plans that it relies exclusively on
satellite backhaul for a certain poriton of the population in its 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/lt
(s011)(Yes/N
(Yes/lt
Newly Served Loc.
<5013><a>
Description Of Backhaul Technology
<b>
Date Backhaul Available
4?90r.8
Page 17
<010> Studv Area Code 479048
<015> Study Area Name Q Link wireLess LLc
<02D Protram Year 2020
<030> Contact Name - Person UsAc should contact re{ardins this data Heather Kirby
lS3e ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 11o2327aos ext
<039> Contact Email Address - Email Address of person identified in data line <030> eec@rerecomcounsel . com
TO BE COMPTETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER tS FITING ANNUAT REPORTING ON ITS OWN BEHATF:
Certification of Offlcer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
I certify that I am rn offtcer of the reporting c.rrl.ri my responsibilities include ensurlnt the .ccuraq of the annual ,eporting requirements for univers.l service support
recipients; and, to the best of my knowledg!, the information reported on this fom and in any attachments i3 acctrate,
Name of Reoortinr Carrier:
Signature of Authorized Officer:Date
Printed name of Authorized Officer:
Tltle or Dosition of Authorized Officer:
felephone number of Authorized Ofjicer:
Study Area Code of Reoortins Carrier:Filins Due Date for this form:
PersonswillfullymakingfalsestatementsonthisformcnbepunishedbytineorforfeitureundertheCommuniationsActof1934,4TU.S.C.SS502,S03(b),orfineorimprisonment
under Title 18 of the United States Code, 18 U.S.C. 6 1001.
Page 17
OMB Control No.
Page 18
No. :ilt6Hxr86/OMBcontrol No. 3060-081!,@llection Form
<010> Study Area Code 4?9018
<015> Study Area Name 0 Link wireleas LLc
<02D Program Year 2020
<030> Contact Name - Person USAC should contact regardinS this data Heather Kirby
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> ?702327805 eat
<o39> contact Email Address - Email Address of person identified in data line <o3o> etc@terecomcounsel . com
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FITING ANNUAT REPORTS ON THE CARRIER.S BEHALF:
TO BE COMPTETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
lcertifythat(NamgofAggnt)i3authorizedtoaubmittheinfomationreporlodonbehalfoflhercporlingcarie'.l
also ertiry that I am an officer of the reporting carier; my rcsponsibiliti$ includo ansuring the accumcy of lhe annual data rcporting rcguircmonts provided to the authorizsd
agent; and, to the b$l of my knowledge, the rcporla and data provided to th6 authorized agenl is accurale.
NameofAuthorizedAgent: Expert Telecom Compliance
NameofReportingCarrier: 0 Link WireleEs LLC
SisnatureofAuthorizedOfficer: CERTIFIED oNLINE Date: 06/26/2Oa9
Printed name ofAuthorized Officer: Issa Asad
fitle or position of Authorized Officer: CEo
leleohone number of Authorized Officer: 800610154 0 ext
Study Area Code of Reportin8 Carrier: 4?9018 Filing Due Date for this form: o7l01/2019
Persons willfully makint false statements on this form 6n be punished by fine or forfeiture under the Communietions Act of 1934, 47 U.5.C. 55 502, 503(b), or fine or imprisonment
underTitle 18 ofthe Unlted States C!de, 18 U.S.C. I 1001.
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carriel
the data reported hereln based on data provlded by the reportlng carrler; and, to the best of my knowledge, the lnformatlon reported her€ln ls accurate.
Name of Reportinc Carrier:Q Link wirefegE LLc
Name of Authorized Acent Firm:Expert TeLecom Compliance
SiEnature of Authorized Arent or EmDlovee of Acent: CERTI FIED ONLINE Date: 06/2q/2019
Name of Authorized Acent EmDlovee:vi.ctori.a Marti.n
TitleorpositionofAuthorizedAgentorEmployeeofASent Requlatory specj.alist
Telephone number ofAuthorized Agent or Emplovee ofAgent'. 6't8672283:. exL
Studv Area Code of Reporting Carrier:4 7901 8 Filins Due Date for this form:01 / 07 /2019
18 of the United States Code, 18 U.S.C. S 1001.
Page 18
FCC fom 481
Form 481 section l2l0 Q LINK WIRELESS LIFELINE OFFERING Effective l2lll20l8
LIFELINE NON-TRIBAL:
Bundle Plan 1: 1.000 Minutes & I GB Data (O LINK ALWAYS ON)
1,000 anytime minutes per month
Unlimited text and picture messaging
I GB data per month
Minutes & data do not rollover
Net cost to Lifeline customer: $0
Data-Onlv Plan 2: 2 GB Data
2 GB data per month (no rollover)
Net cost to Lifeline customer: $0
Bundle Plan 3: 750 Minutes & 2 GB Data
750 anytime minutes per month
Unlimited text and picture messaging
2 GB data per month
Minutes & data do not rollover
Net cost to Lifeline customer: $15 every 90 days*
*Fee waivedfirst 90 days; thereafter, if customer misses payment, customer is automatically
moved to the no-cost Bundle Plan I (Q LINK ALWAYS ON)
LIFELINE DEFAULT TRIBAL:
Unlimited Talk & Text & 2 GB Data (O LINK ALWAYS ON TRIBAL)
Unlimited anytime voice minutes per month
Unlimited text and picture messaging
2 GB data per month (no rollover)
Net cost to Tribal Lifeline customer: $0
All plans include:
o Free data-capable device
o Free calls to Q LINK Customer Serviceo Free calls to 911 emergency serviceso Free access to Voicemail, Caller-ID, and Call Waiting features
o Voice minutes may be used for Domestic Long Distance at no extra chargeo Data is at 3G speeds or higher
Additional Airtime available for purchase, rates posted on Q LNK's website:
https ://qlinkwirele ss. com/members/cart/q uickpurchase. aspx
Complete program terms and conditions posted on Q LINK's website:
https://qlinkwireless.con terms/states.aspx