20210617Inland Telephone Form 481 Affidavit.pdf

I N LAN D TELEP HON E COIIPANY
Corporate Ofrcas
103 S. 2nd St
P.O. Box 171
Roslyn, WA 98941
INIA,NDTELEPHONE
Telephone: (509) U9-221 1
Fax: (W) 649-3300
June t6,2O2l
Via eledronic filinq to : se qetarr (fuic. idaho. g ou
Ms. Jan Noriyuki
Commission Secretary
Idaho Public Utilities Commission
11331 W. Chinden Blvd, Bldg 8, Suite 2Ol-A
Boise, ldaho 83714
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RE: 2O2O Eligible Telecommunications Carrier (ETC) Annual Reporting
Requirements with the IPUC I 2021 ETC Re-Certification
Dear Ms. Noriyuki:
Inland Telephone Company hereby provides notice to the Idaho Public
Utilities Commission ("Commission") that it has electronically completed and
submitted the FCC Form 481 to the Universal Service Administrative
Corporation ("USAC") and the Federal Communications Commission ("FCC") for
carriers designated as an Eligible Telecommunications Carrier, in accordance
with 47 C.F.R. SS 54.313 and 54.422.
I have also included the signed Affidavit pursuant to Commission Order
29841. Inland Telephone Company, Shrdy Area Code 472423, is a mral
incumbent local exchange carrier (ILEC) as designated by the FCC, and is
eligible to receive federal universal service high-cost support pursuant to tlre
Code of Federal Regulations ("CFR"), Title 47, SS 54.301, 54.305, and Part 36,
sub-part F.
Please review the FCC Form 481 filing and include Inland Telephone
Company in your Annual Use Certification Irtter to USAC and the FCC. If you
should have any questions, do not hesitate to contact me directly.
Sincerely,
ames K. Brooks
Enclosures
Treasurer/Controller
rs6sr
<010> StudyAreaCode lrzlzr
<015> StudvArea Name INLIIiID TEIJ-ID
<020> ProgramYear 2022
<030> Contact Name: Persofl USAC should contact
wlth ouestions aboutthis data arams l(. BrcolG
<03$ ContactTelephone Number:
Number of the Derson ldentifled in data line <030>
5096192211, qi.5231
<039> Contact Email Address:
Email of thE oerson id€ntilied ln data line <O3O>Jbr@ksolalaadnet . c6r
FormType s4,313 ald sa.a22
(2lD| Service Outage Reporting (Volcel
Oata Collection Form
<010> Study Area Code
tCC Fo.m rl81
OMB Control No. 3
D€ccmbcr2020
472423
<015> Study Area Name INI,AND TEL-ID
<020> Program Year 2022
<030> Contact Name - Person USAC should contact rerardins this data James K Erooks
<035> contactTelephoneNumber-Numberofoersonidentifiedindataline<030> s4964922rr ext's231
<039> Contact Email Address - Email Address of OerSOn identified in data line <030> jbr@ksoinlandnet. con
<210> For the prior calendar year, were there any reportable voice service outages?
<220> <a> <b1> <b2> <b3> <b4> <c1><c2><d><e><f>
Dld Thls Outat
Affect Multipl
Study Areas
NORS
Reference
Numbe,
Outate Start
Date
Outage Start
Time
Outage End
DatG
Outage End
Time
Number of
Customeis Affected Total Number of
Customels
911 Facilities
Affected
ftes / Nol
Service Outage
D€scription (Check
all that aDolvl
l(Oo) lumter otcomplalnts p€r l,(XrO customers
loata
cottecbn rorm
FCC Folm48,
OMB Co,|trol
D.rcmb.r 201
<010> Study Area Code 472423
<015> Study Area Name INI,A}ID TEI,.ID
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data Jame6 K - Br@k6
<035>Contact Telephone Number - Number of person identified in data line
<030>5096492277 ext.5231
<039>Contact Email Address - Email Address of person identified in data line
<030>
jbrooka@inLandne!. 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 otherwise utilize.
<410> Complaints per 1000 customers for fixed voice
<4ZO> Complaints per 1000 customers for mobile voice
<O1(b StrdvAreacode 17z12t
<otrg>IMCII! Its,-ID
<O20t PrclrdltYear 2A2Z
<0!ID Contact ilerne - Person USAC *rouu conoct rqFrdurg drB data .rencs f,. B,roqI..
<xl$ CorrtactTeleohone l{umf,er - t{umber of oeron ldrentlfad ln data hna <Gltb s09e491,21l ext ' 5t31
<)39tr contact EmallAddrcsr - EmdlAddrsss of pBrson ldafldfi.d ln dita line <)a& Jbioof'tltiolud!'t'oqn
€1$ Csttfy cornpliane ulth amlicalrb ,nlnlmum r€lvte $end.r&
<010> $tudyArcaoode *72i4t3
<015> StudyArea f{ame ilrndiD:!fir-ID
<02@ Prs8ramYogr 2,Aa2
<030> contaet t{a,l|e -Penon tMCshould omaet rc$rdlrE$isdata danar f,. BrEo&i
@35> Contaet Telohone Number - Hurnbar of pergon ldonttfied ln data llne 43(D 5Qe6'c321'1 t"t ' 5331
<03$ Conta€t EmailAddrcso - Ermall Addrer of pcrson ldelfffied ln data llne <030p 1b!€.loo:tD!..qil.DGt.coe
(6@ Certify cofilplhnce. rcgildlng abllity to functlon ln emGrgEncy rhuotlons Y6r
<61$ Descrimive document for Functlonallty tn Emergensy Sltuatlons 472423 II} FT'NCTIO}RIJ IU E}TERG'ESICT CER?IPTCATION
(8fl1) Operatlng f,ompanles
Data Collectlon Form
FCC Form 481
OMB Control No. 306C
December 2020
<010> Study Area Code 472423
<015> Study Area Name IMAM TEI,- TD
<020> Program Year zozz
<030> Contact Name - Person USAC should contact regarding this data ,James K. Brooks
<035> ContactTelephoneNumber-Numberofpersonidentifiedlndataline<030> soe64e2277 ext-s231
<039> Contact Email Address - Email Address of person identified in data line <030> jbrooks@int andner . com
<810> ReportingCarrier Inland Telephone conpany
<811> Holdins Comoanv Western Elite Incorcorated Senices
<812> Operating Company rnland relephone company
sAc
ted worksh
<813><a1>
Affiliates
<a2><a3:
Doing Business As Compan
<010> StudyArea Code 472421
<)15> StudyArea Name INI,AIID TEL-ID
<)20> PioeremYar 2022
<O3O> ContactName-PersonusAcahouldcontactregardingthisdata JareE r' Brook8
<03$ contact Telephone Number - Numbel.ofjqM! lClllLfied in data line <o3o> 5oe64e22lr ext ' s231
<039> contact Email Address - Email Address of person identified in data line <030>jbr@kaolnlandnet . com
<900> Does the filing entity offer tribal land services? (Y/N)
<910> Tribal Land(s) on which ETC Serves
<920> Tribal Government EngagementObligation
lf your company serves Tribal lands, please select (Yes,No, NA) for each these boxes
to confirm the status described on the attached PDF, on line 92Q
demonstrates coordination with the Tribal government pursuant to
5 5a313(aXS) includes:
<921>
Yea
920.pdf
Name of Attached Document
<922>
<923>
<924>
<925>
<926>
<927>
<928>
<929>
Needs assessment and deployment planning with a focus on Tribal
community anchor instifu tions.
Feasibility and sustainability planning;
Marketing services in a culturally sensitive manner;
Compliance with Rights of way processes
Compliance with Land Use permitting requirements
Compliance with Facilities Siting rules
Compliance with Environmental Review processes
Compliance with Cultural Preservation review processes
Compliance with Tribal Business and Licensing requirements.
Select
Yes or No or
Not Appllcable
Not Appllcable
Not Applicable
Not Applicable
Yea
Yes
YeB
Ye6
Yes
Ye€
La,b&ffi$ri
<01D StudvAreaCode 172421
<015> StudyArea Name INLII{D EIIJ-ID
<020> Program Year 2422
<030> Contact Name - Person USAC should contact regarding thls data {rret K. 91001(5
<1q)0>Voice services rate comparability certlfication
<1010>Attach detalled description forvoice services rate
comparabllity compllance
<1020>Broadband comparability certifi cation
Attach detailed description for broadband
compa rability compliance
Yea
472423 ]D VOICE RATE COMPAR]ABILITY CERTIFICATION IJ}I
Name of Attached Document
Yes - Pricing ia no more than the most, recent applithe Wirel.ine Competition Bureau
472423 ID BROADBAI{D RATE COMPARABIIJITY CERTIFICATION
Name of Attached Document
<1030>
<01(> StudyAreaCode 47242!
<015> StudyArea Name ilIdID TEL-ID
<02D ProgramYear 2022
<030> Contact Name - Person USAC should contact regardingthls data Jamr f- Etuki
<035> Contact Tehphone Number - Number of person idemfied in data line <03D Eos6ts22LL *r . s231
<039> Contact Email Address - Email Address of person identified in data line <030>lbrdkrainlednat - cd
<110(> Certify whetherterrestrlal backhaul optlons exist (Y/N)
<1130>Please selgc{ tre approprlate responso (Yes, No, Not Applicable) to conffrm he
reporting canieroffers broadband service of at laast'l Mbps dormsteam and 256 kbps
upstream rvithin he supported area pursuantto $ 54.3f 3(g).
<1140>Alaska Plan rate-of-return certiflcation lyes, nq or not applicable) of
compliance with approved performance plan.
Yea
<010> Study Area Code 412423
<015> StudyArea Name TMim mt.- tD
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data ilarea K. Brooka
<035> Contact Telephone Number - Number of person identified in data line <030>5096492211 *E.5231
<039> Contact Email Address - Email Address of person identified in data line <030> ibr*kaeinladrer.con
412423 lD LITEITINE ASSISTAICE LN 1210.pdf
<1210> Terms & Conditions of Voice Telephony Lifeline Plans
<1220> Link to Public website
"Please check these boxes below to confirm that the attached document(s), on line 1210,
or the website listed, on line 1220, contains the required information pursuant to
5 54.422(aX2) annual reporting for ETC5 receiving low{ncome suppoG carriers must
annually report:
<122L> lnformation describing the terms and conditions of any voice
telephony service plans offered to Lifeline subscribers,
Name of Attached Document
HTTP inlandnetworks.cm
<1222> Details on the number of minutes provided as part of the plan,
<1223> Additional charges for toll calls, and rates for each such plan
E
E
<010> StudyArea Code 412427
<015> StudyArea Name INIJAND TEIJ-ID
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regardingthis data Jamea K. Broka
<035> contact Telephone Number - Number of person ldentified ln data line <030>599b1t22!r eXE.5ZJf
<039> Contact Email Address - Email Address of person identified in data line <030> Jbr@ksoinlandnet . con
Select the appropriate responses below (Yes, No, Not Applicable) to note compliance as a recipient of frozen High Cost s
to offtet access charge reductions, and Connect America Phase ll support as set forth in 47 CFR 5a313(c),(d),(e). The inf
form and in the documents attached below is accurate.
<2015> 2015 and future Frozen Support Certification 47 CFR I 5a.313(cXa) f
Price Cap Carrier Connect America lCC Support t47 CFR I54.313(d)l
<2015> Certification support used to build broadband
Connect America Phase ll Reporting {47 CFR S 5 .313(e}}
<20L7A> Connect America Fund Phase ll recipient?
<2OL7C> Total amount of Phase ll support, if any, the price cap carrier used for
capital expenditures in 2018.
<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(eXlXiiXA)
Connest America Phase ll- FCC Form 470 Postings
<2019> For the filing due July 1 following full implementation of this requirement,
answer yes, no, or not applicable to this certification request
Name of Attached Document Listing
Required lnformation
I
<010> StudyArea Code 47 2423
<015> StudyArea Name INLAND TEL-ID
<020> ProgramYear 2022
<030> Contact Name - Person USAC should contact regarding this data ilames K. Brooks
<035> Contact Telephone Number - Number of person identified in data line <030>509549221L ext.5231
<039> contact EmallAddress - EmailAddress of person identified in data line <030> j bf OOkS@inlandnet .
(3007)Does this filing retain a Cost Consultant and/or Firm, or other Third Party to prepare financial and
operations data disclosures submitted to the National Exchange Carrier Association (NECA), USAC,
or the Administrator?
l{ame of Consultant Name of Consultant
(3005, Rate Of Retum Carrier Addltlonal DocunEntatlon
Data Collectlon Fo]m
FCC Form 481
OMB Control No
December 2020
<010> Study Area Code 4'7)4)?
<015> Study Area Name INLAND TEL- ID
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data ,James K. Brooks
<035> ContactTelephoneNumber-Numberofpersonidentifiedindataline<030> 50954922L1- ext.5231
<039> Contact Email Address - Email Address of person identified in data line <030>
j brooks@inlandnet . com
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.
(3ooe)Progress Report on 5 Year Plan
carrier certifies to 54.313(f)( l)(iii)
(3o1oA)Certification of Public lnterest Obligations {47 CFR S
s4.313(fx1)(i))
Please Provide Attachment
Rate-of-Return Community Anchor lnstitutions
lndicate if the carrier newly deployed broadband
service to community anchor institution(s) in the
previous calendar year.
Please Provide Attachment
Using link, download template and list the number,
name and address for each community anchor
institution. Attach the document which contains the
community anchor institution details as required by
47 c.F.R. S s4.313(fXlXii)
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
Yes - Attach Certification
(3010B)
(3012A)
(3012B)
(3013)(ves/No)
(Yes/No)
(301s)
(3016)
(3014)
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
hnwac hala.., ta ranfirm rrar rr cr rhmiccian an lina
Name of Attached Document Listing Required
lnformation
No - No New Community Anchors
Name of Attached Document Listing
Required lnformation
Name of Attached Document Listing Required
lnformation
o
o
tffi
logLrcarroNr
(3017)
(3018)(Yes/No)oo tr
<01D StudvAmcod.472423
<015> Stldy^ruNxn II{LDID TEL-II)
d2l> PEmmYrr 2022
<036 ConnctN.m-PamnustcshouEmmEtrdlitthlrd$. irams X. BtEka
<03$ Cont ct Emll AddB - EmllAddG of rffi ld.ntlf,Gd in dt lln. <r3{D
Fln ncLlDfiSummsry
(3027) Revenue
(3028) Operating Expenses
(3029) Net lncome
(3030) Telephone Plant ln Service(IPIS)
(3031) Total A$ets
(3032) Total Debt
(3033) Total Equity
(3034) Dividends
6000768
5120407
439595
3663/;245
23128313
120301 13
9051 181
0
Nrre of Att chd Deumlt L.Lidnf R.qulnd lnfDmtlon
<010>Study Area Code 472423
<015>Study Area Name INI"AI{D TEI,-ID
<020>Year 2022
<030>
<035>
Contact Name - Person USAC should contact this data irares K. Br@ks
Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030> jbr@[e-mail]
rO05 Rural Broadband Experiment
Authorized Rural Broadband Experiment (RBE) recipients must address the certification for public interest
obligations and provide a list of newly served community anchor institutions.
Public lnterest Obligations - FCC 14-98 (paragraphs 26-29, 781
Please address Line 4001 regarding compliance with the Commission's public interest obligations. All RBE
participants must provide a response to Line 4001.
1O01. 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.
RBE Community Anchor lnstitutions
<4003a> lndicate if the carrier newly deployed broadband service to community anchor institution(s) in the
previous calendar year
<4003b> Please Provide Attachment: Using link,
download template and list the number, name
and address for each community anchor
institution. Attach the document which contains
the community anchor institution details as
required by FCC 14-98 (paragraph 79)
Name of Attached Document Listing Required lnformation
{50051 Alaska Plan Participants Additional Documentation
Data Collection Form
FCC Form '181
OMB Control No. 306
December 2020
<010>Study Area Code 472423
<015>Study Area Name INLAND TEL-ID
<020>Program Year
<030> Contact Name - Person USAC should contact regarding this data ,rames K. Brooks
<039>Contact Email Address - Email Address of person identified in data line <030> [e-mail]
5005 Alaska Plan
(s011)
(s012)
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.
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.
<a><b>
Description O, Backhaul Technology
(Yes/Nr
(Yes/Nc
Newly Served Loc
<5013>
Date Backhaul Available
(6(Xl5! Phase ll Auction Reporting
Data Collection Form
FCC Form 481
OMB Controt No. i
December 2020
<010>Study Area Code 412423
<015>Study Area Name INI,AND TEL-ID
<020>P m Year
<030>Contact Name - Person USAC should contact regarding this data
2022
James K. Brooks
<035>Contact T hone Number - Number of rson identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>jbrooks@inlandnet . com
<6010> Enter the total amount of Phase ll Auction Support, if any, the carrier used
for capital expenditures
Phase !l Auction and New York Funds Certification
<5011>Certify (either yes or no) regarding whether the recipient has available
funds for all project costs that will exceed the amount of support that will
be received for the next calendar year. This certification must be provided
starting the first July 1st after receiving support until the recipient's
penultimate year of support
Phase ll Auction Community Anchor !nstitutions
<6012a> lndicate if the carrier newly deployed broadband service to community
anchor institution(s) in the previous calendar year
<6012b> Please Provide Attachment Using link, download template and list the
number, name and address for each community anchor institution.
Attach the document which contains the community anchor
institution details as required by FCC 14-98 (paragraph 79)
Phase ll Auction FCC Form 470 Postings
<6013>For the filing due July 1 following full implementation of this
requirement answer yes or no to this certification request
Phase ll Auction Post-Final Deployment Milestone Performance Certification
Starting the first July 1st after meeting the final service milestone, certify
(yes or no) that the Phase ll-funded network that the Phase ll auction
recipient operated in the prior year meets the relevant performance
requirements in 5 54.309
(Yes/No)
Name of Attached
Document Listing Required
lnformation
<6014>
<010>Study Area Code 472123
<015>Study Area Name IilLESD TtsIJ'ID
<020>Program Year 2022
<030> Contact Name - Percon USAC should contact regarding this data .lares tr. Brcks
<039>Contact Email Address - Email Address of person identified in data line <030> Jbreoksei'landner.cm
<7010> Phase 1l Auction recipient performance requirements certification (Yes/No)
(80051 Uniedo a Puerto Rico Fixed and Mobile Funds Cefficatlon
Data C.ollection Form
FCC Form tlSl
OMB Control No. 306(}l
December 2020
<010>Study Area Code 472423
<015>Study Area Name INNND TEL-TD
<020>Program Year 2022
<030>Contact Name - Person USAC should contact regarding this data James K. Brooks
<035>
<039>
Contact Tel Number - Number of identified in data line <030>
Contact Email Address - Email Address of person identified in data line <030> [e-mail]
<801.0>
<8011>
<8012a>
<8012b>
<8013>
Uniendo a Puerto Rico Stage 2 Fixed - Capital Expenditures
Enter the total amount of Uniendo a Puerto Rico Stage 2 fixed support, if any, the
carrier used for capital expenditures.
Uniendo a Puerto Rico Stage 2 Fixed - Available Funds Certification
Certify (either yes or no) regarding whether the recipient has available funds for all project
costs that will exceed the amount of support that will be received for the next calendar
year. This certification must be provided starting the first July 1st after receiving support
until the recipient's penultimate year of support.
Uniendo a Puerto Rico Stage 2 Fixed - Community Anchor lnstitutions
lndicate if the carrier newly deployed broadband service to community anchor institution(s)
in the previous calendar year.
Please Provide Attachment
Using link, download template and list the number, name and address for each community
anchor institution. Attach the document which contains the community anchor institution
details as required by 47 C.F.R. 5 5a.313(eX2)(A). Allowable File Types.
Uniendo a Puerto Rico Stage 2 Fixed - FCC Form 470 Postings
For the filing due July 1 following full implementation of this requirement answer yes, no, or
not applicable to this certification request.
Name of Attached
Document Listing R,
lnformation
<80L4>Uniendo a Puerto Rico Stage 2 Fixed - Post-Final Deployment Milestone Performance Certification
Starting the first July 1st after meeting the final service milestone, certify (yes or no) that the
Uniendo a Puerto Rico Stage 2-funded network that the Stage 2 recipient operated in the prior
year meets the relevant performance requirements in 5 54.309.
<8020>Uniendo a Puerto Rico Stage 2 Fixed - Support Reimbursement Certification
54.313(n): Recipients of Uniendo a Puerto Rico Fund Stage 2 fixed support shall certify that
such support was not used for costs that are (or will be) reimbursed by other sources of
support, including of federal or localgovernment aid or insurance reimbursements; and that
support was not used for other purposes, such as the retirement of company debt unrelated
to eligible expenditures, or other expenses not directly related to network restoration,
hardening, and expansion consistent with the framework of the Uniendo a Puerto Rico Fund
<8030> ! tnianJa a Drrar*a Diaa Claaa ? Eivar{ - t'licac}ar Draaaraelnacc aad Dacnanca Fl^.r.m6h+.+i^h
(9fl15) Connect USVI Fixed and Moblle Funds CertificaUon
Data Collection Form
<010>Study Area Code
FCC Form tl81
OMB Control No. 306&'
December 2020
472423
<015>Study Area Name INI,AND TEL-ID
<020>Program Year 2022
<030>Contact Name - Person USAC should contact regarding this data James K. Brooks
<035>Contact Telephone Number - Number of person identified in data line <030>5095492271 ext.5231
<039>contact Email Address - Email Address of person identified in data line <030> jbrookseinrandner. com
<9010>
<9011>
<9012a>
<9012b>
<9013>
Connect USVI Stage 2 Fixed - Capital Expenditures
Enter the total amount of Connect USVI Fund Stage 2 fixed support,if any, the carrier used
for capital expenditures.
Connect USVI Stage 2 Fixed - Available Funds Certification
Certify (either yes or no) regarding whether the recipient has available funds for all project
costs that will exceed the amount of support that will be received for the next calendar year
This certification must be provided starting the first July 1st after receiving support until the
recipient's penultimate year of support.
Connect USVI Stage 2 Fixed - Community Anchor tnstitutions
lndicate if the carrier newly deployed broadband service to community anchor institution(s)
in the previous calendar year.
Please Provide Attachment
Using link, download template and list the number, name and address for each community
anchor institution. Attach the document which contains the community anchor institution
details as required by 47 C.F.R. I 5a.3r3(eX2XiXA).
Connect USVI Stage 2 Fixed - FCC Form 470 Postings
For the filing due July 1 following full implementation of this requirement answer yes, no, or
not applicable to this certification request.
Connect USVI Stage 2 Fixed - Post-Final Deployment Milestone Performance Certification
Starting the first July 1st after meeting the final service milestone, certify (yes or no) that the
Connect USVI Fund Stage 2-funded network that the Stage 2 recipient operated in the prior year
meets the relevant performance requirements in $ 54.309.
Connect USVI Stage 2 Fixed - Support Reimbursement Certification
54.313(n): Recipients of Connect USVI Fund Stage 2 fixed support shall certify that such support was
not used for costs that are (or will be) reimbursed by other sources of support, including of federal
or local government aid or insurance reimbursements; and that support was not used for other
purposes, such as the retirement of company debt unrelated to eligible expenditures, or other
expenses not directly related to network restoration, hardening, and expansion consistent with the
framework ofthe Connect USVI Fund.
Name of Attached
Document Listing
lnformation
<9014>
<9020>
Connect USV! Stage 2 Fixed - Disaster Preparedness and Response Documentation
PaSe 21
<O1O> Stu.lv Area Codc 472423
<015> StudyArea N.me INLAND TEI,-ID
<02D ProgramYear 2022
<O3O> Contact Nama - Parson IJSAC should contact reardinr thb date Jamea K. Br@ks
<035> Contact TeleDhone Number - Number of person identified in data line <03D s0964922L! ext . 523 1
<039> Crntact Email Address - Email Address of person identmed in data line <030> jbr@ksointadnet . cm
TO BE COMPTETED BYTHE REPORflN6 CARRIE& IFTHE REPORMf{6 CARRIER IS FILING A]{f{UAt REPORTI]IG ON ITS OWN BE}IALF:
Certlftcation of Offtcer as to the Accurecy of the Data ReporEd for the Annual Reportlng for CAF or Ll Reclplents
ccrtlfy that I .m rn ofncGr of thc rcportry Glrtlcti nry trsponslbllltl.s lndudc ansudnt thc accuracy of tfic annurl rcportlnt rGqulrcmants for unlvaGal scwlcc aupport
rciplanB; !nd, to lllc bcst o, my knowled!., the lniorma$on rcportcd on thb fionn end ln any att drmcnts ls accuritc.
lame of Rsmrtins Carrier. INIJAND TEL-ID
iicnature of Authorized fficer:Date
)rinted name of Authorized Offlcer: ''ares Br@ka
Title or msition of authorized ofticer: Treasurer/controller
feleohone number of authorized officer 50964922L7 ext. 5231
study Area code of Reoortins Grrier: 472423 Filinl Due Date forthB form: 07 / ot/2021'
Plrsons wlllfully mrkint ftls st temnts on this form on b€ punishcd by finc or forf"lturc undrr thc Communi€tlons Act of 1934, 47 U.S.C. 55 502, 503(b), or fln. or imprienment
undcr Tlth 18 of the Unitrd strtrs crd., 18 U.S.C. S f001,
PaBe 21
Page 22
Grtlflcatlon - Agent / carrler
Data Collection Form
FCC Form 481
oMB Conrol No. 3O6(HX,86/OMB Control No. 3O6Hr8[l
DGcGmbtr 2020
<010> Studv Area Code 4'72421
<015> Study Area Name INI,AND TEL-ID
<020> Program Year 2022
<030> Contact Name - Person L,SAC should contact this data
<03S> contact Telephone Number - Number of person identified in data line <030>
James K. Brooks
ext.5
<039> contact Email Address - Email Address of person identified in data line <o3o> jbrooks@inlandnet . com
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FIIING ANNUAT REPORTS ON THE CARRIER,S BEHALF:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
Gerdfythat(NameofAgent)lsauthorlzedlo3ubmllthelnfomatonreportedonbehalfo,lhareporungcarie].l
rlro cerdly that I am an omcer of the repoillng carier; my respon3ibllltiB lnclude ensurlng the accuEcy ot the annual data ropotting rcquiremonb provlded to the authorized
agent; and, to the besl ot my knowledge, the reports and data provided to ths authorlzod agent i3 accurate.
Name of Authorized Acent:
Name of ReDortins Carrier:
Siqnature of Authorized officer:Date:
Printed name of Authorized Officer:
fitle or oosition of Authorized Officer:
feleohone number of Authorized Offi.er
Studv Area Code of ReDortins Carrier:Filinr Due Date for this form:
PersonswillfullymakinBfalseitatementsonthisform6nbepunishedbyfineorforfeitureundertheCommuniotaonrActof1934,4TU.S.C.SS502,5O3(b),orfineorimprisonment
under Title 18 of the United States Code, 18 U.S.C. 5 1001.
TO BE COMPLETED BY THE AUTHORIZED AGENT:
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
the data reported herein based on data provlded by the reportlng carrler; and, to the best o, my knowledg€, th€ lnformetlon t€ported h€rein is accurate.
Name of Reoonine carrier:
Name of Authorized Arent Firm:
Sipnature of Authorized Aseht or Emolovee of Asent:Date:
Name of Auth6ri16d Aoent Fmoldvep:
Title or oosition of Authorized AIent or Emplovee of Acent
Teleohone number of Authorized Acent or EmDlovee of Asent:
Studv Area Code of Reoortins Carrier:Filinc Due Date for this form:
18 of the United Stater Code, 18 U.S.C. 5 1001.
Page 22
472423<010> StudyArea Code
<015> StudyArea Name IXI,AIID TEI,-II'
<020> ProgramYear 2022
<030> Contact Name - Person USAC should contact regardingthls data irarea K. Brcka
5096492211 ext,5231<035> Contact Telephone Number - Number of percon identified in data line <030>
<039> Contact Email Address - Email Address of person identified in data line <030>JbrsksclnlaDdnet.cm
I certiry under penalty of perjury that no universal service support has been or will be used to purchase,
obtain, maintain, improvg modiff, or otheruvise support any equipment or services produced or provided
by any company designated by the Federal Communications Commission as posing a nationalsecurity
threat to the integrity of communications network or the communications supply chain since the
effective date of the designations
Please Provide Waiver Document
Allowable File Type (pdf only)
Name of Attached Document Listing Required
lnformation
(8{10} Operating Companles
Dat CollectionForm
FCC Form tl8l
OMB Control No. 305O
December 2020
<010> Study Area Code 412423
<015> Study Area Name INLAND TEL.ID
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data James K. Brooks
<035> Contact Telephone Number - Number of person identified in data line <O3O> s0s64e22L1 exc . s23 r
<039> Contact Email Address - Email Address of person identified in data line <030> [e-mail]
<810> ReportingCarrier Inland Telephone Company
<811> Holdins ComDanv weEtern Elite lncorporated Services
<812> OperatingCompany Inland ?elephone Company
<813><a1>
Affiliates
fnland Te
sAc
522423 Inland Te1ep
Doing Business As Compan
INLAND TELEPHONE COMPANY - ID
STUDY AREA CODE 472423
ATTACHMENTS TO THE FCC FORM 481
tINE 610. FUNCTIONALITY IN EMERGENCY SITUATIONS
1472423!D FUNCTIONAI lN EMERGENCIES CERTIFICATION LN 610.pdf|
Ability to Remain Functional in Emergencies Gertification
554.313(aXr)
EICs must demonstnte that it has a rcasonable amount of back-up powsr to ensurc functionality without
an extemal power @uru4 rs aDle to re-route tnffic around damaged faciffiies, and is capable of managing
tnffic spikes rcsufting from emergency sifuaftbns.
554.202(a)(2) Demonstnte i6 ability to remain functional in emergency situatbns, including a
demonstrction that lt has a reasonable amount of back-up power to ensure functionallty without an
extemal power souroo, is able to rcroute trarfftc around damaged facilitbs, and is capable of managing
traffic qpikes rcsufting frcm emeryency situatbns.
l, James K. Brooks, being of lauful age, state that I am Treasurer/Controller of
lnland Telephone Company ("Company'XSAC 472423), that I am authorized to execute
this certification on behalf of the Company, and that the fac'ts set forth in this ceffication
are true to the best of my knowledge, information and belief.
On this basis, the Company certifies that it maintained the ability to function in
emergency situations under the standard found in ldaho Public Utilities Commission
Order No. 298/-1 and in 47 C.F.R. $3a.202(a)(2), as such standards relate to
functionalrty of wireline carriers in emergency situations. The Company further certifies
that it maintains back-up power to ensure functionality without an external power sour@
in the forms of auxiliary generators and batteries in its central offices as well as
adequate battery back-up in its subscriber canier cabinets. The Company's switching
capability is more than adequate to manage the traffic of its subscribers.
For calls within the exchange of Leon, depending upon where a cut is made,
there exists redundant toll routing however, the Lenore exchange has no redundant toll
routing. ln both exchanges, customers can continue to make calls within the exchange
should the interexchange interconnected facilities get disconnected. The Company
does not have "ring'technology at this time however; the Company is always looking for
redundant routing altematives.
I certify under penalty of perjury under the laws of the State of Washington that
the foregoing is true and conect.
Dated this 16h day of June, 2021in Roslyn, Washington.
By:
K. Brooks
lnland Telephone Company
LINE 610
IINE 920 - TRIBAT GOVERNMENT ENGAGEMENT OBLIGATION
1472423|D TRIBAL ENGAGEMENT STATEMENT LN 920.pdfl
147242? lD EAGLE RIVER-TRIBAI EXAMPTE tN 920.pdf)
TRIBAL EITGAGEUENT STATEUEITT
Although the Lenore, Idaho exchange service area of Inland Telephone
Company, Study Area Code 472423, is within the historical boundaries of the
Nez Perce Tribe resenration, the exchange primarily consists of private property
(non-tribally owned). The Company did not perforrn a needs assessment,
deplo5rment planning, feasibilit5r, or sustainability planning with a focus on
Tribal community anchor institutions since the Company's exchange boundary
does not encompass the areas in which the Nez Perce have their tribal
headquarters, administration, enterprises, culhrral center, hatchery, or any
anchor institutions.
As for subscribers, the Company would not know if a subscriber was a
tribal member unless they were claiming Tribal Lifeline. Inland Telephone
Company is an equal opporhrnity provider and does not ask or keep track of
race, sex, age, religion, national origin, gender identity, se>mal orientation, or
arry other basis that is prohibited by federal, state, or local laws when providing
senrice; to keep track of this information may be considered profiling which the
Company does not engage in.
The Company fully cooperates with the Nez Perce Tribe in matters
involving easements, rights of way and any build that may require the possible
disturbance of tribal ground; potential archeological study whether the ground
is tribally owned or not.
Attached is a copy of correspondence from a contractor, Eagle River
Development LLC, contracted by the Company to perform our last required
study compliant to the National Environmental Policy Act for a proposed tower
site. The study demonstrates that although the proposed tower site is not on
tribal owned propert5r, the Company sought Section 106 concurrence from the
Nez Perce Tribe as it is located within the historical boundaries of the Nez Perce
Reservation.
I certiff under penalty of perjury under the laws of the State of
Washington that the foregoing is tnre and correct.
Dated t]lis 166 day of June, 2O2t in Roslyn, Washington.
K. Brooks
Treasurer/Controller
Inland Telephone Company
By
LINE 920
Inlsnd Teleohone Comnenv New 185' Lettice Antenne Tower: Lcnore. lD
Mr. Bob Hillweg
Inland Telephone Company
P.O. Box 17l
Roslyo WA 98941
I'O. ll,r il.l7.l, SF,Ltrtr'. IVA 'rt 22lr
N. .lztl lrlc Lll. SF,Ltm Vdhy, ltA '!'212
P: ir[5-15.-!a]trl [: sllLs.ls..!llil
IVSCL: EAGLEltD99oltS
RE:Proposed New-Build 185' lattice Antenne Tower Site: Lenorc, ID: NEPA Checklist Summary Report
Site Location: NW 1rl4 Section 32, Tormship 37 North, Range 01 West 8.M., Nez Perce Cornty,
ID.
Eagle River Development, LLC Proiech 1511E
Dear Mr. Hillweg:
Eagle River Devetopment, LLC at Inland Telephone Company request prepared a NEPA Checktist and
Summary Report, Archaeological/Cultural Resourre Field Survey, THPO/SHPO Archive Research,
THPO Concurrence Letter and Tribal Notifications including FCC Form 620 submission package for the
proposed 185' lattice antenna tower and property owned by Inland Telephone Company located
approximately 4 miles southeast of Lenore, Idaho within the Nez Perce Indian Reservation in the NW %
of Section 32, Township 37 North, Range 01 West, B.M. Nez Perce County, Idaho.
The National Environmental Policy Act (NEPA) Checklist and Reviews (report attached) did not reveal
Section 106 adverse effecs for the project pertaining to direct and visual effects for the underhking. Even
though no direct or visual effucB on cultural resources for the subject site and property the Nez Perte
THPO (Keith Baird) has delayed Section 105 concurrence due to some perceived misunderstandings
between the ownership of this site and ongoing difficulties regarding some of Inland Cellular LLC
holdingB in the area. All other items for the attached NEPA report did not reveal significant effects or
impacts to the environment under the FCC regulations, 47 CFR 1.1i07-7.L379. Preliminary FCC TOWAIR
Analysis determination results obtained from the FCC website indicated that the tower may not require
registration, although overlying Section 106 considerations may make regishation of the tower a prudent
action It is your firm's obligation to attain an FAA Determination Letter for the tower even though it
appears to be more than 5 mites fiom an airporL
An Archaeological and Cultural Resource Field Survey and Report as well as archival research did not
reveal any new culzural sites on the tower site or within a 0.!1.0 inile radius. A THPO letter with results
of our findingp with FCC Form 520 and the Archaeological Report was emailed the THPO on4/21/75.
Other Tribal notffications and comments have either been covered or eliminated from commenB through
the National Programmatic Agreemen t Regulations.
It is the opinion of Eagle River Development, LLC that this property should receive concurrence to allow
for corutruction pending any delays being promulgated by the Nez Perce THPO. We caution Inland
Telephone Company from initiating any construction activities on the site until concurrence from the Nez
Perce THPO is received and all other County /Local permits tlrat may be required are received. We are
submitting this report and invoice prior to such concurrence at the rerluest of Mr. Bob Hillweg.
Resoectfullv.4*r/e'/
John F. Wark, RPG
Principal Environmental Geologist
Atbachments: Invoice, Email of Report, 2 hard copies of nepa checklist summary report & disc w/nepa
report.
c\ F. t gl e R ia oy',D e,y..e_!9 y n e u t, t-LC
IINE 1O1O - VOICE SERVICE RATE COMPARABILIW COMPLIANCE
1472423 !D VOICE SERVICES COMPARABIIIW CERTIFICATION LN 1010.pdf)
Voice Services Rate Com parabil ity Gertification
554.3{ 3(aX2}
Any recipient of high-ast support shall provide the following: A certification that the pricing of the
company's roicp serybes is not morc than two standad deviations abotre the apflicable national average
urban rate for voice servi@, which will be spcified annually in a public notice issued by the FCC's
Wreline Competition Bureau.
PUBLIC NOTICE DA 2G14W - Voice Rabs. Eased on the suruey resulfs, the 2021 urban avenge
monthly mfe rs $33.73. Thercfore, the reasonable mmparability benchmark for wice services, two
standad deviations abow the urban awage, is $54.75. Under the Commissionb ruleg each ETC,
including ampefrTive ETCs providing fixed voice seruices, musf @ttw in the FCC Form 481 filed no later
than July 1, 2021 thatthe pricing of its basic rcsidential voie seruices is no morcthan $e4.75.
l, James K. Brooks, being of lawful age, state that I am Treasurer/Controller of
lnland Telephone Company ("Company'), Study Area Code 472423, that I am
authorized to execute this certification on behalf of the Company, and that the facts set
forth in this certification are true to the best of my knowledge, information and belief.
On this basis, the Company certifies, pursuant to 47 C.F.R. S 54.313(aX10), that
the Company's pricing of its voice services is no more than $54.75.
The Company further submits, as support, the following residential service lines
and rates as of June 1; excluding the Federal Subscriber Line Charge of $6.50 and
below $33.73:
t certiff under penatty of perjury under the lavrrs of the State of Washington that
the foregoing is true and correct.
Dated this 1 day of June, 2021in Roslyn, Washington
By:
K. Brooks
Treasurer/Gontroller
lnland Telephone Company
Exchange Rate Type Gount Bare
Res.
Rate
Stete
sLc
State
USF Fee
tand.
EAS
Ghame
Total Per
Res.
LENORE (836)Residential 150 25.76 0 .25 0 26.O1
LENORE (836)Res-Measured 7 18.00 0 .25 0 18.25
LEON (224)Residential 21 25.76 0 .25 0 26.01
LEON (224)Ree-Measured 2 18.00 I .25 0 18.25
LINE IOIO
IINE 1O3O - BROADBAND COMPARABITITY COMPLIANCE
14724231D BROADBAND RATE COMPARABILITY CERTIFICATION tN 1030.pdfl
Broadband Services Rate Comparability Certification
554.313(aX3)
Any recipient of high-mst support shall provide the following: A ertification that the prhing of one of their
broadband servrbes, which meet public interest obligations, is no more than the applicable benchmark
announced annually in a publh notie rsued by the FCC'S Wireline Competitbn Buroau or is no more
than the nonArcmotbnal prioe charged for a omparable fixed wircline service in urban areas in the
sfates or U.S. Tenrtories where the eligible teleoommunications canier rcceiws supprt.
PUBLIC NOTICE DA 2A1409 - Broadband Rafes. Recipients of highast andlor Conned Anprica Fund
support that arc subject to broadband peilormance obligations are required to offer brcadband service af
ntes that arc at or below the relevant rcasonable amparcbility benchmad<. Caniers subject to the
Alaska Plan are rquircd to meet Alask*specific bendtmarl<s and to @tt$ that they are meeting the
relevant rcasonable companbillty benchmark for their broadband servrce otreing in the FCC Form 481
ftled no later than July 1, 2021.
l, James K. Brooks, being of lawful age, state that I am Treasurer/Controller of
lnland Telephone Gompany ("Company''), Study Area Code 472423, that I am
authorized to execute this certification on behalf of the Company, and that the facts set
forth in this certification are true to the best of my knowledge, information and belief.
The Company offers at least one broadband servioe plan that meets the relevant
metrics in both of its ldaho exchanges; pricing benchmark for the minimum speed
standard of 10 Mbps downstream, 1 Mbps upstream, and Unlimited Capacity
Allowance. The Company's rate for a 10 Mbps downstream and 1 Mbps upstream
servioe is $65.00; the benchmark is $85.11. ln its Lenore exchange, the Company atso
offers and advertises a fixed wireless broadband alternative; the maximum offered is 25
Mbps downstream,25 Mbps upstream, and unlimited capacrty for $75.00. On this
basis, the Company certifies that the pricing of a service that meets the Commission's
broadband public interest obligations is no more than the applicable benchmark
announced in Public Notice DA 19-1237; compliant pursuant to 47 C.F.R. S
s4.313(aX3).
I certiff under penalty of perjury under the laws of the State of Washington that
the foregoing is true and correct.
Dated this day of June, 2021 in Roslyn, Washington.
By:
K. Brooks
Ier
lnland Telephone Company
LINE 1O3O
LINE I2IO - TERMS & CONDITIONS OF VOICE TELEPHONY LIFELINE
PLANS
1472421lD tlFEtlNE ASSISTANCE tN 1210.pdf)
Lifeline Support - Lifeline Plans Terms and Conditions
S54.422(aX2)
ETCs must provide information describing the tenns and onditions of any wice telephony *ruio plans
offered to Lifeline suDscribers.
l, James K. Brooks, being of lawful age, state that I am Treasurer/Controller of
lnland Telephone Company ('Company"), Study Area Code 472423, that I am
authorized to provide the following statement on behalf of the Company, and that the
facts set forth in this statement are true to the best of my knowledge, information and
belief.
On this basis, pursuant lo 47 C.F.R. S 54.422(aX2), the Company states that it
provides service in a non-discriminatory manner and does not unlaMully discriminate on
the basis of race, sex, age, religion, national origin, gender identity, sexua! orientation,
marital stiatus, veteran stiatus or any other basis prohibited by federal, state or local law.
With that said, the Company offers its voice telephony services similarly to all that
subscribe; there are no specific "Lifeline Plans" and no special terms or conditions for
those utilizing Lifeline assistance. The Company's service application as well as its
website point out the Lifeline telephone assistance program for those subscribers that
may be economically challenged. The Company utilizes the NationalVerifier as well as
FCC Forms 5629, 5630, and 5631 for Lifeline Applications, Household Worksheet and
Re-Certffication.
I certiff under penalty of periury under the laws of the State of Washington that
the foregoing is true and correct.
Dated this 16u day of June, 2021 in Roslyn, Washington.
By:
Brooks
Treasurer/Controller
lnland Telephone Company
LINE I2IO
LINE 30108 - CERTIFICATE OF PUBLTC TNTEREST {47 CFR $
s4.313(fX1)(i))
147242? lD CERTIFICATE OF PUBLIC INTEREST OBLIGATIONS tN 30108.pd0
Public lnterest Obligations - Broadband Certification
s54.3r 3(0(1X.)
Rate<f-Retum ETCs are rcquired to provide ceftain artifiations and other details related to their
broad ba nd obl ig ation s.
l, James K. Brooks, being of lawfu! age, state that I am Treasurer/Controller of
lnland Telephone Company ('Company'), Study Area Code 472423, that I am
authorized to execute this certification on behalf of the Company, and that the facts set
forth in this certification are true to the best of my knowledge, information and belief.
The Company currently offers and advertises a maximum speed of 20 Mbps
downstream/1 Mbps upstream where avallable in its Leon exchange with planned
upgrades as the Company expands its fiber-to-the-premise footprint. The Company
currently offers and advertises a maximum speed of 25 Mbps downstreaml?S Mbps
upstream in its Lenore exchange and has consciously limited its offering based on
bandwidth to the lntemet from this exchange location. The Company cunently
conditions both of these offerings as they are not available throughout these exchanges.
On this basis, the Company certifies, pursuant to 47 C.F.R. S 54.313(0(1)(i), that
it has taken reasonable steps to provide upon reasonable request, broadband service at
actual speeds of 10 Mbps downstream/l Mbps upstream, with latenry suitable for real-
time applications, including Voice over lnternet Protoco!, and usage capacity that is
reasonably comparable to comparable offerings in urban areas, and that requests for
such service are met within a reasonable amount of time.
I certify under penalty of periury under the laws of the State of Washington that
the foregoing is true and correct.
Dated this day of June, 2021in Roslyn, Washington.
By:
K.
ller
Inland Telephone Company
LINE 3O1OB
LINE 3OI7 - RUS ANNUAT REPORT AND ALt REqUIRED
DOCUMENTATION
147242? !D RUS ANNUAT REPORT LN 3017.pdf)
lhis datawill bc used b1, RUS to rcvt* vourlndnciol titudlioh yon rcstb$e is requlred by7 U.S-C. 901 et seq
,hd s[hiect to lofunl ltu\ and tutulotioht ruoardtne cylidentiol inlothation eill be lreoled as conndehliol-
OPERATING REPORT FOR
TELEGOIUMUNICATIONS BORROWERS
USDA.RUS
3ORROWER NAME
Inland Tel"ephone Company
(Prepared with Audited Data)
INSTRUCTIONS-SIhniI report to RUS trirhin j0 days olter close of the peilod.
Fordetailed inslructions, see RUS Bulletin l74J-2 Report in*hole dollars only.wAo534
DESIGNATION
December 2020
ENDING
CERT1FICATION
l{e hereby certifu that lhe entries in this reporl are in accordance with the accounts und olher records ofthe system and rellecl lhe slalus ofhe syslem
to the besl ofour knowledge and belief,
ALL INSI'RANCE REQUIRED BY 7 CFR PART I?8& CIIAPTER XVII, RUS, WAS IN FORCE DURING THE R-f,PORTING PERIOD AND
RENEWALS HAVE BEEN OBTAINf,,D FOR,A,LL POLICIES.
DURING'I'HD PERTOD COVDRED BY'I'HIS RT,POR'I'TURSUAN'I"IO PAR'I'ITEE O}'7C!R CHAP'I'ER XVII
(Ch*k one ot lhe following)
ffi lt ol ttre oltigalpnE under th€ RUS hen docxmonts EI Thero has been a dsfault in the tulfillment of he obliOation.
- have been fullllad ln all mstoriel respscts. - undor tho RUS loen do@menls Sald dolault(s) is/ar€
sp€citically doscrib8d in tho T€l6com OpeBtino Repon
Gregory MaraE 3/29/202r
OATE
PARTA. BALANCE SHEET
ASSETS
MI-AT{CE
PRIORYEAR
BALANCE
END OF PERIOD LIABILITIES AND STOCKHOLDERS' EOUITY
BAI.ANCE
PRIOR YEAR
BAI.ANCE
ENO OF PERIOD
505. ?55 420.736 154,378 147 ,2tg
CURRENT ASSEIS
1. Cash and Equivalents
CURRENT LIABILITIES
25. Accounts Payabl€
2. Cash-RUS Construclion Fund 324 .233 10.562 26- Notas Pavable 0 0
3, Afiiliates:27. Advance Billino6 and Pavments 0 0
0 1.962a. Telscom, Account6 Receivable 0 28. CustomerDeposiis 2, t9A
b- Othar Accounts R8c€ivabls 0 0 29- Curent Met. L/TDebt 1,t23,525 t, L34,771
c. Noles Re@ivable 0 0 30. Cunent Mat. LiT Debt-Rur. Dev.0 0
04. Non-Aflilietes:31. Cunent Mat.-Cagital LeaEes 0
a- Teleom. Accounts Receivable '160 ,642 755,523 32. lnmme Taxes Aerued 0 0
83,974b. Oth€r Accounts Roceivablo 0 0 33, OtherTaxe6Accrued 66 ,468
45 ,434 155, 000 604.8t 5 703.510c. Notes Receivable 34. Olher Current Liabilities
5. lntsrest and Dividends Receivsbl€0 o 35. Totrl Currlnt Liabilrue. 125 thru 3/tl 1 . 951. 384 2.065.535
6. Material-Reoulatod 282,2!2 297,203
0 07. Material-Nonregulated 0
LONG.TERM DEBT
30. Fundod Debt-RUS Note6
8. Prooavments 121,,457 t2L ,329 37. Funded Dsbt-RTB Noles 0 0
9. Other Cunenl Assets 40 40 38. Funded Debt-FFB Note6 11,103,858 9 ,969 ,098
10. Totrl CurrentArreti lt Thru 0l 2 , 140 ,'t73 L,760,493 (4,312)(4,520)39. Funded Debt-Other
40. Fundsd Dobl"Rural DewloD. Loan 0 0NONCURRENT ASSETS
11 . lnvestment in Afliliated Compani€s 41. Premium (Discount) on L"/T Oebt 0 0
a- Rural OeveloDmenl 2,193 , 497 2, 005,401 0 042. Reacquired Oebt
b. Nonrural DewloDment 0 0 43. Oblloations Under Caoital Leasa 0 0
12. Other lnvestments 44. Adv. From Affiliated ComDanies 0 0
a. Rural DeveloDment 0 0 0 045. OtharLono-Term Debt
b. Nonrural Develooment 288 ,448 29A,769 11, 099,555 o o(a R?edG. Totel Long-Term Debt (30 thru 45)
13. Nonrooulated lnvestments )-,775,431 1,955,31-9
14. Other NoncunentAEsets 250 250
OTHER LIAB, & OEF. CREDITS
47. Other Lono-Term Liabilities 0 0
15. Defened Chargos 0 0 48. Other Oefened Credits L,988 ,342 2,047 ,0L9
16. Jurisdiclional Diferences n o 0 049. Othsr Jurisdicllonal Oifferencos
17. Totel NoncurDntAi.eta 111 thru tol 4 ,257 ,625 4 ,259 ,739 50. Total Olher Liabilitia3 and Dofered CreditE I47 thru 49)L,988 ,342 2.047 .019
PLANT, PROPERTY, AND EOUIPMENT
18. Tol€com, EanHn-SeMce 34 , 9s0 ,329 36 ,634,245
EOUITY
51 . Cap. Stock Outstand. & Subscribed 93, I50 93,150
19. Proosrtv Held for Future Uae 590,472 0 7.t75 1.11452. Additional Paid-in-Capital
20. Plant Under Conslruction 726,286 211,70L i3. Treasuru Stock 0 0
21. Plant Adi.. NonoD. Plant & Goodwill 0 0 54. Membershio and Cao. Cortificates 0 o
22. Less Accumulated Deoreciation '1 9.014.61C 019.803.86s i5. Other Capital 0
L7 ,252,469 17, 108,081 56. Patronaoo CaDital Credits 0 0
i7. Retained Eaminos or Maroins 8. 511.261 8. 950. 855
n (11 qR(q o51 181t8. Total Eculty (51 thru 57)
l.l. TOTAL ASSETS (lO+17+23)
21 .6'qn . A6e 21 .1rn.11 1 23,550, 858 23 , L29 ,3).3
t0. ToTAL LIABILIT|ES AND EOUTTY (t5+46+50+6El
Md lhe md the
Total Equity = 39. 13* % of Total AssetE Page 'l ot 6
USDA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
BORROWER DESIGNATION
I.{40534
PERIOD ENDING
December 2020INSIRUCTONS- See RUS Builetin 1744-2
PART B. STATEMENTS OF INCOi'E AND RETAINED EARNINGS OR MARGINS
ITEil PRIORYEAR THIS YEAR
1, Local Networt Services Revsnues 560, 195 573 ,520
2. Network Access Services Revenues 5 ,364,012 5,382, 619
3. Lono Dlstanco Network Servlces Revenues I 18
4. Canlor Billim and Collection Revenues 26 ,978 25,705
5. Mlsc€llanoousRevenues 74,073 36, 559
6. Uncollectible Revenues 34,677 L1 ,954
7. tlet Opetatlng Revenuee (t thru 6 less 6)6, 090, 589 6, ooo, 758
8. Ptant Speciffc Operatons Expense t,783,367 1,490,380
L Plant Nonspeciric Operations Expense (Excluding Depreciation & Amortization)512. 504 6L1 ,829
10. Deoreclation Expense t,466 ,922 t,523 ,748
1 '1. Amortlzation Expense 136 136
12. CustomerOperations Expense 552 ,298 632,153
13. Corporate Operations Expense 883, r95 856, 151
14. Total Operatlnq Exoenges (8 thru l3l 5 ,298 ,4L3 5, L20 ,407
15. Opsratins lncome or Margins O less 14)192, ].16 880,351
16. OtherOperating lncome and Expenses 0 0
17. Stat€ and LocalTaxes 27t,416 218,459
18. Federal lncome Taxes L13 ,022 202, !t7
19. OtherTaxes 0 0
20. Total Operatlng Tar93 {17+18+191 444 ,438 480. 5?5
2't. Net Operatlng lncome or Margins (15+16-20)341 ,'738 399, ?85
22. lnterest on Funded Debt 278 ,272 254, O32
23. lnterest ExpEnse - Capital Leases 0 0
24. Otherlnter€st Expense 944 33
25. Allo,vance for Funds Used During Construclion 6, 901 13, 512
26. Totrl Fixed Charses e2+23+21-251 272,315 240, 553
27. Nonoperating Net lncome (28, 832)(32,910)
28. Extraordinaryltems 0 0
29. Jurlsdictional Dlfierences 0 0
30. Nonregulated Net lncome 481, 909 313 ,273
31. Total Net lncomo or Marslns 121+27 +28+29+30-ZAl 528.500 439.595
32. Total Taxes Eased on lncome 0 o
33. Retained Earnings or Margins Beginning-of-Year '7 -SA2.161 8.5l1.261
34. Miscellaneous Credlts Year-to-Date 0 (l
35. Dividends Declared (Common)n o
36. Dividends Declared (Preferred)0 0
37. Oth6r Debits Year-to-Date o o
38. Transter8 to Patronaoe CaDital 0 0
10. Rotalnod Eerninss or Marslns End-of.Period J(31+33+34) - (35+36+37+38)l 8, s11,25r.8 _ 950.856
40. Patronase Caoital Eooinninq-of-Year 0 0
41. Transfers to Patonage Capital 0 0
42. Petronase Caoital Credits Retired 0 0
13. Paronage Cepltal End-of-Ya.r (10+11121 0 0
{4. Annual DebtService Pavments t ,383 ,232 Lt3'77,764
{5. Cash Ratio [(14+20-'M1l l7l o.7020 0.6794
{6. Operatino Accrual Reliolfi4+20+zal 171 0.9875 0 .9735
{7. T|ER(31+26)/261 2 .9408 2.8274
{8. DSCR [(31+26+10+11) /441 1.5395 L.5997
Page 2 of 6
USDA.FUS
OPERATING REPORT FOR
TELEGOiIIMUI{ICATIONS BORROWERS
/ /SIRUCITONS - Sce RUS Butlctln 1741 2
BORROWER DESIGNATION
wA0534
PERIOD ENDEO
0ecember 2020
Part C. SUBSCRIBER (ACCESS LINE). ROUTE MILE. & HIGII SPEED DATA INI'ORMATION
1. RATES 2. SUESCRIEERS IACCESS LINES!3. ROUTE MILES
EXCHANGE B-1
(al
R-1
(b)
BUSINESS
la\
RESIDENTIAL
rbl
TOTAL
1cl
TOTAL
(includlng flber)
aa'l
FIBER
tb,|
Dewatlo 27 nO ,, oo 11 265 276 1 57.80 53.42
L6nore 40.58 25 7A 17 157 174 17434 12 00
Llniontawn 25 00 18 00 67 206 273 313.21 68.25
Roslvn 24.00 t 8.00 lao 859 I O3S 226.41 1o.4 22
I eon 40 68 25 76 23 24 20.37 13.14
P16scott 28.50 14.00 38 75 ltt 208.m 53 15
Outsido Exchange
Area
'10.55 10.55
irahilel^rlmleas 0
Route Mlleage
Outside ExchangeAraa
0"00 0-00
Tolal 312 1.585 t 8e7 LI t5_00 313 73
No- Exdrand*7
USOA-RUS
OPERATING REPORT FOR
TELECOMMU N ICATIONS BORROWERS
, TSIRUCT,OTVS - Sce RUS Bdbiln 174+2
BORROV\IER DESIGNANON
wA0534
PERIOD ENDED
Decsmber 2020
Perr C. SUBSCRIBER(ACCESS LINE). ROUTE MILE. & HIGE SPEED DATA INFORMATION
.. BROADBAND SERI'ICE
Drtrllr on Laait Erocntlve Brordbrnd SaNlce
EXCHANGE No. Accass Llnes
with BB
av8llable(a!
No of Broadbend
Subscriber6
tbl
Number Of
Sub6qibe16
1c\
Advonlsod
Downloed Rete
(Kbps)
1dt
Advortised
Upload
Rate (Kbp6)
(6)
Pric6 Per Monlh
tfl
Standalone/Pckg
tfl
Type Of
Technology
lo'l
Dewefto 276 277 ,g 768 512 3S^95 Pad(e06 DSL
L€nor€171 38 2X 768 tl2 30 0.5 Packaoe DSL
LlnimtMn 275 255 97 3.000 768 49.95 Packsoe osL
Roalvn 1.039 1 A8d 21 3 000 7Ae dc 05 Prckeoe DSL
I eon 21 23 t3 3 000 768 49.95 Packaoo DSL
Proscott 111 80 6 7Ae 51'39 05 Packade DSr
Outslde
Exchende ArE
Totrl 1.897 2 317
USDA.RUS
OPERANNG REPORT FOR
TELECOMMUN]CATIONS BORROWERS
BORROVVER DESIGNATION
vlAo534
PERIOD ENDING
Deceftber 2020
|TVSIRUCfTOTVS- See RUS Buileiln 1744-2
PARTD. SYSTEMDATA
I No Plot Employc6
t'
No Oher Emploves
18 2r
, Sq@e tvtilB Sencd
463
4 Ac6s Lines per Squue Mile
4.10
5 Subssib{s per RoltcMile
1.70
PARTE. IOLLOATA
Study Ar6a lD Codo(s)
a
b.
c.
d
e
f.
s
h
I
)
lnlerstale:n Avsrage Sch€du16
Average Schedule
fi cosr aasis
I cosr aastslntraslale:!
PART F. FUNDS INVESTED IN PLANT DURING YEAR
1 . RUS, RTB, & FFB Loan Funds Expondad
2. Other Long-Term Loan Fund6 ExFnded
3. Funds Expended Undsr RUS lntorimApproval
4. Othlf Short-Tsm Loan Funds Exp€ndld
5. General Funds Exgcnded (Olherthan lnterlm)L 857 ,44t
6. Salvaged Meteriels 24 ,500
7. Contribution h AId to Construction
B. Gro3s Addltlons to Telecom. Phnt (1 thru n 1. 881. 941
PART G. INVESTMENTS IN AFFILIAIEO COMPANIES
INVESTTENTS
ta)
CURreilTYEAN DATA CUMUIIITVE OATA
lnve€tment
This Y€ar
a)
ln@ma/Los
ThiE Y€ar
(c)
Cumulatiw
lnve slment
To Dat€
ld)
Cumulatlv€
lncome/Lo8s
To Oato
lc)
Current
Ealance
/t)
1. lnv€stment in Af,lliat d Companios - Rurel Development (187, 698)2, 005, 401 2, 005, 401
2. lnvestment in Affilieted Companics - Nonrural D€velopmont
Page 5 of 6
USDA-RUS
OPERATING REPORT FOR
TELECOMMUNICATIONS BORROWERS
DESIGNATION
w40534
ENOING
r 2020
PART H. CURRENT DEPRECIATION RATES
Are corporation's depreciation rates approved by the regulatory authority
withjurisdiction over the provision oftelephone services? (Check one)E YES trI NO
EQUIPMENT CATEGORY DEPRECIATION RATE
1. Land and suDDort assets - Motor Vehicles 16.00t
2. Land and supDort assets -Aircraft
3. Land and support assets - Special punooge vehicles
4. Land and suDoort assets - Garaoe and other lvork equiDment 16.00*
5. Land and suDDort assets - Buildinos 4.00t
6. Land and support assets - Furniture and Office equipment 15.00*
7. Land and support assets - General purpose computers 25.00t
8. CentralOffice Switchinq - Diqital 9. 00*
9. Central Office Switching - Analog & Eledro+nechanical
10. Central Office Switchino - Ooerator Systems
11. Central Office Transmission - Radio Systems 13.00*
12. Central Office Transmission - Circuit equipment 11.19t
1 3. lnformation orioination/termination - Station apparatuo
14. lnformation origination/termination - Customer premises wiring
15. lnformation orioination/termination - Laroe orivate branch exchanoes
16. lnformation orioinatiorVtermination - Public telephone tominal equipment
17. lnformation orioination/termination - Other terminal equipment
18. Cable and wire facilities - Poles 7.59&
19. Cable and wire facilities - Aerial cable - Metal 42.06*
20. Cable and wire facilities - Aerial cable - Fiber 5.00*
21 . Cable and wire facilities - Underqround cable - Metal 6.00*
22. Cable and wire facilities - Underoround cable - Fiber 5.00t
23. Cable End wire facilities - Buried cable - Metal
24. Cable and wire facilities - Buried cable - Fiber
25. Cable and wire facilities - Conduit systems
26. Cable and wire facilities - Other
Page 6 of 6
USDT-RUS
OPERATING REPORT FOR
TELEGOMilUNICATIONS BORROWERS
BORROWER DESIGNATION
t,IAo534
PERIOD ENDED
Decernlcer 2020
INSTRUCTIONS - See help in the online application.
PART I . STATEIIiENT OF CASH FLOWS
l. Beoinninq Cash (Cash end EouivalenB Dlus RUS Constructlon Fundl 930,988
CASH FLOWS FROU OPERA11NG ACTIVITIES
2. l{et lncomo 439 ,595
Adiustments to Reconcile Net lncome to Net Cash Provlded by Opentino Activlties
3. Add: Depreciation 1,523,748
4. Add: Amortization 136
5.Other (Explain)
See Note Section 380,451
Changes in Openting Assets andLiaDiflbs
6. Decrease/(lncrease)inAccountsReceivable 5, 019
7. Decrease/(lncrease) in Materials and lnventory (14,991.)
8. Oecrease/(lncrgase) in Prepavments and Deferred CharEes ),28
9. Decrease/(lncrease) in Other Curent AsBetB 0
'10. lncrease/(Decrease) in Accounts Payable (13,160)
11. lncrease./(Decrease) in Advance Billinqs & Pavments 0
12. lncrease/(Decrease) in Other Cunent Liabilities 116,301
13. NetCash Provldedl(Used) byOperatlons 2,437 ,227
CASH FLOWS FROM FINANCII{G ACflVMES14. Decrease/(lncrease) in Notes Receivable (109,556)
15. lncreasey'(Decrease) in Notes Payable 0
16. lncrease/(Decrease) in Customer Deposits (235)
17. Net lncr6ase/(Decrease) in Lono Term Oebt (lncludinq Current Maturilies)(L,t23,'132)
18. lncrease/(Decrease) in Other Liabilities & Deferred Credits 58 ,6?7
19. lncrease/(Decrease) in Capital Stock, Paid-in Capltal, Membership and Capital Ceilmcates & Oher Capital 020, Less: Peyment of Oividends 0
21. Less: Patronaqe Capital Credits Retired 0
22.Other
See
(Explain)Note Section
5L , t2s
23. Net Ca3h Provided/(Used) by Flnanclng Activities (L ,123 , 732)
CASH FLOWS FROM INVESTING ACTIVITIES24. Net Capital Expenditures (Property, Plant & Equipment)(644,8s9)
25. Other Long-Term lnvestments (2, 113 )26. Other Noncunent Assets & Jurisdictional Differenoes 0
27. Other (Explain)
See Note section (1,156,213)
28. Not Cash Provided(Used) by lnvesting Activitio6 (1,8L3,185)
29.Net lncreasel(Decreaae) ln Carh (499,590)
30. Endlng Cash 43]^,299
Revieion Date 2010
USDA.RUS
OPERATINGREPORT FORTNI,E,COMMIINICATIONS BORROWERS l'ooo*'*
DESIGNATION
wA0534
INSTRUCTIONS - See RUS Bulletin 1744-2 lperuoosNnro
I Oecember 2020
NOTES TO THE OPERATING REPORT FOR TELECOMMUNICATIONS BORROWERS
Part E. 1. Study Area !D Codes Table not available a.472423b.522423 Part 1 - Statement of Cash
Flows 5. Depreciation and amortization on nonregulated lnvestments $162,355 Change in Deposits
($2a01 Cash surrender value of life insurance ($8914) Less Plant in AP difference $6879 Notes
Receivable $45,434 Deferred F,T $202,117 Gain on disposal ($25,777) Unrealized gain on investment
$2095 Non-cash stock dividend ($3502) Total Amount of Adjustment - Operations $380,451 22. Notes
Receivable ($4S,aS+1 Notes Receivable $155,000 Non Cash transfer of deferred FIT $143,440 Change
in Deposits $236 Operating Deferred FIT ($202,117) TotalAmountof Adjustment- Financing $51,125
27. Retirementsffransfers in Net Plant ($888,360) Proceeds from sale of equipment $24,500 Cash
surrender value of life insurance $8914 Non cash stock dividend $3502 Unrealized gain on investment
($2095) Plant in AP ($6879) Non cash transfer of deferred FIT ($143,440) Operating depreciation on
long term investments ($162,355) Totalamount of adiustment - investing ($1,166,213)
USDA.RUS
OPD&TTINGRENOBTEORTEI,BEOII(}N'MCTTIONS NONR(}SENS
BORROWBRDESIGNATION
w^os34
INSTRUCTIONS - SGG RUS Bullcth 174+2 PERIODENDED
Dcoornbor 2020
ffRTIFICATIONTOAI{DETAI'LTNOTESTOIEEOPERATINGNEPONTTORAELNCOMMTINICATIOMIDONROS'ENS
State of Washington
County of Kittitas
SUBSCRIBED AND SVVORN to bebre me this
CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
OF COMPLIANCE WTH SERVICE QUALIW AND CUSTOMER
PROTECTION, ABILIW TO REMAIN FUNCTIONAL IN EMERGENCTES,
AND USE OF FEDERAL HIGH€OST SUPPORT.
ss
)
)
)
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The ldaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Ganiers (ETC)
certify that it is compliant with applicable seMce quali$ standards and consumer protectbn rules; and ETCs must
demonstrate the ability to remain functional in emergencies. ln addition, the Commission mustlile an annual
certification with the USAC and the FCC that all federal hBh-cost support provided to ETCs within the State of
ldaho will be used only for the provision, maintenanoe, and upgrading of facilities and services for which the
support is intended. Aocordingly, the undersigned states and verifies under oath the following:
1. I am an officer of lnland Telephone Company, an eligible telecommunications canier br reoeiving 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 Gompany's day-today operations in the strate of ldaho and with the Shte's service
quality standards and consumer probction rules as set brth in Commission Order No. 29841.
3. lnland Telephone Company is complying with applicable service quality standards and consumer
protection rules of the FedenalCommunications Commission and the ldaho Public Utilities Commission.
4. ! certify to the Commission that the Company is able to remain functional in emergencies as set brth in
Commission Order No.29&41 and in 47 C.F.R. S 84.201(aX2).
5. I also certify that allfederal universalservbe support funds received by lnland Telephone Company
during the cunent calendar year will be used In a manner consistent with section 254(el; that is, br the
provision, maintenance, and upgrading of facilities and services br which the support is inbnded. The
company will continue b comply br the period of January 1,2022, through December 31, 2022, to be
eligible for fedenal universal service fund support.
6. This verification and affidavit is provided to be he ldaho Public Utilities Commission to enable the IPUC to
certfy to the FCC that federal universal service support received by the eligible caniers in the state will be
used in a mannerconsistentwith Section zil(el of the T Act.
June 16.2021
Date
of June lo: t
Notary Public forWashington, residing at
PAMELA R NELSON
NOTARY PUBLIC #130430
STATE OF WASHINGTON
COMMISSION EXPIRES
SEPTEMBER 9,2023
My Commission expires