20210630TracFone Wireless Form 481.pdf

TRACF@NE'Legal Departrnent
Stephen Athanson, Senior Attorney - Regulatory
9700 NW I l2th Avenue I Miarni, FL 33 178
E-Mai I : sathanson(artractbne.corn
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wireless, inc.
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VIA OVERNIGHT MAIL
Jean Jewell, Secretary
Idaho Public Utilities Commission
472W. Washington St.
Boise,ID 83720
Re: TracFone Wireless, lnc. - FCC Form 481 Report
Dear Ms. Jewell:
In accordance with the Federal Communication Commission's Lifeline Reform Order
and47 CFR 54.422(b) please find enclosed a copy of the FCC Form 481 of TracFone Wireless
Inc. ("TracFone").
If you have any questions, please feel free to contact me at [phone], or
sathanson@tracfone. com.
Sincerely,
Stephen Athanson
Regulatory Counsel
Enc
Page 1
<O1O> StudvAreaCode 47902L
<015> StudyArea Name TracFone llll!ele36, Iic
<O2O> Propram Year 2022
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Form Type 54 -422
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<010> Study Area Code 47 902'l
<015> study Area Name TracFone Wireless. Inc.
<020> Program Year 2022
<030> Contact Name - Person USAC should contact regarding this data ,faneL Morei on
<035> ContactTelephoneNumber Numberofpersonidentifiedindataline<030> 305"7156522 exL
<039> Contact Email Address - Emait Address of person identified in data tine <030> j more j on@t ra c f one com
Select from the drop down menu or check the boxes below to note compliance with 54.313(f)(1). Privately held carriers must ensure compliance with the
financial reportingrequirementssetforthin4TCFR54.313(f)(2). lfurthercertifythattheinformationreportedonthisformandinthedocuments
attached below is accurate.
{3009) Progress Report on 5 Year Plan
carrier certif ies to 54.313(f XlXiii)
(3O1OA) Certification of Public lnterest Obligations (47 cFR 5
s4.313(f)l1xi))
(30108) Please Provide Attachment
(3012A1
Ratert-Return Community Anchor lnstltutions
lndicate if the carrier newly deployed broadband
seryice 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 s4.313{f)(1Xii)
ls your company a Privately Held ROR Carrier {47
cFR S s4.313(fx2))
lf yes, does you. 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 5 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
3025 pursuant to 5 54.313(fX2), contains:
Either a copy of their audited financial statement; or
(2) a financial report in a format comparable to RUS
Operating Report for Telecommunications Eorrowers
Document(s) for Balance sheet, lncome Statement
and Statement of cash Flows
Management letter and/or audit opinion issued by
the independent certified public accountant that
performed the company's financial audit.
lf the response is no on line 3018, please check the
boxes below to confirm your submission on line
3026 pursuant to 5 54.313(fX2), contains:
Copy of their financial statement which has been
subject to review by an independent certified public
accountant; or 2) a financial report in a format
comparable to RUS Operating Report Ior
Telecommunications Borrowers
Underlying information subjected to a review by an
independent certified public accountant
Underlying information subjected to an officer
certification.
Document(s) with Balance Sheet, lncome Statement
and Statement of Cash Flows
Attach the worksheet listing required information
(30128)
(3022)
Name of Attached Document Listing Required
lnformation
Name of Attached Document Listing
Required lnformation
(Yes/No)
{Yes/No)
Name of Attached Document Listing Required
lnformation
(Yes/No)CO
Name of Attached Document Ljsting Required
lnformation
(3013)
(3014)
(301s)
(3016)
(3017)
(3018)
(30ls)
(3020)
(302 1)
(3023)
(3024)
(302s)
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<olo>StudyArca Code
<015>Arca NamG
<030>Contact t{am. - Person
<039>contact EmailAddrss
contact
t .16. rlder!. e.
idcntifrcd in linc
in dat.<03D im.;o*.r*ro. . .-
Number of
pelson
l{Xr5 Rur.l Bro.db.nd Erpctlment
Arthoriz€d Rural Bimdbsnd Experiment (RBE) rccipients m6t addr.$ the c€rtifietion for public int€r6t
obligations and prcvidc a list of nady sarved community anchor imtl'trrtions.
Publk lnt rGstoulsr[mr- FOC 1il-98 (par4raphs 2&29, 78)
Plcase addrcss Line it@l rcgarding complianca with thr commlsion's public intGr6t obliSatlons. All RBE
partlcipants must provid. a respss.to Linc 4@1.
4001. Rccipient eertiries that it is oftcrinS broadband meetlBg the r.qukite public intrrcst obligations consistent
with the category for which thay w€re selected, including broodband sp*4 latcncy, usag3 capacity, and rates that
are rcasonabv comparable to rates for comparable offeringE in urbrn areas.
RBE Comrxmlty Andor lmtltruont
<4tl03D lndkat. ifthe canier newly dcployed broadband servicr to community anthor institution(s) ih the
prcvious mlcndar year
<4{D3b> Plcasc Provide Attadrm.ne UsinS link,
download template and lbt the number, name
and addrBs for each €ommunity.nchor
institut'ron. Attach the document which contains
the community .nchor institution dqtails as
requircd by FCC 14-98 (paragraph 791
il.me ofAttached Doeument lisdlE Rcquked lnformation
P.8.lt
P.t.16
<010>Study Area Code
<015>Study Area Name ta.!or. tlr.:e8r, rr..
<020>ProgEm Year<030> contact Name - Persn USAC should contact this data
<035>Contact of ln <030>
<039>ContactEmailAddress-EmailAddrlssofpersonidcntilledindatalinecO30> rrorero.n:iac.ono.cm
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]imiting satellite backhaul.
lfthe filing carrier ldentified in its approved perfomance plans that it relies exclusively on
satellite backhaul for a certain poriton ofthe population in its service area, indicate whether
any terrestrial backhaul or other satellite backhaul became commercially available in the
previoius calendar year in areas that were previoiusly served exclusively by satellite backhaul.
O.$rlptlon O, Sekh.ul TGhrclqv
(Yes/No)
(Yes/No)
tr.*ly tmd Lootbn. or tuFuhtlon
<5013>
Pq.16
P.gc 17
<010>
<015>Area Namc
<030>contact Name - Persn USAC contact this data
<035>Contact Tel.phonc Number - Numblr of person identified in data line <030>
lracfoE rlr.:e!r, rf,c
<039>ContactEmailAddrcss-EmailAddrcssofp.rsonidentmedindatalinc<030> jio!rjs*Er..!oi...6
<6010> Enter the total amount of Phase ll Auction Support, if any, the carrier used
for capital expenditures
Phase ll Auction .nd New York Funds Certiflcatlon
<6011>Certify (either yes or no) regarding whether th€ recipient has available
funds for all project costs that will exceed the amount ofsupport that will
be received for the next calendar year. This certification must be provided
starting the first luly 1st after receiving support until the recipient's
penultimate year of support
Phaie tl Auctlon Community Anchor lnstltutlons
<6012a> lndicate ifthe carrier newly deployed broadband service to community
anchor institution(s) in the previous calendar year
<OO12b> Please Provide Attachment Using link, download template and list the
number, name and address for each community anchor institution.
Attach the document which contains the community anchor
institution details as required by FCC 1rt-98 (paragraph 79)
(Yes/No)
Name of Attached
Document [isting Required
lnformation
<5013>
Phase ll Auction FCC Form 470 Postln$
Forthe filing due July 1 following full implementation of this
requirement answer yes or no to this certification request
Phase ll Auction Post-Final Deployment Mllestono Performancc Certlflcation
<5014> Starting the first July lst after meeting the final service milestone, certify
(yes or no) that the Phase lFfunded network that the Phase ll auctlon
recipient operated in the prior year meets the relevant performance
requirements in I 54.3G1
P{.17
Pag.18
<010>study Arla code
<015>Area Name
Year
<030>Contact Name - Pe6on USAC should contact regarding this data
<035> contact Telephone Numbg - Number of persn identified in data linc <030>
<039>Contact Email Address - Email Address of pcrson identificd in data linc <030> jho'ejoii:!.c:oic..n
<7010> Phase ll Auction reciplent performance requirements certification (Yes/No)
PeBe 18
Pate 19
<010>5tudv Area code
<015>Studv Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact regarding this data
<035>Contact
<039>Contact Email Address - Email Address
Number of identified in data line <030>
person tn ine <030> rn.-!.r.r :! r.:j.r, ,nn
<8010>
<8011>
<8012a>
<8012b>
<801.3>
<8014>
<8020>
<8030>
<8040>
<8050>
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 StaBe 2 Fixed - Available Funds certification
Certify (either yes or no) regarding whether the recipient has available funds for all pro.iect
costs that will exceed the amount of support that will be received Ior 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.
Name of Attached
Document Listing Required
lnformation
Uniendo a Puerto Rico Stage 2 Fixed - FCC Form 470 Postin8s
For the filing due luly 1 following full implementation of this requirement answer yes, no, or
not applicable to this certification request.
Uniendo a Puerto Rico Stage Z 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.
Uniendo a Puerto Rico Stage 2 Fixed - Support Reimburs€ment 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
5upport, including of federal or local government aid or insurance reimbursementsi and that
support was not used for other purposes, 5uch 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.
uniendo a Puerto Rico Stage 2 Fixed - Disaster Preparedness and Response Documentation
54.313(n): Recipients of fixed support from Stage 2 of the Uniendo a Puerto Rico Fund shall
certify that they have conducted an annual review of the documentation required by section
54.1515(a)-(c) to determine the need for and to implement changes or revisions to disaster
preparation and recovery documentation.
Uniendo a Puerto Rico Stage 2 Mobile - Support Reimbursement
54.313(n): Recipients of Uniendo a Puerto Rico Fund Stage 2 mobile suppon 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 of the Uniendo a Puerto Rico Fund.
Uniendo a Puerto Rico Stage 2 Mobile - Disaster Preparedness and Response Documentation
54.313(n): Recipients of mobile support from Stage 2 of the Uniendo a Puerto Rico Fund shall
certify that they have conducted an annual review of the documentation required by section
54.1515(a)1c) to determine the need for and to implement changes or revisions to disaster
preparation and recovery documentation
Uniendo a Puerto Rico stage 2 Mobile - Mobile Disbursements certification
54,313(o): Recipients of Uniendo a Puerto Rico Fund Stage 2 mobile support shall certify that they are in
compliance with all requirements for receipt ol such support to continue receiving Stage 2 mobile
disbursements
<8060>
Page 19
Page 20
Collaact FCC Fcn 481
otli contrd ilo. lo6coa86/orrB control t{o. :t6txt819
<010>Studv Area Code
<015>Study Area Name
<020>Program Year
<030>Contact Name - Person USAC should contact this data
<035>Contact Telephone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>
<9010>
<9011>
<9012a>
<9012b>
<9013>
Connect Usvl State 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 USvl 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 luly lst after receiving support until the
recipient's penultimate year of support.
Connect USvl Stage 2 Fixed - Community Anchor lnstitutions
lndicate if the carrier newly deployed broadband service to community anchor institution(s)
in the previous calendar year.
Plea5e 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(eX2Xi)(A).
Connect USvl Sta8e 2 Fixed - FCC Form 470 Postin8s
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 Lst after meeting the final seruice milestone, certify (yes or no) that the
Connect USVI Fund Stage 2-funded network that the Stage 2 recipient operated ln the prior year
meets the relevant performance requirements in E 54.309.
Connect USvl Stage 2 Fixed - Support Reimbursement Cenification
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 eliBible expenditures, or other
expenses not directly related to network restoration, hardening, and expansion consistent with the
framework of the Connect USVI Fund.
Connect USVI Stage 2 Fixed - Disaster Preparedness and Response Documentation
54.313(n): Recipients of fixed support from Stage 2 of the Connect USVI Fund shall certify that they
have conducted an annual review of the documentation required by section 54.1515(a)-(c) to
determine the need for and to implement changes or revisions to disaster preparation and recovery
documentation.
Connect USVI Fund State 2 Mobile - Support Reimbursement Certification
54.313(n): Recipients of Connect Usvl Fund Stage 2 mobile support shall certify that such support
was not used for costs that are (or will be) reimbursed by other sources of suppon, 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 of the Connect USVI Fund. Recipients of mobile support from Stage 2 of the Connect
USVI Fund shall certify that they have conducted an annual review of the documentation required by
section 54.1515(a)-(c) to determine the need for and to implement changes or revisions to disaster
preparation and recovery documentation.
Connect USvl Fund Stage 2 Mobile - Disaster Preparedness and Response Documentation
54.313(n): Recipients of mobile support from Stage 2 of the Connect USVI Fund shall certify that
they have conducted an annual review of the documentation required by section 54.1515(a)-(c) to
determine the need for and to implement changes or revisions to disaster preparation and response
documentation.
Connect USVI Fund Stage 2 Mobile - Mobile Disbursements Certification
54.313(o): Recipients of Connect USVI Fund Stage 2 mobile support shall certify that they are in
compliance with all requirements for receipt of such support to continue receiving Stage 2 mobile
disbursements.
Name of Attached
Document Listing Required
lnformation
<9014>
<9020>
<9030>
<9040>
<9050>
<9060>
Page 20
Page 21
<015> Study Area Name TracPoue Wire1e6s, Inc
<020> Pro8ram Year 2022
<030> Contact Name - Person USACshould contact rerardiu this data alanet Morejon
<035> Contact Numbcr - Numbar of barson identified in data line <O3D 30s7L56522 ext
<039> ContactEmailAddress-EmailAddressofpersonidentifledindataline<030> [e-mail]
TO BE COMPTETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FITING ANNUAT REPORTING ON ITS OWN BEHALF:
Ccniflcation of Offic€r as to the Accuracy of the Data Reported for the Annual Reporting for CAF or Ll Recipients
cerufy that I rm an offlcGr ofthr reportlnt carlcr; my responslbillues lnclude ensualnt the accuracl olthc annual reportlng requliements lor unlversal servlce support
?clplenB; and, to the b€st of my knouledte, the lnformatlon teported on thls lorm and ln any attllchm€nts ls accurate.
\ameof Reportimcarrirr. TracPone wireress, rnc
iitnatu..dfAuthorizadofficer: CERTTFTED ONLTNE Date 06/25/2021,
)rinted name of Authorized officer: Javier Rosado
ntleorpositionof AuthorizedOfficer: s!' officer' Alternative Busines6 chamers
l'elephone number of Authorized offi cer' 3 0 s71s5s7s eaE
;tudv Area Code of Reooninc Carrier: 479o2L Filinc oue Date for thisform. 07 / 01' /202!
Pecons wlllfully makint fulE statements on this fom en be puni5hed by fine or forfeiture und6r the Communi€tions Ast of 1934 47 U.S,C. Sg 502, 503(b), or fine or imprisnment
und6rfide 18 ofth! United Stat.s Codc, 18 U.S.C. 5 1001.
PaEe 2!
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PaEe 22
FCCfomtltt
oMB Conrol No. :1060.0986/OM6 Confiol No. :l06O.O8It
Dccemb€rm20
<010> Studv Area Code {79021
<015> Study Area Name T:a:Fone Wi!eLess, I:c
<020> Prosram Year 2422
<030> Contact Name - Person USAC should contact reEarding this data Janer More'i oir
<035> contactTeleohoneNumber-Numberofoersonidentifiedindatalne<o3o> 105715652: exE
<039> Contact Email Address - Email Address identifiedindata line<030> imoteionlit:acfone.com
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAL REPORTS ON THE CARRIER'S BEHALF:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
lcertifythat(NameofAgent)isaulhorizedtosubmittheinformationreportedonbehalfo'thergportingcarrier.l
agent; and, to the best of my knowledge, the reports and data providsd to the authorized agent is accurate.
Name of Authorized Agent:
Name of Reoortine Carraer:
tignature of Authorized Officer:Datei
Printed name of Authorized Officer:
Iitle or position of Authorized Officer:
Ielephone number of Authorized Officer:
study Area Code of Reportinp Carrier:Filing Due Date for this form:
underTitle 18 ofthe United States Code, 18 U.5.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 Car.ier
the data reported herein based on data p.ovid€d by th€ reponing carrier; and, to the best of my knowled8e, the information reponed hereln is accurate.
Name of Reoortins Carrier:
Name of Authorized Aeent Firm:
Signature of Authorized Aqent or Emolovee of Agent:Date:
Name of AuthoriTp.l Acpnt FmolovEe:
Iitle or oosition of Authori2ed Aeent or Emolovee of AEent
Ielephone number of Authorized Asent or Emplovee of Aqenti
Studv Area Codp of R.06rtins Carrier:Filinp Due Date fo. this form:
18 of the United States Code, 18 U.S.C. 5 1001.
Page 22
P.8.23
<010> Study Area Code
r&ronc ut!.:.rr, rf,.<015> StudyArea Name
<020> Program Year
<030> Contact Name - Person USAC should contact rega rdlng thls data
<035> Contact Telephone Number - Number of peEon identilild in d.ta line <030>
<039> contect Email Addr€ss - Emall Mdre$ ofpeEon ldentifled in data lire <030>tn.!.lo.r:r.c!.ie..d
I certify under penalty of perjury that no universl seruice support has been or will be used to purchase,
obtain, maintain, improve, modify, or othemise suppon any equipment or seruices produced or provided
by any company designated by the Federal Communications Commission as posinS a national security
threat to the integrity of emmunications networks or the communiGtions supply chain since the
effstive date of the designations
Please Provide Wriver Document
Allowable File Type (pdf only!
Namc of Attached Document ListinS Rlqulrcd
lnformation
Yea
Page 23
lt
(o10)
(01s)
(020)
(030)
(03s)
(03s)
TRACFONE WIRELESS INC
2022FCC FORM 481
SPIN:143030103
RESPONSE TO (4001 COMPTATNTS PER 1000 CUSTOMERS
Study Area Code: 479021
Study Area Name: ldaho
Program Yearz 2022
contact name: Janet Morejon
Contact Telephone Number: 305-715-6522
Contact Email Address: [e-mail]
Number of Complaints (per 1.000 customersl Mobile Voice Telephonv Service for the period
oL I oL I 2020 - L2 I 3t I 2020
1.93
(420)
(o10)
(01s)
(020)
(o3o)
(03s)
(03e)
(510)
TRACFONE WIRELESS INC
2022FCC FORM 481
SPIN:143030103
RESPONSE TO (610) FUNCTTONALTTY rN EMERGENCY STTUATTONS:
StudyArea Code: 479021
Study Area Name: ldaho
ProgramYear: 2022
Contact name: Janet Morejon
Contact Telephone N umber: 305-7 t5-6522
Contact Email Address: [e-mail]
Certification that the ETC is able to function in emergencv situations
TracFone will be able to function in emergency situations to the extent that its underlying
network providers are able to do so. TracFone provides service using the networks from
several of the leading wireless companies in the nation, including Verizon Wireless, AT&T
Mobility, and T-Mobile. TracFone relies on those networks' reliability in all situations,
including emergency situations. Each of those companies complies with applicable
requirements for emergency service, including available power supplies. Those network
operators have implemented state-of-the-art network reliability standards, which TracFone
and its customers benefit from their high standards.
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