20230616Mud Lake Telephone Company CAF ICC Data-REDACTED.pdf

VIA ELECTRONIC FILING: [e-mail]

June 16, 2023

Jan Noriyuki
Commission Secretary
Idaho Public Utilities Commission
11331 W. Chinden Blvd., Bldg 8, Suite 201-A
Boise, Idaho 83714

RE: WC Docket No. 10‐90: Administration of Connect America Fund Intercarrier Compensation
Replacement §54.304(d)(1)
IPUC File No. GNR-T-23-01

Moss Adams LLP respectfully files on behalf of Mud Lake Telephone Company with the Idaho Public
Utilities Commission (PUC) in accordance with 47 C.F.R. §54.304(d)(1). This filing includes projected
eligibility for CAF ICC funding for July 1, 2023 through June 30, 2024 for Mud Lake Telephone
Company, Study Area Code 472227. This projection includes any true‐ups associated with earlier filing
periods. This projection has also been filed as confidential information with the Federal
Communications Commission and the Universal Service Administrative Company, as the administrator
of the Federal Universal Service Fund. It is filed with the Idaho Public Utilities Commission as an
information filing only and no action is required or requested.

In addition to this redacted electronic filing, a confidential version is being emailed to Johan E. Kalala-
Kasanda at: [e-mail] as confidential information that is exempt from
disclosure under Idaho Public Utilities Commission Rules of Procedure, Rule 67.
Should you have any questions regarding this filing, please contact me.
Sincerely,
Tym Rutkowski
Senior Manager
[phone]
[e-mail]

Enclosures

cc: Valeri Steigerwald (via email)
RECEIVED
Friday, June 16, 2023 11:47:46 AM
IDAHO PUBLIC
UTILITIES COMMISSION
REDACTED FOR PUBLIC INSPECTION
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5/17/23, 11:21 AM 2023 CAF ICC Data Collection
https://www.necainfo.org/CAFICC/source/IntrastateTRPOutput.aspx 2/2
Nonrecurring Charges Voice Grade Two Wire Facility $489.07 $487.01 $489.07
Nonrecurring Charges Voice Grade Four Wire Facility $489.07 $487.01 $489.07
Nonrecurring Charges High Capacity DS1 Facility $358.67 $357.16 $358.67
Nonrecurring Charges High Capacity DS3 Facility $483.64 $481.61 $483.64
Nonrecurring Charges Synchronous Optical Channel OC3 Facility $391.26 $389.61 $391.26
Nonrecurring Charges Synchronous Optical Channel OC12 Facility $391.26 $389.61 $391.26
Nonrecurring Charges Interim NXX Translation, Per Order Order $239.11 $238.10 $239.11
Nonrecurring Charges FGC and FGD Conversion of Multifrequency
Address Signaling to SS7 Signaling or SS7 Signaling to Multifrequency
Address Signaling, per 24 trunks converted or fraction thereof on a per
order basis
Order $480.38 $478.36 $480.38
Nonrecurring Charges Trunk Activation, per 24 trunks activated or fraction
thereof on a per order basis Order $498.85 $496.75 $498.85
Nonrecurring Charges Flexible Automatic Number Identication (Flex ANI)
per End Oce, per CIC End Oce $0.00000000 $0.00000000 $0.00000000
Nonrecurring Charges ESALT 2 Mbps Facility $579.64 $577.20 $579.64
Nonrecurring Charges ESALT 10 Mbps Facility $579.64 $577.20 $579.64
Nonrecurring Charges ESALT 50 Mbps Facility $579.64 $577.20 $579.64
Nonrecurring Charges ESALT Direct Trunked Termination, per ESALT
Direct Trunked Termination installed Order $381.88 $380.27 $381.88
Nonrecurring Charges ESALT Entrance Facility Protection, per ESALT
Entrance Facility Facility $585.89 $583.43 $585.89
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Certification of Officer as to the Accuracy of the CAF ICC Data Reported
I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the actual data reported; and, to the
best of my knowledge, the information reported on this form is accurate.
Name of Reporting Carrier:
Signature of Authorized Officer:
Printed name of Authorized Officer:
Title or position of Authorized Officer:
Telephone number of Authorized Officer:
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C.
§§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Study Area Code of Reporting Carrier Filing Due Date for this form
(mm/dd/yyyy)
Date:
472227 6/16/2023
MUD LAKE TELEPHONE COOPERATIVE ASSN. INC.
Valeri Steigerwald
General Manager
208-374-6517
5/31/2023
Valeri Steigerwald
TO BE COMPLETED BY THE REPORTING CARRIER.
Digitally signed by Valeri Steigerwald DN:cn=Valeri
Steigerwald,email=[e-mail],O=mud
lake telephone cooperative assn. inc.,l=Dubois ID 83424,
Date:5/31/2023
Certification of Officer to Authorize an Agent to File Data Reported on Behalf of Reporting Carrier
I certify that (Name of Agent) _________________________________________________ is authorized to submit the information reported on behalf of
the reporting carrier. I also certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the data
provided to the Authorized Agent; and, to the best of my knwoledge, the actual data provided to the Authorized Agent is accurate.
Name of Reporting Carrier:
Signature of Authorized Officer:
Printed name of Authorized Officer:
Title or position of Authorized Officer:
Telephone number of authorized officer:
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C.
§§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Study Area Code of Reporting Carrier Filing Due Date for this form
(mm/dd/yyyy)
Date:
472227 6/16/2023
MUD LAKE TELEPHONE COOPERATIVE ASSN. INC.
Valeri Steigerwald
General Manager
208-374-6517
5/31/2023
Valeri Steigerwald
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING DATA ON THE CARRIER'S BEHALF:
Name of Authorized Agent :National Exchange Carriers Association, Inc.
National Exchange Carriers Association, Inc.
Digitally signed by Valeri Steigerwald DN:cn=Valeri
Steigerwald,email=[e-mail],O=mud lake
telephone cooperative assn. inc.,l=Dubois ID 83424,
Date:5/31/2023
Certification of Officer for Rate-of-Return Carrier Eligibility for CAF/ICC Recovery
I certify that I am an officer of the reporting carrier and that, to the best of my knowledge, the reporting carrier on this form certifies that it
has complied with Eligible Recovery §51.917(d) and Access Recovery Charge §51.917(e) and is eligible to receive the CAF ICC support
requested pursuant to §51.917(f).
Name of Reporting Carrier:
Signature of Authorized Officer or employee:
Printed name of Authorized Officer or employee:
Title or position of Authorized Officer or employee:
Telephone number of Authorized Officer or employee:
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C.
§§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Study Area Code of Reporting Carrier Filing Due Date for this form
(mm/dd/yyyy)
Date:
472227 6/16/2023
MUD LAKE TELEPHONE COOPERATIVE ASSN. INC.
Valeri Steigerwald
General Manager
208-374-6517
5/31/2023
Valeri Steigerwald
TO BE COMPLETED BY AN OFFICER OF THE REPORTING CARRIER
Digitally signed by Valeri Steigerwald DN:cn=Valeri
Steigerwald,email=[e-mail],O=mud lake
telephone cooperative assn. inc.,l=Dubois ID 83424,
Date:5/31/2023
Certification of Officer for Rate-of-Return Carrier Not Seeking Duplicative Recovery
I certify that I am an officer of the reporting carrier and that, to the best of my knowledge, the reporting carrier is not seeking duplicative
recovery in the state jurisdiction for any Eligible Recovery subject to the recovery mechanism as per §51.917(d)(vii).
Name of Reporting Carrier:
Signature of Authorized Officer or employee:
Printed name of Authorized Officer or employee:
Title or position of Authorized Officer or employee:
Telephone number of Authorized Officer or employee:
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C.
§§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Study Area Code of Reporting Carrier Filing Due Date for this form
(mm/dd/yyyy)
Date:
472227 6/16/2023
MUD LAKE TELEPHONE COOPERATIVE ASSN. INC.
Valeri Steigerwald
General Manager
208-374-6517
5/31/2023
Valeri Steigerwald
TO BE COMPLETED BY AN OFFICER OF THE REPORTING CARRIER
Digitally signed by Valeri Steigerwald DN:cn=Valeri
Steigerwald,email=[e-mail],O=mud lake
telephone cooperative assn. inc.,l=Dubois ID 83424,
Date:5/31/2023