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20230717Sage Telecom Communication LLC FCC Form 481_Affidavit.pdf
State of Florida ) CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER ) ss OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER County of Broward ) PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN EMERGENCIES, AND USE OF FEDERAL HIGH-COST SUPPORT. AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER The Idaho Public Utilities Commission Order No. 29841 requires that an Eligible Telecommunications Carrier certify that it is compliant with applicable service quality standards and consumer protection rules; and ETCs must demonstrate the ability to remain functional in emergencies. In addition, the Commission must file an annual certification with the USAC and the FCC that all federal high-cost support provided to ETCs within the State of Idaho will be used only for the provision, maintenance, and upgrading of facilities and services for which the support is intended. Accordingly, the undersigned states and verifies under oath the following: 1. I am an officer of Sage Telecom Communications, LLC, an eligible telecommunications carrier for receiving federal universal service support under section 214(e) of the Telecommunications Act of 1996 in the state of Idaho. 2. I am familiar with the Company’s day-to-day operations in the state of Idaho and with the State’s service quality standards and consumer protection rules as set forth in Commission Order No. 29841. 3. Sage Telecom Communications, LLC is complying with applicable service quality standards and consumer protection rules of the Federal Communications Commission and the Idaho Public Utilities Commission. 4. I certify to the Commission that the Company is able to remain functional in emergencies as set forth in Commission Order No. 29841 and in 47 C.F.R. § 54.201(a)(2). 5. I also certify that all federal universal service support funds received by Sage Telecom Communications, LLC during the current calendar year will be used in a manner consistent with section 254(e); that is, for the provision, maintenance, and upgrading of facilities and services for which the support is intended. The company will continue to comply for the period of January 1, 2024, through December 31, 2024, to be eligible for federal universal service fund support. 6.This verification and affidavit is provided to be the Idaho Public Utilities Commission to enable the IPUC to certify to the FCC that federal universal service support received by the eligible carriers in the state will be used in a manner consistent with Section 254(e) of the Telecommunications Act. __________________________ Nathan R. Johnson, Co-CEO __07/13/2023_____ Date SUBSCRIBED AND SWORN to before me this ____ day of ________________ 2023. ____________________________________________ Notary Public My Commission Expires: __________________________ VHHDWWDFKHG RECEIVED Monday, July 17, 2023 4:13:56 PM IDAHO PUBLIC UTILITIES COMMISSION Page 1 Page 1 FCC Form 481 - Carrier Annual Reporting FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010> Study Area Code <015> Study Area Name <020> Program Year <030> Contact Name: Person USAC should contact with questions about this data <035> Contact Telephone Number: Number of the person identified in data line <030> <039> Contact Email Address:Email of the person identified in data line <030> Data Collection Form Filing Type <035> Ext: Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 Low Income (54.422) (213)286-2010 Sage Telecom Communications, LLC Page 2 Page 2 (200) Service Outage Reporting (Voice) Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <220> Upload Service Outage Data <b1><b2><b3><b4><c1><c2><d><e><f><g><h> NORS Reference Number Outage Start Date Outage Start Time Outage End Date Outage End Time Number of Customers Affected Total Number of Customers 911 Facilities Affected (Yes / No) Service Outage Description (Check all that apply) Did This Outage Affect Multiple Study Areas (Yes / No) Service Outage Resolution Preventative Procedures <210>For the prior calendar year, were there any reportable voice service outages? <a> Name of Attached Document Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 attachmentSortOrder=0, attachmentPageIndexOn eBased=26, attachmentNumRows=13 Sage Telecom Communications, LLC <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 <420> Complaints per 1000 customers for mobile voice Page 3 Page 3 (400) Number of Complaints per 1,000 customers Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC (500) Compliance With Service Quality Standards and Consumer Protection Rules Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> Page 4 Page 4 <515> Certify compliance with applicable minimum service standards Alex Rasor 2024 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC <010> <015> <020> <030> <035> <039> Study Area Code Study Area Name Program Year Contact Name - Person USAC should contact regarding this data Contact Telephone Number - Number of person identified in data line <030> Contact Email Address - Email Address of person identified in data line <030> (600) Functionality in Emergency Situations Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <600> Certify compliance regarding ability to function in emergency situations Page 5 <610> Descriptive document for Functionality in Emergency Situations Page 5 Alex Rasor 2024 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 6 Page 6 (800) Operating Companies Data Collection Form <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <810>Reporting Carrier <811> <812>Operating Company <813> <a3> Doing Business As Company or Brand Designation <a1> Affiliates <a2> SAC <813> <a3> Doing Business As Company or Brand Designation <a1> Affiliates <a2> SAC <813> <a3> Doing Business As Company or Brand Designation <a1> Affiliates <a2> SAC <813> <a3> Doing Business As Company or Brand Designation <a1> Affiliates <a2> SAC FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 Name of Attached Document Upload Operating Company Data Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC attachmentSortOrder=1, attachmentPageIndexOneBased= 27, attachmentNumRows=23 Page 7 <910>Tribal Land(s) on which ETC Serves <920>Tribal Government Engagement Obligation <921> <922> <923> <924> <925> <926> <927> <928> <929> (900) Tribal Lands Reporting Data Collection Form <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> Page 7 <900>Does the filing entity offer tribal land services? (Y/N) FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 8 (1000) Voice and Broadband Service Rate Comparability Data Collection Form <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <1000> Voice services rate comparability certification <1010> Attach detailed description for voice services rate comparability compliance Name of Attached Document comparability compliance Name of Attached Document Page 8 FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 Alex Rasor 2024 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 9 Page 9 (1100) No Terrestrial Backhaul Reporting Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <1130> Certify whether terrestrial backhaul options exist (Y/N)<1100> <1140>Alaska Plan rate-of-return certification (yes, no, or not applicable) of compliance with approved performance plan. Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 10 Page 10 (1200) Terms and Condition for Lifeline Customers Lifeline Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <1210>Terms & Conditions of Voice Telephony Lifeline Plans <1221> <1222> <1223> <1220>Link to Public Website HTTP telephony service plans offered to Lifeline subscribers, Details on the number of minutes provided as part of the plan, Sage 1210 2023 Generic.pdf Alex Rasor 2024 4 4 4 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC www.truconnect.com Page 11 Page 11 (2005) Price Cap Carrier Additional Documentation Data Collection Form Including Rate-of-Return Carriers affiliated with Price Cap Local Exchange Carriers FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> Select the appropriate responses below to note compliance as a recipient of frozen High Cost support, High Cost support to offset access charge reductions set forth in 47 CFR 54.313(c),(d). The information reported on this form is accurate. <2015> 2016 and future Frozen Support Certification 47 CFR § 54.313(c)(4) Price Cap Carrier Connect America ICC Support {47 CFR § 54.313(d)} <2016> Certification support used to build broadband Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 12 ( 3005) Rate Of Return Carrier Additional Documentation Data Collection Form <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> Page 12 FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 (3007) Name of Consultant Name of Consultant Firm/Third Party (3007a) (3007b) 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? Alex Rasor 2024 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> 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 reporting requirements set forth in 47 CFR 54.313(f)(2). I further certify that the information reported on this form and in the documents attached below is accurate. (3010A) (3010B) (3012A) (3012B) Name of Attached Document Listing Required Information (3013) (Yes/No) (3014) (Yes/No) (3015) (3016) (3017) Name of Attached Document Listing Required Information (3018) (Yes/No) (3019) (3020) (3021) (3022) (3023) (3024) (3025) (3026) Name of Attached Document Listing Required Information ( 3005) Rate Of Return Carrier Additional Documentation Data Collection Form Page 13 Certification of Public Interest Obligations {47 CFR § 54.313(f)(1)(i)} Please Provide Attachment Rate-of-Return Community Anchor Institutions Indicate 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. § 54.313(f)(1)(ii) Is your company a Privately Held ROR Carrier {47 CFR § 54.313(f)(2)} If 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, Income Statement and Statement of Cash Flows If the response is yes on line 3014, attach your company's RUS annual report and all required documentation If the response is no on line 3014, is your company audited? If the response is yes on line 3018, please check the boxes below to confirm your submission on line 3026 pursuant to § 54.313(f)(2), contains: Either a copy of their audited financial statement; or (2)a financial report in a format comparable to RUS Operating Report for Telecommunications Borrowers Document(s) for Balance Sheet, Income 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. If the response is no on line 3018, please check the boxes below to confirm your submission on line 3026 pursuant to § 54.313(f)(2), 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 for 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, Income Statement and Statement of Cash Flows Attach the worksheet listing required information Page 13 FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 Name of Attached Document Listing Required Information Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 14 (3005) Rate Of Return Carrier Additional Documentation (Continued) Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> Financial Data Summary (3027) Revenue (3028) Operating Expenses (3029) Net Income (3030) Telephone Plant In Service(TPIS) (3031) Total Assets (3032) Total Debt (3033) Total Equity (3034) Dividends Page 14 Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> 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 Interest Obligations – FCC 14-98 (paragraphs 26-29, 78) Please address Line 4001 regarding compliance with the Commission’s public interest obligations. All RBE participants must provide a response to Line 4001. <4001> 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 Institutions <4003a> Indicate 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 Information (4005) Rural Broadband Experiment Additional Documentation Data Collection Form Page 15 Page 15 FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 16 (5005) Alaska Plan Participants Additional Documentation Data Collection Form <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> 5005 Alaska Plan (5011) (Yes/No) (5012) Newly Available Terrestrial or other Satellite Backhaul (RoR Carriers) 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. Newly Available Terrestrial or other Satellite Backhaul (CETC Carriers) If the filing carrier identified in its approved perfomance plans that it relies exclusively on satellite backhaul for a certain poriton of the population in its service area, indicate whether any terrestrial backhaul or other satellite backhaul became commercially available in the previoius calendar year in areas that were previoiusly served exclusively by satellite backhaul. (Yes/No) Page 16 <5013> <c> Newly Served Locations or Population <a> Description Of Backhaul Technology <b> Date Backhaul Available FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 Name of Attached Document Upload Backhaul Technology Data Alex Rasor 2024 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC attachmentSortOrder=2, attachmentPageIndexOneBased= 28, attachmentNumRows=23 Page 17 (6005) Phase II Auction Reporting Data Collection Form <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <6010> Enter the total amount of Phase II Auction Support, if any, the carrier used for capital expenditures. <6011> (Yes/No) Page 17 <6012a> Phase II Auction and New York 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. Phase II Auction Community Anchor Institutions Indicate 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 II Auction FCC Form 470 Postings <6013>For the filing due July 1 following full implementation of this requirement answer yes, no, or not applicable to this certification request. Phase II Auction Post-Final Deployment Milestone Performance Certification Starting the first July 1st after meeting the final service milestone, certify (yes, no, or not applicable) that the Phase II-funded network that the Phase II auction recipient operated in the prior year meets the relevant performance requirements in § 54.309. <6014> Name of Attached Document Listing Required Information Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 18 (7005) Phase-Down Support Reporting Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <7010>Price Cap Carrier and Fixed Competitive Eligible Telecommunications Carrier Transitional Support Requirement Certification (Yes/No) Page 18 Please provide a response (either yes or no) to this certification request. Any price cap carrier or fixed competitive eligible telecommunications carrier that elects to continue receiving support pursuant to §54.312(d) or §54.307(e)(2)(iii) starting July 1, 2020 and annually thereafter on July 1 for each subsequent year they receive such support, that all such support the company received in the previous year was used to provide voice service throughout the high- cost and extremely high-cost census blocks where they continue to have the federal high-cost eligible telecommunications carrier obligation to provide voice service pursuant to §54.201(d) at rates that are reasonably comparable to comparable offerings in urban areas. This certification is required by 47 C.F.R. § 54.313(m). Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 19 (8005) Uniedo a Puerto Rico Fixed and Mobile Funds Certification Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <8010> <8011> <8012b> <8012a> <8013> <8014> <8020> <8030> <8040> <8050> <8060> 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 1 after receiving support until the recipient’s penultimate year of support. Uniendo a Puerto Rico Stage 2 Fixed – Community Anchor Institutions Indicate if the carrier newly deployed broadband service to community anchor institution(s) in the previous calendar year. Please Provide AttachmentUsing link, download template and list the number, name and address for each community anchor institution. As required by 47 CFR Section 54.313(e)(2)(i)(A), attach the document which contains the community anchor institution details. 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. Uniendo a Puerto Rico Stage 2 Fixed – Post-Final Deployment Milestone Performance Certification Starting the first July 1 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 § 54.309. 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 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 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 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 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)-(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 – 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 of such support to continue receiving Stage 2 mobile disbursements Name of Attached Document Listing Required Information Page 19 Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 20 (9005) Connect USVI Fixed and Mobile Funds Certification Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <9012b> <9012a> <9013> <9014> <9020> <9030> <9040> <9050> <9060> 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 1 after receiving support until the recipient’s penultimate year of support. Connect USVI Stage 2 Fixed – Community Anchor Institutions Indicate 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. As required by 47 CFR Section 54.313(e)(2)(i)(A), Attach the document which contains the community anchor institution details. 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 1 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 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 Stage 2 Mobile - Support Reimbursement Certification 54.313(n): Recipients of Connect USVI 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 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 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 USVI 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 Information Page 20 Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 21 (10005) Rural Digital Opportunity Fund Certification Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <10010> <10011> <10012b> <10012a> <10013> <10014> RDOF Capital Expenditures Starting the first July 1 after receiving support until the July 1 after the recipient's support term has ended, recipients of Rural Digital Opportunity Fund support must submit the total amount of support, if any, the recipient used for capital expenditures in the previous calendar year. This is required by 47 C.F.R. § 54.313(e)(2)(i)(B). RDOF Available Funds Certification Please provide a response (either yes or no) to this certification request for any recipient of Rural Digital Opportunity Fund support that 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 1 after receiving support until the recipient’s penultimate year of support, as required by required by 47 C.F.R. § 54.313(e) (2)(ii). RDOF Community Anchor Institutions Recipients of Rural Digital Opportunity Fund support must attach a list containing the number, names, and addresses of community anchor institutions to which the eligible telecommunications carrier newly began providing access to broadband service in the preceding calendar year. This filing is required by 47 C.F.R. § 54.313(e)(2)(i)(A). Please Provide Attachment Using link, download template and list the number, name and address for each community anchor institution. As required by 47 CFR Section 54.313(e)(2)(i)(A), Attach the document which contains the community anchor institution details. RDOF FCC Form 470 Postings For the filing due July 1st following full implementation of this requirement, please provide a response (either yes, no, or not applicable) to this certification request. Recipients of Rural Digital Opportunity Fund must respond affirmatively that they bid on category one telecommunications and Internet access services in response to all FCC Form 470 postings seeking broadband service that meets the connectivity targets for the schools and libraries universal service support program for eligible schools and libraries (as described in § 54.501) located within any area in a census block where the carrier is receiving Rural Digital Opportunity Fund, and that such bids were at rates reasonable comparable to rates charged to eligible schools and libraries in urban areas for Instructions for Completing FCC Form 481 OMB Control No. 3060-0986 (High-Cost) OMB Control No. 3060-0819 (Low-Income) November 2020 Page 44 comparable offerings. This filing is required by 47 C.F.R. § 54.313(e)(2)(i)(C). This certification will not be required until the July 1st following the E- Rate program year that this obligation has been fully implemented. Modernizing the E-Rate Program for Schools and Libraries et al., WC Docket. Nos. 13-184, 10-90, 29 FCC Rcd 15538, 15566-67, para. 72 (2014). RDOF Post-Final Deployment Milestone Performance Certification Starting the first July 1st after a Rural Digital Opportunity Fund recipient meets its final service milestone until the July 1st after the support recipient’s support term has ended, please provide a response (either yes, no, or not applicable) that the Rural Digital Opportunity Fund-funded network that the support recipient operated in the prior year meets the relevant performance requirements in 47 C.F.R. § 54.309. This filing is required by 47 C.F.R. § 54.313(e)(2)(iii). Name of Attached Document Listing Required Information Page 21 Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> Certify Filing Data Collection Form Page 24 FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 Please Provide Waiver Document Allowable File Type (pdf only) Name of Attached Document Listing Required Information Page 24 I certify under penalty of perjury that no universal service support has been or will be used to purchase, obtain, maintain, improve, modify, or otherwise support any equipment or services produced or provided by any company designated by the Federal Communications Commission as posing a national security threat to the integrity of communications networks or the communications supply chain since the effective date of the designations. I certify that no Federal subsidy made available through a program administered by the Commission that provides funds to be used for the capital expenditures necessary for the provision of advanced communications services has been or will be used to purchase, rent, lease, or otherwise obtain, any covered communications equipment or service, or maintain any covered communications equipment or service previously purchased, rented, leased, or otherwise obtained, as required by 47 C.F.R. § 54.10. Please Provide Waiver Document Allowable File Type (pdf only) Name of Attached Document Listing Required Information Answer yes or no (I am participating in the reimbursement program and the removal, replacement, and disposal term has not expired) if the reporting ETC does not use covered communications equipment or services published on the Covered List, as required by 47 C.F.R. Section 54.11 Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Page 22 Page 22 Certification - Reporting Carrier Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAL REPORTING ON ITS OWN BEHALF: Printed name of Authorized Officer: Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or LI Recipients Name of Reporting Carrier: Signature of Authorized Officer:Date I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the annual reporting requirements for universal service support recipients; and, to the best of my knowledge, the information reported on this form and in any attachments is accurate. Title or position of Authorized Officer: Study Area Code of Reporting Carrier:Filing Due Date for this form: 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. I understand that making willful false statements in any part of this report and/or in these certifications is punishable by fine or imprisonment pursuant to 47 U.S.C. Sections 416(c), 503(b)(1)(B), and 18 U.S.C. Section 1001. Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 479031 (213)286-2010 Sage Telecom Communications, LLC Sage Telecom Communications, LLC Attachments 05-07-2023 08:48:56 (200) Service Outage Reporting (Voice) Data Collection Form FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> NORS Reference Number Outage Start Date Start Time Outage End Date End Time Customers Affected Number of Customers Facilities Affected (Yes / No) Service Outage Did This Outage Affect Multiple Service Outage Preventative Outage Outage Number of Total 911 <220> <220> Upload Service Outage Data Name of Attached Document <e> Below is a preview of the CSV file attached for this section. To view all the data, please select “Full OMB Form with Attachments". Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC <a3> Doing Business As Company or Brand DesignationAffiliatesSAC (800) Operating Companies Data Collection Form <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 <813> <a1> <a2> <<<<813>813>813>813> Name of Attached Document Upload Operating Company Data Below is a preview of the CSV file attached for this section. To view all the data, please select “Full OMB Form with Attachments". Alex Rasor 2024 05-07-2023 08:48:56 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC (5005) Alaska Plan Participants Data Collection Form <010>Study Area Code <015>Study Area Name <020>Program Year <030>Contact Name - Person USAC should contact regarding 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> <5013><c> Newly Served Locations or Population <a> Description Of Backhaul Technology <b> Date Backhaul Available FCC Form 481 OMB Control No. 3060-0986/OMB Control No. 3060-0819 December 2020 Below is a preview of the CSV file attached for this section. To view all the data, please select “Full OMB Form with Attachments". <5013> Name of Attached Document Upload Backhaul Technology Data Alex Rasor 2024 RegulatoryAffairs@truconnect.com 479031 (213)286-2010 Sage Telecom Communications, LLC Form 481 section 1210 Sage Telecom Communications, LLC d/b/a TruConnect Lifeline Offering Terms & Conditions maintained at www.truconnect.com Plan Minutes Text Data Net Cost to Lifeline Customer Effective Lifeline Basic Unlimited Unlimited 4.5GB $ 0.00 Jan 2021 Lifeline + EBB Unlimited Unlimited 12.5GB $ 0.00 May 2021 Lifeline + ACP Unlimited Unlimited 12.5GB $ 0.00 Jan 2022 Lifeline + ACP Unlimited Unlimited Unlimited $ 0.00 April 2022 Plans Include: • Free SIM card • Unlimited Calls to Canada, Mexico, Korea, Vietnam, and China (first 10 unique numbers each month) • Free calls to Company Customer Service • Free calls to 911 emergency services • Free access to Voicemail, Caller-ID, Call Waiting, Call Forwarding, and 3-Way Calling • Free Domestic Long Distance • Data at 3G speeds or higher • Free Wefi® App • Free MyAccount App Additional voice and data usage available for purchase Voice, Data, and International Talk refill options can be purchased using a subscribers MyAccount App or using the MyAccount website https://my.truconnect.com/ 7/5/23, 8:48 AM Form481-Portal https://hccert.universalservice.org/form481/#/CarrierHome 1/1 FCC Form 481 SignOut FCC Form 481 Home | Sage Telecom Communications, LLC etc@telecomcounsel.com Back Sage Telecom Communications, LLC State: ID SAC: 479031 498 ID: 143037286 Form History Displaying 1 of 1 submission periods Show submission periods/page of 1 pages *CR stands for Confidentiality Request. You can submit a Confidentiality Request to request USAC keep certain data fields private. Learn more . © 2023 Universal Service Administrative Company.All rights reserved. Paperwork Reduction ActOMB Control #: 3060-0986 (High Cost) & 3060-0819 (Low Income) SubmissionPeriod DateSubmitted FilingPeriod Filing#Status Actions Download 2024 06/30/2023 Closed 1 Certified - On Time 5 1