20240131Cingular Wireless Form 555.pdf

Richard T. Howell Area Manager-Regulatory Relations
AT&T th Floor , Texas 75202 [phone]
Via Email
January 31, 2024
Ms. Monica Barrios-Sanchez Commission Secretary
Idaho Public Utilities Commission
11331 W. Chinden Blvd. Building 8, Suite 201-A Boise, ID 83714 [e-mail]
Re: FCC Form 555. Annual Lifeline Eligible Telecommunications Carrier Certification Form for New Cingular Wireless PCS. LLC ("AT&T Mobility”) 1 (Case No. GNR-T-24-01)
Dear Ms. Barrios-Sanchez:
On behalf of New Cingular Wireless PCS, LLC (dba "AT&T Mobility"), attached please find a copy of FCC Form 555. AT&T Mobility is providing you with a copy of this FCC filing in accordance with 47 C.F.R. § 54.422(c). Receipt of this information requires NO action on your
part. It is strictly informational.
If you have any questions concerning this matter, please do not hesitate to call me to discuss. I can be reached at 469-657-6722.
Sincerely,
Richard T. Howell Area Manager-Regulatory Relations
cc: Trey Lamair ([e-mail])
Attachment 1 AT&T Mobility filed its FCC Form 555 online with the Universal Service Administrative Company (USAC). Once a carrier enters its six-digit code (SAC) into USAC’s online FCC Form 555, the online tool automatically populates a name associated with that SAC. In some cases, this automatically-generated name differs from (e.g., is an abbreviated version of) the legal entity name for AT&T Mobility’s eligible telecommunications carrier affiliate.
RECEIVED
Wednesday, January 31, 2024 2:15:07 PM
IDAHO PUBLIC
UTILITIES COMMISSION
Annual Lifeline Eligible Telecommunications Carrier Certification Form All carriers must complete all or portions of
all sections Form must be submitted to USAC and filed with the Federal Communications Commission
IMPORTANT: PLEASE READ INSTRUCTIONS FIRST
Deadline: January 31st (Annually)

479006 143029765
Study Area Code (SAC)Service Provider Identification Number (SPIN)
(An Eligible Telecommunications Carrier (ETC) must provide a certification form for each SAC that provides Lifeline service).
2023 ID Cingular Wireless
Recertification Year State ETC Name
AT&T Inc.
DBA, Marketing, or Other Branding Name
(If same as ETC name, list “N/A” Do not leave blank)
Holding Company Name
(If same as ETC name, list “N/A” Do not leave blank)

Does the reporting company have affiliated ETCs? Yes X No
Provide a list of all ETCs that are affiliated with the reporting ETC, using page 4 and additional sheets if necessary. Affiliation shall be determined in accordance with Section
3(2) of the Communications Act. That Section defines “affiliate” as “a person that (directly or indirectly) owns or controls, is owned or controlled by, or is under common
ownership or control with, another person.” 47 U.S.C. § 153(2). See also 47 C.F.R. § 76.1200.

Affiliated ETC’s SAC Affiliated ETC’s Name
405211 Southwestern Bell Telephone Company
545170 Pacific Bell Telephone Company
285184 BellSouth Telecommunications, LLC
555173 Nevada Bell Telephone Company
305150 The Ohio Bell Telephone Company
415214 Southwestern Bell Telephone Company
289912 Cingular Wireless
529910 Cingular Wireless
269905 Cingular Wireless
449022 Cingular Wireless
279010 Cingular Wireless
259908 Cingular Wireless
319026 Cingular Wireless
399015 Cingular Wireless
539010 AT&T Mobility LLC
389015 AT&T Mobility LLC
409004 AT&T Mobility LLC
209012 Cingular Wireless
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Initial Certification All ETCs must complete this section.
I certify that the company listed above:
• Has policies and procedures in place to ensure that its Lifeline subscribers are eligible to receive Lifeline
services; and
• Is in compliance with all federal Lifeline certification procedures; and
• Is in compliance with the minimum service levels set forth in 47 C.F.R. § 54.408.
I am an officer of the company named above. I am authorized to make this certification for the SAC listed
above.
Initial ALG
Annual Recertification Results
Report the results of recertification efforts for the current calendar year.
Do not leave blocks empty. If the National Verifier is responsible for conducting recertification, enter zero for blocks A - F. If the state Lifeline
Administrator is responsible for conducting recertification, report the results for each block.

A. Subscribers eligible for recertification within current calendar year
B. Subscribers de-enrolled prior to recertification attempts
C. Total number of subscribers required to be recertified (A-B)
D. Subscribers successfully recertified
E. Subscribers de-enrolled for failed recertification
F. Percentage de-enrolled for failed recertification (E/C)
I certify that the company listed above has procedures in place to recertify consumer eligibility by relying upon
notice of eligibility from: state Lifeline administrator X National Verifier
I am an officer of the company named above. I am authorized to make this certification for the SAC listed
above.
Initial ALG
No Subscribers Certification Complete this section if ETC claimed no Lifeline subscribers.
I certify that my company did not claim federal low income support for the current Form 555 data year. I am an officer of the company named above. I
am authorized to make this certification for the SAC(s) listed on this form
Initial
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ETCs Subject to the Non-Usage Requirements
All ETCs must complete the appropriate check-box. ETCs that do not assess and collect a monthly fee from their Lifeline subscribers are subject to the
non-usage requirements. ETCs subject to the non-usage requirements must indicate the number of subscribers de-enrolled by month. ETCs that only
assess a fee but do not collect such fees are subject to the non-usage requirements and must also indicate the number of subscribers de-enrolled by
month.

Is the ETC subject to the non-usage requirements? Yes No X
If yes, record the number of subscribers de-enrolled for non-usage by month in Block H below.

G H
Month Subscribers De-Enrolled for Non-Usage
January
February
March
April
May
June
July
August
September
October
November
December
Total Subscribers 0
For purposes of this filing, an officer is an occupant of a position listed in the article of incorporation, articles of formation,
or other similar legal document. An officer is a person who occupies a position specified in the corporate by-laws (or
partnership agreement), and would typically be president, vice president for operations, vice president for finance,
comptroller, treasurer, or a comparable position. If the filer is a sole proprietorship, the owner must sign the certification.
Signature Block
By signing below, I certify that the information provided is true and accurate. I am an officer of the company named
above. I am authorized to make this certification for this SAC.

Signed,

Anisa L. Green Anisa L. Green - Director - Federal Regulatory
Signature of Officer Printed Name and Title of Officer
[e-mail] 01-30-2024
Email Address of Officer Date
Anisa L. Green 202-425-2417
Person Completing This Certification Form Contact Phone Number
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