HomeMy WebLinkAbout20260701Blackfoot Telephone Cooperative Inc Tariff Filing Certification.pdf RECEIVED
JULY 1, 2026
IDAHO PUBLIC
UTILITIES COMMISSION
Certification of Officer
to Authorize an Agent to File Data on Behalf of Reporting Carrier
I certify that(Name of Agent)John Staurulakis,Inc. (JSI)is authorized to submit 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 knowledge,the actual data provided to the Authorized Agent are accurate.
Name of Authorized Agent John Staurulakis,Inc. (JSI)
Name of Reporting Carrier Blackfoot Telephone Cooperative,Inc.
Signature of Authorized Officer Date
L'2-0 2-
Printed name of Authorized Officer Stacey Mueller
Title or position of Authorized Officer CFO
Telephone number or Authorized Officer. 406-541-5000
Study Area Code of Reporting Carrier 482235 Filing Due Date for this form 06/16/2026
(mm/dd/yyyy)
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.
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 Blackfoot Telephone Cooperative,Inc.
Signature of Authorized Officer Date
2-6
Printed name of Authorized Officer Stacey Mueller
Title or position of Authorized Officer CFO
Telephone number or Authorized
406-541-5000
Officer.
Study Area Code of Reporting Carrier 482235 Filing Due Date for this form(�dd/yyyy) 06/16/2026
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.
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 Blackfoot Telephone Cooperative,Inc.
Signature of Authorized Officer Dat 142-04
Printed name of Authorized Officer Stacey Mueller
Title or position of Authorized Officer CFO
Telephone number or Authorized
406-541-5000
Officer.
Study Area Code of Reporting Carrier 482235 Filing Due Date for this form 06/16/2026
(mm/dd/yyyy)
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.
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 Blackfoot Telephone Cooperative,Inc.
Signature of Authorized Officer Date
Printed name of Authorized Office Stacey Mueller
Title or position of Authorized Officer CFO
Telephone number or Authorized
406-541-5000
Officer.
Study Area Code of Reporting Carrier 482235 Filing Due Date for this form 06/16/2026
(mm/dd/yyyy)
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.