KELLEY DRYE & WARREN LLP
IOEW YORK. NY
WASNINOTDN, DC
~ DS ANOELES, CA
STAMFORD, CT
PARSIPPANY, NJ
SRUSSELS, eELOIUM
MUMSAI, INDIA
333 WEST WACKER DRIVE
26TH FLOOR
CHICAGO, IL 60606
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June 30, 2016
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Jocelyn BoydExecutive DirectorSouth Carolina Public Service Commission101 Executive Center DriveSuite 100Columbia, South Carolina 29210
via Overnight Delivery
Re: Submission of FCC Form 481 for American Broadband and TelecommunicationsSAC 249029 Docket No 2016-14-C
Dear Ms. Boyd:
On behalf of American Broadband and Telecommunications Company (MAmericanBroadband"), enclosed for filing with the South Carolina Public Service Commission(MCommissionm) is a copy of the Company's FCC Form 481. A copy of the form is also beingprovided to the Office of Regulatory Staff.
Kindly date-stamp the duplicate copy of the filing and return it in the enclosedenvelopePlease contact the undersigned at (312) 857-7087 ifyou have any questions.
)Pauead: MRespectfully ubmitted, D
. ~leliMichael Dover T;,:3YDCounsel to American Broadband andTelecommunications
cc: Office of Regulatory Staff
EF?ESFoprn dg1"- Carrier Annbal Reporting „0 M' POMsco Ir tao;906&0986/omacootrolnne9NM19
?Sate Cogectlon.Form, '2 . 5 . ~ ... 0,, 0 "Ir tain
Page 1
&010& Stu Area Code
&015& Stud Area Name
2490?9
1 rto aoodl! dsrlo 1 01
«020& Program Year
&030& Contact Name: Person USAC should contactNlth questions.about this data
2015
&035& Contact Telephone Numben ~ 190245II10Number of the erson identified In data gne &030&
&030& Co~tact Email Address:Emag or the erson Identltled Indata gne «030&
Form Type 54.4m
Page 2
ir ($8035ervlce Quality,impzovernhnt I(pporting7Data Cof)dckforypdrm
ECO Form 481
tOMS Control No. 30604I986/OMB Control Ho. 31600838.July 20(3
&010 Stu Area Code
&015» Study Area Nome
&020 Pro rom Year
&030 contact Name - personusxc shnuid tontact re erdi this date
&035& contort Tele hone Number-Number of erson Identlgedln data one &030&
039 Canted Email Address-Email address of erson ldentliiedin data line &030 ~
299929
xnnrtc n seo nn no 9 2 Jeco ntentt2927
2 trr* nnet 49299295979 &ne.
&110& Has your company received its ETC certification from the FCC?
IfyouranswertoUne&110&is yes,doyouhave an existing 854.202(a) 5
&1112 year plan" flied with the FCC7
(Yes/no) 0 0(yes/no) 0 0
&112&
If your answer to Une &111& Is yes, please Rle a progress reporh on line&112& delineating the status of your company's existing 6 54 202(a) 5 yearplan on file with the FCC, as it relates to your provision of voice telephonyservice.
Attach Five-Year Service Quality Improvement Plan or, in subsequent years,your annual progress report fi)dd pursuant to 47 CF R. 6 54 313(a)(1). Jf your company is aCETC which only receives frozen support, your progress report is only
required to address voice telephony service.
&113&
&114&
&115&
&116&
&117&
&138&
Please select the appropriate responses below (Yes, Nor Not Applicable} to confirm
that the attached documentls), on line 112, contains a progress report on its Frve Year
service quality improvement plan pursuant to 354.202(a). The information shall besubmitted at the wire center level or census block as appropriate.
Maps detailing progress towards meeting plan targets
Report how much universal service (USF) support was received
Hcw much (USF) was used lo impnwa corno quality and how support was used Io impmve setvlce quality
How much (UsF) was used to knprova serrice mvarage and how support was used to nnprova servfce coremge
How much (USF) was used lo impmve service capacity and how support was used lo imprme swvica capacity
Provide an explanation of network improvement targets not matin the pnor calendar year.
Name of Attached Document
Page 2
Page 3
(ZOO) Service Outage (teporting Noise)
Da)R Collbctir)h Fopn.FCO Form 481
OthB Control No. 306!M986/OMR„Conuof No 30600839lul/ 2036
&010 Study Area Code
«015& Slu Area Nants
«02t& Pro rsm Year
&030 Contact Name-Per&on USACshould cont&Ore rdln this data
oi33& contso Telephone Numbrr Number of pe&san tdenttgad ln data line &030
ttsotss *rt«sn a*&&abend s 7 1 » 1& ttor ~
7017
Jsfrs& S t d
039 Contact Email Addrem. BnM Address»f person identified in data gne «03Co least«dasunt.&st
«210& For the prior calendar year, were there any reportable voice service outages)
&220 &a& «bt& &b2& h3 &h4& &&1& «2& ce& &g& «h&
NORS
ReferenceNumber
orltage Start olrulgs startDate Time
Outage End
DateOutage End Number of
Time Customers Affected Total Number ofCustomem
911 FacgitiesAffected
(Yes / No)
Service 0utageDescription (Check
ag that up
DldohlsoutageAffect Multiple
Study Areas
(Yes / No)
Sendce OutageResotutlon
PreventativeProcedures
Page 3
Page 4
lt300) 1Un)a(filled service Request
Dahf CoRectiop Form)CC Form 4810MB Control No. 3060-0986/QMB Control No. 30600819July 2013
c010 Stu Area Code
«OISa gtu Area Name
«02co Prorselyaal'sao2aA «*1«an sr«sahara s rein««re unieation»
2O17
Jeffrey Aortae
«035» Centact Telephone Number ~ Number of rson Identified ln data nne «030&iisa2asato erst.
&039& contact Email Address EmsR Address of personldentgled In data Bne &030 Je at«de*m7t.net,
&300a Unfugiged service request (volm)
«310 Detpg on attempts (volcel
Name of Attached Document
&320 Unfulfilled servke request (bmadband)
&330& Detail on attempts (broadband)
Name of Attached Document
Page 4
s 5
I4mlaina Ic »It n» tzrw nau mamt r nl
Fear zslay&sf" »3», zwwnssrousc wz«m, zsmc'snz Vzsu
&010& Study Area Code
&015& Study Area Name
&020& Program Year
«030» Contact Name- Person USAC should contact regarding this dsts
035Coats&« Telephone Number - Number of person Identified In dsm line&030& zll z z!
Contact Emag Addrem ~ Email Address ai parson Idsntigad in data Ene&030&
&400&
Select fram the drop«fawn Est to Indicate hew you would gke to reportvohe complaints (zero or greater( for voice telephony service ln the priorcalendar year for each service ares In which vou sre designated an ETC forany fscgitles you own, operate, lease, or otherwise utglze.
«410» Complaints per 1000 customers for Axed voice
«420» Complaints per 1000 customers for mobge voice
&430»
Select from the drop-down gst to indicate how you would gke to reportend-user customer complaints (zero or greater) for broadband service In
the prior calendar year for each service area In which you are designatedan ETC for sny fadgtles you own, operate, lease, ar otherwise utglze.
Complaints per 1000 customers for fixed broadband
&430& Complaints per 1000 customers for mobile broadband
s
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, D t C00ectlonform,FCFF 481
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Page S
fyOJ%)'Rrfctf offerfngsihcluding voice Rate'bgfaData rgtgl acti on Forfn
fC0 Form 481
Oil/IB,Control No. 5060-0986/OATB Contro/No. 3060-0819July*.2413
&010& Study Area Code
&013& Study Area Name
&020& Program Year
2&9929
9 l 9 dn dc'rl 2 tlo*2017
&030& contact Name - person UEAc should contact regarding this data 2 cl 9 l *t 4
&033& Contact Telephone Number - Number of person identified in data line &030&9299299910 t.
&039& Contact'Email Address - Email Address of person identified in data line &030& 1 t de cnt
&701& Residential tocelservice charge Effective Date
&702& Single State&olde Aesldentill local Service Charge
2/2/2979
&709&
Page 0
Page a
(910) 0roadbra ed Pdce Offyifngg r
Datg Collection Foml,FCC Fogn 481OMB Control"No. 30600986/OMB„ContrqJ No. 30QFOB39
Iuly+013
&010& Study Area Code
&013& Study Area Name
&020 Program year
2&aa22
s *1 aro cb d s t*1 1 rs2017
Jcc ya tc&033& Contact Telephone Number-Number of person Identified in data line 030&
&039& contact Email Address -Email Address of personidentified In data line &030 'tree mt. t
71D
Page 9
Page 10
(800) Ophrettnggotnphnl8s
Data Colic*ion Form . 0 M8 Controtifo. 3060PISS/0MIEFdrnt1o I Nor 30t4-0829
Idly 2013...
&010& Stu Area Code
OI25& Stu Area Name
&020& Program Year
2&&029
2els&030& Contact Name-Person USACshould«ontactregardingthls data Jeff A t d
&105& Contact Tele hone tiumher - number of mon IdentiTied In data gne &030&
&039& Contact EmagAddress-Entail Addressofpersonidentifredlndataline&030& a st da~t
&820& Reporting Carrier 2 1 2 db ddt 1 0 'l Cm 2
call& Hdlding Com an not Appll«b!&812& 0 crating Compan n st&A& a* db d 1 t,1*cpm tcatl nn mm 2
Page 10
Page 11
(9do) Tribal larids Reporting
03(3 CbllectionaormFCC Form 461
DMacontra)flo. 30600966/Dhtacontrotuo. 30600619Iub'2013 ~ I
«010 StudyArea Code
«ots) stu An.'9 Nllm«
«020& Proarsm Year
«oat& contt&t Nsma - person usAc should contact re ardi thb data«033& contact Tele hone Number-Number~of erson
Identlfl«din
dataline «030&
«039& Contact Email Address - rosa Addr«99 of person Id9miiidd In data Ilna «030
&900& Does the filing entity offer triballand services7 (y/N)
299929
A t««r 97««d)«xd « 2«2 «ot 2««tt«7«
2927
J*rr y Ad«««d
«1992459)9
lad*««dt«dh«.« t
&910& Tribal Land(s) on which ETC Serves
&920& Triibal Government Engagement Obligation
Name of Attached Document
If your company serves Tribal lands, please select (yes,No, NA) For each these boxes
to mngrm the status described on the attached document(s), on line 920,
demonstrates coordination with the Tribal government pursuant to3 54.313(a)(9) includes:
&921&
&922&
&923&
&924)
&925&
«926)
&927)
&920&
&929&
Needs assessment end deployment planning v/7th a focus on Tribal
community anchor institutions.Feasibility and sustainability planning;
Marketing services in a culturally sensitive manner;
Compliance with Rights of way processesCompliance with Land Use permitting requirements
Compliance with Facilities Siting rules
Compliance with Environmental Review processes
Compliance with Cultural Preservation review processesCompliance with Tribal Business and Ucensing rc«tuirements.
Page 11
f2000) Voice and BJoadjqnd Sertdce*I)ate Comparabfli@,Data FmflectiqnForm'age 12
FCC.Forlh 481 I
OMB Cbntrptgo. 306t&0986fOMB Corftrol No. 3060-0819*
inly'2013
&010& Study Area Code&015& Study Area Name&020& Program Year&030& Contact Name - Person OSAC should contact regarding this data
212020
2 ti a d& d 1 21 1 t1201'I
2 22* 22 tM&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& I 1 ds~t.
&1000& Voice services rate mm para biiity certification
&1010& Attach detailed description for voice services ratecomparability compliance
Name of Attached Document
&1020& Broadband comparabiTity certification
&lli30& Attach detailed descdptlon for broadband
corn parabifity compliance
Name of Attached Document
Page 12
Page 13
(2)100)'No Terregriai Sac)rhau gepoctincg.,PataCollec((on Form
FCCFofm'482».
0MB Contro) Ao. 3060-0986IQMB ControbNb, 3060 0819»'July 2013
«010& Study Area Code&015& Study Area Name&020& Program Year
&030& Contact Name-PersonUSACshouldcontactregarding thisdata
9»9019
1 a»icaa eco d&aad 1 relace icaeio 0
901»
0 ffea i! ~ I d
&035& Contact Telephone Number - Noir)ber of person Identified in data line &030& a ice»a&010
&039& Contact Email Address - Email Address of person identified in data line «030&, i««swee. «
&1100& Certify whether terrestriai backhaul nptioni exist (Y/N)
«1130& Please select Ihe appropnate response (Yes, No, Not Applicable) to conlirm thereporting carrier offers broadband send»ca of at least I Mbps downstream and 256 kbpsupstream within ihe supported ares pursuant to 5 54.3t 3(g).
Page 13
Page 14
(1200) Terms and'grind)ttgh fgr Lifelinedustot)tersUfeline.t)e)Jr Co)fe'ctioniporm
FCC Form 481,,'DMBicontrol No.'3))gt):098'/9MB GontroliNo. 3060/0829
tluly 2013,
&010& Study Area Code&015& Study Area Name&020& Program Year&030& Contact Name - Person USAC should contact regarding this data
219n22
1 1 stodb dnri c nni t1o*
dff 1 td&035& COntaCt TelephOne Number- Number Of perSOn identified in data line &030& dipnidinin n*t.&039& COntaCt Email AddreSS - Email AddreSS Of peraun identified in data line &030& „,t,dd nbt t
&1210& Terms gt Conditions of Voice Telephony Lifeline Plans
&1220& Link to Public Webslte HTTP bttpnt//wn. mtic nnnnint nc*. /
Name of Attached oocument
*P)esse check these boxes below to confirm that the attached document(s), an gne 1210,
or the website gsted, an line 1220, contains the required information pursuant to5 54 422)a) (2) annual reporting for ETcs rece iving low income support, carriers must
annually report:
&1221& information descdrbing the terms and conditions of any voicetelephony service plans offered to Ufeline subscribers,
&1222& Details on the number of minutes provided as part of the plan,
&1223& Additional charges for toll calls, and rates for each such plan.
Page 14
Page 13
[1000) price Csp Car/Iur Addriiuugl OurumuutstihnData Cuiiucnun tunafur/ud/0 Ruieu -Refdrrcculriers 9 ruisd wiih Iirir cup iucul Esrhuu'cdmem
FCC Form SgrI
PMB cuuiruisiu 30640986/0MB control nh, 30600819 )isir„2013 I
0209 Pro ism Year90309 cuuisn Name ~ pursuu UsAc shuuid ruuisri 9 srdiu ihis isis
0339 cuuiso tsisphuus Numhur Numhsr of nuuidsutgnd iu data line 9030
299929
Au siuss sso du 9 1 rs) uu 9 fmsfuus291'I
Jsfrrsy tusssd
9099 Cusissi Emsii Addrsss -Emsi Addrsmsf psriuu idsuiifisd in dsis Ims 903th Isustssssuus. ~ t.
select the appropriate responses below (Yes, hlo, Not Applicable) to note compliance as a recipient of incremental High cost support, High cost support to offset access charge reductions,and connect America Phase II support as set forth in 47 cFR 9 54.313(b),(c),(d),(e), The information reported on this form and in the documents attached below is accurate.
Incremental Connect America Phase I reporting&2010& 2nd Year Certification 47 CFR rf 54.313(b)(1)(i) - Note that for the July 1
2016 certification, this applies to Round 2 recipients of IncrementalSupport
&2011& 3rd Year Certification 47 CFR 9 54.313(b)(1)(ii) - Note that for the July 1
2016 certification, this applies to Round 1 recipients of IncrementalSupport
&2022& Recipient certifies, representing year two after filing a notice ofacceptance of funding pursuant to 54.31g(c), that tbe locations inquestion are not receiving support under the Broadband InitiativesProgram or the groadbandiyechnology Opportunities Program forprojects that will provide broadband with speeds of at least 4Mbps/1Mbps - 54.313(b)(2)(l). Round 2 recipients only.
&2023& The attachment online 2024 includes a statement of the total amount ofcapital funding expended In the previous year in meeting ConnectA'merica Phase I deployment obligations, accompanied by a list of censusblocks indicating where funding was spent. This covers year two-54.313(b)(2)(ii). Round 2 recipients only.
&2024A& Round 2 Recipient of Incremental Support?
&20240& Attach list of census blocks indicating where funding was spent in yeartwo - 54 313(b)(2)(ii). Round 2 recipients only.
&2025A& Round 1 or Round 2 Recipient of Incremental Support?
Na/ne of Attached Document ListingRequired information
&20250& Attach geocoded information for Phase I milestone reports (Round 1 foryear three and Round 2 for year two) - Connect America Fund, WCDocket 10u90, Report and Order, FCC 13-
Name of Attached Document ListingRequired Information
&2015& 2016 and future'Frozen support Certification 47 CFR 9 54.313(c)(4)
Page 15
Page 16
)daai price Pip Carrier Addi)tcptel aogementatton Ironttnued)'ta&t)gectloqform)nduging Rare-o
-Return
Camerc o iaied with pme Cop Local Exchange Carryerc
PCC form eelorna control No. 30604960/prxg control No 306D0319,July 1013
PNice Cap Carrier Connect America ICC Support {47 CFR 5 54.313(d))&2016& Certification support used to build broadband
Connect America Phase ll Reportiug {47 CFR 3 54.313{e))
&2017A& Connect America Fund Phase II recipient?
&20173& Attach information for Phase il - 54.313(e)(1) - list of geocoded locations Name of Attached Document Listingalready meeting the 54.309 public interest obligations at the end of Required'Informationcalendar year 2015 and total amount of Phase II support, if any, the price
&2016&cap carrier used fur capital expenditures in 2015.Attach the number, names, and addresses of community anchormstitutions tb which the carrier newly began providing access tobroadband service In the preceding calendar year - 54.313(e)(2)(ii)
Name of Attached Document ListingRequired Information
&2019&
&2020&
&2021&
&2026&
&2027&
Redipient certifies that it bid on category one telecommunications andInternet access services in response to all FCC Form 470 postings seekingbroadband senilce that meets the connectivity targets for the schools andlibraries universal service support program for eligible schools andlibraries located within any area in a census block where the carrier isreceiving Phase ll model-based support, and that such bids were at ratesreasonably comparable to rates charged to eligible schools and libraries inurban areas for comparable offerings - 54 313(e)(2)(v)Recipient certifies that it offered broadband meeting the requisite publicinterest obligations specified in EJ54.309 to 40'Vo of its supported locationsin the state on December 31, 2017- 54.313(e)(3)Recipient certifies that it offered broadband meeting the requisite publicinterest obligations specified in 554J309 to 60yo of its supported locationsin the state on December 31, 2018 - 54.313(e)(4)Recipient certifies that it offered broadband meeting the requisite publicinterest obligations specified in 954.309 to 80yo of its supported locationsm the state on December 31, 2019 — 54.313(e)(5)Recipient certifies that it offered broadband meeting the requisite publicinterest obligations spedfied in 954 309 to 100M of its supported locationsin the state on December 31, 2020 -54.313(e)(6)
Page 16
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American Broadband 5 reieonnmunioationa2027
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Complete the items below to note compgance with five year service quagty plan (pumuant to 47 CFR 3 54 202(a)) and, for privately held carriers, ensuringcompgance with the financial reporgng requirements set forth In 47 CFR 5 54.313(f)(2). I further cenlfy that the Information reported on thb form and In
the documents attached below ls accurate.
(3D09)progress Iteport an 5 year planCanter cert l gas to 54.313 ti)(1 HI I I)
(3D10A) Milestone Cenflicatlon (47 CPA 5 M.313lfl(1)gl)
(301DB) PleaseP rnldeAttacl ment Name of Attached Document Bating RequiredInformation
(3012A'I
(30128)
(3013)
(301a)
C mmunlty Anchor lnslltutlam (47 CFR 5
54,313(t)(U{EI)P I ease Provide Attachment
ls Veer company a Privately iield IIOR Carrier l47 CFR
5 54.313lf)UI)
If yes, does your company f8e the RV 5 annual report (Yes/No) 0 0
Name of Attached Document Ustlng Req fredInformation 0 0(Yes/No)
13015)
(3018)
(3017)
(3013)
[3019)
(3020)
(3021)
(3072)
(3023)
Plea* check these boxes to confirm that theansched poF, an gne 3017, contains the reaulredInformation punuant to 5 54.313(f)(2) compliancerarnrlrasiElectronic caoy ef their annual RUS reports(Operating Report for Telecommunicationsaarroweri)Don ment(sl with Balance Sheet Inceme Statementand 5tatement of Cash Flows
If the response b yes on Bne 5014, attach yourcomps y's RUS annual report and ag requireddocumentationIt the response is no on line 3014, Is Your companyaudltedyU the mmonse levee an gne 3018, please check theboxes below to conf'rm your submission an line3025 punuant to 5 SSSZS(f)(2) contains:Either scopy of their audited gnanclal statement; or(2) a linanclal r port ln a format comparable te RUS
Ope sting Aeport for Teleconimunlcatlons BorrowersDocument(sl for Balance Sheet, income Statementand 5tatement ol Cash Flaws
Ma sge mtiette ~ d/oraudlteplnlon issued bytheindepandentcertlfled pubgc sccou tantthatperfenned the company's nnanclal audit.If the remonse Is ne on kne 5015, please cheek theboxes below to confirm you submission on gne3DZE parsi ant to 5 54.513(r)f2), contains:copy oi Ihel an*ndal statement which has beansubfect to review by an inde pen dam cartln ed publiceccour ti nt: o 1) s financial rapert In s formatcomparable to AUS Operating Aepon forTelacomrnunlcatlons aorrowersUnderlying Information sub)swed to ~ review by enlnd p nde t«ninm o«boc ccou ro t
Name of Anached Document Ustlng Requiredinformation
(Yes/No) Q Q
(3024) Underlying lnfom ation subJected to sn omcarcirrlglcst!orl.
(3025) Document(s) for Balance 5heet, incame Statementand Statemmt of Cash Flows
(3026) Attach drs woAshem listing squired Information Name of Attached Document Usting RequiredInformation
ps t7
Page 18
(pms)e teotaet *rrlerfdauonmo tngnpntagi ntcmtuayedij
Oaoco'tutu rtrm
FCC fo IS I
oam c omho susomssyom0 cannot no. SasoasfsI
fmf tufa I
mitt stotcfuee Code
mls~os Ame nnmn 20 I'e&f
24I029A erie n smmdh nd I 2 la I tt2011
nl30 c «n num ~ tmm vsAclho klmnlan nl Ihn dele 0 ffto slittednl33 rmmntd In n I» ~ n m of n Menldledmmnanmtm I199 ~ 010 aat.ns9 \ I nfr dlAdd ti ~ tnmAdd an I t Mmtanll data m30
Financial Oats Summary
(3027) Revenue
(3028) Operating Expenses
(3029) Net Income
(3030) TelePhone Plant fn Service(TRIS)
(3031) Total Assets
,(3032) Total Debt
(3033) Tots I Equity
(3038) Dividends
0 ne IAtl mmD iiutlmltm ledl f ife
Page 18
()ems) It r I 8 oeilband Experiix nt ad&me)gl pocume tatlbn' " m ccprrer481
" 0*ta Co)leolan Farm' & OMBc taiga.3040'4986/OMBc uotN .34494839
ss
&010& Stud Area Code s ss
&015&
&010&
&030&
Study Area NameP mm Year
contact Name -Person UEAC should mntact regarding this datawt
&033& Contact Tel hone Number- Number of erson Identgled In data Ene.&03D&
&039& Contact Ems8 Addmss - Em a 0 Address of person Identified In data line &030&
4003 Rural Broadband Etqmrlment
Authorised Rural Broadband Experiment '(RBE) recipients must address the certification for pubgc Interest ohggatlons, provide a Rst of newly servedcommunity anchor insdtutlonc and provMe a gst of locations where broadband has been deployed.
pubEc Interest obligations-Fcc semg (pamgraphs Egop 78)Please address Une 4001 regardlng compEanca with the Commission's pubgc tnterest obRgatlons. AR RBE participants must provide a response to Une 4001.
400M Recipient «enlfles that it is offerlng broadband to the IdentRled locations meeting the requisite pubgcInterest obEgations mnshtent with the category for which they were selected, including broadband speed,latency. usage «spadty. and rates that are reasonably comparable to rates for comparable offerings In urbanareas7
community Anchor Ittstltuthms — Fcc 14 98 (paragraph 79)
4003a. RBE participants must provide the number, names, and addresses of community anchor institutions towhich they newly deployed broadband service In the preceding calendar year. On this line, please espond(yes - attach new community an&how, no - no new anchors) to Indicate whether this Est wgl be provided.
It yes to 4003A,
pl
erneprovide a response for 40038.
40039. Provide the number, names and addresses Name of Attached Document Ustlng Required Informationof community anchor insthutlons to which thereclpler(t newly began providing access tobroadband servke in tha preceding calendar year.
Broadband Deployreent Lacatlons-FCC 14-98 (paragraph 80)
40048 Attach a Est of geocoded locations towhich broadband has been deployed as of theJune 1'sr Immediately pre cedng the Inly 1st 00ngdeadEne forthe FCC Farm 481.
Name of Attached Document Listing Required Information
4004b. Attach evidence demonstrating that therecipient Is meeting the relevant public serviceobggations for the identified locatlonh Materialsmust at least detag the pridng, offered bnsadbandspeed and data usage agowances avagable In therelevant geographic arew
Name of Attached Document Listing Required Information
vs 19
Page 10
certlflcatihn dhepomlng carrierDabyCagechon Form
'Fcc F FR9381
&0MB&Contgoiyto. 306t&0966/QMS.Control Nor 3060-0319'PIREDlsmoukm.
colo& Stud Area Code
«015& Stud Area Name
cDID& Pro ram year
«030» contact Name-person vsAcshould contact re ardin Dos data
ZS9029
tusstlcaa Broadband t Teleooaawnlcaclnna.
J*ffrr Annum
c033& c tact Tele ho Numb r ~ Numberof emo Identpledlndalsanec03D ~ 1932tselo e c.
c89& Contsctlmsg Addrsm ~ Emsg Address ol emnn idsntgled ingate Dne &030& «nsted3&nbt.nec
TO BE CDRRPLRTED BY THE REPORTING CARRIER, fF THE REPORTING CARRIER IS FILING ANNUAL REPORTING ON ITS QTDN BEHALF:
Certlfleatlon of Off learns to.tha Accuracy of the Data Reported for the Annual Reportfng for CAF or Li Redplents
I certify that I am an ofpcar ol ths re parting carrier; my reslmnslbglties lntlitda enswlng the accuracy sf the ann tlat leperdng reaufrements for unluemal service supportrect plentsl and, to the best of my knowledge, the Info rmadon reported an this form and In any attachmenls ls scmrate.
Nam ofk portlngc* I r:
Sl ature ofAuthorized Omcen
Pcfnted namaof~ ONcer:
Title or osldon of Authorized OfRcer
Date
Tale hone number of Authorized ofncer
Stud Areafndeo(Reportln Carrlent Fgl Due Dsts for this form;
parsonswalruaymsklnsfsl lst tsonthl f r m b p lmmbyh f nit m nd theommunlc tmnsAuaf1934 cruse Msto 303(b), rAneo imlzrlmrtmsntunder na Dtofuw thutm swnscam, muac. 9 30m.
Page 10
Page 21
Tart(Bc«don -'g(redf'/'curler ':, nData aogemlonform, OMBre««trot ng. 30600986/OMSControlNo. S0600819
colo& Stud Area Code
«DIS& Stud Area Name
020 P o am Veer
249029
2017
«tuo& 0 t N Name- pemcn UEAc ah uld a tact rdi this data Jrf C td4298245810 eut,
c035& Contact Tele hone Number- Number cf erson identlfredbwlatalina c030»
c039& Connut Email Address - Em an Address cf enon identigad In data line 4030
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAL REPORTS ON THE CARRIER'5 BOIALFI
Certification of Officer ta Authorize sn Agent to Fge Annual Reports for CAF or LI Recipients on Behalf of Reporting Carrier
I certify that,(N«me of Agan I» aulhoncwl te *ubmg tha In(own!lan reported en behalf dt the rspcrllna «anil r. I
«lao «army thai I vm an omcer or tha reperang canter; my msponslbnulas In*ludo ansenng Ihe aceuraey ot Ihe ann«at data rap«luna mqulnunents provld*d to Iha aulhocbedsgentl and, tc tho beet «f my knowlodoo, the reports «nd dai» provided to Ih» euthonmd agent ts *ccurate.
Nsm*ofAuthorired en» «alley Drya 4 ucc en IJ.p
Nerrl*cfaeoortln garden Jucacscan bcoedband I Seleoo«nuntoat1«nsSI tura of Aurhorhed DNcan 08811FMD oalzngprbltadrlemeofauthorhcdo(gmn Jsccce Anat d
Title nr osltionofAuthorlredonlcer. pc«std ntTele hen«number el'Authwhed oflicer: 41M245810 ect.
Date oc 29 2014
Stud Arescodecfkc crtln Carrier. 24!II 9 Pi(in DueDateforthls(orm 07 01 2016pc(tens wglhav m skins false srstemenn on thh fare ccn be Punic«ed by sne ar Iorf«lture under the comm nimtlenc An cf IN4. 47 0 sc N mz. 503(bi, r hne er 1msrlwnment
«nrl er Title Is cf the United stater cade. 18 U 5 c. 5 I ale
TO BE COIYIPLETEO BY THE AUTHORIZED AGENT I
Cart(gest(on of Agent Authorized to File Annual Reparts for CAF or Ll Reclplentc on Behalf of Reporting Carrier
I, es agent for the mcortl g center, certify that I am authorised to submit thc *nnusl reports For unlvewal service wppon recipients on behalf of the eporting carr(an I have prouldcdthe data ropartod herein based on data provided by the raperung carrier; end, to the bast af my knowledge. the Infon«ation repmted hemin Is «ccurate.
Namsofne ortln Carrlen
Name of Auth«rued A«antFirm'as«tean aces«bc d I 2 tscmwr tcattone
Kelley Dr. 4 u r 4 Ilpsl nature«(doth«dred enter Em I eof ant: czeylptgo Dnczng Date. 06 2 20 6
Nam cfAmh lr d e tE plo Ntb 10~*Tltleor IdonofA«th rlr dAg t E pl eeof e t co 4 1 ro A«act«a sco dba d d 2 1
7 I ho e b ofA«th IredAg t rEm I e f nh 212«57708'I r.
stu Area cade «f ne ortl ca 249029 Fign Due Date (or thh form 0 0
P n ncmgNSy U gfl t t I thl («b P Ih dbyfl * f dltumund rth 0 m u I U «At (1934,47USCN502 503lbl oran rlmP«ronmnt d Tltl18 frh Unit dststescodc,tsusc.91001,
Page 21
Attachments
t800) OPergfing CofnPa hoes
bgta Collection Form
FCC Form agt-OMB Conud[No. 3080&1986/0MB Control No. 30000819
luis 2013'010&
Stud Area Code
&015& Studs Area Name
&020& Program Year
&030& Contacc Name - pe~son USAC should contact regarding this data
2&SO2S
mn to a o st» d 2 T 1 t1
2017
2 ffr 2 1 st e
&033& contact Tele hone Number - Number of person tdentipied in data line &030& o tea2 taste r..
&039& Contact Email Address -Email Address of person tdentified in data line &030& 1 *t ss~t. t
&810& Re erring Carrier
&811& Holding Compan trot appl1 Pl
&812& 0 crating Com a&or r a*a*du od s T 1 ~ 1&otto * c p 2