FEDERAL COMMUNICATIONS COMMISSION
Approved by OMB
Washington, D.C. 20554
3060-0355
See reverse side for information regarding public burden estimate.
1. Name and Address of Reporting Company
2. Reporting Calendar Year
(A) From:
To:
(B) First Report Filed:
(C) Final Report Filed:
FCC 492A
PRICE-CAP REGULATION
RATE-OF-RETURN MONITORING REPORT
(Read Instructions on the Reverse Before Completing)
Dollar Amounts Shown in Thousands
Total Interstate Services Subject to Price-Cap Regulation
3. Items
First Report
Final Report
Difference
Column A
Column B
Column C = (B - A)
1. Total Revenues
2. Total Expenses and Taxes
3. Operating Income (Net Return) (Ln1-Ln2)
4. Rate Base - (Avg. Net. Investment)
5. Rate of Return (Ln3/Ln4)
6. Sharing/Low End Adjustment Amount
7. FCC Ordered Refund - Amortized for
Current Period
REMARKS
7. CERTIFICATION: I certify that I am the chief financial officer or the duly assigned accounting officer; that I have examined the foregoing report; that to the best
of my knowledge, information, and belief, all statements of fact contained in this report are true and this report is a correct statement of the business and affairs of
the above-named respondent in respect to each and every matter set forth therein during the specified period.
Date
Typed Name of Person Signing
Title of Person Signing
Signature
Telephone No.
PERSONS MAKING WILLFUL FALSE STATEMENTS IN THIS REPORT FORM CAN BE PUNISHED BY FINE OR
IMPRISONMENT UNDER THE PROVISIONS OF THE U.S. CODE, TITLE 18, SECTION 1001.
FCC 492A
September 2004
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