Annual Report Of Competitive Telecommunications Carriers To The Oklahoma Corporation Commission Form - 2004 Page 4

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S
1. I
R
CHEDULE
DENTITY OF
ESPONDENT
This report covers the Oklahoma operations of the Respondent for the year ended
December 31, ______.
Please provide the following information:
1.
a. Name of company submitting this report:
_____________________________________________________________
b. CIC number(s) ____________
c. Access Carrier Name Abbreviation (ACNA code) ____________
2.
Address of Respondent’s principal location:
________________________________________________________________
________________________________________________________________
________________________________________________________________
3.
a. Legal status of company (e.g., corporation, partnership, etc.)
_____________________________________________________________
b. State of incorporation, if applicable
_____________________________________________________________
4.
Date when company operations began: ________________________________
5.
a. Commission Order Number granting operating authority _________________
b. Date issued ____________________________________________________
6.
a. Does the company own any facilities in Oklahoma? ____________
b. If so, please provide a description of such facilities.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Revised: June 2004
Page 4 of 11

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