Annual Statement Of Gross Receipts Form - 2002 Page 4

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TELEPHONE COMPANY & NON UTILITY ACTIVITIES
COMPANY:
FEIN:
COMPANY:
(E)
(D)
L
(A)
(B)
(C)
BUSINESS DONE
FCC
TOTAL OHIO
I
SOURCE OF GROSS RECEIPTS
TOTAL GROSS
INTERSTATE
BUSINESS DONE
FOR OR WITH
N
ACCT
INTRASTATE
RECEIPTS
BUSINESS
IN OTHER STATES
FEDERAL
E
RECEIPTS
GOVERNMENT
31
5200
MISCELLANEOUS
32
5230
DIRECTORY
33
5240
RENT
34
5250
CORPORATE OPERATIONS
35
5260
MISCELLANEOUS
36
5261
SPECIAL BILLING ARRANGEMENTS
37
5262
CUSTOMER OPERATIONS
38
5263
PLANT OPERATIONS
39
5264
OTHER INCIDENTAL REGULATED
40
5269
OTHER REVENUE SETTLEMENTS
41
5270
CARRIER BILLING AND COLLECTION
42
5280
NONREGULATED OPERATING
43
7100
OTHER OPERATING
44
7110
CUSTOM WORK
45
46
NONOPERATING RENTAL
47
NONOPERATING OTHER / MISC.
48
49
50
51
52
If negative, enter as
53
5300
UNCOLLECTIBLE
negative amount.
54
5301
TELECOMMUNICATIONS
55
5302
OTHER
56
57
GRAND TOTALS:
In completeing this "Annual Statement of Gross receipts" as a telephone company, you assert that your primary business is that
of providing "local exchange telecommunications service" as a telephone company defined in Section 5727.01 of the Ohio
Revised Code.
Page 4

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