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2009 FCC Form 499-A Telecommunications Reporting Worksheet (Reporting Calendar 2008 Revenues)

Page 3

Block 2-C: FCC Registration and Contact Information

Filers must refile Blocks 1, 2 and 6

if there are any changes in this section. See Instructions.

219 Filer 499 ID [from Line 101]

220 Legal name of reporting entity [from Line 102]

First

Last

221 Chief Executive Officer (or, highest ranking company officer

if the filing entity does not have a chief executive officer)

Street1

222 Business address of individual named on Line 221

Street 2

check if same as Line 109

Street 3

City

State

Zip (postal code)

Country if not USA

First

Last

223 Second ranking company officer, such as Chairman

(Must be someone other than the individual listed on Line 221)

Street1

224 Business address of individual named on Line 223

Street 2

check if same as Line 109

Street 3

City

State

Zip (postal code)

Country if not USA

First

Last

225 Third ranking company officer, such as President or Secretary

(Must be someone other than individuals listed on

Lines 221 or 223)

Street1

226 Business address of individual named on Line 225

Street 2

check if same as Line 109

Street 3

City

State

Zip (postal code)

Country if not USA

227 Indicate jurisdictions in which the filing entity provides service. Include jurisdictions in which service was provided in the past 15 months

and jurisdictions in which service is likely to be provided in the next 12 months.

Alabama

Guam

Massachusetts

New York

Tennessee

Alaska

Hawaii

Michigan

North Carolina

Texas

American Samoa

Idaho

Midway Atoll

North Dakota

Utah

Arizona

Illinois

Minnesota

Northern Mariana Islands

U.S. Virgin Islands

Arkansas

Indiana

Mississippi

Ohio

Vermont

California

Iowa

Missouri

Oklahoma

Virginia

Colorado

Johnston Atoll

Montana

Oregon

Wake Island

Connecticut

Kansas

Nebraska

Pennsylvania

Washington

Delaware

Kentucky

Nevada

Puerto Rico

West Virginia

District of Columbia

Louisiana

New Hampshire

Rhode Island

Wisconsin

Florida

Maine

New Jersey

South Carolina

Wyoming

Georgia

Maryland

New Mexico

South Dakota

228 Year and month filer first provided (or expects to provide) telecommunications in the U.S.

Check if prior to 1/1/1999, otherwise Year

Month

PERSONS MAKING WILLFUL FALSE STATEMENTS IN THE WORKSHEET CAN BE PUNISHED BY FINE OR IMPRISONMENT UNDER TITLE 18 OF THE UNITED STATES CODE, 18 U.S.C. § 1001

Save time, avoid problems -- file electronically at

FCC Form 499-A

February 2009

2009 Fcc Form 499-A - Telecommunications Reporting Worksheet (Reporting Calendar 2008 Revenues) Page 3

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