2009 Fcc Form 499-A - Telecommunications Reporting Worksheet (Reporting Calendar 2008 Revenues) Page 4

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2009 FCC Form 499-A Telecommunications Reporting Worksheet (Reporting Calendar 2008 Revenues)
Page 4
Block 3: Carrier's Carrier Revenue Information
301
Filer 499 ID [from Line 101]
302
Legal name of reporting entity [from Line 102]
Report billed revenues for January 1 through December 31, 2008.
If breakouts are not book
Breakouts
Do not report any negative numbers. Dollar amounts may be rounded to
Total
amounts, enter whole
the nearest thousand dollars. However, report all amounts as whole dollars.
Revenues
Interstate
International
percentage estimates
Interstate
International
Revenues
Revenues
See instructions regarding percent interstate & international.
(a)
(b)
(c)
(d)
(e)
Revenues from Services Provided for Resale as Telecommunications
by Other Contributors to Federal Universal Service Support Mechanisms
Fixed local service
Monthly service, local calling, connection charges, vertical features,
and other local exchange service including subscriber line and
PICC charges to IXCs
303.1
Provided as unbundled network elements (UNEs)
303.2
Provided under other arrangements
Per-minute charges for originating or terminating calls
304.1
Provided under state or federal access tariff
304.2
Provided as unbundled network elements or other contract arrangement
Local private line & special access service
305.1
Provided to other contributors for resale as telecommunications
305.2
Provided to other contributors for resale as interconnected VoIP
306
Payphone compensation from toll carriers
307
Other local telecommunications service revenues
308
Universal service support revenues received from Federal or state sources
Mobile services (including wireless telephony, paging & messaging, and other mobile services)
309
Monthly, activation, and message charges except toll
Toll services
310
Operator and toll calls with alternative billing arrangements (credit
card, collect, international call-back, etc.)
311
Ordinary long distance (direct-dialed MTS, customer toll-free (800/888
etc.) service, "10-10" calls, associated monthly account maintenance,
PICC pass-through, and other switched services not reported above)
312
Long distance private line services
313
Satellite services
314
All other long distance services
315
Total revenues provided for resale [Lines 303 through 314]
Note: As stated in the instructions, for all revenues reported on this page, you must retain the Filer 499 ID and contact information for the associated
customers. You must verify that each of these customers was a direct contributor to the federal universal service support mechanism for calendar year 2008
and that the customer is purchasing service for resale as telecommunications. These records must be made available to the administrator or
the FCC upon request. The FCC website contains information on federal universal service contributors. (See instructions.)
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

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