2009 Fcc Form 499-A - Telecommunications Reporting Worksheet (Reporting Calendar 2008 Revenues) Page 5

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2009 FCC Form 499-A Telecommunications Reporting Worksheet (Reporting Calendar 2008 Revenues)
Page 5
Block 4-A: End-User and Non-Telecommunications Revenue Information
401
Filer 499 ID [from Line 101]
402
Legal name of reporting entity [from Line 102]
Report billed revenues for January 1 through December 31, 2008.
Breakouts
If breakouts are not book
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
See instructions regarding percent interstate & international.
Revenues
Revenues
Interstate
International
(a)
(b)
(c)
(d)
(e)
Revenues from All Other Sources (end-user telecom. & non-telecom.)
403
Surcharges or other amounts on bills identified as recovering
State or Federal universal service contributions
Fixed local services
Monthly service, local calling, connection charges, vertical features,
and other local exchange service charges except for federally
tariffed subscriber line charges and PICC charges
traditional circuit switched
404.1
Provided at a flat rate including interstate toll service -- local portion
404.2
Provided at a flat rate including interstate toll service -- toll portion
404.3
Provided without interstate toll included (see instructions)
interconnected VoIP
404.4
Offered in conjunction with a broadband connection
404.5
Offered independent of a broadband connection
405
Tariffed subscriber line charges and PICC charges levied by a local
exchange carrier on a no-PIC customer
406
Local private line & special access service [Includes the transmission
portion of wireline broadband Internet access provided on a common
carrier basis.]
407
Payphone coin revenues (local and long distance)
408
Other local telecommunications service revenues
Mobile services (including wireless telephony, paging & messaging, and other mobile services)
409
Monthly and activation charges
410
Message charges including roaming and air-time charges for toll
calls, but excluding separately stated toll charges
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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