Fcc Form 499-A - Telecommunications Reporting Worksheet - 2003 Page 13
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34Instructions to the Telecommunications Reporting Worksheet, Form 499-A
Figure 1:
Table to determine if a filer meets the de minimis standard
for purposes of universal service contribution
Interstate contribution base for filer (amount reportable on filer’s Form
$
1
499-A; Line 420(d))
International contribution base for filer (amount reportable on filer’s
$
2
Form 499-A; Line 420(e))
Interstate contribution base for all affiliates* (total of amounts
$
3
reportable on Form 499-A; Line 420(d) for all affiliates of the filer)
International contribution base for all affiliates (total of amounts
$
4
reportable on Form 499-A; Line 420(e) for all affiliates of the filer)
Consolidated interstate contribution base: Line (1) + Line (3)
$
5
Consolidated international contribution base: Line (2) + Line (4)
$
6
Total potential contribution base for filer and its affiliates: Line (5) +
$
7
Line (6)
Combined interstate contribution base as a percentage of total potential
8
%
contribution base: Line (5) / Line (7)
Interstate contribution base for filer from Line (1)
$
9
If the amount on line (8) is equal to or greater than 12%, enter into
$
10
Line (10) the international contribution base for the filer from Line (2).
If the amount on Line (8) is less than 12%, enter $0
$
11
Contribution base for the filer for determining contributions to
universal service support mechanisms: Line (9) + Line (10)
0.095**
12
Estimation factor for determining whether to file a Form 499-A on
April 1, 2003
$
13
Estimated annual contribution: amount on line (11) multiplied by Line
(12)
*
Unless otherwise specifically provided, an affiliate is a "person that (directly or indirectly) owns or
controls, is owned or controlled by, or is under common ownership or control with, another
person." See 47 U.S.C. § 153(1).
** The estimation factor may be higher than the contribution factor announced for certain quarters in
2003. Actual contribution factors for 2003 may increase or decrease depending on quarterly
changes in program costs and the contribution base. Filers whose actual contribution requirements
total less than $10,000 for the calendar year will be treated as de minimis and will receive refunds,
if necessary. Filers whose actual contribution requirements total $10,000 or more are required to
contribute to the universal service support mechanisms. Note that telecommunications carriers
must file this Worksheet regardless of whether they qualify for the de minimis exemption unless
they qualify for one of the exemptions detailed in Sections II-A-2 or II-A-3, below.
Instructions -- Page 6
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