Fcc Form 499-A - Telecommunications Reporting Worksheet

Instructions to the Telecommunications Reporting Worksheet, Form 499-A

Note: New carriers must identify an Agent for service of process within 30 days of providing service and all carriers

must notify the FCC within one week if the contact information changes for their D.C. Agent. See Section II-C,

above, for filing directions.

Block 2-C: FCC Registration Information

New telecommunications carriers must register with the Commission when they begin to provide service. Carriers

must update registration information within one week of a material change. See Section II-C, above, for filing

directions. Registration information includes information reported in Blocks 1, 2-A, 2-B, and 2-C of FCC Form

499-A.

Lines (219-227) -- The third part of Block 2 contains FCC registration information, as required of all interstate

telecommunications carriers pursuant to section 64.1195 of the Commission's rules. 47 C.F.R. § 64.1195. As

explained above, virtually all carriers filing the Form 499 are considered to be interstate carriers. Interstate

telecommunications carriers must provide the names and business addresses of their Chief Executive Officer,

Chairman, and President. If the reporting entity does not have one or more of these officers or if the same person

occupies more than one position, then names should be supplied for the three most senior-level officers of the

reporting entity. For purposes of this filing, an officer is an occupant of a position listed in the articles of

incorporation or articles of formation. List only one name if the filing entity is a sole proprietorship. If the filing

entity is a partnership, list the managing partner on Line (221). If the legal entity is owned by two partners, list the

second partner on Line (223). If there are three or more partners, provide information for the managing partner and

the two other partners with the greatest financial interest in the partnership.

Line (227) -- check those jurisdictions where the filing entity provided telecommunications service in the past 15

months, and any additional jurisdictions in which the filing entity expects to provide telecommunications service in

the next 12 months. Identify jurisdictions where customers physically obtain service. For most switched services,

identify jurisdictions where customers can originate calls. However, for services where the called party pays, also

identify jurisdictions where calls terminate.

For example, an operator service provider that handled inmate calls

originating in New Jersey and terminating collect in New Jersey, New York, and Pennsylvania, would identify New

Jersey, New York, and Pennsylvania as jurisdictions served.

Block 3 and Block 4: Filer Revenue Information

Lines (301-302; 401-402) -- copy the Filer 499 ID from Line (101) into Lines (301) and (401). Copy the legal name

of the reporting entity from Line (102) into Lines (302) and (402).

Lines (303-314; 403-420) contain detailed revenue data.

Separating revenue from other contributors to the federal universal service support

mechanisms (Block 3) from end user and non-telecommunications revenue (Block 4) (carrier’s

carrier vs. end-user)

In the Telecommunications Reporting Worksheet, filers must report revenues using two broad categories: (1)

Revenues from other contributors to the federal universal service support mechanisms; and, (2) Revenues from all

other sources. Taken together, these revenues should include all revenues billed to customers and should include all

revenues on the reporting entities’ books of account.

Both parties to a collect call are "consumers". 47 C.F.R § 64.708. See also 47 C.F.R § 64.710(b)(1).

Instructions -- Page 15

Fcc Form 499-A - Telecommunications Reporting Worksheet - 2003 Page 22