Fcc Form 499-A - Telecommunications Reporting Worksheet - 2003 Page 30

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Instructions to the Telecommunications Reporting Worksheet, Form 499-A
miscellaneous revenues, will be divided into several lines for reporting purposes. For example, account 5200
includes revenues derived from UNEs, which will continue to be reported on Line (303) and reciprocal
compensation, which will continue to be reported on Line (304).
Some types of incidental regulated revenues contained in account 5200, miscellaneous revenues will continue to
be reported on Lines 403 through 408. These include collection overages and non-refundable prepaid amounts
that are not used by the customer. Note that late payment charges, bad check penalties imposed by the company,
enhanced services, billing and collection, customer premises equipment sale, lease or insurance, and published
directory revenues should continue to be reported on Line (418).
Revenues recorded in account 5100, long distance network service revenues, will continue to be reported on Line
(310) through Line (314) and Line (411) through Line (417), as appropriate.
G.
Block 5: Additional Revenue Breakouts
Lines (501-502) -- Copy the Filer 499 ID from Line (101) into Line (501). Copy the legal name of the reporting
entity from Line (102) into Line (502).
Lines (503-510) -- In these lines, filers should identify the percentages of their revenues by LNPA region. Filers that
have certified that they are exempt from contributing to the shared costs of local number portability need not provide
these breakdowns. Carriers should calculate or estimate the percentage of revenues that they billed in each region
based on the amount of service they actually provided in the parts of the United States listed for each region. The
percentages in column (a) should add to 100% unless the filer did not provide any services for resale by other
contributors to the federal universal service support mechanisms. The percentages in column (b) should add to
100% unless the filer did not provide any telecommunications services to end users or non-contributing carriers.
Carriers do not need to complete column (a) if they have some end-user revenues in each of the regions in which
they have carrier operations.
Line (511) -- see instructions for Line (420) in Section III-C-4.
H.
Block 6: Certification.
Lines (601-602) -- Copy the Filer 499 ID from Line (101) into Line (601). Copy the legal name of the reporting
entity from Line (102) into Line (602).
Line (603) -- In this line, filers may certify that they are exempt from one or more contribution requirement(s) by
checking the box next to the mechanism(s) from which they are exempt. As explained above, the Form 499
Telecommunications Reporting Worksheet enables telecommunications carriers and service providers to satisfy a
number of requirements in one consolidated form. Not all entities that file the Telecommunications Reporting
Worksheet must contribute to all of the support and cost-recovery mechanisms (universal service, local number
portability, TRS, and NANPA).
For example, certain telecommunications providers that are not
telecommunications carriers must contribute to the universal service support mechanisms, but not to the TRS, local
number portability, and NANPA mechanisms. Section IV-A provides summary information on whic h filers must
contribute and which filers are exempt from particular contribution requirements. Filers that certify that they are
exempt from one or more mechanism(s) should use the space provided on Line 603 to explain the exemption.
Note: It is not necessary for a filer to certify that it is de minimis for universal service purposes because the universal
service administrator can determine whether a filer meets the contribution threshold from other information provided
on the form. If, however, a reseller qualifies for the de minimis exemption, it must notify its underlying carriers that
it is not contributing directly to universal service, so that it may be treated as an end user when the underlying
carriers file Form 499.
Instructions -- Page 23

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