Fcc Form 499-A - Telecommunications Reporting Worksheet - 2003 Page 34

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Instructions to the Telecommunications Reporting Worksheet, Form 499-A
V.
Reminders
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Is the filer affiliated with another telecommunications provider? Each legal entity must file
separately unless they qualify for filing on a consolidated basis. See Section II-B above. Each
affiliate or subsidiary must show the same holding company name on Line (106).
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Provide data for all lines that apply. Show a zero for services for which the filer had no revenues
for the filing period. Be sure to include on Line (112) all names by which the filer is known to
customers, including the names of agents or billers if those names appear on customer bills.
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Telecommunications providers that are required to contribute to universal service support
mechanisms must also file quarterly FCC Form 499-Q on February 1, May 1, August 1 and
November 1.
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Wherever possible, revenue information should be taken from the telecommunications providers'
financial records.
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The Worksheet must be signed by an officer of the reporting entity. An officer is a person who
occupies a position specified in the corporate by-laws (or partnership agreement), and would
typically be president, vice president for operations, comptroller, treasurer, or a comparable
position.
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Do not mail the Worksheet to the FCC. See Section II-C for filing instructions.
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Remember -- you must refile parts of the Worksheet if the Agent for Service of Process or FCC
Registration information changes during the year.
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Note that Form 499 is one of several forms that telecommunications carriers and other providers of
interstate telecommunications may need to file.
Information concerning common filing
requirements for such providers may be found on the Commission’s web site, at
If you have questions about the Worksheet or the instructions, you may contact:
Form 499 Telecommunications Reporting
Worksheet Information
(973) 560-4460
Wireline Competition Bureau
Industry Analysis and Technology Division
(202) 418-0940
TTY
(202) 418-0484
If you have questions regarding contribution amounts, billing procedures or the mechanisms, you may contact:
Universal Service Administration
(202) 776-0200
TRS Administration
(973) 884-8173
NANPA Billing and Collection Agent
(973) 884-8173
Local Number Portability Administrators
(877) 245-5277
- FEDERAL COMMUNICATIONS COMMISSION -
Instructions -- Page 27

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