Fcc Form 499-A - Telecommunications Reporting Worksheet - 2003 Page 4
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342003 FCC Form 499-A Telecommunications Reporting Worksheet
Page 4
Block 3: Carrier's Carrier Revenue Information
301
Filer 499 ID [from Line 101]
302
Legal name of reporting entity [from Line 102]
Report billed revenues for January 1 through December 31, 2002.
If breakouts are not book
Breakouts
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
percentage estimates
Interstate
International
Revenues
Revenues
Interstate
International
See instructions regarding percent interstate & international.
(a)
(b)
(c)
(d)
(e)
Revenues from Services Provided for Resale by Other Contributers to
Federal Universal Service Support Mechanisms
Fixed local service
303
Monthly service, local calling, connection charges, vertical features,
and other local exchange service including subscriber line and
PICC charges to IXCs
a
Provided as unbundled network elements (UNEs)
b
Provided under other arrangements
304
Per-minute charges for originating or terminating calls
a
Provided under state or federal access tariff
b
Provided as unbundled network elements or other contract arrangement
305
Local private line & special access service
306
Payphone compensation from toll carriers
307
Other local telecommunications service revenues
308
Universal service support revenues received from Federal or state sources
Mobile services (including wireless telephony, paging & messaging, and other mobile services
309
Monthly, activation, and message charges except toll
Toll services
310
Operator and toll calls with alternative billing arrangements (credit
card, collect, international call-back, etc.)
311
Ordinary long distance (direct-dialed MTS, customer toll-free 800/888
service, "10-10" calls, associated monthly account maintenance, PICC
pass-through, and other switched services not reported above)
312
Long distance private line services
313
Satellite services
314
All other long distance services
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
FCC Form 499-A
February 2003
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