Fcc Form 499-A - Telecommunications Reporting Worksheet - 2003 Page 5
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342003 FCC Form 499-A Telecommunications Reporting Worksheet
Page 5
Block 4: End-User and Non-Telecommunications Revenue Information
401
Filer 499 ID [from Line 101]
402
Legal name of reporting entity [from Line 102]
Report billed revenues for January 1 through December 31, 2002.
Breakouts
If breakouts are not book
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
See instructions regarding percent interstate & international.
Interstate
International
Revenues
Revenues
Revenues from All Other Sources (end-user telecom. & non-telecom.)
(a)
(b)
(c)
(d)
(e)
403
Surcharges or other amounts on bills identified as recovering
State or Federal universal service contributions
Fixed local services
404
Monthly service, local calling, connection charges, vertical features,
and other local exchange service charges except for federally
tariffed subscriber line charges and PICC charges
405
PICC charges levied by a local exchange carrier on a no-PIC
customer and Tariffed subscriber line charges
406
Local private line and special access service
407
Payphone coin revenues (local and long distance)
408
Other local telecommunications service revenues
Mobile services (including wireless telephony, paging & messaging, and other mobile services)
409
Monthly and activation charges
410
Message charges including roaming, but excluding toll charges
Toll services
411
Prepaid calling card (including card sales to customers
and non-carrier distributors) reported at face value of cards
412
International calls that both originate and terminate in foreign points
0%
100%
413
Operator and toll calls with alternative billing arrangements (credit
card, collect, international call-back, etc.) other than revenues
reported on Line 412
414
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)
415
Long distance private line services
416
Satellite services
417
All other long distance services
418
Information services, inside wiring maintenance, billing and collection
customer premises equipment, published directory, dark fiber, Internet
access, cable TV program transmission, foreign carrier operations,
and non-telecommunications revenues (See instructions.)
419
Gross billed revenues from all sources [incl. reseller & non-telecom.)
[Lines 303 through 314 plus Lines 403 through 418]
420
Universal service contribution bases [Lines 403 through 411
& Lines 413 through 417]
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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