Instructions For Fcc Form 499-Q - Telecommunications Reporting Worksheet

addition, entities may be billed by the administrators for reasonable costs, including interest and

administrative costs that are caused by late, inaccurate, or untruthful filing of the Worksheet or overdue

contributions.

Inaccurate or untruthful information contained in the Telecommunications Reporting

Worksheet may lead to prosecution under the criminal provisions of Title 18 of the United States Code.

III.

Specific Instructions

Block 1: Contributor Identification Information

Block 1 of the Telecommunications Reporting Worksheet requires identification information.

Line 101 – enter the "Filer 499 ID" number for the filing entity. This code is assigned by the Commission’s

Data Collection Agent after a company files its first FCC Form 499-A. Filer 499 IDs for current filers can

be found at or in the FCC report Telecommunications Provider

Locator, which is available on the Commission's web site at This

code should be entered at the top of any cover letter or supporting documentation. New filers are assigned

Filer 499 ID numbers after a completed FCC Form 499-A Telecommunications Reporting Worksheet is

received by the Data Collection Agent.

Line 102 – enter the legal name of the filer as it appears on articles of incorporation and other legal

documents. Each legal entity must file a separate Worksheet unless affiliated entities are filing on a

consolidated basis.

Line 103 – provide the Internal Revenue Service (IRS) employer identification number (EIN) for the filer.

This should be the same EIN that the company uses to file any federal taxes, if the filer offers services

subject to those taxes. Do not use individual social security numbers for the federal EIN. If a filer lacks

an EIN (i.e. has no taxpayer identification number to provide other than an individual social security

number), it should contact USAC (see section IV.B for contact information) so that it can be assigned an

alternative identification number. Consolidated filers must provide the EIN associated with the Affiliated

Filers Name.

Line 104 – provide the principal name under which the company conducts telecommunications activities.

This would typically be the name that appears on customer bills, or the name used when service

representatives answer customer inquiries.

Lines 105 and 105.1 – use this block to provide a common identifier for all affiliated filers (the “Affiliated

Filers Name”). This is typically the name of the filer's holding company or controlling entity, if any.

Amongst a large group of affiliates, this may be the name of the predominant commonly owned or

controlled entity. The common name used by all affiliates need not be a common carrier. All reporting

affiliates or commonly controlled entities should have the same Affiliated Filers Name and IRS EIN

associated with the Affiliated Filers Name appearing on Line 105 and Line 105.1. For those entities also

required to file FCC Form 477, use the same single name that is used in the FCC Form 477 to indicate

common ownership or control.



Unless otherwise specifically provided, an affiliate is a “person that (directly or indirectly) owns

or controls, is owned or controlled by, or is under common ownership or control with, another

(Continued from previous page)

1996 and Adoption of Rules Governing Applications or Requests for Benefits by Delinquent Debtors, MD Docket

No. 02-339, 19 FCC Rcd 6540 (2004).

See 47 CFR § 54.713 (universal service); 47 CFR § 64.604(c)(5)(iii)(B) (TRS); see also 47 CFR § 52.17(b)

(NANPA); 47 CFR § 52.32(c) (LNPA).

See 47 CFR § 54.711.

See section II-B, page 6, for information on making consolidated filings.

Instructions For Fcc Form 499-Q - Telecommunications Reporting Worksheet - 2017 Page 10

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