Telecommunications Advisors Since 1962 · i6Q5~ 87 4;2181 O•t . Study Aton Code of RolXllt•r

Headquarters: 7852 Walker Drive, Suite 200 Greenbelt, MD 20770 phone: 301-459-7590, fax: 301-577-5575

Eagandale Corporate Center, Suite 310 1380 Corporate Center Curve, Eagan, MN 55121 phone: 651-452-2660, fax: 651-452-1909

Echelon Building II, Suite 200 9430 Research Blvd., Austin, TX 78759 phone: 512-338-0473, fax: 512-346-0822

547 South Oakview Lane Bountiful, UT 84010 phone: 801-294-4576, fax: 801-294-5124

Telecommunications Advisors Since 1962

6849 Peachtree Dunwoody Road Bldg. B-3, Suite 200, Atlanta, Georgia 30328 phone: 770-569-2105, fax: 770-410-1608 internet: www.jsitel.com, e-mail: [email protected]

June 16, 2014 VIA ELECTRONIC FILING Secretary South Dakota Public Utilities Commission Capitol Building, 1st Floor 500 E. Capitol Ave. Pierre, SD 57501-5070 On behalf of Interstate Telecommunications Cooperative, Inc., please find attached: Certification of Officer for Rate of Return Carrier Eligibility for CAF/ICC Recovery Certification of Officer as to the Accuracy of the CAF/ICC Data Reported Certification of an Officer to Authorize an Agent to File Data on Behalf of Reporting Carrier Certification of Officer for Rate of Return Carrier Not Seeking Duplicative Recovery CAF ICC Support Page Access Recovery Charge Output Report Interstate Test Period Lines Report Certification of an Officer to Authorize an Agent to File Rate Floor Data on Behalf of Reporting Carrier Certification of Officer as to the Accuracy of the Data Reported for the Rate Floor Study Area Exchange Level Data for Local Rate Floor This filing is being made in compliance with the Federal Communications Commission’s (“FCC”) 47 C.F.R 54.304(d)(1) and 54.313(h) and (i). Interstate Telecommunications Cooperative, Inc. is requesting confidential treatment of the CAF ICC Support Page, Access Recovery Charge Output Report, and Interstate Test Period Lines Report, and Residential Local Line Counts.

Should you have any questions, please do not hesitate to call me at 301-459-7590.

Respectfully submitted,

John Kuykendall Vice President Enclosures

TO BE COMPLETED BY AN OFFICER OF THE REPORTING CARRIER

Cortification of Officer for Rato-of-Roturn Carrier EHglbility for CAF/ICC Recovery

I certify th3t I •m •n officer of the reporting c3mcr and lh31, lo the b~t of my knowlcdte. the reporting C31'fltr on lh1> form certifies th~l •l hJ> compaed w ith Oit iblo Recovery Hl.917(d) and Access Recovery Charge §Sl.9l7{o) a nd I> c!t(oble to r1>cclvc !ho CAf ICC support re quc>1ed pu1>uan1 to §S1.9l7{f).

Name or Ra:x:r1

Pnn:oa l'l3'l>e er ~~1~.,.,.: on~ Warren Brandlee

I~ a 01 ~·~°" ol t11JU1011red Otliwt President

r .no Ouo O<r.c ro: t111• lorn1 lmm'd • > 611612014 S:.r.11 Alea CDdc o1 Re

Ponons willfully mlklng f•lf.tl st3tcmenb on mis form e•n b• punl•ho<l ~y fine or forf• 1tor11 undor !ho ComniunlullonJ Att of 193~. 47 U.S.C. §§ S02, 50J{b], <>r fl no o r lmprlsonmunt undtr l lllt 18 of lh• Unlt•d StAtot Code, 18 U.S.C. § 1001.


Certlfication of Officer for Rate-of-Return Carrier Not Soaking Duplicative Recovery

I certify that I nm an offlccr of the reporting carrier and that, to the best of my knowledge, this reportin& carrier Is not seeking duplicative recovery In tho .itatc jurhdlctlon tor any Eligible Recovery subject to the recovery mechanism as per Sl.917(dJ(vil).

Pnntod nomc or nu<l10<lrcd crflcer Warren Brcfudlee

t 1uo or o .. ticn o1 o~trzca omccr President

I clo h<lno number of numomc'1 (Jflccr: 60?) 8.74-21~.

Stud /\lea Coda of R ru Carner 391654 Fdin~ Duo Oo!o lor U11s lorm

""n/dd 6/1612014 Persons willfully making raise statements on this form con bo punished by lino or forfeiture under tho Communications Act of 1934, 47 U.S.C. §§ 502,

503(b), orflno or Imprisonment underTll!o 18 ol lho United States Code, 18U.S.C.§1001.

TO BE COMPLETED BY THE REPORTING CARRIER. IF AN AGCNT IS FILING CATA ON THE CARRIER'S 8EtjALF

Cortlficatlon of Officer to Aulhorlzo an Agont to Fiio Data Roportod on Behalf of Reporting Carrlor

etrtl/y mu (Nam• o r Ag•r.tl Ni'!•Onill fJ<Cl'iange C:ilrnN f,~SOO:l!tOll IOC !NEC•\l I• .. 1111orlz0<2 to •ulm~I tM b l <><m• tlon 1rportod on b•hlll of the n p<> l11"9 c• nicr. I • l•o c•rtify 111•1 I •m •n omccr ot \ ho roportlnu <on1rr; my rctponslbllitlo Include m tJllni lh• • t curacy of th• Uot• provid<>d to m• Authorized Agtfll ; and-, 10 lhc bo'l of my knowlcd!J• , the ac:tual dato provldqd tu the A11t tior11ed A9r;int u a 11ct: urntt'.

605) 874_-2181 o\'\

391654 ' W"IJ ClA' oa:o for Un tarrn lmmk:41 I 6/16/2014

l'tt>::no "' ' J t t~Jllrt) ' •,. >t.>' om«U lll'1 i .. s lc.r:n ciw1 be '"'"...., ~ . t•., c• I C-t\J'e ll"M'r I/le CCl<l' n, • ..,:,' ' ""'' •'C: c! 1~. 47 US C SS ~2 ~~ 01 "'Ira c'l'pt•sonrll<'rl in""' t • o 10 <! " "' l.1' ' oj S'.•' e\ C:OO.. 18 USC ~ IC<l l

TO BE COMPLETED BY THE REPORTING CARRIER,

Certification of Off icer as to the Accuracy of the CAF ICC Data Rcportod

1 certify th•t f •m an officer of th• reporting c•trlor. mv rospon.,bl11Ues lncludt ensuring th• accurocv of tho • ctuat d•I• reported; and. to lh• b• •I of mv kt1owl-cd9e, tho infotmauon rof»<H1td on ihf" loon l"$ dttur..lte.

s :uio u,\u'hon~c<lOttc~ ~~~l::s~s.:::';ir.,L~~iz::::.::~::.d:d:~:::._~~~~~~~~~~~~~~~l!!l!!!!'......::~Ls.L,l.l.-J.:::...~-1 l>Mt«J r~im<! o1 Aull•ol!l~ oir..,.,, Warren Bran

r .:·u.,. ., .., o1 Au111oni<!<l omc« President

Te'«hono •um~cr cl AoUIO'i1C<.I 011.a..- (605) 87 4.-2181. cKI

Stud, t.ru~ Codu of H1 t iw~ Curtl<)t 391654 F • • r.g Due Date lot 111i• lo:m mn\'dc • I 6/1612014

Pe1wn• W1bll" f mnl.ln~ 1,1!:;u 1U1tcm"'1ls uo u,' l0<m CM bu Plll'"·hcd by f.J>c or fcrfC".lurc under the Com:ru~'liwl1ons A::t of 1!134, ~7 U.S C ~~ ! .. 02 !.OJ(b), 0t f·nc "' lm p111onrnm1 un<!c.r Tolle 18 of tho l lfl'lcd Stales Coda, 18 U.S.C § 1001.

c .... er '"'


Certification of Officer for Rate-of-Return Carrier Not Seeking Duplicative Recovery

I certify that I am an officer of the reportl ng carrier and that, to the best of my knowledge, thls reporting carrier Is not seeklnt: duplicative recovery In the stale Jurisdiction for any Eligible Recovery subject to the recovery mechanism as per Sl.917(d)(vil).

SI nature of authorized officer

Printed name of ou!horized officer

Tiiie or position of authorized officer CE 0

Tele hone number of au!horizcd officer:

Stud Alea COdo of Re ortin Carrier 391679 F11fng Due Date for lhis form (mm/d

Date

6/ 16 / 201 5

S'-2.0 - 15"

Persons willfully making false s tatements on lhls form can bo punished by fino or forfciluro under tho Communications Act of 1934, 47 U.S.C. §§ 502, 503(b), or tlno or Imprisonment under Tiile 18 of lho Unltcd Stales Code, 18 U.S.C. § 1001.


Certification of Officer for Rate-of-Return Carrier Eligiblllty for CAF/ICC Recovery

I certify that I am an olfkcr of the reporting ca rri er and that, to the best of my knowlcd6C, the reporting carrier on this form certifies that it has complied with Eligible Recovery §51.917(d) and Access Recovery Charge §51.917(e) and Is ellglblc to receive the CAF ICC support requested pursuant to §51.917(f).

Tille or osition of authorized omccr CE 0

Tele hone number of authorized offlcor:

S!Ud Arca Code of Re r11n Comar F1i>ng Duo Date for this form (mm/dd

Dato 5-20-15

6/ : 6/20 1 $

Persons willfully making lol$O s tatements on this form can be punished by lino or forfeiture under the Communications Act of 1934, 47 U.S.C. §§ 502, 503(b), or fine or Imprisonment under TIUo 18 of the Unllod Stoles Code, 18 U.S.C. § 1001.

TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FIUNG DATA ON THE CARRIER'S BEHALF:

Certification of Officer to Authorize an Agont to File Data Roportod on Behalf of Reporting Carrier

1 certJry thll (N•m• or Agent) ~f!!iQnal Exs;!JS!nge QS!rri~r Ali~Q~ialiQn Inc. {N!;QA} Is 1uthorl1cd to submit the lnlorm1tlon reported on beh•ll ol tho reporting earner. I also c,ertlly that I am an olllcer or the reponlng carrier; my responsibilities Include ensuring the accuracy or the data provided to the Authorized J\gcnt: •nd, to the best or my knowledge, the actual d111 provided to the Authorized Agent ore accurate.

Namo of Authonzed Aqcnt National Exchange Carrier Association. Inc. (NECA)

Namo or RcPortinQ carrier lntersl.al.eJelecpmmunications Cooperative, Inc. (ITC)

Slgna!U'e ol At1hcrized Olficer L dA,, ' '{\, UA -- ~ I onto S- 20-1~ I

'~eiberger 0 PrirlOd namo ot AlAhonzOd Qtrieor Jerry

r Cle 0t oos.tJOn o1 AuihonzOd Otfccr CE 0

IT olcohono IUTiber of Aull>Otized Olllcer. i6Q5~ 87 4;2181 O•t .

Study Aton Code of RolXllt•r<i Cnrrlor 1391679 I ] Filng Due Dato 10< tHs form ltmm/dd/vvvvl I 6/16/20:5 I

Person$ w!Ufully making lalJo statements on this form can bo purnhOd by flno or lorfe<turo under tho Commun.cabons Act of 1934, 47 USC. §§ 502. 503(b), 0t fine or im;xisorvnent urioor Title 1e ol tne UMed States Code. tau S.C § 1001

TO BE COMPLETED BY THE REPORTING CARRIER,

Cortlficatlon of Officer as to the Accuracy of the CAF ICC Data Reported

I certify tllat I am an officer o f tho roportlng cnrrlor; my responsibilities Include ensuring th o accuracy of th o actual data re11ortod; and, to tho best of my knowledge, tho Information roportod on this form Is accurate.

nue or Position or Authorized omcor CE 0

Tele honenumberof AulhontodOflicct. ,(605 874.-21 81.ext.

Stud Area Code ol R or1ln Cnrrler 391679 Filing Due Date for this form mm/dd

6/ l 6/ 201~

Dale

Persons wlllfully making falso statemenl5 on \his form can be punished by fine or forfeiture under the Communications Act or 1934, 47 U.S.C. §§ 502. 503(b). or fine or Imprisonment under Title 18 of the Unite<l States Code. 18 U.S.C. § 1001.

Carrier Cert

6/3/2014 2014 CAF ICC Data Collection

https://www.necainfo.org/ICC_CAF/source/TPLines.aspx 1/1

2014 CAF ICC Data Collection Update

NECA Home NECA Data Collections Contact Us General Instructions Logout

Logged in User: Ryan Denzel

Home Select Company Electronic Certifications Main Page Study Area Data Input Menu CAF & ARC Output

Study Area: INTERSTATE TELECOMM. (ID: 391654) Holding Company: INTERSTATE TELECOMMUNICATIONS COOPERATIV (ID: 200001654)

Test Period 2014/2015

Study Area Lines for Test Period 2014/2015 - (July 1, 2014 - June 30, 2015)

Study Area IDTest Year 2014-15 Residential

Lines Excluding Life Lines

Test Year 2014-15 Single

Line Business Lines

Test Year 2014-15 Multi-Line

Business Lines

391654

Data previously submitted on 4/15/2014 10:30:24 PM (Eastern Time)

Data submitted by NECA

Submit Response

[Records response entered/updated on the above part of the sc reen]

© 2014 NECA

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http://s5.shinystat.com/cgi-bin/shinystatv.cgi?USER=NECAINFO&NH=1


https://www.necainfo.org/ICC_CAF/source/USACData.aspx 1/1






Study Area USAC Reports

[ View Printer-friendly report ] 2014 USAC Data Report

CONNECT AMERICA FUND

Data to be Provided to USAC/FCC in June 2014 for CAF ICC Purposes

Current Settlement Type: Cost

Test Period 7/1/14-6/30/15 Post True-up (Filing) View

Rate-of-Return (ROR) Carrier Revenue Requirement

1 2011 Interstate Switched Access Revenue Requirement

2 FY 2011 Intrastate Terminating Switched Access Revenues

3 FY 2011 Net Reciprocal Compensation Revenues

4 2011 ROR Carrier Base Period Revenue (Line 1 + Line 2 + Line 3)

5 ROR Carrier Baseline Adjustment Factor (0.95 x 0.95 x 0.95)

6 ROR Carrier Revenue Requirement (Line 4 x Line 5)

7 Pool Administration Expenses

8 Total ROR Carrier Revenue Requirement (Line 6 + Line 7)

Revenues from Reformed Intercarrier Compensation (ICC) Rates

9 Interstate Switched Access Revenues

10 Interstate Allocated Switched Access Revenues#

11 Transitional Intrastate Access Service Revenues

12 Net Transitional Reciprocal Compensation Revenues

13 Total ICC Revenue (Line 10 + Line 11 + Line 12)

Eligible Recovery

14 TRS Increment

15 Regulatory Fees Increment

16 NANPA Increment

17 Interstate Local Switching Support for Price Cap Affiliates

18 Adjustment for Double Recovery or Corrections

19 Test Period 12/13 Trueup - Net Impact on Total Eligible Recovery

20Eligible Recovery (Line 8 - Line 13) + (Line 14 + Line 15 + Line 16 + Line 18 + Line 19) -(Line 17)

Revenues from Access Recovery Charges (ARC)

21 Residential ARC Revenues

22 Single Line Business ARC Revenues

23 Multi-Line Business ARC Revenues

24 Total ARC Revenues (Line 21 + Line 22 + Line 23)

Connect America Fund (CAF) ICC Support**

25 Connect America Fund (CAF) ICC Support (Line 20 - Line 24)

NOTES:#Per FC C Des ignation O rder, calculated as (Sum of Line 9 for all TS pool partic ipants ) * (Line 1/ Sum of Line 1 for all TS pool partic ipants )

**NEC A es timate provided for informational purposes only - ac tual to be calculated by USA C .

© 2014 NECA

















https://www.necainfo.org/ICC_CAF/source/IntrastateTRPOutput.aspx






Intrastate Revenues (FCC TRP exhibit)

Option 1: View TRP Output in Excel

Option 2: Download TRP Data in Excel

Intrastate Revenues

Test Year 2014-2015 Expected Maximum Intrastate Revenue: $444,197.97

Col D--

Rate ElementDescription

Col E--

Unit ofDemand

Col F--

7/1/2014Interstate Rate

Col G--

Test Year2013-2014

CurrentIntrastate Rate

Col H--

7/1/2014Proposed

Intrastate Rate

Col I--

FY 2011Intrastate Units:Terminating forNon-Dedicatedor Originating

and Terminatingfor Dedicated

Elements

Col J--

H*I

IntrastatePrice-out with

7/1/2014proposedintrastaterate andFY2011Demand

Col K--

FY 2013Intrastate

Units:Terminating

for Non-Dedicated

and total forDedicatedElements

Col L--

Test Year2014-2015ForecastedIntrastate

Units

Col M--

[(L/K)^(12/21)-1]*100

Intrastate UnitsGrowth Rate %

Col N--

H*L

TY 2014-15ForecastedIntrastateRevenue

Terminating EndOffice AccessService TerminatingEnd Office,Premium, peraccess minute

MOU $0.01778300 $0.02383500 $0.01778300

Terminating EndOffice AccessService TerminatingEnd Office, Non-Premium, peraccess minute

MOU $0.00891900 $0.01072600 $0.00891900

Entrance Facility,Per TerminationVoice Grade TwoWire

Termination $46.30 $0.00000000 $0.00000000

Entrance Facility,Per TerminationVoice Grade FourWire

Termination $74.10 $0.00000000 $0.00000000

Entrance Facility,Per TerminationHigh Capacity DS1

Termination $225.76 $0.00000000 $0.00000000

Entrance Facility,Per TerminationHigh Capacity DS3

Termination $2,061.37 $0.00000000 $0.00000000

Entrance Facility,Per TerminationSynchronousOptical ChannelOC3

Termination $2,101.98 $0.00000000 $0.00000000

Entrance Facility,Per TerminationSynchronousOptical ChannelOC12

Termination $2,244.24 $0.00000000 $0.00000000

Entrance Facility,Per TerminationESALT 2 Mbps

Circuit $399.87 $0.00000000 $0.00000000


Circuit $430.98 $0.00000000 $0.00000000


Circuit $558.37 $0.00000000 $0.00000000

Direct TrunkedTransport Facility/Mile Voice Grade -Two Wire & FourWire

Mile $3.30 $0.00000000 $0.00000000

Direct TrunkedTransport Facility/Mile High CapacityDS1

Mile $15.47 $0.00000000 $0.00000000

Direct TrunkedTransport Facility/Mile High Capacity

Mile $134.74 $0.00000000 $0.00000000












https://www.necainfo.org/ICC_CAF/source/TRPOutputExcel.aspx


https://www.necainfo.org/ICC_CAF/source/IntrastateTRPOutput.aspx 2/7

DS3

Direct TrunkedTransport Facility/Mile SynchronousOptical ChannelOC3

Mile $144.23 $0.00000000 $0.00000000

Direct TrunkedTransport Facility/Mile SynchronousOptical ChannelOC12

Mile $181.03 $0.00000000 $0.00000000

Direct TrunkedTransport Facility/Mile ESALT 2 MbpsDTF-E1

Circuit Miles $45.56 $0.00000000 $0.00000000


Circuit Miles $30.38 $0.00000000 $0.00000000


Circuit Miles $78.45 $0.00000000 $0.00000000


Circuit Miles $131.37 $0.00000000 $0.00000000


Circuit Miles $115.52 $0.00000000 $0.00000000


Circuit Miles $69.32 $0.00000000 $0.00000000


Circuit Miles $197.48 $0.00000000 $0.00000000


Circuit Miles $405.05 $0.00000000 $0.00000000


Circuit Miles $323.46 $0.00000000 $0.00000000


Circuit Miles $215.65 $0.00000000 $0.00000000


Circuit Miles $644.96 $0.00000000 $0.00000000


Circuit Miles $1,149.44 $0.00000000 $0.00000000

Direct TrunkedTransportFacility/TerminationVoice Grade - TwoWire & Four Wire

Termination $33.15 $0.00000000 $0.00000000

Direct TrunkedTransportFacility/TerminationHigh Capacity DS1

Termination $80.25 $0.00000000 $0.00000000

Direct TrunkedTransportFacility/TerminationHigh Capacity DS3

Termination $515.33 $0.00000000 $0.00000000

Direct TrunkedTransportFacility/TerminationSynchronousOptical ChannelOC3

Termination $536.57 $0.00000000 $0.00000000

Direct TrunkedTransportFacility/TerminationSynchronousOptical ChannelOC12

Termination $1,168.28 $0.00000000 $0.00000000

Direct TrunkedTransportFacility/TerminationESALT 2 Mbps

Circuit terms $106.31 $0.00000000 $0.00000000

Direct TrunkedTransport



Facility/TerminationESALT 10 Mbps

Circuit terms $129.96 $0.00000000 $0.00000000

Direct TrunkedTransportFacility/TerminationESALT 50 Mbps

Circuit terms $158.84 $0.00000000 $0.00000000

Multiplexing, PerArrangement DS3to DS1

Termination $470.18 $0.00000000 $0.00000000

Multiplexing, PerArrangement DS1to Voice

Termination $181.53 $0.00000000 $0.00000000

Customer Node PerNode OC3 155.52Mbps

Port $488.09 $0.00000000 $0.00000000

Customer Node PerNode OC12 622.08Mbps

Port $1,410.05 $0.00000000 $0.00000000

Customer PremisesPort, Per Port OC3155.52 Mbps

Port $160.16 $0.00000000 $0.00000000

Customer PremisesPort, Per Port STS-151.84 Mbps

Port $192.29 $0.00000000 $0.00000000

Customer PremisesPort, Per Port DS344.736 Mbps

Port $192.29 $0.00000000 $0.00000000

Customer PremisesPort, Per Port DS11.544 Mbps

Port $49.28 $0.00000000 $0.00000000

Add/DropMultiplexing CentralOffice Port, Per PortDS1 1.544 Mbps

Port $39.44 $0.00000000 $0.00000000

Add/DropMultiplexing CentralOffice Port, Per PortOC3 155.52 Mbps

Port $160.16 $0.00000000 $0.00000000

Add/DropMultiplexing CentralOffice Port, Per PortDS3 44.736 Mbps

Port $98.60 $0.00000000 $0.00000000

Network Blocking,Per Blocked CallNetwork Blocking,Per Blocked Call,Applies to FGD only

Call $0.01612700 $0.00000000 $0.00000000

ESALT Real TimeCoS/QoS, PerESALT DTF-E1Facility ESALT 2Mbps

Facility $8.70 $0.00000000 $0.00000000


Facility $43.51 $0.00000000 $0.00000000


Facility $135.41 $0.00000000 $0.00000000

ESALT EntranceFacility Protection,Per ESALT EntranceFacility ESALT 2Mbps

Circuit $280.11 $0.00000000 $0.00000000


Circuit $280.11 $0.00000000 $0.00000000


Circuit $280.11 $0.00000000 $0.00000000

Common ChannelSignaling NetworkConnectionSignaling MileageFacility, Per Mile

Mile $4.44 $0.00000000 $0.00000000

Common ChannelSignaling NetworkConnectionSignaling MileageTermination, PerTermination

Termination $44.62 $0.00000000 $0.00000000

Common ChannelSignaling Network



ConnectionSignaling EntranceFacility, Per Facility

Facility $85.46 $0.00000000 $0.00000000

Common ChannelSignaling NetworkConnection STPPort, Per Port

Port $440.43 $0.00000000 $0.00000000

TerminatingTandem SwitchedTransportTerminatingTandem SwitchedTransport Facility

Minutes /Mile

$0.00042400 $0.00041800 $0.00042400

TerminatingTandem SwitchedTransportTerminatingTandem SwitchedTermination

Minutes $0.00220200 $0.00217100 $0.00220200

TerminatingTandem SwitchedTransportTerminatingTandem Switching

Minutes $0.00555400 $0.00547600 $0.00555400

Access OrderingAccess OrderCharge, per order

Order $87.23 $0.00000000 $0.00000000

Access OrderingService DateChange Charge,per order

Order $60.86 $0.00000000 $0.00000000

Access OrderingDesign ChangeCharge, per order

Order $85.20 $0.00000000 $0.00000000

Access OrderingMiscellaneousService OrderCharge, peroccurrence

Order $124.76 $0.00000000 $0.00000000

AdditionalEngineering (A)Basic Time, perengineer

Engineer $31.47 $0.00000000 $0.00000000

AdditionalEngineering (B)Overtime, perengineer

Engineer $47.22 $0.00000000 $0.00000000

AdditionalEngineering (C)Premium Time, perengineer

Engineer $62.95 $0.00000000 $0.00000000

Additional LaborPeriod (A)Installation orRepair - Overtime,per technician

Technician $48.25 $0.00000000 $0.00000000

Additional LaborPeriod (A)Installation orRepair - PremiumTime, per technician

Technician $64.33 $0.00000000 $0.00000000

Additional LaborPeriod (B) Stand by- Basic Time, pertechnician

Technician $21.48 $0.00000000 $0.00000000

Additional LaborPeriod (B) Stand by- Overtime, pertechnician

Technician $32.22 $0.00000000 $0.00000000

Additional LaborPeriod (B) Stand by- Premium Time, pertechnician

Technician $42.97 $0.00000000 $0.00000000

Additional LaborPeriod (C) Testingand MaintenanceInstallation andRepair Technician -Basic Time, pertechnician

Technician $32.16 $0.00000000 $0.00000000

Additional LaborPeriod (C) Testingand MaintenanceInstallation andRepair Technician -Overtime, pertechnician

Technician $48.25 $0.00000000 $0.00000000

Additional LaborPeriod (C) Testingand Maintenance



Installation andRepair Technician -Premium Time, pertechnician

Technician $64.33 $0.00000000 $0.00000000

Additional LaborPeriod CentralOffice MaintenanceTechnician - BasicTime, per technician

Technician $35.16 $0.00000000 $0.00000000

Additional LaborPeriod CentralOffice MaintenanceTechnician -Overtime, pertechnician

Technician $52.73 $0.00000000 $0.00000000

Additional LaborPeriod CentralOffice MaintenanceTechnician -Premium Time, pertechnician

Technician $70.31 $0.00000000 $0.00000000

MiscellaneousServices (B)AdditionalAutomatic Testing-Switched Access,Per Test- Gain-Slope Tests

Test $2.93 $0.00000000 $0.00000000

MiscellaneousServices (B)AdditionalAutomatic Testing-Switched Access,Per Test- C-Notched NoiseTests

Test $2.93 $0.00000000 $0.00000000

MiscellaneousServices (B)AdditionalAutomatic Testing-Switched Access,Per Test- 1004 HzLoss

Test $2.93 $0.00000000 $0.00000000

MiscellaneousServices (B)AdditionalAutomatic Testing-Switched Access,Per Test- C-Message Noise

Test $2.93 $0.00000000 $0.00000000

MiscellaneousServices (B)AdditionalAutomatic Testing-Switched Access,Per Test- Balance(return loss)

Test $2.93 $0.00000000 $0.00000000

MiscellaneousServices (G)TelecommunicationsService Priority, perservice arranged

Arrangement $55.41 $0.00000000 $0.00000000

MiscellaneousServices (H)ControllerArrangement, PerArrangement

Arrangement $101.43 $0.00000000 $0.00000000

MiscellaneousServices (I)Presubscription, perexchange serviceline or trunk perinterLATA PICchange- Submittedmanually

PIC Change $5.58 $0.00000000 $0.00000000

MiscellaneousServices (I)Presubscription, perexchange serviceline or trunk perinterLATA PICchange- Submittedelectronically

PIC Change $1.27 $0.00000000 $0.00000000

MiscellaneousServices (I)Presubscription, perexchange serviceline or trunk perinterLATA PICchange- Submittedmanually with asimultaneous LPICchange

PIC Change $2.79 $0.00000000 $0.00000000



MiscellaneousServices (I)Presubscription, perexchange serviceline or trunk perinterLATA PICchange- Submittedelectronically with asimultaneous LPICchange

PIC Change $0.63900300 $0.00000000 $0.00000000

MiscellaneousServices (K)Blocking Service perexchange serviceline or trunk or FGASwitched Accessline

Line $11.36 $0.00000000 $0.00000000

MiscellaneousServices (L) BillingName and AddressService - Per BNAorder

Order $51.67 $0.00000000 $0.00000000

MiscellaneousServices (L) BillingName and AddressService - Per BNArecord

Record $0.33471600 $0.00000000 $0.00000000

MiscellaneousServices (L) BillingName and AddressService - OptionalMagnetic Tape, permagnetic tape

Tape $92.75 $0.00000000 $0.00000000

MiscellaneousServices (L) BillingName and AddressService - OptionalFormatProgrammingCharge, per halfhour or fractionthereof

Time $37.73 $0.00000000 $0.00000000

MiscellaneousServices (M)Originating LineScreening (OLS)Service, perexchange serviceline

Line $8.06 $0.00000000 $0.00000000

MiscellaneousServices (N) CoinSupervisionAdditive Service,per exchangeservice line

Line $2.24 $0.00000000 $0.00000000

NonrecurringCharges VoiceGrade Two Wire

Facility $474.14 $0.00000000 $0.00000000

NonrecurringCharges VoiceGrade Four Wire

Facility $474.14 $0.00000000 $0.00000000

NonrecurringCharges HighCapacity DS1

Facility $347.70 $0.00000000 $0.00000000

NonrecurringCharges HighCapacity DS3

Facility $468.87 $0.00000000 $0.00000000

NonrecurringChargesSynchronousOptical ChannelOC3

Facility $379.30 $0.00000000 $0.00000000

NonrecurringChargesSynchronousOptical ChannelOC12

Facility $379.30 $0.00000000 $0.00000000

NonrecurringCharges InterimNXX Translation,Per Order

Order $231.80 $0.00000000 $0.00000000

NonrecurringCharges FGC andFGD Conversion ofMultifrequencyAddress Signalingto SS7 Signaling orSS7 Signaling toMultifrequencyAddress Signaling,per 24 trunksconverted or

Order $465.70 $0.00000000 $0.00000000



fraction thereof ona per order basis

NonrecurringCharges TrunkActivation, per 24trunks activated orfraction thereof ona per order basis

Order $483.61 $0.00000000 $0.00000000

NonrecurringCharges FlexibleAutomatic NumberIdentification (FlexANI), per EndOffice, per CIC

End Office $0.00000000 $0.00000000 $0.00000000

NonrecurringCharges ESALT 2Mbps

Facility $561.92 $0.00000000 $0.00000000


Facility $561.92 $0.00000000 $0.00000000


Facility $561.92 $0.00000000 $0.00000000

NonrecurringCharges ESALTDirect TrunkedTermination, perESALT DirectTrunkedTerminationinstalled

Order $370.22 $0.00000000 $0.00000000

NonrecurringCharges ESALTEntrance FacilityProtection, perESALT EntranceFacility

Facility $568.00 $0.00000000 $0.00000000

© 2014 NECA






https://www.necainfo.org/ICC_CAF/source/ARCChanges.aspx 1/2






Access Recovery Charges

Recalculate ARC Rates & CAF Support revenues

Test Period 2014-2015 Pre-True-up View Test Period 2014-15 Post-True-Up (Filing) View

Test Period 2014-2015 Post True-Up (Filing) View

StudyArea

ID

Exchange/ZoneName

ResidentialLines

excludingLifelines

ResidentialARC

ResidentialARC

Revenue

SLB ARC SLB ARCRevenue

MLB ARC MLB ARCRevenue

Total ARCRevenue

391654 Astoria $

1.50

391654 Bradley $

1.50

391654 Brandt $

1.50

391654 Brookings $

1.50

391654 Bryant $

1.50

391654 Castlewood $

1.50

391654 Chester $

1.50

391654 Clark $

1.50

391654 Clear Lake $

1.50

391654 Elkton $

1.50

391654 Elkton/East

Elkton

$

1.50

391654 Estelline $

1.50

391654 Florence $

1.50

391654 Gary $

1.50

391654 Gary/East Gary $

1.50

391654 Goodwin $

1.50

391654 Hayti $

1.50

391654 Lake Norden $

1.50

391654 Nunda $

1.50

$













https://www.necainfo.org/ICC_CAF/source/ARCChanges.aspx 2/2

391654 Sinai 1.50

391654 Toronto $

1.50

391654 Waubay $

1.50

391654 Webster $

1.50

391654 Wentworth $

1.50

391654 White $

1.50

391654 Willow Lake $

1.50

391654 Study AreaSummary

$ $

1.50

$

3.00

A

acy Policy

611512015 Local Rate Floor Data Collection

N f CA -::> Local Rate Floor Data Collection

Logged in User: Jon Boike ~

Study Area: INTERSTATE TELECOMM. {ID: 391654) I StUdy AreaLJst-]

Study Area - Exchange Level Data for Local Rate Floor

Data Entry History

Data Collection Period: r-2015063

I nstruct ions Agent Certification

Data Certification (No Rates Less Than $21.22) Data Certificat ion (With Rates Less Than $21.22)

Print Submitted Dat a in PDF format Print Submitted Data in Excel format

Name: Amy L Vick [ First Middle Last]

Phone: 605-874-8351 (999-999-9999)

Email : [email protected]

Enter all exchange/rate zone level rates and their corresponding lines below, where the sum of columns C-F is less than $21.22. Th is data will be used to ca lculate the impact of the local rate floor on you r company's High Cost Support.

(A) (B) (C) (D) (E) (F) (G) l

(H} I Exchange Class Of Residential State State Mandatory Rate !otall Resi~ential

Name/Zone Sen1ice Local Subscriber Universal Extended SubJect 1 "-' nes Name Service L;ne Service Area to Floor I

Charge Charge fee Service (Sum of I Charge C-F) I

Astoria Lifeline 17.50 I I 17.50

Astoria Residential 17. 50 I I 17.50 I Bradley Lifeline 17.50 I I 17.50 I Bradley Residential 17.50 I I 17.50 I Brandt Residential 17.50 I I 17.50

I

'ITIT

'ITIT

'ITIT

'ITIT

I 'ITIT https://prodnet.www.neca.org/RateFloorForm/RateFloorForm.aspx?sarid=391654 113


Brookings Lifeline 17.50 I I

17.50 ! mr Brookings Resident ial 17.50 I 17.50 mr

Bryant Lifeline 17.50 I 17.50 mr Bryant Residential 17.50 I 17.50 mr

Castlewood Lifeline 17 .50 I 17.50 mr I

I

mr Castlewood Residential 17.50 11.50 I Chester Lifeline 17.50

I I 17.50 I mr Chester Residentai l 17.50 I 11.50 I mr

Clark Lifeline 17.50 l 11. 50 I mr Clark Residentail I I mr 17.50 17. 50

Clear Lake Lifeline 17.50 I 17.50 Wt Clear Lake Residentail 17.50 l 17.50 I mr

East Elkton Res id entail 17.50 I 17.50 i mr I

I I

mr East Gary Lifeline 17.50 17.50 I East Gary Res id entail 17.50 I 17.50 mr

Elkton Lifeline 17.50 I 17.50 mr Elkton Residentail 17.50 I 17.50 mr

Estell ine Lifeline 17.50 I 17.50 I mr Estelline Residentail 17.50 I 17.50 I TI[ Florence Lifeline 17.50 I 17.50 I mr

I ! mr Florence Res identail 17.50 17.50 I

Gary Lifeline 17.50 I 17.50 I mr Gary Residential 17.50 I 17.50 mr

Goodwin Lifel ine 17.50 I 11.50 I mr Goodwin Residential 17.50 I ! mr 17.50 i

Hayti Lifeline 17.50 I 17.50 mr Hayti Res idential 17.50 I 17.50 mr

Lake Norden Lifeline 17.50 I 17.50 I mr Lake Norden Residential 17.50 I 17.50 I mr

Nunda Lifeline 17.50 I 17.50 I mr Nunda Residential 17.50 I 11.50 I mr

Sinai Lifeline 17.50 I 11.50 I ffij1 Sinai Res idential 17.50 I I mr 11.50 I

https://prodnet.www .neca.org/RateFloorF orrn/RateFloorF orrn .aspx?sarid= 391654 213

611512015 Lcx:al Rate Floor Data Collection I

I Toronto Lifeline 17 .50 17.50 l'iN Toronto Residential 17.50 17.50 i'iN Waubay Lifeline 17.50 17.50

''@ Waubay Residential 17.50 17.50 .'iN

I

Webster Lifeline 17.50 17.50 !'@ Webster Residential 17 .50 17.50 l'iN

Wentworth Lifeline 17.50 17.50 l'iN Wentworth Residential 17.50 17.50 I lit

White Lifeline 17.50 17.50 I it White Residential 17 .50 17.50 I it

Willow Lake Lifeline 17.50 I 11.50 I 1'iill Willow Lake Residential 17.50 . I 11.50 I lit

11 11±1 I

[To enter additional rows of data, click on the+ button .)

If the data form is left blank, select one of the boxes below:

U Check here if your company receives or is projected to receive High Cost Loop Support or High Cost Model Support in 2015, but has no monthly residential rates (plus charges listed above) less than $21 .22 (certification required)

U Check here if your company is not projected to receive High Cost Loop Support or High Cost Model Support in 2015

U Check here if you plan to submit local rate floor data directly to USAC

I Study Area LISi] ( Submit Response 11 Exit I

© 2015 NECA Terms of Use I Privacy Policy

https://prodnet.www.neca.org/RateFloorForm/RateFloorForm.aspx?sarid=391654 313


NECA::> Local Rate Floor Data Collection

Logged in User: Jon Boike

Study Area: INTERSTATE-SST (ID: 391679)

Study Area - Exchange Level Data for Local Rate Floor

Data Entry History

Data Collection Period: , -261566--~J

Name: lvny [First Middle Last]

L

Instructions Agent Certification

Data Certification (No Rates Less Than $21.22) Data Certification (With Rates Less Than $21.22)

Print Submitted Data in PDF format Print Submitted Data in Excel format

Vick

Phone: 605-874-8351 (999-999-9999)

Email: [email protected]

Enter all exchange/rate zone level rates and t heir corresponding lines below, w here the su m of colum ns C-F is less than $21.22. This data wi ll be used to calculate the impact of t he local rate floor on your company's High Cost Support.

{A) (B) (C) (D) (E) (F) (G) (H} Exchange C1ass Of Residential State State Mandatory Rate Total Residential

Name/ Zone Serv ice Local Subscriber Universal Extended Subject Lines Name Service Line Service Area to Floor

Charge Charge ree Service (Sum of Charg C-F}

Revillo Lifeline 17. 50 I 17.50

Revillo Residential 17.50 I 17.50

South Shore Lifeline 17. 50 I 17.50

Sout h Shore Res ident ial 17.50 I 17.50 I Stockholm Lifeline 17 .50 I 17 .50

I I

https ://prooret.www .neca.org/RateFloorF orm/RateFloorF orm.aspx?sarid=391679

I TIIT lnrr

TITI1

TITI1

jw I

, ·study Area@

112


Stockholm I Residential 17.50 11.50 I

i [To enter additional rows of data, click on the + button.]

If the data form is left blank, select one of the boxes below:

l ) Check here if your company receives or is projected to receive High Cost Loop Support or High Cost Model Support in 2015, but has no monthly residential rates (plus charges listed above) less than $21.22 (certification required)

!. Check here if your company is not projected to receive High Cost Loop Support or High Cost Model Support in 2015

Check here if you plan to submit local rate floor data directly to USAC

[ StudyArea- Listi [ siilimitResponse I [ Exi_t_I


https:/Jprodnet.www.neca.org/RateFloorForm/RateFloorForm.aspx?sarid=391679

611512015 2013 ICC CAF Data Collection

[Print this page]

Study Area: INTERSTATE TELECOMM. {ID: 391654) Holding Company: INTERSTATE TELECOMMUNICATIONS COOPERATIV {ID: 200001654)



Current Settlement Cost

Test Period 7/1115R6/30/16 Post TrueMup (Filing) View Rate-of-Return (ROR) Carrier Revenue Requirement

1 2011 Interstate Switched Access Revenue Requirement

2 FY 2011 Intrastate Terminating Switched Access Revenues -----------~----------



5 ROR Carrier Baseline Adjustment Factor (0.95 x 0 .95 x 0.95 x 0.95) ----· -------------~




Revenues from Reformed Intercarrier Compensation (ICC) Rates


10 Interstate Allocated Switched Access Revenues#

11 Transitional Intrastate Access Service Revenues

12 Net Transitional Reciprocal Compensation Revenues ·---..:__---------------------------~

13 Total ICC Revenue (Line 10 + Line 11 + Line 12)

Eligible Recovery

14 TRS Increment

15 Regulatory Fees Increment ·------------------··---------·--·----------16 NANPA Increment

17 Interstate Local Switch for Price Cap Affiliates

18 Adjustment for Double Recovery or Corrections

19 Test Period 13/14 Trueup - Net Impact on Total Eligible Recovery

Eligible Recovery (Line 8 - Line 13) +(Line 14 + Line 15 +Line 16 +Line 18 +Line 19) - (Line 20 17)

https://www .necainfo.orf}'ICC _ CAF /source/PrinterF riendlyUSAC Form .aspx 1/2

611512015 2013 ICC CAF Data Collection

Revenues from Access Recovery Charges (ARC)

21 Residential ARC Revenues

22 Single Line Business ARC Revenues

23 Multi-Line Business ARC Revenues

24 Total ARC Revenues (Line 21 + Line 22 + Line 23)


25 Connect America Fund (CAF) ICC Support (Line 20 - Line 24)

NOTES: #Per FCC Designation Order, calculated as (Sum of Line 9 for all TS pool participants)* (Line 1/ Sum of Line 1 for all TS pool participants) **NECA estimate provided for informational purposes only - actual to be calculated by USAC.

https:/twww.necainfo.org/ICC_CAF/source/PrinterFrierdlyUSACForm.aspx 212

6/1&2015 2015 CAF ICC Data Collection

NlCA~::> 2015 CAF ICC Data Collection

NECA Home NECA Data Collections Contact Us CAF ICC - Instructions & Documents Logout

Logged in User: Jon Boike Gai Home Select Company Main Page Study Area Data Input Menu ~ CAF & ARC Output ~ Electronic Certifications ~

Study Area: INTERSTATE TELECOMM. {ID: 391654) Holding Company: INTERSTATE TELECOMMUNICATIONS COOPERATIV {ID: 200001654)


Recalculate ARC Rates & CAF Support re~enues I I


Test Period 2015-2016 Post True-Up (Filing) View

Exchange/lone Residential Residential Name lines ARC

Astoria Bradley Brandt

Brookings Bryant

Castlewood Chester

Clark Clear Lake

Elkton Elkton/East

Elkton Estelline Florence

Gary Gary/East Gary

Goodwin

exduding lifeli nes

https://www.necainfo.org/ICC_CAF/source/AACChanges.aspx

$2.00 $2.00 $2.00 $2.00 $2.00 $2.00 $2.00 $2.00 $2.00 $2.00

$2.00

$2 .00 $2.00 $2.00 $2.00 $2.00

Residentia l SLB SLB SLB ARC ARC Lines A RC Revenue

Revenue

MLB I MLB Li n<:?s1 ARC

I

MLB ARC Revenue

Total ARC Revenue

1/2

6/1512015 2015 CAF ICC Data Collection

Hayti $2.00 Lake Norden $2.00

Nunda $2 .00 Sinai $2.00

Toronto $2.00 Waubay $2.00 Webster $2.00

Wentworth $2.00 White $2.00

Willow Lake $2.00 Study Area

1$2 .0 $3.001 Summary


https:/lwww .necainfo.org/ICC _ CAF /source/ARCChanges.aspx 212

e.'1512015 2015 CAF ICC Data Collection

NICA -=> 2015 CAF ICC Data Collection

ECA Home NfCA Da ta Collections Contact Us CAf ICC - Instructions & Documents Logout


Home Select Company Main Page Study Area Data Input Menu ., CAF & ARC Output ., Electronic Certifications .,


Study Area - Exchange Level Residential Lines and Local Rates for ARC Calculation

[ l!il Upload Residential Lines & Rates] [ l!il Download NECA template]

Exchange Leve l Residential Lines & Rates Residential Lines & Rates Summary Study Area Test Period Lines

Test Period 2015/2016 Study Area Lines for Test Period 2015/2016 - (July 1, 2015 - June 30, 2016)

Test Year 2015-16 Study Area ID Residential Lines

Test Year 2015-16 Single Line Business

Lines

Test Year 2015-16 Multi-Line Business

lines Excluding Life Lines

391654

https'ltwww.necainfo.or~ICC_CAF/sOl.fce/ResidentialRates.aspx

m1 ea on 3/10/2015 11 :01 :02 AM (Eastern Time Data submitted by Amy Vick

I Submit Response I [Records response entered/updated on the above part of the screen]

1/5

6115'2015 2013 lCC Cf:.F Data Collection

NECA -·~ [Print this page]

Study Area: INTERSTATE-SST {ID: 391679) Holding Company: INTERSTATE TELECOMMUNICATIONS COOPERATIV {ID: 200001654)



Current Settlement Cost

Test Period 7/1 /15-6130/16 Post True-up (Filing) View Rate-of-Return (ROR} Carrier Revenue Requirement

1 2011 Interstate Switched Access Revenue irement

2 FY 2011 Intrastate Terminating Switched Access Revenues



5 ROR Carrier Baseline Adjustment Factor (0.95 x 0 .95 x 0.95 x 0.95)




Revenues from Reformed Intercarrier Compensation (ICC} Rates


10 Interstate Allocated Switched Access Revenues# ------- -·- -------11 Transitional Intrastate Access Service Revenues

12 Net Transitional Reciprocal Compensation Revenues

13 Total ICC Revenue (Line 10 + Line 11 + Line

Eligible Recovery

14 TRS Increment

15 Regulatory Fees Increment ----- ------

16 NANPA Increment

17 Interstate Local Switching Support for Price Cap Affiliates

18 Adjustment for Double or Corrections

19 Test Period 13/ 14 Trueup - Net Impact on Total Eligible Recovery

Eligible Recovery (Line 8 - Line 13) + (Line 14 + Line 15 + Line 16 + Line 18 + Line 19) - (Line 20 17)

rrtt:ps:/Jwww .necainfo.org/IC C _ Cf:.F /source/PrinterF riendlyU SACF orm .aspx 1/2

6/1512015

21

22

23

24

25

NOTES:

2013 ICC CAF Data Collection

Revenues from Access Recovery Charges {ARC) ·~~~~-- -

Residential ARC Revenues

Line Business ARC Revenues

Multi-Line Business ARC Revenues

Total ARC Revenues (Line 21 + Line 22 + Line 23)


Connect America Fund (CAF) ICC Support (Line 20 - Line 24)

#Per FCC Designation Order, calculated as (Sum of Line 9 for all TS pool participants) * (Line 1/ Sum of Line 1 for all TS pool participants) **NECA estimate provided for informational purposes only - actual to be calculated by USAC.

https://www .necainfo.org./ICC _ CAF /source/PrinterF riendlyU SAC Form .aspx 212

& 1512015 2015 CAF ICC Data Collection

NECA~~ 2015 CAF ICC Data Collection

r- CA lome f'ECA Data Collections Contact Us CAF ICC- Instructions & Documents Logout

Logged in User : Jon Boike sj

Home Select Company Main Page Study Area Data Input Menu ~ CAF & ARC Output ~ Electronic Certifications ~

Study Area: INTERSTATE-SST (ID: 391679) Holding Company: INTERSTATE TELECOMMUNICATIONS COOPERATIV ( I D: 200001654)


Recalculate ARC Rates & CAF Support revenues


Test Period 2015-2016 Post True-Up (Fi l ing) View

Exchange/Zone Residential Residential Residential Name lmes ARC ARC

Revillo South Shore

Stockholm Study Area Summary

e:xcludin~ Revenue Lifelines

https://www .necainfo.org/ICC _ CAF /source/AA.CC hanges.aspx

SLB SLB SLB ARC Lines ARC Revenue

$2.001

MLB '1 MLB Lines ARC

I

• $3 .001

M LB ARC Total ARC Revenue Revenue

1/2

611512015 2015 CAF ICC Data Collection

NECA -::> 2015 CAF ICC Data Collection

'ECA Home f CA Data Cohections Contact Us CAF ICC- Instructions & Documents Logout


Home Select Company Main Page Study Area Data Input Menu ~ CAF & ARC Output ~ Electronic Certifications ~

Study Area: INTERSTATE-SST (ID: 391679) Holding Company: INTERSTATE TELECOMMUNICATIONS COOPERATIV (ID: 200001654)

Study Area - Exchange Level Residential Lines and Local Rates for ARC Calculation

[ l!i1 Upload Residential Lines & Rates J [ l!i1 Download NECA template]

Exchange Level Residential Lines & Rates Residential Lines & Rates Summary Study Area Test Period Lines

Test Period 2015/2016 Study Area Lines for Test Period 2015/2016 - (July 1, 2015 - June 30, 2016)

Test Year 2015-16 Study Area ID Res;dential Lines

Test Year 2015-16 Single Line Business

Lines

Test Year 2015-16 Multi-Line Business

Lines

391679

Excluding Life Lines

Data previous y su mitted on 3/10/2015 11 :01 :57 AM (Eastern Time Data submitted by Amy Vick

I Submit Response] [Records response entered/ updated on the above part of the screen]

https:/twww.necainfo.orQl'ICC_CAF/source/ResidentialRates.aspx 1/5

Rate Floor Template

Certification of Officer as to the Accuracy of the Data Reported for the Rate Floor Data

I certify that I am an officer of tho reporting carrier; my responsibilities includo ensuring the accuracy of the actual rate floor data reported ; and, t o tho best of my knowledge, tho information roportod on this form Is accurate.

Name cf Reporllng Carner lntersta~lecqrnrnunications Cooperative, Inc.

S1ona1we cl au\llcnzed officer I "" ..,.,..\::{ ) ; v - loate S-2E. - 1S Printed name 01 authonzed officer Jerry ~ e)berger r,}

~

T1Ue Of poaluon or authorized officer CE 0

Telcohone number or authorized olllccr: (605h 87 4:2181. ext.

1391654 I rlllng Duo Date tor this form I I --

Study Arca Code of RePOning Carrier I (mm/ddlYVvvl 07101/2015 -

Rate Floor Template

Certification of Officer as to the Accuracy of the Data Reported for the Rate Floor Data

I cortlly that I am an olflcor of tho reporting carrier; my rosponslbllltlos Inc ludo ensuring tho accuracy of tho actual rate floor data reported ; and, to tho bost of my knowledge, tho Information roportod or1 this form is accurate.

Name or ReN>tlino Carrier lnterslaATelecommunicalions Cooperative, Inc.

S,qnatu:o or authonzed officer L 1 .J \ J).2.,k'c..~ loate 5- -zE-15 I fj, 'J

PM1ed namo or authonzed officer Jerry eiberger

Title or P<>Stlion or authonzed officer CEO

Teleohono number or authorized otricer: (605A 87 4:2181. ext.

1391679 I 1F1l lng Due Oa1e ror lhis form I I -

Sludv Arca Code ot Reoortino Carrier llmm/dd/wvvl 07/01 '2015

R11e Floor Data

TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING RATE FLOOR DATA ON THE CARRIER'S BEHALF:

Certification of Officer to Authorize an Agent to File Rate Floor Data on Behalf of Reporting Carrier

I cortlfy that I am authorized to submit tho lnfonnatlon reported on this fonn on behalf of the report ing carrier; that I have provided the Information reported herein based on data provided by the reporting carrier; and to the best of my knowledge tho Information reported herein Is accurate.

Nnmo or AuthorllCd A cnl

Namo or Re rtlll<l Canier

S nature of authorized officer

Printed namo or authOnzcd olficcr

To~o or s.llOn cf authonzed officer CE 0

number of a.r.honzed ol!iccr (605 874.-2181ext.

Stud Aron Code or Re ortln Carrier 391654

CERTIFICATfON·AGENT

FILng Due Date for this form mm/d 07/0112015

Dale :5 - 15

Rate Floor Data

TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING RATE FLOOR DATA ON THE CARRIER'S BEHALF:

Certification of Officer to Authorize an Agent to File Rate Floor Data on Behalf of Reporting Carrier

I certify that I am authorized to submit the lnfonnatlon reported on this fonn on behalf o f the reporting carrier; that I have provided the Information reported herein based on data provided by the reporting carrier; and to the best of my knowledge the infonnatlon reported herein Is accurate.

Nomo of /\ulhorlzcd /\ enl

Nnmool Re

S rniiurc or authonzed officer Dato 5-28-15" Pnnted name of authonZed officer

T1~e 0t pos.i.on 01 oulhOnZ.eo officer CE 0

Tele number of authOf\zed officer. 605 87 4.-218 ~ e..t.

Fllng Duo Date lor U~s lorm mm/d ) 391679 St Aron Codo of Ropo Carner 07/0112015

CERTIFIC/\TION·AGENT

RATE FLOOR DATA COLLECTION - OMB Control Number 3060-0986

Block 1 - Contact Information

ROW # DATA ELEMENT RESPONSE

FORMAT OF

REQUESTED

DATA

1 391654Carrier Study Area Code 6 numeric digits

2 Carrier Study Area Name INTERSTATE TELECOMMUNICATIONS COOP., INC.alpha characters

3 Service Provider Identification Number 1430021549 numeric digits

4 Residential Local Service Charge Effective Date 07/01/14mm/dd/yy

5 Vick, Amy LContact Name alpha characters

6 Contact Telephone Number (include area code) 605-874-83519 numeric digits

7 Sheet Number numeric digit(s)

8 Total Number of Sheets numeric digit(s)

Block 2- Residential Local Service Rates, Fees, and Line Counts

Column 1

Residential Local

Service Charge

Column 2

State Subscriber

Line Charge

Column 3

State Universal

Service Fee

Column 4

Manditory

Extended Area

Service Charge

Column 5

Loops

17.50 9 8,662