FCC 395 FEDERAL COMMUNICATIONS COMMISSION Washington, DC 20554 Approved by OMB 3060-0076 Est. time per response: 1 hour COMMON CARRIER ANNUAL EMPLOYMENT REPORT [Please read instructions before completing and for Notice regarding public burden.] SECTION 1 - General Information 1. Name and Mailing Address of Respondent __ Check here if this is a change of address. 2. Year Report Filed 3. Reporting Period (Ending Date of Pay Period Covered by Report) 4. Number of Full-Time Employees during Selected Reporting Period (check one): a. __ Fewer than 16 (complete Sections I, IV, and V only) b. __ 16 or more (complete all sections) SECTION II - Full-Time Employees. Number of Employees (Report employees in only one category) Race/Ethnicity Job Categories Not-Hispanic or Latino Hispanic or Latino Male Total Columns A-N Female Male Black or African American Native Hawaiian or Other Pacific Islander Asian American Indian or Alaska Native Two or more races White Black or African American Native Hawaiian or Other Pacific Islander Asian American Indian or Alaska Native Two or more races B C D E F G H I J K L M N O 1.1 First/Mid-Level Officials and Managers White A Executive/Senior Level Officials and Managers Female 1.2 Professionals 2 Technicians 3 Sales Workers 4 Administrative Support Workers 5 Craft Workers 6 Operatives 7 Laborers and Helpers 8 Service Workers 9 TOTAL 10 PREVIOUS YEAR TOTAL 11 American LegalNet, Inc. www.FormsWorkflow.com FCC 395 Revised December 2007 SECTION III - Part-Time Employees. Number of Employees (Report employees in only one category) Race/Ethnicity Job Categories Not-Hispanic or Latino Hispanic or Latino Male Total Columns A-N Female Male Black or African American Native Hawaiian or Other Pacific Islander Asian American Indian or Alaska Native Two or more races White Black or African American Native Hawaiian or Other Pacific Islander Asian American Indian or Alaska Native Two or more races B C D E F G H I J K L M N O 1.1 First/Mid-Level Officials and Managers White A Executive/Senior Level Officials and Managers Female 1.2 Professionals 2 Technicians 3 Sales Workers 4 Administrative Support Workers 5 Craft Workers 6 Operatives 7 Laborers and Helpers 8 Service Workers 9 TOTAL 10 PREVIOUS YEAR TOTAL 11 SECTION IV - Report of Discrimination Complaints Pursuant to 47 CFR 22.321, 23.55, 90.168, 101.4, and 101.311. _____ This is to advise the Commission that no complaints regarding violations of the equal employment provisions of Federal, state, territorial, or local statutes have been filed against this company before any body having competent jurisdiction in such matters during the calendar year covered by this report. _____ This is to advise the Commission that the following complaints alleging violations of the provisions of any equal employment opportunity statute have been filed against this company. (Attach a list indicating parties involved, date filed, courts or agencies before which the matter has been heard, file number or other designation, and current status or disposition. SECTION V - Certification I certify that to the best of my knowledge, information, and belief, all statements in this report are true and correct. Date Title of Person Signing Typed or Printed Name of Person Signing Signature Telephone No. WILLFULLY FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (18 U.S.C. 1001) AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (47 U.S.C. 312 (A)(1) AND/OR FORFEITURE (47 U.S.C. 503). FCC 395 Revised December 2007 American LegalNet, Inc. www.FormsWorkflow.com