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Price-Cap Regulation Rate-Of-Return Monitoring Report Form. This is a Official Federal Forms form and can be use in Federal Communications Commission (FCC).
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FEDERAL COMMUNICATIONS COMMISSION Approved by OMBWashington, D.C. 20554 3060-0355 See reverse side for information regarding public burden estimate.1. Name and Address of Reporting Company 2. Reporting Calendar Year (A) From: To: (B) First Report Filed: (C) Final Report Filed: FCC 492A PRICE-CAP REGULATION RATE-OF-RETURN MONITORING REPORT (Read Instructions on the Reverse Before Completing) Dollar Amounts Shown in Thousands Total Interstate Services Subject to Price-Cap Regulation 3. Items Final Report Final Report Difference Column A Column B Column C = (B - A)1. Total Revenues 2. Total Expenses and Taxes 3. Operating Income (Net Return) (Ln1-Ln2) 4. Rate Base - (Avg. Net. Investment) 5. Rate of Return (Ln3/Ln4) 6. Sharing/Low End Adjustment Amount 7. FCC Ordered Refund - Amortized for Current Period REMARKS 7. CERTIFICATION: I certify that I am the chief financial officer or
the duly assigned accounting officer; that I have examined the foregoing report; that to the bestof my knowledge, information, and belief, all statements of fact contain
ed in this report are true and this report is a correct statement of the business and affairs ofthe above-named respondent in respect to each and every matter set forth
therein during the specified period. Date Typed Name of Person Signing Title of Person Signing Signature Telephone No. PERSONS MAKING WILLFUL FALSE STATEMENTS IN THIS REPORT FORM CAN BE PUNIS
HED BY FINE OR IMPRISONMENT UNDER THE PROVISIONS OF THE U.S. CODE, TITLE 18, SECTION 10
01. FCC 492A September 2004 American LegalNet, Inc. www.USCourtForms.com>>>> 2FCC 492A General Instructions A. This report is prescribed under the authority of Section 4(I), 4(j), and 205 o thfe Communications Act of 1934, as amended FCC .492A shall be filed in triplicate with the Federal Communications Commission, Washington, D.C. 20554 by local exchange carriers (LECs) subject to price-cap incentive regulation filing access tariffs bere thfo e Commission. A first report shall be filed no later than three (3) months after the end of a calendar year. A final report shall be filed no later than fifteen (15)months after the end of a calendar year showing adjustments to filed results since the first th report. One copy is to be filed w thithe Office of the Secretary, 445 12 Street, S.W., Room TW-B204, Washington, D.C.20554 and two copies with the Industry Analysis and Technology Division, Wireline Competition Bureau, Room 6-A162. B. The data shall be aggregated at the same jurisdictional level as the tariffs. C. All instructions shall be followed. ll qu Aestions and statements must be completed. If proper answer is none or not applicable, insert that answer. D. Any data that requires clarification should be footnotedd fu anlly explained in the Remarks section. If the space provided is not sufficient for the required data or it is otherwise necessarory desir able to insert additional statements or schedules, the insert pages should include the name of the respondent and the time period covered, in a style conforming as nearly as prticable toac that appearing on the regular page. E. All amounts of money shall b shown ine thousands of dollars. Losses or othr negative items eshall be shown in parenthesis. Price-cap sharing amounts shall be shown in parenthesis as negative revenue tadjusments. Lower formula adjustments shall be shown as positivvenue adjustmene rets. Rates of return shall be shown to the nearest hundredth. F. Revenues should include revenues earned during the report p e Costs shouriod.ld also reflect those incurred in the reporeriodt p. G. Revenues and costs associated with excluded services und Price-er cap incentive regulation shall be excluded from reportedata din this report and shall be footnoted and explained in the Remarks section. H. Total interstate services subject to price-caps shall befin deed as interstate access combined with interexchange servicin aces cordance with FCC Docket 87-313 and the Commissions Price-cap Order dated September 19, 1990 and its Order on Reconsideration dated April 17, 191. 9 I. Interstate adjustments to rate ba, seexpenses and revenues shall be based upon FCC Docket 86-497 and other related Commission orders, if applicable to the reporting entity. Specific Instructions (referenced to item numbers on form) J. Item 3. Particulars Line 1 Total Revenues shall include service revenues, interest during constructio ifn, applicable, and miscellaneous operatng ri evenues less uncollectibles. Line 2 Total Expenses and Taxes shall include operating expenses, depreciation, amortization, other expenses, interstate owanallces and disallowances, if applicable, as well as all taxes. The me of thodcalculating total expenses and taxes shall be in accordancewith the ARMIS 43-01 Order, CC Docket 86-182, released July 20, 1990. Line 4 Rate Base (Average Net Investment) shall include accounts 2001, 2002003, 2005, 2, 1410, 1438, Cash and Working Capital as developed pursuant to CC Docket 86-497, less accounts 3100, 32 341000, , 4100, 4300, and 4340. It shall also include interstate rate base allowances and disallowances, if applicable. The method for calculating Rate Base (Average Net Investment) shall be in accordance with the ARMIS Order, CC Docket 86-182, released July 20, 1990. Line 6 Sharing/Low End Adjustment Amount shall be calculated to rflect thee Sharing/Low End Adjustment amount during the reporting period, which is due to the Sharing/Low End Adjustment made pursuant to Section 61.45(d)(I)(vii) or 61.45(d)(2) for earnings from the prior reporting period. Computation of this amount shall be expnlaied in the Remarks section. Line 7 Use the following table to calculate the after tax effect of an FCC ordered refund: 1. FCC Ordered Refund Total ______________________ 2. Refund for Period (Amortized) ____________________ 3. Tax Rate _____________________________________ 4. Refund Adjusted for Taxes _______________________ (Line 2 times (1 minus Line 3)) (Enter this amount) Notice to Individuals FCC 492A is needed to provide this Commission with data required to fulfill its regulatory responsibilities with respect to interstate telephone service under Title II of the Communications Act of 1934, as amended FCC .492 is necessary to enable tohe t Commission to monitor access tariffs and price-cap earnngs, i and to enforce rate-of-return prescriptions. Your response is mandatory. Remember You are not required to respond to a collectioninf of ormat