LNP WORKSHEET

1998  FCC Form 487	Approved by OMB
3060-0885
Expires: 8/31/99
Est. Avg. Burden Hours
 per Response:  5 Hours	
Please read instructions before completing.  Report actual end-user revenues derived from intrastate, interstate and international telecommunication services for the period January 1, 1998 through December 31, 1998. Report revenues in whole dollars.  Forms are to be filed by Friday, April 16, 1999.	
  ORIGINAL FILING	  REVISION TO ORIGINAL FILING	
Block 1:   Carrier Identification	                                TRS Company Code	
1       Legal name of carrier:		
2       Name of carrier doing business as:		
3	Principal communications business.  Check the one box that best describes the reporting entity.
                    Please see worksheet instructions for further information.

       a  Shared Tenant Service Provider                         i    Pay Telephone Service Provider                   o  SMR (dispatch)
       b   Incumbent LEC                                                 j    Local Reseller                                                p  Other Local 
                           c  Cellular/PCS/SMR (wireless telephony)            k   Paging & Messaging                                     q   Other Mobile
                           d  IXC                                                                     l    OSP                                                                r   Other Toll
                           e  Satellite                                                              m   Private Service Provider
                           f  CAP/CLEC                                                         n    Wireless Data	
      g  Toll Reseller
       h Prepaid Card	If Other Local, Other Mobile or Other Toll is checked describe carrier type below.	

4        Holding company name:	
	
5        Complete mailing address of carrier corporate headquarters:	

6        Billing contact/address: [Administrator will send bills to this address.]:	Name:

Address:

Telephone No.:                                   Fax No.:
Email Address:	
Block 2:  End-User Revenue by LNP Region	

Regions:	
End-User Revenue	
Carriers’ Carrier	
7       Mid-Atlantic - (Delaware, Maryland, New Jersey, Pennsylvania, Virginia, West Virginia, Washington DC)	
$	

8       Midwest - (Indiana, Illinois, Michigan, Ohio, Wisconsin)	
$		
9       Northeast - (Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont)	
$		
10     Southeast - (Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, Puerto Rico, South Carolina, Tennessee, U.S. Virgin Islands) 	

$		

11     Southwest - (Arkansas, Kansas, Missouri, Oklahoma, Texas)	
$		
12     West Coast - (American Samoa, California, Guam, Hawaii, Nevada, Northern Mariana Islands, Wake Island)	
$		
13     Western - (Alaska, Arizona, Colorado, Idaho, Iowa, Minnesota, Montana, Nebraska, New Mexico, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming)	

$	

PERSONS MAKING WILLFUL FALSE STATEMENTS ON THE WORKSHEET CAN BE PUNISHED BY FINE OR IMPRISIONMENT UNDER TITLE 18 OF THE UNITED STATES CODE , 18 U.S.C. § 1001.	

Complete page 2

1998  FCC Form 487   LNP Worksheet
	Carrier name from line 1:                                                           Page 2	
Block 3:  Certification
I certify that I am an officer of the carrier named above; that I have examined the foregoing report and to the best of my knowledge, information and belief, all statements of fact contained in this worksheet are true and that said worksheet is an accurate statement of the affairs of the above named carrier for the period January 1, 1998 through December 31, 1998.	

14      Printed name of Officer:	

15      Position with carrier:	

16      Signature:	

17      Date:	

18      Contact person:	

19      Telephone number of contact person:	

20      Complete mailing address of contact:
(Filing information and the worksheet will be sent to this address.)	

21     Email address of contact person:	

22     Fax number of contact person:	

Mail worksheet to:  Lockheed Martin (CIS),  PO Box 188,  Elmsford, NY  10523-0188	
For additional information call the HELPLINE:  (877) 245-5277 or (877) BILL 277.	

	
PERSONS MAKING WILLFUL FALSE STATEMENTS ON THE WORKSHEET CAN BE PUNISHED BY FINE OR IMPRISIONMENT UNDER TITLE 18 OF THE UNITED STATES CODE, 18 U.S.C. § 1001.

“Notice to Individuals: Section 251(e) (2) of the Communications Act of 1934 (1934 Act), as amended requires that the cost of establishing telecommunications numbering administration arrangements and number portability shall be borne by all telecommunications carriers on a competitively neutral basis as determined by the Commission.”  In the Third Report and Order, adopted May 5, 1998 and released May 12, 1998, the Commission implemented section 251(e)(2) with regard to the costs of providing long-term number portability.  The rules governing long-term number portability cost recovery apply to all telecommunication carriers, including incumbent LECs, new LEC entrants, and IXCs, as well as cellular, broadband PCS, and covered SMR providers.  All telecommunications carriers are required to contribute to the shared cost of long term number portability.  All telecommunications carriers are required to file an annual LNP Worksheet.  The Commission and LNP Administrator will use the information collected in the worksheet to determine each carrier’s competitively neutral portion of the shared costs.  An agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid control number.  The control number assigned to this collection is 3060-0885.
 
Public reporting burden for this collection is estimated to average 5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burdens to the Federal Communications Commission, Performance Evaluation and Records Management, Washington, D.C. 20554.  DO NOT SEND WORKSHEETS TO THIS ADDRESS.