391647 - South Dakota Public Utilities · PDF file39164 7sd610. pdf Company Price Offerings (voice) Company Price Offerings (broadband) Operating Companies and Affiliates

<010> Study Area Code

<015> Study Area Name

<020> Program Year

<030> Contact Name: Person USAC should contact with questions about this data

<035> Contact Telephone Number: Number ot the person identitied in data line <030>

<039> Contact Email Address:

391647

SIOUX

Mona Thompson

ext.

Email ot the person identitied in data line <030> monat<l-,lakot.A.:ietwork. ccm

<100> Service Quality Improvement Reporting (complete artacbed worksheet)

<200> Outage Reporting (voice,..) ___ -.

<210> I I ~<--check box if no outages to report

::::: D~:::,::,:.:::::: ::::::" T'' I ' I

{complete attached tvorksheet}

<320> Unfulfilled Service Requests (bro;.a.:d.:ba:.:n.:.:d:.:.l __ ..:;:I =o=====:L----------..

°'"" '" AHemP" (b,,,dbood)I l'-"'•"'""-"m"'I <330>

<400>

<410>

<420>

<430>

<440>

<450>

<500>

<510>

Number of Complaints per 1,000 customers (voice)

Fixed ~o_._0 _______ -t

Mobile o.o ._ ________ __.

Fixed

Mobile ._o_._o _____ _, _ _. Service Quality Standards & Consumer Protection Rules Compliance

<600> Functionalitv in Emeroencv Situations 39164 7sd610. pdf

<610>

<700> Company Price Offerings (voice)

<710> Company Price Offerings (broadband)

<800> Operating Companies and Affiliates

<900> Tribal Land Offerings (Y/N)? {!) Q <1000> Voice Services Rate Comparability Certification

(check to indicate certification)

(attached descriptive document)

(check to indicate certificat1on)

attached descriptive document)

(complete attached worksheet)



(1/ yes, complete attached worksheet)

Ives

"''°' , ,,,.,.,.,,,,,,,,,.,.,.,,

<1100> Certify whether terrestrial backhaul options exist {Yes or No) @ Q (if nor, checktoindicatecerrificotion/

<1110>

<1200> Terms and Condition for Lifeline Customers

(complete attached worksheet}


<2000>

<2005>

<3000>

<3005>

Price Cap Carriers, Proceed to Price Cap Additional Documentation Worksheet

Including Rate-of-Return Carriers affiliated with Price Cap Local Exchange Carriers (check to indicate cert1jication}


Rate of Return Carriers, Proceed to ROR Additjonal Documentation Worksheet

(check to indicate cert1fication}

(complete attached worksheet}

Page 1

II ,/

./ II ,/

,/ II ,/

./ II ./

./ II ,/

./

<010>

<015>

<020>

<030>

<035>

<039>

<110>

<111>

Study Area Code

Study Area Name

Program Year

Contact Name - Person USAC should contact regarding this data

Contact Telephone Number - Number of person identified in data line <030>

Contact Email Address - Email Address of person identified in data Hne <030>

Has your company received its ETC certification from the FCC?

If your answer to Line <110> is yes, do you have an existing §54.202(a} "S

year plan" filed with the FCC?

If your answer to Une <111> is yes, then you are required to file a progress

report, on line <112> delineating the status of your company's existing §

54.202(a} ''S year plan" on file with the FCC, as it relates to your provision of

voice telephony service.

<112> Attach Five-Year Service Quality Improvement Plan or, in subsequent years,

Ives I no)

(yes/no)

your annual progress report filed pursuant to 47 C.F.R. § 54.313(a){l}. If your company is a CETC which only receives frozen support, your progress report is only

required to address voice telephony service.

Please select the appropriate responses below (Yes, No, Not Applicable) to confirm

that the attached document(s:), on line 112, contains a progress report on its five-year

service quality improvement plan pursuant to §54.202(a). The information shall be

submitted at the wire center level or census block as appropriate.

<113> Maps detailing progress towards meeting plan targets

<114> Report how much universal service {USF) support was received

<115> How much (USF) was used to improve service quality and how support was used to improve seivice quality

<116> How much (USF) was used to improve service coverage and how support was used to improve service coverage

<117> How much {USF}was used to improve service capacity and how support was used to improve service capacity

<118> Provide an explanation of network improvement targets not met in the prlor calendar year.

Page 2

00

Name of Attached Document

Yes

Yes

Yes

Yes

Yes

Not Applicable

Page 2

Page3

<010> Stud Area Code

<015> Stud Area Name CHJ:::YEtmf. RIV-SR s1c:.rx

<020> Pro ram Year

<030> Contact Name· Person USAC should contact regarding this data

<035;. Contact Telephone Number· Number of person identified in data line <030>

<039> Cont.1ct Email Address· Email Address of person identified In data line <030>

<220> <a> <bl> <b2:> <b3> <b4> <Cl> <c2> <d> <e> <f> <g> <h>

NORS Did This Outage

Reference Outage Start Outage Start Outage End Outage End Number of 911 Facilities Service Outage Affect Multiple Number Date TI me Date Time Customers Affected Total Number of Affected Description {Check Study Areas Service Outage Preventative

Customers !Yes I Nol all that aoph1) !Yes/ No) Resolution Procedures

Page 3

Line 510 Processes and Procedures to Ensm·e Compliance with Service Quality Standards

and Consumer Protection Rules Per FCC Form 481 Instructions

This document details the processes and procedures that Cheyenne River Sioux Tribe Telephone Authority (the "C.R.S.T. Telephone Authority") follows to ensure compliance with service quality standards and consumer protection rules as laid out in FCC Form 481 Instructions.

The C.R.S.T. Telephone Authority provides voice grade access to the public switched telephone networks (PSTN) at a flat rate, thereby enabling access to emergency services provided by local government or other public safety organizations such as 911.

For service quality standards that are affected by plant issues, the C.R.S.T. Telephone Authority engineers and installs its plant and other facilities in such a way as to ensure, to the greatest extent possible, safe, adequate and continuous service at all times.

In addition, employees are periodically trained on service quality standards and consumer protection issues. In particular, if any set of issues appear to be prevalent, employees are given briefings on how to handle such issues, beyond the normal guidelines in place for resolution of customer complaints. A recent example is the call completion problems that have arisen and the customer calls that are generated as a result. Although this is not a service quality problem caused by the C.R.S.T. Telephone Authority, it does affect customers of the C.R.S.T. Telephone Authority and, therefore, deserves the attention of the C.R.S. T. Telephone Authority employees.

The C.R.S.T Telephone Authority also periodically reviews its operating procedures to be sure that those operating procedures are in compliance with service quality standards and that the operating procedures are not in violation of consumer protection rules. Internally a compliance officer ensures annual employee training and dictates disciplinary processes for improper use of consumer information. If concerns arise that cannot be handled by the compliance officer, legal counsel is sought to assist with a resolution.

If complaints are filed with the C.R.S. T. Telephone Authority related to service quality standards or consumer protection rules, the complaint is immediately investigated, the matter tracked and any corrective action noted. This process ensures that problems are addressed and corrections made. It should be noted that the C.R.S.T. Telephone Authority has received no customer complaints in the past five years regarding service quality standards or consumer protection rules as they relate to the service offered by the C.R.S.T. Telephone Authority.

The C.R.S.T. Telephone Authority advertises the availability of its services and the charges using media of general distribution and on its website.

LINE 610 STATEMENT DEMONSTRATING FUNCTIONALITY

IN EMERGENCY SITUATIONS

At line 600 of FCC Form 481, Cheyenne River Sioux Tribe Telephone Authority ("C.R.S.T. Telephone Authority") certified that it is able to function in emergency situations as set forth in 47 C.F.R § 54.202(a)(l)(ii). This means that C.R.S.T. Telephone Authority has reasonable amount of back-up power to ensure functionality without an external source, is able to reroute traffic around damaged facilities, and is capable of managing traffic spikes resulting from emergency situations. This statement will detail how C.R.S.T. Telephone Authority is prepared to ensure continued service in an emergency situation.

Back-Up Power C.R.S.T. Telephone Authority has a back-up generator available with a minimum

of a four hour power supply for its central office. In addition, it has portable generators available for remote sites.

Rerouting of Traffic Around Damaged Facilities C.R.S.T. Telephone Authority has route redundancy for long distance service, E-

911 trunking and SS7 signaling trunking.

In the case of isolated groups of customers that may suffer damage due to a cable cut, C.R.S.T. Telephone Authority maintains sufficient staff and other resources to be able to put customers back in service in a very short amount of time. C.R.S.T. Telephone Authority's emergency service equipment is located within its exchange and requires very little time to dispatch.

Traffic Spikes C.R.S.T. Telephone Authority's outside plant is designed, engineered and built

with sufficient capacity to handle traffic spikes resulting from emergency situations and has been able to do so in the past. C.R.S.T. Telephone Authority is in an area where severe weather strikes periodically and has been able to handle communication needs at those times and has the experience from those situations to be able handle such emergency situations in the future.

<010> Study Area Code 391647

<015> Stud Area Name CHE.:.'EJJNZ 2rvEP. srnux

<020> Pro tram Year 20;<i

<030> Contact Name ~Person USAC should contact regarding this data lhn,1 7 ,.,0 :,ri!'•";t'

<035> Contact Telephone Number - Number of person Identified in data line <030> r,.;:595.;::Gco 0zt.

<039> Contdct Email Addres.s ·Email Address. of person identified in data line <030> m0:Ht <-l~tot;inc1tw,:n:k. Cl'fl

<701> Residential local Service Charge Effe<:-tive Date

<702> Single State~wfde Residential local Service ChargJ:?

<703> .. ....

~;;~, f f <33> :""a~

11!l110:0

.. ••• ,.,,, ·1 .· ••. ; '" :,;:,;,.: ·f' <> <<:~3;;c:: Residential Local

.·: .\

State Exchange (IL£C} SAC(CETC) Rate Type Service Rate State Subscriber Line Charge

c-- ~ ~L..--1 -

Page 4

·. i.<,b.;. •• •/.l. 1 , •• ;.;;,h,f,C ;.!\. '.::··/· .. !;. ,,x.f•f :.\ Mandatory Extended Area

State Universal Service Fee Service Charne Total per line Rates and Fee

Page 4

P.JgeS


<015> Study Area Name CHEYENNE RIVER s:rcn.x

<020> Pro ram Year

<030> Contact Name· Person USAC sJ1ould contact regarding this data

<035> Contact Telephone Number· Number of person identified in data line <030>

<039>- Contact Email Address· Email Address of person identified in data line <030>

<711> ', ;. ;. ::c ""~" :(•;} >· ,::•:: .. :.JTJ5ii~'pi:::·: •. :: ::: ·~.;:·;···!. :', .... ,;' ;::..;.·. •;,; ' ''·, ' ::.: •. :·;;:<·•;,;,.{,,:.i;},i:' ; :• ; ·' .>·:·/:•·•Cihi:<:•.:;:•;: •,:•: .;; ....... •.:.· '

Broadband Service· Usage Allowance State Regulated Download Speed Broadband Service~ Usage Altowan-ce Action Taken When

State hc:hani;:e fllEC) Ruldential Rate Fees Total Rate and Fees (Mbps) Upload Speed (Mbns\ (GBI limit Reathed lfelect l

~ H '~

'VH"> ·--·

Page 5

Page 6

<010> Stud Area Code

<015> Study Area Narne

<020> Program Year

<030> Contact Name - Person USAC should contact regarding this data

<035> Contact Telephone Nurnber - Number of person identified in data !in¢ <030>

<039> Contact Email Address - Email Address of person identified in data line <030>

<810> Re ortin Carrier

<811> Holdlng Company

<812> Operating Company

<813> . ·;;; ;;; :,. ···" ;;;.; ., ;;;!Z$:;' ·.·/~~~;. >:;,·.::'.'•'i ; . i; : .• , ···• .;· ,; '. ;;.~ ..• ; •• •; ;,,;:;~;};;• ,•y; ;;,;;;;: ••·· ; •;::.;.;''.:;:.; .. •; ;<.'. ; • ··r ···K.••~.•ie:• •. ••: :z••:•:• • Affiliates SAC Doing Business As Company or Brand Designation

-- :::>ee an pcnea worKsn ~et --

Page6


<015> Study Area Name

<020> Program Year

<030> Contact Name - Person USAC should contact regarding this data

<035> Contact Telephone Number - Number of person identified in data line <030>

<039> Contact Email Address - Email Address of person identified in data line <030>

<910> Tribal land(s) on which ETC Serves

<920> Tribal Government Engagement Obligation

If your company serves Tribal lands, please select (Yes,No, NA) for each these boxes

to confirm the status described on the attached document{s), on line 920,

demonstrates coordination with the Tribal government pursuant to

§ 54.313(a)(9} includes:

<921> Needs assessment and deployment planning with a focus on Tribal

community anchor institutions.

<922> Feasibility and sustainability planning;

<923> Marketing services in a culturally sensitive manner;

<924> Compliance with Rights of way processes

<925> Compliance with land Use permitting requirements

<926> Compliance with Facilities Siting rules

<927> Compliance with Environmental Review processes

<928> Compliance with Cultural Preservation review processes

<929> Compliance with Tribal Business and licensing requirements.

H15.47sd920 .pdf

Select

Yes or No or

Not Applicable

Yes

Yes

Yes

Page 7


Page 7

LINE 920

TRIBAL GOVERNMENT ENGAGEMENT OBLIGATION

PER FCC FORM 481 INSTRUCTIONS

Cheyenne River Sioux Tribe Telephone Authority (the "C.R.S.T. Telephone Authority"} is 100% whollyowned by the Cheyenne River Sioux Tribe (the "Tribe"} and actively engages in dialogue with the Tribe on a monthly and sometimes daily basis. Those discussions include the C.R.S.T. Telephone Authority's ongoing fiber project, loan requirements, service offerings and concerns on continued revenue support payments at the Federal and State levels.

The C.R.S.T. Telephone Authority is currently in year six of a six year fiber to the home/premise construction project that will provide the increased capability of broadband services and continued voice services to residential and commercial subscribers on the Cheyenne River Sioux Tribe Reservation, covering Dewey and Ziebach counties in Central South Dakota.

Tribal community anchor institutions include:

• US DHHS - Indian Health Service Health Care - Eagle Butte • Cheyenne River Sioux Tribe Field Health - Cherry Creek, Red Scaffold, White Horse & Swiftbird

Clinics

• US DOI - Bureau of Indian Affairs and Bureau of Indian Education > Cheyenne Eagle Butte School > Takini School > Tiospaye Topa School

• Cheyenne River College Center - Oglala Lakota College

These community anchor institutions are in direct and indirect contact with the C.R.S.T. Telephone Authority to order both telephone and broadband services. As the fiber project continues, the Tribal community anchor institution customers not currently served by fiber facilities, will have available to them faster broadband speeds as the fiber project is completed.

The C.R.S.T. Telephone Authority is very sensitive to the Tribe's culture and the marketing of the C.R.S.T. Telephone Authority's services. Service offerings and packages are discussed at all staff levels and are reviewed by Tribal attorneys, ensuring cultural sensitivity.

The C.R.S.T. Telephone Authority is in compliance with land use permitting requirements, facilities siting, environmental and cultural preservation review processes with the Tribe.

The C.R.S.T. Telephone Authority retains all the required business and licensing requirements which include certificates of public convenience and necessity, business license, master license and any other related forms expected by the Tribe.

<010> Study Area Code 1:n>:>·n

<015> Study Area Name CHE':'S}:N.S f;IvEH sroux

<020> Program Year :;:•iE

<030> Contact Name - Person USAC should contact regarding this data t·'.~m" Tr.ct1ni;c11

<035> Contact Telephone Number - Number of person identified in data line <030> 6tFi%·t:::&oo A;-:::.

<039> Contact Email Address- Email Address of person identified in data line <030> r~c:v.~;~lakoLmt"i:;..:0::~.ccm

<1120> Please confirm whether terrestrial backhaul options exist within the supported area

pursuant to§ 54.313(g) (Yes. No).

<llSO> Please select t11e appropriate response (Yes, No. Not Applicable) to confirm the

reporting carrier offers broadband service of at least 1 Mbps downstream and 256 kbps

upstream within the supported area pursuant to§ 54.313(g).

Page 8

Page 8

<010> Study Area Code H1"-' <015> Study Area Name (~llR'tEN!·<E r:>r>.rsF. .s:cux

<020> Pro ram Year

<030> Contact Name - Person USAC should contact regarding this data wm-1 Tlv::.Mpt!::::-n

<035> Contact Telephone Number - Number of person identified in data line <030> s0s:,G,;2•>tlo t'xt,

<039> Contact Email Address - Email Address of person identified in data line <030> rsnHh:."1•·ct~n~n-1ork..com

<1210> Terms & Conditions of Voice Telephony Lifeline Plans

<1220> Link to Public Website HTIP

"Please check these boxes below to confirm that the attached document{s}, on line 1210,

or the website listed, on line 1220, contains the required information pursuant to

§ 54.422{a)(2) annual reporting for ETCs receiving low-income support, carriers must

annually report:

<1221> Information describing the terms and conditions of any voice telephony service plans offered to Lifeline subscribers,

<1222> Details on the number of minutes provided as part of the plan,

<1223> Additional charges for toll calls, and rates for each such plan.

Page 9


Page 9

Company:

Address:

SOUTH DAKOTA PUBLIC UTILITIES COMMISSION

LIFELINE/TRIBAL UNK UP ADVERTISING/OUTREACH

ANNUAL REPORT

JULY 1, 2015

Cheyenne River Sioux Tribe Telephone Authority

PO Box810

100 Main Street

Eagle Butte, SD 57625

Telephone Number: {605)964-2600

Company Contact:

Study Area Code: 391647

Lifeline/Tribal link Up Advertising/Outreach Activities:

_X _ Advertise in media of general distribution.* (See attached advertisement(s).)

_x_ Letter to existing and new customers regarding the availability of Lifeline/Tribal Link Up.*

(See attached letter.)

Company's Lifeline/Tribal Link Up information in directory. (C.R.S.T. TA did not print a 2014 directory.)

_x_ Company's Lifeline/Tribal Link Up information available on Company website. (www.crstta.com - C.R.S.T. TA did not print the 2014 income guideline page off of website but we are including the 2015 table.)

_x_ Company's information posted on USAC website.

*Required

12 •June 21>. 2014 •West River E>gle

Wouldntt you like to t:JAVE every month? Then the Tribal Lifeline and linkup Program might be for you!

What Is Lifeline? •••• Dl:scoontcd Telephone S<Mcc Whal Is Linkup? ••.• Rcductlon for connccUoa {lnstall•Uon clwg<sl for basic home telephone s<Mcc

YOU are eligible If JOO rtek'v< as•lstancc from one of the following: • Medlold • Bwcau of lnd!an Af!aln (ll!A) General Assl:stm<:e • Fedcr:ll Public Housing Asslstniu (fPHAl or Section • Trlb:l!r Admlnlstcrtd Temporary • tow locome Hoole Energy AsSlsuocc Progrm (UHWl Ass1Sl3!lcc to Ntec!r fmlllcs f!TJl.Nfl • Suppl<mcnl:!I S«urilJ Income (SSIJ • Natloml School l.un<h Program» free luncli program • Supplemental Nutrlllon Assl:sl>ru:c Program (SNAP) • Food DlstnbuUon Proyam on lndl3!l R=mtloos • TtnlJ'O"l)' AsslsW!cc for Ne<:<!r FamJUcs (TANF) • Hcuschold !naime falls below 135% • Hwl Stall {Income cllglblcJ of the federal p<>m!Y gu!dtllrn:s

• .How Do You ApP!r? •.•• For :m appl!aillon 3!\d.'0< m0<c lnfotm.>tlon pf«sc call: l·l!l!8·S87-70l5. If JOO an,.:lli;lb!t. JOO will be malled a Ufcllnc/IJnk.Up Appllollon frn4TI SOUX. For more lnfonn>llon

~ Cheyenne River Sioux Tribe Telephone Authori;;i ' ··- ' (lies) %i 2600 .•. IOO Main Stn:<:t • P.O. Box 8t0 • It Bulle. SD 57625

SK continued from 2a

Annis looked at the crowd sitting on the track bleachers before him with the sun shining in his eves and said. "'Herc we arc togethCr for the same purpose. We are a community. even if we don't know each other wcH." "One of our most sacred things

!~1~i~~.c~~v;n~~"of ~J:C ~~~~ 0d~:~ person took to come to the SK event, and of the time we could offer each 01 her when struggJi ng with loss or depression. Loss is a painful and difficult emotion to cope with. Annis offered SC\'cral other strntcgic-s that could help someone who is

·.Ji·······:··o··· UV§. p·····Pl\T· ·.· Agffti~~~ .. ·.~i;b,.;.g .• CHECK OUT OUR SPRING SPECIAL · • l v .1UL.:d /n·Sliuth Daftota . : ~ !!! NMll Daftcta Prcauas l

Candy • Jeltfes • Honey • Tanka Sm • Candles • Cards • Soap$ . I There's also a Coffee Bar serving oh soooooo delldous ··

Lattes, Fraps, Smoothies and mom I CUP OUT THIS AD AND PRESENT IT FOR HALF·~~·l .. • QNE Of OUR DELICIOUS µms! ... : : ,

M.f a a.m. • s p.m. 5"turday$ h.m.•4 p.m> • · . • •. (~.\!!~.~?~~ ~litl!,.·Mobrldg&.; •..

***NOTICE*** THE SOLID WASTE LANDFILL

,_ HAS RECENTLY FINISHED THEIR INVENTORY OF TRASH CONTAINERS ANO 2 YARD DUMPSTERS.

Effictive July 7th, 2014 any person or persons who has a container or dumpster that belongs to the landfill and does not have a contract will have their container or

dumpster removed unitil such time the person or persons comes to the landfill office to sign a service agreement for

garbage collection.

Also, any person or persons who's accounts are grossly behind on payments for services will have their container or dumpster removed as well, unitil a payment agreement

can be made.

Should anyone have questions regarding this NOTICE you may contact the Landfill Office at 964-6111.

6irtMays are Yoo~ 6ut this one is Yreat!

$0, let's yet IO'fltlier a11J eeleCrate

~oan WeCC~ 80th 6Birtlida~

Saturday, c;}une 28, 201/f - 4 r-m. - ? 6Biy $11es .ee9it!11

'!:four l' rese11ce is

ljOUT yifl!

Caring far your family is a naturn£ thing to do ••• I£t us taJie care of tfre final detailS!

CRST Tribal Members: Non Tribal Members: ~ All service fees, casket & headstone - All service fees and caskets starting at 14,695

included under tribal burial program - casket spray provided - Star Quilts available - Granite headstones starting as low as s150

All Funerals Receive: - Clergy fees provided* ~ Memorial candle

- Memorial Thank Yous - Full-sized Memorial programs - Spacious chapel and/or church services • 0ut-o1-s1a1e death$ mav incur extra costs

Every fantio/'s nu4s are servel re9an!fess of tfieir faitft, financia( situation. or cu!ture! 1:f;~r:.;

dealing with a death resulting in suicide. or anv death.

He first explained the an.1lngy of a. piece of meat, \\'hkh can sustain a person for a time. but once it is gone. its sustemmce ends. If you trv to save the meat.

!!~~i~l5~~,~~~~~'~; :h~i1, and offer The eaten meat is the pa.st. and

saving the meat for the future will on Iv take vou so far before it mo is nO longCr useful. Withom the meat. there is no sustenance. but we can•t make dmt one piece last forever.

"The fu1urc and rhc past c:an· not sustain vou; vou only have today," explained A.nu is. "We get sick if we live in the past onhc f uturc. So take lifconcdavm a time. Annis: ended his spccich with a thought a firelighlcr"s wife shared upon his passing.

'"Shesaodshcisgolngtomakcn point to have as much fun as she can while she is alive. because when vou'rc having fun. time flies. a·nd she said, 'I'll be with my husband that much sooner."·

Senators Johnson andHoeven introduce bill to adopt bison as national mammal

Washington, DC - U.S. Senators Tim Johnson (0-50) and John Hoeven CR-ND) today led a bipartisan group of Senators in introducing the National Bison Legacy Act, legislation that would officially adopt the North Amcri· can bison as the national mam· mal of the United States.

•The bison has pla)-ed an important role in our nation's his·

;~~~~~~~:r.;;i~:~~:ri~~~~~ri~ remains one of our most iconic and enduring symbols; Johnson said. o1aison riroduction has also

~;~~·~~dc~vo":f~~~~tthag~i~~t1~ and throughout the country as demand continues 10 grow. lly ndopting the North American bison as our national mammal, the National llison Legner An recognizes their historicu1. cultural. ecological, and economic significance."

Uison have plavcd and con· tinueto pf.av an imf>ortam role in Indian Colintrj economics and in the spiritual ivcs of American Indians. The animal was nearlv extinct in the early 1900s. but ii collaboration of public and prl· vnte interest$ worked together 10 help restore its population. Current1v, many American In .. dian tribes are working to restore bison on tribal lands.

Bison producers help grow rural economics and r,rovidc

ili~ 1~~~~~~'~0~~3~~~~i~~.4~h~~ are 2,600 bison ranches that help create jobs. generate ccono1111c growth, and provide a sustain· nblc and henlthy meat source 10

'' contribute to our nation's food

'J'n111i& Jt111eml ,C/{ome f :·~~~~~tl)~U,~~a:~·H~7i:.;,r;~

Joe Stout

845-7400 ., 18-ND),Sholdon\Vhlrehouse(O·RI).

Micha.I Bennet CD-CO), Martin Heinrich ID-NM). Chuck Schumer ID-NY), Kirsten Gilllbrand (0-NY), Tom

24339 US Hwy 212, Eagle Butte, SD Dennis Thiessen ~g;1~~~;::~>iJ~~~,;~~k~·1~i~~~s 519 7th Ave E, Mobridge, SD tR-NE). James lnhofe (R·OK). and __ ..... __ ..,..__..,.....,. _ _,,_..,....,..,..,....,. .. ,,_,...,..._..,._...,.., ___ ...,.,......,. ... ,_ _____ Jerry Moran (R·KS).

PAGE4 NOVEMBER 6, 2014 Seminnr for Young Adults held

s,~ _______ P_e_e_k_In __ t_o_t_h_e_P_a_s_t ______ __Jri? in:i~r:d Mrs. Edwin Heck of

November 5, 1914 November 3, 1944 Bertsch, enrol Lutz nnd Ro- Firesteel nnd Mr. and Mrs. Reine Robbins & Linde are moving Isabel lost the gnme played nt berta Lindskov; feature writers Heck of Mobridge reeently trnv·

a large nmouut of dirt, a bank Selby by a 26·8 seore. The East Kny Badure, Esther Young and cled to the East Coast. On tlieir nboutl6f«!tdeepnndaregetting River boys played real rough· Corinne Elfrink; Boys sports: trip they visited Washington, down to a new vein of coal. They and. which was tolerated by the Duane Heck. Marvin Gill and D.C., Ningarn Falls, Cobb Island arc shipping con! so fast that they referee. Forrest Hall; Girls Sports: Delo· and Port Tobarco. can hardly get the orders filled Gorky Wortman was the vie· res Dahl. Mary Beer and Dawn November 1, 1984 and are employing nil the men tim of a splintered bone and was Siepmrm; exchange news: Ro· Ray Knodel. fsnbel. was iltjm-ed they can find. taken to Mobridge hospital. mana Bertsch; Grade news: Edith when n rock foll off a rock-<:mshcr

Mins Tillie Pillar had the mis- On October 27th six cars of Stapcrt grades 1·4 and EMna conveyor and stmck him on the fortune to break a bone in her sheep nnd three cars of cattle Klingman graes 5-8; Reporters side of the head - in Uw temple foot. She attempted to step over were shipped from Isabel. are Eileen Reichert, Alice An· area. n woven wire fence, which was Mrs. Earl Woodcock returned dcrson, Margaret Siepman and The Isabel Lounge held their nboutafoothighandshetripped. home from n trip to the West AhinMotis. nnnrut!Hnlloweenpnrty. "Spooki·

It has been reported that on Const. While at Van Couver, Novcmber5 1964 est" prize went to Mick Frank, thisdayitv.illbeclennupday.All Washington she was a guest nt News from Mobrldge: n 30 "Funniest" prize was wou by of the school children "ill assist the launching of a ship. pound lynx, was shotj11st west of Ginger l\nowltcn, "Ugliest" prize in picking up tin cans, etc. Two November 4, 1954 Mobridge by Clarence Mendell we~t. to ~eR~y Wnrner.-ll!o•t wagons \\ill be on the job to him! After ru1 interim of 20 years while hllllting grouse. The nude o.r1g1n~l prize. went Clmst~ the stuff out of town. Mr•. "Shorty" Lutz and her cat appeared near a small pond Fmkbemer and Best Over-All

November 2, 1934 brother, Ah·in Opp, visited in about a mile west of the Sitting went to Brad Haack.

ISABEL DAKOTAN November3, 1994

Over five inches of rnin \Vas received in Isabel during the month of October.

Kimberly K Lindskov was one of 114,000 students included in the 17th Arm.uni Edition of The National Denn's List. She attends University of Mary in Bismarck.

The All.State Chorus quartet has been chosen for the 1994 school year. The quartet consists of senior, Matthew Reichert, tenor; junior Melody Reich. so· prano;junior Melody Stradinger, alto; and sophomore, Brrok Bege· man. bass.

Monte Liudskov mid Keri Kerstiens were selected ns the 1994 Homecoming royalty.

Nov.4,2004 Tu-o hm.idred eLx voters marked

their ballots at the Isabel Nutri· lion Site Tuesday, Nov. 2.

G.L. Koch of Mound City and Bla.ncllllrd, Idaho. Bull monument and Mendell ----------------------Nels Jeppson of Isabel hnd the Kenneth Lindakov had a ton· shot him in the head with a .410 D 'I J3 d J3 k misfort11neofcrnshingnutomo· slllectomyopcrntionnttheLowe shotgi.m. a1 Ll rea a eru biles near Uie junction of No. 8 hospital at Mobridge. Returning letterman for the :J :J and 65, west of Isabel. The Koch Chris Aldinger was the \\inner Isabel boys' basketball tenm M d NI ffi carwns considernblydnmngcd. It of the shotgun that was give11 include, Mark Perrett, Ronald on ay: U ns

Thursday: Pie Friday: Cakes

Saturday: Baker's Choice

is reported the accident was due away nt the Fireman's Ball in Strndingcr. Gerry Hcek, Denn Tuesday: Cookies to defcctiv11 lights. babel. Finkbeiner and Leslie Lindskov. Wednesday: Donuts

C.E. Boehrs, Jr., democratic The first issue oCThe Wildcat Therearetwenty-fiveboysoutfor & Rolls candidate for sheriff was in an hit the streets Nov. 1st. Donna bnskethall. accident, which resulted in three Heck is the editor nnd Donna October 31, 1974 broken ribs. becbe,Assistantcditor.Memeog· Sixty-seven senior citizens

In returnitig home, he ran into rnphet'S are Carol Lutz, Corinne attended the annual Senior Citi· n car without tnil lights. Mr. and Solberg, and Lucille Taylor; art zcns Ten in Isabel. Mrs. Joe Paid, passengers in the editors: Mary Beer and Donna The Dewey County Bank of other car were also hurt. Beebe; copy renders Corinne Isabel has announced that a high

The 13 year old son of Mr. and Solberg and Esther Young; proof school senior, Margaret Megin· Mrs. David Flagg has been seri· readers: Roberta Lindakov and ness has been named to attend ously ill with p11eun1ouin. Forrest Hall; typists: Romona the 13th Annual Economics

Providing More Than rs

of Affordable Energy

TOGETHERWESAVE.COIYI

Electricity 1945 ....... 0.05 2014 ....... 0.11

Gallon of Gas 1945 .............. 18 2014 ......... 3.60

Your limchsconc Encr>,•y · Conpcmti\'c ~; Tit.: polh't 0{1111tt~11 ~1>111i-.'l.tJ.n1•

What is Lifellne? Discounted Telephone Setvice

What is Unkup? Reduction for connection

(installation charges) for basic home telephone selVice

YOU are eligible if you receive assistance from one of the following:

• Medicaid • Federal Public Housing

Asslslance (FPHA) or Section 8 • Low Income Home Energy

Assistance Program (LIHEAP) • Supplemental Security Income

(SSI) • Supplemenlal Nutrition

Assistance Program (SNAP) • Temporary Assistance for

Needy Families (TANF) • Head Start (Income eligible)

• Bureau of Indian Affairs (BIA) General Assistance

• Tribally Administered Temporary Assistance to Needy Families (TTANF)

• National School Lunch Program's free lunch program

• Food Distribution Program on Indian ReseMtlons

• Household Income falls below 135% of the federal poverty guidelines

~c\\.tta & Poker 'roll. ~ C~ Saturday, 7'.llq~ 4' November 22, 2014 ~.llr

Pioneer Hall in Dupree ~ • i;f· Poker Tournament - ;!f~1 ~Jtf'

.J Sign-Up 3:00 • Start at 4:00 '-<:.,,~ NFR Calcutta - during the break at 6:00

Individuals & Rough Stock/Timed Event Teams ~ Lunch will be served!

~ Sponsored by Dupree Rodeo Committee

Dear C.R.S.T. Telephone Authority Customer,

Please read this letter carefully.

Individuals who reside on tribal lands and meet the eligibility criteria may qualify for discounts [on the telephone bill] through Tribal Lifeline and Tribal Link Up programs. Tribal lands are defined as any federally-recognized Indian tribe's reservation, pueblo, or colony; Indian Allotments; and areas that fall outside the boundaries of existing Tribal lands but have been designated by the Federal Communications Commission as Tribal lands for the purpose of receiving Tribal Lifeline and Tribal Link Up support.

Tribal Lifeline helps eligible residents of tribal lands save up to $34.25 on their monthly phone bill. The discount applies to wire!ine ... or wireless residential telephone service plans and is limited to one line per household. Tribal Link Up provides a one-time discount

for the connection or activation charge for new telephone service at the applicant's primary residence. The discount is a 100 percent reduction, up to $100, of the customary charge to initiate telecommunications service. Link Up also allows you to pay any remaining amount owed on initiation of service (up to $200) on a deferred schedule, interest free.

Eligible consumers may also be able to sign up for free loll blocking or toll limitation service that either blocks or limits long-distance calls from your phone.

Both programs have eligibility requirements. You may qualify if you, one or more of your dependents, or your household participates in any of the following programs:

• Medicaid (example, Title XIX/Medical State Supplemental Assistance) • Supplemental Security Income (SSI) • Low-Income Home Energy Assistance Program (UHEAP) • Federal Public Housing Assistance (Section 8) • Supplemental Nutrition Assistance Program (SNAP, formerly known as food stamps) • Temporary Assistance for Needy Families (TANF) • National School Lunch Program's Free Lunch Program • Bureau of Indian Affairs General Assistance • Tribally-Administered Temporary Assistance for Needy Families (TTANF) • Head Start (if income eligibility criteria are met) • Food Distribution Program on Indian Reservations • Or, if your household income is no more than 135 percent of the federal poverty income guidelines (see table below).

100 Main Street * PO Box 810 * Eagle Butte, SD 57625 (605) 964-2600 Phone * (605) 964-1000 Fax

2015 Health & Human Services Poverty Guidelines

Number in Residence 135% Guideline (Annual) Number in Residence 135% Guideline (Annual)

$15,890 5

2 $21.506 6

3 $27,122 7

4 $32,738 8

For each additional person after 8, add $5.616 to the annual guideline. Federal Register, Vol. 80, No. 14, February 2, 2015, pp. 3236-3237 (Applicable to the 48 contiguous states and the District of Columbia only.)

$38.354

$43,970

$49,586

$55,202

To apply for Tribal Lifeline or Tribal Link Up on Tribal Lands, contact Solix at 1-888-587-7035 for a Tribal Lifeline or Tribal Link Up Assistance Application, complete the form, and then return it to Lifeline Administrator, 30 Lanidex Plaza West, PO Box 685, Parsippany, NJ 07054-0685. A representative from Solix will contact you to verify your eligibility and complete the application process. You will be required to provide documentation to prove eligibility.

Important Information

• Not all telephone providers in South Dakota offer the Tribal Lifeline and Tribal Link Up discounts. "' Tribal Lifeline is available on only one line per household. A household is defined as any individual or group of individuals

living together at the same address as one economic unit. Ar. "economic unit" eonsists of all aduit indivictua1s·conilibuling to and sharing in the income and expenses of a household. A household may include related and unrelated persons.

"' Tribal Lifeline and Tribal Link Up discounts cannot be applied to past due telephone bills. "' It can take up to two months for the discounts to show up on your bill as a credit. You must pay the bill until that time. • Tribal Link Up will not cover the cost of a phone or wiring your home. "' You must notify C.R.S.T. Telephone Authority when you no longer qualify for the program.

Tribal Lifeline and Tribal Link Up Telephone Assistance Programs Proof of Eligibility

If you qualify for Tribal Lifeline or Tribal Link Up based on income, you may be asked to provide proof of your income. The following documents are acceptable proof:

"' Last year's state, federal or tribal tax return • Current income statement from an employer or paycheck stub • A Social Security statement of benefits • A Veterans Administration statement of benefits • A retiremenUpension statement of benefits • An UnemploymenUWorker's Compensation statement of benefits • A federal or tribal notice letter of participation in General Assistance • A divorce decree, child support award, or other official document containing income information

If the prospective subscriber presents documentation of income that does not cover a fut! year, such as current pay stubs, the prospective subscriber must present the same type of documentation covering three consecutive months within the previous 12 months.

If you qualify for Tribal Lifeline or Tribal Link Up based on program-based eligibility, you may be asked to provide proof of your eligibiltty. The following documents are acceptable proof:

• The current or prior year's statement of benefits from a qualifying assistance program "' A notice or letter of participation from a qualifying assistance program • Program participation documents • An official document demonstrating that the prospective subscriber, one or more of the prospective subscriber's

dependents, or the prospective subscriber's household receives benefits from a qualifying assistance program.

Sincerely,

C.R.S.T. Telephone Authority

Tribal Lifeline and Linkup Program I Cheyenne River Sioux Tribe Tele ... http://www.crstta.com/services/phone/lifeline-linkup-programs.php

I of2

Cheyenne River Sioux Tribe

Abolt Us

The C.R.S.T. Telephone Authority offers many valuable services for our customers from basic telephone sel'llice to robust internet solutions.

HelplFAO

Telephone Authority

Packages Telephone Internet & Network Gas Company Services Sales & Services Division I My Bill

Telephone Services

-~s..~11 a Control Features

" c._p.JM!.!Jl.!!~J.Yr~ • Lorn Distance Phone Solutions

.~orderC.~ • Tribal Lifeline and Linkup Program

Service Region

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Telephone Directories

Tribal lifeline And linkup You May Be Eligible For Discounted Telephone Service.

Qualifying customers who reside within the boundaries of the Cheyenne River Sioux Indian Reservation. This program can decrease your local monthly telephone service by as much as $22. 75 per month.

On January 01, 1998, the basic Lifeline and Linkup program was implemented. This program was designed to assist low-income consumers wilh the cost of basic telephone service. On October 01, 2001, the Enhanced Lifefine and Link-up rules were Implemented. This "enhanced" program applies to low income consumers living on tribal lands.

Eligibility Requirments:

This low income federal telephone assistance program is available to ettgible subscribers that are participating in at least one of the following public assistance programs:

" Bureau of Indian Affairs (BIA) general assistance program a Federal Public Housing Assistance (Section 8) • Food Distribution Program on Indian Reservations a Supplemental Nutrition Assistance Program (SNAP, formerly known as food stamps) • Head Start (meeting income quafifying standards) a Houshofd Income is at or below 135% of the Federal Poverty Guidelines • Low Income Home Energy Assistance • Medicaid (eg., Trtle XIX Medical State Supplirnentat Assistance) a Supplemental Security Income (SSI) • Tribally-Administered Temporaiy Assistance for Needy Famities (TTANF) • Temporaiy Assistance for Needy Families (TANF) • National School Lunch Program's Free Lunch Program

Persons in family/household Poverty guideline

$15,890

2 $21,506

3 $27,122

4 $32.738

5 $38,354

61312015 10:43 AM

Tribal Lifeline and Linkup Program I Cheyenne River Siomc Tribe Tele ... http://www.crstta.com/services/phone/lifeline-linkup-programs.php

How To Apply:

For an appfication and/or more information please call: 1-888-587-7035. If you are eligible, you will be

mailed a Lifeline/Link-Up Application from Solix, Inc.

The Cheyenne River Sioux Tribe Telephone Authority (605) 964 2600 • 100 Main Street• P.O. Box 810 • Eagle Butte, SD 57625

© 2015 crstta.com. AU Rights Reserved

Site Map

Companies in My State - Lifeline Support - USAC

What Is Lifeline? Companies in My State

COMPANIES IN MY STATE

• South Dakota

""Back to map

Clld<ing on the header label of each column will sort the table by that column.

Northern Valley Communications

James Valley Wireless

Northern Valley Communications

Budoet Mobile

ITC Telecom

~1viftel Comm.l.Jnica tions

Centurylink (formerly Qwest)

Kennebec Telephone Company

Midstate Communications

Pralrie_!'@y~-~<?!!!!!!\!!l!!Y Telep~r.ie_

PrairieWave Black Hills

Santel Communications

Roberts Count,y Telephone CooQgrative Association

TrioTel Communications, Inc.

Valley Telecommunications Cooperative Association

Venture Communications

West River Telecom

Beresford Municipal Telephone

Cit,y of Fairth Munici12al Teleohone Com~!lY

Mt. Rushmore TeleQhone Company

http://www.lifelinesupport.org!ls/companies/CompanyListing.aspx?sta ...

888-919-8145 Wireline

800·556-6525 Wireless

800·377-9450 Wireless

Wireless

888·919-8945 Wireless

888·777-4007 Wireless

800-417-8667 Home Phone

605-692-6211 Home Phone

800· 701-4978 Home Phone

800-24'1-1111 Home Phone

605·964-2600 Home Phone

866·279-2161 Home Phone

800·556-6525 Home Phone

605-869-2220 Home Phone

712·271-4000 Home Phone

605-778-6221 Home Phone

877-633-4567 Home Phone

605-721-2000 Home Phone

888-978-7777 Home Phone

800·256-6854 Home Phone

800-256-6854 Home Phone

800·242-1925 Home Phone

605-437-2615 Home Phone

800-824-7282 Home Phone

800-748-7220 Home Phone

605-763-2500 Home Phone

605·967-2261 Home Phone

605-666-4411 Home Phone

Companies in My State - Lifeline Support - USAC

? nf?

Golden West Telecommunications

Midcontinent Communications

Midstate Telecom, Inc

SS Telecom

¢>Back tom~

Email us with questions from consumers. Email us with questions from carriers.

http://www.lifelinesupport.org/ls/companies/CompanyListing.aspx?sta ...

855-888-7777 Home Phone

800-824-7282 Home Phone

605-274-9810 Home Phone

888-214-1431 Home Phone

605-676-6000 Home Phone

CHEYENNE RIVER SIOUX TRIBE TELEPHONE AUTHORITY 391647

Line 1222 Details on the number of minutes provided as part of the plan.

The C.R.S.T. Telephone Authority only provides its lifeline customers a flat rate local service. There is no measured local service provided, so the number of minutes provided is not necessary.

Line 1223 Additional charges for toll calls, and rates for each such plan.

The C.R.S.T. Telephone Authority provides access to toll service providers for its lifeline customers. The lifeline customer has to choose its own toll service provider, so no additional charges are noted or required by the C.R.S.T. Telephone Authority.

Page 10

<OW> Stud Area Code <015> Study Area Name

<020> Pro ram Year <030> Contact Name - Person USAC should contact regarding this data

<035> Contact Telephone Number - Number of person identified in data line <030>

<039> Contact Email Address· Email Address of person identified in data line <030>

Select the appropriate respOf'tffl below (Yei, No1 Not Appttcabte) to note compliance as a recipient of tncre~ntat Connect America Phase I support, frozen High Cost support. High Cost support to offset access charge reduttiom, and Connect Anwrka Phase H support as set forth in 47 CFR § S4.3l.3(b),(c},(d},{e). The infonnation wported on this form and in the documents attached hetow ls accurate.

Incremental Connect America Phase I re-porting <2010> 2nd Year Certification {47 CFR §- 54.313(b}(l)l}

<2011a> 3rd Year Certification {47 CFR § 54.313(b){l)ii}

<2011b> Attachment {47 CFR § 54.313{b)(l)ii)

Nam°' ot Attaci'!ed Documi::ntis) listing Require-cl lnfomi<ition

Price Cap Carrier Receiving Frozen Support Certificatloo {47 CFR § S4.312(a)} <2012> 2013 Frozen Support Calculation {47 CFR § 54.313(c)(l)}

<2013> 2014 Frozen Support Cakul.ation {47 CFR § S4.313{c}{2)}

<2014> 2015 Frozen Support calculation {47 CFR § 54.3l3(c}(3)}

<2015> 2016 and future Frozen Support catculation {47 CFR § 54.313(cl{4)}

Price Cap Carrier Connect America ICC Support {47 CFR § S4.313{d)} <2016> Certification Support Used to Build Broadband

Connect America Phase II Reporting {47 CFR § S4.313(e)} <2017> 3rd year Broadband Setvice Certification <2018> 5th year Broadband Service Certification <2019> Interim Progress Certifie<;tion

<2020> Please check the box to confirm that the attached document(s), on line 2021,contains the required information pursuant to§ 54.313 (e)(3){ii), as a recipient of CAF Phase JI support shall provide the number, names, and '---------' addresses of community anchor institutions to which began providing access to broadband service in the preceding calendar year.

<2021> Interim Progress Community Anchor Institutions

Page 10

(10!0) Pro.greuRepottonSYearPlan Mik-storw (('rt,f1tJtlon \.47 CfR § 5-U.J 3\f)(lj(i)}

OOD! Cormrnmity Anchor lmtrtutions {47 GR§ 5UB{!}{ll\Hl)

Li013) !'!.your nirnpany<1 P1r.1atdy !!€-Id ROH C~mer {47 CFR §. S.4.31.3(1}(2)) {Yt>s]Nnj $ Nilm~ ol Att.)Ch~ 0-t>currwn~ lhtlng Re-qmr,:;<l tnformill!Vfl@8

(3014) I! 'ff.'>, doe your comp..1ny We the RU~ aMu.1! rl'"port {1'"1/No) 8

Please check these boo:es to confirm <hat the attached documen'.{SJ, on rine 3-017, contams the required m!ormaticn pursuant to§ 54 313{0(2) compliance reqwes

{3016}

!3011)

{30lSl

(3019)

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Document(s) for Balance Sheet. Income Statement and Statement cl CashrF'.,.ows=,....,..,...,.,,.....,,----------rrzJ==----.

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Jf th(' re:;pome i> yes on J,m~ 3014, attad1 your comp,111y\ RVS annual

n'J)ort ;ind ,1!! re"lllir>:!d dowmentation

Name of Att.!(hf.'d 00<ument ltsting Reqwred lnform.rtlon 00 II th& re.~ponse fs no on tine 301'1, !r; vour wmp<iny ,}udiled? {Y;~s/tfo)

litht'r a copy of their aud1tffiiin;:mci.1hhltfi'mt>nt; or Pl alinam:fa1 rep;;irt in a format comp.JL1bl~~to RUS OrJM".rtina Report forTefecommunl(<ilJOM D Documerit{s) for Balance Sheet Income Statement and Statement o! Ca:;h FlO'.vs

Manasiemel1i tetter and audll opinion issued by !he independ;e."lt certified pubki.; accoontant thal perrfo.rmOO the company's fmanc\al al.Ki1t

Ut1derl·,<111g infon11<,1\!-011 ~ubit:W:>d to an offic<~r 0:~11ifr:..ition.

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Financial Data Summary

(3027) Revenue

(3028) Operating Expenses

(3029) Net Income

(3030) Telephone Plant In Servlce(TPIS)

(3031) Total Assets

(3032) Total Debt

(3033) Total Equity

(3034) Dividends

July l, 2015

To: Commission Secretary, Office of Secretary Federal Communications Commission 445 - 1 ih Street, SW Room TW-A325 Washington, DC 20554

Re: FCC Form 481 4 7 CFR 54.313(f)(1 )(i) Milestone Certification Cheyenne River Sioux Tribe Telephone Authority Eagle Butte, South Dakota Study Area Code 391647

Cheyenne River Sioux Tribe Telephone Authority, SAC 391647, ("Authority") hereby certifies as required by 47 CFR 54.313 (f)(l)(i) for the FCC Form 481 program year 2016 that it is taking reasonable steps to provide upon reasonable request broadband service at actual speeds of at least 4 Mbps downstream/I Mbps upstream, with latency suitable for real-time applications, including Voice over Internet Protocol, and usage capacity that is reasonably comparable to comparable offerings in urban areas as determined in an annual survey, and that requests for such services are met within a reasonable amount of time, if requested.

No such request has been received. The Authority is in its final stages of implementation of their fiber-to-the-home project for their whole serving area. The last exchange, Isabel is to be completed in 2015.

"' B --By: '-J 4:-q,,, ...2\,«.&rk! uU= Ivan Bruguier Board Chairman

100 Main Street PO Box 810 Eagle Butte, SD 57625 (605) 964-2600 Phone * (605) 964-1000 Fax

CHEYENNE RIVER SIOUX TRIBE TELEPHONE AUTHORITY

COMMUNITY ANCHOR INSTITUTIONS IN STUDY AREA 391647 LINE 3012

NAME

J HEYENNE RIVER HOUSING AUTHORITY

2 DUPREE MANOR

3 DUPREE MULTIPURPOSE BUILDING

~ DUPREE SCHOOL ~ HEADSTART DUPREE

6 ZIEBACH COUNTY COURTHOUSE 7 FIRE ALARM

8 YMCA SIOUX 9 DEWEY COUNTY AMBULANCE

0 !SABEL COMMUNITY CLINIC 1 NORTHWEST AREA SCHOOLS

2 UNITED STATE POSTAL SERVICE

3 CHERRY CREEK CHRISTIAN SCHOOL 4 CHERRY CREEK CLINIC 5 CHEYENNE RIVER HOUSING AUTHORITY

.€ ELDERLY NUTRITION

1 1

1

1 1

1

1

1 1

1 2

2 2

2 2 2

2 2 2

2

3 3 3 3 3 3 3 3 3 3 4

4 4

4 4 4

4

4

4

4

5 5

7 HEADSTART CHERRY CREEK 8 RED SCAFFOLD CLINIC 9 RED SCAFFOLD HEADSTART

0 TAKINI SCHOOL 1 LAPLANT BAPTIST CHURCH

2 ADULT EDUCATION/GED PROGRAM 3 SWIFTBIRD CLINIC

4 TIOSPAYE TOPA SCHOOL 5 UNITED VETERANS BEACON HOUSE

6 WHITE HORSE CLINIC 7 WHITE HORSE COMMUNITY BLDG 8 WHITE HORSE HEADSTART

9 911 CORPORATION

~O ALL SAINTS CATHOLIC RECTORY 1 ALL SAINTS CATHOLIC CHURCH

2 BIA FIRE MANAGEMENT

3 BIA SOCIAL SERVICES 4 BLACK HILLS DIALYSIS

5 BOYS & GIRLS CLUB OF WATERTOWN

6 C-EB SCHOOL 7 CHAIRMAN'S OFFICE

8 CHEYENNE RIVER COLLEGE CENTER

9 CHEYENNE RIVER TRANSIT :c CITY FIRE HALL

1 CITY POLICE

2 CR HOMELESS SHELTER 3 MOBILE COURT

4 CRST SORNA PROJECT

5 CRST TRIBAL VENTURES 6 CRST YOUTH AFFAIRS

7 DAKOTA CLUB LIBRARY

8 DAKOTA PLAINS LEGAL SERVICE 9 DAY CARE CENTER

0 DENTAL CLINIC

1 DEPARTMENT OF VETERAN AFFAIRS

DD RESS

. HEART ROAD

. E STREET

HWY 212

S. B STREET N. C STREET

215 S. MAIN STREET MAIN STREET

6TH & B STREET 2ND& MAIN

118 N MAIN STREET 503 N. MAIN STREET

200 MAIN STREET 156 TAKINI ROAD

STH AVE

18151 lst AVE #258 2ND STREET

18190 lST AVE

21366 BIA 6 HWY 34 E BIA RT 8 27248 USHWY 212

#583 16050 BIA 7 1234 LAPLANT RD

BIA RT 8 25962 BIA 3

#13 3rd AVE #5 2NDAVE 24292 E AIRPORT ROAD

LANDMARK & N. SPRUCE

HERITAGE & CEDAR

D STREET 203 C STREET

100 SYCAMORE STREET DUPREE & 4TH STREET

E STREET

E STREET LINCOLN STREET

E HWY 212 & RODEO ROAD

WILLOW STREET 207 MAIN STREET

311 S. MAIN

317 MAIN STRET JEFFERSON STREET

PRAIRIE ROAD

HWY 212 215 MAIN STREET

W FRONTIER AVE

N MAIN STREET 100 AIRPORT ROAD

HWY 212 & W NO HEART ROAD

CITY STATE !ZIP CODE

EAGLE BUTIE SD S762~

DUPREE SD S7623

DUPREE SD S7623

DUPREE SD S7623

DUPREE SD S7623

DUPREE SD S7623

DUPREE SD S7623

DUPREE SD S7623

!SABEL SD S7633

I SABEL SD S7633

I SABEL SD S7633

!SABEL SD S7633

CHERRY CREEK SD S7622


RED SCAFFOLD SD S7626





TAKINI SD S7748

LAPLANT SD S7652

LAPLANT SD S7652

EAGLE BUTIE SD S7625

LAPLANT SD S7652

PROMISE SD S7601

WHITE HORSE SD S7661




EAGLE BUTIE SD 57625


















EAGLEBUTIE SD 57625 EAGLE BUTIE SD 57625



CHEYENNE RIVER SIOUX TRIBE TELEPHONE AUTHORITY

COMMUNITY ANCHOR INSTITUTIONS IN STUDY AREA 391647

LINE 3012

AME 2 AGLE BUTTE PUBLIC SCHOOL

;3 5

5 5

5

5 5

5 5 6 6

6 6

6 6

6 6

6

6 7 7

7 7

7 7 7

7 7

7

8 8 8 8 8 8 8 8 8 8 9 9

9

9 9

9

9 9

9

9

LDERLY NUTRITION

4 EMERGENCY SHELTER

5 EMPLOYEE ASSISTANCE 6 FAMILY HEALTH CENTER

7 FAMILY VIOLENCE PREVENTION 8 FOOD DISTRIBUTION

9 FOUR BANDS COMMUNITY FUND 0 GAME FISH & PARKS

1 EAGLE CENTER 2 HEADSTART

3 HEADSTART

4 HEADSTART 5 HOUSING IMPROVEMENT PROGRAM

i6 INDIAN CHILD WELFARE i/ JUDGES CHAMBERS

8 LAKOTA NURSING PROGRAM

9 OIEP 1C OKICIYAPI TIPI H.P.

1 OTI KAGA 2 OVATE CONNECTIONS 3 LIEUTENANT OFFICE

4 PROSECUTOR'S OFFICE 5 PUBLIC DEFENDER'S OFFICE 6 SACRED HEART CENTER

7 SCHOOL KITCHEN 8 STATE OF SOUTH DAKOTA

9 STRONG HEART STUDY :O THE MAIN

1 TITLE 1 PROGRAM

2 UPELL MARGARET DR

3 USPS 4 VOCATIONAL REHABILITATION

5 WICOFFICE 6 WOMEN'S SHELTER/TRANSITION

7 DUPREE CATHOLIC RECTORY

8 DUPREE DAY CARE INC 9 HARRY'S COMMUNITY HALL

1( CITY HALL

10 10

1 !SABEL BAPTIST CHURCH 2 !SABEL NUTRITION CENTER

3 !SABEL OKICIYAP

4 CHERRY CREEK CATHOLIC 5 SIMPLY SMILES INC

6 CHURCH OF JESUS CHRIST

7 FIRST BAPTIST CHURCH 8 NOAH'S ARK LEARNING CENTER

9 UNITED CHURCH OF CHRIST

0 WEST WINDS HOME HEAL TH 1 WIND SWEPT ACADEMY

ADDRESS

PRAIRIE ROAD

LINCOLN STREET 405 CHINATOWN

MAIN STREET

MAIN STREET WILLOW STREET

JEFFERSON STREET 101 S MAIN STREET HWY212

EAST E STREET LINCOLN STREET-NORTH BLGD

LINCOLN STREET-SOUTH BLDG LINCOLN STREET-ADMIN BLDG

JEFFERSON STREET

822 N MAIN STREET 813 NWILLOW

E PRAIRIE ROAD E STREET MAIN STREET

E PRAIRIE ROAD 118 N MAIN STREET

WILLOW STREET WILLOW STREET

WILLOW STREET 121 LANDMARK STREET

E STREET 1302 WILLOW STREET S WILLOW STREET

702 4TH STREET

435 FRONTIER AVE 315 MAIN STREET

313 S MAIN STREET 826 N MAIN STREET

S WILLOW STREET

N WILLOW STREET 410 lST STREET

MAIN STREET

308 MAIN STREET 625 N MAIN STREET

E UT AH STREET

2ND STREET

309 N WILSON #2 lST STREET

HWY212 WILLOW STREET

316 MAIN STREET 209 E ELM STREET

300 CHURCH STREET

S WILLOW STREET 236 CEDAR STREET

CITY STATE iZIP CODE

EAGLE BUTTE SD 5762

EAGLE BUTTE ISD 5762

EAGLE BUTTE :::iD 57625

EAGLE BUTTE :::iD 57625

EAGLE BUTTE l5D 57625

EAGLE BUTTE SD 57625



IEAGLE BUTTE SD 57625
















EAGLE BUTTE SD 57625 EAGLE BUTTE SD 57625










DUPREE SD 57623

DUPREE SD 57623 DUPREE SD 57623

I SABEL SD 57633

!SABEL SD 57633 ISABEL SD 57633

I SABEL SD 57633

CHERRY CREEK SD 57622

LAPLANT SD 57652

EAGLE BUTTE SD 57625 EAGLE BUTTE SD 57625


EAGLE BUTTE SD 57625 EAGLE BUTTE SD 57625 EAGLE BUTTE SD 57625

Accord mg lo the P;ip;,;mork !k-duct1(111 Act of !~N), and a p-ason is- not rc-qulfd to OMB contrn! number for this infi.mnation colkction The umc to complete this infomiation colk:ction

ro. a colkction ofinfo1mation unk:ss 1! displays n valid OMB control number. 'Dil..' \a\!d a\ crag;; "~ hou1s per ri.:sponsc. inch1d1nt! the 1i111;,; for h'ViCt\ Ing ms1ructions.

sc;m;hmg existing d:1ta sources. gathenng :-i.nd 111arntaining the d;tta needed, :md compk!mg and re\ kwiug the collection of infonna1wn.

USDA-RVS '/111s ,/dr.1111// he llSL·d hy nus/() (L'\'/1.'11 your fit1unuai .\ilttafion rour h'>JJl!llH' n rcq1:1rcd by 7 {IS(' !){ff t'I \C(j.

and, suhJi'O to /~'<:I<.: nil !mn whl rcg11lat1011~ ri:gardlllj!_ c(mfidi.·ntial mfhrmation wt!/ he /rcati:d u.1 n1nfidc'n!Wi.

BORROWER NAME

OPERA TING REPORT FOR TELECOMMUNICATIONS BORROWERS

Cheyenne River Sioux Tribe Telephone Authority

JN.\T/U i('JJ01\'.)'-S11hn11t repor1 lo RIJS within 30 days (!fler c/o.~<-' <!fthc pi..:rwd

For d<!!mlcd inslructions, sue Ia iS B111/ctt11 17./--1~1. Report in whole dollars un~r.

PERIOD ENDING

December, 2014 BORROWER DESIGNATION

SD0533

CERTIFICATION iVe herehy ccrt!f5: that th!! t!ntries iii this report are 111 an:ordam:e with the occmmts and other record\· rfthe system and rejlt!CI the stallls (?/!hi! SJ:vlem to the hes! r~(m:r !mow/edge and be/Hf ALL INSURANCE REQUIRED BY 7 CFR PART 1788, CHAPTER XVII, IWS, WAS IN FORCE DURING THE REPORTING PERIOD AND RENEWALS HA \'E BEEN OBTAINED FOR ALL POLICIES.

IJUl{(NG Tl1E PERIOD COVERED BY THIS REPORT PURSUANT TO !'ART 1788 OF 7CFR CllAl'TER XVII (Check one of the following)

D A!! of the obligations under the RUS !oan documents have been fulfilled in all material respects.

ASSETS

CURRENT ASSETS

1 . Cash and E uivalents

2. Cash-RUS Construction Fund

3. Affiliates:

a. Telecom, Accounts Receivable

b. Other Accounts Receivable

c. Notes Receivable

4. Non-Affiliates:

a. Telecom. Accounts Receivable

b. Other Accounts Receivable

c. Notes Receivable

5. Interest and Dividends Receivable

6.

8. Pre ayments

9. Other Current Assets

10. Total Current Assets 1 Thru 9

NONCURRENT ASSETS

11 . Investment in Affiliated Companies

a. Rural Develo ment

b. Nonrural Development

12.

13. Nonre ulated Investments

14. Other Noncurrent Assets

15. Deferred Char es

16. Jurisdictional Differences

17. Total Noncurrent Assets 11 thru 16

PLANT, PROPERTY, AND EQUIPMENT

18. Telecom, Plant-in-Service

19. Propert Held for Future Use

20. Plant Under Construction

21. Plant Ad'., Nono . Plant & Goodwill

22. Less Accumulated Depreciation

23. Net Plant (18 thru 21 less 22)

24. TOTAL ASSETS (10+17+23)

BALANCE

D

DATE

There has been a default in the fulfillment of the obligations under the RUS roan documents. Said defau!t(s) is/are specifically described in the Telecom Operating Reporl

PART A. BALANCE SHEET

BALANCE

LIABILITIES AND STOCKHOLDERS' EQUITY

Accounts Pa able

Notes Payable

Advance Billin s and Payments

Customer Deposits

Current Mat. LfT Debt

Current Mat. Lff Debt-Rur. Dev.

Current Mat.-Ca ital Leases

Income Taxes Accrued

Other Taxes Accrued

Other Current Liabilities

Total Current Liabilities (25 thru 34)

Funded Debt-RUS Notes

Funded Debt-RTB Notes

Funded Debt-FFB Notes

Funded Debt-Other

Funded Debt-Rural Develo . Loan

anies

Other Lon -Term Debt

46. Total Lon -Term Debt 36 thru 45

THER LIAS. & DEF. CREDITS

47. Other Lon -Term Liabilities

48. Other Deferred Credits

Other Jurisdictional Differences

Total Other Liabilities and Deferred Credits (47 thru 49)

& Subscribed

. Certificates

ins

59. TOTAL LIABILITIES AND EQUITY (35+46+50+58)

Total Equity = 15. 5 9% % of Total Assets

BALANCE BALANCE

Page 1 of 6

USDA-RUS

OPERATING REPORT FOR TELECOMMUNICATIONS BORROWERS

STRUCT/ONS- See RUS Bulletin 1744-2

BORROWER DESIGNATION

SD0533

PERIOD ENDING

December, 2014

PART B. STATEMENTS OF INCOME AND RETAINED EARNINGS OR MARGINS

ITEM PRIOR YEAR

1 . Local Network Services Revenues

2. Network Access Services Revenues

3. Long Distance Network Services Revenues

4. Carrier Billing and Collection Revenues

5. Miscellaneous Revenues

6. Uncollectible Revenues

7. Net Operating Revenues (1 thru 5 less 6)

8. Plant Specific Operations Expense

9. Plant Nonspecific Operations Expense (Excluding Depreciation & Amortization)

10. Depreciation Expense

11. Amortization Expense

12. Customer Operations Expense

13. Corporate Operations Expense

Total Operating Expenses (8 thru 13)

15. Operating Income or Margins (7 less 14)

16. Other Operating Income and Expenses

17. State and Local Taxes

18. Federal Income Taxes

19. Other Taxes

20. Total Operating Taxes (17+18+19)

21. Net Operating Income or Margins (15+16-20)

22. Interest on Funded Debt

23. Interest Expense - Capital Leases

24. Other Interest Expense

25. Allowance for Funds Used During Construction

26. Total Fixed Charges (22+23+24-25)

27. Nonoperating Net Income

28. Extraordinary Items

29. Jurisdictional Differences

30. Nonregulated Net Income

31. Total Net Income or Margins (21+27+28+29+30-26)

32. Total Taxes Based on Income

33. Retained Earnings or Margins Beginning-of-Year

34. Miscellaneous Credits Year-to-Date

35. Dividends Declared (Common)

36. Dividends Declared (Preferred)

37. Other Debits Year-to-Date

38. Transfers to Patronage Capital

39. Retained Earnings or Margins End-of-Period [(31+33+34) - (35+36+37+38)]

40. Patronage Capital Beginning-of-Yem

41. Transfers to Patronage Capital • •

42. Patronage Capital Credits Retired ...

43. Patronage Capital End-of-Year (40+41-42)

44. Annual Debt Service Payments

45. Cash Ratio [(14+20-10-11) 17]

46. Operating Accrual Ratio ((14+20+26) / 7]

47. TIER ((31+26) I 26]

48. DSCR ((31+26+10+11) / 44]

THIS YEAR

0 0

Page 2 of6

EXCHANGE

Route Mileage Outside Exchange Area

Total

No. Exchan es

USDA-RUS

OPERA TING REPORT FOR TELECOMMUNICATIONS BORROWERS

INSTRUCTIONS -See RUS Bulletin 1744-2


SD0533

PERIOD ENDED

December, 2014

Part C. SUBSCRIBER (ACCESS LINE , ROUTE MILE & lllGH SPEED DATA INFOHl\IATION

(a

EXCHANGE

Du ree

Ea le Butte

Isabel

La Plant

South Du ree

Total

USDA-RUS


INSTRUCTIONS - See RUS Bulletin 1744-2


SD0533

PERIOD ENDED

December, 2014

Part C. SUBSCRIBER (ACCESS LINE, ROUTE MILE, & l!IGH SPEED DATA INFORMATION

No Of Broadband Subscribers

4. BROADBAND SERVICE

Number Of Subscribers

Advertised Upload

Rate (Kbps) (e

USDA-RUS

OPERATING REPORT FOR

TELECOMMUNICATIONS BORROWERS

INSTRUCTIONS- See RUS Bulletin 1744-2

1. Study Area ID Code(s)

No, Oth;:r Emp!oycl.'.s

a.391647

b. --------1 d. _______ -1

e. --------1 9---------1 h. -------~

PART D. SYSTEM DATA

3. Squar,; Miks S:.:rn;d

PART E. TOLL DATA

2. Types of Toll Settlements (Check one)

Interstate:

Intrastate:


SD0533

PERIOD ENDING

December, 2014

4. Acc,;-ss Lill<::> per Square !\ti!+:

D Average Schedule

D Average Schedule

PART F. FUNDS INVESTED IN PLANT DURING YEAR

1. RUS, RTB, & FFB Loan Funds Expended

2. Other Long-Term Loan Funds Ex ended

3. Funds Expended Under RUS Interim Approval

4. Other Short-Term Loan Funds Expended

5. General Funds Expended (Other than Interim)

6. Salvaged Materials

7. Contribution in Aid to Construction

8. Gross Additions to Telecom. Plant (1 thru 7)

PART G. INVESTMENTS IN AFFILIATED COMPANIES

0 Cost Basis

0 CostBasis

CURRENT YEAR DATA CUMULATIVE DATA

Cumulative Cumulative

INVESTMENTS Investment lncorneJLoss Investment Income/Loss Current

This Year This Year To Date To Date Balance

(a!

1. Investment in Affiliated Companies - Rural Develo men!

2. Investment in Affiliated Companies - Nonrural Development

Page 5 of 6

USDA-RUS BORROWER DESIGNATION

OPERA TING REPORT FOR SD0533

TELECOMMUNICATIONS BORROWERS PERIOD ENDING

December, 2014

PART H. CURRENT DEPRECIATION RATES

Are corporation's depreciation rates approved by the regulatory authority with jurisdiction over thc..urovision of telephone services'' (Check one) I]] YES D NO

EQUIPMENT CATEGORY DEPRECIATION RA TE

1. Land and support assets - Motor Vehicles

2. Land and support assets - Aircraft

3. Land and support assets - Special purpose vehicles

4. Land and support assets - Garage and other work equipment

5. Land and support assets - Buildings

6. Land and support assets - Furniture and Office equipment

7, Land and support assets - General purpose computers

8. Central Office Switching - Digital

9. Central Office Switchinq - Analog & Electro-mechanical

10. Central Office Switching - Operator Systems

• 11. Central Office Transmission - Radio Systems

12. Central Office Transmission - Circuit equipment

13. Information origination/termination - Station apparatus

14. Information origination/termination - Customer premises wiring

15. Information origination/termination - Large private branch exchanges

16. Information origination/termination - Public telephone terminal equipment

17. Information origination/termination - Other terminal equipment

18. Cable and wire facilities - Poles

19. Cable and wire facilities - Aerial cable - Metal

20. Cable and wire facilities - Aerial cable - Fiber

21. Cable and wire facilities - Underground cable - Metal

22. Cable and wire facilities - Underground cable - Fiber

23. Cable and wire facilities - Buried cable - Metal

24. Cable and wire facilities - Buried cable - Fiber • 25. Cable and wire facilities - Conduit systems

26. Cable and wire facilities - Other

Page 6 of 6

USDA-RUS


BORROWER DESIGNATION SD0533

PERIOD ENDED December, 2014

INSTRUCTIONS See help in the online application.

PART I-STATEMENT OF CASH FLOWS

1. Beginning Cash (Cash and Equivalents plus RUS Construction Fund)

CASH FLOWS FROM OPERATING ACTIVITIES

2. Net Income

Adjustments to Reconcile Net Income to Net Cash Provided by Operating Activities

3. Add: Depreciation

4. Add: Amortization

5. Other (Explain) Depreciation on non-regulated investments

Changes in Operating Assets and Liabilities

6. Decrease/(lncrease) in Accounts Receivable

7. Decrease/(lncrease) in Materials and Inventory

8. Decrease/(lncrease) in Prepayments and Deferred Charges

9. Decrease/(lncrease) in Other Current Assets

10. lncrease/(Decrease) in Accounts Payable

11. lncrease/(Decrease) in Advance Billings & Payments

12. lncrease/(Decrease) in Other Current Liabilities

13. Net Cash Provided/(Used) by Operations

CASH FLOWS FROM FINANCING ACTIVITIES

14. Decrease/(lncrease) in Notes Receivable

15. lncrease/(Decrease) in Notes Payable

16. lncrease/(Decrease) in Customer Deposits

17. Net lncrease/(Decrease) in Long Term Debt (Including Current Maturities)

18. lncrease/(Decrease) in Other Liabilities & Deferred Credits

19. lncrease/(Decrease) in Capital Stock, Paid-in Capital, Membership and Capital Certificates & Other Capital

20. Less: Payment of Dividends

21. Less: Patronage Capital Credits Retired

22. Other (Explain)

23. Net Cash Provided/(Used) by Financing Activities

CASH FLOWS FROM INVESTING ACTIVITIES

24. Net Capital Expenditures (Property, Plant & Equipment)

25. Other Long-Term Investments

26. Other Non current Assets & Jurisdictional Differences

27. Other (Explain) See explanation on notes page

28. Net Cash Provided/(Used) by Investing Activities

29. Net lncrease/(Decrease) in Cash

30. Ending Cash

0

Revision Date 2010

USDA-RlJS

OPERATING REPORT FOR TELEC0~1MUNICATIONS BORROWERS

INSTRUCTIONS - See RUS Bulletin 1744-2


SD0533

PERIOD ENDED December, 2014

NOTES TO THE OPERATING REPORT FOR TELECOMMliNICA TIONS BORROWERS

Part C. 4. Broadband column d and e, inputted i j ]for down and up load speeds. However, actual down and up load speeds are _ _ [ £1 this option was not available on the list.

Part G. Investment in Affiliated Companies column d and e accumulated figures changed from prior year due to the closing of CA TV division.

Part I Cash Flow, line 27 Other includes reclassify non-regulated depreciation to operating activities in transfer of non-regulated accumulated depreciation from line 25 in the

and prior year adjustment of retained earnings in the amount of [ 'equals

USDA-RUS BORROWER DESIGNATION

OPERATING REPORT FOR SD053J

TELECOMMUNICATIONS BORROWERS

INSTRUCTrONS - See RUS Bulletin 1744-2 PERIOD ENDED December, 20!4

CERTIFICATION LOAN DEFAULT NOTES TO nm OPERATING REPORT FOR TELECOMMllNICATIONS BORROWERS

Borrower Name: Cheyenne River Sioux Tribe Year: 2014

Borrower ID: SD0533 Period: December

Part B: Statements of Income and Retained Earnings or Margins

Type Check Key Description

Warning 960

!Part D: System Data

Type Check Key

tax 13xempt

"Line 20. Total Operating Taxes Prior Year" [OJ is generally greater than O (zero).

Borrower Explanation: Tribal entity • tax exempt

Description

· · ·· ·····tin~~. ·Number ()f PlanrEmployees .has changed signi11cantly (33%~ from the omV1Gtis v. .... 1', 111:1111-

a!Jd rul~~ecked: 10frr: 20t3) = 6 (Yr: 2614). Toleranca.parcentage; 33% , > ' <

&ITOWer Expfanatfom Seve&I employees have left and not been replaced.

!Part G: Investments In Affiliated Companies

Type Check Key Description

Warning 2080 "Line 1. Income Loss in Affiliated Companies· Rural Development This Year• greater than or equal to zero.

is generally

Borrower Explanation: Net loss from affiliated company in 2014 of

Report Run: 11 :09:34 Mar 09, 2015 Page 1 of 1

Page 13

<010> Study Area Code 391647

<015> Study Area Name CHEYENN';:: RIVER SIOUX

<020> Program Year 2016

<030> Contact Name - Person USAC should contact regardlng this data !.:ona Thc:rr,pscn

<035> Contact Telephone Number - Number of person identified in data line <030> 60596-12600 ex~.

<039> Contact Email Address - Email Address of person identified in data line <030> monat'}1lakotanetwork. ccm

TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ANNUAL REPORTING ON ITS OWN BEHALF:

Certification of Officer as to the Accuracy of the Data Reported for the Annual Reporting for CAF or LI Recipients

I certify that I am an officer of the reporting carrier; my responsibilities Include ensuring the accuracy of the annual reporting requirements for universal service support recipients; and, to the best of my knowledge, the information reported on this form and In any attachments is accurate.

Name of Reporting Carrier:

Signature of Authorized Officer: Date

Printed name of Authorized Officer:

Title or position of Authorized Officer:

Telephone number of Authorized Officer:

Study Area Code of Reporting Carrier: Filing Due Date for this form:

Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U .S.C. §§ 502, 503(b), or fine or lmprlsonment under Title 18 of the United States Code, 18 U.S.C. § 1001.

Page 13

Page 14


<015> Study Area Name CHSY£~.'N£ RIVER SIOUX

<020> Program Year 2016

<030> Contact Name w Person USAC should contact regarding this data Mona Thoir:pson

<035> Contact Telephone Number w Number of person identified ln data line <030> 605964J6DO ext.

<039> Contact Email Address w Email Address of person identified in data line <030>

TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAL REPORTS ON THE CARRIER'S BEHALF:

Certification of Officer to Authorize an Agent to File Annual Reports for CAF or LI Recipients on Behalf of Reporting Carrier

I certify that {Name of Agent) Jeni fer Wrtsnock is authorized to submit the information reported on behalf of the reporting carrier. I also certify that I am an officer of the reporting carder; my responsibilities include ensuring the accuracy of the annual data reporting requirements provided to the authorized agent; and, to the best of my knowledge, the reports and data provided to the- authorized agent is accurate.

Name of Authorized Agent: Jeni :e!:' Wasnock

of Reportine: Carrier: CHEYENNE RIVER SIOUX

of Authorized Officer: CERTIFIED ONLINE Date: 06/24/2015

Printed name of Authorized Officer: Ivan 3ruguier

!Title or position of Authorized Officer: Board President

Telephone number of Authorized Officer: 6059642600 ext.

Study Area Code of Reportlng Carrier: 391647 Filing Due Date for this form: 07 /01/2015

Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C. §§ 502, 503{b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.

TO BE COMPLETED BY THE AUTHORIZED AGENT:

Certification of Agent Authorized to File Annual Reports for CAF or LI Recipients on Behalf of Reporting Carrier

I, as agent for the reporting carrier, certify that I am authorized to submit the annual reports for universal service support recipients on behalf of the reporting carrier; I have provided

the data reported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein Is accurate.

Name of Reporting Carrier: CHEYENNE RIVER SIOUX

Name of Authorized Agent or Employee of Agent: Je:iifer Wasnock

Si-enature of Authorized Ae.ent or Emolovee of Ae:ent: CERTIFIED ONLINE Date: 06/24/2015

Printed name of Authorized Aeent or Emplovee of Aeent: Jenifer Wasncck

Title or oosition of Authorized ARent or Emolovee of ARent Const: leant

Telephone number of Authorized Agent or Employee of Agent: 2535667070 ext:.278

Studv Area Code of Reoortln!Z Carrier: 3916"7 Fillne: Due Date for this form: 07 1 0112015 .. . .... .. .... . .. .. ..... . .. .... -~ """" ,,, .. .... .. ....... .. .... ······· ...... ····· . .. .. ..... ........

Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C. §§ 502, 503(b), or fine or imprisonment under Title 13 of the United States Code, 18 U.S.C. § 1001.

Page 14

391647 - South Dakota Public Utilities · PDF file39164 7sd610. pdf Company Price Offerings (voice) Company Price Offerings (broadband) Operating Companies and Affiliates

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