FCC Form 690 - Coverage and Performance Data Update
Texas 10, LLC ("Texas 10" or "the Company") has completed construction and
deployment with respect to the SAC associated with this filing.
Drive testing is ongoing
throughout those census tracts for which the Company has been authorized to receive awards,
with all drive testing and disbursement request filings to be completed in advance of the
Company's construction deadline of August 17, 2015.
On or prior to that date, Texas 10 will
submit these filings, which will include the required coverage and performance data. Please
reference the Company's disbursement request filings for additional coverage and performance
information.
Texas 10, LLC
Form 690 - Annual Report for August 2014 - July 2015
Project Status Description
Item: SAC 448031
County/State: Sabine, TX
Total Award Amount: $280,639.98
Proiect Description
The initial Project Description for this project was filed by Texas 10, LLC ("Texas 10" or "the
Company") on November 1, 2012, accompanying its Form 680 long form application.
The Company
updated this information in its 2014 Mobility Fund Phase I Annual Report, filed July 30, 2014. Both
filings are incorporated herein by reference.
The current update of material changes to the Project
Description information previously provided for this census tract is as follows. Texas 10 has completed
network design, construction, and deployment of the contemplated upgrades to its network. The upgrades
have been tested and launched into commercial service. The network is now serving customers in this
census tract with mobile broadband as well as voice services. The project remains within total amounts
budgeted.
The Company remains firmly committed to complying with all regulatory obligations
associated with the support. Texas 10 has commenced its monthly, semiannual and annual maintenance
reviews at each cell site, and will obtain third-party maintenance services and replacement equipment
from its vendors as applicable.
Mobility Fund
Co
§54.1009 Annual Reporting
<010> Study Area Code 448032
<015> Study Area Name Texas 10, LLC
<020> Program Year 2015
FCC Form Approved by OMB
OMB 3060-1185 Avg. Burden Estimate per Respondent: 18 Hours
<030> Contact Name: Person USAC should contact
with questions about this data Ana Bataille
<035> Contact Telephone Number:
Number otthe person identified in data line <030> 61 053 5 6 911 ext. <039> Contact Email:
Email otthe person identitied in data line <030> [email protected]
(check box when complete)
<040>
Has the information required Pursuant to §54 . 1009 been provided with a Form 481 filing(Y/N) <040>
0 Q
<041> Attach a description of the documents filed with the Form 481 reporting
<042> Cite the Study Area Code (SAC) for the Form 481 reporting
<050> Carrier Contact Information
(complete attached worksheet)
<060> Coverage and Performance Report
(complete attached worksheet)
<070> Urban Rate Comparabilily Certification
(complete attached certification)
<080> Tribal Lands Reporting (y/n7)
(Does this studY area cover tribal lands? Yes or No)
(If yes, complete the attached worksheet)
<090> Project Update Information
(complete attached worksheet)
<100> Certifications
<101> Reporting Carrier Certification (complete attached certification)
<102> Agent Certification
(complete attached certification)
<041> <042>F-<050> FV( <060> <070> FV( I 0 ^ <080> F-1 <090> 579 <101> F71 <102> F^
Notice to Individuals Required by the Paperwork Reduction Act of 1995
OMB Control Number 3060-1185 (Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements) Notice to Individuals Required by the Paperwork Reduction Act of 1995
Public reporting burden for this collection of information is estimated to average 18 hours per response. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, Office of Managing Director, AMD-PERM, Washington, DC 20554, Paperwork Reduction Act Project (3060-1185). Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number and/or we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-1185.
THIS NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.
06/22/2015
(050) Carrier Contact Form
FC(; fr,rnt ^,90 Approved byqMB
OMB Control No. "050-11d5 Ia- ^ nf R
<010> Study Area Code <015> Study Area Name
448032
<020> Program Year
Texas 10, LLC <030> Contact Name - Person USAC should contact regarding this data 2015 <035> Contact Telephone Number - Number of person identified in d t li Ana Bataille
<039> Contact Email Address - Email Address of person identified i a a ne <030> d t li
6105356911 ext.
n a a ne <030> ab ta' lle ce lonena io
---Reporting Carrier / Mobility Fund Phase 1 Winning Bidder
<110> FCC Registration Number
<111> Filing Carrier Name
<112> Winning Bidder Carrier Name <113> Street Address (or PO Box)
<114> City <115> State <116> Zip-Code <117> Telephone Number <118> Fax Number <119> Email Address Contact Information
if same as above, indicate in this box
<120> Name ( First, MI, Last, Suffix) <121> Filing Carrier Name <122> Street Address (or PO Box) <123> City <124> State <125> Zip-Code <126> Telephone Number <127> Fax Number <128> Email Address
Authorized Agent Information
if no agent, indicate in this box
<130> Name ( First, MI, Last, Suffix)
<131> Company
<132> Street Address ( or PO Box) <133> City <134> State <135> Zip-Code <136> Telephone Number <137> Fax Number <138> Email Address 0017235110 Texas 10, LLC Texas 10 LLC
1170 Devon Park Drive, Suite 104 Wayne PA 19087 6105356911 ext 6106885209 [email protected] ED Ana Bataille Texas 10, LLC 1'1'1n ncl.nn P>.-k n c 10A Wayne PA 19087 6105356911 ext 6106885209 [email protected] ^ 06/22/2015 Page 2
303
(060) Coverage and Performance Report
F(-C Form 640
Ap provad by ORqB
OMB Cuntrol No. ^060-1185
F',,ge;ot8
<010> Study Area Code 448032
<015> Study Area Name Texas 10, LLC
<020> Program Year 2015
<030> Contact Name - Person USAC should contact regarding this data Ana Bataille <035> Contact Telephone Number - Number of person identified in data line <030> 6105356911 ext.
<039> Contact Email Address - Email Address of person identified in data line <030> abatailleocellonenation.com
<140> Coverage and Performance Report Year 08/2014 - 07/2015
Coverage and Performace attachements
448032_CPRdTX.zip
<141> <37> r
ate unty nsus Block
esident Population per Census Block esident Population Newly Reached by Service otal Resident Population Reached by Service oad Miles per Census Block Road Miles per Census Block Newly Reached Total Road Miles covered per Census Block < Certify that Coverage and Performance data is uploaded (Yes/no)
-- S ee attach d works eet
0 Percentage of Total Population Reached by Service 0 Percentage of Total Road Miles covered
by Service
06/22/2015
Page 3
304
(070) Urban Rate Comparability Certification Compliance
FCC Form C9p Approved by CMB CML ContrCl No. 30CC-]125 Pave4f
<010> Study Area Code
<015> Study Area Name 448032
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USAC should contact regarding this data 2015 a B <035>
Contact Telephone Number - Number of person identified in data line <030>
na ataille 61
<039>
Contact Email Address - Email Address of person identified in data line <030>
05356911 ext. b
a atail lec4cellonenation. com TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER
IS FILING CERTIFICATION DATA ON ITS OWN BEHALF:
Certification of Officer or Employee as to Compliancewith 47 CFR §54.1009(a)(4)
I certify that
I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance
with 47 CFR §54.1009(a)(4), the information reported on this
form and in any attachments is accurate.
Name of Reporting Carrier: Texas 10, LLC
Signature of Authorized Officer: CERTIFIED ONLINE
Date 06/25/2015 'rinted name ofAuthorized Officer: Ana Bataille
fitle or position ofAuthorized Officer: Tax & Regulatory Manager 'elephone number of Authorized Officer: 6105356911 ext. tudyArea Code of Reporting Carrier: 448032
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 REPORTING CARRIER, IF AN AGENT IS FILING CERTIFICATION DATA ON THE CARRIER'S BEHALF:
%-runcarnon or officer or Employee to authorize an Agent to file Compliance with 47 CFR §54.1009(a)(4) on Behalf of Reporting Carrier y that ( Name of Agent)
is authorized to submit the information reported on behalf of the reporting r. I
also certify that I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance with 47 CFR §54.1009(a)(4) reported to the ized agent; and ,
to the best of my knowledge the reports and data provided to the authonzed agent is accurate.
ofAuthorized Aaa t
- ILcu vrncer or tmployee:
ed name of Authorized Officer or Empioyee: Date:
or position of Authorized Officer or Employee: hone number ofAuthorized Officer or Employee: i 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 imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001
TO BE COMPLETED BY THE AUTHORIZED AGENT:
uertirication of Agent Authorized to File Compliance with 47 CFR§54.1009(a)(4) on Behalf of Reporting Carrier I,
as agent for the reporting carrier, certify that I am authorized to submit the certification 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:
Name of Authorized Agent or Employee of Agent: Signature of Authorized Agent or Employee of Agent:
Printed name of Authorized Agent or Employee of Agent: Date:
itle or position of Authorized Agent or Employee of Agent elephone number ofAuthorized Agent or Employee ofAgent: tudy 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 US.C §§ 502, 503(b), or fine or imprisonment under
Title 18 of the United States Code, 18 U S.C. § 1001
06/22/2015
Page 4
(080) Tribal Lands Reporting
FCC Form LWj
Approoed by OMB
OA18 COnfrpi N0. ;150-17.F;5
P""' s „r a
<010> Study Area Code
<015> Study Area Name 448032
<020> Program Year Texas 10, LLC
<030>
Contact Name - Person USAC should contact regarding this data
2ols <035>
Contact Telephone Number - Number of person identified in data line <030> ^a aataille <039>
Contact Email Address - Email Address of person identified in data line <030> 6105356911 ext.
a at i le c 11 ne a-o , om
<142> State
<143> County
<144> Tribal Land(s) on which ETC Serves
<145> Tribal Government Engagement Obligation
Name of Attached Document (.pdf)
If your company serves Tribal lands, please select (Yes, No, Not Applicable) for each of these boxes to confirm the status described on the attached PDF, on line 145, demonstrates coordination with the Tribal government pursuant to § 54.1004 includes:
<146>
Needs assessment and deployment planning with a focus on Tribal community anchor institutions;
<147> Feasibility and sustainability planning;
<148> Marketing services in a culturally sensitive manner; <149> Compliance with Rights of way processes <150> Compliance with Land Use permitting requirements <151> Compliance with Facilities Siting rules
<152> Compliance with Environmental Review processes <153> Compliance with Cultural Preservation review processes <154>
Compliance with Tribal Business and Licensing requirements.
06/22/2015
Page 5
i-i , , uirut upuace rntorrnatron
FCC Forrn 690
Apprpved by Oh-1F'
OMB Control No. ^060-71^5
Patr^-6of
<010>
Study Area Code
<015>
Study Area Name
448032<020>
Program Year
Texas 10, llc2015
<030>
Contact Name - Person USAC should contact regarding this data
Ana Hataille
<035>
Contact Telephone Number - Number of person identified in data line <030> 6105356911 ext.
<039>
Contact Email Address - Email Address of person identified in data line <030>
<200>
Date Authorized to Receive Support
<201>
Targeted Completion Date
<202>
Total Mobility Fund Support Awarded
<203>
Total Mobility Fund Support Disbursed
<210>
Actual Completion Date
<211>
Project Status Description (attached)
Please check these boxes below to confirm that the attached PDF, on line
211, contains a project status pursuant to §54.1005(b)(2)(v). The information
shall be submitted as appropriate.
<212>
Status of Network Deployment - Network Design
<213>
Status of Network Deployment - Construction
<214>
Status of Network Deployment - Deployment
<215>
Status of Network Deployment - Maintenance
<216>
Project Budget Status
<217>
Project Plan Status
<218>
Certify Network will Support 3G/4G Mobile Service (Yes / No)
06/22/2015 08/16/2013 08/1J/2015 244530.00 81510.00 E032_8SDTx.Pdf {Name of PDF attached}
3
3
3
3
3
3
G)
0
Page 6307
(101) Certification - Reporting Carrier
f{C Form h90 Approved by OMB
Ofv1B Control No. 3060-1.185 Page 7 of ri
<010> Study Area Code <015> Study Area Name
448032
<020> Program Year
Texas 10, LLC
<030> Contact Name - Person USAC should contact regarding this data 2015 A
<035> Contact Telephone Number -Number of person identified in data line <030 na Bataille 6105356911
<039> Contact Email Address - Email Address of er >
id f
ext.
p son enti ied in data line <030> abataillerOCellonenation. corn
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ON ITS OWN BEHALF:
Certification of Officer as to the Accuracy of the Data Reported for Mobility Fund Recipients
certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the reporting requirements for Mobility Fund recipients; and, to the est of my knowledge, the information reported on this form and in any attachments is accurate.
me of Reporting Carrier: Texas 10, LLC
Signature of Authorized Officer: CERTIFIED ONLINE
[Printed name of Authorized Officer Ana Hataille
or position of Authorized Officer: Tax & Regulatory manager )hone number of Authorized Officer: 6105356911 ext.
06/25/2015
Area Code of Reporting Carrier: 448032
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.
06/22/2015
Page 7
308
(102) Certification - Agent / Carrier
FCC Form 690 Appro,jed bV (jMe OMfi Control No. 30b0-11E5 T' J';' .= of 8
<010> Study Area Code
<015> Study Area Name 448032
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USAC should contact re garding this data 201s <035> Contact Telephone Number - Number of person identified in data line <030> Ana
6 1
<039> Contact Email Address - Email Address of person identified in data line <030> 105356911 ext.
[email protected] TO BE COMPLETED BY THE REPORTING CARRIER IF AN AGENT, IS FILING ON T HE CARRIER'S BEHALF:
Certification of Officer to Authorize an Agent to File for Mobility Fund Recipients on Behalf of Reporting Carrier certify that (Name of Agent)
is authorized to submit the information reported on behalf of the reporting carrier. Iso certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the data reporting requirements provided to the authorized gent; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate.
ame of Authorized Agent:
ame of Renorting rarriPr•
re of Authorized Offi
name of Authorized Date:
or position of Authorized Officer: )hone number ofAuthorized Officer: f 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 US.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 for Mobility Fund Recipients on Behalf of Reporting Carrier
as agent for the reporting carrier, certify that I am authorized to submit the reports for Mobility Fund recipients on behalf of the reporting carrier; I have provided the data ported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate.
eme of Reporting Carrier:
3me of Authorized Agent or Employee of Aeent: Signature of Authorized Agent or Employee of Agent:
Printed name of Authorized Agent or Employee of Agent: Date:
Title or position of Authorized Agent or Employee of Agent
Telephone number of Authorized Agent or Employee of Aeent
itudy 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.SC. §§ 502, 503(b), or fine or imprisonment under Title
18 of the United States Code, 18 U.S C. § 1001.
06/22/2015
Page 8
Attachments
06/22/2015
(060) Coverage and Performance Report
FU f irm brJU A f i rDve d by 0%1B
Alb Fontr jf No. 1185
<010> Study Area Code <015> Study Area Name
448032
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USAC should contact regarding this data 2015 Ana B t il <035> Contact Telephone Number - Number of person identified in data line <030> a a le
6105356911 ext.
<039> Contact Email Address - Email Address of person identified in data line <030
abat ill
<140> Coverage and Performance Report Year > a e@cellonenation. com
08/2014 - 07/2015 <141> Certify that tate ounty Sabine ensus Block 0000 Resident Population per Census Block Resident Population Newly Reached b Servicey Total Resident Population Reached byY Service Road Miles per Census Block Road Miles per Census Block Newly Reached Total Road Miles covered per Census Block Coverage and Performacne data is u lP oaded (yes/no) TX 0 0 0 0.0 0.0 0.0 Yes 06/22/2015
311
o Percentage of Total 0 Percentage ofRoad Miles covered Total Population
byService Reached by
FCC Form 690 - Coverage and Performance Data Update
Texas 10, LLC ("Texas 10" or "the Company") has completed construction and
deployment with respect to the SAC associated with this filing.
Drive testing is ongoing
throughout those census tracts for which the Company has been authorized to receive awards,
with all drive testing and disbursement request filings to be completed in advance of the
Company's construction deadline of August 17, 2015. On or prior to that date, Texas 10 will
submit these filings, which will include the required coverage and performance data. Please
reference the Company's disbursement request filings for additional coverage and performance
information.
Texas 10, LLC
Form 690 - Annual Report for August 2014 - July 2015
Project Status Description
Item: SAC 448032
County/State: Sabine, TX
Total Award Amount: $244,530.00
Project Description
The initial Project Description for this project was filed by Texas 10, LLC ("Texas 10" or "the
Company") on November 1, 2012, accompanying its Form 680 long form application.
The Company
updated this information in its 2014 Mobility Fund Phase I Annual Report, filed July 30, 2014. Both
filings are incorporated herein by reference.
The current update of material changes to the Project
Description information previously provided for this census tract is as follows. Texas 10 has completed
network design, construction, and deployment of the contemplated upgrades to its network. The upgrades
have been tested and launched into commercial service. The network is now serving customers in this
census tract with mobile broadband as well as voice services. The project remains within total amounts
budgeted.
The Company remains firmly committed to complying with all regulatory obligations
associated with the support. Texas 10 has commenced its monthly, semiannual and annual maintenance
reviews at each cell site, and will obtain third-party maintenance services and replacement equipment
from its vendors as applicable.
ty Fund
1 - §54.1009 Annual Reporting
FCC Form Approved by OMB
OMB 3060-1185 Avg. Burden Estimate per Respondent: 18 Hours
<010> Study Area Code 448033
<015> StudyArea Name Texas 10, LLC
<020> Program Year 2015
<030> Contact Name: Person USAC should contact
with questions about this data ^a Bataille
<035> Contact Telephone Number:
Number otthe person identitied in data line <030> <039> Contact Email:
Email of the person identitied in data line <030>
6105356911 ext.
abatailleocellonenation.com
(check box when complete)
<040> Has the information required pursuant to §54. 1009 been Provided with a Form 481 filling
(Y/N) <040>
0
^•<041>
Attach a description of the documents filed with the Form 481 reporting
<042> Cite the Study Area Code (SAC) for the Form 481 reporting
<050> Carrier Contact Information
(Complete attached worksheet)
<060> Coverage and Performance Report
(complete attached worksheet)
<070> Urban Rate Comparability Certification
(complete attached certification)
<080> Tribal Lands Reporting (v/n?) (Does this study area cover tribal lands? Yes or No)
(If yes, complete the attached worksheet)
<090> Proiect Update Information
(complete attached worksheet)
<100> Certifications
<101> Reporting Carrier Certification (complete attached certification)
<102> Agent Certification
(complete attached certification)
<041> <042> <050> FV71 <060> <070> 0 ^ <080> F-1 <090> EZ-1 <101> M <102> E-1
Notice to Individuals Required by the Paperwork Reduction Act of 1995
OMB Control Number 3060-1185 (Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements) Notice to Individuals Required by the Paperwork Reduction Act of 1995
Public reporting burden for this collection of information is estimated to average 18 hours per response. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, Office of Managing Director, AMD-PERM, Washington, DC 20554, Paperwork Reduction Act Project (3060-1185). Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number and/or we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-1185.
THIS NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.
06/22/2015
FCC(or m690 Approved bq OMB OMB Control No. ;Oo0-1185 FapP n „rQ
<010> Study Area Code <015> Study Area Name
448033
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USAC should contact regarding this data 2015 <035> Contact Telephone Number - Number of person identified in data line <030> Ana Bataille <039> Contact Email Address - Email Address of person identified in data line <030> 6105356911 ext.
'
a ata le e on nation
---Reporting Carrier / Mobility Fund Phase 1 Winning Bidder
<110> FCC Registration Number
<111> Filing Carrier Name
<112> Winning Bidder Carrier Name
<113> Street Address (or PO Box)
<114> City <115> State <116> Zip-Code <117> Telephone Number <118> Fax Number <119> Email Address Contact information
if same as above, indicate in this box <120> Name (First, MI, Last, Suffix) <121> Filing Carrier Name <122> Street Address (or PO Box) <123> City <124> State <125> Zip-Code <126> Telephone Number <127> Fax Number <128> Email Address
Authorized Agent Information
if no agent, indicate in this box <130> Name (First, MI, Last, Suffix) <131> Company
<132> Street Address (or PO Box) <133> City <134> State <135> Zip-Code <136> Telephone Number <137> Fax Number <138> Email Address 0017235110 Texas 10, LLC Texas 10 LLC
1170 Devon Park Drive, Suite 104 Wayne PA 19087 6105356911 ext. 6106885209 abataille@cellonenation co. ED Ana Bataille Texas 10, LLC 11']n n -rt- n c-h n1 Wayne PA 19087 6105356911 ext. 6106885209 [email protected] 06/22/2015 Page 2
315
(060) Coverage and Performance Report
FCC Frrm 6^0
Ap proved by (-)MH
OMB Control No. 3U60-1155 ',q ,,,e
<010> Study Area Code 448033
<015> Study Area Name Texas 10, LLC
<020> Program Year 2015
<030> Contact Name - Person USAC should contact regarding this data Ana Bataille
<035> Contact Telephone Number - Number of person identified in data line <030> 6105356911 ext.
<039> Contact Email Address - Email Address of person identified in data line <030>
<140> Coverage and Performance Report Year 08/2014 - 07/2015
Coverage and Performace attachements
448033_CPRd_TX.zip
<141> <a1% . A " ; -,:
ate unty nsus Block
esident Population per Census Block esident Population Newly Reached by Service otal Resident Population Reached by Service oad Miles per Census Block Road Miles per Census Block Newly Reached Total Road Miles covered per Census Block < Certify that Coverage and Performance data is uploaded (Yes/no)
-- See attach d works eet
0 Percentage of Total Population Reached by Service 0 Percentage of Total Road Miles covered
by Service
06/22/2015
Page 3
316
(070) Urban Rate Comparability Certification Compliance
Ff CForm G90 Approved by OMB oPAGControlNo. ?Oi,01]55 Pn^e l of S
<010> Study Area Code <015> Study Area Name
448033
<020> Program Year
Texas 10, LLC <030> Contact Name - Person USAC should contact regarding this data 2015
A B <035>
Contact Telephone Number - Number of person identifi d i d
na atail le
<039> Contact Email Address - Email Address ofperson identifi d iee nn data line <030>ata line <030> 6105356911 ext.abatailleftellonenation. com
TO BE COMPLETED BY THE REPORTING CARRIER IF THE REPORTI, NG CARRIER IS FILING CERTIFICATION DATA ON ITS
OWN BEHALF:
Certification of Officer or Employee as to Compliance with 47 CFR §54.1009(a)(4)
certify that I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance with 47 CFR §54.1009(a)(4), the information reported on this 3rm and in any attachments is accurate.
Name of Reporting Carrier: Texas 10, LLC Signature of AUthorized Officer:
Printed name of Authorized Officer:
CERTIFIED ONLINE Ana eataille
Title or position ofAuthorized Officer: Tax & Regulatory Manager Telephone number ofAuthorized Officer: 61053s6911 ext.
06/25/2015
Area Code of Reporting Carrier: 44e033 g
Filin Due Date for this form: 07/01/2015
Persons willfully making false statements on this formcan 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 REPORTING CARRIER, IF AN AGENT IS FILING CERTIFICATION DATA ON THE CARRIER'S BEHALF:
Certification of Officer or Employee to authorize an Agent to file Compliance with 47 CFR §54.1009(a)(4) on Behalf of Reporting Carrier certify that (Name of Agent)
arrier. I also certify that I am an officer or employee of the reporting carrier; my responsibilities include submit the information
47 CFR §54.1009(a)(4) reported to the uthorized agent; and,
to the best of my knowledge, the reports and data provided to the authorized
a ent is ensuring accurate compliance . with i
ame of Authorized Agent.
ame of Reoortine
carrier-of Authorized Officer or Employe^ me of Authorized Officer or Empl sition of Authorized Officer or Em number ofAuthorized Officer or ea 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.SC. §§ 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 Compliancewith 47 CFR §54.1009(a)(4) on Behalf of Reporting Carrier
I,
as agent for the reporting carrier, certify that I am authorized to submit the certification 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: Name ofAuthorize
or Employee of ited name of Authorized Agent or Employee of Agent: e or position of Authorized Agent or Employee of Agent °phone number ofAuthorized Agent or Employee ofAgent: dy Area Code of Reporting Carrier:
Filing Due Date for this
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.5 C. §§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Page 4 06/22/2015
^^^^i - -ai ^aiw^ neporiing
k-( Form 6c40
Approved by OMB
OMB Control No. 7060-118;
G - 1^ nf R
<010> Study Area Code
<015> Study Area Name 448033
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USAC should contact regarding this data zols <035> Contact Telephone Number - Number of person identified in data line <030> Ana Bataille <039> Contact Email Address - Email Address of person identified in data line <030> 6105356911 ext.
abat i e el on na io . co <142> State
<143> County
<144> Tribal Land(s) on which ETC Serves
<145> Tribal Government Engagement Obligation
Name of Attached Document (pdfJ
If your company serves Tribal lands, please select (Yes, No, Not Applicable) for each of these boxes to confirm the status described on the attached PDF, on line 145, demonstrates coordination with the Tribal government pursuant to § 54.1004 includes:
<146>
Needs assessment and deployment planning with a focus on Tribal community anchor institutions;
<147> Feasibility and sustainability planning;
<148> Marketing services in a culturally sensitive manner; <149> Compliance with Rights of way processes
<150> Compliance with Land Use permitting requirements <151> Compliance with Facilities Siting rules
<152> Compliance with Environmental Review processes <153> Compliance with Cultural Preservation review processes <154> Compliance with Tribal Business and Licensing requirements.
Page 5
06/z2/z015
kuyu) rroject Upcfate Intormation
FCC Form E90
Approved [DV OMB
OW, Control No. 306011li5
Pae,^ E cf ^,
<010>
Study Area Code
<015>
Study Area Name
448033Texas 10, LLC
<020>
Program Year
2015
<030>
Contact Name - Person USAC should contact regarding this data
Ana eataille
<035>
Contact Telephone Number - Number of person identified in data line <030> 6105356911 ext
<039>
Contact Email Address - Email Address of person identified in data line <030>
abataillecOcellonenation.com
<200>
Date Authorized to Receive Support
<201>
Targeted Completion Date
<202>
Total Mobility Fund Support Awarded
<203>
Total Mobility Fund Support Disbursed
<210>
Actual Completion Date
<211>
Project Status Description (attached)
Please check these boxes below to confirm that the attached PDF, on line
211, contains a project status pursuant to §54.1005(b)(2)(v). The information
shall be submitted as appropriate.
<212>
Status of Network Deployment - Network Design
<213>
Status of Network Deployment - Construction
<214>
Status of Network Deployment - Deployment
<215>
Status of Network Deployment - Maintenance
<216>
Project Budget Status
<217>
Project Plan Status
<218>
Certify Network will Support 3G/4G Mobile Service (Yes / No)
06/22/2015 O8/16/2013 08/17/2015 367071 95 1122357.32 448033_PSD_TX.pdf {Name of PDF attached}
3
3
3
3
3
3
^ 0
Page 6319
(101) Certification - Reporting Carrier
FUC Form o90 Appro`:ad b,, OMB
OMB Contr,)l No. 306C-1185 Pawe 7 of 8
<010> Study Area Code <015> Study Area Name
448033
<020> Program Year
Texas 10, LLC
<030> Contact Name - Person USAC should contact regarding this data 2015
A
<035> Contact Telephone Number - Number of person identified in d t li na Bataille 6105
<039> Contact Email Address - Email Address of person identified in data line <030>a a ne <030> 356911 ext.
b l
a atai [email protected]
06/22/2015
Page 7
320
(102) Certification - Agent / Carrier
FCC Forrn 690 ApprovNd by 0M8 OMP Control No 3060-1 PaCe 8 of 5
<010> Study Area Code
<015> Study Area Name 448033
<020> Program Year Texas 10, LLC
Contact Name - Person USAC should contact regarding this data 20151s <035> Contact Telephone Number - Number of person identified in data line <030> A^a
6 1
<039> Contact Email Address - Email Address of person identified in data line <030> 105356911 ext.
abataille@cellonenation. com TO BE COMPLETED BY THE REPORTING CARRIER IF AN AGE, NT IS FILING ON T HE CARRIER'S BEHALF:
Certification of Officer to Authorize an Agent to File for Mobility Fund Recipients on Behalf of Reporting Carrier
tify that (Name of Agent)
is authorized to submit the information reported on behalf of the reporting carrier. I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the data reporting requirements provided to the authorized t; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate.
e of Authorized Agent:
e of Reporting Carrier:
ature ofAuthorized Officer:
ed name ofAuthorized Officer:
or position of Authorized Officer:
)hone number ofAuthorized Officer:
Date:
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 imprisonment under Title 18 of the United States Code, 18 US.C. § 1001.
TO BE COMPLETED BY THE AUTHORIZED AGENT:
Certification of Agent Authorized to File for Mobility Fund Recipients on Behalf of Reporting Carrier
as agent for the reporting carrier, certify that I am authorized to submit the reports for Mobility Fund recipients on behalf of the reporting carrier; I have provided the data ported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate.
3me of Reporting Carrier:
3me of Authorized Agent or Employee of 'Agent:
Signature of Authorized Agent or Employee of Agent:
Printed name of Authorized Agent or Employee of Agent:
Title or position ofAuthorized Agent or Employee ofAgent
Telephone number ofAuthorized Agent or Employee ofAgent: 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 imprisonment under Title
18 of the United States Code, 18 US.C. § 1001.
06/22/2015
Page 8
Attachments
06/22/2015
(060) Coverage and Performance Report
FCC Form b,30 Approved 6y OMB OMB ContrL I No. 305i!-1185
<010> Study Area Code <015> Study Area Name
448033
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USAC should contact regarding this data 2015 Ana B t il <035> Contact Telephone Number - Number of person identified in data line <030> a a le
6105356911 ext.
<039> Contact Email Address - Email Address of person identified in data line <030>
abatailleocellonenation com
<140> Coverage and Performance Report Year .
08/2014 - 07/2015
<141>
` ',i>
tate ounty -Sabine ensus Block Qooo esident Population per Census Block esident Population Newly Reached by Service otal Resident Population Reached byY Service oad Miles per Census Block Road Miles per Census Block Newly Reached otal Road Miles per Census Blockd
Certify that Coverage and Performacne data is uploaded (yes/no) TX 0 0 0 0.0 0.0 0.0 Yes o Percentage of Total 0 Percentage ofRoad Miles covered Total Population by Service Reached by Service 06/22/z015
323
FCC Form 690 - Coverage and Performance Data Update
Texas 10, LLC (
"Texas 10" or "the Company") has completed construction and
deployment with respect to the SAC associated with this filing.
Drive testing is ongoing
throughout those census tracts for which the Company has been authorized to receive awards,
with all drive testing and disbursement request filings to be completed in advance of the
Company's construction deadline of August 17, 2015.
On or prior to that date, Texas 10 will
submit these filings, which will include the required coverage and performance data. Please
reference the Company's disbursement request filings for additional coverage and performance
information.
Texas 10, LLC
Form 690 - Annual Report for August 2014 - July 2015
Project Status Description
Item: SAC 448033
County/State: Sabine, TX
Total Award Amount: $367,071.95
Proiect Description
The initial Project Description for this project was filed by Texas 10, LLC ("Texas 10" or "the
Company") on November 1, 2012, accompanying its Form 680 long form application.
The Company
updated this information in its 2014 Mobility Fund Phase I Annual Report, filed July 30, 2014.
Both
filings are incorporated herein by reference.
The current update of material changes to the Project
Description information previously provided for this census tract is as follows. Texas 10 has completed
network design, construction, and deployment of the contemplated upgrades to its network. The upgrades
have been tested and launched into commercial service.
The network is now serving customers in this
census tract with mobile broadband as well as voice services. The project remains within total amounts
budgeted.
The Company remains firmly committed to complying with all regulatory obligations
associated with the support. Texas 10 has commenced its monthly, semiannual and annual maintenance
reviews at each cell site, and will obtain third-party maintenance services and replacement equipment
from its vendors as applicable.
Mobility Fund
Phase 1 - §54.1009 Annual Reporting
<010> Study Area Code 448034
<015> Study Area Name Texas 10, LLC
<020> Program Year 2015
<030> Contact Name: Person USAC should contact
with questions about this data ^a Bataille
<035> Contact Telephone Number:
Number otthe person identitied in data line <030> 6105356911 ext.
<039> Contact Email:
Email ot the person identitied in data line <030> [email protected]
FCC Form Approved by OMB
OMB 3060-1185 Avg. Burden Estimate per Respondent: 18 Hours
(check box when complete)
<040>
Has the information required Pursuant to §54 . 1009 been provided with a Form 481 filing (Y/N) <040> @
<041> Attach a description of the documents filed with the Form 481 reporting
<042> Cite the Study Area Code (SAC) for the Form 481 reporting
<050> Carrier Contact Information
(complete attached worksheet)
<060> Coverage and Performance Report
(Complete attached worksheet)
<070> Urban Rate Comparability Certification
(complete attached certification)
<080> Tribal Lands Reporting (yln?)
(Do. this study area cover tribal lands? Yes or No)
(If yes, comp/ete the attached worksheet)
<090> Project Update Information
(complete attached worksheet)
<100> Certifications
<101> Reporting Carrier Certification (complete attached certification)
<102> Agent Certification (complete attached certification)
<041> <042> <050> F71 <060> ^ <070> FV71 0 <080> ED <090> M <101> M <102> F-1
Notice to Individuals Required by the Paperwork Reduction Act of 1995
OMB Control Number 3060-1185 (Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements) Notice to Individuals Required by the Paperwork Reduction Act of 1995
Public reporting burden for this collection of information is estimated to average 18 hours per response. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, Office of Managing Director, AMD-PERM, Washington, DC 20554, Paperwork Reduction Act Project (3060-1185). Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number and/or we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-1185.
THIS NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.
06/22/2015
F( C Form 690 Approved by 0^,16 OMB Control N. 3G5Qll85 uanA I „s
-<010> Study Area Code
<015> Study Area Name 448034
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USACshould contact regarding this data 2015 <035> Contact Telephone Number - Number of person identified in data line <030> Ana Batai1le <039> Contact Email Address - Email Address of erson id tifi d i 6105356911 ext.
p en e n data line <030>
ab tai le ce lo en ti n. om
Reoortine Carrier / Mobility Fund Phase 1 Winning Bidder
<110> FCC Registration Number <111> Filing Carrier Name <112> Winning Bidder Carrier Name <113> Street Address (or PO Box)
<114> City <115> State <116> Zip-Code <117> Telephone Number <118> Fax Number <119> Email Address Contact information
if same as above, indicate in this box <120> Name (First, MI, Last, Suffix) <121> Filing Carrier Name <122> Street Address (or PO Box) <123> City <124> State <125> Zip-Code <126> Telephone Number <127> Fax Number <128> Email Address
Authorized Agent Information
if no agent, indicate in this box <130> Name (First, MI, Last, Suffix) <131> Company
<132> Street Address (or PO Box) <133> City <134> State <135> Zip-Code <136> Telephone Number <137> Fax Number <138> Email Address 0017235110 Texas 10, LLC Texas 10 . LLC
1170 Devon Park Drive, Suite 104 Wayne PA 19087 6105356911 ext. 6106885209 [email protected] ^ Ana Bataille Texas 10, LLC 117n p-x C Wayne PA 19087 6105356911 ext. 6106885209 abatailleQcellonenation com ED 06/22/2015 Page 2
327
(060) Coverage and Performance Report
FCC forrn 690
AP proved by ORqB
OMB biritrol No 30t-0-1,185 F",agF s of
<010> Study Area Code
448034 <015> Study Area Name
Texas 10, LLC
<020> Program Year 2015
<030> Contact Name - Person USAC should contact regarding this data
Ana Bataille <035> Contact Telephone Number - Number of person identified in data line <030>
6105356911 ext.
<039> Contact Email Address - Email Address of person identified in data line <030>
[email protected] <140> Coverage and Performance Report Year 08/2014 - 07/2015
448034_CPRd_TX.zip
Coverage and Performace attachements
<141> ^al> > •a?, bl^ hJ,
Total
Road Road Certify that
Road Miles per Miles Coverage and Resident Total Resident Miles Census
covered Performance data
Resident Population Population per Block per is u p loaded
Population per Newly Reached Reached by Census Newly
Census (Yes/no)
State County Census Block Census Block by Service Service Block Reached Block
--
ee attach d works eet
0 0
Percentage of Total
Percentage of Total Population Reached by
Road Miles covered
Service
by Service
06/22/2015
Page 3
328
( 070) Urban Rate Comparability Certification Compliance
"rCr Farr) L90 Approved by OPAE^ ON1G Control No, 3060-1785 P,„e4of8
<010> Study Area Code 448034
<015> Study Area Name Texas 10, LLC
<020> Program Year 2015
<030> Contact Name - Person USAC should contact regarding this data
Ana Bataille
<035> Contact Telephone Number - Number of person identified in data line <030>
6105356911 ext. <039> Contact Email Address - Email Address of person identified in data line <030>
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING CERTIFICATION DATA ON ITS OWN BEHALF:
Certification of Officer or Employee as to Compliance with 47 CFR §54.1009(a)(4)
I certify that I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance with 47 CFR §54.1009(a)(4), the information reported on this form and in any attachments is accurate.
Name of Reporting Carrier: Texas 10, LLC
Signature ofAuthorized Officer: CERTIFIED ONLINE
Date 06/25/2015 Printed name of Authorized Officer: Ana Bataille
Title or position of Authorized Officer: Tax & Regulatory Manager Telephone number ofAuthorized Officer: 6105356911 ext. Study Area Code of Reporting Carrier: 448034
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.SC. § 1001.
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING CERTIFICATION
DATA ON THE CARRIER'S BEHALF:
Certification of Officer or Employee to authorize an Agent to file Compliance with 47 CFR §54.1009(a)(4) on Behalf of Reporting Carrier certify that ( Name of Agent)
is authorized to submit the information reported on behalf of the reporting arrier. I also certify that I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance
with 47 CFR §54.1009(a)(4) reported to the
uthorized a g ent; and, to the best of m y knowledge, the reports and data provided to the authorized agent is accurate.
ame of Authorized Agent: ame of Reporting Carrier:
gnature of Authorized Officer or Employee:
rinted name ofAuthorized Officer or Employee: Date:
tle or position ofAuthorized Officer or Employee: alephone number of Authorized Officer or Employee:
udy 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 US.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 Compliance with 47 CFR §54.1009(a)(4) on Behalf of Reporting Carrier
I,
as agent for the reporting carrier, certify that I am authorized to submit the certification 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:
Name of Authorized Agent or Employee of Agent: Signature of Authorized Agent or Employee of Agent:
Printed name of Authorized Agent or Employee of Agent: Date:
Tltle Or position nf Authnrio<rl Aeo... c..,..i_..__ _ ^ .__ _.
ieiephone number ofAuthorized Agent or Employee ofAgent: 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 imprisonment under Title 18 of the United States Code, 18 U.S C. § 1001.
Page 4 06/22/2015
FiC. Form 69^,
%+PPfoved by OMB
OMEi Conirol No 3oSO-1185 Pore " 'f "o
<010> Study Area Code
<015> Study Area Name 448034
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USAC should contact regarding this data 2015
<035> Contact Telephone Number - Number of person identified in data line <030> Ana Bataille <039> Contact Email Address - Email Address of person identified in data line <030> 6105356911 ext.
a at il @ el on at on. co <142> State
<143> County
<144> Tribal Land(s) on which ETC Serves
<145> Tribal Government Engagement Obligation
Name of Attached Document (.pdf)
If your company serves Tribal lands, please select (Yes, No, Not Applicable) for each of these boxes to confirm the status described on the attached PDF, on line 145, demonstrates coordination with the Tribal government pursuant to § 54.1004 includes:
<146>
Needs assessment and deployment planning with a focus on Tribal community anchor institutions;
<147> Feasibility and sustainability planning;
<148> Marketing services in a culturally sensitive manner; <149> Compliance with Rights of way processes <150> Compliance with Land Use permitting requirements <151> Compliance with Facilities Siting rules
<152> Compliance with Environmental Review processes <153> Compliance with Cultural Preservation review processes <154> Compliance with Tribal Business and Licensing requirements.
06/22/2015
Select
(Yes, No, Not Applicable)
Page 5
330
^uyuj rrotect upoate Information
FCC Form v90
Approved by OM8
(1MB Control No 'DEO 71G
Pa^^Eof;
<010>
Study Area Code
<015>
Study Area Name
448034<020>
Program Year
Texas 10, LLC2015
<030>
Contact Name - Person USAC should contact regarding this data
Ana Bataille
<035>
Contact Telephone Number - Number of person identified in data line <030> 6105356911 ext.
<039>
Contact Email Address - Email Address of person identified in data line <030>
<200>
Date Authorized to Receive Support
<201>
Targeted Completion Date
<202>
Total Mobility Fund Support Awarded
<203>
Total Mobility Fund Support Disbursed
<210>
Actual Completion Date
<211>
Project Status Description ( attached)
Please check these boxes below to confirm that the attached PDF, on line
211, contains a project status pursuant to §54.1005(b)(2)(v). The information
shall be submitted as appropriate.
<212>
Status of Network Deployment - Network Design
<213>
Status of Network Deployment - Construction
<214>
Status of Network Deployment - Deployment
<215>
Status of Network Deployment - Maintenance
<216>
Project Budget Status
<217>
Project Plan Status
<218>
Certify Network will Support 3G/4G Mobile Service (Yes / No)
06/22/2015 08/16/2013 08/17/2015 453611.80 151203.93 448034_PSD_TX.pdf (Name of PDF attached}
3
3
3
3
3
3
0 0
Page 6331
(101) Certification - Reporting Carrier
FCC Form F'i l
Approved by0Mf3
0Mh Cintrol No. 30C0 1185 PaKe 7 u!'c,
<010> Study Area Code
<015> Study Area Name 448034
<020> Program Year
TexaS 10, LLC
<030> ContactName -PersonUSACshouldcontactregardingthisdata 2015
A
<035> Contact Telephone Number -Number of person identifi d i d na Bataille
<039> Contact Email Address - Email Address of person identified in data line <030>e n ata line <030> 6105356911 ext.
ab ta ai le@cellonenation. coml
TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIE
R IS FILING ON ITS OWN BEHALF:
Certification of Officer as to the Accuracy of the Data Reported for Mobility Fund Recipients
certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the reporting requirements for Mobility Fund recipients; and, to the est of my knowledge, the information reported on this form and in any attachments is accurate.
of Reporting Carrier: Texas 10, LLC
re of Authorized Officer: CERTIFIED ONLINE
Date 06/25/2015
ed name of Authorized Officer: Ana Bataille
or position of Authorized Officer: Tax & Regulatory Manager
)hone number of Authorized Officer: 610535G911 ext. 1 Area Code of Reporting Carrier: 448034
Filing Due Date forthis 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.
06/22/2015
Page 7
332
(102) Certification - Agent / Carrier
FCC Forr i 6 u0 Approved by Gfv18 GMB Control No, 3G6p-11R5 Pa,, , N of ii .
<010> Study Area Code
<015> Study Area Name 448034
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USAC should contact regarding this data 2015 <035> Contact Telephone Number- Number of person identified in data line <030> Ana
6 1
<039> Contact Email Address - Email Address of person identified in data line <030> 105356911 ext.
TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ON THE CARRIER'S BEHALF:
Certification of Officer to Authorize an Agent to File for Mobility Fund Recipients on Behalf of Reporting Carrier certify that (Name of Agent)
is authorized to submit the information reported on behalf of the reporting carrier. Iso certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the data reporting requirements provided to the authorized gent; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate.
ame of Authorized Aeent:
Authorized Officer:
a of Authorized Officer: Date:
or position of Authorized Officer: hone number ofAuthorized Officer: V 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 imprisonment
under Title 18 of the United States Code, 18 U.SC. § 1001.
TO BE COMPLETED BY THE AUTHORIZED AGENT:
Certification of Agent Authorized to File for Mobility Fund Recipients on Behalf of Reporting Carrier
as agent for the reporting carrier, certify that I am authorized to submit the reports for Mobility Fund recipients on behalf of the reporting carrier; I have provided the data ported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate.
ime of Reporting Carrier:
ime of Authorized Agent or Employee of Aeenr jture of Authc
Date: ed name of Authorized Agent or Employee of Agent:
or position of Authorized Agent or Employee of Auzent
I i eiephone number of Authorized Agent or Employee of Aeent-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 imprisonment under Title 18 of the United States Code, 18 U.S C. § 1001.
06/22/2015
Page8
Attachments
06/22/2015
(060) Coverage and Performance Report
F(- I, 6yj Approved by OM8 Orlb Control No. 30i,U 1185
<010> Study Area Code <015> Study Area Name
448034
<020> Program Year Texas 10, LLC
<030> Contact Name - Person USAC should contact regardin this d t
2015
<035> Contact Telephone Number - Number of person identified in data line <030>g a a Ana Bataille 6105356911 ext. <039> Contact Email Address - Email Address of person identified in data line <030>
abataille@cellonenation com
<140> Coverage and Performance Report Year .
08/2014 - 07/2015 <141> E3, -2 tate ounty San ensus Block 0000 Resident Population per Census Block Resident Population Newly Reached by Service Total Resident Population Reached by Service y Road Miles per Census Block Road Miles per Census Block Newly Reached Total Road Miles per Census Block Certify that Coverage and Performacne data is uploaded (yes/no) TX Augustine 0 0 0 0.0 0.0 0.0 Yes o Percentage of Total 0 Percentage of
Road Miles covered Total Population byService Reached by Service 06/22/2015