I /II/)/F/C/ //  /@ / / // /I EȾVPV>P4FBJ ,J     PAGE1cG&I WORKSHEETI G9HEETI G:HEETI G;HEETI G<HEETI G=HEETI G>HEETI CBCOPYT!  ? @VName34Name10LBLBq+q+q+ 6page1 DUTCHP-CNTURY DUTCH DUTCH P-CNTURY DUTCH SWISS! Arial" Arial# Arial"$ Arial Narrow$++ ++ + +++ + ++x+++ x+ x+!+"x+#+$+%+&+'+(+)+*++x+,+-+.+/+0 +1 +3 +4+"2Normal Undefined"2Normal Undefined"2Normal Undefined"2Normal Undefined"2Normal Undefined"2Normal Undefined"2Normal Undefined"2Normal Undefined"2 Normal Undefined"2 Normal Undefined"2 Normal Undefined"2 Normal Undefined"2 Normal Undefined"2Normal Undefined"2Normal Undefined"2Normal Undefinedq0*1* 3*#1*DD 3*#1* 3*#1*22 3*#1*|| 3*#1*FF 3*#(4*"########"""!"###h5*+@@@@@@@#@@@@ @@@  @@@#@@@@@  @@ @@@ @ @ @   @ @@ @  '  @ @ @; @ @ @ @ @; @ @ @ @@@@* @ @ @ @@ %@@@@% @ @ @@@ @  @  @@ @  @@ @ @@@@@@ @@ @ @@@@@@@ @@ @ (((`>`>(`(`(`( `( ` ` `( `(`(`(>`((`(`(`(`(`(`(`(@`(@`(`(`(# @ @@ @@ @'!@@ @ @@ @@ @"!#"$#%$&% ' ()@@ * +,+-,.-/@0 @@1 @@2@ @ 3/4@ @@5@ @@6 @ 7 @@ @ 8@@ @ 98:9;@<@=@ @ >7?: @`(!@`("@`(#@`($@`(%@`(&@`('`((`()`(*`>+`(,`(-`(.`(/`(0(1(2@(3`(4`(5(6@(7@`(8@`(9@`(:@`(;@`(<`(=`(>@`(?@`(@?A@B;CBD @ @ F@@G   H@I @T@@`(A@`(B@`(C@`(D`(E``F(G``>H(I`> ~'C'1999 FCC Form 499 Telecommunications Reporting Worksheet^Approval by OMB:'>>> Please read instructions before completing. <<<^3060-_______^Expires __/__/__8'Block 1: Contributor Identification Information "TRS Company Code  ' 101$'Legal name of reporting entity ' 102)'IRS employer identification number  ' 103C 'Name telecommunications service provider is doing business as ' 104s 'Principal communications business (check the one that best describes the reporting entity -- see directions)% ' Shared Tenant Service Provider% ' Pay Telephone Service Provider ' Private Service Provider' Incumbent LEC' CAP/CLEC' Local Reseller ' Other Local' SMR (dispatch),' Cellular/PCS/SMR (wireless telephony)' Paging & Messaging ' Wireless Data' Other Mobile ' IXC' Toll Reseller ' OSPY 'If Other Local, Other Mobile or Other Toll is checked, describe carrier type below.' Satellite' Pre-paid Card' Other Toll ' 105O'Holding company 2F[All affiliated companies should show same name here] ' 106B'Management company (if carrier is managed by another entity) ' 1077'Principal CIC code used for interexchange service ' 1082'Complete mailing address of reporting entity'corporate headquarters ' 109E'Complete business address for customer inquiries and complaints5'(if different from address entered on Line 108) ' 1108'Telephone # for customer inquiries and complaints ' ( ) - ' 111- 'Additional Names For Carrier Activities 'g!'a! 'h"'b" 'i#'c# 'j$'d$ 'k%'e% 'l&'f& 'm%)'Block 2: Contact Information +'112+'Name of contact person ,'113(,'Telephone number of contact person, ' ( ) - -'114"-'Fax number of contact person- ' ( ) - .'115.'E-mail of contact person /'116*/'Complete mailing address of contact:90' [Filing information and future Telecommunications:1' Reporting Worksheets will be sent to this address.] 3'1173'Billing address: 84' [Bills for payments to FCC funds will be sent to5'this address.] 7'11887'D.C. Agent for Service of Process per 47 U.S.C 413 8'119$8'Telephone number of D.C. agent8 ' ( ) - 9'1209'Fax number of D.C. agent 9 ' ( ) - :'121:'E-mail of D.C. agent  ;'122-;'Complete business address of D.C. agent#<'for hand service of documents >'1237>'Alternate Agent for Service of Process (optional) ?'124)?'Telephone number of alternate agent? ' ( ) - @'125#@'Fax number of alternate agent@ ' ( ) - A'126A'E-mail of alternate agent B'127,B'Complete business address of alternate)C'agent for hand service of documentsF'PERSONS MAKING WILLFUL FALSE STATEMENTS IN THE WORKSHEET CAN BE PUNISHED BY FINE OR IMPRISONMENT UNDER TITLE 18 OF THE UNITED STATES CODE, 18 U.S.C. 1001 H'FCC ___I'DRAFT for commentI'December 1998-W SWISSDUTCH P-CNTURYDUTCHDUTCHSWISSSWISS P-HLV-C    OI4!*X,GW  jl  ܌.; Doc Info AuthorDoc Info Creation DateDoc Info Editing TimeDoc Info Last Revision DateDoc Info Last RevisorDoc Info ObjectDoc Info PropertyDoc Info Revisions CountFM3FM3 PropertyWK3WK3 Property  p%( #b% ^%#hQ% M%  n$ s$ y$ $ $$"%% $ $ $ $ $4%CMHdrp%(