FCC Form 159-W

Approved by OMB
3060-0949

FCC FORM 159-W
INTERSTATE TELEPHONE SERVICE PROVIDER WORKSHEET
Payer Name:

Filer 499 ID (FCC Form 499-A, Line 101):

Calendar Year 2006 Revenue Information (show amounts in whole dollars)
1
2
3
4
5
6
7
8
9
10
11

12
13
14
15
16

Service provided by U.S. carriers that both originates and terminates in foreign
points. FCC Form 499-A, Line 412 (e)
Interstate end-user revenues from all telecommunications services. FCC Form 499A, Line 420 (d)
International end-user revenues from all telecommunications services except
international-to-international. FCC Form 499-A, Line 420 (e)
Total end-user revenues (Sum of lines 1, 2 and 3)
Also enter this number on Block (28A) - FCC Code 1.
End-user interstate mobile service monthly and activation charges. FCC Form 499A, Line 409 (d)
End-user international mobile service monthly and activation charges. FCC Form
499-A, Line 409 (e)
End-user interstate mobile service message charges including roaming charges but
excluding toll charges. FCC Form 499-A, Line 410 (d)
End-user international mobile service message charges including roaming charges
but excluding toll charges. FCC Form 499-A, Line 410 (e)
End-user interstate satellite service. FCC Form 499-A Line 416 (d) + Line 416 (e)
End-user interconnected VoIP FCC Form 499-A Line 404.4 (d) + Line 404.4 (e) +
Line 404.5 (d) + Line 404.5 (e) + Line 414.2 (d) + Line 414.2 (e)
Surcharges on mobile and satellite services identified as recovering universal service
contributions and included in Line 403 (d) or 403 (e) on your FCC Form 499-A.
Note: You may not include in Block (11) universal service pass-through
surcharges applied to local or toll services, nor any surcharges identified as
intrastate surcharges.
Interstate and international revenues from resellers that do not contribute to USF.
FCC Form 499-A, Line 511 (b)
Total excluded end-user revenues. (Sum lines 5 through 12.)
Also enter this number on Block (29A) – FCC Code 2.
Total subject revenues. (Line 4 minus Line 13)
Also enter this number on Block (25A) – Quantity. Please round to nearest dollar.
Interstate telecommunications service provider fee factor
.00266
2007 Regulatory Fee (Line 14 times Line 15). Also enter this number on Block
Please Round to Nearest Dollar
(27A) – Total Fee. You are exempt from filing if the sum of all regulatory fees due
on Line 16 is less than $10. If you file, using this form, you must also complete an
FCC Form 159, and include a copy of this FCC Form 159-W with your filing.

FCC FORM 159-W

August 2007