Schedule M-4A

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Overview

Income Statement
Balance Sheet
Stmt of Cash Flows

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Sheet 1: Income Statement

Schedule M-4A - Income Statement
	APPLICANT NAME
	Historical			Forecast Period
	3 Years' Prior	2 Years' Prior	1 Year Prior	Year 1	Year 2	Year 3	Year 4	Year 5
REVENUES
Network Services Revenues:
Local Voice Service	$-	$-	$-	$-	$-	$-	$-	$-
Broadband Data Service	-	-	-	-	-	-	-	-
Video Service	-	-	-	-	-	-	-	-
Middle Mile Revenues	-	-	-	-	-	-	-	-
Network Access Service Revenues	-	-	-	-	-	-	-	-
Universal Service Fund	-	-	-	-	-	-	-	-
Toll Service/Long Distance Voice	-	-	-	-	-	-	-	-
Installation Revenues	-	-	-	-	-	-	-	-
Amortized Grant Revenue - BIP	-	-	-	-	-	-	-	-
Other Operating Revenues	-	-	-	-	-	-	-	-
Uncollectible Revenues	-	-	-	-	-	-	-	-
Total Revenues	$-	$-	$-	$-	$-	$-	$-	$-
EXPENSES
Backhaul	-	-	-	-	-	-	-	-
IP/Interconnection	-	-	-	-	-	-	-	-
Video Content (if applicable)	-	-	-	-	-	-	-	-
Spectrum (if applicable)	-	-	-	-	-	-	-	-
Network Maintenance/Monitoring	-	-	-	-	-	-	-	-
Utilities	-	-	-	-	-	-	-	-
Sales/Marketing	-	-	-	-	-	-	-	-
Customer Care	-	-	-	-	-	-	-	-
Corporate G&A	-	-	-	-	-	-	-	-
Property Tax	-	-	-	-	-	-	-	-
Other Operating Expense	-	-	-	-	-	-	-	-
Total Expenses	$-	$-	$-	$-	$-	$-	$-	$-
EBITDA	$-	$-	$-	$-	$-	$-	$-	$-
Depreciation - Project Assets	-	-	-	-	-	-	-	-
Depreciation - Other Assets	-	-	-	-	-	-	-	-
Amortization	-	-	-	-	-	-	-	-
Interest Expense - Project Loan	-	-	-	-	-	-	-	-
Interest Expense - Other Debt	-	-	-	-	-	-	-	-
Interest Income	-	-	-	-	-	-	-	-
Income Taxes	-	-	-	-	-	-	-	-
Net Income (Loss)	$-	$-	$-	$-	$-	$-	$-	$-
TIER	-	-	-	-	-	-	-	-

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Sheet 2: Balance Sheet

	Schedule M-4A - Balance Sheet
		APPLICANT NAME
		Historical			Forecast Period
ASSETS		3 Years' Prior	2 Years' Prior	1 Year Prior	Year 1	Year 2	Year 3	Year 4	Year 5
Current Assets
	Cash	$-	$-	$-	$-	$-	$-	$-	$-
	Marketable Securities	-	-	-	-	-	-	-	-
	Accounts Receivable	-	-	-	-	-	-	-	-
	Inventory
	Other Current Assets	-	-	-	-	-	-	-	-
		-	-	-	-	-	-	-	-
	Total Current Assets	-	-	-	-	-	-	-	-
Non-Current Assets
	Amortizable Asset (Net)	-	-	-	-	-	-	-	-
	Plant in Service - Project Assets
	Accumulated Depreciation - Project Assets
	Plant in Service - Other Assets	-	-	-	-	-	-	-	-
	Accumulated Depreciation - Other Assets	-	-	-	-	-	-	-	-
	Other Non-Current Assets	-	-	-	-	-	-	-	-
	Total Non-Current Assets	-	-	-	-	-	-	-	-
	Total Assets	$-	$-	$-	$-	$-	$-	$-	$-
LIABILITIES AND EQUITY		3 Years' Prior	2 Years' Prior	1 Year Prior	Year 1	Year 2	Year 3	Year 4	Year 5
Current Liabilities
	Accounts Payable	$-	$-	$-	$-	$-	$-	$-	$-
	Current Portion - Project Debt	-	-	-	-	-	-	-	-
	Current Portion - Other Debt
	Current Portion - Deferred Grant Revenue BIP	-	-	-	-	-	-	-	-
	Other Current Liabilities	-	-	-	-	-	-	-	-
		-	-	-	-	-	-	-	-
	Total Current Liabilities	-	-	-	-	-	-	-	-
Non-Current Liabilities
	New Project Debt	-	-	-	-	-	-	-	-
	Existing Other Debt
	Deferred Grant Revenue BIP	-	-	-	-	-	-	-	-
	Other Non-Current Liabilities	-	-	-	-	-	-	-	-
		-	-	-	-	-	-	-	-
	Total Non-Current Liabilities	-	-	-	-	-	-	-	-
	Total Liabilities	$-	$-	$-	$-	$-	$-	$-	$-
Equity
	Capital Stock	-	-	-	-	-	-	-	-
	Additional Paid-In Capital	-	-	-	-	-	-	-	-
	Patronage Capital Credits	-	-	-	-	-	-	-	-
	Retained Earnings	-	-	-	-	-	-	-	-
		-	-	-	-	-	-	-	-
	Total Equity	$-	$-	$-	$-	$-	$-	$-	$-
	Total Liabilities and Equity	$-	$-	$-	$-	$-	$-	$-	$-

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Sheet 3: Stmt of Cash Flows

	Schedule M-4A - Statement of Cash Flows
		APPLICANT NAME
		Historical			Forecast Period
		3 Years' Prior	2 Years' Prior	1 Year Prior	Year 1	Year 2	Year 3	Year 4	Year 5
	Beginning Cash	$-	$-	$-	$-	$-	$-	$-	$-
	CASH FLOWS FROM OPERATING ACTIVITIES
	Net Income (Loss)	-	-	-	-	-	-	-	-
	Adjustments to Reconcile Net Income (Loss)
	to Net Cash From Operating Activities:	-	-	-	-	-	-	-	-
	Add: Depreciation Project Assets	-	-	-	-	-	-	-	-
	Add: Depreciation Other Assets	-	-	-	-	-	-	-	-
	Add: Amortization	-	-	-	-	-	-	-	-
	Less: Amortized Grant Revenue BIP	-	-	-	-	-	-	-	-
	Changes in Assets and Liabilities:	-	-	-	-	-	-	-	-
	Accounts Receivable	-	-	-	-	-	-	-	-
	Inventory
	Other Current Assets	-	-	-	-	-	-	-	-
	Other Non-Current Assets	-	-	-	-	-	-	-	-
	Accounts Payable	-	-	-	-	-	-	-	-
	Other Current Liabilities	-	-	-	-	-	-	-	-
	Other Non-Current Liabilities	-	-	-	-	-	-	-	-
	Net Cash From Operating Activities	$-	$-	$-	$-	$-	$-	$-	$-
	CASH FLOWS FROM FINANCING ACTIVITIES
	Proceeds from Sale of Equity	-	-	-	-	-	-	-	-
	Proceeds from Project Loan	-	-	-	-	-	-	-	-
	Proceeds from Other Debt	-	-	-	-	-	-	-	-
	Proceeds from BIP Grant	-	-	-	-	-	-	-	-
	Repayments of Project Loan	-	-	-	-	-	-	-	-
	Repayments of Other Debt	-	-	-	-	-	-	-	-
	Payments of Patronage Capital Credits	-	-	-	-	-	-	-	-
	Payments of Dividends	-	-	-	-	-	-	-	-
	Net Cash From Financing Activities	$-	$-	$-	$-	$-	$-	$-	$-
	CASH FLOWS FROM INVESTING ACTIVITIES
	Capital Expenditures Project Operations	-	-	-	-	-	-	-	-
	Capital Expenditures Other Operations	-	-	-	-	-	-	-	-
	Additions to Amortizable Assets	-	-	-	-	-	-	-	-
	Change in Marketable Securities (Net)	-	-	-	-	-	-	-	-
	Net Cash From Investing Activities	$-	$-	$-	$-	$-	$-	$-	$-
	Increase (Decrease) in Cash	-	-	-	-	-	-	-	-
	Ending Cash	$-	$-	$-	$-	$-	$-	$-	$-