1

RFP FI-19-050 Printing and Postage Services

Questions and Answers

1. On Page 5, Section III, it states the following:

A. All required Contract services must be performed within the United States and willprimarily be at USAC Corporate Headquarters (“USAC Headquarters”). Contractorpersonnel performing services at USAC’s headquarters must complete the USAC VisitorForm and Confidentiality Agreement prior to being assigned a temporary USACvisitor’s badge and being allowed on-site.

Q1. Can the USAC please clarify what portion of the requirements the Government expects the contract to perform at USAC Corporate Headquarters?

A1. The printing Contractor does not need to perform any work at USAC.

2. On Page 7, Section VIII, it states the following:

b. Contractor’s Printing and Mailing Services include the extraction of electronic data from a zippedMicrosoft® Word file, PDF and Postscript formats.

Q2. Can the USAC please provide sample files and sample output for each application?

A2. Yes. The samples are listed attached to this document as Attachment 1 and Attachment 2.

3. On Page 8, Section B 499 Packages, it states the following:

3. Contractor shall print addresses directly onto the appropriate envelope type, based on the 499package size, or onto a mailing label to be affixed to the appropriately sized envelope.

Q3. Can the USAC please confirm that utilization of a window envelop to meet the requirement of above is an acceptable alternative for this section as well as any other section in the RFQ that states “Labels”?

A3. Answer - The files that USAC will send to the Contractor to print and mail are not formatted to have an address fit in a window envelope. USAC will send an excel file with the addresses that the files need to be sent to.

4. Contractor shall include the necessary metered postage to the sealed envelopes and deliver them tothe post office in time for the letters to be postmarked no later than two business days from the dateContractor retrieved the files from USAC.

Q4. Is a permit marking acceptable for postage evidencing to meet the requirement above as well as other sections in the RFQ referencing “metering”?

A4. Yes, permit imprints are acceptable for postage.

February 8, 2019

XXX Telephone Company, Inc. Dylan McKayPO Box XXXXAcity, CA 90200

THIS FINAL NOTICE PROVIDES IMPORTANT INFORMATION ABOUT YOUR ACCOUNT AND YOUR RIGHTS

AND OBLIGATIONS UNDER LAW - PAST DUE NOTICE -

Dear Contributor,

Our records indicate that as of January 31, 2019, your account (Filer 499 ID 8XXXXX) is over 61 days past due and delinquent. The portion of your account balance that is delinquent totals $8,378,878.55. To obtain a final payoff amount for your account please contact USAC customer service at 888-000-8722. This is our Final Notice of Demand for Payment and Notice of our intent to transfer the debt to the Secretary of the Treasury.

THE FOLLOWING PROVISIONS CONTAIN IMPORTANT INFORMATION AND A DESCRIPTION OF LEGAL RIGHTS, OBLIGATIONS, AND OPPORTUNITIES.

FINAL NOTICE-DELINQUENT ACCOUNT

1. Pursuant to the provisions of the Debt Collection Act of 1982 (Public Law 97-365) and the DebtCollection Improvement Act of 1996 (Public Law 104-134), as amended (the DCIA), as set forth below, continued failure to make the demanded payment has resulted in the assessment of administrative charges, penalties, and interest, and it may result in sanctions, including, but not limited to, administrative proceedings or judicial action to recover the outstanding debt.

2. As set forth at 31 U.S.C. § 3717, 31 C.F.R. § 901.1, and 47 C.F.R. § 1.1940, interest, penalties andadministrative charges of collection accrue from the due date stated on the invoice and demand for payment (Date of Delinquency).  You were notified on the invoice of the basis for the debt owed to the United States, your opportunity to request inspection or review of your account, the date by which payment had to be received to avoid late charges (e.g., interest, penalties, and charges of collection), and any enforced collection action if the debt remained delinquent.  Our Second Notice of Demand for Payment repeated the notice of the consequences of failing to make payment of the delinquent amount.  We remind you that interest and penalties continue to accrue as stated in the earlier notices.  Further, unless we receive full payment, evidence that the debt is not owed, or a request for an installment payment plan, we intend to transfer the delinquent debt, plus all accrued late charges to the Secretary of the Treasury (Treasury) for debt collection within 30 days.  The Treasury will impose additional charges (currently 28% of the delinquent debt).  Additional information regarding the DCIA is available at 31 U.S.C. §§ 3701, 3711, 3716, 3717, and 3720B, the Federal Claims Collection Standards (e.g., 31 C.F.R. § 900.1, et seq.), and 47 C.F.R. § 1.1901, et seq.

3. Unless your debt is under appeal, either at USAC or the FCC, your account is currently in RedLight status (see 47 C.F.R. § 1.1910).  Please be advised that when the debt is transferred, you may be subject to an administrative proceeding if one has not already been initiated.  For example, information about your delinquent account has been or will be reported to credit bureaus (see 31 USC § 3711(e)), and administrative offset has been or may be applied (see 31 USC § 3716).  Moreover, under 31 USC §3720B, a person owing an outstanding nontax debt that is in delinquent status shall not be eligible for Federal financial assistance.  Furthermore, the Debt may be referred to the United States Department of Justice (DOJ) for enforced

Universal Service Administrative Company

Collections Department

For billing inquiries call 888-000-8722

Attachment 1

collection, which may result in additional administrative costs.  Separately, we may also request action by the Commission’s Enforcement Bureau.  

Opportunity for Inspection, Review, and Repayment Agreement

4. The time we provided you to inspect and copy the invoices and the records pertinent to yourDelinquent Debt has expired; however, if you have evidence that all or part of the Debt has been paid and is no longer delinquent, you must present it to us within fifteen (15) days of the date of this Demand.  If your debt is under appeal, either at USAC or the FCC, you will not be transferred under the DCIA to the Treasury for further collections activities.  In addition, while your appeal is being considered, your Red Light status will be suspended. However, you will continue to receive USAC Collection Letters during the appeals process, and if your appeal is denied, you will be subject to transfer under DCIA.

5. If due to financial hardship you are unable to pay the full amount of the past due invoice in alump sum, you may contact our Customer Service Office to request an installment payment plan, which will require the payment of interest and execution of a promissory note.  If you fail to pay the installment payment plan amount in full, plus accrued interest, penalties, and administrative charges, several administrative or judicial actions may result.  First, your delinquent account information will be reported to credit bureaus, your account will be subject to administrative action by the FCC and the Treasury, including administrative offset, denial of certain federal benefits, withholding of action on any pending application (see 47 C.F.R. § 1.1910 (Red Light)), and referral to private collection attorneys.  Next, we may refer the circumstances of your delinquency to the FCC’s Enforcement Bureau for further action.  Finally, your delinquent debt may be transferred to either the Treasury for further administrative collection or the DOJ for enforced collection.  Additional information regarding the obligations associated with installment payment plans is available at www.universalservice.org.

6. To provide evidence that all or part of the Debt has been paid or to request an installmentpayment plan, you may notify us in writing by mail or facsimile transmission at the following address and telephone number:

USAC - Customer Support700 12th Street, NW , Suite 900 Washington, DC 20005 Attention: Customer Support Facsimile # (888) 000-6226 Voice telephone # (888) 000-8722

7. Submit payments using the linkwww.usac.org/pay.

Sincerely,

USAC Collections Department

Universal Service Administrative Company

Collections Department

For billing inquiries call 888-XXX-8722

February 8, 2019

XXXX Data Systems John Tom Rather121 Brown Street, Ste 7 Acity, NY 10000

THIS FINAL NOTICE PROVIDES IMPORTANT INFORMATION ABOUT YOUR ACCOUNT AND YOUR RIGHTS

AND OBLIGATIONS UNDER LAW - PAST DUE NOTICE -

Dear Contributor,

Our records indicate that as of January 31, 2019, your account (Filer 499 ID 8XXXXX) is over 61 days past due and delinquent. The portion of your account balance that is delinquent totals $23,891.13. To obtain a final payoff amount for your account please contact USAC customer service at 888-000-8722. This is our Final Notice of Demand for Payment and Notice of our intent to transfer the debt to the Secretary of the Treasury.

THE FOLLOWING PROVISIONS CONTAIN IMPORTANT INFORMATION AND A DESCRIPTION OF LEGAL RIGHTS, OBLIGATIONS, AND OPPORTUNITIES.

FINAL NOTICE-DELINQUENT ACCOUNT

1. Pursuant to the provisions of the Debt Collection Act of 1982 (Public Law 97-365) and the DebtCollection Improvement Act of 1996 (Public Law 104-134), as amended (the DCIA), as set forth below, continued failure to make the demanded payment has resulted in the assessment of administrative charges, penalties, and interest, and it may result in sanctions, including, but not limited to, administrative proceedings or judicial action to recover the outstanding debt.

2. As set forth at 31 U.S.C. § 3717, 31 C.F.R. § 901.1, and 47 C.F.R. § 1.1940, interest, penalties andadministrative charges of collection accrue from the due date stated on the invoice and demand for payment (Date of Delinquency).  You were notified on the invoice of the basis for the debt owed to the United States, your opportunity to request inspection or review of your account, the date by which payment had to be received to avoid late charges (e.g., interest, penalties, and charges of collection), and any enforced collection action if the debt remained delinquent.  Our Second Notice of Demand for Payment repeated the notice of the consequences of failing to make payment of the delinquent amount.  We remind you that interest and penalties continue to accrue as stated in the earlier notices.  Further, unless we receive full payment, evidence that the debt is not owed, or a request for an installment payment plan, we intend to transfer the delinquent debt, plus all accrued late charges to the Secretary of the Treasury (Treasury) for debt collection within 30 days.  The Treasury will impose additional charges (currently 28% of the delinquent debt).  Additional information regarding the DCIA is available at 31 U.S.C. §§ 3701, 3711, 3716, 3717, and 3720B, the Federal Claims Collection Standards (e.g., 31 C.F.R. § 900.1, et seq.), and 47 C.F.R. § 1.1901, et seq.

3. Unless your debt is under appeal, either at USAC or the FCC, your account is currently in RedLight status (see 47 C.F.R. § 1.1910).  Please be advised that when the debt is transferred, you may be subject to an administrative proceeding if one has not already been initiated.  For example, information about your delinquent account has been or will be reported to credit bureaus (see 31 USC § 3711(e)), and administrative offset has been or may be applied (see 31 USC § 3716).  Moreover, under 31 USC §3720B, a person owing an outstanding nontax debt that is in delinquent status shall not be eligible for Federal financial assistance.  Furthermore, the Debt may be referred to the United States Department of Justice (DOJ) for enforced

Universal Service Administrative Company

Collections Department

For billing inquiries call 888-000-8722

collection, which may result in additional administrative costs.  Separately, we may also request action by the Commission’s Enforcement Bureau.  

Opportunity for Inspection, Review, and Repayment Agreement

4. The time we provided you to inspect and copy the invoices and the records pertinent to yourDelinquent Debt has expired; however, if you have evidence that all or part of the Debt has been paid and is no longer delinquent, you must present it to us within fifteen (15) days of the date of this Demand.  If your debt is under appeal, either at USAC or the FCC, you will not be transferred under the DCIA to the Treasury for further collections activities.  In addition, while your appeal is being considered, your Red Light status will be suspended. However, you will continue to receive USAC Collection Letters during the appeals process, and if your appeal is denied, you will be subject to transfer under DCIA.

5. If due to financial hardship you are unable to pay the full amount of the past due invoice in alump sum, you may contact our Customer Service Office to request an installment payment plan, which will require the payment of interest and execution of a promissory note.  If you fail to pay the installment payment plan amount in full, plus accrued interest, penalties, and administrative charges, several administrative or judicial actions may result.  First, your delinquent account information will be reported to credit bureaus, your account will be subject to administrative action by the FCC and the Treasury, including administrative offset, denial of certain federal benefits, withholding of action on any pending application (see 47 C.F.R. § 1.1910 (Red Light)), and referral to private collection attorneys.  Next, we may refer the circumstances of your delinquency to the FCC’s Enforcement Bureau for further action.  Finally, your delinquent debt may be transferred to either the Treasury for further administrative collection or the DOJ for enforced collection.  Additional information regarding the obligations associated with installment payment plans is available at www.universalservice.org.

6. To provide evidence that all or part of the Debt has been paid or to request an installmentpayment plan, you may notify us in writing by mail or facsimile transmission at the following address and telephone number:

USAC - Customer Support700 12th Street, NW , Suite 900 Washington, DC 20005 Attention: Customer Support Facsimile # (888) 000-6226 Voice telephone # (888) 000-8722

7. Submit payments using the linkwww.usac.org/pay.

Sincerely,

USAC Collections Department

Universal Service Administrative Company

Collections Department

For billing inquiries call 888-000-8722

February 8, 2019

XXXXX CorporationM. Donna Name1982 Street WayAcity, CA 90000

THIS FINAL NOTICE PROVIDES IMPORTANT INFORMATION ABOUT YOUR ACCOUNT AND YOUR RIGHTS

AND OBLIGATIONS UNDER LAW - PAST DUE NOTICE -

Dear Contributor,

Our records indicate that as of January 31, 2019, your account (Filer 499 ID 8XXXXX) is over 61 days past due and delinquent. The portion of your account balance that is delinquent totals $200.74. To obtain a final payoff amount for your account please contact USAC customer service at 888-641-8722. This is our Final Notice of Demand for Payment and Notice of our intent to transfer the debt to the Secretary of the Treasury.

THE FOLLOWING PROVISIONS CONTAIN IMPORTANT INFORMATION AND A DESCRIPTION OF LEGAL RIGHTS, OBLIGATIONS, AND OPPORTUNITIES.

FINAL NOTICE-DELINQUENT ACCOUNT

1. Pursuant to the provisions of the Debt Collection Act of 1982 (Public Law 97-365) and the DebtCollection Improvement Act of 1996 (Public Law 104-134), as amended (the DCIA), as set forth below, continued failure to make the demanded payment has resulted in the assessment of administrative charges, penalties, and interest, and it may result in sanctions, including, but not limited to, administrative proceedings or judicial action to recover the outstanding debt.

2. As set forth at 31 U.S.C. § 3717, 31 C.F.R. § 901.1, and 47 C.F.R. § 1.1940, interest, penalties andadministrative charges of collection accrue from the due date stated on the invoice and demand for payment (Date of Delinquency).  You were notified on the invoice of the basis for the debt owed to the United States, your opportunity to request inspection or review of your account, the date by which payment had to be received to avoid late charges (e.g., interest, penalties, and charges of collection), and any enforced collection action if the debt remained delinquent.  Our Second Notice of Demand for Payment repeated the notice of the consequences of failing to make payment of the delinquent amount.  We remind you that interest and penalties continue to accrue as stated in the earlier notices.  Further, unless we receive full payment, evidence that the debt is not owed, or a request for an installment payment plan, we intend to transfer the delinquent debt, plus all accrued late charges to the Secretary of the Treasury (Treasury) for debt collection within 30 days.  The Treasury will impose additional charges (currently 28% of the delinquent debt).  Additional information regarding the DCIA is available at 31 U.S.C. §§ 3701, 3711, 3716, 3717, and 3720B, the Federal Claims Collection Standards (e.g., 31 C.F.R. § 900.1, et seq.), and 47 C.F.R. § 1.1901, et seq.

3. Unless your debt is under appeal, either at USAC or the FCC, your account is currently in RedLight status (see 47 C.F.R. § 1.1910).  Please be advised that when the debt is transferred, you may be subject to an administrative proceeding if one has not already been initiated.  For example, information about your delinquent account has been or will be reported to credit bureaus (see 31 USC § 3711(e)), and administrative offset has been or may be applied (see 31 USC § 3716).  Moreover, under 31 USC §3720B, a person owing an outstanding nontax debt that is in delinquent status shall not be eligible for Federal financial assistance.  Furthermore, the Debt may be referred to the United States Department of Justice (DOJ) for enforced

Universal Service Administrative Company

Collections Department

For billing inquiries call 888-000-8722

collection, which may result in additional administrative costs.  Separately, we may also request action by the Commission’s Enforcement Bureau.  

Opportunity for Inspection, Review, and Repayment Agreement

4. The time we provided you to inspect and copy the invoices and the records pertinent to yourDelinquent Debt has expired; however, if you have evidence that all or part of the Debt has been paid and is no longer delinquent, you must present it to us within fifteen (15) days of the date of this Demand.  If your debt is under appeal, either at USAC or the FCC, you will not be transferred under the DCIA to the Treasury for further collections activities.  In addition, while your appeal is being considered, your Red Light status will be suspended. However, you will continue to receive USAC Collection Letters during the appeals process, and if your appeal is denied, you will be subject to transfer under DCIA.

5. If due to financial hardship you are unable to pay the full amount of the past due invoice in alump sum, you may contact our Customer Service Office to request an installment payment plan, which will require the payment of interest and execution of a promissory note.  If you fail to pay the installment payment plan amount in full, plus accrued interest, penalties, and administrative charges, several administrative or judicial actions may result.  First, your delinquent account information will be reported to credit bureaus, your account will be subject to administrative action by the FCC and the Treasury, including administrative offset, denial of certain federal benefits, withholding of action on any pending application (see 47 C.F.R. § 1.1910 (Red Light)), and referral to private collection attorneys.  Next, we may refer the circumstances of your delinquency to the FCC’s Enforcement Bureau for further action.  Finally, your delinquent debt may be transferred to either the Treasury for further administrative collection or the DOJ for enforced collection.  Additional information regarding the obligations associated with installment payment plans is available at www.universalservice.org.

6. To provide evidence that all or part of the Debt has been paid or to request an installmentpayment plan, you may notify us in writing by mail or facsimile transmission at the following address and telephone number:

USAC - Customer Support700 12th Street, NW , Suite 900 Washington, DC 20005 Attention: Customer Support Facsimile # (888) 000-6226 Voice telephone # (888) 000-8722

7. Submit payments using the linkwww.usac.org/pay.

Sincerely,

USAC Collections Department

Universal Service Administrative Company

Collections Department

For billing inquiries call 888-000-8722

February 8, 2019

Telecom Friends Inc. Robin B. Altman1313 Mockingbird Lane Gotham City, USA 1000

THIS FINAL NOTICE PROVIDES IMPORTANT INFORMATION ABOUT YOUR ACCOUNT AND YOUR RIGHTS

AND OBLIGATIONS UNDER LAW - PAST DUE NOTICE -

Dear Contributor,

Our records indicate that as of January 31, 2019, your account (Filer 499 ID 8XXXXX) is over 61 days past due and delinquent. The portion of your account balance that is delinquent totals $4,201.94. To obtain a final payoff amount for your account please contact USAC customer service at 888-000-8722. This is our Final Notice of Demand for Payment and Notice of our intent to transfer the debt to the Secretary of the Treasury.

THE FOLLOWING PROVISIONS CONTAIN IMPORTANT INFORMATION AND A DESCRIPTION OF LEGAL RIGHTS, OBLIGATIONS, AND OPPORTUNITIES.

FINAL NOTICE-DELINQUENT ACCOUNT

1. Pursuant to the provisions of the Debt Collection Act of 1982 (Public Law 97-365) and the DebtCollection Improvement Act of 1996 (Public Law 104-134), as amended (the DCIA), as set forth below, continued failure to make the demanded payment has resulted in the assessment of administrative charges, penalties, and interest, and it may result in sanctions, including, but not limited to, administrative proceedings or judicial action to recover the outstanding debt.

2. As set forth at 31 U.S.C. § 3717, 31 C.F.R. § 901.1, and 47 C.F.R. § 1.1940, interest, penalties andadministrative charges of collection accrue from the due date stated on the invoice and demand for payment (Date of Delinquency).  You were notified on the invoice of the basis for the debt owed to the United States, your opportunity to request inspection or review of your account, the date by which payment had to be received to avoid late charges (e.g., interest, penalties, and charges of collection), and any enforced collection action if the debt remained delinquent.  Our Second Notice of Demand for Payment repeated the notice of the consequences of failing to make payment of the delinquent amount.  We remind you that interest and penalties continue to accrue as stated in the earlier notices.  Further, unless we receive full payment, evidence that the debt is not owed, or a request for an installment payment plan, we intend to transfer the delinquent debt, plus all accrued late charges to the Secretary of the Treasury (Treasury) for debt collection within 30 days.  The Treasury will impose additional charges (currently 28% of the delinquent debt).  Additional information regarding the DCIA is available at 31 U.S.C. §§ 3701, 3711, 3716, 3717, and 3720B, the Federal Claims Collection Standards (e.g., 31 C.F.R. § 900.1, et seq.), and 47 C.F.R. § 1.1901, et seq.

3. Unless your debt is under appeal, either at USAC or the FCC, your account is currently in RedLight status (see 47 C.F.R. § 1.1910).  Please be advised that when the debt is transferred, you may be subject to an administrative proceeding if one has not already been initiated.  For example, information about your delinquent account has been or will be reported to credit bureaus (see 31 USC § 3711(e)), and administrative offset has been or may be applied (see 31 USC § 3716).  Moreover, under 31 USC §3720B, a person owing an outstanding nontax debt that is in delinquent status shall not be eligible for Federal financial assistance.  Furthermore, the Debt may be referred to the United States Department of Justice (DOJ) for enforced

Universal Service Administrative Company

Collections Department

For billing inquiries call 888-000-8722

collection, which may result in additional administrative costs.  Separately, we may also request action by the Commission’s Enforcement Bureau.  

Opportunity for Inspection, Review, and Repayment Agreement

4. The time we provided you to inspect and copy the invoices and the records pertinent to yourDelinquent Debt has expired; however, if you have evidence that all or part of the Debt has been paid and is no longer delinquent, you must present it to us within fifteen (15) days of the date of this Demand.  If your debt is under appeal, either at USAC or the FCC, you will not be transferred under the DCIA to the Treasury for further collections activities.  In addition, while your appeal is being considered, your Red Light status will be suspended. However, you will continue to receive USAC Collection Letters during the appeals process, and if your appeal is denied, you will be subject to transfer under DCIA.

5. If due to financial hardship you are unable to pay the full amount of the past due invoice in alump sum, you may contact our Customer Service Office to request an installment payment plan, which will require the payment of interest and execution of a promissory note.  If you fail to pay the installment payment plan amount in full, plus accrued interest, penalties, and administrative charges, several administrative or judicial actions may result.  First, your delinquent account information will be reported to credit bureaus, your account will be subject to administrative action by the FCC and the Treasury, including administrative offset, denial of certain federal benefits, withholding of action on any pending application (see 47 C.F.R. § 1.1910 (Red Light)), and referral to private collection attorneys.  Next, we may refer the circumstances of your delinquency to the FCC’s Enforcement Bureau for further action.  Finally, your delinquent debt may be transferred to either the Treasury for further administrative collection or the DOJ for enforced collection.  Additional information regarding the obligations associated with installment payment plans is available at www.universalservice.org.

6. To provide evidence that all or part of the Debt has been paid or to request an installmentpayment plan, you may notify us in writing by mail or facsimile transmission at the following address and telephone number:

USAC - Customer Support700 12th Street, NW , Suite 900 Washington, DC 20005 Attention: Customer Support Facsimile # (888) 000-6226 Voice telephone # (888) 000-8722

7. Submit payments using the linkwww.usac.org/pay.

Sincerely,

USAC Collections Department

Universal Service Administrative Company

Collections Department

For billing inquiries call 888-000-8722

New Balance:

XXXXXX XXXXXX

XXXX Avenue XXXXX AL XXXXX

Filer 499 ID: XXXXX Invoice Number: XXXXXStatement Date:

Payment Due Date:

ACCOUNT STATUS

STATEMENT OF ACCOUNTDate Description

Previous BalanceCharges Credits$5,935.44

TOTAL OUTSTANDING USAC BALANCE AS OF 3/15/2019 $5,935.44

Statement Date Invoice Number Filer 499 ID Balance Due USAC

FORM 499Q DATA

000

PAYMENT INFORMATIONXXXXX XXXXX

Read the reverse of this Invoice for important information about those sanctions and your legal rights and obligations .

Go to www.usac.org/pay to make a payment.

Page 1 of 4

Attachment 2

Statement Date:

Filer 499 ID: XXXXX Invoice Number: XXXXX

DETAILED SUMMARY OF CHARGES AND CREDITS

SUPPORT MECHANISM CHARGES

Quarterly Contribution Base

Quarterly Contribution Base

Adjusted Quarterly Contribution

Unadjusted Contribution

Adjusted Contribution

$ 5,935.44

Total Monthly Contribution

Support Mechanism Charges

Estimated 499Q Contribution

Estimated 499A Contribution

499Q:

499A:

De Minimis Eligibility

Page 2 of 4

Statement Date:

Filer 499 ID: XXXXX Invoice Number: XXXXX

Credits & Payments

Page 3 of 4

Statement Date:

Filer 499 ID: XXXXX Invoice Number: XXXXX

Interest & DCIA Penalties

Payments & Credits Applied

XXXXX

Outstanding ItemsXXXXX

Principal OutstandingInterest & Penalties

$5,935.44Total Amount Due

$5,935.44$0.00

Page 4 of 4

New Balance:

YYYYY YYYYY

YYYYY YYYYY YYYYY

Filer 499 ID: YYYYY Invoice Number: YYYYYStatement Date:

Payment Due Date:

ACCOUNT STATUS

STATEMENT OF ACCOUNTDate Description

Previous BalanceCharges Credits$2,450.63

TOTAL OUTSTANDING USAC BALANCE AS OF 3/15/2019 $2,450.63

Statement Date Invoice Number Filer 499 ID Balance Due USAC

FORM 499Q DATA PAYMENT INFORMATIONYYYYY YYYYY

Read the reverse of this Invoice for important information about those sanctions and your legal rights and obligations .

Go to www.usac.org/pay to make a payment.

Page 1 of 4

Statement Date:

Filer 499 ID: YYYYY Invoice Number: YYYYY

DETAILED SUMMARY OF CHARGES AND CREDITS

SUPPORT MECHANISM CHARGES

Quarterly Contribution Base

Quarterly Contribution Base

Adjusted Quarterly Contribution

Unadjusted Contribution

Adjusted Contribution

$ 2,450.63

Total Monthly Contribution

Support Mechanism Charges

Estimated 499Q Contribution

Estimated 499A Contribution

499Q:

499A:

De Minimis Eligibility

Page 2 of 4

Statement Date:

Filer 499 ID: YYYYY Invoice Number: YYYYY

Credits & Payments

Page 3 of 4

Statement Date:

Filer 499 ID: YYYYY Invoice Number: YYYYY

Interest & DCIA Penalties

Payments & Credits Applied

YYYYY

Outstanding Items YYYYY

Principal OutstandingInterest & Penalties

$2,450.63Total Amount Due

$2,450.63$0.00

Page 4 of 4

New Balance:

ZZZZZZZZZZZ

ZZZZZ ZZZZZ ZZZZZ

Filer 499 ID: ZZZZZ Invoice Number: ZZZZZStatement Date:

Payment Due Date:

ACCOUNT STATUS

STATEMENT OF ACCOUNTDate Description

Previous BalanceCharges Credits$11,093.36

TOTAL OUTSTANDING USAC BALANCE AS OF 3/15/2019 $11,093.36

Statement Date Invoice Number Filer 499 ID Balance Due USAC

FORM 499Q DATA PAYMENT INFORMATIONZZZZZ ZZZZZ

Read the reverse of this Invoice for important information about those sanctions and your legal rights and obligations .

Go to www.usac.org/pay to make a payment.

Page 1 of 4

Statement Date:

Filer 499 ID: ZZZZZ Invoice Number: ZZZZZ

DETAILED SUMMARY OF CHARGES AND CREDITS

SUPPORT MECHANISM CHARGES

Quarterly Contribution Base

Quarterly Contribution Base

Adjusted Quarterly Contribution

Unadjusted Contribution

Adjusted Contribution

$ 11,093.35

Total Monthly Contribution

Support Mechanism Charges

Estimated 499Q Contribution

Estimated 499A Contribution

499Q:

499A:

De Minimis Eligibility

Page 2 of 4

Statement Date:

Filer 499 ID: ZZZZZ Invoice Number: ZZZZZ

Credits & Payments

Page 3 of 4

Statement Date:

Filer 499 ID: ZZZZZ Invoice Number: ZZZZZ

Interest & DCIA Penalties

Payments & Credits Applied

ZZZZZ

Outstanding Items ZZZZZ

Principal OutstandingInterest & Penalties

$11,093.36Total Amount Due

$11,093.36$0.00

Page 4 of 4