Cost of Service Filing for Regulated Cable Services

Worksheet C: Supplemental Data
Name of Operator:		(Entry needed in 1220FIL1.XLS.)					Page:	1	of	???
Franchise CUID:		(Entry needed in 1220FIL1.XLS.)					Date of Filing:		(Entry needed in 1220FIL1.XLS)
Org Level:		(Entry needed in 1220FIL2.XLS.)					Date of Report:		(Entry needed in 1220FIL2.XLS.)
Section 1. Complete and attach Section 1 for the franchise level filing only.
1	a. How many franchises are served by the system that is filing?									0
	b. How many basic subscribers (households) are served by the system that is filing?									0
	c. How many households are passed by the present system-wide distribution facility?									0
	d. How many households are there in the system area?									0
	What was the system penetration percentage at the end of the last fiscal year (Date of Report) and the previous two fiscal years?
	e. Date of Report									0.00%
	f. Previous Year End									0.00%
	g. Next Previous Year End									0.00%
	h. The system primarily operates over an area that would be described as (insert one: rural, suburban, urban):
	i. Provide additional description of operating locale for the system if desired:
2	a. How many basic subscribers (households) are served in the franchise?									0
	b. How many households are passed by the present franchise distribution facilities?									0
	c. How many households are there in the franchise area?									0
	What was the penetration percentage at the end of the last fiscal year (Date of Report) and the previous two fiscal years?
	d. Date of Report									0.00%
	e. Previous Year End									0.00%
	f. Next Previous Year End									0.00%
	g. The franchise primarily operates over an area that would be described as (insert one: rural, suburban, urban):
	h. Provide additional description of operating locale for the franchise if desired:
3	Indicate the year:
	a. Cable service was inaugurated in system									1990
	b. Cable service was inaugurated in franchise									1990
	c. The headend serving the franchise went into service									1990
4	Indicate the number of miles:
	a. In system-wide distribution facilities									0 mi.
	b. Of fiber over the system									0 mi.
	c. In franchise distribution system									0 mi.
	d. Of fiber over the system									0 mi.
5	What is the channel capacity of the system in which the franchise operates?									0 Chs.
Name of Operator:		(Entry needed in 1220FIL1.XLS.)					Page:	2	of	???
Franchise CUID:		(Entry needed in 1220FIL1.XLS.)					Date of Filing:		(Entry needed in 1220FIL1.XLS)
Org Level:		(Entry needed in 1220FIL2.XLS.)					Date of Report:		(Entry needed in 1220FIL2.XLS.)
6	a. How many of the channels in the franchise are satellite channels?									0 Chs.
	How many channels in the franchise are used for:
	b. Pay per View									0 Chs.
	c. Pay per Channel									0 Chs.
	d. Leased Access									0 Chs.
	e. How many of those offered on a pay per view basis are also offered in programming packages
	under the provision in §76.901(b)(3) of the FCC Rules?									0 Chs.
	f. How many channels in the system are offered on an unregulated basis?									0 Chs.
	g. How many channels are used for public, educational, or governmental (PEG) programming?									0 Chs.
7	For leased access channels, describe for each access channel how it is offered (e.g., on basic tier, offered separately by lessee)
	and indicate how the lease access revenues were assigned to the service cost categories (i.e., which categories they were included in).
	(Generally, such revenues shoud be included in the cost of service filing in the Other Cable Revenues Line and should be assigned
	to the service cost category applicable considering how they are offered. Your description should confirm this or provide an
	explanation for other treatment.)
	Place an "X" to the left of the appropriate answer.
8	a. Was system in which the franchise is operated built by filing operator or acquired from previous owner?
	Check one:		Built		Acquired
	b. If acquired, was the filing franchise part of the system at the time of acquisition?
	Check one:		Yes		No
	c. If acquired, was the seller the original owner (i.e., the first owner) of the system?
	Check one:		Yes		No
	If the system was acquired, what was the valuation of the following items associated with the acquired system at time of
	acquisition:
	d. Selling Operator's Net Tangible Assets									$0
	e. Selling Operator's Net Intangible Assets, excluding Goodwill									$0
	f. Selling Operator's Recorded Net Goodwill									$0
	g. Acquiring Operator's Tangible Assets									$0
	h. Acquiring Operator's Recorded Intangibles excluding Goodwill									$0
	i. Acquiring Operator's Recorded Goodwill									$0
	j. Acquiring Operator's Total Acquisition Price									$0
	k. Original Cost of System (If not known, state "Not Known" and attach an explanation of the
	valuation adjustments made in Section 2 of this Worksheet.)									$0
Name of Operator:		(Entry needed in 1220FIL1.XLS.)					Page:	3	of	???
Franchise CUID:		(Entry needed in 1220FIL1.XLS.)					Date of Filing:		(Entry needed in 1220FIL1.XLS)
Org Level:		(Entry needed in 1220FIL2.XLS.)					Date of Report:		(Entry needed in 1220FIL2.XLS.)
9	For each of the following equipment categories state the accumulated depreciation balance, the average depreciation
	life and the related accumulated depreciation for the investment balances included on Schedule A.
						Accumulated		Method of
	Description					Depreciation	Yrs.	Depreciation
	a. Headend					$0	0
	b. Transmission Facilities and Equipment					$0	0
	c. Distribution facilities (Trunk, drops, etc.)					$0	0
	d. Circuit Equipment (amplifiers, power boosters, etc.)					$0	0
	e. Maintenance Facilities (garages, warehouses, etc.)					$0	0
	f. Maintenance Vehicles and Equipment					$0	0
	g. Buildings (office)					$0	0
	h. Office Furniture and Equipment					$0	0
	If you wish to disaggregate any of the above because they are not readily combined or if you wish to add others
	not shown, report such below:
						Accumulated		Method of
	Line Number	Description				Depreciation	Yrs.	Depreciation
	i. (Specify)					$0	0
	j. (Specify)					$0	0
	k.(Specify)					$0	0
10	For following intangible asset categories state, if applicable, the number of years over which each is being amortized:
						Accumulated
	Description					Amortization	Yrs.
	a. Goodwill					$0	0
	b. Capitalized Losses (per FASB 51)					$0	0
	c. Customer Lists					$0	0
	d. Organizational Costs					$0	0
	e. Franchise Rights					$0	0
11	Are any supplies, equipment, programming, or services provided by affiliates?
	Check one:		Yes		No
	If yes, for affiliates with 5% or more ownership in the filing entity, or for affiliates for which the filing entity has 5% or
	more ownership, describe the product or service provided by each affiliate and the summary accounts affected.
	Indicate the valuation method employed or the adjustment applied on the cost of service filing to comply with FCC
	affiliate transaction rules.
Name of Operator:		(Entry needed in 1220FIL1.XLS.)					Page:	4	of	???
Franchise CUID:		(Entry needed in 1220FIL1.XLS.)					Date of Filing:		(Entry needed in 1220FIL1.XLS)
Org Level:		(Entry needed in 1220FIL2.XLS.)					Date of Report:		(Entry needed in 1220FIL2.XLS.)
Section 2. Include here all justifications, explanations and additional disclosures. Attach Section 2 for each
organizational level for which a Schedule A is being submitted. NOTE: Attach as many pages as necessary.