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P.O. Box 50 Oglala, SD 57764 (605).~67";6875

Fax (605) 867-5109

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I§na Wica Owayawa

P.O. Box 50 Oglal", SD 57764 (605).ll6F6875

Fax (605) 867·5109

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Isna Wica Owayawa

P.O. Box 50 Oglala, SO 57764 (605) 455-6875

Fax (605) 867-5109

Schools and Libraries Division - Correspondence Unit 30 Lanidex Plaza West PO Box 685 Parsippany, NJ 07054-0685

Letter Of Further Clarification to our Appeal Process

Appellant/Organization Name: Loneman School Contact Person Name: Deborah Bordeaux Contact Mailing Address (StreetJPO Box, City, State, Zip Code) BIARd41 PO Box 50 Oglala, SD 57764 Contact Phone Number: Phone 605 8676875

If available, please include a fax number and an email address so we may contact you if needed. Fax 605 867 5109 [email protected] [email protected]

Form 471 Application Number: 683946 Funding Request NUlllber (FRN) 1875841 Service provider name KT Connection Service Provider Identification Number (SPIN) 143009233

This is a Supplemental Letter to our Letter of Appeal submitted on October 26. 20 II and we want to provide further clarification

Funding Year 2009 Date of Document October 13, 2011 Billed Entity Number 66553

Supplemental Information: This is being submitted to further clarify: pursuant to Section 54.507 (d.3) of the FCC rules which state applicant's service provider is unable to complete implementation for reasons beyond the service provider's control. We are asking this be considered in our appeal.

Deborah Bordeaux

Loneman School

Appeal

Isna Wica Owayawa

P.O. Box 50 Oglala, SO 57764 (605) 455-6875

Fax (605) 867-5109

Schools and Libraries Division - Correspondence Unit 30 Lanidex Plaza West PO Box 685 Parsippany, NJ 07054-0685

LETTER OF APPEAL

Appellant/Organization Name: Loneman School Contact Person Name: Deborah Bordeaux Contact Mailing Address (Street/PO Box, City, State, Zip Code) BIA Rd 41 PO Box 50 Oglala, SO 57764 Contact Phone Number: Phone 605 867 6875

If available, please include a fax number and an email address so we may contact you if needed. Fax 6058675109 [email protected] [email protected]

Form 471 Application Number: 683946 Funding Request Number (FRN) 1875841 Service provider name KT Connection Service Provider Identification Number (SPIN) 143009233

This is a Letter of Appeal: Appealing the decision in the following letter

Administrator's Decision on [nvolce Deadline Extellsioll Request

Funding Year 2009 Date of Document October 13,2011 Billed Entity Number 66553

Explain Appeal: The follOWing is the text of the decision from the letter

Explanation: Currelll guidelilles and procedures require Invoice Deadline Extension requests to be filed by the end of the relevant Invo;ce receipt periodfor the sen'ice categOlY of the FRN requiring and extension (J 20 days afier the end of the service delive,)' date). The extension request was not filed in a timely manner, so it is denied.

Deborah Bordeaux, Loneman School - Appeal

Isna Wica Owayawa

P.O. Box 50 Oglala, SO 57764 (605) 455-6875

Fax (605) 867-5109

Reasons for Appeal for Services and Invoices

1. Form 500 notification letter for funding year 2009 was filed and approved to extent vendor contract until 10/01/2011.

2. Nothing from USAC in Form 500 notification letter for funding year 2009 explaining that extension deadlines for invoice and services needed to be filed.

3. When the form 500 for funding year 2009 was approved to extend contract it was understood by the school and the vendor that services and invoices were also extended with the contract.

4. This year when form 500 for funding year 2009 was filed it was stated in correspondence that services and invoice extensions deadline needed to be filed, which was different from the previous year.

5. Neither the School nor the Vendor were aware that extension deadlines for services and invoices were separate from the contract with the vendor.

6. Need an extension for services and invoicing as well as contract- new school construction still in progress

Deborah Bordeaux, Loneman School - Appeal

Extenuating Circumstances related to Extension

Isna Wica Owayawa

P.O. Box 50 Oglala, SD 57764 (605) 455-6875

Fax (605) 867-5109

Summary related to time line for the construction of the new school building

In September 2008, a Value Engineering took place and the project evaluated. In September of 2009,

geothermal system was added to the project requiring the mechanical and therefore, a large part of the

electrical to be redesigned. In 2010 the completion of design was delayed in trying to get approval of the

design by the BIA. In June it went out to bid and was awarded in August of 2010 for a 16 month

construction project. Beginning of construction was further delayed while the general contractor

negotiated with TERO and further by abnormal weather days. Now the contractor is behind schedule in

large part due to delays in receiving bar joist on site.

Deborah Bordeaux, Loneman School- Appeal

Emery Isburg, Grants Management Specialist, OFMC

Isna Wica Owayawa P.O. Box 50

Oglala, SD 57764 (605) 455-6875

Fax (605) 867-5109

May,20, 2010

Bureau Of Indian Affairs, Office of Facilities Management and Construction

1011 Indian School Road NW, Room 335

Albuquerque, New Mexico 87104

Loneman School Corporation School Board Is requesting an extension of the Design Grant for Project 06A02 to the end of the business day June 21, 2010.

Due to many unforeseen circumstances Loneman School Corporation Is requesting an extension to the deSign phase of the new school project No. 06A02. The project manager retired and a replacement for him had to be found to pick up in the middle of the design.

We had problems with the direction and lack of communication with the Project Manager for the AlE Company we had hired to complete our design. That person was replaced and a new project manager was assigned and we pretty much had to redo all that was already in place. We had chosen to use ICF (Insulated Concrete Form) which required more documentation and design time then we had anticipated. The heating and cooling was designed for conventional heat pumps and then we received additional funding for geothermal which required the addition of a well field and more design. We Initially designed for a safe room as we were told we were In a Tornado Zone and then told we were not. The school board still wished to have as safe a building as possible so elected to continue with the safe room concept with the exception of tornado proof doors which were cost prohibitive. We also had to change the design to Include additional water storage to satisfy the more stringent fire code because the School board elected to have the buildings remain the property of the Bureau of Indian Affairs. There was asbestos discovered In the bus garage which was Included In the scope of work and additional deSign was required to remedlate the floor tile.

We have designed a building that has no frills, super energy efficient, very sturdy and as low maintenance as was allowable, We are very confident Loneman School and WHPaclflc will build a building that will be an asset to the community, the Bureau of Indian Affairs, and the Bureau of Indian Education.

Should have any questions please feel free to contact Wayne Witt at 605 867 6251.

Sincerely,

~Little,

~$C D~ (I}~

',' ,'1 MAY 28 ~OlO ' CC: Gordon Rosby EGOCTR Great Plains OFMC

OFFICE OF FACI AND CONSTRucn~~IAES MANAGEMENT

• lBUQUERQUE. NM

Attachment: Schedule

."," .. ;;--

USAC Universal Service Administrative Company Schools and Libraries Division

Administrator's Decision on Implementation Extension Request

October 13, 2011

Deborah Bordeaux Loneman Day School P.O. Box 50 Oglala, SD 57764

RE: SLD Invoice #:

SLD Line(s) #: Vendor invoice #: 471 Application Number: Funding Request Number(s): Your Correspondence Dated:

N/A

N/A N/A 683946 1875841 August 30, 2011

BEAR or SPI: Invoice Date:

N/A N/A

After thorough review and investigation of all relevant facts, the Schools and Libraries Division ("SLD") of the Universal Service Administrative Company ("USAC") has made its decision in regard to your implementation extension request. This letter explains the basis of USAC's decision. The date of this letter begins the 60-day time period for appealing this decision to the Federal Communications Commission (FCC). [f your request included more than one Form 471 Application, please note that for each application you will receive a separate determination letter.

Decision on Appeal: Denied in full

Explanation: Request received after the FCC deadline for implementation Deadline Extension requests which was 09/30/2010.

In accordance with the FCC Report and Order (FCC 01-195) released on June 29,2001, the Administrator may grant an extension of time for the implementation of non-recurring services if the implementation is delayed for circumstances beyond the named service provider's control. You have been unable to establish such circumstances.

TO APPEAL THIS DECISION:

If you wish to appeal a decision in this letter, your appeal must be received by USAC or postmarked within 60 days of the date of this letter. Failure to meet this requirement will result in automatic dismissal of your appeal. In your letter of appeal:

1. Include the name, address, telephone number, fax number, and e-mail address for the person who can most readily discuss this appeal with us.

Schools and Libraries Division - Correspondence Unit 30 Lanidex Plaza West, PO Box 685, Parsippany, NJ 07054-0685

Visi t us online at: h'Y/li. usac. org/s1

2. State outright that your letter is an appeal. Include the following to identify the decision letter and the decision you are appealing:

• Appellant name, • Applicant or Service Provider name, o BEN and/or SPIN, o Form 471 and FRN, o Invoice number as assigned by SLD, • "Administrator's Decision on Implementation Extension Request" dated October 13,

2011 AND • The exact text or the decision that you are appealing.

3. Please keep your letter to the point, and provide documentation to support your appeal. Be sure to keep a copy of your entire appeal, including any correspondence and documentation.

4. If you are an applicant, please provide a copy of your appeal to the service provider(s) affected by USAC's decision. If you are a service provider, please provide a copy of your appeal to the applicant affected by USAC's decision.

5. Provide an authorized signature on your letter of appeal.

To submit your appeal to USAC by email, send your appeal to [email protected]. USAC will automatically reply to incoming emails to confirm receipt.

To submit your appeal to USAC by fax, fax your appeal to (973) 599-6542.

To submit your appeal to USAC on paper, send your appeal to:

Letter of Appeal Schools and Libraries Division - Correspondence Unit 30 Lanidex Plaza West PO Box 685 Parsippany, NJ 07054-0685

While we encourage you to resolve your appeal with USAC first, you have the option of filing an appeal directly with the Federal Communications Commission (FCC). You should refer to CC Docket No. 02-6 on the first page of your appeal to the FCC. Your appeal must be received by the FCC or postmarked within 60 days of the date of this letter. Failure to meet this requirement will result in automatic dismissal of your appeal. We strongly recommend that you use the electronic filing options described in the "Appeals Procedure" posted in the Reference Area of our web site. If you are submitting your appeal via United States Postal Service, send to: FCC, Office of the Secretary, 445 12th Street SW, Washington, DC 20554.

Schools and Libraries Division Universal Service Administrative Company

cc: Jeff Matthew, KT Connections Inc.

\ Schools and Libraries Division Correspondence Unit 30 Lanidex Plaza West PO Box 685 Parsippany, NJ 07054-0685

TIME SENSITIVE MATERIAL

00002 EmlIN FLUTE LONEt1AN DAY SCHOOL PO BOl{ 50 OGLALA, SO 57764-0050

Schools and Libraries Division

FORM 500 NOTIFICATION LETTER (Funding Year 2009: 07/01/2009 - 06/30/2010)

October 7, 2010

EDWIN FLUTE LONE~IAN DAY SCHOOL PO BOl{ 50 OGLALA, SD 57764-0050

Re: Form 500 Application Number: 802643 Applicant's Form 500 Identifier: LONEMAN09

We are issuing this Form 500 Notification Letter to notify you that the Schools and Libraries Division (SLD) of the Universal Service Administrative Company (USAC) has 'processed your FCC Form 500, Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form.

Attached to this letter is a Report summarizing the modifications or changes you requested. An explanation of the data provided in our letter reports is in the "Letter Reports: Field Descriptions" posted in the Reference Area of our website ..

Retain this letter for your records. A copy of this information has been provided to the service provider(s) whose Service Provider Identification Number(s) (SPIN) is featured on this Form 500.

DEADLINES:

Recurring services must be delivered during the funding year (between July 1 and June 30). In general, non-recurring services must be delivered between July 1 and September 30 following the close of that Funding Year. The deadline may be extended for delivery and installation of non-recurring services as described in Step 11: Service Delivery Deadlines and Extension Requests on our website.

Invoices must be postmarked no later than 120 days after the last date to receive service or 120 days after the date of the Form 486 Notification Letter, whichever is later. If an invoice is postmarked after the later of those two dates, payment will be denied.

You can request a Service Delivery Deadline Extension or Invoice Deadline Extension from USAC following the guidance posted on our website.

Discuss with your service provider(s) whether you prefer discounts on your bills or reimbursement after paying for services in full. USAC will process either reimbursements based on Form 472 (BEAR) or discounts based on Form 474 (SPI) for a given FRN. Once established, however, the selected process - SPls or BEARs - must be used consistently for the entire Funding Year.

NOTE: USAC will base the billing mode (reimbursement or discounting) on the first invoice type that it processes for payment. It is therefore imperative for the service provider and the customer to establish together the preferred invoicing mode.

NOTICE ON SERVICE START DATE

The Service Start Date as reflected on this letter may have been changed from what you indicated on the Form 500. The Service Start Date may not be before the Allowable Vendor Selection/Contract Date (AVS/CD) from the Form 470 cited for this FRN on the Form 471. Additionally, applicants cannot use the Form 500 to change the Service Start Date from a Service Start Date that was adJusted on a Form 486. You will know that a change has been made if there is an asterisk ( ) next to the Service Start Date Change. It is important

Schools and Libraries Division· Correspondence Unit, 30 Lanidex Plaza West, PO Box 685, Parsippany, NJ 07054-0685

Visit us online at: www.usac.org/sl

that you and the service provider both recognize that USAC should only be invoiced and may only direct disbursement of the discounts on eligible, approved services actually delivered and installed after the Service Start Date indicatea on this letter.

TO APPEAL THE SERVICE START DATE CHANGE DECISION

USAC

If you wish to appeal a decision in this letter, your appeal must be received by USAC or postmarl{ed within 60 days of the date of this letter. Failure to meet this requirement will result in automatic dismissal of your appeal. In your letter of appeal:

I. Include the name, address, telephone number, fax number, and (if available) email address for the person who can most readily discuss this appeal with us.

2. State outright that your letter is an appeal. Include the following to identify the letter and the decision you are appealing: - appellant name, - applicant or service provider name, if different than appellant,

applicant BEN and service provider SPIN, Form 500 number as assignea by USAC, Funding Request Number(s) (FRNs) you are aHpealing if provided in the letter, "Form 500 Notification Letter for FY 2009, ' AND

- the exact text or the decision that you are appealing.

3. Please keep your letter to the point, and provide documentation to support your appeal. Be sure to keep a copy of your entire appeal, including any correspondence ana documentation.

4. If you are an applicant, please provide a copy of your appeal to the service provider(s) affected by USAC's decision. If you are a service proVider, please provide a copy of your appeal to the applicant(s) affected by USAC s decision.


To submit your appeal to USAC by email, email your appeal to [email protected]. USAC will automatically reply to incoming emails to confirm receipt.

To submit your appeal to us by fax, fax your appeal to (973) 599-6542.

To submit your appeal to us on paper, send your appeal to:

Letter of Appeal Schools and Libraries Division - Correspondence Unit 100 S. Jefferson Rd. P.O. Box 902 Whippany, NJ 07981

For more information on submitting an appeal to USAC, please see the "Appeals Procedure" posted on our website.

You have the option of filing an appeal with USAC or directly with the Federal Communications Commission (FCC). You should refer to CC Docket No. 02-6 on the first page of your appeal to the FCC. Your appeal must be received by the FCC or postmarked within 60 days of the date of this letter. Failure to meet this requirement will result in automatic dismissal of your aHpeal. We stronglx recommend that you use the electronic filing options described in the 'Appeals Procedure posted on our website. If you are submitting your appeal via United States Postal Serv1ce, send to: FCC, Office of the Secretary, 445 12th Street SW, Washington, DC 20554.

Schools and Libraries Division UniVersal Service Administrative Company

AP500NL/Schools and Libraries/USAC Page 2 of 3 10/07/2010

00002

FORH 500 NOTIFICATION LETTER REPORT (Funding Year 2009)

Funding Request Number (FRN): 1875841 Form 471 Application Number: 683946 Service Provider Name: KT Connections Inc. Service Provider Identification Number (SPIN): 143009233 Billing Account Number: NIA Contract Expiration Date Change: 10/01/2011

AP500NL/Schools and Libraries/USAC Page 3 of 3

00002

10/07/2010

USAC Schools and Libraries Division

I!'UIIDIl!G cO~UU'mEIIT DECISIOIl LETTER (Funding Year 2009: 07/01/2009 .. 06/30/2010)

November 24, 2009

Paul Sterkel K'f Connections Inc. 823 Quincy Street Rapid City, SD 57701

Re: Service Pt'ovider lIame: K'f Connect.ions Inc. Service Provider Identification t/ur,lbe).·: 143009233

Thank you fOl' participating in the Schools and j,ibraries Program (Program) for .'unding Year 2009. This letter is you,: notification of our decision(s) regardin\f application' funding requests that lis ted your company I s Service Provider Identifj,cat~on Nurober (SPIN).

NEXT STf:PS

• File "'arm 498, Service Provider Inforroatioll Form, if appropriate .. File liorro 473, Service Provi.der Annual Cel'tification Form (SPAC), for the above

Funding Year .. "ork I,ith your customer to provine appropriat.e invoicing to USAC: SerVice Provider

Invoice (I?orm 474) or Billed Entity Applicant Reimbursement (.'orm 472)

Please refer to the &'unding Commitment Repol't(s) (Report) fol10\,ing this lettel' for specific funding request. decisions and explanations. Eu<.:h Report cuntain:::: detaile{~ information extracted £i'om the applicant I s Form 471. A guide that provides a definition for each Une of the RepO):t is available in the Refel'ence Al'ea of our 11ebsite.

Once you have revie\,ed this letter, We urge you to contact. yotlr customers to establish any necessary arrangements regarding slatl of serVices, billing of discounts, and any other administrative details for implement.ation of discount services. As a remindel~, only eligible services delivered in accordance \'lith federal Communications Commission (FCC) rules are eUgible for t.hese discounts.

TO APPEAl, THIS DECISION:

You have the option of filing an appeal with the SLD or directly I"ith the &'CC.

If you lVish to appeal a decision in this letLer t.o USAC, your appeal must be received b\, USIIC or postmarked ~Iithin 60 days of the dat.e of this letter. i!ailur'e to meet tillS requirement I'i.l.l result in automatic dismissal of yoU): appeal. In your letter of appeal:

1. Include the name, address, telephone number/ fax number, and (if available) email address for the person I·,ho can most readily di.scuss this appeal lVith us.

2. State outright that your letter is an appeal. Include the foJ.lo~l.ing to identify the decision lett.er: and the decision you arc appealing: - Appellant name, • Applicant or service provider name, if different from appellant, .. Applicant Billed Enti.t.y Number (BEN) and Service Provide): Identification Number (SPIN), .. ~'or:m 471 AppJ.i.cation Number as assigned by USAC, • 1I.'undinq Commitment Decision Letter for ~'unding Year 2009,11 AND - The exact text or the decision that you are appealing.

3. Please keep your lettel' t.o the point, and provide documentation to support. your appeal.

Schools and Librark~ Division· Correspondence Unit, JlHJ South Jctll'f!lOn Road, P.O. Bux YUl. Whipp;my, ~J O'N!) I

Visit \I~ t)niinc at: W\\'w.u:;nc.org, sl

Be sure to keep a copy of your entire appeal, including nny correspondence and documentation.

4. If you are t.he applicant., please provide a copy of your appeal to the service provider(s) affected by ehe deciSlon. If you are the fJerV1ce pi'ovider, please provide u copy of you>: appeal. to t.he applicunt(s) affected by USAC's dec1sion.

S. Provide an autho>:ized signature 011 your letter of appeal.

To submit your appeal to USAC by email I email to [email protected]. USAC Hill automatlcally reply to incomlng emails to confj.rm receipt.

To submit your appeal to us by fax, fax your appeal to (973) 599"6542.

To submit your appeal to us on papel', send your appeal to:

Letter of Appeal Schools and Libraries 100 S. Jefferson Road P.O. Box 902 Ilhippany, NJ 07981

Division - Correspondence Unit

If you lvish to appeal a decision in this letter to the FCC L you should refer to CC Docket No. 02-6 on the first page of your appeal to the FC\,:. Your appeal must be received by the ~'CC or postmarked Hithin 60 aays of the date of this letter. Failure to meet this requirement Hill result in automatic dismissal of your appeal. lie strongly recommllnd that. you use the electronic filing options described in the

Appeals Procedul'e' posted on our 11ebsite. 1£ you are submitting your appeal. via Unlted States Post.al Service, send to: FCC, Office of the Secretary, 445 12th Street SIl, \~ashington, DC 20554.

OBLIGA'fION 1'0 PAY NON-DrSCoUNT POHTION

Applicant.s are required to pay the non-discount portion of t.he cost of the products ana/or services to their serVlce provider(s). Service providers are reqllired to bill applicant.s for the non-discount portlon. The B'CC stated that. requll:ing applicants to pay their share enslIres efficiency and accountability in the program. If USAC is being biUed via the FCC Form 474 the service provider must bill the applicant at the saine time it bills USAC. Ii USAC is being billed via the FCC l,'orm 472, the applicant pays the service provider in full (the non-discount plus discount portion) and then seeks reimbursement from USAC. If you are using a trade-in as part. of your non-discount portion, please refer to 0\1): 11ebsite for more information.

NOTICE ON RULES AND FUNDS AVAILllBILITY

Applicant.s' receipt of funding commitments is contingent on their compliance I~ith all statutorYi

regUlatory, and pr.ocedural reguirements of the Schools and Libraries Program. App. icants Hho have received funding commitments continue to be subject to audlts and other reviel1s that USAC and/or the FCC may ulldertake periodically to assure that funds that have been committed ar.e being used in accordance 11ith all such requirements. USAC may be required to i'educe or cancel funding commitments that Here noE issued ill accordance l1i th such requirements, I1hether due to action or inaction, including hut not limited to that by OSAC I the applicant, or the service provider. USAC, and other appropriate authorities (lIlcluding but not lilnit.ed to the FCC) I may pursue enforcement actions and other means of recourse to collect improperly d1sbursed funds. The timing of payment of invoices may also be aff ected by the availability of funds based on the amount of funds collected from contributing telecommunications companies.

Schools and Libraries Division Universal Service Administ.rative eompany

I1CDI./Schools and Libraries Division/USAC

00115

Page 2 of 3 11/24/2009

~.UNDING comn THENT REPORT Service Provide}.' Name: KT Connections Inc.

SPIN: 143009233 Funding Year: 2009

Name of Billed Entity: LONEHIIN OilY SCHOOL Billed Entity Address: PO BOX 50 Billed Entity City: OGLIILII Billed Entity State: SO Billed Entity Zip Code: 57761-0050 Billed Entity Number: 66553 Contact Person I s Name: B:dNin Inute Preferred Hode of Contact: ENAIL Contact Information: e£[email protected] Form 471 Application Number: 683946 Funding Request Number.: 1875841 Funding status: Funded Category of Service: Internal Connections Site Identifier: 59 00016 00116 Form 470 Application Number: 615740000715793 Contract Number: 1300909 Billing Account Number: NIA Service Start Date: 07/01/2009 Contract Expiration Dale, 06/3012010 Number of Honths RecutTing Service Provided in Funding Year: 12 IInnual Pre-Discount IImotlllt for Eligible Recurring Charges: $.00 Annual Pre-Discount IImount for Eligible Non-ReCUtTing Charges: $497,088.8/, Pre-Discovnt IImount: $497,088.84 Applicant s Discount Percentage Appt'oved by SLD: 90% Funding Commitment Decision: ~/,4 7,379.96 - FRN approved; modified by SLD Fundinq Commitment Decision gxplanation: !'IR1: The I1RN Has modified from $680,205.60 to $500,263.00 to agree \~ith the applicant documentation. <> <> <> <> <> !'1R2: The dollars requested lVere reduced to remove the ineligible: l!'ortianalyzer lOOn ($2,531. 00); 14% !;'ortigate 20011 1$538.16) < and 14% HardlVare Premium Updgt'ade of Fortigate 20011 ($105.00). c>c>~>c>c> HR~: The FaN Nas modified from $500,263.00 to ~497,088.84 to agree lVith the applicant documentation.

FCDL Date: 11 /24/2009 liave Number: 029 Last AlloHable Dat.e f(!I: Delivery and Installation for Non-Recurring Services: 09/30/2010

FCDL/Schools and Librari.es Divi.sion/USIlC

00115

Page 3 of 3 11/24/2009

" , :' .. : ,,, ; '):::: :-:: : l ~ i: ;_, "::<

USAC

December 23, 2009

Jeff [']atthe\1 KT Connections Inc. 829 Quincy Street Suite A Rapid City, SO 57701


FORt1 486 NOTIF.ICATION LETTER (!!\mding Year 2009: 07/01/2009 - 06/30/2010)

Re: Service Provider Harne: KT Conl18ctions IJle. Service Provider Identification Humber: 143009233

This lette,' is to notify you that the lJniversal Service Administrative Company (lJSAC) has received and accepted FCC Form(s) 486, Receipt of Service Confirmation Form, from Billed F;ntities l'lho listed your company I s Service P,'ovider Identification t'(umber (SPIN). You may begin to submit invoices to the USAC for the ser.vices covered by the Form(s) 486. You may submit invoices only after. you have provided the service during the Funding Yeal' and billed your cuslomer. Note that for [fCC E'orms (,72 (BEAR "orms) you must have been paid by yout' customel'.

You may be receiving t.his letter to revise or correct a previous ITorm 486 Notification I,ettcr, 'fhe informat.ion contain(.:d in this letter 3upe:cscdes <lny previous not.ification you may have received! including, but not limited tO I a pl'eviously adjusted Service Start Date or. previously ,'educed funding commitment.

NI':)(T STEPS

\'/e recommend that you discuss your customer's preference l'lith them 11hether they 110uld Hi,e discounts on their bills or to pay their bills in full and be l'eimbursed for discounts prior to invoicing USAC. Invoice USAC before the invoice deadline using the applicant invoice (BEAR - FCC [form 4'72) for. reimbursements or. the service provider invoice (SPI - FCC Fonll 474) fOl' discounts. Bill your customer their non~discount portion I as stated in pl.'ogram rules, Program rules also require participants to maintain. documentation £01' at least five years of delivery of discount service,

TO APPEAL THE SERVICE START DATE/FUNDIIfG COl·nHTNENT CHANGE DECISION

If you I-lish to appeal the Service Stal't Date change(s) alJd/or funding commitment adjustment(s) i.ndicated in this letter, your appeal must be recei.ved by USlIC or postmarked ;Iithin 60 days of the above date on this lette!:. Failure to meet this requirement l'Ii11 result in automatic dismissal of your appeal.. In your letter of appeal:

Schools <lnt! I.ibraries Division· Corrcspondence Unit, 100 S~)U(h Jcfkrson Road, 1'.0, Box \jU2, Wbippany, ~J mY:':l

Visit Us online at: \vww,usac.org .. s!

1. Include the name, address, telephone number, fa:.: number, and (if available) email address for the person ~1ho can most l'eadily discuss this appeal Hith us.

2. State outright that yoc", letter is an appeal. Include t.he follo\~ing to ident.:Lfy t.he letter and the decision you a~e appealing:

appellant name, - applicant Ot' service provider name, if different than appellant,

applicant BEN and service pt'ovider SPIN, - p,rovide the or };'orm 486 number and FRN(s) as assigned by USAC,

'Form 486 Notification Letter for Funding Year 2009", AND n the exact text or the decision that you are appealing.

3. Please keep your let.ter to the point, and provide documentation to support. your appeal. Be sure to keep a copy of your entire appeal, including any correspondence and documentation.

4. If you are an applicant, please !i'rovide a copy of yOUl' appeal to the service pl'ovider(s) affected by the USAC s decision. If you ar.e a service pt'ovider, plea,!e provide a copy of your appeal to the applicant(s) affected by t.he USAC 5 decJ.f.i1.on.

5. Provide an autho~ized signat.ure on your letter of appeal.

'to submit your appeal to USAC by email, email your appeal to [email protected]. USAC \1;.11 automatically reply to incoming emails to confirm t'eceipt.

To submit yoUl' appeal to us by fax, fax your appeal to (973) 599-6542.

rro submit your appeal to Us on paper I send your appeal t.o:

Letter of Appeal Schools and Librar.ies Division ~ Correspondence Unit 100 South Jefferson Road P.O. Box 902 I-Ihippany, NJ 07981

You have the option of filing an appeal 1'11th USAC ot' I-lith the "'ederal Communications Commission (FCC). You should refer to CC Docket No. 02-6 all t.he filest page of your appeal to t.he FCC. Your appeal must be leeceived by the FCC 01' postmarked \-lithin 60 days of the date of this letter. failtn:e to meet this requir.elnent HEl result in automatic dismissal of Y0l,lr appeal. \'Ie strongly t"ecommend that you use the electronic filing options described in the "Appeals Procedu"e" posted on our 11ebsite. If. you are submi.tting your appeal via United Stat.es Post.al Sel'Vice, send to: E'CC, Offl.CO of the Secret.ary, 445 12th Street SI'I, l'Iashingtoll, DC 20554.

A guide to the dat.a ~'eported i.n our lett.er l'epol'ts is posted ill the Reference Area of our Hebsite. Complete Program infot'matiol1( including invoice deadlines is also post.ed on our I~ebsit.e. 'lou rnay also cont.act. Out' Client. Service Ilureau by email using the lISubmit a Question" link on our Nebsite J toll-free by fax at 1-888-276-8736, 01' toll-free by phone at 1-888-203-8100.

Schools and Libraries DiVision Universal Ser.vice Administrative Company

SP486NL/Schools mld Librar.ies/USi\.C Page 2 of 3 12/23/2009

00191

F.OR~I 486 NOTIFICATION LETTER FUNDING CDtoIl.JITfIENT REPORT

(!!unding Year 2009)

Service Provider Name: KT Connections Inc. Service Provider Identification Number: 143009233

Funding Reguest Number: 1875841 Form 471 Application Numbel': 683946 Form 470 Application Number: 615740000715793 Name of 471 IIppli.cant: LONEt·IAN DAY SCHOOL Address of 471 Applicant: PO BOX 50 Applicant City: OGLHA Applicant Stat.e: SD Appl.icant Zip: 57764-0050 Entity Number: 66553 Name of liorm 471 Contact Person: Edl;in Flute liorm 471 Preferred t'lode of Contact.: E-t-IAIL Form 471 Contact Infol'maUon: e£[email protected] Name of [!'orm 486 Contact Person: Edl,in !!lute Address of Form 486 Contact: PO BOX 50 City of Form 486 Contact: OGLALA state of Form 486 Contact: SO Zip Code of Form 486 Contact: 57764-0050 Fax of Form 486 Contact: 605-867"5109 Telephone of Form 486 Contact: 605-867-6875 E··mail Address of Fonn 486 Contact: eflute@isnal;ica.org Funding Year: 07/01/2009 - 06/30/2010 Contract Number: 1300909 Services Ordered: Internal connections Billing Account NUlnber: Service start Dale: 07/01/2009 Contract Expiration Date: 06/30/2010 Total Pro~raln Year Pre"discount Amount: $497,088.84 Applicant s Approved Discount Percentage: 90% ITunding Commitment Decision: $4A7,379.96

SP486NL/Schools and Libraries/USIIC 00191

Page 3 of 3 12/23/2009

october 7, 2010

Jeff t'latthel1 KT Connections Inc, 829 Quincy Street Suite A


FORM 500 NOTIFICATION LETTER (Funding Year 2009: 07/01/2009 - 06/30/2010)

Rapid City, SD 57701

Re, Service Provider Name: KT Connections Inc, Service Provider Identification Number: 143009233

We are issuing this Form 500 Notification Letter to notify you that the Schools and Libraries Division (SLD) of the Universal Service Administrative Company (USAC) has received and accepted FCC Form(s) 500, Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form, from Billed Entities - your customers -requesting changes to Funding Request Number(s) (FRN) listing your company's Service Provider Identification Number (SPIN),

Attached to this letter is a Report summarizing the modifications or changes made to previously approved FRNs. An explanation of the data provided in our letter reports is in the "Letter Reports: Field DeSCriptions" posted in the Reference Area of our 11ebsite,

DEADLINES:

Recurring services must be delivered during the funding year (between July 1 and June 30). In general, non-recurring services must be delivered between july 1 and September 30 following the close of that Funding Year. The deadline may be extended for delivery and installation of non-recurring services as described in Step 11: Service Delivery Deadlines and Extension Requests on our website.

Invoices must be postmarked no later than 120 days after the last date to receive service or 120 days after the date of the Form 486 Notification Letter, whichever is 'later. If an invoice is postmarked after the later of those tWo dates, payment will be denied,

Applicants can request a Service Delivery Deadline Extension or Invoice Deadline Extension from USAC following the gUidance posted on our website,

Hork with your customers to establish whether discounts will appear on bills or whether they prefer a reimbursement process, USAC will process either reimbursements based on Form 472 (BEAR) or discounts based on Form 474 (SPI) for a given FRN. Once established, however, the selected process - SPIs or BEARs - must be used consistently for the entire Funding Year,

NOTE: USAC will base the billing mode (reimbursement or discounting) on the first invoice type that it processes for payment, It is therefore imperative for the service provider and the customer to establish together the preferred invoicing mode,


The Service Start Date as reflected on this letter may have been changed from what was indicated on the Form 500, The Service Start Date may not be before the Allowable Vendor selection{Contract Date (AVSjCD) from the Form 470 cited for this FRN on the Form 471, Additiona ly, applicants cannot use the Form 500 to change the Service Start Date from a Service Start Date that was adjusted on a Form 486, You l1ill know that a change has been made if there is an asterisk ( ) next to the Service Start Date Change, It is important

Schools and Libraries Division· Correspondence Unit, 30 Lanidex Plaza West, 1'0 Box 685, Parsippany, NJ 07054·0685

Visil us online at: WW\Y.usac,org!sl

FORt.1 500 NOTIFICATION LE'fTER REPORT (Funding Year 2009)

Service PrOVider Name. KT Connections Inc, Service Provider Identification Number (SPIN): 143009233

Funding Request Number (FRN): 1875841 Form 471 Application Number: 683946 Name of 471 Applicant: LONEr'IAN DAY SCHOOL Entity Number: 66553 Name of Form 500 Contact Person: EDWIN FLUTE Form 500 Contact Person Information:. PO BOX 50~ OGLALA

f SO 57764-0050, 605-867-6875,

605-867-5109 EFLU.E@ISNAW CA,ORG Funding Year 2009: 07/01/2009 - 06/30/2010 Billing Account Number: IVA Contract Expiration Date Change: 06/30/2010i 10/01/2011

SP500NL/Schools and Libraries/USAC Page 3 of 3 10/07/2010

00026

Universal Service Administrative Company Schools and Libraries Division Conoespondence Unit 30 Lanidex Plaza West PO Box 685 Parsippany, NJ 07054-0685

'10UH300100071 -00071010340400

TIME SENSITIVE MATERIAL

00001 DEBORAH BORDEAUX LONE~IAN DAY SCHOOL PO BOX 50, BIA RD 41 OGLALA, SD 57764-0050

Universal Service Administrative Company Schools and Libraries Division

FORt·! 500 NOTIFICATION LETTER (Funding Year 2009: 07/01/2009 - 06/30/2010)

September 29, 2011

DEBORAH BORDEAUX LONEHAN DAY SCHOOL PO BOX 50, BIA RD 41 OGLALA, SD 57764-0050

Re: Form 500 Ap'plication Number: 857908 Applicant s Form 500 Identifier: LONEMAN

We are issuin<;l this Form 500 Notification Letter to notify you that the Schools and Libraries Div~sion (SLD) of the Universal Service Administrative Company (USAC) has processed your FCC Form 500, Adjustment to Funding Commitment and Hodif~cation to Receipt of Service Confirmation Form.

Attached to this letter is a Report summarizing the modifications or changes you requested. An explanation of the data provided in our letter reports is in the "Letter Reports: Field Descriptions" posted in the Reference Area of our website.

Retain this letter for your records. A copy of this information has been provided to the service provider(s) whose Service Provider IdentificationNumber(s) (SPIN) is featured on this Form 500.

DEADLINI;;S:

Recurring services must be delivered during the funding year (bet~leen July 1 and June 30). In general, non-recurring services must be delivered between July 1 and September 30 following the close of that Funding Year. The deadline may be extended for delivery and installation of non-recurring services as described in Step 11: Service Delivery Deadlines and Extension Requests on our website.

Invoices must be postmarked no later than 120 days after the last date to receive service or 120 days after the date of the Form 486 Notification Letter, whichever is later. If an invoice is postmarked after the later of those two dates, payment will be denied.

You can request a Service Delivery Deadline Extension or Invoice Deadline Extension from USAC follo~ling the guidance posted on our website.

Discuss with your service provider(s) whether you prefer discounts on your bills or reimbursement after paying for services in full. USAC will process either reimbursements based on Form 472 (BEAR) or discounts based on Form 474 (SPI) for a given FRN. Once established, however, the selected process - SPIs or BEARs - must be used consistently for the entire Funding Year.

NOTE: USAC will base the billing mode (reimbursement or discounting) on the first invoice type that it processes for payment. It is therefore imperative for the service provider and the customer to establish together the preferred invoicing mode.


The Service Start Date as reflected on this letter may have been changed from what you indicated on the Form 500. The Service Start Date may not be before the Allowable Vendor selection{ContractDate (AVS/CD) from the Form 470 cited for this FRN on the Form 471. Additiona ly, applicants cannot use the Form 500 to change the Service Start Date from a Service Start Date that was adjusted on a Form 486. You will know that a change has been made if there is an asterisk ( ) next to the- Service Start Date Change. It is important

P10UH300100071 -00071020300000

Schools and Libraries Division - Correspondence Unit 30 Lanidex Plaza West, PO Box 685, Parsippany, NJ 07054·0685

Visit us online at: www.usac.orgls!

that you and the service provider both recognize that USAC should only be invoiced and USAC may only direct disbursement of the discounts on eligible, approved services actually delivered and installed after the Service Start Date indicated on this letter.

TO APPEAL THE SERVICE START DATE CHANGE DECISION

If you wish to appeal a decision in this letter, your appeal must be received by USAC or postmarked \·Iithin 60 days of the date of this letter. Failure to meet this requirement \"lill result in automatic dismissal of your appeal. In your letter of appeal:

1. Include the name, address, telephone number, fax number, and (if available) email address for the person ~Iho can most readily discuss this appeal ~Iith us.

2. State outright that your letter is an appeal. Include the foHOI·ling to identify the letter and the decision you are appealing: - appellant name, - applicant or service provider name, if different than appellant, - applicant BEN and service provider SPIN, - Form 500 number as assigned by USAC, - Funding Request Number(s) (FRNs) you are aJiwealing if provided in the letter,

"Form 500 Notification Letter for FY 2009, ' AND - the exact text or the decision that you are appealing.

3. Please keep your letter to the point, and provide documentation to support your appeal. Be sure to keep a copy of your entire appeal, including any correspondence and documentation.

4. If you are an applicant, please provide a copy of your appeal to the service provider(s) affected by USAC's decision. If you are a service provider, please provide a copy of your appeal to the applicant(s) affected by USAC's decision.


To submit your appeal to USAC by email, email your appeal to [email protected]. USAC ~Iill automatically reply to incoming emails to confirm receipt.

To submit your appeal to us by fax, fax your appeal to (973) 599-6542.

To submit your appeal to us on paper, send your appeal LO:

Letter of Appeal Schools and Libraries Division - Correspondence Uni t 100 S. Jefferson Rd. P.O. Box 902 Whippany, NJ 07981

For more information on submitting an appeal to USAC, please see the "Appeals Procedure" posted on our website.

You have the option of filing an appeal with USAC or directly with the Federal Communications Commission (FCC). You should refer to CC Docket No. 02-6 on the first page of your appeal to the FCC. Your appeal must be received by the FCC or postmarked within 60 days of the date of this letter. Failure to meet this requirement will result in automatic dismissal of your ap'peal. We strongl~ recommend that you use the electronic filing options described in the 'Appeals Procedure posted on our website. If you are submitting your appeal via United States Postal Service, send to: FCC, Office of the Secretary, 445 12th Street SW, Washington, DC 20554.

Schools and Libraries Division Universal Service Administrative Company

APSOONL/Schoolsand Libraries/USAC

'10UH300100071 00001

Page 2 of 3 09/29/2011

FORt1 500 NOTIFICATION LETTER REPORT (Funding Year 2009)

Funding Request Number (FRN): 1875841 Form 471 Application Number: 683946 Service Provider Name: KT Connections Inc. Service Provider IdentificationNumber (SPIN): 143009233 Billing Account Number: N/A Contract Expiration Date Change: 10/01/2012

AP500NL/Schoolsand Libraries/USAC Page 3 of 3

Pl0UH300100071 -00071030380000 00001

09/29/2011

l ~"" ...... , ..................... ....... ~

J Cl:)lU IIGtU:m llllll::j fJel I e1SpU!H:;II::'.

1.5 hours

Uilivernal Service for Schools and Libraries Adjustment to Funding Commitment and

Modification to Receipt of Service Confirmation Form

Please read instructions before completing. (To be completed by Schools and Libraries or Consortia.) Applicant's Form Identifier: L-I» AJ e M A-tV Ii-0rm 500 Application Number: (Create your own code to identify'THIS Form 500) To be assiQned by administrator.) --Block 1: Applicant Information 1. Name of Billed Entity

.,

12. Billed Entity Number 13. Funding Year l-o l1e rnQ M. Sc-hoo I (gt> S-v3

4. Complete Mailing Address of Billed Entity Applicant Street Address, P. O. Box or Route Number City State Zip Code

fa /30'1.5<5 &fIH'.nl 4 \ ()j let 1Cf. -Sf) S77(.,L!

10-Digit Phone Number Fax Telephone Number Email Address I-~ DS -'6 (Q{ -Ii< [f7.'S' (tao 'D~'f"k '7 Slb('( I "W< "/(<11 t&1) "1"Jk.11 e I-

5. Contact Person Information d<t {Lbo ",fe Q ~LJt fJ,h of meW. . (II'" Contact Pl\~n Name ~l 'U

., .. l.ooY'Q'v. D'~ _tQ.U.J Mailing Address Street Address, P. O. Box or Route Number City State Zip Code

of () ~ <!J)( 5'D tar\-!2d1t \ ()Cjlc.c let SD S77ia If 10-Digit Phone Number Fax :relephone Number Email Addr~~h t1) l-lQ 0 ~~ <6 ftil ~ en. 'in \:) [-kOS- fIts, 7 -.5"IM d£r IdJDYtl-etul)Vg,' . vY/I 'lo. FCC NOTICE FOR INDIVIDUALS REQUIRED BY THE PRIVACY ACT AND THE PAPERWORK REDUCTION ACT

Part 54 of the Commission's Rules authorizes the FCC to collect the information on this form. Failure to provide all requested information will delay the processing of the application or result in the application being returned without action. Information requested by this form will be available for public inspection. Your response is required to obtain the requested authorization.

The public reporting for this collection of information is estimated to range from 1 to 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the Federal Communications Commission, AMD-PERM, Paperworl< Reduction Act Project (3060-0853), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to [email protected]. PLEASE DO NOT SEND YOUR RESPONSE TO THIS FORM TO THIS ADDRESS.

Remember - You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-0853.

THE FOREGOING NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, PUBLIC LAW 93-579, DECEMBER 31, 1974,5 U.S.C. 5528(e)(3) AND THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44U.S.C. SECTION 3507. --- -~-- '- ~---

i=r.r. i=nrm !inn Anri! ?nn7

Billed Entity Number Let? 6.;)6 Contact Telephone Number ~OS-~Jlt! '7 -1t/t7S Block 2: Services Adjustment: Fill in one Bloclt 2 for EACH Funding Request (FRN) affected. If you are submitting more than one Block 2, please number your pages 2A, 2B, 2C, etc. and write the number in the space provided here: Paae2 5. Provide the following information about each service cited in your Form 471 Block 5, Discount Funding Request,

(FRN) for which you want to tal<e one of the following actions: Remember: The FRNs listed on Ihis form must be for the same Fumling Year as Iisled in Item 3, Block 1.

New Start Date: If you wish to change the Funding Year Service Start Date you listed on a previously filed Form 486 in this funding year. This action will NOT result in more funding.

Contract EKpiraiion Date: If you wish to change the ending date for services. This action will not result in more funding but you could combine it with a reduction in funding.

Cancel: If you wish to cancel a Funding Request Number. Please note: This action is irrevocable and the FRN can NOT be reinstated later. This action would allow money to be put back into the Universal

Service fund for possible commitment to other applicants. Reduce: If you wish to reduce the amount of your funding commitment for a particular FRN. This action is

irrevocable and the FRN can NOT be increased later. This action would allow money to be put back into the Universal Service fund for possible commitment to other applicants.

The information required can be found in your Funding Commitment Decision Letter (FCDL) pertaining to the Funding Request (FRN) being affected.

To launch the submission of invoices for payment, please file Form 486. IDENTIFICATION OF THE FRN TO BE ADJUSTED

A Form 471 Application Number: lb g .:3 C; 4 (p B Funding Request Number: /f17.rRLf I C Billinq Account Number: (//.11. 0 Service Provider Name: K'/ 1"1;> 11 :nee'!" <;' _LIVL E) Service Provider SPIN: J '-1:3 () 0 Cf-f1. '3 -::{

ADJUSTMENT TO FRN LISTED ABOVE: JI'L Service Start Date Original Date (mmidd/yyyy): New Date (mm/dd/yyyy):

Ghallge 8a" I J '" { "- I ,I I A I Ull ;;IV I _~ 1'-' I ~ , 'I (/"~ , ot:S

. (G) Contract EKpiration Date Original Date (mm/dd/yyyy): New Date (mm/dd/yv't}'):

Change Date /{) /; /~D /1 jO 11/ pf>lt

(H) Cancel FRN Original Commitment Amount: New Commitment Amount:

Please Cancel jl/A- jlht $0.00

(I) Reduce FRill Original Commitment Amount from New Commitment Amount AFTER FCDL: Reduction:

Please Reduce j/J;t- /11 II-

P"nA? nf::\ Fr:r: Fnrm finn Anri! ?n07

Do Not Write In This Area

Billed Entity Name 4)U?:1Jltl! 1J SchauL Contact Name DR bon, J-1 ;36 l~ duu .. t )(

Billed Entity Number 62foo~3 Contact Telephone Number !-6{jj""'.- %G7~ 4V7~-

~,

Block 3: Certification 7. I certify that I am authorized to submit this form on behalf of the above-named billed entity, that I have examined this

request, and that, to the best of my knowledge, information, and belief, all statements of fact contained herein are true.

8. I understand that the discount level used for shared services is conditional, for future years, upon ensuring that the most disadvantaged schools and libraries that are treated as sharing in the services receive an appropriate share of benefits from those services.

9. I recognize that I may be audited pursuant to this application and will retain for five years any and all records that I rely upon to fill in this form. .

10. Signature DP ~ tA .~ /'1... / vL 111. Date ?J I 30 j;W/{ 12. Printed namh~f aut~rize9;ers~J.,

Of!.. DYQ /B1J)"c. ·ellu Y 13. Title or jBjtion oJ authorized person

. )"l-YlCi tf) ce..! 14. Telephone number{)f authorized p,e,r~n

I£os-- '6'&7 - m ' 7!:J~ 15. E-Mail address of authorized perh~ , I

d(!€k....lJoJdd-U~UK (&y D)(ty/at 't.6Y!1 Itf)te mt'ili1 @ q bJ'k .. /f/ e. t--" 16. Address of authorized person

,.00 (j6)( 'j{) tJ Iii (M ~ I OqA.l, 6/)S77{.,'I f ,

A paper copy of this form, with an authorized signature in Block 3, Item 10 should be mailed to: SLD Form 500 P. O. Box 7026 Lawrence,. Kansas 66044-7026

If sent by express delivery services or U.S. Postal Service, Return Receipt Requested, the form should be mailed to:

Page 3 of3

SLD-Forms ATTN: SLD Form 500 3833 Greenway Drive Lawrence,Kansas 66046 888-203-8100

FCC Form 500 April 2007

•

• • • •

• • •

• • • • •

If you believe that the deadlines listed for one 01' more of the FRNs are incorrect or that one or more FRNs should appear on the table but are missing, applicants should file a service delivery deadline extension request. Send a letter to USAC detailing the request and including the following information:

Contact person name Deborah Bordeaux Contact Information (including eillail address) BIARod41 PO Box 50. Oglala, SD 57764 Phone 605 867 6875 Fax 6058675109 [email protected] .Qn.khQ!:de~tl'&~I\QlmJ\JL._coll\

Form 471 Application Number: 683946 Funding Request Number (I'RN) 1875841 Service provider name KT Conllcction Service Provider Identification Number (SPIN) 143009233

Reason for service delivery deadline .xtenslon request The applicant requested an extension because the service provider was unable to complete delivery and installation for reasons beyond the service provider's control. The constt'uction of the new school building was not completed to a point to allow for technology wiring services from the provider,

Documentatioll or certification required (re: criterion 3 or criterion 4)

• To request an invoice deadline extension, send a letter to USAC detailing your request and Include the following information:

• Conlact persoll lIame Deborah BordeauK • Conlact Information (including emnil address) • BIARod41 • PO Box 50, • Oglala, SD 57764 • Phone 605 867 6875 • Fax 6058675109 • lOl1cman@g}Y1hoct • [email protected] • • Form 471 Appllcatton Number: 683946 • Funding Request Number (PRN) 1875841 • Service provider name KT COllneellon • Serylce Provider Identification Number (SPIN) 143009233 • USAC·asslgncd Invoice Number (if known) • Amountoflnvolce 49,305.64 • Reason for extension request • Circumstances beyond the service provider's control

The construction of the new school building was not completed to a point to allow for technology wiring services from the provider.

,

,A Pfl'~~

Service Substitution request:

Eleroonla<y: MId<lIe School:

I am requesting a Service Substitution Contact Information: Deborah Bordeaux, Principal Isna Wlca Owayawa-Loneman School P.O. Box 50 Oglala, South Dakota 57764 Phone 605-867-6875 Fax 605-867-5109

Isna Wica Owayawa PO Box 50

Oglala, Soulh Dakota 57764 (605) 867-6875 Fax: (605) 867-5109 (605)867-6001 Fax: (605)807,1363

Email: [email protected]@gwtc.net

The 471 number 683946 and FRN 1875841 "I certify

• that lhesLil{sututed produqis9~:,1l~rvices have the same functfoniliity as that contah1E?d In .the original proposal,

• <thal the subsiitutiohdgeS.not vlblal~a'aDicol.1tractp.Fo:vl~j()ns or stal~.<il'loc.a! <j ""p'(b~ur\lment laws,?::/ .. ,. '. ··':\'>t: . . ".:." , .. :'}.' .•.. ~ .•• • th~~\~esUbStitutiO~' d;~§riotr~sulti~ '~nl~¢r.ease in the'percentage~dfin~ligible

services'orJunctions, "::,.:.'. " ... " .... '. ':',~. . ,,:-,.r·

"-. " .. .; . ....

• \ •. ~ihat. the requesied 9h~l.1ge Is c;;hsi~ie'i:lt wi.\hin the',)lc(lPe of theestaplisliing\' .' ·>.~9.ntrolling FCC FOim170, JncIUl:jing~p:ricl any ReqQ~stsfor Prgpo.sal for the,,:~' .

~o/ig!nal services." ',\: ':';'~:i\ ' 'c.' ...... ' "" .

Signature: ~~ Date:~ 3!IW/(

from: cfrle~ i ii i -9 '] cr 9 51:l 3d · this is a letter of appeal: appealing the decision...

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