Exemplars Spreadsheet for Standard Questions - 214 and 310 (Wireless and Satellite). August 2024.xlsx

47 CFR §§ 1.5001-1.5004 Regulations Applicable to Broadcast, Common Carrier, and Aeronautical Radio Licensees Under Section 310(b) of the Communications Act of 1934, as amended; 47 CFR §§...

Exemplars Spreadsheet for Standard Questions - 214 and 310 (Wireless and Satellite). August 2024.xlsx

OMB: 3060-1163

Document [xlsx]
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Overview

Owner (Entities)
Relevant Parties
PII
Principal Equipment
Equipment Locations
Foreign-based Control
Records & Content Locations
Foreign-based Access
Interconnecting & Peering
Underlying Carriers
Government Customers


Sheet 1: Owner (Entities)

New 214 Q2 New 214 Q2 New 214 Q2 New 214 Q2 New 214 Q2 New 214 Q2 New 214 Q2
214 Transfer Q2 214 Transfer Q2 214 Transfer Q2 214 Transfer Q2 214 Transfer Q2 214 Transfer Q2 214 Transfer Q2
310 Wireless or Earth Station Q2 310 Wireless or Earth Station Q2 310 Wireless or Earth Station Q2 310 Wireless or Earth Station Q2 310 Wireless or Earth Station Q2 310 Wireless or Earth Station Q2 310 Wireless or Earth Station Q2
Company Name Business Address Country of Incorporation (if United States, include state of incorporation) Principal Place of Business General Business Type (e.g., holding company, investment firm) Email Addresses Related Phone Numbers

Sheet 2: Relevant Parties

New 214 Q1 New 214 Q1 New 214 Q1 New 214 Q1
214 Transfer Q1 214 Transfer Q1 214 Transfer Q1 214 Transfer Q1
310 Wireless or Earth Station Q1 310 Wireless or Earth Station Q1 310 Wireless or Earth Station Q1 310 Wireless or Earth Station Q1
Company Name Business Address Principal Place of Business Place of Incorporation

Sheet 3: PII

New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17 New 214 Q2, Q17, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21 New 214 Q2, Q17, Q18, Q21, Attachement G New 214 Q21 New 214 Q21 New 214 Q2, Q17, Q18, Q21
214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17 214 Transfer Q2, Q17 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21 214 Transfer Q2, Q17, Q18, Q21, Attachement G 214 Transfer Q21 214 Transfer Q21 214 Transfer Q2, Q17, Q18, Q21
310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2 310 W/ES Q2, Q17, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21 310 W/ES Q2, Q17, Q18, Q21, Attachement G 310 W/ES Q21 310 W/ES Q21 310 W/ES Q2, Q17, Q18, Q21
First Name Last Name Aliases Company Name Business Address (if applicable) Country of Residence City of Residence State of Residence Date of Birth (E.g. MM/DD/YYYY) Place of Birth (E.g. State, Country) SSN Passport (Country) Passport # Citizenship Additional Citizenship Countries U.S. Lawful Permanent Resident (E.g. Yes/No) Alien Number Residence Address Personal Cell Phone Number Business Phone Number Home Phone Number Company Role/Title
and/or Ownership %
Type of Access (E.g. Read or Read/Write) Access to: (Pick: Physical Facilities/Equipment; Customer Records; Network/Monitoring/Audit Features; Electronic Interfaces?) Triage Question (Pick all that apply: Owners; Officers; Foreign Access; LEPOC)






































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































Sheet 4: Principal Equipment

New 214 Q33 & (Reference(c)) New 214 Q33 & (Reference(c)) New 214 Q33 & (Reference(c)) New 214 Q33 & (Reference(c))
214 Transfer Q32 & (Reference(c)) 214 Transfer Q32 & (Reference(c)) 214 Transfer Q32 & (Reference(c)) 214 Transfer Q32 & (Reference(c))
310 Wireless or Earth Station Q34 & Q(Reference(c)) 310 Wireless or Earth Station Q34 & Q(Reference(c)) 310 Wireless or Earth Station Q34 & Q(Reference(c)) 310 Wireless or Earth Station Q34 & Q(Reference(c))
Company Name Make Model Software Version

Sheet 5: Equipment Locations

New 214 Q33 New 214 Q33 New 214 Q33 New 214 Q33
214 Transfer Q32 214 Transfer Q32 214 Transfer Q32 214 Transfer Q32
310 Wireless or Earth Station Q34 310 Wireless or Earth Station Q34 310 Wireless or Earth Station Q34 310 Wireless or Earth Station Q34
Physical Location (e.g., Address) Type (network equipment, data centers, and infrastructure)? Owned or leased - if leased, provide details of the owner(s). Goods & Services provided by Facility Owner(s), if leased.

Sheet 6: Foreign-based Control

New 214 Q33(e) New 214 Q33(e) New 214 Q33(e) New 214 Q33(e)
214 Transfer Q32(e) 214 Transfer Q32(e) 214 Transfer Q32(e) 214 Transfer Q32(e)
310 Wireless or Earth Station 34(e) 310 Wireless or Earth Station 34(e) 310 Wireless or Earth Station 34(e) 310 Wireless or Earth Station 34(e)
Company Name Countries from which Operations are Controlled Nature of the Foreign Based Control How are Operations Remotely Controlled?

Sheet 7: Records & Content Locations

New 214 Q20(b) New 214 Q20(b) New 214 Q20(c)
214 Transfer Q20(b) 214 Transfer Q20(b) 214 Transfer Q20(c)
310 Wireless or Earth Station Q20(b) 310 Wireless or Earth Station Q20(b) 310 Wireless or Earth Station Q20(c)
Addresses of locations where records will be stored Storage Location Countries Purpose of Location and Function within Applicant Business















































































Sheet 8: Foreign-based Access

New 214 Q20(d) New 214 Q20(b),(d) New 214 Q20(b),(d) New 214 Q20(d)
214 Transfer Q20(d) 214 Transfer Q20(b),(d) 214 Transfer Q20(b),(d) 214 Transfer Q20(d)
310 Wireless or Earth Station Q20(d) 310 Wireless or Earth Station Q20(b), (d) 310 Wireless or Earth Station Q20(b), (d) 310 Wireless or Earth Station Q20(d)
Company Name Addresses of locations where records will be remotely accessed/managed via electronic systems Countries from which U.S. Records can be Remotely Accessed/Managed How are U.S. Records Remotely Accessed?









































































































Sheet 9: Interconnecting & Peering

New 214 Q34 New 214 Q34
214 Transfer Q33 214 Transfer Q33
310 Wireless or Earth Station Q35 310 Wireless or Earth Station Q35
Company Name Details

























































































Sheet 10: Underlying Carriers

New 214 Q35 New 214 Q35
214 Transfer Q34 214 Transfer Q34
310 Wireless or Earth Station Q36 310 Wireless or Earth Station Q36
Company Name Services

























































































Sheet 11: Government Customers

New 214 Q16 New 214 Q16 New 214 Q16
214 Transfer Q16 214 Transfer Q16 214 Transfer Q16
310 Wireless or Earth Station Q16 310 Wireless or Earth Station Q16 310 Wireless or Earth Station Q16
Government Customer Federal, State, or Local Government? Services Provided or to be Provided




































































































































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