October 24, 2005
Debra Ryks
City of Waverly
City Clerk
502 Atlantic Avenue
Waverly, MN 55390
Dear Debra Ryks:
As required by rules of the Federal Communications Commission, enclosed and served on you please find Lakedale Telephone Company's Open Video System Certification Application, which will be filed with the FCC on the next business day. In accordance with 47 C.F.R. § 76.1502(e), comments or oppositions to this certification must be filed within five calendar days of the FCC's receipt of the certification, and must be served on Lakedale Telephone Company. Please refer to that rule for additional information on filing comments or oppositions.
Sincerely,
Gene R. South, Sr.
CEO/General Manager
GRS/sim
Enclosures
OPEN VIDEO SYSTEM
CERTIFICATION APPLICATION
ATTENTION:
MEDIA BUREAU
October 24, 2005
VIA FEDERAL EXPRESS
Federal Communications Commission
Office of the Secretary
445 12th Street SW
Washington, DC20554
Re:Open Video System Certification Application
Transmitted herewith for filing are the following documents:
Original Form 1275 Certification for Open Video System for the Minnesota community of Waverly
Attached Statement of Ownership including all affiliated entities.
Certificate of Service evidencing service of the filing on the above-referenced community, including a statement informing the community of the Commission’s requirements set forth in 47 C.F.R. Section 76.1502(e) regarding opposition and comments.
3.5 inch disk with the application and attachments in electronic format.
By copy of this letter, Lakedale Telephone Company is transmitting three hard copies of these materials and a disk to the Office of the Bureau Chief, Cable Services Bureau, at 445 12th St S. W., Washington, DC 20554.
Please contact me if you have any questions regarding this filing.
Very truly yours,
Gene R. South, Sr.
CEO/General Manager
CC: Chief, Cable Services Bureau (via Federal Express w/three copies and disk)
Federal Communications Commission Approved by OMB 3060-0700
Washington, D.C. 20554
FCC FORM 1275CERTIFICATION FOR OPEN VIDEO SYSTEMS
A. Company Information
Company Name:
Lakedale Telephone Company
Contact Person:
Gene R. South, Sr.
Mailing Address:
9938 State Hwy55 NW PO Box 340
City: / State: / Zip Code:
Annandale / MN / 55302
Phone Number: / Fax Number:
320-274-8201 / 320-274-3440
B. Attach a statement of ownership, including all affiliated entities
C. Eligibility and Compliance Representations
Yes / No / N/A
1. If you are a cable operator applying for certification within your cable franchise area, are you
qualified to operate an open video system under 47 C.F.R. § 76.1501? / x
2. Do you agree to comply and to remain in compliance with each of the Commission's
regulations in 47 C.F.R. §§ 76.1503, 76.1504, 76.1506(m), 76.1508, 76.1509, and 76.1513? / x
3. Do you agree to comply with the Commission's notice and enrollment requirements
for unaffiliated video programming providers? / x
4. If applicable, do you agree to file changes to your cost allocation manual at least
60 days before the commencement of service? / x
D. System Information
1. Provide a general description of the anticipated communities or areas to be served upon completion of the system.
City of Waverly, MN CUID MN0604
2. Anticipated Digital Capacity: / 0 / 3. Anticipated Analog Capacity: / 0
4. If Switched Digital, Anticipated Number of Channel Input Ports: / 300
E. Verification Statement
WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT
(U.S. CODE TITLE 18, SECTION 1001), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503)
To the best of my knowledge and belief, the representations made herein are accurate according to the most recent information available.
Name: / Signature:
Gene R. South, Sr.
Title: / Date:
CEO/General Manager
FCC Form 1275 August 1996
FCC Form 1275 Item B
STATEMENT OF OWNERSHIP AND AFFILIATED ENTITIES
Applicant, Lakedale Telephone Company, is a wholly-owned subsidiary of Bishop Communications, Inc. The following is a complete list of Lakedale Telephone Company’s “affiliated entities” as defined by 47 CFR Section 76.1500:
Bishop Communications, Inc.
Lakedale Link, Inc.
Heart of the Lakes Cable, Inc.
Communications Sales and Leasing, Inc.
Lakedale Cellular
LPCS, Inc.
Lakedale Communications, LLC
Lakedale LINK, LLC
Cellular Mobile Systems of St. Cloud, LLC.
Wireless Cellular Ventures
TDO, LLC
EN-TEL, LLC
Broadband Visions, LLC
SHAL, Inc.
SHAL, LLC
Page-ALL, LLC
Direct Communications, LLC
Independent Emergency Systems, LLC
CERTIFICATE OF SERVICE
I, ___Gene R. South, Sr. _, hereby certify that I have caused copies of the foregoing FCC Form 1275 Certification for Open Video System of Lakedale Telephone Company, to be hand delivered on this 24th day of October 2005, on the following parties listed below:
Debra Ryks
City of Waverly
City Clerk
502 Atlantic Avenue
Waverly, MN 55390
Gene R. South, Sr.
CEO/General Manager