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1 ::::1 (Mm/Dd/Yy) If Yes, Enter the Date of the Most Recent Filing: in the Appropriate Box) B REVISED Filing Date of 1his form HaguelPutnam FCC PORM 1240 UPDATING MAXIMUM PERMITTED RATES FOR REGULATED CABLE SERVICES Cable Operator: I-Jame of Cable Operator TIME WARNER CABLE - ALBANY DIVISION - Putnam,Hague - GFOB Mailing Address of Cable Operator 1021 Highbridge Road City IState IllP Code Schenectady N.Y. 12303 1. Does this filing involve a single franchise authority and a single community unit? If yes, complete the franchise authority information below and enter the associated CUID ;,:;nu:;,;.m""b:,.;;e;;..r.:.,;h.::..;er""e:..,:________ ..../ 2. Does this filing involve a single franchise authority but multiple community units? r------:.~--_r_--.!..!.:::----, If yes, enter the associated CUIDs below and complete the franchise authority information at the bottom of this page: 3. Does this filing involve multiple franchise authorities? If yes, attach a separate sheet for each franchise authority and include the following franchise authority information with its associated CUID(s): Franchise Authority Information: Name of Local Franchising Authority NYS DEPARTMENT OF PUBLIC SERVICE Mailing Address of Local Franchising Authority THREE EMPIRE STATE PLAZA City IState IllP Code ALBANY NY 12223-1350 Telephone number IFax Number 4. For what purpose is this Form 1240 being filed? Please put an "X" in the appropriate box. a. Original Form 1240 for Basic Tier b. Amended Form 1240 for Basic Tier c. Original Form 1240 for CPS Tier d. Amended Form 1240 for CPS Tier 10~ 5. Indicate the one year time period for which you are setting rates (the Projected Period). " ·02113:: 1 01/14 " (mm/yy) IU S. Indicate the time period for which you are performing a true-up. 10111 "1 09/12 1 (mm/yy) 7. Status of Previous Filing of FCC Form 1240 (enter an "x" in the appropriate box) Yl::~ NO a. Is this the first FCC Form 1240 filed in any jurisdiction? X b. Has an FCC Form 1240 been filed previously with the FCC? X If yes, enter the date of the most recent filing: 01121/96 (mm/dd/yy) YI::~ NO c. Has an FCC Form 1240 been filed previously with the Franchising Authority? X 1 If yes, enter the date of the most recent filing: ::10/31/11 ::::1 (mm/dd/yy) B. Status of Previous Filing of FCC Form 1210 (enter an "x" in the appropriate box) a. Has an FCC Form 1210 been previously filed with the FCC? If yes, enter the date of the most recent filing: b. Has an FCC Form 1210 been previously filed with the Franchising Authority? If yes, enter the date of the most recent filing: (mm/dd/yy) 9. Status of FCC Form 1200 Filing (enter an "x" in the appropriate box) YI::~ NO a. Has an FCC Form 1200 been previously filed with the FCC? If yes, enter the date filed: b. Has an FCC Form 1200 been previously filed with the Franchising Authority? If yes, enter the date filed: 10. Cable Programming Services Complaint Status (enter an "x" in the appropriate box) a. Is this form being filed in response to an FCC Form 329 complaint? If yes, enter the date of the complaint: 11. Selection of "Going Forward" Channel Addition Methodology (enter an "x" in the appropriate box) c=JCheck here if you are using the original rules [MARKUP METHOD). c=JCheck here if you are using the new, alternative rules [CAPS METHOD). If using the CAPS METHOD, have you elected to revise recovery for channels added during the period May 15, 1994 to Dec 31, 1994? 12. Headend Upgrade Methodology "NOTE: Operators must certify to the Commission their eligIbility to use this upgrade methodology and attach an equipment list and depreciation schedule. c::=J Check here if you are a qualifying small system using the streamlined headend upgrade methodology. This Form has been modified pursuant to the Time Warner Social Contract. Page 1 FCC Form 1240 Part I: Preliminary Information c Line Line Description Tier 3 A1 Current Maximum Permitted Rate Module B: Subscribers hip a b c d e Line Line Description Basic Tier 2 Tier 3 Tier 4 TierS B1 Averaoe Subscribership For True-Up Period 1 1 523 I 01 1 1 B2 Average Subscribership For True-Up Period 2 I 1 I I I B3 Estimated Average Subscribership For Projected Period I 523 I 01 1 1 Module C: Inflation Information Module D' Calculating the Base Rate a b c d e Line Line Description Basic Tier 2 Tier 3 Tier 4 TierS D1 Current Headend Upgrade Segment D2 Current External Costs SeQment $2.4705 $0.0000 D3 Current Caps Method Segment D4 Current Markup Method Segment D5 Current Channel MovemenUDeletion Seament D6 Current True-Up SeQment ($0.7500) D7 Current Inflation Segment $0.2471 D8 Base Rate [A1-D1-D2-D3-D4-D5-D6-D7] $9.7418 This Form has been modified pursuant to the Time Warner Social Contract. Page 2 FCC Form 1240 Part II: True-Up Period Module E: Timi Information Module F" Maximum Permitted Rate For True-Up Period 1 a b c d e Line Line Description Basic Tier 2 Tier 3 Tier 4 Tier 5 F1 Caps Method SeQment For True-Up Period 1 rwks 21 F2 Markup Method SeQment For True-Up Period 1 [Wks 31 F3 Chan Mvmnt Deletn SeQment For True-Up Period 1 rwks' 4/51 F4 True-Up Period 1 Rate EliQible For Inflation f08+F1 +F2+F31 $9.7418 F5 Inflation SeQment for True-Up Period 1 fF4*C11 $0.1466 F6 Headend UPQrade SeQment For True-Up Period 1 [Wks 61 F7 External Costs SeQment For True-Up Period 1 [Wks 71 $3.7242 F8 True-Up SeQment For True-Up Period 1 ($0.7455) F9 Max Perm Rate for True-Up Period 1 [F4+F5+F6+F7+F8] $12.8671 Module G" Maximum Permitted Rate For True-Up Period 2 a b c d e Line Line Description Basic Tier 2 Tier 3 Tier 4 Tier 5 G1 Caps Method SeQment For True-Up Period 2 rwks 21 G2 Markup Method SeQment For True-Up Period 2JWks 31 G3 Chan Mvmnt Oeletn SeQment For True-Up Period 2 rwks' 4 51 G4 True-Up Period 2 Rate EIiQibie For Inflation f08+F5+G1+G2+G3] $9.8884 G5 Inflation Segment for True-Up Period 2 fG4*C21 $0.0000 G6 Headend Upgrade Segment For True-Up Period 2 [Wks 61 G7 External Costs Segment For True-Up Period 2 [Wks 7] G8 True-Up Segment For True-Up Period 2 G9 Max Perm Rate forTrue-U~Period 2 [G4+G5+G6+G7+G81 $9.8884 This Form has been modified pursuant to the Time Warner Social Contract. Page 3 FCC Form 1240 Mo d ueI H: T rue-Up Ad"IJustmen tC a Icu Ifa Ion a b c d e Line Line Description Basic Tier 2 Tier 3 Tier 4 Tie.r.S Adjustment For True-Up Period 1 H1 Revenue From Period 1 $88338.67 H2 Revenue From Max Permitted Rate for Period 1 $80805.64 H3 True-Up Period 1 Adjustment fH2-H11 ($7,533.03) H4 Interest on Period 1 Adjustment ($435.65) Adjustment For True-Up Period 2 H5 Revenue From Period 2 Eligible for Interest H6 Revenue From Max Perm Rate for Period 2 Eligible For Interest H7 Period 2 Adjustment Eligible For Interest rH6-H51 H8 Interest on Period 2 Adjustment (See instructions for formula) H9 Revenue From Period 2 Ineligible for Interest H10 Revenue From Max Perm Rate for Period 2 IneliQible for Interest H11 Period 2 Adjustment Ineligible For Interest rH10-H91 Total True-Up Adjustment H12 Previous Remaining True-Up Adjustment H 13 Total True-Up Adjustment [H3+H4+H7 +H8+H 11 +H 12] ($7,968.68) H14 Amount of True-Up BeinQ Claimed This Projected Rate Period ($7968.68) H15 Remaining True-Up Adjustment fH13-H141 $0.00 Part III: Projected Period Module I" New Maximum Permitted Rate a b c d e Line Line Description Basic Tier 2 Tier 3 Tier 4 TierS 11 Caps Method Segment For Projected Period [Wks 2] 12 Markup Method Segment For Projected Period [Wks 3] 13 Chan Mvmnt Deletn Segment For Projected Period rwks 4/51 14 Projected Period Rate Eligible For Inflation f08+F5+G5+11 +12+13+Wks L3] $9.8884 15 Inflation Segment for Projected Period [l4*C3] $0.1533 16 Headend UPQrade SeQment For Projected Period rwks 61 17 External Costs Segment For Projected Period [Wks 71 $3.8170 18 True-Up Segment For Projected Period ($1.2689) 19 Max Permitted Rate for Projected Period [14+15+16+17 +18+Wks L8+Wks M51 $12.5898 110 Operator Selected Rate For Projected Period $12.58 This Form has been modified pursuant to the Time Warner Social Contract Certification Statement Name and Title of Pe '" Telephone number 518·242-8805 Page 4 FCC FonD. 1240 Worksheet 1 .. True",Up Period Inflation For instructions, see Appendix A of Instructions For FCC Form 1240 Question 1. How long is True-Up Period 1, in months? Question 2. How long is True-Up Period 2, in months? Line Period FCC Inflation Factor 101 Month 1 0.89% 102 Month 2 0.89% 103 Month 3 0.89% 104 Month 4 2.030/0 105 Month 5 2.03% 106 Month 6 2.03% 107 Month 7 1.550/0 108 Month 8 1.55% 109 Month 9 1.550/0 110 Month 10 1.55% 111 Month 11 1.55% 112 Month 12 1.55% 113 Average Inflation for True-Up Period 1 1.51 % 114 Month 13 115 Month 14 116 Month 15 117 Month 16 118 Month 17 119 Month 18 120 Month 19 121 Month 20 122 Month 21 123 Month 22 124 Month 23 125 Month 24 126 Average Inflation for True-Up Period 2 FCC Form 1240 Worksheet 7 - External Costs For instructions, see Appendix A of Instructions For FC~Form1.~~? .
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