Control Number: 40504 Item Number: 1 Addendum StartPage: 0 ^l5d^ COPY • CCC XiC June 21, 2012 .^v.. Central Records Filing Clerk Public Utility Commission of Texas 1701 N. Congress Avenue PO Box 13326 Austin, Texas 78711-3326 RE: APPLICATION FOR CERTIFICATION- REQUEST FOR SERVICE PROVIDER CERTIFICATE OF OPERATING AUTHORITY The accompanying sworn application material, issued by CoBridge Communications, LLC dba Fidelity Communications is sent to you for filing and is in compliance with the Commission's Procedural Rules. • An original and six (6) copies of the application and exhibit materials are enclosed. Additionally the Applicant has filed this Application electronically as required A copy has been mailed to the Commission on State Emergency Communications as directed. Questions concerning this filing may be directed to the undersigned on 301-842-1437 or tfireccggmyactv.net. Respectfiilly`b^,^^ sub - Terri K. Firestein Consultant on behalf of CoBridge Communications, LLC dba Fidelity Communications Enclosures cc: David Beier, Fidelity Communications Commission on State Emergency Communications 0 10806 ^'rawsA- d&tt,o- R..t, C[^w. cW.rq.. WD 27722 AFFIDAVIT STATE OF MISSOURI § § COUNTY OF F iQ PrN K t-in1 § 1. My name is David N. Beier. I am Vice President-Regulatory of the Applicant CoBridge Communications, LLC d/b/a Fidelity Communications. 2. I swear or affirm that I have personal knowledge of the facts stated in this Application for a Service Provider Certificate of Operating Authority, that I am competent to testify to them, and that I have the authority to make this Application on behalf of the Applicant. I further swear or affirm that all of the statements and representations made in this Application for a Service Provider Certificate of Operating Authority are true and correct. I swear or affirm that the Applicant understands and will comply with all requirements of law applicable to a Service Provider Certificate of Operating Authority. Signature • ^`^trP( Typed or Printed Name SWORN TO AND SUBSCRIBED before me on the day of ^tla , 201,;?. Notaiy Pu icj In and For the State of l(^T ! 5^^^fi3^ i^^ My commission expires: KALYN R. CENTER Notary Public-Notary Seal State Of Missourl Franklin County My Commission Expires November 4, 2014 Commission * 10427483 Public Utility Commission of Texas 1701 N. Congress Avenue P. O. Box 13326 r-9 Austin, Texas 78711-3326 L^ 512 / 936-7000 • (Fax) 936-7003 Web Site: www.puc.state.tx.us APPLICATION FOR CERTIFICATION, RE-QUALIFICATION, OR AMENDMENT TO A SERVICE PROVIDER CERTIFICATE OF OPERATING AUTHORITY OR A CERTIFICATE OF OPERATING AUTHORITY DOCKET/PROJECT NO. APPLICANT(s): CoBridge Communications, LLC d/b/a Fidelity Communications Authorized Representative for this Application: NAME: Dave Beier TITLE: VP - Regulatory ADDRESS: 64 N. Clark, Sullivan, MO 63080 TELEPHONE: 573-468-1218 • FAX: 573-468-5440 EMAIL ADDRESS: dave.beier(a),fidelitycommunications.com Regulatory Representative: NAME: Dave Beier TITLE: VP - Re gulatory ADDRESS: 64 N. Clark, Sullivan, MO 63080 TELEPHONE: 573-468-1218 FAX: 573-468-5440 EMAIL ADDRESS: dave.beier(cr^,fidelitYcommunications.com Complaint Representative: NAME: Dave Beier TITLE: VP - Regulatory ADDRESS: 64 N. Clark, Sullivan, MO 63080 TELEPHONE: 573-468-1218 FAX: 573-468-5440 • EMAIL ADDRESS: [email protected] Effective Date 6/23/2011 • Application Page 2, CoBridge Communications, LLC d/b/a Fidelity Communications 1 Check only one of the following Requests: (a) X New SPCOA Application Application Amending SPCOA No. New COA Application Application Amending COA No. (b) If you are filing an amendment, check one or more of the following as requests made in this amendment filing: Name Change Amendment Certification Relinquishment Change in Ownership/Control Service Discontinuation Change in Service Area Change in Type of Provider Corporate Restructuring Other (c) Provide a summary explanation of all items checked in "b" above. 2 • Application Page 3, CoBridge Communications, LLC d/b/a Fidelity Communications 2. Provide a description of the Applicant, which shall include the following: (a) Legal name and all assumed names under which the Applicant conducts business, if any; Applicant's legal name is CoBridge Communications, LLC d/b/a Fidelity Communications. Applicant will bill and advertise under the name Fidelity Communications. Applicant requests the SPCOA be issued in the name of Fidelity Communications. See Exhibit E entitled Organizational Documentation. (b) Address of principal office and business office; Principal office - 64 N. Clark, Sullivan, MO 63080; Local Texas Business Office - 501 E. Grand Ave., Marshall, TX 75670 (c) Principal office/business office telephone number 573-468-8081/903-938-1302 Fax number 573-468-5440 Website address www.fidelitycommunications.com E-mail address [email protected] Toll-free customer service telephone number. 855-262-7434 (If the Applicant has not obtained the toll free customer service telephone number at the time of the • Application, the Applicant must commit to obtaining one before beginning business); (d) FCC Carrier Identification Code (CIC) or National Exchange Carriers Association (NECA) Operating Carrier Numbers (OCNs), if available; Not yet available (e) Form of business in Texas (e.g., corporation, partnership, sole proprietorship), Charter/Authorization number, date business was formed and date change was made (if applicable). Provide the State and date in which the parent company is registered. Form of business: Limited Liability Company Charter/Authorization number: 0801526216 Date Business was formed in Delaware: 12-22-09 Date Business was qualified as a foreign LLC in Texas: 12-27-11 State of registration of parent company: Missouri Date of registration of parent company: 12-9-88 for Fidelity Communications Co. rI L • Application Page 4, CoBridge Communications, LLC d/b/a Fidelity Communications 2. Provide a description of the Applicant, which shall include the following, Continued: (f) A list of the names, titles, phone number and office e-mail address of each director, officer, or partner; President, John E. Colbert, 573-468-1287,[email protected] Senior Vice President and Chief Operating Officer, Michael T. Davis, 573-468-1289, [email protected] Vice President, Finance and Chief Financial Officer, John D. Bell, 573-468-1268, [email protected] Vice President - Regulatory, Dave Beier,573-468-1218, [email protected] Vice President - Operations, Mark Head, 573-468-1258, mark.head@fidelitycommunications. com Vice President - Sales, John Paul, 573-426-2626, • [email protected] Vice President - Customer Care, Marcie Nichols, 573-468-1253, [email protected] Secretary, Sheldon K. Stock, 314-241-9090, [email protected] (g) Name, address, and office address of each of the five largest shareholders, if not publicly traded; Fidelity Cablevision, Inc. - 64 North Clark, Sullivan, MO 63080 (h) Legal name of parent company, if any, and a description of its primary business interests; Fidelity Communications Co. - primarily a provider of telecommunications services, including voice, data and video services. 0 Application Page 5, CoBridge Communications, LLC d/b/a Fidelity Communications is 2. Provide a description of the Applicant, which shall include the following, Continued: (i) Legal name of all affiliated companies that are public utilities or that are providing telecommunications services and the states in which they are providing service. Give a description of all affiliates and explain in detail the relationship between the Applicant and its affiliates. An organizational chart should be provided, if available. Affiliates who are public utilities: Fidelity Telephone Co., Missouri, ILEC, brother-sister affiliate Fidelity Cablevision, Inc., Missouri and Oklahoma, CLEC, IXC and FCC long distance authority, brother-sister affiliate Fidelity Communication Services I, Inc., Missouri, CLEC, brother-sister affiliate Fidelity Communication Services II, Inc., Missouri, CLEC, brother-sister affiliate Fidelity Communication Services III, Inc., Missouri, Georgia, North Carolina and Illinois, CLEC, IXC and FCC long distance authority, brother-sister affiliate Fidelity Long Distance, Inc., Missouri, FCC long distance authority, brother-sister affiliate Fidelity Networks, Inc., Missouri, FCC long distance authority, brother-sister affiliate The Organizational Chart is attached as Exhibit A. 0 • EXHIBIT A ORGANIZATIONAL CHART QUESTION #2 0 0 pp 7 1^ w ^ ^ M pp ^ M N U ^ ^ O^ ^^ ^ •--^ T^ 00 7 ^ S ^ O r S^ 0 N O^p V'1 ^ N ~" O CC N ^ p O .R^i ^ O ry q ry p o O^ O_ p r°^D 7 0^o O p T^ V U O^ V^ A M O W O M 'Z ° Z ° z Z z z CN ,z ^•' M O z a^ 00 O z v^ 6 ^ ^°y3 F. ^ ° a v ^ d • v y^ z y v ^ t,3 ^^ UU^VF u^ V ^WV H il w z a z w > > V z p _C ^ U °^ .U. 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