11 IIl 1I IIll I1I1I I
Control Number: 25000
1I1I I Il I1I I Ill II 1I
Item Number: 1835
Addendum StartPage: 0
June 27,2003
Ms. Cathy Hightower
Filing Clerk
Public Utility Commission of Texas
1701 North Congress Avenue
Austin, Texas 78701
RE:
Project No. 25000 - Pursuant to Substantive Rule 526.107: IXC, PPC and NDTC
Reporting Requirements
.
Dear Ms. Hightower:
This original letter and four (4) copies are submitted for Millennium Telcom, LLC d/b/a One
Source Communications in compliance with the Texas Public Utility Commission’s Substantive
Rule 526.107, which concerns Reporting Requirements for Interexchange Carriers, Prepaid
Calling Service Companies and Other Non-Dominant Telecommunications Carriers.
If you have any additional questions, please contact me at (5 12) 343-2544.
Sincerely,
Dennis V. Rose
Authorized Representative
Millennium Telcom, LLC d/b/a One Source Communications
DVWcn
Attachments
cc:
Mr. Kent Blackwell, Millennium Telcom, LLC d/b/a One Source Communications
3721 EXECUTIVE
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TX 7 8 7 3 1 - 1 6 3 9
FAX 5 1 2 - 3 4 3 . 0 1 1 9
VOICE 5 1 2.343.2544
WWW.CHRSOLUTIONS.COM
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MINNEAPOl 1 5
IXC, PPC and UNDTC Reg. Format
Control No. 25000
Page 1 of 3
CONTROL No. 25000
REGISTRATION FOR AN INTEREXCHANGE CARRIER, PREPAID CALLING
SERVICES COMPANIES AND OTHER UNCERTIFICATED NONDOMINANT
TELECOMMUNICATIONS CARRIERS
Section One: Basic Information
Type of Registration:
X IXC (Long Distance Carrier
Pre Paid Calling Card Provider
Other:
1.
Name of Registrant (Company Name Known to the Public): One Source Communications
LegaVAssumed Name of Registrant: Millennium Telcom, L.L.C. d/b/a One Source
Communications
Office Address (Street, City, State, Zip Code): 4700 Keller Hicks Road, Keller, Texas 76248
2.
Mailing Address (Street/P.O. Box, City, State, Zip Code): 4700 Keller Hicks Road
Keller, Texas 76248
3.
Registrant Toll-Free Customer Service Number:
Registrant Office Number: 8 17-745-2000
Registrant Fax Number: 817-745-2029
4.
Registrant Website Address: www. 1scom.com
Registrant Email Address: kblackwell@,lscom.com
5.
Authorized Representative Contact (Name and Title): Kent Blackwell, VP of Operations
Authorized Representative Address: 4700 Keller Hicks Road, Keller, Texas 76248
Authorized Representative Mailing Address: 4700 Keller Hicks Road, Keller, Texas 76248
Authorized Representative Phone Number: 8 17-745-2000
Authorized Representative Fax Number: 8 17-745-2029
Authorized Representative Email Address: kblackwell@l scom.com
6.
Emergency Contact (Name and Title): Kent Blackwell, Vice President of Operations
Emergency Contact Address: 4700 Keller Hicks Road, Keller, Texas 76248
Emergency Contact Mailing Address: 4700 Keller Hicks Road. Keller, Texas 76248
Emergency Contact Phone Number: 8 17-745-2000
Emergency Contact Fax Number: 8 17-745-2029
Emergency Contact Cell Phone Number: 8 17-614-3686
Emergency Contact Email Address: kblackwell@ 1scom.com
877-210-3007
Revised 05-29-2003
2
IXC, PPC and UNDTC Reg. Format
Control No. 25000
Page 2 of 3
7.
Form of Business (e.g. corporation, partnership, sole proprietorship): Coruoration
State where Business was Formed: Texas
CertificatiodAuthorization Number:
Date Business was Formed: June 1999
8.
FCC Carrier Identification Code (CIC) (if available): 5859
National Exchange Carriers Association (NECA) Operating Carrier Numbers (OCNs) (if
available): 4009
Section Two: Affiliate and Key Personnel Information
8
Legal Name of all Affiliated Telecommunications Public Utilities or Affiliated
Telecommunications Companies Providing Regulated Services: None
States where Affiliates are Providing Services: N/A
If the affiliate is in Texas, provide a description of the relationship to the registrant. N/A
Provide Organizational Chart (if available).
9.
List Directors, Officers, or Partners with their business address, phone number, fax number,
email/website address: Mr. A. Craig Knight, Mr. William L. Pulliam, Mr. Don Lee, and Mr.
Benny Barrett.
*Contact information for each person listed above is as follows:
4700 Keller Hicks Road
Keller, Texas 76248
8 17-745-2000 (phone)
817-745-2029 (fax)
10.
List the Five Largest Shareholders (if applicable) with their business address, phone number, and
email/website address:
Millennium Telcom, L.L.C. d/b/a One Source Communications will be wholly owned by Value
Choice, Inc.
Value Choice, Inc.
4700 Keller Hicks Road
Keller, Texas 76248
8 17-745-2000 phone
Value Choice, Inc. is a wholly owned subsuduary of:
Tri-County Electric Cooperative, Inc.
600 N.W. Parkway
Azle, Texas 76020
Revised 05-29-2003
3
IXC, PPC and UNDTC Reg. Format
Control No. 25000
Page 3 of 3
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TRAVIS
9
Q
8
My name is Dennis V. Rose. I am Authorized Representative of the reporting
1.
company Millennium Telcom, LLC d/b/a OneSource Communications.
I swear or affirm that I have personal knowledge of the facts stated in this
2.
report on Non-dominant Carriers, that I am competent to testify to them, and that I have the
authority to make this report on behalf of the company. I further swear or affirm that all of
the statements and representations made in this report are true and correct. I swear or affirm
that the company understands and will continue to comply with all requirements of law
applicable to Non-dominant Carriers.
Dennis V. Rose
Typed or Printed Name
SWORN TO AND SUBSCRIBED before me on the 27th day of June, 2003.
M a r y Public In and For the
State of Texas
My commis ion expire :
/-4-od
Revised 05-29-2003
4