Looking for a Fcc Form Templates? Download it for free!

General Instructions for Wireless Telecommunications Bureau Annual Report Related To

Eligibility for Designated Entity Benefits

Purpose of Form

FCC Form 611-T is used by designated entity licensees to file an annual report, pursuant to section 1.2110(n) of the Commission’s

Rules, related to eligibility for designated entity benefits.

Who Must File and What Must be Filed

Each designated entity licensee must file with the Commission an annual report no later than September 30 of each year for each

individual license it holds that was acquired using designated entity benefits and that, as of August 31 of the year in which the report is

due, remains subject to designated entity unjust enrichment requirements (a “designated entity license”). If, during the reporting year, a

designated entity has assigned or transferred a designated entity license to another designated entity, the designated entity that holds

the designated entity license on September 30 of the year in which the application for the transaction is filed is responsible for filing the

annual report.

Annual Report

The annual report, which should be filed as an attachment to this Form 611-T, shall include:



A list and summary of all agreements and arrangements (including proposed agreements and arrangements)

that relate to eligibility for designated entity benefits for each designated entity license covered by the annual

report. Similar types of agreements and arrangements should be listed together in clearly identified categories,

such as, but not limited to, categories covering credit and loan, management, leasing, equipment, tower and

facilties agreements and arrangements. This list and summary must include:



The parties (including affiliates, controlling interests, and affiliates of controlling interests) to each agreement

or arrangement, as well as the dates on which the parties entered into each agreement or arrangement.



The dates on which any agreement or arrangement will terminate.



An indication of which agreements or arrangements are new or have been modified since the designated

entity’s previous Annual Report filing.



A disclosure and discussion of the specific provisions of any agreement or arrangement that could affect the

licensee’s eligibility for designated entity benefits.



An explanation of which licenses, if the annual report covers more than one license, are affected by each

agreement or arrangement.



Information regarding the designated entity’s progress in meeting the applicable construction requirements for

the license(s).



Information regarding the services provided or planned to be provided using the license(s).



Information regarding the number of subscribers served in the license(s) area.



If applicable, any other information that might affect the licensee’s designated entity status.

A designated entity need not list and summarize on its annual report the agreements and arrangements otherwise required to

be included if it has already filed that information with the Commission, and the information on file remains current. In such a

situation, the designated entity must instead include in its annual report both the ULS file number of the report or application

containing the current information and the date on which that information was filed.

Information Current and Complete

Information filed with the FCC must be kept current and complete. Parties to the application must notify the FCC regarding any

substantial and significant changes in the information furnished in the application. See Section 1.65 of the Commission’s Rules. The

requirement to update the annual report will be in effect until the report is changed to “accepted” status in the Commission’s Universal

Licensing System (ULS).

Applicable Rules and Regulations

The Licensee should obtain the relevant parts of the Commission’s Rules, which are located in Part 47 of the Code of Federal

Regulations (CFR). Copies of Part 47 CFR may be purchased by contacting the Superintendent of Documents, Government Printing

Office, Washington, DC 20402, by calling (202) 512-1800 or by accessing the Government Printing Office’s website at

FCC 611-T – Instructions

August 2016 – Page 2

Fcc Form 611-T - Fcc Wireless Telecommunications Bureau Annual Report Related To Eligibility For Designated Entity Benefits Page 2

Related Articles

Related forms

Related Categories