Ill. Admin. Code tit. 83, pt. 757, subpt. F, exh. D
Quarterly UTSAP Administrator Report
For Calendar Quarter Ending ____________________ | ||
1. | Balance in Pool at Beginning of Quarter | ___________________ |
Total Contributions to UTSAP | ||
a) Billed by LECs | ___________________ | |
b) Directly to UTSAP Administrator | ||
c) Interest Earned | ___________________ | |
d) Less Uncollected Contributions | ___________________ | |
2. | Total Contributions | ___________________ |
Total Costs | ||
a) LEC Supplemental Installation Charges | ___________________ | |
b) LEC Supplemental Monthly Assistance | ___________________ | |
c) LEC Administrative Expenses | ___________________ | |
d) UTSAP Administrator Expenses | ___________________ | |
3. | Total Costs | ___________________ |
4. | Balance in Pool at End of Quarter (Line 1 plus Line 2 minus Line 3) | ___________________ |
Ill. Admin. Code tit. 83, pt. 757, subpt. F, exh. D