Free 395 - Federal

FCC 395

FEDERAL COMMUNICATIONS COMMISSION Washington, DC 20554 COMMON CARRIER ANNUAL EMPLOYMENT REPORT
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SECTION 1 - General Information 1. Name and Mailing Address of Respondent __ Check here if this is a change of address. 2. Year Report Filed 3. Reporting Period (Ending Date of Pay Period Covered by Report) 4. Number of Full-Time Employees during Selected Reporting Period (check one): a. __ Fewer than 16 (complete Sections I, IV, and V only) b. __ 16 or more (complete all sections)

SECTION II - Full-Time Employees. Number of Employees (Report employees in only one category)

Job Categories

Race/Ethnicity Hispanic or Latino Male Male Female White Black or African American Native Hawaiian or Other Pacific Islander E Asian American Indian or Alaska Native G Two or more races White Black or African American Not-Hispanic or Latino Female Native Hawaiian or Other Pacific Islander K Asian American Indian or Alaska Native M Two or more races Total Columns A-N

A Executive/Senior Level Officials and Managers First/Mid-Level Officials and Managers Professionals Technicians Sales Workers Administrative Support Workers Craft Workers Operatives Laborers and Helpers Service Workers TOTAL PREVIOUS YEAR TOTAL 1.1 1.2 2 3 4 5 6 7 8 9 10 11

B

C

D

F

H

I

J

L

N

O

0
0 0 0

0

0
0
0

0

0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0
FCC 395 Revised December 2007

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SECTION III - Part-Time Employees. Number of Employees (Report employees in only one category)

Job Categories

Race/Ethnicity Hispanic or Latino Male Male Female White Black or African American Native Hawaiian or Other Pacific Islander E Asian American Indian or Alaska Native G Two or more races White Black or African American Not-Hispanic or Latino Female Native Hawaiian or Other Pacific Islander K Asian American Indian or Alaska Native M Two or more races Total Columns A-N

A Executive/Senior Level Officials and Managers First/Mid-Level Officials and Managers Professionals Technicians Sales Workers Administrative Support Workers Craft Workers Operatives Laborers and Helpers Service Workers TOTAL PREVIOUS YEAR TOTAL 1.1 1.2 2 3 4 5 6 7 8 9 10 11

B

C

D

F

H

I

J

L

N

O

0
0
0

0
0 0

0 0
0 0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0
0

SECTION IV - Report of Discrimination Complaints Pursuant to 47 CFR 22.321, 23.55, 90.168, 101.4, and 101.311. _____ This is to advise the Commission that no complaints regarding violations of the equal employment provisions of Federal, state, territorial, or local statutes have been filed against this company before any body having competent jurisdiction in such matters during the calendar year covered by this report. _____ This is to advise the Commission that the following complaints alleging violations of the provisions of any equal employment opportunity statute have been filed against this company. (Attach a list indicating parties involved, date filed, courts or agencies before which the matter has been heard, file number or other designation, and current status or disposition. SECTION V - Certification I certify that to the best of my knowledge, information, and belief, all statements in this report are true and correct. Date Typed or Printed Name of Person Signing Signature Telephone No.

Title of Person Signing

WILLFULLY FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (18 U.S.C. 1001) AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (47 U.S.C. 312 (A)(1) AND/OR FORFEITURE (47 U.S.C. 503). FCC 395 Revised December 2007

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