2017-11-14T13:39:46-06:00 2016-12-31 910189318 Moss Adams LLP 601 W Riverside Avenue Ste 1800 Spokane WA 99201 990 2016-01-01 870217682 Emery Telephone dba Emery Telcom EMER 4357482223 PO Box 629 Orangeville UT 845370629 Darren Woolsey CFO 4357482223 2017-11-13 1 Cheri R Burnham CPA P00055324 5097472600 2017-11-13 12.129.7.100 2017-11-13 18:50:10 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 E285C1DEC82D96A2D4534F9C3C0DFD9F1B445503 2016 2021-01-29 14:40:06Z Brock Johansen PO Box 629 Orangeville UT 845370629 4575617 0 X http://www.emerytelcom.com/ X 1950 UT PROVIDE TO OUR COMMUNITIES THE HIGHEST QUALITY, STATE-OF-THE-ART COMMUNICATIONS RELATED PRODUCTS AND SERVICES AT AFFORDABLE RATES; PROVIDE AN ENJOYABLE AND BENEFICIAL WORK ENVIRONMENT; AND OTHERWISE IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITIES. 9 9 103 0 126734 17423 0 0 4639366 4368633 0 0 176962 206984 4816328 4575617 22000 24100 0 0 1062437 1037281 0 0 0 3001891 2822402 4086328 3883783 730000 691834 20548144 20132145 2850466 2601171 17697678 17530974 Provide to our communities the highest quality, state-of-the-art communications related products and services at affordable rates; provide an enjoyable and beneficial work environment; and otherwise improve the quality of life in our communities. 0 0 Independent telephone cooperative with approximately 3,100 rural subscribers at December 31, 2016. The cooperative makes telephone services available to the widest practical number of users on a nonprofit, cooperative basis. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 31 0 1 103 1 1 1 0 0 0 0 2119843 89475 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 0 1 1 1 1 1 UT X Darren L Woolsey 4356360090 445 East SR 29 Orangeville UT 845370629 shawn Sitterud Board Member 1.50 X 3850 0 17001 arthur Hughes Former board Member until 01/16 1.50 X 350 0 1268 Kollette Cologie Board Member 1.50 X 2450 0 5317 Kendall Mortensen Board Member 1.50 X 4350 0 10591 kathy Justice Former Board Member until 05/16 1.50 X 5250 0 34480 Morris Sorensen Board Member 1.50 X 4000 0 15260 Todd Huntington Former Board Member until 05/16 1.50 X 1400 0 7087 Larry Packer Board Member 1.50 X 2800 0 8 Kevin Tuttle Board Secretary 1.50 X X 3150 0 17501 cynthia Neilson Board Vice President 1.50 X X 4350 0 15999 Thomas L Hansen Board President 1.50 X X 5350 0 30167 BROCK JOHANSEN CEO 40.00 X 297945 0 72388 Darren Woolsey CFO 40.00 X 220446 0 57960 JARED ANDERSON Assistant General Manager 40.00 X 214444 0 65793 Michael Behling Outside Plant/Eng Manager 40.00 X 111629 0 50128 Dave Holzer IT/Business Service Manager 45.00 X 104476 0 34598 Rodney Moore Plant Engineer 40.00 X 104310 0 36842 1090550 0 472388 6 0 1 0 XL Cable PO Box 150990 Ogden UT 84415 Contract Fiber Placement 574818 Fibertel Inc PO Box 1071 Springville UT 84663 Contract Fiber Splicing and Placement 495511 Mid State Consultants 1475 North 200 West Nephi UT 84648 Engineering 230427 Specialized Communication Services 2152 S Angell Heights Dr Hurricane UT 84737 Contract Fiber Placement 178973 Moss Adams LLP 601 West Riverside Suite 1800 Spokane WA 99201 Audit, Tax, Cost Study 128620 8 WIRELINE REVENUE 517000 4385126 4385126 Uncollectible Revenue 517000 -16493 -16493 4368633 127606 0 127606 127606 65901 61705 Directory Revenue 541800 68944 8111 60833 Miscellaneous 517000 10434 10434 79378 4575617 4387178 126734 61705 7100 17000 1037281 909431 Plant Specific Operatio 1204780 Corporate Operations 274139 Plant Nonspecific Opera 265442 Customer Operations 93677 74933 3883783 -1673967 -3063957 739860 1072364 617993 760284 232719 410546 25476375 17035913 8056440 8440462 12321285 12310698 253814 201748 20548144 20132145 918461 857582 1932005 1743589 2850466 2601171 X 126256 126256 0 0 17571422 17404718 17697678 17530974 20548144 20132145 X 691834 -858538 X 0 1 X 1 0 88193 88193 3188212 2527553 660659 22199970 14508360 7691610 8440462 Investment in Affiliated Companies 12257800 C Investment in Nonaffiliated Companies 52898 C 12310698 Post-Retirement Benefit Obligation 1187985 Other Current Liabilities 555604 1743589 X Part X, Line 2: The Company records uncertain tax positions if the likelihood the position will be sustained upon examination is less than 50 percent. As of December 31, 2016 and 2015, the Company had no accrued amounts related to uncertain tax positions. Interest and penalties, if any, are recorded as interest expense and other expense, respectively. 1 N/A College Scholarships for Local High School Seniors 17 17000 N/A N/A Part I, Line 2: We do not issue any grants and assistance is limited to USF Schools and Libraries, USF Low Income, and USF Rural Health Care programs which are offered to qualifying member/customers and funded by telecommunications industry Universal Service Fund money (USF) as administered by Universal Service Administrative Company (USAC) under the authority of the Federal Communications Commission (FCC). FORM 990, SCHEDULE I, PART II No entity received greater than $5,000 in grants or assisstance. X X 1 1 X X 0 0 0 BROCK JOHANSEN CEO 297945 0 0 0 0 0 46629 0 25759 0 370333 0 0 0 Darren Woolsey CFO 202290 0 18156 0 0 0 34981 0 22979 0 278406 0 0 0 JARED ANDERSON Assistant General Manager 196069 0 18375 0 0 0 40289 0 25504 0 280237 0 0 0 Michael Behling Outside Plant/Eng Manager 109629 0 2000 0 0 0 25134 0 24994 0 161757 0 0 0 Part I, Line 1a Company has permitted airline seating upgrades to first class for CEO and Assistant GM on long flights. There were no airline seating upgrades paid by the company for the Board or CFO. The Board of Directors has allowed the CEO's wife to travel with him up to two times each year (airfare and meals). When spouses accompany board or key employees to industry conferences, a company paid spousal registration is allowed for the conference itself. With the exception of the limited CEO spousal travel and conference registration previously described, spousal transportation, meals, entertainment, and general travel expenses are not paid by the company. Form 990, Part VI, Section A, line 6 The organization operates as a cooperative consisting of members. All members are equal and receive one vote in board elections and decisions. Each community (historical phone exchange boundary) in the cooperative has a board member representative. Profits are allocated to members based upon their local service dollars and access minutes generated. Form 990, Part VI, Section A, line 7a All members are equal and receive one vote in board elections and decisions. Each community (historical phone exchange boundary) in the cooperative has a board member representative. Form 990, Part VI, Section A, line 7b Some actions require member approval by vote and attendance at the cooperative annual meeting. Form 990, Part VI, Section B, line 11b The board grants the officers operating latitude in the preparation and filing of the 990 tax return. Moss Adams LLP prepares the return under the direction and assistance of the CFO. The board is informed of any changes effecting the 990. In the absence of cooperative changes effecting the 990 filing, no formal review is considered necessary at the board level. Form 990, Part VI, Section B, line 12c Prior to eligibility for election to the Board of Directors the candidate must provide evidence and certify compliance with the conflicts of interest policy. While serving on the Board, compliance is monitored by the cooperative's management and Board of Directors. Where conflicts are discovered the offending party must remedy the conflict or be subject to replacement/termination. Form 990, Part VI, Section B, line 15 Compensation for key employees, officers, and top management is determined by independent review and approval by the Board of Directors. Industry salary surveys and peer data are used for comparability and to establish salary range parameters for all employees including key employees and CEO. Comparability data is specific to similar sized telecommunication companies, considering service offerings, number of related entities, number of customers, region, corporate complexity/ownership, and revenue size. Form 990, Part VI, Section C, line 18 Forms 990 and 990-T are available for public inspection at the Orangeville, Utah business office or upon request. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are maintained and are available for inspection at the cooperative's business office at 445 E. SR 29, Orangeville, UT 84537. Financial results are also presented during the annual meeting of the members. Portions of the governing documents are communicated during the election process and at annual meetings as needed. Form 990, Part XI, line 9: Other Comprehensive Income - Postretirement Benefit Obligation -141,377. CAPITAL CREDIT RETIREMENTS -725,011. OTHER ADJUSTMENTS 7,850. Emery Telcom Video LLC 445 East SR 29 Orangeville UT 84537 262712543 Cable TV, Video UT EMERY TELCOM HC INC CarbonEmery Telcom 445 East SR 29 Orangeville UT 84537 870642574 Telecommunications UT Emery Telcom HC Inc C 827979 18458764 1.00000 0 Emery Telcom - Wireless Inc 445 East SR 29 Orangeville UT 84537 870668980 Telecommunications UT Emery Telcom HC Inc C 1.00000 0 Emery Telcom HC Inc 445 East SR 29 Orangeville UT 84537 870667304 Telecommunications UT Emery Telephone dba Emery Telcom C 402437 11930880 1.00000 0 Emery Telcom Long Distance 445 East SR 29 Orangeville UT 84537 870642576 Long Distance Service UT Emery Telcom HC Inc C 89488 4219 1.00000 0 Emery Telecommunications & Video 445 East SR 29 Orangeville UT 84537 870516076 Internet, Data Transport, Circuits UT Emery Telcom HC Inc C 4161532 11003693 1.00000 0 Hanksville Telcom 445 East SR 29 Orangeville UT 84537 870662855 Telecommunications UT Emery Telcom HC Inc C 96622 351583 1.00000 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 Emery Telcom HC Inc O 5952412 Intercompany schedules Emery Telcom HC Inc R 1390360 Intercompany schedules Emery Telecommunications & Video ETV LLC A 65901 Cost EMERY TELECOMMUNICATIONS & VIDEO N 533005 INTERCOMPANY SCHEDULES Emery Telcom HC Inc H 12581 NBV