Birch Telecom Pro Fo

NOTICE submitted by Birch Telecom, LLC

Pro Forma Notification of Transaction

2018-06-14

This document pretains to ITC-214-19990701-00441 for International Global Resale Authority on a International Telecommunications filing.

IBFS_ITC2141999070100441_1422995

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$11789 8 9918 18  98 220 4 !"52 252! 87#                                                               213


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$11789 8 9918 18  98 220 4 !"52 252! 87#                                                                  413


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$11789 8 9918 18  98 220 4 !"52 252! 87#                                                                313


Birch Telecom, LLC                                                                Attachment 1
Pro Forma Notice of Intracorporate Transaction


        This notice is being filed to address pro forma changes to the corporate ownership and
structure of Birch Telecom, LLC (“Birch Telecom”) arising in connection with a recently
consummated transaction (the “Merger Transaction”). The specific changes are discussed below
in the response to FCC Form 214TC Question 13.

Pursuant to 47 C.F. R. § 63.24(f)(2), Birch Telecom provides the following information:
(a)      The name, address and telephone number of each applicant:
                    Birch Telecom, LLC
                    320 Interstate North Parkway SE
                    Atlanta, GA 30339
                    Tel: (770) 874-4942

(b)      Birch Telecom is a Delaware limited liability company.

(Response to FCC Form 214TC Question 10)
(c)      Correspondence concerning this pro forma notice should be directed to:
                    Winafred R. Brantl
                    Denise N. Smith
                    Kelley Drye & Warren, LLP
                    3050 K St., NW #400
                    Washington, DC 20007
                    Tel: (202) 945-6649 (Brantl)
                         (202) 342-8614 (Smith)
                    Fax: (202) 342-8451
                    Email: wbrantl@kelleydrye.com
                            dsmith@kelleydrye.com

(d)      Birch Telecom was granted international Section 214 authority pursuant to File No. ITC-
         214-19990701-00441, subsequently modified in File No. ITC-MOD-20151111-00259.
         On June 4, 2018, Birch Telecom filed to surrender this authority.

(Response to FCC Form 214TC Question 11)
(h)      Upon the closing of the Merger Transaction on May 4, 2018, the following individuals
         and entities held 10% or more of the direct or indirect interests in Birch Telecom:
                    Birch Communications, LLC
                    320 Interstate North Parkway SE
                    Atlanta, GA 30339
                    Citizenship: U.S.
                    Principal Business: Telecommunications
                    Percentage Interest: 100% (Direct)




4817-6691-5687v.1


Birch Telecom, LLC                                                                    Attachment 1
Pro Forma Notice of Intracorporate Transaction


                    Fusion BCHI Acquisition LLC
                    420 Lexington Avenue, Suite 1718
                    New York, New York 10170
                    Citizenship: U.S.
                    Principal Business: Holding Company
                    Percentage Interest: 100% (Indirect)

                    Fusion Connect, Inc.
                    420 Lexington Avenue, Suite 1718
                    New York, New York 10170
                    Citizenship: U.S.
                    Principal Business: Telecommunications
                    Percentage Interest: 100% (Indirect)

                    BCHI Holdings, LLC
                    3060 Peachtree St., NW, Suite 1065
                    Atlanta, GA 30305
                    Citizenship: U.S.
                    Principal Business: Holding Company
                    Percentage Interest: 65% (Indirect) (100% via attribution)

                    Holcombe T. Green, Jr.
                    3060 Peachtree St., NW, Suite 1065
                    Atlanta, GA 30305
                    Citizenship: U.S.
                    Principal Business: Entrepreneur
                    Percentage Interest: 43% (Indirect) (100% via attribution)

                    R. Kirby Godsey
                    3060 Peachtree St., NW, Suite 1065
                    Atlanta, GA 30305
                    Citizenship: U.S.
                    Principal Business: Investor
                    Percentage Interest: 16% (Indirect)

         No other entity or individual held a 10% or greater direct or indirect equity or voting
         interest in Birch Telecom.




4817-6691-5687v.1


Birch Telecom, LLC                                                                    Attachment 1
Pro Forma Notice of Intracorporate Transaction


(Response to FCC Form 214TC Question 12)
         Interlocking Directorates
        Birch Telecom’s affiliate, Primus Management ULC (“Primus”), is a British Columbia
unlimited liability company authorized to provide local exchange, long distance, and Internet
access services in Canada. As a result of the Merger Transaction, changes are currently being
made to the officers, directors and managers of Birch Telecom and Primus. Upon completion of
the requisite corporate filings, the following individuals will serve in the identified positions for
both Birch Telecom and Primus.

         Name                                                   Title
 Matthew D. Rosen            Chief Executive Officer
 Kevin Dotts*                Executive Vice President, Chief Financial Officer and Principal
                             Accounting Officer
 Gordon Hutchins, Jr.        President
 Russell Markman             Chief Operating Officer
 James P. Prenetta, Jr.*     Executive Vice President, General Counsel and Assistant Secretary
 Philip D. Turits            Corporate Secretary
 Jan Sarro                   Executive Vice President, Marketing and Product
 Kevin Brand                 Senior Vice President, Customer Support
 Brian George                Senior Vice President, Engineering and Systems
 Joe Haines                  Senior Vice President, Operations
 John Hendler                Senior Vice President, Sales
 Kelly Beckner               Vice President, Human Resources and Administration
 Brian Coyne                 Vice President - Investor Relations and Financial Planning
 Gina Kennedy                Vice President, Marketing
 Keith Solden                Vice President, Finance
 Kelli Pruet                 Vice President, Tax
 Pamela Hintz                Vice President, Regulatory
 Doug Gillespie              Vice President, System Management
 Tim Gallagher               Vice President, Network Engineering
 Shane Smith                 Vice President, Systems Engineering
 Wendy Astudillo             Vice President, Service Delivery
 Vicki Spehar                Vice President, Strategic Account Management
 Stacy Conrad                Vice President, Channel Sales
 Brad Smith                  Vice President, Channel Sales
 Chuck Cuggino               Vice President, Contact Center Solutions
 Paul Adkison                Vice President, Mobility Services
 Jon Kaufman                 Chief Strategy Officer

* Mr. Dotts and Mr. Prenetta also will serve as Managers for Birch Telecom and Directors for
  Primus Management ULC.




4817-6691-5687v.1


Birch Telecom, LLC                                                                     Attachment 1
Pro Forma Notice of Intracorporate Transaction


(Response to FCC Form 214TC Question 13)

Description of Transaction
         On May 4, 2018, Birch Telecom participated in the consummation of the Merger
Transaction, pursuant to which its immediate holding company was merged with and into a
subsidiary of Fusion Connect, Inc. f/k/a Fusion Telecommunications International, Inc. (“Fusion
Connect”). The Commission reviewed and granted approval for this Merger Transaction in WC
Docket 17-301 and IB File Nos. ITC-TC-20171031-00201 and ITC-TC-20171031-00202.
Birch Telecom became an indirect subsidiary of Fusion Connect; however, as part of the Merger
Transaction, the ultimate shareholders of Birch Telecom at closing acquired a controlling
ownership in Fusion Connect. Consequently, there was no substantive change to the ultimate
ownership of Birch Telecom. There were, however, non-substantive changes to Birch Telecom’s
corporate ownership and structure. The details of the Merger Transaction and the resulting pro
forma changes to Birch Telecom’s ownership are addressed more extensively in the referenced
proceedings. Moreover, in connection with the Merger Transaction, Birch Telecom was
converted from a corporation into a limited liability company. Pursuant to 47 C.F.R., § 63.24
(Note 2 to Paragraph (d)), this conversion is a “change in form of the business entity” and is
recognized by the Commission as presumptively pro forma.

         A certification, as required pursuant to 47 C.F. R. § 63.24(f)(2)(ii), is appended.




4817-6691-5687v.1


                                           Certification


         I hereby certify that I am Executive Vice President and General Counsel of Birch

Telecom, LLC and that I am authorized to make this certification on behalf of Birch Telecom,

LLC; further, with respect to the foregoing notification of a pro forma transaction, that the

statements in the notification are true and correct to the best of my belief and are made in good

faith; that the transaction was pro forma as described in Section 63.24(a) of the Commission‘s

Rules; and that this transaction, together with all previous pro forma transactions, did not result

in a change in ultimate control.




                                                     /y
                                              Jamés P. Prene Aa, Jr.
                                              Executive Vice Presidené :fid General Counsel
                                              Birch Telecom, LLC




Date: June 6, 2018




4817—6691—5687v.1



Document Created: 2018-06-14 13:41:00
Document Modified: 2018-06-14 13:41:00

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