20130130FCC Form 555 Midvale Telephone Company.pdf

RECr
Approved by 0MB
FCC Form 555 2013 JAN 30 PH 2:56 3060-0819
November 2012
UTiliTIES COMM i S*
Annual Lifeline Eligible Telecommunications Carrier Certification Form
Deadline: Jtmuarp 31'(Annually)
provides Lifeline service.
,472226,'Midvale Telephone Company
Study Area Code(s) (SAC) ETC Name(s)
Midvale Telephone Exchange, Inc. MTE Communications
Holding company Name(s) DBA, Marketing or Other Branding Name(s)
Affiliated ETCs (include names and SACs
attach additional sheets ifnecessary) :I_
Section 1: All ETCs (Infilal the certification that applies to your ETC. Depending on the stale, both
certifications may. apply).
AND/OR