20160204Nexus Communications ETC Form 555.pdf

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Suite 800
1919 Pennsylvania Avenue NW
Washington, DC 20006-3401
James W. Tomlinson
202.973.4253 tel.
202.973.4499 tax
[e-mail]
BY OWRNIGIIT DELIWRY
February 3,2016
Ms. Jean Jewell
Commission Secretary
Idaho Public Utilities Commission
472W. Washington
Boise, ID 83720-0074
tbRe: Case # GNR-T-I5.01
FCC Form 555, Annual Lifeline Eligible Telecommunications Carrier Certification
Form for Nexus Communications, Inc.
Dear Ms. Jewel:
Nexus Communications, lnc. ("Nexus") hereby files its FCC Form 555 report for its study area
code in Idaho.
Kindly date-stamp as received the enclosed "Stamp & Return" copy, and return it to the
undersigned in the FedEx envelope provided.
Please do not hesitate to contact me with any questions you may have regarding this matter.
Sincerely,
James W. Tomlinson
Attorney for Nexus Communications, Inc.
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FCC Form 555
November 2014
Approved by OMB
3060-08 l 9
Annual Lifeline Eligible Telecommunications Carrier Certification Form
All carriers must complete all or portions of all sections
Form must be submitted to USAC and filed with the Federal Communications Commission
IMPORTANT: PLEASE READ INSTRUCTIONS FIRST
Deadline: January 31't (Annually)
Does the reporting company have affiliated ETCs?Yes @ No [d
Provide a list of all ETCs that are ffiliatedwith the reporting ETC, using page 4 and additional sheets if necessary. Affiliation shall be
determined in accordance with Section 3(2) of the Communications Act. That Section deJines "ffiliate" as "a person that (directly or indirectly)
owns or controls, is owned or controlled by, or is under common ownership or control with, another person." 47 U.S.C. S 153(2). See also 47
c.r.n. $ 76.t200.
Affiliated ETC's SAC Affiliated ETC's Name
For purposes of this filing, an officer is an occupant of a position listed in the article of incorporation, articles of
formation, or other similar legal document. An officer is a person who occupies a position specified in the corporate by-
laws (or partnership agreement), and would typically be president, vice president for operations, vice president for finance,
comptroller, treasurer, or a comparable position. If the filer is a sole proprietorship, the owner must sign the certification.
SSCJ|qI Initial Certification All ETCs must conplete this section
I certiff that the company listed above has certification procedures in place to:
A) Review income and program-based eligibility documentation prior to enrolling a consumer in the Lifeline progranr, and
that, to the best of my knowledge, the company was presented with documentation of each consumer's household
income and/or program-based eligibility prior to his or her enrollment in Lifeline; and/or
B) Confirm consumer eligibility by relying upon access to a state database and/or notice of eligibility from the state
Lifeline administrator prior to enrolling a consumer in the Lifeline program.
I am an officer of the company named above. I am authorized to make this certification for the Study Area Code listed
above.
tnitial SF
479017
Study Area Code (SAC)
(An Eligible Telecommunications Carrier @TC) must provide a certi/ication form for each SAC through which it provides Lifeline sentice).
lD Nexus Communications lnc.
State
ReachOut Wireless
ETC Name
Nexus Communications, lnc.
DBA. Marketins or Other Brandine Name(f sanb as ETC nane, list "N/A" Do not lefre blank)
Holdins Comoanv Name
(lf same aT ETC nine,'tist "N/A" Do not leave blank)
FCC Form 555
November 2014
'SeSJ,iq2i Annual Recertification
Do not leave empty blocks. Ifan ETC has nothing to report in a block, enter a zero.
Recertification Results:
K L
Number of
subacribers whose
eligibility was
reviewed by state
administrator,
ETC access to eligibility
database, or by USAC
Number of
subscribers de-enrolled or
scheduled to be de-enrolled as
a result offinding of
ineligibility by state
administrator, ETC access to
eligibility database, or USAC
0 0
Notet If any subscriber was reviewed by an ETC accessing a state database or
by a state administrator and subsequently contacted directly by the ETC in an
attempt to recertify eligibility, those subscribers should be listed in Blocl<s F
through J as appropriate and not in Blocks K and L. As a result, all subs*ibers
subject to recerti/ication who were not de-enrolled prior to the recerti/ication
attempt must be accountedfor in Block F or Block K.
The total of Block F and Block K should equal the number reporled in Block
E.
Approved by OMB
3060-08 I 9
Certification:
Based on the data entered above, initial the certification(s) below that apply. Both Certification A and B may apply depending on the recerti/ication
procedures in place for the SAC reporting on this form. If CertiJication C applies, neither Certification A nor B may apply.
A.) I certiff that the company listed above has procedures in place to recertif the continued eligibility of all of its
Lifeline subscribers, and that, to the best of my knowledge, the company obtained signed certifications from all
subscribers attesting to their continuing eligibility for Lifeline. Results are provided in the chart above in Blocks F
through J. I am an officer of the company named above. I am authorizpd to make this certification for the SAC listed
above.
Initial sF
AND/'RB.) I certifu that the company listed above has procedures in place to recertifu consumer eligibility by relying on:nla Results are provided in the chart above in
Blocks K through L. I am an officer of the company named above. I am authorized to make this certification for the
SAC listed above.
Initial
OR
C.) I certiff that my company did not claim federal low income support for any Lifeline subscribers for the February
Form 497 data month for the cuffent Form 555 calendar year. I am an officer of the company named above. I am
authorized to make this certification for the SAC listed above.
Initial
A B C D E=(A-B-C-D)
Number ofsubscribers
claimed on February
FCC Form 497 of
current Form 555
calendar year
(February data month)
Number of lines
claimed on February
FCC Form 497 of
current Form 555
calendar year
provided to wireline
resellers
Number of subscribers claimed on the
February FCC Form 497 thatwere
initiallv enrolled in the current Form
555 calendar year
(These sabscribers did not hove Lifeline
service priot to January I olthe current 555
calendar year.)
Number of subscribers
de-enrolled pflq to
recertifi cation attempt
by either the ETC, a
state administrator,
access to an eligibility
database, or by USAC
Number of
subscribers ETC is
responsible for
recerti$ing for
current Form 555
calendar year
10 0 2 0 8
F G 11= 1F_c)I J = (H+r)
Number of
subscribers ETC
contacted directly to
recertify eligibility
through attestation
Number of
subscribers
responding to ETC
contact
Number of non-
responding
subscribers
Number of subscribers
responding that they are
no longer eligible
(This should be a subset of Block
G.)
Number of subscribers de-
enrolled or scheduled to be
de-enrolled as a result of
non-response or response of
ineligibility from ETC
recertifi cation attempt
8 6 2 0 2
FCC Form 555
November 2014
SeCIiq-t De-enroll Percentage
Using the data entered in Section 2, complete the chart below to /ind the percentage ofsubsuibers de-enrolledfor this ETC.
M = (F+K)1q = (J+L)o=((N+M)*100)
Number of sub,scribers that the
ETC attempted to recertify directly
gg through a state administrator,
ETC access to a state database, or
by USAC
(This should equal the number
reported in Block E)
Number of
subscribers de-
enrolled or scheduled
to be de- enrolled as a
result of non-response
or ineligibility
Percentage of subscribers
de-enrolled or scheduled to
be de-enrolled as a result of
ineligibility or non-response
8 2 25.0%
Section 4: Pre-Paid ETCs
All ETCs must complete the appropriate check-box; pre-paid ETCs must complete all of Section 4. Pre-paid ETCs generally do not assess or collect a
monthly fee from their Lifeline subscribers. ETCs that only assess a fee but do not collect such fees are pre-paid ETCs and must complete the
chart below.
Is the ETC Pre-Paid? Yes @ No [Ol
If Yes, record the number of subscribers de-enrolledfor non-usage by month in BlockQ below.
P a
Month Subscribers De-Enrolled for Non-Usase
Januarv 0
Februarry 1
March 0
April 1
Mav 0
June 0
Julv 0
Auzust 0
September 0
October 0
November 0
December 0
Total Subscribers 2
Signature Block
Approved by OMB
3060-08 I 9
By sigring below, I certifr that the company listed above is in compliance with all federal Lifeline certification
procedures. I am an officer of the company named above. I am authorized to make this certification for the
Study Area Code (SAC) listed above.
Steven Fenker, President
Signed,
Certified Online
Signature of Officer
[e-mail]
Email Address of Officer
James W. Tomlinson
Person Completing This Certification Form
Printed Name and Title of Officer
0112912016
Date
202-973-4253
Contact Phone Number
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