HomeMy WebLinkAbout20210702Newmax Form 481.pdfrcEE.
<010> StudyArea Code 419025
<015> StudyArea Name Neru, IjJC dba InEermax Netmrks
<020> Prorram Year 202t
<03D Contact Name: Person USAC should contactwitlrquestionsaboutthisdata shmn Atha
<035> Contact
Number
Telephone Number:
of the oerson identified in data line <030>
2084151764 ut
<039> contact EmailAddress:
Email ofthe person identitied in data line <030>rathto{nEemaxEeam - cm
Form Type 54.313
Itzool S"Ivf.. Outage Reportint (volcel
lData
Collectlon Form
FCc Form tl81
OMB Control ilo. !
luv 2018
<010> Study Area Code 479025
<015> Study Area Name Nemax, LtC dba InteM Netuorks
<020> Program Year 2021
<030> Contact Name - Person USAC should contact regarding this data Shamon Atha
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 2084ls1?64 ext
<039> Contact Email Address - Email Address of person identified in data line <030> salha@intemilteam. com
<210>
<220>
For the prior calendar year, were there any reportable voice service outages?
<b1><b2><b3><d><f>
Did This Outal
Affect Multipl
Study Areas
NORS
Reference
Number
Outage Start
Date
outag€ start
Time
Outage End
Date
Outage End
Time
Number of
Customers Affected Total Number ol
Customels
91l Facilities
Affected
(Yes / Nol
Sen ice Outage
Description (Check
all that applyl
1,0@cuttomcrs
Form
<010> Study Area Code 479025
<015> Study Area Name NeM, LLC dba Inlemx Networks
<020> Program Year 202L
<030> Contact Name - Person USAC should contact regarding this data Shannon Atha
<035>Contact Telephone Number - Number of person identified in data line
<030>2084151764 ext
<039>Contact Email Address - Email Address of person identified in data line
<030>
Eatha@intemdtean- coh
<400>
Select from the drop-down list to indicate how you would like to report
voice complaints (zero or greater) for voice telephony service in the prior
calendar year for each service area in which you are designated an ETC for
any facilities you own, operate, lease, or otherwise utilize.
<410> Complaints per 1000 customers for fixed voice
<420> Complaints per 1000 customers for mobile voice
<010> StrdyArea@c 179A25
<r15> StrdyAira Name Nolloarc, LIC db6 ltrt€roax Netroalsi
<)2b ProsamYrar 202it
<[n> Co6bdName- Pcrlon USAC$ould ont (trcrardlnstfil6dfr shrftim lct
<xrs> conbct TehDhonc Numbcr - Number of Dsson ldcotffed in data trne <xN> 2084151?5' exL '
<XXD Cootad Emall Addre$ - Email AddrCsr of person ldendied ln d& llne <03O> satba.let tu*t..tr.edl
615> Ccrufy oomplhne wlth appllcabh mlnhum sewlct rtardar&
()1(}> StudvAreaCpde a7902A
<)tr5> StudvArea Name kmr- 1-l€ .llrr rnt.ffi? &tffikn(}2(D PrcsamYear ,na1
<):lD Contact l{ame - Person IISAC should contact rcsildlnethis data gba@.Attrr
<03$ Contact TeleDhone Number - ilumber of person idefitlfied in data llne <OXb 208t1s176' st'
<03$ Contact Emall Mdress - Email Address of person tsentlfred in data llne <030> ratur.htsirurrssn, ciiin
<60(}> Certify oompllanoe regardlng ability to function ln emergency situatlons Yes
<610, Descriptive documcnt for Functionality ln Emergency Situations 179025 ID Emerg ltullc Llae 610.pdf
(8(X)) Operating Companies
Data Collectlon Form
FCC Form 481
OMB Control No. !
luly 2018
<010> Study Area Code 47 9025
<015> Study Area Name Nemax - LLC dba Intemax Networks
<020> Program Year 2027
<030> Contact Name - Person USAC should contact regarding this data Shannon Atha
<035> Contact Telephone Number - Number of person identified in data line <030> 2084151764 ext
<039> Contact Email Address - Email Add ress of person identified in data line <030> sarha@inremaxteam. con
<810> ReportingCarrier Nemax LLC
<811> Holding Company Not Applicable
<812> OperatingCompany Intermax Netuorks
<813><a1>
Affiliates sAc
<a2><a3)
Doing Business As Compan
<010> StudyArea Code 479025
<O1S> Studv Area Name Neffi, LLC dba Inteffi Netrcrks
<020> Program Year 202t
<030> contact Name - Person USAC should contact this data Shamon Atha
<035> Contact Telephone Number - Number of person identiried in data line <030>
<039> Contact Email Address - Email Address of person identifled in data line <O3O> satha@inteffitean. com
<900> Does the filing entity offer tribal land services? (Y/N) No
<910> Tribal Land(s) on which ETC Serves
<920> Tribal Government Engagement Obligation
Name of Attached Document
lf your company serves Tribal lands, please select (Yes,No, NA) for each these boxes
to confirm the status described on the attached PDF, on line 92Q
demonstrates coordination with the Tribal Eovernment pursuant to
5 54.313(aX5) includes:
<921>
<922>
<923>
<924>
<925>
<926>
<927>
<928>
<929>
Needs assessment and deployment planning wih a foqs on Tribal
community anchor instifu tions.
Feasibility and sustainability planning;
Marketing services in a culturally sensitive manner;
Compliance with Rights of way processes
Compliance with Land Use permitting requirements
Compliance with Facilities siting rules
Compliance with Environmental Review processes
Compliance with Cultural Preservation review processes
Compliance with Tribal Business and Licensing requirements.
Select
Yes or No or
Not Applicable
lit)ffi$$ft
<010> StudyAreaCode 479025
<015> StudyArea Name XeIM, LLC dba InEeffi tretrcrkE
<020> Program Year 2021
<030> Contact Name - Person USAC should contact regarding this data ShrmD Atha
<03$ Contact Telephone Number - Number of person identified in data line <030> 2084151764 ext.
<039> Contact Email Address - Email Address of person identifted in data llne <030>
<1fiX>Voice services rate comparability certification
<101D Attach detailed description forvolce seilices rate
companbillty compliance
<102(>Broadband comparability certifi cation
Not Appllcable
Name of Attached Document
<1030>Attach detalled description for broadband
comparabillty compliance
Name of Attached Document
<010> StudvArea Code 479025
<01$ StudvArea Name IleuD*. LLC dba fnte@ I{ctmtka
<02D ProgramYear 2021
<030> Contact Name - Person USAC should contact rcgardingthis data Shrnn6n ltha
<035> Contact Telephone Number - Nuqler q[pqrson identified in data line <030>208{151?6a cxt
<039> Contact Email Address - Email Address of person identified in data line <030>sathaciuternaxEean. coo
<11q> Certify whether tenestrial backhaul options exist MN)
<1130> Please select the approprlate response (Yes, No, Not Appllcable) to confrm the
reportng canier offars broadband seMce of at least 1 Mbps doilnsfeam and 256 kbps
upsfeam wlthln the supported area pursuant to S 5a.313(g).
<1140>Alaska Plan rate-of-return certiflcation (yes, no, or not applicable) of
compliance with approved performance plan.
Y€g
<010> StudvArea Code 479025
<015> StudvArea Name Neffir- I.If dba Trtamrv N.t6rkF
<020> Program Year )nr1
<030> Contact Name - Person USAC should contact resardincthis data Shamon Atha
<035> Contact Telephone Number - Number of oerson identified in data line <030>2084151764 ext
<039> Contact Email Address - Email Address of oerson identified in data line <030>satha@intemarteam - c6h
<1210> Terms & Conditions of Voice Telephony Lifeline Plans
<t220> Link to Public Website HTTP
"Please check these boxes below to confirm that the attached document(s), on line 1210,
or the website listed, on line 1220, contains the required information pursuant to
5 54.422lall2l annual reporting for ETCs receiving low-income support, carriers must
annually report:
<!221> lnformation describing the terms and conditions of any voice
telephony service plans offered to Lifeline subscribers,
<!;222> Details on the number of minutes provided as part of the plan, [E|
Name of Attached Document
E
<1223> Additional charges for toll calls, and rates for each such plan.E
<010> Studv Araa Code 4't9025
<015> Studv Area Name NeM, IrIJC dba Intemil Networks
<020> Program Year 2021-
<O3O> ContactName oo Ath'
<o35>contactTeleohoneNumber-Numberotpersonldentlfledlnoatallne<UJU>---.
<03$ Contact Email Address - Email Address of person identified in data line <030> satha@inEerutean. cm
Select the appropriate responses below (Yes, No, Not Applicable) to note compliance as a recipient of frozen High Cost s
to offset access charge reductions, and Connect America Phase ll support as set forth in 47 CFR 54.313(c),(d),(e). The inf
form and in the documents attached below is accurate.
<2015> 2015 and future Frozen Support Certification 47 CFR $ 5a.313(cXa) f
Price Cap Carrier Connect America ICC Support {47 CFR g 54.313(dl}
<2016> Certification support used to build broadband
Connect America Phase tl Reporting {47 CFR I 5a313(el}
<2077A> Connect America Fund Phase ll recipient?
<20L7C> Total amount of Phase ll support, if any, the price cap carrier used for
capital expenditures in 2018.
<2018>
<2019>
Attach the number, names, and addresses of community anchor
institutions to which the carrier newly began providing access to
broadband service in the preceding calendar year - 54.313(eXfXiiXn)
Recipient certifies that it bid on category one telecommunications and
lnternet access services in response to all FCC Form 470 postings seeking
broadband service that meets the connectivity targets for the schools and
libraries universal service support program for eligible schools and
libraries located within any area in a census block where the carrier is
receiving Phase ll model-based support, and that such bids were at rates
reasonably comparable to rates charged to eligible schools and libraries in
urban areas for comparable offerings - 54.313(eXlXiiXC)
Name of Attached Document Listing
Required lnformation
I
<010> StudyArea Code 47 9025
<015> StudyArea Name Newmax, LLC dba Int
<020> Program Year 202L
<030> Contact Name - Person USAC should contact regarding this data Shannon Atha
<035> Contact Telephone Number - Number of person identified in data line <030>2084L5L764 ext.
<039> Contact EmailAddress - Email Address of person identified in data line <030>saUha@intermaxtean
(3007)
(3oo8A)
(3008B)
(300881)
(300882)
(3oo8c)
Does this filing retain a Cost Consultant and/or Firm, or other Third Party to prepare financial and
operations data disclosures submitted to the National Exchange Carrier Association (NECA), USAC,
or the Administrator?
Name of Consultant Name of Consultant
(Yes/No)
CAF BLS Reporting
Please indicate whether new locations were deployed during the prior calendar year
Please enter the number of newly deployed locations in the prior calendar year
associated with each of the following speed tiers.
Number of newly deployed locations with access to broadband speeds of at least 10/1
Mbps but less than 25/3 Mbps.
Number of newly deployed locations with access to broadband speeds of 2513 Mbps or
higher.
Please provide the percentage of deployment across the entire study area.
(30051 Rate Of Retum Carler Additioial Documentation
Data Collectlon Form
FCC Form il8l
OMB Control
July 2018
<010> Study Area Code 47 90) \
<015> Study Area Name Newmax LLC dba Interm;
<020> Program Year 202L
<030> Contact Name - Person USAC should contact regarding this data Shannon Atha
<035> Contact Telephone Number - Number of person identified in data line <030> 2Og4l5l7 64 ext .
<039> Contact Email Address - Email Address of person identified in data line <030>satha@intermaxteam . cor
Select from the drop down menu or check the boxes below to note compliance with 54.313(f)(1). Privately held carrier
financial reporting requirements set forth in 47 CFR 54.313(f)(2). I further certify that the information reported on this
attached below is accurate.
Progress Report on 5 Year Plan
Carrier certifies to 54.313(fXlXiii)(3ooe)
(3010A)
(30108)
(3012A)
(30128)
(3013)
(3014)
(301s)
(3016)
(3017)
(3018)
(301e)
Certification of Public lnterest Obligations {47 CFR 5
s4.313(f)(1)(i))
Please Provide Attachment
Community Anchor lnstitutions {47 CFR 5
s4.313(f)(l)(ii))
Please Provide Attachment
ls your company a Privately Held ROR Carrier {47 CFR
5 s4.313(f)(2))
lf yes, does your company file the RUS annual report
Please check these boxes to confirm that the
attached PDF, on line 3017, contains the required
information pursuant to $ 54.313(f)(2) compliance
requires:
Electronic copy of their annual RUS reports
(Operating Report for Telecommunications
Borrowers)
Document(s) with Balance Sheet, lncome Statement
and Statement of Cash Flows
lf the response is yes on line 3014, attach your
company's RUS annual report and all required
documentation
lf the response is no on line 3014, is your company
audited?
lf the response is yes on line 3018, please check the
boxes below to confirm your submission on line
3026 pursuant to 5 54.313(f)(2), contains:
Either a copy of their audited financial statemenq or
(2) a financial report in a format comparable to RUS
Operating Report for Telecommunications Borrowers
Document(s) for Balance Sheet, lncome Statement
and Statement of Cash Flows
Name of Attached Document Listing Required
lnformation
Name of Attached Document Listing Required
lnformation
(Yes/No)
(Yes/No)
Name of Attached Document Listing Required
lnformation
CCoo
(3020)
(Yes/No)OC
410> SndvAmcod.479025
dll'Srdv A6 Xril Naffi*.LT I[teffi llatmrks
202L
Flnemlel D.t. Sumrmry
(3027) Revenue
(3028) Operating Expenses
(3029) Net lncome
(3030) Telephone Plant ln ServiceflPlS)
(3031)Total Assets
(3032) Total Debt
(3033) Total Equity
(303{)Dividends
tl.m of Attchad Docurent Lkilnt i.qulnd lnfomtbn
<010>Study Area Code 479025
<015>Study Area Name Neerlw, LLC dba Intemax Networka
<020>Program Year 202L
<030>Contact Name - Person USAC should contact regarding this data shamon Arha
<035>Contact Telephone Number - Number of person identified in data line <030>2084I5I754 *E
<039>Contact Email Address - Email Address of person identified in data line <030>satbaein!emilteam. cm
4fl15 Rural Broadband Experiment
Authorized Rural Broadband Experiment (RBE) recipients must address the certification for public interest obligations and provi
list of newly served community anchor institutions.
Public lnterest Obligations - FCC 14-98 (paragraphs 2&29, 78)
Please address Line 4001 regarding compliance with the Commission's public interest obligations. All RBE participants must pr,
response to Line 4001.
4001. Recipient certifies that it is offering broadband meeting the requisite public interest obligations consistent with the cate6
which they were selected, including broadband speed, latency, usage capacity, and rates that are reasonably comparable to ral
comparable offerings in urban areas.
Community Anchor lnstitutions - FCC 1rt-98 (paragraph 79)
4003a. RBE participants must provide the number, names, and addresses of community anchor institutions to
which they newly deployed broadband service in the preceding calendar year. On this line, please respond
(yes - attach new community anchors, no - no new anchors)to indicate whether this list will be provided.
lf yes to 4003A, please provide a response for tO03B.
4003b. Provide the number, names and addresses
of community anchor institutions to which the
recipient newly began providing access to
broadband service in the preceding calendar year.
Name of Attached Document Listing Required lnformation
(5(X)51 Alaska Plan Participants Additional Doomentation
Data Collection Form
FCC Form tl81
OMB Control lto. 306
luly 2018
<010>Study Area Code 419425
<015>Study Area Name Nemax, LLC dba Intemax Netuorks
<020>Program Year 2027
<030>Contact Name - Person USAC should contact regarding this data Shamon Atha
<035>Contact T hone Number - Number of person identified in data line <030>
<039>Contact Email Address - Email Address of person identified in data line <030>satha@intemaxteam. com
5005 Alaska Plan
(s011)
(s012)
Please indicate whether any terrestrial backhaul or other satellite backhaul became
commercially available in the previous calendar year in areas previously served
exclusively by performance-limiting satellite backhaul.
lf the filing carrier identified in its approved perfomance plans that it relies exclusively on
satellite backhaul for a certain poriton of the population in its service area, indicate whether
any terrestrial backhaul or other satellite backhaul became commercially available in the
previoius calendar year in areas that were previoiusly served exclusively by satellite backhaul
<a><b>
Description Of Backhaul Technology
(Yes/Nr
(Yes/Nc
Newly Sewed Loc
<5013>
Date Backhaul Available
{)1(D StudyArea Code 479025
<)15> StudyArea Name Ner[rx, IJ,C dba Inteffi Netrcrka
<020> ProgramYGar 202t
<03D Contact Name - Person USAC should contact regardlng this data Shmon Atha
208{15176{ ext<)35> Contact Telephone Number - Number of person ldenttffed in data llne <0!X>
<039> Contact Emall Address - EmailAddress of person ldentl ed ln data llne <03O> sathaolalemutGan. cffi
<6010>Total amount of Phase ll auction suppo4
if any, the phase ll Auction recipient carrier used
for capital expenditures in the previous calendar year
<6011> PhasellAuctionrecipientperformancerequirementscertification
234910.53
(Yes/No) YeS
<01(> StudyArea Code 479023
<015> StudyArea Name Neffi, Ir,C dba IDteffi Netrrorks
<02(> ProgramYear 202!
<030> Contact Name - Person USACshould contact regardlruthls data Shas@ Atha
<)35> Contact Telephone Number - Number of person identified ln data llne <030>
<039> C.ontact Emall Address - Email Address of person identifled in data llne <03D Bathaolnt€rnruteffi.cm
<7010>Price Cap Carier and Fixed Competitive Ellgible Teleoommunications Carrier
Phase-Down support requirement certification
(Yes/No)
Page 19
<01D StudyAreaCode 41902s
<015>Area Name
<020> ProEram Year
LLC dba Interu Netrclka
202].
<030> Contact Name - Person USAC should contact regardin8 this data Shamon Atha
<035> Contact Teleohone Number - Number of person identified in data llne <):m> 20841s1?64 ext
<039> Contact EmailAddress - Email Addr6s of person identified in data line <030> sarhaoinreffiEean. cm
TO 8E COMPTETED BY THE REPORflt{G CARRIER, IF THE REPONMilG CARRIER IS FIUI{G AililUAt REPORTIilG ON ITS OWil BETIALFI
Certlfication of Off,cer as to the Aocuracy of the Data Reported for the Annual Reponlng for CAF or Ll Reclplenti
I certlfy thet I rm an offccr of thc rapordnt canlcri my rciponrlbllltlas lncluda lntudnl thc accuracy of the snnurl r.portln! raqulrments Sor unlva'sll irlylce support
Gdplantsi en4 to thc bcst of my knowlcdtg th. lniormrton r.port d 0Il th'rs fiom rnd ln .ny.tbdrmenls ir acor.te,
Name of Remrtinr Carier: Neuttw, ,,1,C dba InteM Networks
sisnattrreofAuthoriz.dofflcer: cERrxrrED oNr'rNE Date 06/23/2020
Printed name of Authorized ofricer: Michael Kemedy
Iltle or msifion of authoriz.d offlcer: President
faleDhone number of Authorized Officer 2094L5L7 7 2 ext
Studv Area code of ReDortinr caarier: 479025 Filinr Due Date fortSritlor^' 01 / ot/ 2020
Pems wlltfully makint frls strtcrents on thls form on bc punishrd by fin. or forf.lturr undcr thr Communietions Act of 1934, 47 U.S.C. gS 502, 503(b), or llnr or lmprisnmcnt
under nth 18 of th. unitld st ts code, 18 u.s.c. I 1001.
Page 19
Page 20
FCC Fom a81
OMB Control No. 360{1985/OMB Gootrol J{o. 3(E(HIB19Colhcthn Form
Carrier
201t
<010> StudvArea Code 47 9025
<015> StudvArea Name Nem*. LLC dba lntermax Networks
<020> Prosram Year 2021
<030> Contact Name - Person USAC should contact resardine this data Shamon Atha
<035> contactTelephoneNumber-Numberofpersonidentifiedindataline<o3o> 2084151754 ext
<039> ContactEmailAddress-EmailAddressofpersonidentifiedindataline<O3o> satha@intermaxteam com
TO BE COMPTETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ANNUAT REPORTS ON THE CARRIER'S BEHALF:
TO BE COMPTETED BY THE AUTHORIZED AGENT:
Certification of Officer to Authorize an Agent to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
lce'dfythat(Nameo'A9ent)isauthorlzedto3ubmltthelnfomadonreportedonbehalfofth6]eportngcarrler.l
al3oGeItlfythatlam"nom"".oro-"."po,un9""m".,.ld6lncludeensuringthGaccuracaoflheannUaldatarepordngrequlrementsprovldedtotheauthorlzed
agent; and, to the bst of my knuledge, the reporB and data provided to the authorlzed agent la accurate.
Name of Authorized AEent:
Name of ReDortins Carrier:
Sisnature of Authorized Officer:Date:
Printed name of Authorized Officer:
Title or position of Authorized Officer:
felephone number of Authorized Officer:
Studv Area Code of ReDortinr Carrier:Filins Due Date for this form:
Perions willfully makinS fals€ statements on this form can b€ punished by fne or forfeiture under the Communidtions Act of 1934, 47 U.S.C. 95 502, 503(b), or fine or imprisonment
uhder Title 18 ofthe Uhited States Code, 18 U.S.C. I 1001.
Certification of Agent Authorized to File Annual Reports for CAF or Ll Recipients on Behalf of Reporting Carrier
lhe data reponed herein based on data provlded by the reponlnt carier and, to th€ best of my knowledge, the informatlon reponed h€rein ls accurate.
Name of Reporting Carrier:
Name of Authorized Acent Firm:
Sisnature of Authorized Acent or EmDlovee of Acent:Date:
Name of Authorized APent Emolovee:
Iitle or Dosition of Authorized Aqent or EmDlovee of Aseht
Ielephone number of Authorized Agent or Emplovee of Asent:
Study Area Code of Reporting Carrier:Filin( Due Date forthis form:
18 of the United States Code, 18 U.S.C. I 1001.
Page 20