20240627Telrite Corporation dba Life Wireless Form 481.pdf

RECEIVED
2024 June 27 PM 3:45
IDAHO PUBLIC
Compliance UTILITIES COMMISSION
Solutions The worldwide leader of
tax and compliance services.
June 27, 2024
Commission Secretary
Idaho Public Utilities Commission
11331 W. Chinden Blvd. Bldg. 8, Suite 201-A
Boise, Idaho 83714
RE: FCC Form 481—Annual Lifeline Certification- Filed on behalf of Telrite Corporation dba Life Wireless
Dear Secretary,
Pursuant to FCC requirements under 47 C.F.R. § 54.416, enclosed please find for filing in the above-
referenced docket a copy of Telrite Corporation dba Life Wireless' FCC Form 481—Annual Lifeline
Eligible Telecommunications Carrier Certification.
If you have any questions regarding this filing, please contact me at [phone] or
[e-mail].
Respectfully submitted,
/s/Mark Lammert
Mark Lammert
Attorney-in-Fact
Telrite Corporation dba Life Wireless
Enclosures

State of Georgia ) CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
) ss OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
County of i�) PROTECTION, ABILITY TO REMAIN FUNCTIONAL IN EMERGENCIES,
AND USE OF FEDERAL HIGH-COST SUPPORT.
AFFIDAVIT OF BUSINESS OR CORPORATE OFFICER
The Idaho Public Utilities Commission Order No. 29841 requires that Eligible Telecommunications Carriers
(ETC)certify that it is compliant with applicable service quality standards and consumer protection rules; and
ETCs must demonstrate the ability to remain functional in emergencies. In addition, the Commission must file
an annual certification with the USAC and the FCC that all federal high-cost support provided to ETCs within
the State of Idaho will be used only for the provision, maintenance, and upgrading of facilities and services for
which the support is intended. Accordingly, the undersigned states and verifies under oath the following:
1. I am an officer of Telrite Corporation dba Life Wireless , an eligible telecommunications carrier for
receiving federal universal service support under section 214(e) of the Telecommunications Act of
1996 in the state of Idaho.
2. 1 am familiar with the Company's day-to-day operations in the state of Idaho and with the State's
service quality standards and consumer protection rules as set forth in Commission Order No.29841.
3. Telrite Corporation dba Life Wireless is complying with applicable service quality
standards and consumer protection rules of the Federal Communications Commission and the
Idaho Public Utilities Commission,
4. 1 certify to the Commission that the Company is able to remain functional in emergencies as set forth in
Commission Order No. 29841 and in 47 C.F.R. § 54.202(a)(2).
5. 1 also certify that all federal universal service support funds received by Telrite Corporation dba
Life Wireless during the current calendar year will be used in a manner consistent with section
254(e); that is, for the provision, maintenance, and upgrading of facilities and services for which the
support is intended. The company will continue to comply for the period of January 1, 2023, through
December 31, 2023, to be eligible for federal universal service fund support.
6. This verification and affidavit is provided to be the Idaho Public Utilities Commission to enable the IPUC
to certify to the FCC that federal universal service support received by the eligible carriers in the state
will be used in a manner consistent with Section 254(e) of the Telecommunications Act.
l -'al t�jt, /)
Kelly Jesel/T a urer
tl o,-5
Date
SUBSCRIBED AND SWORN to
before me this day of _June, 2024
`\���u►uurrrrrrr� vl
K EMA
+ ; Notary Publ for O , residing at
My Commission expires 2.11
'V 0-TAR), —
•..03.18 7'`F �c��
//�i�0 �CrOUN������`��

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Filing Type and Contact Info
Filing Type
This information has been preselected based on High Cost and Lifeline program support paid out in the previous calendar year.If
you think the filing type is incorrect,please contact USAC.
High Cost(Section 54.313)
�) Lifeline(Section 54.422)
Contact Information
Include contact information for the person best able to answer questions about this form.
Contact Name(030)
Mark Lammert
Phone#(035) Ext.(optional)
[phone]
(xxx)xxx-xxxx
Contact Email Address(039)
[e-mail]
Page 1 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Service Outage Reporting (Voice) (200)
Reportable Outages
For the prior calendar year,were there any reportable voice service outages?(210)
OYes O No
Upload Service Outage Data(220)
Service Outage Data-Template °S1
CSV on ly
Page 2 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Number of Complaints per 1,000 Customers (400)
Report Voice Complaints
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.(400)
Enter complaints per 1000 customers for fixed
voice(410)
Enter complaints per 1000 customers for mobile
voice(420)
Page 3 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Compliance with Service Quality Standards and Consumer Protection Rules
(500)
Certify
Compliance with Minimum Service Standards(515)
Does the carrier comply with applicable minimum service standards?
OYes O No
Page 4 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Functionality in Emergency Situations (600)
Certify
Functionality in Emergency Situations Certification(600)
Is the carrier able to function in emergency situations?
OYes O No
Descriptive Document for Functionality in Emergency Situations(610)
PDF only
Page 5 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Operating Companies (800)
Carrier Names
Reporting Carrier(810)
Holding Company (811) 0
Validate the information listed above(811)by selecting one of the following:
OHolding Company/Affiliate name listed above is correct.(811A)
OHolding Company/Affiliate name listed above is NOT correct. (811B)
The correct Holding Company/Affiliate name
is(811C):
OThis study area does not have a Holding Company/Affiliate name.(811D)
Operating Company
Operating Company(812)
Upload Operating Company Data(813A,813B,813C)(Optional)
Operating Company Data Template C-
CSV only
Page 6 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Tribal Lands Reporting (900)
Tribal Land Services
Does the filing entity offer Tribal land services?(900)
O Yes O No
Tribal Land(s)on which ETC Serves(910)
Tribal Government Engagement Obligation
(920)
PDF only
Confirm Statuses
Select Yes,No,or NA for each of the below to confirm the status described on the attached PDF(920)
demonstrates coordination with the Tribal government pursuant to Section 54.313(a)(5)includes:
Needs assessment and deployment planning with a focus on Tribal community anchor institutions(921)
OYes O No O NA
Feasibility and sustainability planning(922)
01 Yes O No O NA
Marketing services in a culturally sensitive manner(923)
Yes O No O NA
Compliance with Rights of way processes(924)
OYes O No O NA
Page 7 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Compliance with Land Use permitting requirements(925)
OYes O No 0 NA
Compliance with Facilities Siting rules(926)
Yes O No O NA
Compliance with Environmental Review processes(927)
U Yes O No O NA
Compliance with Cultural Preservation review processes(928)
OYes O No O NA
Compliance with Tribal Business and Licensing requirements(929)
Yes O No O NA
Page 8 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Voice and Broadband Service Rate Comparability (1000)
Certify Voice
Voice Services Rate Comparability Certification (1000)
Is the carrier's pricing of fixed voice services no more than two standard deviations above the applicable
national average urban rate for voice service?If you answer No to line 1000,please provide an explanation
for non-compliance.
OYes O No O Not Applicable
Attach Detailed Description for Voice Services Rate Comparability Compliance(1010)
PDF,XLS,XLSX only
Certify Broadband
Broadband Comparability Certification (1020)
Does the carrier's broadband services pricing meet one of the following criteria?If you answer No to line 1020,
please provide an explanation for non-compliance.
OYes-Pricing is no more than the most recent applicable benchmark announced by the Wireline
Competition Bureau.
OYes-Pricing is no more than the non-promotional price charged for a comparable fixed wireline service
in urban areas in the states or U.S.Territories where the eligible telecommunications carrier receives
support.
ONo-Unable to certify broadband rate comparability
ONot Applicable.
OYes-CETC Alaska Plan participant certifies that one plan it offers is substantially similar to a service plan
offered by at least one mobile wireless service provider in the cellular market area of Anchorage,Alaska
and offered for the same or a lower rate than the matching plan in the cellular market area.
Page 9 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Attach Detailed Description for Broadband Rate Comparability Compliance(1030)
PDF,XLS,XLSX only
Page 10 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Terrestrial Backhaul Reporting (1100)
Certify
Terrestrial Backhaul Certification(1100)
Do terrestrial backhaul options exist?
O Yes O No
Select the appropriate response to confirm the reporting carrier offers broadband service of at least 1
Mbps downstream and 256 kbps upstream within the supported area pursuant to Section 54.313(g)
(1130)
OYes O No O Not Applicable
Alaska Plan Satellite Backhaul Certification(1140)
Is the carrier providing service consistent with its approved performance plan in the portion(s)of its study
area that relies exclusively on satellite backhaul?
OYes O No O Not Applicable
Page 11 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Lifeline Terms and Conditions (1200)
Upload Document or Link Website
Upload a descriptive document(s)AND/OR reference a specific link to your company's website.
Terms&Conditions of Voice Telephony Lifeline Plans(1210)
PDF only
AND/OR
Link to Public Website(1220)
httPS://www.lifewireless.com/
Confirm Information
Check these boxes below to confirm that the attached PDF,on line 1210,or the website listed,on line 1220,contains the
required information pursuant to Section 54.422(a)(2)annual reporting for ETCs receiving low-income support,carriers
must annually report:
L) Information describing the terms and conditions of any voice telephony service plans offered to Lifeline
subscribers(1221)
L) Details on the number of minutes provided as part of the plan(1222)
L) Additional charges for toll calls,and rates for each such plan(1223)
Page 12 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Price Cap Data (2005)
Certify
Select the appropriate responses below to note compliance as a recipient of frozen High Cost support,High Cost
support to offset access charge reductions,and Connect America Phase II support as set forth in 47 CFR 54.313(c),
(d),(e).The information reported on this form and in the documents attached below is accurate.
Price Cap Carrier Receiving Frozen Support Certification(2015)
Does the carrier certify compliance with the requirements in 47 CFR Section 54.312(a)?
OYes O No O NA
Price Cap Carrier Connect America ICC Support(2016)
Does the carrier certify compliance with the requirements in 47 CFR Section 54.313(d)?
O Yes O No O NA
Enter total amount of Phase II support,if any,that the price cap carrier used for capital expenditures in 2022.(2017C)
$x.xx
$x.xx
Price Cap Community Anchor Institutions(2018A)
Indicate if the carrier newly deployed broadband service to community anchor institution(s)in the previous
calendar year.
OYes-Attach New Community Anchors
ONo-No New Community Anchors
ONot Applicable-No Attachment Required
Page 13 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Please Provide Attachment(2018B)
Attach a document to this line to 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.
CommunityAnchorTOmplate X`5
-------------------------------------
XLSM only
Page 14 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Rate of Return Data (3005)
Certify
Select from the drop down menus or check the boxes below to note compliance with 54.313(f)(1).Privately held
carriers must ensure compliance with the financial reporting requirements set forth in 47 CFR 54.313(f)(2).I further
certify that the information reported on this form and in the documents attached below is accurate.
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?(3007)
OYes O No
Name of Consultant(3007A) Name of Consultant Firm/Third Party(3007B)
+Another Consultant
Certification of Public Interest Obligations(3010A)
Does the carrier certify compliance with the requirements in 47 CFR Sections 54.313(f)(1)(i)?
OYes-Attach Explanation O No-Attach Explanation
ONot Applicable-No Attachment Required
Please Provide Attachment(30106)
PDF,XLS,XLSX,DOC,DOCX only
Rate-of-Return Community Anchor Institutions(3012A)
Indicate if the carrier newly deployed broadband service to community anchor institution(s) in the previous
calendar year.
Page 15 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
OYes-Attach New Community Anchors O No-No New Community Anchors
ONot Applicable-No Attachment Required
Please Provide Attachment(3012B)
Using link,download template and list the number,name and address for each community anchor institution.As
required by 47 CFR Section 54.313(f)(1)(ii),attach the document which contains the community anchor institution
details.
Community Anchor Template x`S
-------------------------------------
XLSM only
As defined in 47 CFR Section 54.313(f)(2),is your company a Privately Held ROR Carrier?(3013)
OYes O No
Does your company file the RUS annual report?(3014)
O Yes O No
Please check these boxes to confirm that the attached document(s),on line 3017,contains the required
information pursuant to Section 54.313(f)(2)compliance requires:
Electronic copy of their annual RUS reports(Operating Report for Telecommunications
Borrowers)(3015)
Document(s)with Balance Sheet,Income Statement and Statement of Cash Flows(3016)
Annual Report(3017)
PDF,XLS,XLSX,DOC,DOCX only
Is your company audited?(3018)
OYes O No
Page 16 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
If the response is yes on line 3018,please check the boxes below to confirm your submission on line 3026
pursuant to§54.313(f)(2),contains:
Either a copy of their audited financial statement;or(2)a financial report in a format
comparable to RUS Operating Report for Telecommunications Borrowers(3019)
Document(s)with Balance Sheet,Income Statement and Statement of Cash Flows(3020)
Management letter and/or audit opinion issued by the independent certified public
accountant that performed the company's financial audit(3021)
Copy of their financial statement which has been subject to review by an independent
certified public accountant;or 2)a financial report in a format comparable to RUS
Operating Report for Telecommunications Borrowers(3022)
Underlying information subjected to a review by an independent certified public
accountant(3023)
Underlying information subjected to an officer certification (3024)
Document(s)with Balance Sheet,Income Statement and Statement of Cash Flows(3025)
Worksheet Listing(3026)
PDF,XLS,XLSX,DOC,DOCX only
Financial Data Summary
Enter the specified financial data below which is located on your RUS Report(attached on Line 3017)or your
reviewed/audited financial statements(attached on Line 3026).
Revenue(3027)
Operating Expenses(3028)
Page 17 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Net Income(3029)
Telephone Plant In Service(TPIS) (3030)
Total Assets(3031)
L
Total Debt(3032)
Total Equity(3033)
Dividends(3034)
Page 18 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Rural Broadband Experiment Data (4005)
Certify
Public Interest Obligations(4001)
Per FCC 14-98(paragraphs 26-29 and 78),recipient certifies that it is offering broadband meeting the requisite
public interest obligations consistent with the category for which they were selected,including broadband speed,
latency,usage capacity,and rates that are reasonably comparable to rates for comparable offerings in urban
areas.
OYes O No
RBE Community Anchor Institutions(4003A)
Indicate if the carrier newly deployed broadband service to community anchor institution(s)in the previous
calendaryear.
OYes-Attach New Community Anchors
ONo-No New Community Anchors
Please Provide Attachment(400313)
Using link,download template and list the number,name and address for each community anchor institution.As
required by FCC 14-98(paragraph 79),attach the document which contains the community anchor institution
details.
Community Anchor Template x`5
------------ --------- -- -
XLSM only
Page 19 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Alaska Plan Participants (5005)
Certify Terrestrial Backhaul
Newly Available Terrestrial or other Satellite Backhaul(RoR Carriers)(5011)
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.
O Yes O No
Newly Available Terrestrial or other Satellite Backhaul(CETC Carriers)(5012)
If the filing carrier identified in its approved performance plans that it relies exclusively on satellite backhaul for a
certain portion of the population in its service area,indicate whether any terrestrial backhaul or other satellite
backhaul became commercially available in the previous calendar year in areas that were previously served
exclusively by satellite backhaul.
OYes O No
Upload Backhaul Technology Data(5013A-5013C)
Backhaul Data Template CS°
--------------------------------
CSV only
Page 20 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Phase II Auction Reporting (6005)
Certify
Enter the total amount of Phase 11 Auction Support,if any,the carrier used for capital expenditures.(6010)
$x.xx
New York Funds Certification(6011)
Certify regarding whether the recipient has available funds for all project costs that will exceed the amount of
support that will be received for the next calendar year.This certification must be provided starting the first July 1
after receiving support until the recipient's penultimate year of support.
O Yes O No
Community Anchor Institutions(6012a)
Indicate if the carrier newly deployed broadband service to community anchor institution(s)in the previous
calendar year.
OYes-Attach New Community Anchor O No-No New Community Anchor
Using the template,upload a document with a number,name and address for each community anchor institution.(6012b)
Community Anchor Template —
-------------------------------------
XLSM only
FCC Form 470 Postings(6013)
For the filing due July 1 following full implementation of this requirement answer this certification request.
Page 21 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
OYes O No O Not Applicable
Post-Final Deployment Milestone Performance Certification(6014)
Starting the first July 1 after meeting the final service milestone,certify that the Phase II-funded network that the
Phase II auction recipient operated in the prior year meets the relevant performance requirements in Section
54.309.
OYes O No O Not Applicable
Page 22 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Phase-Down Support Reporting (7005)
Certify
Price Cap Carrier and Fixed Competitive Eligible Telecommunications Carrier Transitional Support
Requirement Certification.(7010)
This certification request applies to any price cap carrier or fixed competitive eligible telecommunications
carrier that elects to continue receiving support pursuant to Section 54.312(d)or Section 54.307(e)(2)(iii)
starting July 1,2020,and annually thereafter on July 1 for each subsequent year they receive such support.
These carriers must use this support throughout specific high-cost and extremely high-cost census blocks
where they continue to have the federal high-cost ETC obligation to provide voice service pursuant to
Section 54.201(d)at rates that are reasonably comparable to comparable offerings in urban areas.Per
Section 54.313(m),does the carrier certify that they used all such support received in the previous year to
provide voice service in compliance with the above obligation?
OYes O No
Page 23 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Puerto Rico Fixed and Mobile Funds Certification (8005)
Certify Fixed
Capital Expenditures(8010)
Enter the total amount of Uniendo a Puerto Rico Stage 2 fixed support,if any,the carrier used for capital
expenditures.
$x.xx
Available Funds Certification(8011)
Certify(either yes or no)regarding whether the recipient has available funds for all project costs that will exceed
the amount of support that will be received for the next calendar year.This certification must be provided starting
the first July 1 after receiving support until the recipient's penultimate year of support.
OYes O No
Community Anchor Institutions(8012A)
Indicate if the carrier newly deployed broadband service to community anchor institution(s)in the previous
calendar year.
OYes-Attach New Community Anchors O No-No New Community Anchors
Please Provide Attachment(8012B)
Using link,download template and list the number,name and address for each community anchor institution.As
required by 47 CFR Section 54.313(e)(2)(i)(A),attach the document which contains the community anchor
institution details.
Community-Anchor- Template x`S
------------- -- --------------------
Page 24 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
U1Ily
FCC Form 470 Postings(8013)
For the filing due July 1 following full implementation of this requirement answer yes,no,or not applicable to this
certification request.
OYes O No O Not Applicable
Post-Final Deployment Milestone Performance Certification(8014)
Starting the first July 1 after meeting the final service milestone,certify(yes or no)that the Uniendo a Puerto Rico
Stage 2-funded network that the Stage 2 recipient operated in the prior year meets the relevant performance
requirements in Section 54.309.
OYes O No O Not Applicable
Support Reimbursement Certification(8020)
54.313(n): Recipients of Uniendo a Puerto Rico Fund Stage 2 fixed support shall certify that such support was not
used forcosts that are(orwill be)reimbursed by other sources of support,including of federal or local government
aid or insurance reimbursements;and that support was not used for other purposes,such as the retirement of
company debt unrelated to eligible expenditures,or other expenses not directly related to network restoration,
hardening,and expansion consistent with the framework of the Uniendo a Puerto Rico Fund.
O Yes O No
Disaster Preparedness and Response Documentation(8030)
54.313(n): Recipients of fixed support from Stage 2 of the Uniendo a Puerto Rico Fund shall certify that they have
conducted an annual review of the documentation required by section 54.1515(a)-(c)to determine the need for
and to implement changes or revisions to disaster preparation and recovery documentation.
OYes O No
Page 25 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Certify Mobile
Support Reimbursement(8040)
54.313(n): Recipients of Uniendo a Puerto Rico Fund Stage 2 mobile support shall certify that such support was not used
for costs that are(or will be) reimbursed by other sources of support,including of federal or local government aid or
insurance reimbursements;and that support was not used for other purposes,such as the retirement of company debt
unrelated to eligible expenditures,or other expenses not directly related to network restoration,hardening,and
expansion consistent with the framework of the Uniendo a Puerto Rico Fund.
OYes O No
Disaster Preparedness and Response Documentation(8050)
54.313(n): Recipients of mobile support from Stage 2 of the Uniendo a Puerto Rico Fund shall certify that they have
conducted an annual review of the documentation required by section 54.1515(a)-(c)to determine the need for
and to implement changes or revisions to disaster preparation and recovery documentation.
O Yes O No
Mobile Disbursements Certification(8060)
54.313(o):Recipients of Uniendo a Puerto Rico Fund Stage 2 mobile support shall certify that they are in
compliance with all requirements for receipt of such support to continue receiving Stage 2 mobile disbursements.
O Yes O No
Page 26 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Transitional Support(8070)
Recipients of transitional support under Section 54.1516 shall certify that such support was not used for costs that
are or will be reimbursed by other sources of support,or expenses not directly related to network restoration,
hardening,and expansion consistent with the framework of the Uniendo a Puerto Rico Fund.Transitional support
recipients shall certify that they have conducted an annual review to determine that their disaster preparation and
recovery documentation is up to date,as required by Section 54.1515(a)through(c)or Section 54.1524.Answer
yes or no if carrier is compliant with 54.313(q).
OYes O No
Spending Plans for Recipients of Legacy Frozen Phase-Down Support(8080)
For annual reports due in 2024,2025,and 2026,recipients of frozen high-cost support under Section 54.1504(b)
shall certify that such support received after June 1,2023 was used for resiliency and redundancy measures and to
maintain their voice and broadband network footprint.
O Yes O No
Page 27 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Connect USVI Fixed and Mobile Funds Certification (9005)
Certify Fixed
Capital Expenditures(9010)
Enter the total amount of Connect USVI Fund Stage 2 fixed support,if any,the carrier used for capital expenditures.
$x.xx
Available Funds Certification(9011)
Certify(either yes or no) regarding whether the recipient has available funds for all project costs that will exceed
the amount of support that will be received for the next calendar year.This certification must be provided starting
the first July 1 after receiving support until the recipient's penultimate year of support.
OYes O No
Community Anchor Institutions(9012A)
Indicate if the carrier newly deployed broadband service to community anchor institution(s)in the previous
calendar year.
OYes-Attach New Community Anchors O No-No New Community Anchors
Please Provide Attachment(9012B)
Using link,download template and list the number,name and address for each community anchor institution.As
required by 47 CFR Section 54.313(e)(2)(i)(A),attach the document which contains the community anchor
institution details.
Community Anchor Template x`s
-------------------------------------
XLSM only
Page 28 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
FCC Form 470 Postings(9013)
For the filing due July 1 following full implementation of this requirement answer yes,no,or not applicable to this
certification request.
OYes O No O Not Applicable
Post-Final Deployment Milestone Performance Certification(9014)
Starting the first July 1 after meeting the final service milestone,certify(yes or no)that the Connect USVI Fund
Stage 2-funded network that the Stage 2 recipient operated in the prior year meets the relevant performance
requirements in Section 54.309.
OYes O No O Not Applicable
Support Reimbursement Certification(9020)
54.313(n): Recipients of Connect USVI Fund Stage 2 fixed support shall certify that such support was not used for
costs that are(or will be)reimbursed by other sources of support,including of federal or local government aid or
insurance reimbursements;and that support was not used for other purposes,such as the retirement of company
debt unrelated to eligible expenditures,or other expenses not directly related to network restoration,hardening,
and expansion consistent with the framework of the Connect USVI Fund.
OYes O No
Disaster Preparedness and Response Documentation(9030)
54.313(n): Recipients of fixed support from Stage 2 of the Connect USVI Fund shall certify that they have conducted
an annual review of the documentation required by section 54.1515(a)-(c)to determine the need for and to
implement changes or revisions to disaster preparation and recovery documentation.
OYes O No
Certify Mobile
Page 29 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Support Reimbursement(9040)
54.313(n): Recipients of Connect USVI Fund Stage 2 mobile support shall certify that such support was not used for costs
that are(or will be)reimbursed by other sources of support,including of federal or local government aid or insurance
reimbursements;and that support was not used for other purposes,such as the retirement of company debt unrelated
to eligible expenditures,or other expenses not directly related to network restoration,hardening,and expansion
consistent with the framework of the Connect USVI Fund.
OYes O No
Disaster Preparedness and Response Documentation(9050)
54.313(n): Recipients of mobile support from Stage 2 of the Connect USVI Fund shall certify that they have
conducted an annual review of the documentation required by Section 54.1515(a)-(c)to determine the need for
and to implement changes or revisions to disaster preparation and recovery documentation.
OYes O No
Mobile Disbursements Certification(9060)
54.313(o):Recipients of Connect USVI Fund Stage 2 mobile support shall certify that they are in compliance with
all requirements for receipt of such support to continue receiving Stage 2 mobile disbursements.
OYes O No
Page 30 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Transitional Support(9070)
Recipients of transitional support under Section 54.1516 shall certify that such support was not used for costs that
are or will be reimbursed by other sources of support,or expenses not directly related to network restoration,
hardening,and expansion consistent with the framework of the Connect USVI Fund.Transitional support
recipients shall certify that they have conducted an annual review to determine that their disaster preparation and
recovery documentation is up to date,as required by Section 54.1515(a)through(c)or Section 54.1524.Answer
yes or no if carrier is compliant with 54.313(q).
O Yes O No
Spending Plans for Recipients of Legacy Frozen Phase-Down Support(9080)
For annual reports due in 2024,2025,and 2026,recipients of frozen high-cost support under Section 54.1504(b)
shall certify that such support received after June 1,2023 was used for resiliency and redundancy measures and to
maintain their voice and broadband network footprint.
O Yes O No
Page 31 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Rural Digital Opportunity Fund Reporting (10005)
Certify RDOF
Capital Expenditures(10010)
Starting the first July 1 after receiving support until the July 1 after the recipient's support term has ended,
recipients of Rural Digital Opportunity Fund support must submit the total amount of support,if any,the recipient
used for capital expenditures in the previous calendaryear.This is required by 47 C.F.R.Section 54.313(e)(2)(i)(B).
$x.xx
Available Funds Certification(10011)
Please provide a response(either yes or no)to this certification request for any recipient of Rural Digital
Opportunity Fund support that the recipient has available funds for all project costs that will exceed the amount of
support that will be received for the next calendar year.This certification must be provided starting the first July 1
after receiving support until the recipient's penultimate year of support,as required by required by 47 C.F.R.
Section 54.313(e)(2)(ii).
OYes O No
Community Anchor Institutions(10012A)
Recipients of Rural Digital Opportunity Fund support must attach a list containing the number,names,and
addresses of community anchor institutions to which the eligible telecommunications carrier newly began
providing access to broadband service in the preceding calendaryear.This filing is required by 47 C.F.R.Section
54.313(e)(2)(i)(A).
OYes-Attach New Community Anchors O No-No New Community Anchors
Page 32 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Please Provide Attachment(10012B)
Using link,download template and list the number,name and address for each community anchor institution.As
required by 47 CFR Section 54.313(e)(2)(i)(A),attach the document which contains the community anchor
institution details.
Comm-unity-Anchor- - Template----X`S
------- ----- -- --- ----------- -
�L�' _ i
FCC Form 470 Postings(10013)
For the filing due July 1st following full implementation of this requirement,please provide a response(either yes,
no,or not applicable)to this certification request.Recipients of Rural Digital Opportunity Fund must respond
affirmatively that they bid on category one telecommunications and Internet 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(as described in Section 54.501) located within
any area in a census block where the carrier is receiving Rural Digital Opportunity Fund,and that such bids were at
rates reasonable comparable to rates charged to eligible schools and libraries in urban areas for Instructions for
Completing FCC Form 481 OMB Control No.3060-0986(High-Cost)OMB Control No.3060-0819(Low-Income)
November 2020 Page 44 comparable offerings.This filing is required by 47 C.F.R.Section 54.313(e)(2)(i)(C).This
certification will not be required until the July 1st following the E-Rate program year that this obligation has been
fully implemented.Modernizing the E-Rate Program for Schools and Libraries et al.,WC Docket.Nos.13-184,10-90,
29 FCC Rcd 15538,15566-67,para.72(2014).
OYes O No O Not Applicable
Page 33 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Post-Final Deployment Milestone Performance Certification(10014)
Starting the first July 1st after a Rural Digital Opportunity Fund recipient meets its final service milestone until the
July 1st after the support recipient's support term has ended,please provide a response(either yes,no,or not
applicable)that the Rural Digital Opportunity Fund-funded network that the support recipient operated in the
prior year meets the relevant performance requirements in 47 C.F.R.Section 54.309.This filing is required by47
C.F.R.Section 54.313(e)(2)(iii).
OYes O No O Not Applicable
Page 34 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Certifications
Supply Chain Certifications
Section 54.9: Prohibition on the Use of Funds
I certify under penalty of perjury that no universal service support has been or will be used to purchase,obtain,
maintain,improve,or otherwise support any equipment or services produced or provided by any company designated
by the Federal Communications Commission as posing a national security threat to the integrity of communications
networks or the communications supply chain since the effective date of the designations.
If No is selected,a waiver is required for each SAC which is not certified.
• Yes O No
Upload Waiver Document
PDF only
Section 54.10: Prohibition on the Use of Certain Federal Subsidies
I certify that no federal subsidy made available through a program administered by the Commission that provides funds
to be used for the capital expenditures necessary for the provision of advanced communications services has been or
will be used to purchase,rent,lease,or otherwise obtain,any covered communications equipment or service,or
maintain any covered communications equipment or service previously purchased,rented,leased,otherwise obtained,
as required by 47 C.F.R.Section 54.10.
If No is selected,a waiver is required for each SAC which is not certified.
• Yes O No
Upload Waiver Document
PDF only
Page 35 of 36

Privileged and Contains Confidential Information
Telrite Corporation FCC Form 481
State: ID OMB Control#: 3060-0986(High Cost)&
Sac: 479033 3060-0819(Low Income),December 2020
498 ID: 143028229 Program Year: 2025
Section 54.11: Requirements to Remove and Replace
Prior to answering,review section 54.11 of the Commission's rules(47 CFR Section 54.11).Answer Yes if either(1)you
comply with section 54.11(a),meaningyou do not use covered communications equipment or services,or(2)section
54.11(d)applies to you,meaning you are not yet subject to section 54.11(a)because you are a Reimbursement Program
recipient with an unexpired removal,replacement,and disposal term per section 1.50004(h)of the Commission's rules
(47 CFR Section 1.50004(h)).Answer No if you do not comply with section 54.11(a),meaning you do use covered
communications equipment or services.
® Yes O No
Accuracy Certifications
Certify
L) I certify that I am an officer of the reporting carrier;my responsibilities include ensuring the accuracy of the annual
reporting requirements for universal service support recipients;and,to the best of my knowledge,the information
reported on this form and in any attachments is accurate.
L) I understand that making willful false statements in any part of this report and/or in these certifications is
punishable by fine or imprisonment pursuant to 47 U.S.C.Sections 416(c),503(b)(1)(B),and 18 U.S.C.Section 1001.
Signature
Officer Name Title
[Kelly Jesel Secretary
L) I understand this is a digital signature,and is the same as if I signed my name with a pen.
Page 36 of 36

WAV ELRITE
ORPORATION
FCC Form 481
Section 500— Service Quality Standards & Consumer Protection Rules Compliance
Under FCC Rules, Section 54.202, an ETC must comply that it will satisfy applicable consumer
protection and service quality standards. Telrite Corporation d/b/a Life Wireless (Telrite) is in
compliance with the Cellular Telecommunications and Internet Association's Consumer Code
for Wireless Service.
1. Telrite discloses rates and terms of service to customers at the time service is initiated.
These same terms and conditions are posted on Telrite's website at
www.lifewireless.com.
2. Telrite provides service availability information on their website at
www.lifewireless.com.
3. Telrite provides contract terms to subscribers when they initiate or change service. These
same terms are provided to subscribers during the annual recertification process as
outlined in Commission rules that govern continued subscriber eligibility.
4. Telrite's Lifeline service can be terminated at any time by either party without an early
termination fee. Service is dependent on continued usage and eligibility in the program.
5. Telrite provides disclosures, minutes included in Lifeline plans, expiration of rollover
minutes, availability of service, and cost for additional minutes in published Lifeline
advertising materials.
6. Telrite customers are provided options if they exceed the number of minutes provided in
their Lifeline plan. If at any time a customer purchases additional minutes, charges and
plan options are available on the company website at www.lifewireless.com.
7. Telrite's toll-free customer service number is 888-543-3620. Customers may also dial
611 from their Life Wireless handset to reach customer service free of charge or by
contacting Telrite via email at [e-mail]. This information is provided in
the terms of service and on the company website and in all information provided to
subscribers.
8. Telrite responds to all consumer inquiries and complaints received from government
agencies within 30 days.
9. Telrite has procedures in place to maintain the privacy of subscriber proprietary
information in accordance with applicable federal and state laws.
10. Telrite has available to Lifeline customers an online portal where customers can check
their balances and purchase additional minutes.
Telrite Corporation • 4113 Monticello Street • Covington, GA 30014
678-202-0830 • Fax: [phone] • www.telrite.com

ELRITE
ORPORATION
FCC Form 481
Section 600 -Functionality in Emergency Situations
Under FCC Rules, an ETC must demonstrate its ability to remain functional in emergency
situations. Since Telrite Corporation d/b/a Life Wireless (Telrite) is providing service to its
customers through the use of facilities obtained from other carriers, it is able to provide to its
customers the same ability to remain functional in emergency situations as currently provided by
the carriers to their own customers, including access to a reasonable amount of back-up power to
ensure functionality without an external power source, re-routing traffic around damaged
facilities, and the capability of managing traffic spikes resulting from emergency situations.
Telrite, along with their underlying carriers, have created back-up systems to ensure functionality
in the event of a loss of power or network functionality. Telrite maintains its own diesel-
powered backup generator at their switching facility in Georgia. All systems within the facility
are implemented on redundant servers, each with redundant data network and power.
Telrite Corporation • 4113 Monticello Street • Covington, GA 30014
678-202-0830 • Fax: [phone] • www.telrite.com