20250130Newmax LLC dba Intermax Networks Form 555.pdf

—RECEIVE
n2025 January 30
Annual Lifeline Eligible Telecommunications Carrier Certification Form All carriers must complete all BLIC
all sections Form must le submitted to USAC and filed with the Federal Communications Co rss�rt TIE COMMISSION
IMPORTANT: PLEASE READ INSTRUCTIONS FIRST
Deadline:January 31st(Annually)
479c25 '42027&42
audy Area Code(SAC} =.eroce Provider Identification F.umber.;SPIN)
(An Eligible Tefecormwnrcationc Carrier;ETC;niu-provide a certification form for each SAC that provide--Lifeline nervice).
2024 ID Newman LLC
Recertification Year State ETC Nacre
Intennax Networks
DBA,Marketing,or Other Branding Name Folding Company Name
1.f sarne as E'•C name.ri W,A 0a=.feat!'a'ar- iKsame as E?C na e..VV%M I Cho=leave Mi t,;
Does the reporting company have affiliated ETCs? Yes_No X
Provroe a xst of an ETCs Liar are ameared wLm me repornrV ETC,u4ng page<arty aod=na)Sneers dnecessaly AM&!=Shad oe derermrteo�n acco'dance wrrh Secoon
3(2)of me CommlMkarAons Act That Seen oenrtes'drlmare'as'a pe.'sor.mar(ovecVy or ridlrec7y)owns or cont Ws,LS own"or con!r'lAeti by.or rs under common
ownersnp orcorrM w)m:awmer,oef3on_'s7 U_S.C.§153j_i.See atsr,a?C.P_R.§70.1200.
Affiliated ETC's SAC Affiliated ETC's Name
1

Initial Certification AxETCan=tcompJetear,c_-ecbon-
certify that the company listed above:
• Has policies and procedures in place to ensure that its Lifeline subscribers are eligible to receive Lifeline
services; and
• Is in compliance with all federal Lifeline certification procedures; and
• Is in compliance with the minimum service levels set forth in 47 C_F.R_ § 54.408.
1 am an officer of the company named above_ I am authorized to make this certification for the SAC listed
above.
Initial CK
Annual Recertification Results
Report the results o`reoertilcanon ef`orts for the current calendar year.
Do not leave biockc ernWty ff the National Verifier is recponabie for conducting recertification,enter zero for block:.A-F.ff the elate L ILAne
Aanvnr.trator r3 re.-ponerbfe for conaucting recertfration,report the rexity for each block.
A. Subscribers eligible for recertification within current calendar year
B. Subscribers de-enrolled prior to recertification attempts
C.Total number of subscribers required to be recertified(A-B)
D.Subscribers successfully recertified
E. Subscribers de-enrolled for failed recertification
F. Percentage de-enrolled for failed recertification{E/C)
certify that the company listed above has procedures in place to recertify consumer eligibility by relying upon
notice of eligibility from:_state Lifeline administrator X National Verifier
am an officer of the company named above_ I am authorized to make this certification for the SAC listed
above.
Initial CK
No Subscribers Certification complete b�roaectonif ETC clavnednoL-fefinezuccnbera
I certify that my company did not claim`ederal low income suppor for the current Form ff-5 da,.a year.I am an officer of the company named above.I
am authorized to make this certification for the SAC?s;listed on this form
Initial CK
2

ETCs Subject to the Non-Usage Requirements
AN ETCs must conW ete the appropriate check-box.ETCs that do not asses and ooflect a monthly fee from their Lrfekne subscrrbers are subject to the
non-usage requirements.ETCs subject to the non-usage requirements must indicate the number of subscribers de-enrolled by month.ETCs that only
assess a fee but do not collect such fees are subject to the norru:age requirements and must also indicate the rwmber of subscribers de-enrdled by
month.
Is the ETC subject to the non-usage requirements?Yes_No X
ff yec.record the number of subscribers de-enrolled for non-usage by month in sock H below-
G H
Month Subscribers De-Enrolled for Non-Usage
January
February
March
April
May
June
July
August
September
October
November
December
Total Subscribers 0
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_
Signature Block
By signing below, I certify that the information provided is true and accurate. I am an officer of the company named
above. I am authorized to make this certification for this SAC.
Signed,
Caitlin Kling Caitlin Kling-General Counsel
,Signature of officer Printed Name and Title of Officer
cklingaintermaxtearr oom 01-13-2025
Email Address of Officer Date
Caitlin Kling 2084151773
Person Cornplebng This Certification Form Contact Phone Number