20260629Telrite Corporation ETC Affidavit.pdf

Compliance RECEIVED
Solutions JUNE29, 2026
IDAHO PUBLIC
UTILITIES COMMISSION
June 29, 2026
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 attached for filing
a copy of Telrite Corporation dba Life Wireless' FCC 481 and the annual Affidavit.
If you have any questions regarding this filing, please contact me at(407) 260-1011 or
[e-mail].
Respectfully submitted,
/s/Mark Lammert
Mark Lammert
Attorney-in-Fact
Telrite Corporation dba Life Wireless
Attachment

State of Georgia ) CERTIFICATION BY ELIGIBLE TELECOMMUNICATIONS CARRIER
ss OF COMPLIANCE WITH SERVICE QUALITY AND CUSTOMER
County of Newton ) 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 Wirelessd u ring
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, 2026, through December 31, 2026, 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.
6, 1 P't in/-),p �
Kelly Jesel, Ti asu r/Secretary
(D / V� J.ACP
Date
SUBSCRIBED AND SWORN to be ore me this day of June, 2026
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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:2027
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)
1(407)794-3488
Contact Email Address(039)
[e-mail]
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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:2027
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)
lhttps://Iifewireless.com/tac
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:
❑Information describing the terms and conditions of any voice telephony service plans offered to Lifeline
subscribers(1221)
❑Details on the number of minutes provided as part of the plan (1222)
❑Additional charges for toll calls, and rates for each such plan (1223)
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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:2027
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.
0 Yes 0 No
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.
0 Yes 0 No
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), meaning you 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.
0 Yes 0 No
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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:2027
Accuracy Certifications
Certify
❑1 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.
❑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
Kelly Jesel
Title
Secretary
Received Date
12026-06-04
❑l understand this is a digital signature, and is the same as if I signed my name with a pen.
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