KDDI America Inc Annual Update 2021.pdf

Date:
The notice must contain the following information:
a. Name of the Telephone Corporation
Corporate Mailing Address
P.O. Box 83720
Boise, Idaho 83720-0074
Telephone [phone]
Facsimile 208-334-3762
[e-mail]
Notice to the Idaho Public Utilities Commission
Rule 606.01, TCRR, IDAPA 31.41.01
Assumed Business Name (if applicable)
City, State, Zip
Address Line #1
Address Line #2
e ep one corpora ons excep coopera ve e ep one corpora ons orme s nce anuary , mus e a no ce
before offering telecommunications services in Idaho. These corporations include but are not limited to sellers of MTS
or WATS, resellers of MTS or WATS services, Operator Service Providers, Data Providers, etc. These notices must
be updated at least annually between December 1 and December 31 each year and whenever there is a change in the
telephone corporation's name, address or agent. Please e-mail the completed form to: [e-mail]
Regulatory Contact
Telephone Number
b.Operations Mailing Address (if different)Name
c.An agent in Idaho for service of process Name
d.
Electronic Address (e-mail)
Address Line #1
City, State, Zip
Agent's electronic address
Person responsible for handling consumer inquiries, complaints, etc. by the public
Address Line #2
Telephone Number
Facsimile Number
Electronic Address (e-mail)
Facsimile Number
Address Line #1
Address Line #2
City, State, Zip
Amanda Gucich
Nationwide Regulatory Compliance
5320 Holiday Terrace, Suite 4
Kalamazoo MI 49009
[phone]
[e-mail]
KDDI America, Inc.
KDDI America, Inc.
7 Teleport Drive
Staten Island, NY 10311
[phone]
[phone]
[e-mail]
Stanley Welsh
1501 S Tyrell Lane
Boise ID 83706
December 21, 2021
RECEIVED
2021 December 21 AM 9:46
IDAHO PUBLIC
UTILITIES COMMISSION
e.
f.
Electronic Address (e-mail) Where possible, please
provide a general or shared mailbox address
Person responsible or compliance in iling o reports and payment o ees due to the ommission or its
Administrators
Name
City, State, Zip
Address Line #2
Facsimile Number
Name
Address Line #1
Name
Person(s) designated as Customer Service contact for the Commission Staff in resolving consumer
complaints, responding to consumer inquiries and answering matters concerning rates and price lists or
tariffs
City, State, Zip
Telephone Number
Toll-Free Telephone Number
Facsimile Number
Electronic Address (e-mail)
Address Line #1
Address Line #2
Please cancel my price list/tariff
Please cancel my Certificate of Public Convenience And Necessity
Electronic Address (e-mail)
Telephone Number
Facsimile Number
Authorized RepresentativeDate
Amanda Gucich
Nationwide Regulatory Compliance
5320 Holiday Terrace, Suite 4
Kalamazoo MI 49009
[phone]
[e-mail]
Shin Shinohara
[phone]
[phone]
Shin Shinohara
33 Whitehall Street
New York, NY 10004
[phone]
[phone]
/s/ Amanda Gucich12/21/21
26th Floor