LifeConnex Telecom LLC Annual Update 2010.pdf

LIF-I)(L O. Box 83720
Boise , Idaho 8372~Lij~~~G 30 AM 8: Telephone [phone], . -
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IDAHO PUBUC UTILITIES
commission
Notice to the Idaho Public Utilities Commission
Rule 202, IDAPA 31.42.
All telephone corporations (except cooperative telephone corporations) formed since January 1 , 1988 must file a notice
before offering telecommunications services in Idaho. These corporations include but are not limited to sellers of MTS or
WA TS, resellers of MTS or WA TS 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: secretary~puc.idaho.gov
Date:
The notice must contain the ollowina information:
Name of the Telephone Corporation LifeConnex Telecom , LLC
Assumed Business Niilme (if applicable)
Corporate Mailing Address Regulatory Contact Lisa Brown
Address Line #1 3483 Satellite Blvd., Suite 202
Address Line #2
City, State, Zip Duluth 30096-5800
Telephone Number 678-436-5590
Facsimile Number 678-802-3483
Electronic Address (e-mail)Ibrown(Q),rtcllc.net
Operations Mailing Address (if different)Name
Address Line #1
Address Line #2
City, State, Zip
Telephone Number
Facsimile Number
Electronic Address Ie-mail)
Principal Address in Idaho (if applicable)Name
Address Line #1
Address Line #2
City, State, Zip
Electronic Address Ie-mail'
An agent in Idaho for service of process Name Incorp Services, Inc.
Address Line #1 921 S.Orchard Street , Suite G
Address Line #2
City, State, Zip Boise 83705-0000
Aaent's electronic address
Person responsible for handling consumer inquiries, complaints, etc. by the public
Name
Toll-Free Telephone Number
Facsimile Number 813-909-4891
Electronic Address Ie-mail)
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
Name David Gainer
Address Line #1 6905 N. Wickham Road Suite 403
Address Line #2
City, State, Zip Melbourne 32940-0000
Telephone Number 321-373-4343
Facsimile Number 813-862-2318
Electronic Address (e-mail) Where possible, please
provide a aeneral or shared mailbox address dg a in er~telecom g rou p. com
Person responsible for compliance in filing of reports and payment of fees due to the Commission or its
Administrators
Name Lisa Brown
Address Line #1 3483 Satellite Blvd., Suite 202
Address Line #2
City, State, Zip Duluth 30096-5800
Telephone Number 678-436-5590
Facsimile Number 678-802-3483
Electronic Address (e-mail)Ibrown~rtcllc. net
Please cancel my price list/tariff
Please cancel my Certificate of Public Convenience And Necessity
8/24/2010
Date
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Authorized Representative