365 Wireless LLC Annual Update 2018.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
ll 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
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
b.Operations Mailing Address (if different)Name
c.An agent in Idaho for service of process Name
e ep one um e
Facsimile Number
Electronic Address (e-mail)
Facsimile Number
Address Line #1
Address Line #2
City, State, Zip
Telephone Number
Electronic Address (e-mail)
Address Line #1
City, State, Zip
Agent's electronic address
Address Line #2
RECEIVED
2018 December 13 PM 5:49
IDAHO PUBLIC
UTILITIES COMMISSION
d.
e.
f.
Facsimile Number
Electronic Address (e-mail)
Address Line #1
Address Line #2
Person responsible for handling consumer inquiries, complaints, etc. by the public
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
Electronic Address (e-mail) Where possible, please
provide a general or shared mailbox address
Person responsible for compliance in filing of reports and payment of fees due to the Commission or its
Administrators
Name
Please cancel my price list/tariff
Please cancel my Certificate of Public Convenience And Necessity
Authorized RepresentativeDate
Telephone Number
Facsimile Number
Electronic Address (e-mail)
City, State, Zip
ddress Line #2