Form 561 Annual Report of Interlocking Positions

FERC Form No. 561, Annual Report of Interlocking Directorates

Sample FERC Form 561.xls

Annual Report of Interlocking Directorates

OMB: 1902-0099

Document [xlsx]
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FEDERAL ENERGY REGULATORY COMMISSION Form Approved










































ANNUAL REPORT OF INTERLOCKING POSITIONS OMB No. 1902-0099
















































(Expires MM/DD/YYYY)











































This report is mandatory under Section 305(c)(1) of the Federal Power Act. Failure to report may result in criminal fines, civil penalties and other sanctions as provided by law.
The Federal Energy Regulatory Commission does not consider this report to be of a confidential nature.


















































































PLEASE READ THE INSTRUCTIONS ATTACHED BEFORE COMPLETING THIS FORM.














































RESPONDENT INFORMATION













































1. Full name (Last, First, Middle Initial)


Enter your business address. In the second row enter CITY, STATE, and ZIP CODE. 2. Business Address (Street, City, State, and Zip Code)



























































































If you are authorized by FERC to hold an officer or director position in accordance with Part 45 of the Commission's regulations, enter the docket number of such authorization. (i.e., ID-0001) Please review this list of explanations for not having a docket number, select the number which best explains why you do not have one, and enter it into the "FERC USE" field. Interlocks are between: (1) A public utility and an unrelated public utility holding company (not itself a public utility) (2) A public utility and a top-twenty customer of that utility (3) A public utility and a fuel provider (4) A public utility and a QF per 18 CFR 292.601(c) (5) Filed, waiting for assignment of ID from FERC (6) A public utility and a CNEN (see 18 CFR 131.31) (7) An electrical equipment provider that does not supply the public utility in which the officer/director is affiliated. (8) A public utility and the holding company of that public utility (9) A public utility and a bank, trust co. or securities issuer, insurance co. that is NOT authorized by law to underwrite or participate in the marketing of securities of a public utility (see FPA Section 305(b)(2)(B)) FERC USE:
Enter the calendar year to which the information provided in this form applies. 3. Report Year Ending















































If you are authorized by FERC to hold an officer or director position in accordance with Part 45 of the Commission's regulations, enter the docket number of such authorization. (i.e., ID-1234) 4. Docket #
Enter the date of the latest docket authorization you received from this Commission. 5. Latest Date Authorized














































Enter the name of the public utility or public utility holding company making the filing on behalf of the officer/director stated in 1. 6. Mail to Company Business name, if different from that provided in "Mail to Company".

















































PUBLIC UTILITY DATA














































Enter the exact legal name of each public utility and/or the name of each company within the public utility's holding company system where you held an executive position. (1) Name of Public Utility Choose the appropriate code from the drop-down list provided, that best describes the public utility executive position you held. Code Name Dir Director CEO Chief Executive Officer PRES President VP Vice President SEC Secretary TREA Treasurer GM General Manager COMP Comptroller PURA Chief Purchasing Agent OEP Other Executive Position (2) Position Code(s) Enter the name of each public utility for which you held an executive position. (1) Name of Public Utility Choose the appropriate code from the drop-down list provided, that best describes the public utility executive position you held. Code Name Dir Director CEO Chief Executive Officer PRES President VP Vice President SEC Secretary TREA Treasurer GM General Manager COMP Comptroller PURA Chief Purchasing Agent OEP Other Executive Position (2) Position Code(s)












































































































































INTERLOCKING ENTITY DATA














































Enter the exact legal name of each entity for which you held an interlocking position. (3) Name of Entity Choose the appropriate code from the drop-down list provided, that best describes the public utility executive position you held. CODE NAME DIR Director CEO Chief Executive Officer PRES President VP Vice President SEC Secretary TREA Treasurer GM General Manager COMP Comptroller PURA Chief Purchasing Agent PART Partner APPT Appointee REP Representative OEP Other Executive Position (4) Position Code(s) Choose the appropriate code from the drop-down list provided, that best describes the type of interlocking entity you listed. CODE Description FIN Investment bank, bank holding company, foreign bank or subsidiary thereof doing business in the United States; other organization primarily engaged in the business of providing financial services or credit; mutual savings and loan association. FINI Insurance company. SECU Entity authorized by law to underwrite or participate in the marketing of securities of a public utility. ELEQ Entity which produces/supplies electric equipment for the use of any public utility. FUEL Entity which produces/supplies coal, natural gas, nuclear fuel, or other fuel for use by any public utility. 20CL Entity specified in 18 CFR 46.3 (one of the 20 largest purchasers of electric energy from a utility). CNEN Entity which is controlled by any one of the above named entities. 305B Entity referred to in Section 305(b) of the Federal Power Act (not otherwise identified above.) (5) Type Code Enter the aggregate amount of revenue (rounded to the nearest $100,000), received from producing or supplying electrical equipment to any public utility named herein, during the subject calendar year, if applicable. (6) Total Revenue ($)













































































































































































































































Signature:
Reason for not having a signature:
Date:































































































Format Number FERC 561 (REVISED 01/2010)






























































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































File Typeapplication/vnd.ms-excel
File TitleForm No. 561 - Annual Report of Interlocking Directorates
SubjectForm No. 561 - Annual Report of Interlocking Directorates
AuthorFERC
Last Modified ByAnthony May
File Modified2014-07-14
File Created1998-12-22

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