RCO Update Request CR-3359

07/15/2014 01:42 PM

RCO Update Request CR-3359
ICR Example Company [6544]
Request Information
Request ID :
Request Type :
Request Status :
Company Name :

CR-3359
RCO Update
Awaiting RCO Wet Ink Signature
ICR Example Company [6544]

Created On :
Modified On :
Requested By :
Username :

07/15/2014
07/15/2014
Jason Wilcox
JMWILCOX10

List of Changes
- RCO Title changed from "CEO" to "President"

Company Name and Location
Company ID : 6544
Company Name : ICR Example Company

Address 1 :
Address 2 :
City :
State :
Postal Code :
Country :

123 Road
Springfield
Illinois
55555
United States

Reason for RCO Update :
John Smith's title has changed.
Responsible Corporate Officer (RCO) Info
RCO CDX User ID :
RCO Name :
RCO Title :
RCO E-mail :
RCO Phone :
RCO Fax :

John Smith
President
[email protected]
5555555555

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07/15/2014 01:42 PM

RCO Update Request CR-3359
ICR Example Company [6544]
RCO Change Notification Letter
To whom it may concern:

Please be advised that I, John Smith, of ICR Example Company Company ID 6544, became the responsible corporate officer on
07/15/2014 and replaced John Smith, the previous responsible corporate officer is no longer the RCO because:
John Smith's title has changed.
Please include both the previous RCO and new RCO signatures. If the previous RCO is unavailable to sign this change letter, please
indicate why.

Company Name:
Previous RCO:

New RCO:

ICR Example Company
John Smith, CEO
[email protected]
5555555555 (phone)
John Smith, President
[email protected]
5555555555 (phone)

Signature:
________________________________
Signature:
________________________________

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RCO Update Request CR-3359
ICR Example Company [6544]

07/15/2014 01:42 PM

RCO Delegation Letter
To whom it may concern:
Please be advised that I John Smith, President, of ICR Example Company Company ID 6544 delegate Jason Wilcox, Test Title, to
submit any and all information to the United States Environmental Protection Agency in relation to EPA's Fuels Programs.
I authorize delegate Jason Wilcox to set up a Central Data Exchange (CDX) account and enable them to electronically sign and certify
reports submitted to the EPA, on my behalf. Jason Wilcox understands the reports and information they are submitting. Jason Wilcox is
my employee and is not a third party agent.
In addition, I acknowledge that I and the delegated person are responsible for the information submitted in accordance with the
regulations under title 40 CFR Part 80.
I also establish Jason Wilcox to register for and use the following CDX applications on my company's behalf. Please confirm the
delegate's program role selections by marking the appropriate program roles below with an X. Delegate Jason Wilcox has requested
access to the following program roles:
DC Fuels Submitter, Title 40 CFR Part 80 Subpart I, DC Fuels Submitter, Title 40 CFR Part 80 Subparts K and M, EMTS Submitter,
Company Editor
[ ] QAP Auditor – My delegate may edit any currently registered QAP information for ICR Example Company. Additionally, they may
create new QAP relationships to any registered fuel producing companies on my behalf.
OTAQReg: Fuels Programs Registration -- This application is used for registration under 40 CFR Part 80
[ X ] OTAQReg: Fuels Programs Registration -- Company Editor Role -- Fuels programs registration portal: My delegate may edit and
electronically send registrations for my company.
[ ] OTAQReg: Fuels Programs Registration -- Company Viewer Role -- Fuels programs registration portal: My delegate may view my
company registration information.
[ ] OTAQReg: Fuels Programs Registration -- Limited Company Viewer Role -- Fuels programs registration portal: My delegate may
view my company registration information.
OTAQDCFuel: OTAQ DCFuels Application -- This application is used for the certification and submission of required reports under 40
CFR Part 80
[ X ] OTAQDCFUEL: OTAQ DC FUEL Application -- Submitter Role -- The portal provides users the ability to electronically sign and
submit encrypted reports over a secure connection. I understand I am granting my delegate the ability to send my reports via the portal,
obtain an electronic signature and that they will have the submitter role in the OTAQReg application for my company. The delegate will
also have the ability to retrieve copies of the record that they submit. In addition, I acknowledge that I and the delegated person are
responsible for the information submitted in accordance with the applicable subparts:
[ ] Reports under 40 CFR Part 79 Subparts A, B, C, D, and F -- Registration of Fuels and Fuel Additives
[ ] Reports under 40 CFR Part 80 Subparts D, E, F, H, J, and L -- Reformulated Gasoline / Anti-Dumping / Gasoline Toxics / Gasoline
Sulfur /Gasoline Benzene
[ X ] Reports under 40 CFR Part 80 Subpart I -- Motor Vehicle, Nonroad, Locomotive, and Marine Diesel Fuel
[ X ] Reports under 40 CFR Part 80 Subparts K and M -- Renewable Fuel Standard
OTAQEMTS: EPA Moderated Transaction System -- This application is used for Renewable Identification Number (RIN) transactions
under the Renewable Fuel Standard (RFS2)

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RCO Update Request CR-3359
ICR Example Company [6544]

07/15/2014 01:42 PM

[ X ] OTAQEMTS: OTAQ EMTS Application -- Submitter Role -- EPA Moderated Transaction System (EMTS): EMTS is required for
companies to generate and transact Renewable Identification Numbers (RINs) for the Renewable Fuel Standard (RFS2). I understand I
am granting my delegate the ability to perform all actions (including trades) for my company in EMTS and be assigned the submitter
role in the OTAQReg application.
[ ] OTAQEMTS: OTAQ EMTS Application -- Company Viewer Role -- EPA Moderated Transaction System (EMTS): EMTS is required
for companies to generate and transact Renewable Identification Numbers (RINs) for the Renewable Fuel Standard (RFS2). I
understand I am granting my delegate the ability to view all actions for my company in EMTS and be assigned the company viewer role
in the OTAQReg application.
OTAQWaiverCredits: Cellulosic Biofuel Waiver Credits Pay.gov Application -- This application allows obligated parties to purchase
Cellulosic Biofuel Waiver Credits in the RFS2 program (per 40 CFR 80.1456)
[ ] OTAQWaiverCredits: Cellulosic Biofuel Waiver Credits Pay.gov Application -- Company Submitter Role -- Pay.gov portal:
OTAQWaiverCredits is used by obligated parties to purchase cellulosic biofuel waiver credits to be applied to an obligated party's
renewable volume obligation (RVO). In order to use this application, the user must know the amount of cellulosic biofuel waiver credits
that the party needs. Additionally, a party may not purchase more credits than their party needs; nor may a party transfer credits to
another party. This role is only applicable to refiners and importers of obligated volumes per the renewable fuel standard program. My
delegate may purchase Cellulosic Biofuel Waiver Credits for my company through the OTAQWaiverCredits application in CDX.
Signed,

John Smith, President
[email protected]
5555555555 (phone)

Date _________________________

-

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