Form EIA-176 Annual Report of Natural and Supplemental Gas Supply and

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Overview

Parts 1-3
Parts 4-5
Part 6a
Part 6b
Part 7

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Sheet 1: Parts 1-3

This form may be submitted to the EIA by mail, fax, e-mail, or secure file transfer. Should you choose to submit your data via e-mail, we must advise you that e-mail is an insecure means of transmission because the data are not encrypted, and there is some possibility that your data could be compromised. You can also send your Excel files to EIA using a secure method of transmission: HTTPS. This is an industry standard method to send information over the web using secure, encrypted processes. (It is the same method that commercial companies communicate with customers when transacting business on the web.) To use this service, we recommend the use of Microsoft Internet Explorer 8.0 or later or Mozilla Firefox 5.0 or later. Send your surveys using this secure method at: https://signon.eia.doe.gov/upload/noticeoog.jsp

OMB No. 1905-0175

Expiration Date: xx/xx/xxxx

Version No.: xxxx.xx

ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION

FORM EIA-176

This report is mandatory under the Federal Energy Administration Act of 1974 (Public Law 93-275). Failure to comply may result in criminal fines, civil penalties and other sanctions as provided by law. For the sanctions and the provisions concerning the confidentiality of information submitted on this form, see instructions. Title 18 USC 1001 makes it a criminal offense for any person knowingly and willingly to make to any Agency or Department of the United States any false, fictitious, or fraudulent statements as to any matter within its jurisdiction.

PART 1. RESPONDENT IDENTIFICATION DATA

PART 2. SUBMISSION INFORMATION

A completed form must be filed by March 1

REPORT PERIOD:

Year:

2

0

EIA ID NUMBER:

1

7

6

Form may be submitted using one of the following methods:

If this is a resubmission, enter an "X" in the box:

Mail to:

EIA-176

If any Respondent Identification Data has changed since the last report,

U. S. Department of Energy

enter an "X" in the box:

Oil & Gas Survey

Ben Franklin Station

Company Name:

P.O. Box 279

Operations in (State):

Washington, DC 20044-0279

Contact Name:

Email:

[email protected]

Phone No.:

Ext:

Fax:

(202) 586-1076

Fax No.:

Secure File Transfer:

Address 1:

https://signon.eia.doe.gov/upload/noticeoog.jsp

Address 2:

City:

State:

Zip:

-

Questions?

Call:

(877) 800-5261

Email address:

PART 3. COMPANY CHARACTERISTICS

A. Type of Operations (check all that apply)

1.

Distribution company - investor owned

8.

Storage operator

2.

Distribution company - municipally owned

9.

Synthetic natural gas (SNG) plant operator

3.

Distribution company - privately owned

10.

Producer

4.

Distribution company - cooperative

11.

Gatherer

5.

Distribution company - other ownership

12.

Liquefied natural gas (LNG) peak facility operator

6.

Interstate pipeline (FERC regulated)

13.

Liquefied natural gas (LNG) marine terminal

7.

Intrastate pipeline

14.

Other (specify)

B. Vehicles Powered by Natural Gas

1.

Does your company's vehicle fleet include vehicles powered by natural gas?

Yes

No

2.

If yes, how many vehicles in your company's fleet are powered by natural gas?

3.

If you sell natural gas directly to the public at a fueling facility, what was the natural gas pump

price on December 31 of the report year, in cents per gasoline gallon equivalent?

C. Customer Choice Program

If there is a Customer Choice program available in your service territory, enter the number

Eligible

Participating

of customers currently eligible for and participating in the Customer Choice program at

the end of the calendar year.

Residential

Residential

Commercial

Commercial

D. Sales/Acquisitions

1.

Did your distribution territory increase or decrease in size in the report state due to acquisition

Yes

No

or sale this year? If Yes, please describe the sale or acquisition in the Comments box below.

Comments: (To separate one comment from another, press ALT+ENTER)

Page 1

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Sheet 2: Parts 4-5

OMB No. 1905-0175

Expiration Date: xx/xx/xxxx

Version No.: xxxx.xx

ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION

FORM EIA-176

REPORT PERIOD:

Year:

2

0

COMPANY NAME:

Resubmission

EIA ID NUMBER:

1

7

6

PART 4. NATURAL AND SUPPLEMENTAL GAS SUPPLY FOR THE REPORT STATE

ITEM DESCRIPTION

VOLUME (Mcf @ 14.73 psia and 60°)

COST

NOTES*

E

F

1.0

If you are a producer, report production within the report state of:

1.1

Natural gas** (if reporting natural gas production, lease use data should also be

reported on line 15.0) ……………………………………………………………………………………………..

…………………………………………………………………………………

1.2

Synthetic natural gas (SNG)

…………………………………………………………………..

2.0

If you are a storage operator, report operations within the report state of:

2.1

Underground storage withdrawals

…………………………………………………………..

2.2

Liquefied natural gas (LNG) storage withdrawals (regasification)……………………………………………..

3.0

If you are an interstate pipeline company or other company receiving physical custody at

state lines or U.S. borders, report receipts……………………………………………….

From company

1

In state or country

1

Means of transport

1

1

From company

1

In state or country

1

Means of transport

1

1

From company

1

In state or country

1

Means of transport

1

1

From company

1

In state or country

1

Means of transport

1

1

4.0

If you are a distributor, report receipts at city gates within the report state …

…………………..

4.1

Purchase gas received in distribution service area for delivery to your sales customers…………..

4.2

Receipts of gas in distribution service area for delivery to your transportation customers…………..

5.0

Report any other receipts of natural gas within the report state (excluding federal offshore)…

6.0

Supplemental gaseous fuels supplies (specify type)

1

1

1

7.0

Total supply within report state (sum of all items in lines 1.0 through 6.0)……..

………………..

PART 5. LIQUEFIED NATURAL GAS (LNG) STORAGE INVENTORY

VOLUME (Mcf @ 14.73 psia and 60°)

CAPACITY (Mmcf per day)

NOTES*

E

F

8.0

If you operate a natural gas facility, report inventory as of December 31 of the report year

8.1

Liquefied natural gas (LNG) facility…………….

………………………………………………………

8.2

Marine terminal facility

…………………………………………………

…………………………………………………

*Check E if data reported are an estimate; check F if you are providing a footnote in Part 7 for this data item.

**If reporting Natural Gas Production (1.1), data should also be reported on lease use (15.0).

Page 2

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Sheet 3: Part 6a

OMB No. 1905-0175

Expiration Date: xx/xx/xxxx

Version No.: xxxx.xx

ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION

FORM EIA-176

REPORT PERIOD:

Year:

2

0

COMPANY NAME:

Resubmission

EIA ID NUMBER:

1

7

6

PART 6. NATURAL AND SUPPLEMENTAL GAS DISPOSITION FOR THE REPORT STATE

9.0

Heat content of gas delivered to consumers

(Btu/cf)

ITEM DESCRIPTION

NUMBER OF CUSTOMERS

VOLUME

REVENUE (including taxes)

NOTES*

(Mcf @ 14.73 psia and 60o F)

(whole dollars)

E

F

10.0

Deliveries of natural gas that you do own to end-use consumers

within the report state (for assistance in determining proper

categorization of customers, see page 3 of instructions)

10.1

Residential

………………………………………………………….

10.2

Commercial

………………………………………………………….

10.3

Industrial

………………………………………………………….

10.4

Electric power

………………………………………………………

10.5

Vehicle fuel

………………………………………………………….

10.6

Other (not included in above categories)

(Specify type)

11.0

Deliveries of natural gas that you do not own to end-use consumers

within the report state (for assistance in determining proper

categorization of customers, see page 3 of instructions)

11.1

Residential

………………………………………………………….

11.2

Commercial

………………………………………………………….

11.3

Industrial

…………………………………………………………….

11.4

Electric power

……………………………………………………..

11.5

Vehicle fuel

…………………………………………………………

11.6

Other (not included in above categories)

(Specify type)

*Check E if data reported are an estimate; check F if you are providing a footnote in Part 7 for this data item.

Page 3

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Sheet 4: Part 6b

OMB No. 1905-0175

Expiration Date: xx/xx/xxxx

Version No.: xxxx.xx

ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION

FORM EIA-176

REPORT PERIOD:

Year:

2

0

COMPANY NAME:

Resubmission

EIA ID NUMBER:

1

7

6

PART 6. NATURAL AND SUPPLEMENTAL GAS DISPOSITION FOR THE REPORT STATE (continued)

ITEM DESCRIPTION

VOLUME (Mcf @ 14.73 psia and 60°)

NOTES*

E

F

12.0

Natural gas consumed in your operations:

12.1

Space heat of your facilities

…………………………………………………………………………….

12.2

New pipeline fill

………………………………………………………………………………………………………..

12.3

Pipeline distribution or storage compressor use

…………………………………………………

12.4

Other …………………………...(specify type)

………………………….

13.0

If you are a storage operator, report operations within the report state of:

13.1

Underground storage injections (including new fields)…………………………………………

13.2

Liquefied natural gas (LNG) storage injections…………………………………………………

14.0

If you are an interstate pipeline company or other company moving gas across or to state

lines or U.S. borders, report volumes transported ………………………………………………

From company

1

In state or country

1

Means of transport

1

1

From company

1

In state or country

1

Means of transport

1

1

From company

In state or country

1

Means of transport

1

1

From company

In state or country

1

Means of transport

1

1

15.0

Lease use (reported by producers only)

………………………………………………………………..

16.0

Returned to oil and/or gas reservoirs, used for repressuring, reinjection (reported by producers only)

17.0

Losses from leaks, damage, accidents, migration and/or blow down within the report state: …………

18.0

Other disposition within the report state (not included above):

18.1

To distribution companies

…………………………………………………………………………….

18.2

To other pipelines in the report state

………………………………………………………………….

18.3

To storage operators in the report state

……………………………………………………………

18.4

To other

……

……………………

(specify type)

……………………

19.0

Total disposition (sum of all items 10.1 through 18.4)

20.0

Difference between gas supply (+) and disposition (-) (Part 4 line 7.0 minus Part 6 line 19.0)

(this value may be a negative number)

*Check E if data reported are an estimate; check F if you are providing a footnote in Part 7 for this data item.

Page 4

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Sheet 5: Part 7

OMB No. 1905-0175

Expiration Date: xx/xx/xxxx

Version No.: xxxx.xx

ANNUAL REPORT OF NATURAL AND SUPPLEMENTAL GAS SUPPLY & DISPOSITION

FORM EIA-176

REPORT PERIOD:

Year:

2

0

COMPANY NAME:

Resubmission

EIA ID NUMBER:

1

7

6

PART 7. FOOTNOTES

Part

Item

Footnote

No.

No.

DOE

Page 5